Permit CITY TIGARD SEWER CONNECTION PERMIT
; DEVELOPMENT SERVICES PERMIT #: SWR2000 -00275
='"''�f �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/25/01
PARCEL: 2S103CB -11400
SITE ADDRESS; 13482 SW 122ND AVE
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 072 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks:
Owner: FEES
DON MORISSETTE HOMES T ype B Date Amount Receipt
4230 GALEWOOD STREET
SUITE 100 PRMT CTR 4/25/01 $2,300.00 27200100000
LAKE OSWEGO, OR 97035 INSP CTR 4/25/01 $35.00 27200100000
Phone: 274 -5223 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
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 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued by: T.-eA. Permittee Signature:( Lt..
Call (50 ) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
• •'• ° ; l CI;1.'_ i BUILDING INSPECTION DIVISION s •� • ; /
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
// BUP
/ � 1
Date Requested ` U AM/I33 PM BLD
Location / 3 y s Z Sw l L Z' -d 14't Suite MEC
Contact Person Ph 2f — ( 1F37 PLM
Contractor Ph L .0. 00 — 0 0 2 - 7S
•6 C 4' 1
D Tenant/Owner ELC 1 1
etaining Wall ELR V r
Footing EF _
Foundation Access: FPS _ I ■
Ftg Drain SGN
Inspection Notes:
aia SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear L !^. 1 n
Framing Q■OL- (. t..t.Ar - \ —"
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling I
Roof W ∎., ,, 1 e--e- 0.3S 'lel' k'
Misc:
Fi AS PART FAIL '!■e re - - 42-4-) c----Q\ - v' ' — "-1
PLUMBING Z - •
Post & Beam t
Under Slab 1 /
Top Out 3 l i 6 1 4...-
ASS PART FAIL
HANICAL
Post & Beam
Rough In c+7".1 W.-. -- L_ 6e±l
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In ,l O //,,
UG /Slab �� ( SQ— V U -2---lc) —
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfillGrading
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
Otheoach /Sidewalk Date 4-(3a�o 1 Inspector v� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
O
• �'CJTY TIGARD BUILDING INSPECTION DIVI P r G "{/� • �-.
• 24 -Ho Ins ection Line: 639 -4175 Business Line: 639 -417
p 639-4171
•
9 BUP
Date Requested 53 AM / / PM BLD
Location / 31 8 Sw l2 z "-•' f Suite MEC
Contact Person Ph 2D f- (4 PLM
Contractor Ph d e- 00,1-2c
BUILDING Tenant/Owner ELC C
Retaining Wall ELR 4/36/6 I (2.13)
Footing Access:
Foundation FPS
Ftg Drain SGN
64/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 ` c
•
Roof
Misc:
Final
PASS PART NFAIILL
nder Slab
Top Out
1 Water Service
Sanitary Sewer
64/Rain Drains
Fi
PASS PART FAIL
CHANICAL
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 D 5 - 7 — ? ■ 1 V L-� 1 9
Inspector
Other Ex-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.