Permit •
CITY TI GARD SEWER CONNECTION PERMIT
I4 DEVELOPMENT SERVICES PERMIT #: SWR2000 -00287
v!I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/27/00
SITE ADDRESS; 13350 SW 129TH AVE PARCEL: 2S104DA 03100
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 017 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: Sewer connection for new SF dwelling.
Owner:
FEES
KORNERSTONE CONSTRUCTION Type By Date Amount Receipt
14247 NW SPRUCERIDGE LN
PORTLAND, OR 97229 PRMT CTR 9/27/00 $2,300.00 27200000000
INSP CTR 9/27/00 $35.00 27200000000
Phone: 260 -8918 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: 1 1 J`�� . , _ Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF IIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ST G
BUP
' Date Requested `7 z / AM PM BLD
Location / 3 7 51) S c.> /27 �r ��� Suite MEC Pi";
Contact Person Ph Z GU -B`l /s/ i • r, •-ad
Contractor Ph lI -610,2-e
BUILDING' ,' Tenant/Owner ELC
Retaining Wall ELR / 6 /6.0 c 6 RS)
Footing Acces
Foundation i c i G� FPS
Ftg Drain / �-
Crawl Drain Inspection • = _ • SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear {,� �o
Framing 7L 12 v - 6 1 5 3
Drywall on eeA_cc„e_r_f
Drywall Nailing
Fire wall k f Z)/ D 1 CV2--()
Fire Sprinkler
Fire Alarm
. Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
Post & Beam ..
HrreterfAab� C
(}w'`rop Out
tit/Water Service
oik/Sanitaiy Sewer
,Rain Drains
PART FAIL
� ,,
ANICAL
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 L� /
Other oach /Sidewalk Date ` 1 �� ( v k Inspector Ex4' LC)
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
. - .CITY OF TIGARD BUILDING INSPECTION DIVISION a yP,. --? � aye/3,r 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,
ST
Date Requested 6 /- 7 -4 AM`s / PM BLD
Location / 73 5 SGJ /2- >%V Suite MEC
Contact Person Ph c2k› -J r QD l - OQ i c3
Contractor Ph ? 6 — 06?-f-7
BUILDING Tenant/Owner
ELC /os
Retaining Wall ELR to _ 6o 'YES
Footing Access: /^�
•
Foundation t fite ! • M ' FPS
Ftg Drain /60 3( SGN
LvC I Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing -
Insulation
Drywall Nailing
Firewall (A-4
Fire Sprinkler VI�Q 6 "'P 1
Fire Alarm .-4C-2 1 "C '`- „ / �� �, p
Susp'd Ceiling `"��� �
Roof
Misc:
Final ; ' ��� s -, k
PASS PART AV
Post &Bea , <
(}'Top Out 6
(yam Water Service 4
U1 /Sanitary Sewer -
.✓ r i
Rain Drains / ' `t kAS` 0/\ _` C.i_
azira e
• S PART Yvkse, k 5 e, \Jl.d k C
MECHANICAL 6
Post & Beam 4_'
Rough In o - O
Gas Line
Smoke Dampers
Final
PASS PART FAIL ' t _ . ,; k . � t_ ' > q f ,
ELECTRICAL ., -( IL A Service • S "\ -C-. -
Rough In
UG /Slab
Low Voltage - --- ;:i3-3 - / - - s i
Fire. Alarm
Final `���
PASS PART FAIL °
' 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 C
Approach /Sidewalk ,� —� �% I
Other
Date `i'(�`C / ® ' Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• 3z /,
, - CITY OF TIGOD'3UILDING INSPECTION DIVISION • nns �j(>D�ilU c%3�
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
BUP
Date Requested ( 1-- - 17 AM PM BLD
Location /3 3.5Z .S t /&9 ? A Suite MEC
Contact Person Ph ZGD V'l / g LM 2O / - 0O 1 S
Contractor Ph R ,2600 -0O 7
BUILDING , Tenant/Owner ELC
Retaining Wall _ ELR
Footing Access:
Foundation i �i U/ e 6;X_ FPS
Ftg Drain SGN
2(iCrawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear , `- L 0 e _ , 4 L I
Framing R — ®0 4 S �.V "
Insulation
Drywall Nailing —_
Firewall
Fire Sprinkler or*' _
Fire Alarm /�,� -P-,--...7 ----v-A......"/°- --
S usp'd Ceiling •A 7 4P- 2_ • ` '�
Roof C .P/t1 .S e C._ C- -- '�'z-
Misc:
Final
'ART FAIL \ _ - (,c Q . ,,
PL ,, -
' r T Post & Beam
(1 ,, Top Out
viii W
.11'-- i
ater Service ..�L
mu Sanitary Sewer
0,a/Rain Dr jigs
oral ILA'
ASS PART
MECHANICAL; =
, - ' •-14 : , -:_iN,h-,4z--LA2- �C,� �.R
Post &Beam
Rough In r�V -��
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL , -;,;' .,'
Service
Rough In
UG /Slab
Low Voltage r.
Fire Alarm • Illr
. F PASS PART FAIL �� �_
SITE, = : t- _ � Y
Backfill /Grading
Sanitary Sewer I '5ks
Storm Drain JReinspection fee $ 'P required • next inspection. Pay at -City Hall, 13125 SW Hall
Catch Basin
Fire Supply Line [ ] Please call ft rei • - -- -- . [ ] Unable to inspect - no access
ADA / \/(,„.. \
Approach /Sidewalk Date_ "? / Inspector - Ext -3
Other _ 9
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF 'TIGARD'BUILDING INSPECTION DIVISION �i
� S -60q›..) 24 -Flour Inspection Line: 639 -4175 Business Line: 639 -4171
/ ` `
3o
Date Requested ' /— / AM PM BLD
Location /5 3 3Z s w / � Suite MEC
Contact Person Ph PLM
Contractor Ph 2_000 ' 60)45-
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: Foundation /99 , Lp e � 4. � G FPS
Ftg Drain SGN
• Crawl Drain Inspection Notes:
Slab SIT -
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear ���. S1
Framing C
�( X� J.
Insulation
Drywall Nailing`•�.�
Firewall
Fire Sprinkler "�—� � C■
Fire Alarm
Susp'd Ceiling _ �(
Roof ` ✓v a -� C e t- \ Cs Q-rc;:k-
Misc:
Final
® { 19-1-
PASS PART- FAIL /
Post & Beam r_ D / `
Under Slab C ,� O ,
Top Out X
Water Service Th5V1" ( 2 4 ) Lu
anitary Sewer
• Rain Drains
cd /
Fi
PASS PART FAIL7s \r Ja_T
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
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee. of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA )
Approach /Sidewalk Date 4/4/oi /�
Inspector '( It �� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.