Permit CITY OF TIGARD
SEWER CONNECTION PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SWR99 -00068
^ � I II 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 4/20/99
SITE ADDRESS; 15210 SW PARKLAND TERR PARCEL: 2S111 DA -05200
SUBDIVISION: APPLEWOOD PARK NO. 2 • ZONING: R -7
BLOCK: LOT: 047 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 0
INSTALL TYPE: LTPSWR IMPERV SURFACE: 0
Remarks: New SF - Path 1
Owner: FEES
I.Ee gOikf c5 Type By Date Amount Receipt
gob aco ,UfS
�(�y kb , 7,9-2-3 INSP DST 4/20/99 $2,300.00 99- 314494
INSP DST 4/20/99 $35.00 99- 314494
Phone: Total $2,335.00
Contractor:
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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 Se ' P it and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by Oregon Utility,Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0080.
Y u may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987
ued by: )\...„. d( lL ( am(' lGi Permittee Signature/ ,
" . Call (503) 639 -4175 by 7:00 P.M. for an inspection needed then t u ' e �1day .
8/24/99 Activities for Case #: SWR99 -00068
4:30:18 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 3/26/99 DRA RECD BON 4/1/99
SWRA008 Permit Created 4/1/99 B DONE BON 4/1/99,
SWRA705 Sewer Inspection 4/1/99 4/26/99 TLP PASS AKJ 8/11/99
SWRA032 DST Post - Review Completed 4/13/99 BON DONE No Hold BON 4/.13/99
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SWRA070 Ready to issue 4/13/99 BON DONE No Hold BON 4/13/99
SWRA080 (F) Issue permit 4/20/99 DEB DONE No Hold DST 4/20/99
SWRA720 Case Finaled 8/11/99 AKJ DONE No Hold AKJ 8/11/99
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