Permit CITY TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR2001 -00218
DEVELOPMENT SERVICES DATE ISSUED: 9/17/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 13560 SW PACIFIC HIGHWAY PARCEL: 2S102CC -00500
SUBDIVISION: STARBUCKS ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
TENANT NAME: STARBUCKS
USA NO: FIXTURE UNITS: 52
CLASS OF WORK: ALT DWELLING UNITS: 1
TYPE OF USE: COM NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Increase of .7 EDU's. Previous fixture count was 42, this permit is capping 10 fixture values and
adding 23 fixture values for a net increase of 10 fixture values or .7 EDU's.
Owner:
FEES
STARBUCKS COFFEE COMPANY
2401 UTAH AVE S Type By Date Amount Receipt
SEATTLE, WA 98134 PRMT CTR 9/17/01 $1,610.00 27200100000
Phone: 206 - 318 -1575 Total $1,610.00
Contractor:
Phone:
Reg #:
Required Inspections
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" Perm
Issued by. . � // Permittee Signature:
C II (503) 639 -4175 by 7:00 P.M. for an inspection needed the e xt business day
t.
• „- Accumulative Sewer Tally
Tenant Name: S7 ur,KS This SWR# AD /-D0 -2/4
Address: /354D -sec) Age,/-/-(! /iiy This PLM #: am /- dDa96
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
1
- JacuzzifNhirlpool 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 S /Q
- 3 inch 5 _ y c O
- 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 / .3 /
Swimming Pool Filter 1 _
Washer - Clothes 6 .
Water Extractor 6 _ ,
Water Closet - Toilet 6
Urinal 6 �/
TOTALS / ° - /3 /- 623 5Z
Total fixture values: ..5" divided by 16 = .3• a EDU N ..2 _ . 7 E - 6 u. /Ne2DISe
HISTORY,�f% o�w LrFO,er6 /A69 - c �°e.vs By Biz �,vF
e � a300 = °sv / 6 /d• ad
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
i:ldstMswrtary.doc
/S /d/
• - Accumulative Sewer Tally
Tenant Name: 7 o 77/>e This SWR# /.r�
Address: /25110 SA.) ie/F /C MR7 ,4'( EA,k -r 19444 . This PLM#; {�
2�
776.5 / ,,�cE'r/ I
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 /D
- 3 inch 5
-4inch 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 3 to
- Bradley 5 / s
- Commercial 3
- Service 3 / -3
Swimming Pool Filter 1
Washer - Clothes 6
Water Extractor 6
Water Closet - Toilet 6 .2. /2.
Urinal 6 / (,
TOTALS X,
rot divided by ° - 63 EDU '= 02 • 4,
Total fixture values: y 16 =
HISTORY ,oE ,Qa /Ld /•JG ,t...9A/ A --- via-ii..) /may ftV�ECTdie d'GL Lk ----- 9/0/
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
i:dsts swrtaly.doc
\ 047 1---- 9/0/