Permit •
- CITY OF TIGARD' SEWER CONNECTION PERMIT
r '� DEVELOPMENT SERVICES ' PERMIT #: SWR1999 -00219
.,� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/19/1999
SITE ADDRESS; 08955 SW PIPPEN'LN PARCEL: 2S111DA -12000
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SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 113 JURISDICTION: TIG
TENANT NAME: •
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW • DWELLING UNITS: 1
TYPE OF USE: SF • , • NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE: •
Remarks: Sewer connection for a new single family dwelling. •
Owner:
LEGEND HOMES FEES
6900 SW HAINES Type By Date Amount Receipt •
TIGARD, OR 97223 PRMT GEO 10/19/199E $2,300.00 99- 319176
INSP GEO 10/19/199E $35.00 99- 319176
Phone: 620 -8080 Total $2,335.00
Contractor:
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Phone: OR1.GNAL
Reg #:
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Required Inspections
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Sewer Inspection, '
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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 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 - 001 -0080.
You may obtain copies o hese ules or direct questions to OUNC by calling (503) 246 -1987.
• Issued by: i/ �. Permittee Signature: jj /- •
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the •. • ness day
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3/28/00 ? Activities for Case #: SWR1999 -00219
2:50:19 PM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 10/5/99 GEO RECD No Hold KJP 10/11/99
SWRA008 Permit Created 10/11/99 KJP DONE No Hold KJP 10/11/99
SWRA705 Sewer Inspection 10/26/99 TLP PASS No Hold JMT 11/9/99
SWRA070 Ready to issue 10/15/99 GEO DONE No Hold GEO 10/15/99
SWRA080 (F) Issue permit 10/19/99 GEO DONE No Hold GEO 10/19/99
SWRA720 Case Finaled 11/9/99 JMT DONE No Hold JMT 11/9/99
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST ( Gj_ O7) 3c f�
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ �y BUP
Date Requested U �? / AM PM BLD
Location g9 sS tL L - Suite MEC
Contact Person Il L LC1 /Lt.v Ainc --d Ph 031 "EO` PLM
Contractor Ph (.09 at g'' SWR /cfif I '
UILDING Tenant/Owner ELC
Re wing Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
:Crawl Drau Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall,Nailing
Firewall
Fire Spiinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:
Final
.4'ART FAIL
Pos :earn
Under Slab
Top Out , t ; l
(Ass) PART 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
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
Approach /Sidewalk � CJ // ? �J
Other Date ��p 7? / I nspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.