Permit r
CITY TI GARD SEWER CONNECTION PERMIT
6 1, DEVELOPMENT SERVICES PERMIT #: SWR2003 -00070
,! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/27/03
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SITE ADDRESS; 16550 SW 72ND AVE B -09 PARCEL: 2S113AA -01000
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I - L
BLOCK: LOT: OOC JURISDICTION: TIG
TENANT NAME: KADANT WEB SYSTEMS
USA NO: FIXTURE UNITS: 68
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .7 EDU increase. Previous fixture values were 1077.2, there was a .1 edu credit from previous
capped fixtures. This permit is capping 8 fixture values and adding 21 for a new total fixture value
of 1088.2.
Owner:
FEES
PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300 -WMI Description Date Amount
PORTLAND, OR 97224 [SWUSA] Swr Connect 2/26/03 $0.00
[SWUSA] Swr Connect 2/26/03 $1,610.00
Phone:
Total $1,610.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the 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 Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -6699.
Issued b'
Y Permittee Signature:i' e'¢ , 1
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
Accumulative Sewer Tally
Tenant Na ' eniCadant Web Systems This SWR# 2003 -00070
Site Address: 16550 SW 72nd Ave B -09 This PLM# 2003 -00062
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s values
Baptisery/Font 4 0 0 0 0 0
Bath - Tub /Shower 4 0 0 0 0 0
- Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher - Commercial 4 0 0 0 0 0
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain /Sink - 2 inch 2 0 0 1 2 1 2
- 3 inch 5 0 0 0 0 0
- 4 inch 6 0 0 0 0 0
- Car Wash Drr 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 HP) 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 HP) 48 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 _ 0
Oil Sep (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower - Gang (per head) 1 0 0 0 0 0
- Stall 2 0 0 0 0 0
Sink - Bar /Lavatory 2 0 1 2 2 4 1 2
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 1 3 1 3
- Service 3 0 0 0 0 0
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 1 6 2 12 1 6
Urinal 6 0 0 0 0 0
Previous EDU Count 67.3 1076.8 1076.8
Capped EDU Credit 0.1 1.6
TOTALS 0 1076.8 2 8 6 21 4 1088.2
Current Fixture Value 1088.2 divided by 16 = 68.0 Current EDU 1 EDU = $2,300.00
Previous Fixture Value 1076.8 divided by 16 = 67.3 Previous EDU
Change 11.4 divided by 16 = 0.7 over (under) $ 1,610.00
Enter EDU Change Here 0.7
HISTORY
Notes: PLM# 2002 -00446 EDU# 67.3 SWR# 2002 -00305
'LM# 2001 -00385
a EDU# 67.4 SWR# N/A
PL ■ • 2000 -000• / EDU# 67.1 SWR# 2000 -00389
:
` i� s 1,0'4 4 11 1 4; Date: /a3
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Signature of pe on that calculated this tally sheet and date perfromed is required