Permit CITY OF TIGARD SEWER CONNECTION PERMIT
a COMMUNITY DEVELOPMENT Permit #: SWR2013 -00002
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/08/2013
Parcel: 25101 CA00400
Jurisdiction: Tigard
Site address: 7940 SW HUNZIKER ST
Project: Charter Mechanical Subdivision: 2007 -064 PARTITION PLAT Lot: 1
Project Description: 1.13 EDU increase
Contractor: Owner: MERITAGE FIVE LLC
7940 SW HUNZIKER ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 01/08/2013 $5,271.45
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1.13
Total $5,271.45
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Or - .n Utility Notification
Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a co. f . es or direct questions
to OUNC by ing 503.2 = 1 • : 1.: r 0.332.2344. /
Issue By: �� /` Permittee Signature: r
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
II Accumulative Sewer Tally
Tenant Name: Charter Mechanical SWR # 2013 -00002
Site Address: 7940 SW I- Iunziker St PLM # 2013 -00011
TIGARD
Parcel #: 2S101CA00400
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped #5 value count added # added value total #s total values
Baptistry/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 0 0 0
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 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 I IP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 0 0 0
Oil Scp (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:
- Lav /Bar - Non -Food Related 2 0 0 4 8 4 8
- Bradley 5 0 2 10 0 -2 -10
- Com /Scry /Util - Food Related 3 0 0 0 0 0
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 1 6 1 6
Urinal 6 0 1 6 3 18 2 12
Previous EDU Count 0 0
Capped EDU Credit 0
'I'O'I'ALS 0 0 3 16 9 34 6 18
Current Fixture Value 18 divided by 16 = 1.125 Current I'DU 1 EDU = $4,665.00
Previous Fixture Value 0 divided by 16 = 0.000 Previous I:DU
Change 18 divided by 16 = 1.125 over (under) S 5,271.45
Enter EDU Change Here 1.130
Notes:
Authorized Name /Signature: Date:
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I: \Building \Sewer Tally \Sewer 1'allySheet- 4665.xls 07/01/12