Permit CITY OF TIGARD
SEWER CONNECTION
%lpihI DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # : SW R98 —
0311
DATE ISSUED: 11/12/98
PARCEL: 2S102CC -02500
SITE ADDRESS...:13900 SW 102ND AVE
SUBDIVISION - FRELEON HEIGHTS NO.2 ZONING: R -3.5
BLOCK LOT •010 JURISDICTION: TIG
TENANT NAME - NELSON
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:ALT DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: Nelson — Must pump, fill, and cap septic system.
Owner: FEES
WILLARD E NELSON type amount by date recpt
13900 SW 102ND PRMT $ 2300.00 JSD 11/12/98 98- 310761
TIGARD OR 97223 INSP $ 35.00 JSD 11/12/98 98- 310761
LID1 $ 8000.00 JSD 11/12/98 98- 310761
Phone #: 639 -3502
Contract or:
OWNER
Phone #: $ 10335.00 TOTAL
Reg #...
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from Septic Tank Fill
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
952-881 -0810 through OAR 952 -0001 -0880. You may obtain copies of
these rules or direct questions to OUNC calling (503)2246 -1987.
Issued by: /ice Permittee Signature•j / /,
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
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
Date Requested 4 ��'� 0 AM PM BLD
Location I qO / 0 ; Ave Suite MEC
Contact Person Ph PLM - 8"-GO Li d
Contractor Ph SWR J "' X31 I
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation A NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Crawl Drain Ir
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post & Beam c� ,t C cAn r cf j L j
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler q
Fire Alarm P095.5.0 �)/ // 72 - l Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Cc s & Ma L.
Post & Beam
Under Slab
Top Out
Water Service
S trza Se
Rain Drains
417MEIP 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA //
/
Approach /Sidewalk Date / / °v Ins v / Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
BUP
Date Requested 2 ,/z. t/2 AM' PM BLD
Location / 7 l b Suite MEC
Contact Person � Ph ZZA5 6 PLM g �'
Contractor Ph SWR 3/7
BUILDING' : , Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab
•
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING; . _.
Post & Beam
Under Slab
Top Out
Water ajvice
anitary Sewer,
Rain Drains
Fi"
O PA,,, I PART FAIL
M ANICAL;_ :
Post & Beam
Rough In •
Gas Line
Smoke Dampers
Final
PASS PART FAIL •
ELECTRICAL- , y ;
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 7 �' ' '? ; �^'��
Other Date _- L . . 7 . / I nspec t or �d Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..
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