Permit ` x CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2015-00131
TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Date Issued: 10/19/2015
Parcel: 2S 101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 160
Project Cascadia Labs Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: 1 31 EDU increase
Contractor Owner: WPC TIGARD LLC
307 LEWERS ST 6TH FL
HONOLULU, HI 96815
PHONE PHONE
FAX
FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/19/2015 $6,681 00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1 31
Total $6,681 00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR pecialt Codes tall other applicable
law. All work will be done in accordance with approved plans This permit will expire if work is r it started ithin :n •. s of issuance, or if
work i spended o -sore the 180 days ATTENTION Oregon law requires you to follow the r les adopted by he i rgon Utility Notification
Ce- er Those rules are s- fort • OAR 952-001-0010 through OAR 952-001-0090 You may obtain a cop of the les or direct questions
OUNC by calling 503.232 198'•r 1 801 3 2344 /
Issued By: Permittee Signature
Call 503.639.4175 by 7:00 a.m.for the next available inspectio- .. -.
This permit card shall be kept in a conspicuous place on the job site until ••mpleti-•n of the project
Approved plans are required on the job site at the time of e- h insp.ction.
Accumulative Sewer Tally
a
C , 'Tenant Name Cascadia Labs S\VAR# 2015-00131
y� Site Address. 7405 SW Tech Center Dr P1.M # 2015-00348
Ti ARD
' .r ° Parcel#: 2S101DC04603
I"ixture Value Previous Previous Ciedits Capped I ixtuie I'ixture New New
# value count capped#s value count added# added value total#s total values
13aptiscry/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
Cuspidoi/\Vatei .Aspuator 1 0 0 0 0 0
Dishwasher -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking l:ountam 1 0 0 0 0 0
Gave Wash 1 0 0 0 0 0
11on 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 I I P) 16 0 0 0 0 0
-Comineicial (to 5 I IP) 32 0 0 0 0 0
- Industrial (over 5 I-I I') 42 0 0 0 0 0
Ice Alachine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Ree Vehicle Dump staticni 16 0 0 0 0 0
Shower: -Gang(pci head) 1 0 0 0 0 0
-Stall 2 0 0 2 4 2 4
Sink:
-I.av/Bar-Non-Loud Rehired 2 0 0 3 6 3 6
- Biadley 5 0 0 0 0 0
-Com/Sere/Util- Food Related 3 0 0 1 3 1 3
Swimming fool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Watei I?xrracror 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 1 6 1 6
Urinal 6 0 0 0 0 0
Previous I?DU Count 0 0
Capped EDU Credit 0
TO'I'.AI.S _ 0 0 _ 0 _ 0 8 21 8 21
Curt cut Fixture Value 21 divided by 16= 1 313 Current EDU 1 EDU = $5,100.00
Previous Fixture Value 0 divided by 16= 0000 Previous[DU
Change 21 divided by 16= 1 313 over (under) S 6,681 00
Enter EDU Change Here 1.310 '
'Round EDUs to the nearest 1/100th a count ending in.005 shall be rounded up to 01,and a count ending in 014 or less shall be rounded down to.01.
Notes:
Authorized Name/Signature: Debbie Adamski Date: 10/14/2015
Building Division
Note: The property owner shall retain the ORIGIN Al.sewer rally record. If credits exist,this document will serve as a voucher which must he
submitted to the City of Tigard Building Division to redeem credits towards future system development charges
I.A Building\Sewer Tally\SeaverI'allyShcct_51UU_(17UII xlsx