Permit C 1TY OF TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR2002 -00125
DEVELOPMENT SERVICES DATE ISSUED: 3/19/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 06650 SW REDWOOD LN 235 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME: STORA ENSO TIMBER
USA NO: FIXTURE UNITS: 7
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: .5 EDU increase. Previous value count was 226, this permit added 7, for a new total of 233 fixture
values.
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 PRMT CTR 3/19/02 $1,150.00 27200200000
Total $1,150.00
Phone:
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
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Is ued b , • Permittee Signature: / J
Call 503 6 • -4175 by 7:00 P.M. for an inspection needed t next business day
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Accumulative Sewer Tally
Tent t Nama-: STORA ENSO TIMBER This SWRt SWR2002 -00125
Site Address: 6650 SW REDWOOD LN #235 This PLM# PLM2002 -00091
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 1 2 1 2
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 Drn 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 0 0 0 0
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 0 0 0
- Service 3 0 0 1 3 1 3
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 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 14.13 226.08 226.08
Capped EDU Credit 0
TOTALS 0 226.08 0 0 3 7 3 1 233.08
Current Fixture Value 233.08 divided by 16 = 14.6 Current EDU 1 EDU = $2,300.00
Previous Fixture Value 226.08 divided by 16 = 14.1 Previous EDU
Change 7 divided by 16 = 0.4 over (under) $ 1,150.00
Enter EDU Change Here 0.5
HISTORY
Notes: PLM# 98 -00421 EDU# 14.13 ' SWR# 98 -00312
PLM# 96 -00030 EDU# 14 SWR# 96 -00053
( ...----P„LM# 95 -00373 ' EDU# 14 / SWR# 95 -00522
Name: .6 �� sLAN\-' I Date: . //g (O
Signature of person that calculated this tally sheet and date perfromed is required