Permit CITY TI GARD SEWER CONNECTION PERMIT
� I'' DEVELOPMENT SERVICES PERMIT #: SWR2000 -00165
" '41J. DATE ISSUED: 8/17/00
13125 SW Hall Blvd., T OR 97223 (503) 639 -4171
SITE ADDRESS; 13422 SW 128TH PL PARCEL: 2S104DA -02100
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 007 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
KANG, IN S. & SUE Type By Date Amount Receipt
16107 NW PAISLEY DR
BEAVERTON, OR 97006 PRMT DEB 8/17/00 $2,300.00 0004566
INSP DEB 8/17/00 $35.00 0004566
Phone: 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
Issue b O O on-Utility Notification `_�, � g cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You y obtain coi -s of these rules or direct questions to OUNC by calling (503) 246 -1987.
y: Permitt Si nature:
149: - - ------
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD'BUILDING INSPECTIOk DIVISION Ms r2 0320 °5202/1 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�te / BUP
Date RequestedC AM PM BLD
Location /-92y 2_7- c v £ 2 /',Suite MEC
Contact Person Ph eq (4 - CAS" - �'?/ PLM ' ool ��
Contr Ph SWR 2TV
BU Tenant/Owner ELC
Retaining Wall ELR
Footing Access: 5 -e ,.rt%,u -t ±- ND 1-1-oT 1.4- J-2.✓ FPS
Foundation - 1 � 1// 6 i L t ) Si t. . " . A. 4 %I n .
Ftg Drain SGN
Crawl Drain Inspection Notes: f V
Slab SIT
Post & Beam k \ - � `- �
Ext Sheath /Shear
Int Sheath /Shear . (
Framing % ' % �j t` 2 Insulation ' I 1 • /.'!
Drywall Nailing 5 C.-\-- c e u C- �'�
5c \ ; <._f`
Firewall
Fire Sprinkler `�C_
Fire Alarm 3' ) S vi Z ( l _ „ S -,v—e—
Susp'd Ceiling ) �
Roof Vi� f � /'
Mi - 1 C! U)-
Po& RT AJl • ) `' i ' `'� to: Beam `�
s) 'VIA, La--•
- Top Out a
(it- Water Service L • -- r - -t° P c,c S ,� - - -
afi. Sanitary Sewer
41�- . SS Roll & , C-;) 1/4.11/4S 1' - \h S L. wNA_T \--e.._/ .......J
"oE " G(--� sue •
Post &Beam
Rough In 9) ,e1
Gas Line /
Smoke Dampers �, V �a L� .e,t -; c ..�� . y _,.. Q Q S 4 -
PART `'�yLc' o'>
41 400 PART 1CAL FAIL �'���^ - d -
Service
Rough In /
UG /Slab �� : MD E� -
Low Voltage
Fire Alarm A r c--`/\ c - v ,�2 c—
Final
S PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain -(
F ire Supply Line
I) &o f [ ] Reinspection fee of $
Catch Basin lJ�
required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
[ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
O p oach /Sidewalk �: J� G
96 ,8 , �� Date / t �l 1 Inspector Ext 3 t I
I.
