Permit CITY OF TI RD ( .Z21
C11YOPi11CARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT \ OQEOON J PERMIT
13126 SW Hall Blvd. P.O. Box 23397, Tigard, Oregon 97223 (603)1339 -4176 \ PERMIT # ° SW R 9 2 — 0 3 9 3
639 -4171 DATE ISSUED: 01/26/93
SITE ADDRESS...: 07130 SW PINE ST PARCEL: 1S136AC -04200
SUBDIVISION ° PARTITION PLAT 1991 -002 ZONING: R -4.5
BLOCK LOT •2
TENANT NAME •
USA NO ° FIXTURE UNITS...:
CLASS OF WORK :NEW DWELLING UNITS.. :1
TYPE OF USE :SF NO. OF BUILDINGS:1
INSTALL TYPE •BUSWR IWIPERV SURFACE.. : : sf
Remarks: PATH I NEED STREET OPENING PERMIT
Owner: FEES
A & J QUALITY CONST type amount by date recpt
10505 NE OREGON PRIYIT $ 2100.00 JF 01/26/93 —
INSP $ 35.00 JF 01/26/93 —
PORTLAND OR 97220
Phone #: 503 -254 -0045
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2135.00 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 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 s . . rchas-
a °Tap and Side Sewer" Permit and the 'j•ncy ill ':w...
Permittee Signature . /�� -i��5 %
Issued By:
Call for inspection — 639 -4175
4 —' 4%7 35'1'7 1
5/24/99 Activities for Case #: SWR92 -00393
10:09:13 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received BLT 12/28/92
SWRA010 Plan check by 12/28/92 BLT 12/28/92 .
SWRA020 Check for prd. restrict. 12/28/92 12/28/92 RT PASS BLT 12/28/92
SWRA705 Sewer Inspection 4/2/93 MS PART MRS 4/5/93
SWRA080 (F) Issue permit 1/26/93 JLH PASS JF 1/26/93
SWRA105 PERMIT EXTENSION REQUEST 7/2/96 JF 7/2/96 until september 30, 1996
SWRA105 PERMIT EXTENSION REQUEST 7/26/96 JF 7/26/96
SWRA705 Sewer Inspection 5/24/99 JMT No Hold JT 5/24/99 inspection request (research)
sent to Hap
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3/9/00 Activities for Case #: SWR92 -00393
2:35:03 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 APPlication received BLT 12/28/92
SWRA010 Plan check by 12/28/92 BLT 12/28/92
SWRA020 Check for prd. restrict. 12/28/92 12/28/92 RT PASS BLT 12/28/92
SWRA705 Sewer Inspection 4/2/93 MS PART MRS 4/5/93
SWRA080 (F) Issue permit 1/26/93 JLH PASS JF 1/26/93
SWRA105 PERMIT EXTENSION REQUEST 7/2/96 JF 7/2/96 until september 30, 1996 •
SWRA105 PERMIT EXTENSION REQUEST 7/26/96 JF 7/26/96
SWRA705 Sewer Inspection 5/24/99 JMT No Hold JT 5/24/99 inspection request (research)
sent to Hap
SWRA108 Expired by limitation 2/22/00 HAP DONE No Hold AKJ 2/22/00
•
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