Permit CITY OF T SEWER CONNECTION
ifov, DEVELOPMENT SERVICES PERMIT
ES PERMIT # SWR98 -0319
DATE ISSUED: 11/19/98
PARCEL: 1S136AD -01300
SITE ADDRESS...:1O47O SW 69TH AVE
SUBDIVISION....:VILLA RIDGE ZONING: R -4.5
BLOCK LOT -001 JURISDICTION: TIG
TENANT NAME :MONROE, ROSS
USA NO • FIXTURE UNITS...: 1
CLASS OF WORK...:ALT DWELLING UNITS..: 1
TYPE OF USE :SF NO. OF BUILDINGS: 0
INSTALL TYPE :LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection. Spetic tank must be pumped /filled and capped, or
removed.
Owner: FEES
ROSS MONROE type amount by date recpt
10470 SW 69TH PRMT $ 2300.00 GEO 11/19/98 98- 310956
TIGARD OR 97223 INSP $ 35.00 GEO 11/19/98 98- 310956
Phone #
Contractor:
OWNER
Phone #: $ 2335.00 TOTAL
Reg #..:
REM IRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a °Tap and Side Sewer° Permit 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- 001-0010 through OAR 952 - 0001-0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Si nature:
Issued by: -4 �� ,.,��_.. /��� g oC
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
2
Date Requested 1'0— — i AM PM X BLD
Location
/CF7O 4a 6.'M / ' Suite MEC
Contact Person Ph � p PLM � — 0 M
Contractor Ph 0 D D •
- o-- SWR to r
BUILDING Tenant/Owner ELC
Retaining Wall , ELR
Footing Access: Vatc... �i O' Founndation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab /� SIT
�iQ (i iettl-'el P ost & Beam FR
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
•
Susp'd Ceiling
Roof
Misc:
Final
P SS P R FAIL
PLUMBING 1 ■ ,1
Post & Beam
Under Slab ` + - ,W ARI NFM
Top Out 7
Water Cprvirp
ita Se
Rain Drains ,).\....)
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
. CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ST
a ,Q) O�i4 5 ----- BUP
Ze b ate Requested / 1/7 /q AM �� BLD
Location IO C 7 7 0 5b 6 9 ' Suite MEC
Contact Person Ph 4:010 Ycr 0 7 3 0
Contractor Ph SW , • - Q 3
BUILDING Tenant/Owner ELC
MI Retaining Wall ELR _ NEW
_
Footing Access: F PS �
Foundation I
Ftg Drain SGN . .
Crawl Drain Inspection Notes: c\ 1 G `�.��
Slab , SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear
Framing 1 C tcot `L ` G 7 �( _ `�, -� v\.uzik- Nro ��
i n M \ � � l 1
Insulation \
Drywall Nailing
Firewall Fire Sprinkler imit
Fire Alarm
Susp'd Ceiling L-Z.A f C/■/_ 1 r WW
Roof
Misc:
Final
PASS PART F
LUM = IN - - i rr - •
Post &Beam �. - `��
‘...Q. ` S 1 t
Under Slab •
Top Out
Water Service n / � 1 ' L.---e--A
Sanitary Sewer
Rain Drain
• SS PART FAIL
MECH IC 5 0 . \
Post & Beam
Rough In r a - 1 — 1 C
Gas Line
Smoke Dampers ��- ��--'-► \ \ \.i./\ S C.--0-,,,--- (^/L (--9--_ Final `
PASS PART FAIL .0_ VT
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk � '1 /'t Other Dated l� Ins pector 1 Ext� C P
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.