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Permit 401 1k, CITY OF TIGARD SEWER CONNECTION PERMIT , il DEVELOPMENT SERVICES PERMIT #: SWR1999 - 00232 t' I " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/29/2000 SITE ADDRESS; 07400 SW LANDMARK LN PARCEL: 2S112AB 00400 SUBDIVISION: ZONING: I -H • BLOCK: LOT: JURISDICTION: TIG TENANT NAME: BONITA PRODUCTS USA NO: FIXTURE UNITS: 32 CLASS OF WORK: NEW DWELLING UNITS: 2 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer for new commercial building. Owner: FEES GLEN HAYTER • 5455 SE ALEXANDER Type By Date Amount Receipt HILLSBORO, OR 97123 PRMT GEO 03/29/200C $4,600.00 0001000 INSP GEO 03/29/200C $45.00 0001000 Phone: 503 - 542 - 5611 Total $4,645.00 Contractor: Phone: Reg #: Required Inspections ORIGINAL This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 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 hr= ugh •AR 9.2001 -0080. You may obtain copies -of- these_ - ules -. dir--• -. estions- to- O UNC by calling (503) 246.4 ! Y Issued by: • Al-- Permittee Signature: , ` g � Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day • Accumulative Sewer Tally Tenant Name:.!'JF±,._I /: , ' , ''1 'l1 ; % This SWR# /“; . Address: -; do ( 9 s. 4 ,) 2t" /,49 .x" This PLM #: Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower 4 - Jacuzzi/Whirlpool 4 • Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - Domestic 2 Drinking Fountain 1 Eye Wash 1 Floor Drain /sink - 2 inch 2 - 3 inch 5 - 4 inch 6 - Car Wash Dm 6 Garbage Disposal 16 - Domestic (to 3/4 HP) - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine /Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 _ - Stall 2 Sink - Bar /Lavatory 2 - Bradley 5 - Commercial 3 - - Service 3 • Swimming Pool Filter 1 Washer - Clothes 6 - Water Extractor 6 Water Closet - Toilet 6 Urinal 6 TOTALS ' 55— Total fixture values: divided by 16 = EDU HISTORY PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# - - - - - PLM# EDU# SWR# - PLM# EDU# SWR# PLM# EDU# SWR# is \dsts\swrtaly.doc • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1999- 0032.? S1/45/0 Date 6 Date Requested PM BLD Location 7V0 b 'i9 /V L., Suite ® zC:150 - GO 13 2. Contact Person Ph i S 3 PLM Contractor Ph C: 92- " 13 :c - V - ti1N. (999-007-32 BUILDING Tenant/Owner ELC Retaining Wall ELR Footing —" Foundation Access 6PAe FPS � �`/.� Ftg Drain Crawl Drain Inspection Notes: SGN Slab gS� T"� (,� ( ��OU� "Z Post & Beam � Ext Sheath /Shear ` Q S�lQ / �� -- Int Sheath /Shear Framing ry Insulation P QC� - 0 G 32--? 6 i Drywall Nailing �J 2 / i/6 Firewall 80 A .20 0 o - co ? 2 _ X36 z- 4/ Fire Sprinkler Fire Alarm }3u to 2000 _ 000 9 3 Susp'd Ceiling , J Roof -,� i cn (Rq C OOSZ. Misc: nn / Final PASS PART FAIL S1" (A - ( — cDo 2-3 C9 ���' ' '1 !_ PLUMBING • —_ , Z .4 56 • Post & Beam Under Slab Top Out � Water Service j OL 9 C- 0Oo 3 S— Sanitar Sewer Rain Drains Final PASS PART FAIL - MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ] �) �� Approach /Sidewalk Other Date S /o � 0 Inspector I " 1 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.