Permit CDJER CONNECTION
PERMIT
CITY O F TIGARD DATEIISSUED: 08/29Wg96 -0128
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S 110DB -00600
SITE ADDRESS...: 15348 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C —G
BLOCK • LOT •10
TENANT NAME •LES SCHWAB
USA NO • FIXTURE UNITS...: 44
CLASS OF WORK...:NEW DWELLING UNITS..: 3
TYPE OF USE •COM NO. OF BUILDINGS: 0
INSTALL TYPE :LTPSWR IMPERV SURFACE: 0 sf
Remarks: 13,236 sq. ft. retail tire store
Owner: FEES - - - --
LES SCHWB type amount by date recpt
PO BOX 667 PRMT $ 6600.00 DST 08/29/96 96- 28341E
INSP $ 45.00 DST 08/29/96 96- 283412
PRINEVILLE OR 97754
Phone #: 503- 447 -4136 -
Contractor: --
OWNER
Phone #: $ 6645.00 TOTAL
Reg #..:
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
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. _^
Permittee Signature, ) /]14"J/t(/
Issued By: •. 4.4
Call for inspection — 639 -4175
•
Page No. 1 CASE HISTORY FOR CASE NO.: SWR96 -0128
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
09/17/97
Action Description Reg/ Schd /. End/ Action Notee Diep By Update Upd
Code Sent Done Done Date By
SWRA007 Application received / / / / / / 04/02/96 BON
SWRA010 Plan check by / / / / 03/26/96 04/02/96 BON
SWRA020 Check for prcl. restrict. 04/02/96 / / / / 04/02/96 BON
SWRA070 Ready to issue / / / / 08/26/96 PAY FEES, HOLD UNTIL LAND USE /LOT LINE HOLD JMH 08/27/96 D +A
ADJ. COMPLETE.
SWRA080 (F) Issue permit / / / / 08/29/96 PASS JDA 08/29/96 JDA
SWRA705 Sewer Inspection / / / / 01/28/97 PASS MS 01/28/97 MRS
SWRA720 Case Finaled / / / / 01/28/97 PASS MS 01/28/97 M
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Tenant Name: L {.6 �C D ' ! Accumulative Sewer Tally This SWRi:: 'Ito —'b 1z%
Address: 153 S r N - Fa. p � 4 1 e - 141 y - N ew l This PLM# ; ei fn - On5
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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 2. ( i- 7i Z
Eye Wash 1
2 / Q
Floor Drain /sink - 2 inch 2 ,�
Co �p J
- 3 inch 5 �_ - -1
- 4 inch 6
- Car Wash Drain 8
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32 ' .'1=)
- Ind (over 5 HP) 48
• Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 8 , •
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2 1
Sink - Bar /Lavatory 2 3 I ( ' /
- Bradley 5
. - Commercial 3 _ A. (p 2 (L
- Service 3
Swimming Pool Filter 1
I
Washer, Clothes 6
Water Extractor 6 -- Water Closet, Toilet 6 j / / / � J I'd 1
Urinal 6
TOTALS `t - f
Total fixture values: Liq divided by 16 = 7 .'5 EDU err 3 DO'S
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#
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