Permit • CITY � TIGARD
DEVELOPMENT CONNECTION
SEWER
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Tigard, ` ' PERMIT C......: SWR98-0230
DATE ISSUED: 09/08/98
• PARCEL: 2S110AB—HM007
SITE ADDRESS...:11455 SW JACKIE CT
SUBDIVISION....:HAWK MEADOWS ZONING: R-4.5
BLOCK.......... LOT....... ..... .:007 JURISDICTION: TIG
TENANT NAME .RIVERWOOD DEVELOPMENT
USA NO..........: FIXTURE UNITS...: 0
CLASS OF W8RK...:ALT DWELLING UNITS..: 1
TYPE OF USE.....:SF NO OF BUILDINGS: 1
INSTALL TYPE....:LTPSWR IMPERV SURFACE: 0 sf
•
Remarks: RE: PLM98-0313 Must pump, fill, and cap (or remove) septic system.
Owner: FEES
RIVERWOOD DEVELOPMENT LLC type amount by date recpt
4035 DOUGLAS WAY PRMT $ 2300.00 JSD 09/08/98 98-308930
LAKE OSWEGO OR 97035 INSP $ 35.00 JSD 09/08/98 98-308930
Phone #:
Contractor: --
OWNER
_
Phone #: $ 2335.00 TOTAL
Reg #^.:
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 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 952-0001-0080. You may obtain copies of
these rules or direct questions to OUNC by c. ring (503)246r1987.
ssued by: Permittee Signature: _
• ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
CITY OF TIGARD BUILDING,I1SPEIl DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested q AM PM BLD
Location ( I If DO (-3 9aLa, �% �✓ Suite 7 E
Contact Person Ph , T$W //
Artt
" ?�t�3 /3
Contractor £Z & 7 — Ph 7 7- 7 7 SW - ?e?-6.3
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation A /� ei FPS
I
Ftg Drain / 6 SGN
Cr Drain Inspection Notes:
Slab SIT
Post &Beam
Ext Sheath /Shear A ��� C��
Int Sheath /Shear
Framing �• '% cdr
Insulation /
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm . ����,,�,f
Susp'd Ceiling � >
Roof
Misc:
Final Z�
PA,SR PAU FAIL p i
Post & Beam
Under Slab
Top Out
e ' e
nitary Sewer
Rain Drains
Finaf
S S ?ART 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
SITES R s n.
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 ,/
Other Date
Approach/Sidewalk ,9 Inspector zO Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.