Permit CITY OFTIGARD
:4114,4; A 4 1 •G' DEVELOPMENT SERVICES SEWER CONNECTION
' �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # BE RM i T T • SW R98 -0190
D DATE ISSUED: 08/19/98
\P
PARCEL: 2S1O1DD -00600
SITE ADDRESS• . • :0680) SW SANDPURG ST
SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING: C —P
BLOCK LOT -003 JURISDICTION: TIG
TENANT NAME -WESTERN FAMILY FOODS
USA NO FIXTURE UNITS...: 62
CLASS OF WORK..•:NEW DWELLING UNITS..: 4
TYPE OF USE •COM NO. OF BUILDINGS: 0
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: RE: PLM98 -0253
Owner: FEES
WESTERN FAMILY FOODS, INC type amount by date recpt
6800 SW SANDPURG INSP $ 45.00 DLH 08/19/98 98- 308418
TIGARD OR 97223 PRMT $ 9800. DLH 08/19/98 98- 308418
Phone #:
Contract or:
OWNER
Phone #: $ 9245. 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.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-881-0810 through OAR 952- 0081-0880. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
Issued by: __ Permittee Signature: e, OM 8 ■ -
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
L - - -
• r Accumulative Sewer Tally
Tenant Name: eSTern ( C ��etki This SWR# "‹ qg °I 90
I Ai Addtess: a tv b,, 47-.- 4 1 This PLM #: f -" Y 5— o - i-' S 3
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 <9 `{ Z L i
Drinking Fountain 1 Al • Li
Eye Wash 1
Floor Drain /sink - 2 inch 2 v C 1 Z LP I Z
- 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 v n 7 , Li g
Sink - Bar/Lavatory 2 ) k rO
- Bradley 5
- Commercial _ 3 /IA I Z-- LI I Z .
- Service 3 179 LD Z LO
Swimming Pool Filter 1
Washer - Clothes 6 _
Water Extractor 6
Water Closet - Toilet 6 -42- 7 L I Z
Urinal .. 6 0 i, e° '/ Z u 2
TOTALS G r '� `" /\ " oh 6
Y q15 EDU N 1 L)u is
Total fixture values: �S divided by 16 =
HISTORY IA g'gg L' 00 D u f
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
iMsts\swrtaly.doc
•
4/24/00 Activities for Case #: SWR98 -00190
2:46:20 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRC003 Application received 7/29/98 7/28/98 JSD PASS JSD 7/29/98
SWRC008 Permit Created 7/29/98 7/29/98 JSD PASS JSD 7/29/98 This is accompanying
PLM98 -0253 to PPE on
07/29/98. jsd
SWRCO25 USA Sewer Card Processed 7/29/98 7/29/98 JSD PREP JSD 7/29/98
SWRCO32 DST Post - Review Completed 8/12/98 B DONE BON 8/12/98
SWRC070 Ready to issue 8/12/98 B PASS BON 8/12/98
SWRC705 Sewer Inspection 8/12/98 9/16/98 DD PASS J'H 9/17/98 Building sewer line to site
connection. Materials, tracer
and water test okay.
SWRC080 (F) Issue permit 8/19/98 DLH DONE DLH 8/19/98
SWRC720 Case Finaled 9/17/98 DD • PASS J'H 9/17/98
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