Permit CITY OF TIGARD SEWER CONNECTION PERMIT
III ' • - COMMUNITY DEVELOPMENT Permit#: SWR2014-00022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/18/2014
Parcel: 2S 101 AB02500
Jurisdiction: Tigard
Site address: 7080 SW BEVELAND RD
Project: Beveland Street Offices-Building 1 Subdivision: BEVELAND Lot: 7
Project Description: Building 1 - 1.38 EDU increase
Contractor: Owner: SPECTRUM LAND DEVELOPMENT LLC
PO BOX 1689
LAKE OSWEGO, OR 97035
PHONE PHONE 503-570-8828
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/18/2014 $6.624 00
Sewer Inspection-Commercial 03/18/2014 $45 00
Type of Use: COM
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1.38
Total $6.669 00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specially 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 it
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules or direct questions
to OUNC by cattrng-50.232.1987 or 1.800.332.2344.
Issue By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat
This permit card shall be kept in a conspicuous place on the job site until completion o t e project.
Approved plans are required on the job site at the time of each inspection.
Sli Accumulative Sewer Tally
Tenant Name: Bevcland Street()ffices-Building 1 SWR# 2014-00022
Site Address: 7080 S\\ Beveland St PI.T\1# 2014-00073
Parcel#: 2S 101 A602500
Fixture \.1I,1, I'reviuus Previous Credits Capped Fixture Fixture New New
value«mot capped#s value count added# added value rural#s total value.
Baptistry/font 4 0 _ II 0 0 0
Bath: -Tub/Shower 4 0 u 0 0 0
-Jacuzzi/Whirlpool 4 0 ii 0 0 0
Car Wash: -Each Stall 6 0 u 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 u 0 0 0
Dishwasher. -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain I 0 0 0 0 0
1?ve Wash 1 0 0 0 0 0
floor Drain/Sink: -2 inch 2 0 0 2 4 2 4
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 I)
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 I IP) 16 0 II 0 0 0
-Commercial(to 5 I IP) 32 0 it 0 0 0
-Industrial(over 5 I IP) 42 0 u 0 0 0
Ice Machine/Refrigerator Drain 1 0 n 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 I I 0 0 0
Rec.Vehicle Dump station 16 0 H 0 0 0
Shower. -Gang(per head) 1 0 I! 0 0 0
-Stall 2 0 u 0 0 0
Sink:
Lav/Bar-Non-Food Related 0 u 3 6 3 6
-Bradley 5 0 0 0 0 0
-Com/Sery/Util-Food Related 3 0 o 0 0 0
Swimming Pool Filter I 0 i I 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 2 12 2 12
Urinal 6 0 0 0 0 0
Previous EDU Coto,. 0 0
Capped EDU Credo 0
TOTALS S 0 0 0 0 7 22 7 22
Current Fixture Value 22 divided by 16= 1.375 Current EDU 1 EDU= $4,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 22 divided by 16= 1.3'5 over (under) 5 6,624.00
Enter EDU Change Here 1.380
Notes: Garbage disposal not calculated as it is for office breakroom.
Authorized Name/Signature: Debbie.ldamski Date: 3/18/2014
Building Division
Note: The property owner shall retain the ORIGIN AL 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.
1:\Building\Sewer Tally I3.xlsx