Permit EWER CONNECTION
PERMIT
, CI Y OF TIGARD DATE ISSUED: 05/01 /966 —010.�
COMMUNITY DEVELOPMENT DEPARTMENT
8 g. \( ` � PARCEL: 2S 112DC -00100
S I TE 31 i�� gv: : ard ,c 7 W tn:2 3) 171
SUBDIVISION • SP TIGARD INDUSTRIAL PARK ZONING: I —L
BLOCK • LOT • 2
TENANT NAME *TETRA PLASTICS
USA NO • FIXTURE UNITS...: 83
CLASS OF WORN....: ALT DWELLING UNITS..: 5
TYPE OF USE :COM NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: Tenant improvement increasing fixture value from 144 to 227. This perm
it
will charge applicant for 5 du's as Acctg. bi11s for 9 at present per TT..
Owner: FEES
NIKE — TETRA type amount by date recpt
ONE BOWERMAN DRIVE PRMT $ 11000.00 JMH 05/01/96 96 -278833
BEAVERTON OR
Phone #: 503- 671 -2017
Contractor:
FLETCHER WRIGHT CONSTRUCTION
P 0 BOX 3764
SEATTLE WA 98124 -2264
Phone #: $ 11000.00 TOTAL
Reg #..: 89229
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from _1 A,
the date issued. The total amount paid will be forfeited if the / ' wr 1/11." VP."
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the A ncy will in a 1aira1.
Permittee Signature: A�`,i1 u`'
i
Awd _
Issued By:. �� �..� �r.� ��i li .I
I Call for ispection — 639 -4175
Tenant Name: T a- Pay -, Accumulative Sewer Tally This SWR #: 1(0 -0
Address: )'" COOS SW 72---- This PLM #: %_DD'j7
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4
- Domest 2
Drinking Fountain 1 ,
Eye Wash 1
Floor Drain /sink - 2 inch 2
- 3 inch 5
- 4 inch 6
- Car Wash Drain 6
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48
Ice Machine /Refrigerator Drains 1
Oil Sep IGas Station) 6
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar /Lavatory 2 t 14
- Bradley 5 I
- Commercial 3 / , 3 1 3
- Service 3
Swimrning Pool Filter 1
Washer, Clothes 6
Water Extractor 6 .
, r
Water Closet, Toilet 6 _ q-. �r � 5C
� �
Urinal 6 3 I 3 / D
TOTALS °I xYs Li .` 221
Total fixture values: 7-17 divided by 16 = / y / 9 EDU / yV -f 3-3 Z Z
HISTORY LW / �_ d aGde,eiC,h , e Gi_ a e. ciZ S //, 677;
PLM# EDU# q SWR# Qom( AQC () LAG PLM# EDU# SWR#
PLM #' ? -Ct1 EDU# 1q SWR# 1 0 - / PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
AIOpmvunouwiuI.t
Sewer Permit Worksheet
_;" 4 Fixture Unit Ratings
FIXTURE TIMES (x) TOTAL.
UNIT # OF FIXTURE
FIXTURE VALUE FIXTURES VALUE
Baptistry /Font 4
Bath - Tub /Shower 4
- JacuziWhol 4
Cuspidor/Water Asp 1
Dishwasher - Commer 4 I
Domest 2
Drinking Fountain 1 1
Floor Drain - 2 inch 2
- 3 inch 5
- 4 inch 6
Garbage Disposal
- Dom (to 3/4 HP) 16
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48
Oil Seo (Gas Sta) 6
Shower - Gang 1
-Stall 2
Sink - Bar 2
- Bradley 5
- Commercial 3 ) 3
- Service 1 3
Washer. C +othes 1 6 I 1 1
Water, Ext 1 6
Water Closet 6 1
Urinal 1 6 j I
46 OF 1231 -q5
1 -4 Fircug, VA-Lite,
9 D∎t1E1.Ut.1 ukirr
E&U VAL I 1
13[tAuNCF0R- 1 $3 1 (5,19)
Business ELM l(� � i Taal Fixture Value 7
Address I5( 5W 7Z Np A V , � c divided by 16 = I 4. ED:U
erA -t / OV_ 97Z1 `[ Rcurd EDU to nearest whole number & multiply by S2200
;I yswrwRSn
(4 1 = 5 Nov �u`g
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