Permit (27) n CITY OF TIGARD SEWER CONNECTION PERMIT
1143 ' COMMUNITY DEVELOPMENT Permit#: SWR2014-00035
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2014
Parcel: 2S101AB02500
Jurisdiction: Tigard
Site address: 7110 SW BEVELAND RD
Project: Beveland Street Offices Subdivision: BEVELAND Lot: 7
Project Description: Building 3-.63 EDU's. 2/26/15:Revised to add.62 EDU increase for total of 1.25 EDU's
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 04/17/2014 $3,024.00
Sewer Inspection-Commercial 04/17/2014 $45.00
Type of Use: COM Sewer Connection Fee 04/29/2015 $2,976.00
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1.25
Total $6,045.00
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 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 calling 503.232.1987 or 1.800.332.2344.
Issued By: , — • Permittee Signature:
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.
Accumulative Sewer Tally
117,,,q 'Tenant Name: Beveland Street Offices-Building 3 SWR# 2014-00035(REVISED)
Site Address: 7110 SW Bevaland Street PLM# 2014-00118
' Parcel#: 2S 101 AB02500
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0 !I
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 1 2 1 2
Drinking Fountain 1 0 0 0 0 0
lye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0 4
-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 IP) 16 0 0 0 0 0
-Commercial (to 5 IIP) 32 0 0 0 0 0
-Industrial(over 5 IIP) 42 0 0 0 0 0
Ice Machine/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
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 3 6 3 6
-Bradley 5 0 0 0 0 0
-Com/Sere/Uti]-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 2 12 2 12
Urinal 6 0 0 0 0 0
Previous UDU Count 0 0
Capped MU Credit 0
.1O'l'.\I,S 0 0 0 0 6 20 6 20
Current Fixture Value 20 divided by 16= 1.250 Current IiDU 1 EDU= $4,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 20 divided by 16= 1.250 over (under) S 6,000.00
Enter EDU Change Here 1.250
Notes: Per CWS Rates&Charges,garbage disposals in employee lunchrooms shall not be charged.
2/26/15 Revised sewer tally to add (3) new fixtures: (1)domestic dishwasher,(1)lavatory,and(1)water closet.$2,976 in new SDC fees.
Authorized Name/Signature: Debbie Adamski Date: 4/17/2014
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:ABuilding\Sewer Tally AScwcr'1 allyShcet_4800._U70113.xlss