Permit A CITY TI GARD SEWER CONNECTION PERMIT
1 DEVELOPMENT SERVICES DATE ISSUED: S 1R 0134
2000
13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 13333 SW 128TH PL PARCEL: 2S104DA -02600
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 012 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: SF New
Owner: FEES
JESS ALWAY, INC. Type By Date Amount Receipt
24300 SW STAFFORD RD
TUALATIN, OR 97062 PRMT DLH 07/11/200C $2,300.00 0003629
INSP DLH 07/11/200C $35.00 0003629
Phone: 638 -0718 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 in. t- : • i purch : - - "Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law r:f . .0 t, f• ow rule adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -c�, ■ S I r • ; i �aA �• 52 -011 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (50 1.: • ; r��o-
..
r /��c
Issued by: Permittee Signatu e: 1 . G L W i v
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next ! . usines digir
CITY OF TIGARD BUILDING INSPECTION DIVISION ,w :, ' y4 1
44-Flour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested VI le /O) AM PM BLD
Location 1 3333 ■ Suite MEC
Contact Person Ph PLM
Contractor Ph 42460 — 06131-
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 qq
Framing J t ,, . - l U 4'S - ,"c
Insulation 1 ,
Drywall Nailing V 6 v �
Fire wall '� �C� ��fiv%
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof \ 1 1
Misc:
F P a SS ART FAIL 4 6`--A 5 / \ S
LUMB vu. \ s 2
Post & Beam
Under Slab
Top Out
Water Service
Final
( SS ) PART FAIL
MECHANICAL
0.1 \
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 �11
Other �
Approach/Sidewalk Date �f 1 ,a Inspector Ext 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• Pr dand'Pipe and Precast .�' ':" +
�
- 19585 S.W. 118th Ave.,-P.O. Box 363 C Tuala tin,.OR 97062
'-
r.
, . Telephone (503) 692 -3885. VI DEO INSPECTION
Facsimile (503) 692 -3173. SERVICE
AGENCY: DA C l PAGE U: 9v 3
KS A .
,-
j °fir t`-zs Wr SECTION:
INSPECTOR: PROJECT U: SN i SN i .
. CA . *0 rr Air, Ca
_
PROJECT CONTRACTOR: 1 ECT � NAME. �� • � LOCATION:
•
VIDEO REF. I:
'S` ) /_ tAxac TI C'., "1 ‘c., e.�
Ref Footage Ref ' Footage
N0. Mark Code SN N Clock Ref REMARKS N0. Mark Code SN # Clock Ref REMARKS
1 C,C. 36
2 50• N 37 `
4 PIN A l 39
S 40
6 41 4
7 42
8 43 ! �
9 �n -+���
10 'M ✓� 4B - � � Q 7 J--- •
11 \ 46
-2w- 12 47
13 48
14 49 ,/
15 50
r 16 ; 51
1. 17 J ' 52, i
18 .r 53
: ( ° } 1 - CV 4
c
19 54
4 20 55
21 56 ,
22 57
23 58 ,
24 59 , ■
25 60
26 LINE LENGTH:
f 27 SIZE OF PIPE: HP P V L
28 TYPE OF PIPE: PV,l✓ .
• .
29 With Flow Against Flow
30 _ DIRECTION OF FLOW -oil-- 39 • . InRCtEONO •
1 .
32 REMARKS / NOTES:
33
34 OPERATOR / NAME:
35 .
F
•
TU-52
p
• .CITYr,OF TIGARD•B&ILDING INSPECTION DIVISION �7 ai�v i'
24 -Hour Inspection Line: 639 -4175 Business Line: 639-41 1
P
Date Requested 3-- /9 AM PM BLD
Location /5 3,3 3 - --' % - A Dom Suite MEC
Contact Person Ph PLM
Contractor Ph _6 O c) f 2 (7
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ft D - S�N • ' .T Inspection Notes: itw �' � Z /4 r
Post & Beam / If
Ext Sheath /Shear (�
Int Sheath /Shear , ' /t, c � _ / k r' ` , _ 1'. �/\ I S 0
Framing / V Q'h'� \ ` T VL-� \ /1 V
Insulation
Drywall Nailing ` ' p ' ' Y Arm AMit � w
Firewall 1 A � ,,,^ � ( .�
Fire Sprinkler V v ` € -111 (Q- - - "7/1 Ni SAM )
Fire Alarm / �� �r
Susp'd Ceiling L ��/� - ' e -r �( L ?�G O D5�.
Roof
Misc: 6 . AL - - ■$ / -2-,v\ 4 J c r \ - e -Q5
Final G i l 't &
PASS PART FAIL S
r �- .r• =.MI p a
OA/ Post & Beam 4
am Drains ∎ - ' C1 Y\AJ.- S"
PASS PART AIL R� `r & Q S IL) MECHANICAL i v \._ �
Post & Beam )
Rough In G3—��� i �Q 9 .� VIA_A,� N 't` \c ---\----\j) ci.
Gas Line �
Smoke Dampers _ t4-0---1. `�� S A � 6-- "_ � Final `�
PASS PART FAIL \_J�W , k' `` S `�� s j ...,.... ;: ___ •
ELECTRICAL _ 441, Service V� �� .• ..�•r�_.������f- `����L't� «r►1i ' \
Rough I g: 1 L a a oo/ ooiy 4.-i pt ' q' /0 0 • .,
Low Voltage (:)?
Fire Alarm . • 5 r /�� w S Q Final % �, / �
PASS PART FAIL( � � -^ ►',! v i �''�^'
SITE l
Backfill /Grading l
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 3\ Y 0 l t
Other
Inspector (� E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L
8 /22 /00 Activities for Case #: SWR2000 -00134
1:19:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 6/2/00 GEO No Hold BT2 6/14/00
SWRA008 Permit Created 6/14/00 BT2 DONE No Hold BT2 6/14/00 }
SWRA705 Sewer Inspection No Hold BT2 6/14/00
SWRA070 Ready to issue 7/3/00 JMT DONE No Hold JMT 7/3/00 A
SWRA080 (F) Issue permit 7/11/00 DLH DONE No Hold DLH 7/11/00
SWRA085 (F) Reprint Permit 8/15/00 ZZZ DONE No Hold ZZZ 8/15/00
Page 1 of 1
f • .L
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG- Structure set -up MEC - Mechanical Permit
Insulation
1/ Inspection Description Date Passed By
Drywall nailing Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
I Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab _ Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer mai
Inspection Description Date Passed By Culvert/catch basin
Footings Pum /fill seItic tank
Foundation walls Plumbin: final ► / �o ®W ,
Sprinkler supply lines r_ i--
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils - 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM SWR, ELC, ELR, MEC, SIT PERMITS