Permit •
CITY TIGARD SEWER CONNECTION PERMIT
tii DEVELOPMENT SERVICES PERMIT #: SWR2000 -00174
- I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/7/00
SITE ADDRESS; 13303 SW 129TH AVE PARCEL: 2S104DA -04500
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 031 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
BRIAN MATTEONI Type By Date Amount Receipt
PO BOX 3468
SARATOGA, CA 95070 PRMT BLD 8/7/00 $2,300.00 0004287
INSP BLD 8/7/00 $35.00 0004287
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 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: /�G���"� Permittee Signatur
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
> ,1
' ,H Cl OF TIGARD BUILDING INSPECTION DIVISION ,;a�w L ,, 6 ,Z /5 '
34'bur Inspection Line: 639 -4175 Business Line: 639 -417
r, a r, BUP
' . Date Requested // AM PM 4'134,D .
Location '/3 303 S /.2i 'T /2 Suite MEC
Contact Person Ph 9G / 437.E PLM
Contractor Ph 4 ?Jae oo t 7 y`
BUILDING Tenant/Owner ELC f‘rce-S
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
btu/ Crawl Drain Inspection Notes:
Slab SIT
u(AJ Post & Beam
61/v Ext Sheath /Shear
D(,Q/ Int Sheath/ hear Sl .L( )C\it 1/&.1.- � i) 4 — _ _ a S -6 `'
41633,0 : Insulation Drywall Nailing G
l`' ` U t�
Firewall
Fire Sprinkler Qr
Fire Alarm 5 1u r /; 5 0 °
Susp'd Ceiling l v
Misc r
Final 10
PASS PART FAI
PLUMBING . ,
0� Pos Beam cx7 Dc—a. d O V �? Wader-Stab 0 op Out) -�
VV
Vt.' Water Service \ S 5 IL_Q_ S — v ests c-� /�_ - L,�- C
Sanitary Sewer . r l �- li
(jam Rain Drains S I v_:\_.6iL___,/
Final
P ASS �� FAIL
MECHANICAL . 1\ gq l ( 4 - \ YO C — \. 8� Post & Beam
/ S Rough In
04vGas Line .��vU ,2_-_C � i'..---7\ i'..---7\ .✓� Q,e—t-----1_,__,,,,,
Smoke Dampers ea j b-,I--7.� vv\ - i ce, 4,,,\
Final .,_____The
PASS PART FAIL \ ` ,. \'e?, , n 1„-, f--, v� r4--
gl— KTRICALJ Y � J `
(�0/ Service -
0). Rough In 6-?3\ UG /Slab Q (A..) _, 4V Low Voltage
it AI - ('w' -- ,n ', f C )72._e -P . �""—
Fire Alarm a
Final
' '1 r
PASS PART FAIL `i _ . ALt 5 G LJ� k---1"- �` S
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 I: TS t
Other D 1/i Lc 0 O Inspector Ext
Final .
PASS PART FAIL - DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By I 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 I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
4 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
Al Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
.1 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
4•
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab - C1ZlZ' -- OC) / 7 y'
Catch basin /Manhole Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer i + L 7 -t10
Final inspection Final inspection -be ?'L;'
INSPECTION RECORD - BUP, PLM, SWR ELC, ELR, MEC SIT PERMITS
r C
CITY TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES
PERMIT #: SWR2000 -00174
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/7/00
SITE ADDRESS; 13303 SW 129TH AVE PARCEL: 2S104DA -04500
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R -4.5
BLOCK:. LOT: 031 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
BRIAN MATTEONI
PO BOX 3468 Type By Date Amount Receipt
SARATOGA, CA 95070 PRMT BLD 8/7/00 $2,300.00 0004287
INSP BLD 8/7/00 $35.00 0004287
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
E
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 3feet 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. v
Issued by: Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day