crAli) PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD-BUILDING INSPECTION' DIVISION ' qfP 2 0 2 —
24 -Hour Inspection Liner 639 -4175 Business Line: 639 -4171 MS 9_06)0-oz)
BUP
Date Requested 3`" 7 AM/d BLD
Location / 3V Z Z J cA) /2-1( Suite
MEC
Contact Person Ph 3/ q 65-5--0 PLM
Contractor Ph �� ` 60/6S-
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
tg Drain atA/Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
-
Int Sheath /Shear
Framing A _ 1 'C��
Insulation \ `
Drywall Nailing
Firewall /� ( _-
Fire Sprinkler ►' ` o-�
Fire Alarm
Susp'd Ceiling
Roof
Misc
Misc:
Final I
PASS PART F IL
Post & Beam
� L 'op Out
U' - Water Service
Sanitary Sewer
�(r Rain Drains j/
Final
ASS 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 /'7 /6 l Z 61
Other Date f Inspector Ext3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I - -
8 -7 0
ITY OF TIGARD BUILDING INSPECTION*DIVISION
Business Line: 639
4 -Ho r Inspection Line: • 639 -4175 -4171 "MST i e,b -
�BUP
Date Requested /Z — / t AM PM BLD
Location /3 y z z- , /z Suite / MEC
Contact Person Ph go 3 G' &J PLM
Contractor Ph SWR , -UU' 0 - 0 0 t
Leg
UILDI Tenant/Owner ELC
taining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Intth /Shear � 6 �_,
ltrsulation �„ t� �� � � Q A .
all Nailing I v Lk �'rJ�
Firewall
Fire Sprinkler ,,/� ' A F v �A 1 , r
Fire Alarm _
` tV7 •
Susp'd Ceiling 'r i Z/ 1 S7 O ri (Z
A c)
Roof
Misc:
Final O
PASS PAR FAIL
PLUMBING 0
Post & Beam // '
Under Slab
Top Out /
Water Service IL K.S n/\&-' 1 SL{/�/ \S
Sanitary Sewer
R ( f LOA ^ � �\ S it
Rain Drains ��f 't' V ` �j
Final
'A p RT FAIL
Cy.* cwA
Post & • ' S , I ,, .
a _
Smoke Dampers I !iL__. �- ( - , ` - U '
Final
PASS PART FAIL , �� A. l� S /
ELECTRICAL `
Service 5 J S _7 74 V ) G. ±t.t, `'�/V\ 4 ∎A,i\
Rough In / (
UG /Slab � `-�. L_.2 _ "Fl..-L.--C","- �-n.�v / ∎ ∎ IL -
Low Voltage \ r� l � '
, Fire Alarm (P) V Ws.e �4 0 P Lin 1\1\6_,..,/- A7�
Final / i' ck t- 6 , PASS PART FAIL `� W` 1 C/W �X/� •
SITE -
Backfill /Grading / v ∎ A- A. Ai " 6+ - � , 4 I - A •
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 Z C/ /* a 3 1 q
Other / I n spector �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
\ e 2-----
CMTY OF TIGARD.BUILDING INSPECTION-DIVISION M ( 4000 06..)-02 --
(4 -Hour Inspection. Line: •639 -4175 Business Line: 639 -4171 , : - '
BUP
• Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
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
Fr - u'. , ha _6 S � All' `_ S
Insulation I
. • - - ailing _ - . • 2.
Firewall Q �.,\
Fire Sprinkler 5V1„_f �- _ ` " '" 1/4i'�� ca."....--
Fire Alarm • I
Susp'd Ceiling � ' ` L - _■� `� • - A
Roof - 'e � 1. L.,, L w S •
Final Final C
PASS PART l V �'� �- `� S �`� S S-----rc-- -12
PLUMBING / r
Post & Beam \ C _ I ! -�-: S / l .?
Under Slab _ �i L ∎ A —../111 _
Top Out C./LO S
Water Service \ •
Sanitary Sewer
Rain Drains 1 1
III Abu.- 0 U . ...IL-
Final
PASS PART FAIL ( • . 4 " ,
MECHANICAL 12) S � v ' ` o ,
Post & Beam 1 w
Rough In 4v \ a•VI •
Gas Line Y
Smoke Dampers
Final ,P�✓�
, ii(
PASS PART FAIL 1 A X1/1 6J "_,A
ELECTRICAL
Service
Rough In -/� o er ' `n I , / 1 - V . 1
UG /Slab U tl '(, lJ� /� V
Low Voltage ,
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
1 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 1 �( !) 1�\
Otheoach /Sidewalk D a t e �/ ` v (v " Inspe ` ( _A E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.- d