Permit A • CITY OF TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR1999 -00166
� �y;* D E 5 SW H BM E Ng S O RV 2 C E 6 � N TE ISSUED: 8/18/99
SITE ADDRESS; 08821 SW PIPPEN LN PARCEL: 2S111DA -11500
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 108 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES
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: FEES
LEGEND HOMES
6900 SW HAINES STREET Type By Date Amount Receipt
PLAZA 2, SUITE 200 PRMT GEO 8/18/99 $2,300.00 99- 317737
TIGARD, OR 97223 INSP GEO 8/18/99 $35.00 99- 317737
Phone: 620 -80810 Total $2,335.00
Contractor:
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 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 ies of a ul- . or direct questions to OUNC by calling (503) 246 -1987.
Issued by: I Permittee Signature:
Call (503 639 -4175 by 7:00 P.M. for an inspection needed the xt busi
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ' F1T - 00zio?
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q a BUP
Date Requested ��v_I� l I AMIAM BLD
Location RR21 i( p (a/? • Suite MEC
Contact Person i ■ rj2 , Ph (ppl — gb P LM �,� i q G
Contractor Ph SWR L1g7 -coi( &
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
•���� Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fin
ASS ART FAIL
LPCO]I1I6115>i!j
Post & Beam
Under Slab
Top Out
41' am Dram
Final
„J,, PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab 11
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
Other �7 Date p / O
) ��E
Inspector Q Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.