Permit 4 . CITY OF TI GARD SEWER CONNECTION PERMIT
,� DEVELOPMENT SERVICES PERMIT #: SWR2000 -00185
�! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/26/2000
SITE ADDRESS; 12276 SW QUAIL CREEK LN PARCEL: 2S103C6 -09900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 057 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks:
Owner: FEES
DON MORISSETTE HOMES Type By Date Amount Receipt
4230 SW GALEWOOD ST
STE 100 INSP DLH 07/26/200C $35.00 0003987
LAKE OSWEGO, OR 97035 PRMT DLH 07/26/200C $2,300.00 0003987
Phone: 503 - 387 -7538 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 copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued by: , Q� Permittee Signature: f�
Call (5 3) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
•
CITY OF TIGARD BUILDING INSPECTION DIVISION M S �14, _
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested _ 3 AM PM BLD
Location / Z .' 2- 7 5 w Q L& r . / Suite MEC
Contact Person Ph PLM 1r�,,
Contractor Ph CD ?o — 6 I' etS
`� • 1 I
BUILD , - Tenant/Owner ELC 0
Retaining Wall ELR '/
Footing Access:
Foundation FPS
Ftg Drain
attallaZ Inspection Notes: 4-1,_,..*., Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear t
Framing 71-,-J / l
Insulation ( /J
Drywall Nailing — a " /-------
Firewall
Fire Sprinkler
Fire Alarm L� \ _ ^ ((
Susp'd Ceiling P-¢- `�Z�
Fin C3 d s
ART FAIL n i-.-)
eam �, '' `,
Under Slab t1�
\ 5k�,4_�A 1/t..1`,.S S
Top Out
er Se • -
r : • i Sewer CT ( _ I 6 / ��
:. a .�( `C^/JQ f (�
PASS PART FAIL �—S /6 n ^ J
MECHANICAL .--# sO
Post & Beam
Rough In
Gas Line
Smoke Dampers 4.Z
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 ^� r �
Approach /Sidewalk Date 10-6 Inspector vim " _ Ext r 9
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.