Report NAME IL `J \AI�1, `•C/NJr� ri�DA'
R DATE 6`��Y✓�
Ey
f MAILING ADDRESS NEXT PUMPING
C CITY ./" DATE
r JOB ADDRESS A 41-
Phone:(503) ,.8-8246
P.O.Box 407
Forest Grove,OR 97116 y s
SEPTIC PUMP: ( n•1,'"A,O t h�t.V) ?�v 3 !J #D
1'1Nv
DIG&LOCATE: f'
TANK&DRAINFIELD INSTALLED: a \� ) ti
• *
MISC: i+
TOTAL$ 376-.00
PUMPING CHART
Household Size
(Number of People) 1 2 3 4 5 6 7 8 9 10
500 5.8 2.6 1.5 1.0 0.7 0.4 0.3 0.2 0.1 -
750 9.1 4.2 2.6 1.8 1.3 1.0 0.7 0.6 0.4 0.3
1000 12.4 5.9 3.7 2.6 2.0 1.5 1.2 1.0 0.8 0.7
Tank 1250 15.6 7.5 4.8 3.4 2.6 2.0 1.7 1.4 1.2 1.0
Size 1500 18.9 9.1 5.9 4.2 3.3 2.6 2.1 1.8 1.5 1.3
(gal) 1750 22.1 10.7 6.9 5.0 3.9 3.1 2.6 2.2 1.9 1.6
2000 25.4 12.4 8.0 5.9 4.5 3.7 3.1 2.6 2.2 2.0
2250 28.6 14.0 9.1 6.7 5.2 4,2 3.5 3.0 2.6 2.3
2500 31.9 15.6 10.2 7.5 5.9 4.8 4.0 4.0 3.0 2.6
Note:More frequent pumping needed ifgarbage disposal is used
0
o e'9,- .,f tit _P 2,015 - 6OZ
LA
J . �
CITY OF TIGARD SITE COPY BUILDING PERMIT
' • e ' COMMUNITY DEVELOPMENT
Permit//: BUP2015.00222
13125 SW Hal Blvd.,Tigard OR 97223 603,718.2438 Date Issued: 08!31/2016
TICAFLID ' Parcel: 25104AD04100
• Jurisdiction: Tigard
Site address: 12540 SW WALNUT ST
ProiacC Olson Woods Subdivision: BELLW000 Lot: 50
Project Description :Demolition of house,garage and shed.Septic tank to be pumped and filled or removed.Upon final inspection
SOC credits will be available to be applied to future construction.
'Contractor: WINDWOOD CONSTRUCTION INC Owner: OLSON,DENNIS D&BONNIE LOUISE
12655 SW NORTH DAKOTA : . WINOWOOD CONSTRUCTION INC
TIGARD,OR 97223 - 12540 SW WALNUT ST
TIGARD,OR 97223
PHONE: 503-825.6526 - PHONE:
,FAX'590-7606
FEES
SoeoiSca:
Description Dale Amount
Type of Uri*: SF - Permit Fee-Additions,Alterations, 08131/2015 5301.85
Class of Work. ';DEM Typo of Const: Demolition
,'Occupancy Grp: ':Occupancy Load: Info Process/Archiving-Sm$0.50(up to 081312016 $1.50
Dwelling Units:, 0 11x17)
Stories:, 0 Height: 0 ft ' Erosion Control w/Development 08/312015 $80.70
Bedrppms; 0 • • Bathrooms: 0 -
Value: $15,000
Floor Areas:
,Tota[Area: 0
Acceaeory Struct: 0
Basement 0
Carport•' 0
Covered Porch: 0 - -
Deck: 0 - ,,t
Garage: 0
Mezzanine: •0 r
Total $384.05
Required, Required Items and Reports(Conditions)
Fire,Sprinkler: Parapet
Firs Alarm: `.Protected Corridors:
Smoke Detectors: 'Manual Pull Stations:
• Accessible Parking: 0
Tlaa permit is'Issued subject to The regulations contained m ms TIaerd Municipal Code,State of OR.Specialty Codes and ar other applicable few. Al work will
•b'e done 1n accordance.with approved plans.This permit ore 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 era set forth in OAR
652 10Th• , OAR 852-001-0060.You rney obtain a copy or the rules or direct questions to OUNC by calling 503.232 1967 w 1.600.332.2344.
I sued By: /�, � Permittee Signature: �_
Cat 503.539.4176 by 7:00 a.m.for the next available ins orlon date.
This permit card shell be kept Inc conspicuous place on thejob sits until completion of the project.
Approved plans are required on the job site at the time of each inspection.
III