Permit CITY OF TIGARD, .
t DEVELOPMENT SERVICES SEWER CONNECT I ON
.. -'� ' , 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
,-; PERMIT
-ERMIT #� °..°. °. e SWRS 7 -- 315
DATE ISSUED; 08/12/97
PARCEL; 2S102AA--00600
SITE ADDRESS. , :. 119 0 SW PACIFIC HWY #D.
SUBDIVISION... ;TIGARD HIGHWAY TRACTS ZONING CLAD
• BLOCK . ° ° ° ° ° °. °° LOT °.. °.. °. °.. ° °o12 JURISDICTION: TIG
TENANT NAME° ° .. ; ALL ABOUT HAIR '
USA NO...........: , . FIXTURE UNITS...: 15
CLASS OF WORK . ; ALT ' DWELLING UNITS. ° a 1
TYPE OF USE. :CON • HO. OF BUILDINGS: !1'
INSTALL TYPE °BUSWR Ilr1PERV SURFACE: 0 sf
Remarks; Tenant improvement
Owner -- -• - -- - - - - -- FEES
ALL ABOUT HAIR type amount by date recpt
11940 SW PACIFIC HWY PRMT $ 2200.00 DRA 08/11/97.97-298154
TIO RD OR 97223
Phone #f
Contractor: -- - - - - -- --
OWNER
Phone # o x, 221200 0710 TOTAL
-- REQUIRED INSPECTIONS -----
This Applicant agrees to cocply with all the rules and regulations __,____ -
of the Unified Sewage Agency. The permit expires 180 days froo
the date issued. The total aoount paid will be forfeited if the -- ___ '
pereit expires. The Agency does not guarantee the accuracy of the _ __
side sewer laterals. If the sewer is not located at the oeasureoent _
_
given, the installer shall. prospect 3 feet in all ,directions froo _ _ �_
the distance given. If not .so located, the installer shall purchase _ _ __
a "Tap and Side Sewer' Peroit 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- 1'01 -3010 through OAR 952-02:31-0.080. You Day obtain copies of _
these rules or dir H: questions to CUNC by calling (52+3)246 -198 __ ,� . „
I s s u e d t v :_ ... � � _.. _._ !D.- m i-E .tee • S i _9 n a t w' e e_ _._._ _ _r
•
+ + +-I- + + +i-f+ + + + +-'r + ++ Fy + F+- r-.+-w•.+-l--h +-1- + + +.+-h+ I r + ++-l-+ + +-w• +,w•-w• +-h +-F+ 1 -..... +-1-++ +- 1- + +-L+
Call 639 -4175 by 6a00 p.m. for an inspection needed the next business day
+ -w + + + + ++ + + + + + +-1 ++++ + + +++ + ++ + +++ ++. + + ++ + + + ++ +-r-h-1 ++ +i°++ + + + ++ ++++ +++ i-++ ++ ++ + +-1--I + + ++
i
Tarrant Name• J I b Accumulative Sewer Tally This swR #: ° V — b3)
Address: I I D SW PeLCA �- (41ij7 MD" This PLM #: °11 — 1 - 1
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off eras added # added total #s total
Count off Is cam 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
1.
- Domest 2
Drinking Fountain 1 ,
Eye Wash 1
•
Floor Drain /sink - 2. inch 2
- 3 inch 5
- 4 inch 6
- Car Wash Drain 6
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48
r i
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar /Lavatory 2
- Bradley 5 cam( q
- Commercial ( fiat. by 3 I Testy J -3 it r2- 3 / 1
- Service 3
Swimming Pool Alter 1 ` - �I -
Washer, Clothes 6 ._ / £' / _ (a 1
Water Extractor 6 ` �
Water Closet. Toilet 6 ) (v / to 1 I ,_
Urinal 6
TOTALS iv- o`CCDI I�! , ` 3 k/' i LID() D()'s = io F t' S I '9 /r -
Total fixture values: - 71 divided by 16 = 0,13 EDU N ; c" w s
HISTORY I b0 C Je�
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR# •
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
1
Page No. 1 CASE HISTORY FOR CASE NO.: SWR97 -0315
ALL ABOUT HAIR
11940 SW PACIFIC HWY Unit: D
12/01/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- --- -------- ---
SWRC003 Application received / / / / 07/30/97 RECD DRA 08/07/97 BON
SWRC008 Permit Created / / / / 08/06/97 PASS B 08/07/97 BON
SWRCO25 USA Sewer Card Processed / / / / 08/07/97 PASS B 08/07/97 BON
SWRCO32 DST Post- Review Completed / / / / 08/07/97 PASS B 08/07/97 BON
SWRCO70 Ready to issue / / / / 08/07/97 Be sure to case final this as there is MEMO B 08/07/97 BON
no inspection required.
SWRC080 (F) Issue permit / / / / 08/12/97 PASS DRA 08/12/97 CTR
SWRC720 Case Finaled / / / / 08/12/97 No inspection needed, EDU increase. PASS DRA 08/12/97 CTR