Permit CITY OF TIGARD
�,�,:, .,, DEVELOPMENT SERVICES SEWER CONNECTION
v �'j PERMIT
' -_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERMIT # • SWR97 -0270
DATE ISSUED: 07/25/97
PARCEL: 1S136AD -02600
SITE ADDRESS... :07027 SW PINE ST
SUBDIVISION •VILLA RIDGE ZONING: R -4.5
BLOCK LOT °5 JURISDICTION: TIG
TENANT NAME •METRO SERV INC
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... :NEW DWELLING UNITS..: 1
TYPE OF USE :SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: New SFD
Owner: - - - - -- FEES
METRO SERV INC type amount by date recpt
7007 SW PINE ST PRMT $ 2200.00 JSD 07 /25/97 97- 297582
TIGARD OR 97223 INSP $ 35.00 JSD 07/25/97 97- 297582
DUL $ 210.00 JSD 07/25/97 97- 297582
Phone #: DUN $ 290.00 JSD 07/25/97 97-297582
EROS $ 64.00 JSD 07/25/97 97- 297582
Contractor: ERPU $ 20.80 JSD 07 /25/97 97- 297582
METRO SERV INC ERPC $ 20.80 JSD 07/25/97 97- 297582
7007 SW PINE ST
TIGARD OR 97223
Phone #: 245 -4877 $ 2840.60 TOTAL
Reg #..: 118407
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 -0001 -0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)2.6 71987. 42 A
e �� e
Iss�_red by: �1!' Permittee Signat�_rre•.,/ /�J� , / , / ��A�
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
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3/8/00 Activities for Case #: SWR97 -00270
1:56:37 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 APPlication received 7/11/97 7/2/97 DRA PASS PHN 7/11/97
SWRA008 Permit Created 7/11/97 7/11/97 JSD PASS PHN 7/11/97
SWRA032 DST Post - Review Completed 7/11/97 PHN 7/11/97
SWRA705 Sewer Inspection 7/11/97 8/7/97 MS PASS MRS 8/7/97 sewer no connected to street
SWRA080 (F) Issue permit 7/25/97 JSD PASS JD 7/25/97
SWRA720 Case Finaled 8/11/97 JT 8/11/97
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Page No. 1 CASE HISTORY FOR CASE NO.: SWR97 -0270
METRO SERV INC
07027 SW PINE ST
02/27/98
Action Description Reg/ Schd/ find/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
SWRA003 Application received 07/11/97 / / 07/02/97 PASS DRA 07/11/97 PHN
SWRA008 Permit Created 07/11/97 / / 07/11/97 PASS JSD 07/11/97 PHN
SWRA032 DST Post- Review Completed 07/11/97 / / / / 07/11/97 PHN
SWRA080 (F) issue permit / / / / 07/25/97 PASS JSD 07/25/97 JD
SWRA705 Sewer Inspection 07/11/97 / / 08/07/97 sewer no connected to street PASS MS 08/07/97 MRS
SWRA720 Case Finaled / / / / 08/11/97 08/11/97 JT