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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