Permit 1
CITY OF TIGARD
SEWER E CONNECTION
^Oji . DEVELOPMENT SERVICES PERMIT #PERMIT SWR97-0422
�� DATE ISSUED: 01/16/98
PARCEL: 15135DA- 03000
SITE ADDRESS. ..:114O7 SW LOMITA AVE
SUBDIVISION • ZONING: R -4.5
BLOCK LOT • JURISDICTION: TIG
TENANT NAME •VERNIG, SEAN & JUSTINE
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 0
TYPE OF USE •SFA NO. OF BUILDINGS: 0
INSTALL TYPE •LTP IMPERV SURFACE: 0 sf
Remarks: Reconnect to an existing sewer line. Original one half of existing
duplex was demolished (see permit #BUP97- 0538).
Owner: FEES
SEAN VERNIG type amount by date recpt
11405 SW LOMITA AVE. INSP $ 35.00 B 01/16/98 98- 302556
TIGARD OR 97223
Phone #:
Contractor:
SEQUOIA BUILDERS INC
10540 SW LAUREL ST .
BEAVERTON OR 97005
Phone #: 646 -4606 $ 35.00 TOTAL
Reg #..: 000681
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
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 952-9901-00110. You may obtain copies of
these rules or direct questions to QUNC by calling (503)246 -1987. _
Issued by: MAA Permittee Signature: as-,
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m• for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD BUILDING INSPECTION DIVISION ( MST C r 7
24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171
.... B
OS Date Requested AM PM BLD
Locati c ) ) 1 4 7 SW \
n UP
u rvU�G✓ Suite MEC
Contact Person _g Ph PLM
, /
Contractor .. jail ! / 4 Ph '317 - 600 1 SWR
UILDING enant/Owner ilL( /y---. ELC
Retaining Wall ELR
Footing Access: ,/� �/� Q R M n �,
�
Foundation c7` a " l "" a, — �'�/ ��// v`� i FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: S •7
efeb----; - --SIgH Posh& Beam ) z td ( r r SIT -,-
Ext Sheath /Shear ■ 4 � //L �� / / -1
Int Sheath/ hear. 1 _ - �l
Insulati • n
Drywall Nailing C-
Firewall 1 , , sAI ` q , 1
Fire Sprinkler r , ' ` ,� W
Fire Alarm �� / "`-' S s s
Susp'd Ceiling
Roof 1, .. /(,
MSC: f" r. _- r • • I � �f
inal
PASS PART Al I � I. � '
PLUMBING 2 – � C ' W IJ A C___
Post m Beam 3 Ti se.„-..-6._ •
Top Out ��
Water Service �-
Sanitary Sewer 1 4.1 9 a
Rain Drains �,F'
Final
PAS FAIL
CH
P ost eam
Rough In
Gas Line
• e Dampers
PASS PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire
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 _ wa _
"
Other ( r Date 7/19/4
/ / Inspector /Zvi)? Ext -3 t "
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .