Permit CITY OF TIGARD
SEWER CONNECTION PERMIT
r � DEVELOPMENT SERVICES PERMIT #: SWR2000 -00360
" r�Il� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/4/01
SITE ADDRESS; 12342 SW QUAIL CREEK LN PARCEL: 2S103C6- 09500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 053 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 new SF detached.
Owner:
FEES
DON MORISSETTE HOMES INC Type By Date Amount Receipt
4230 GALEWOOD ST #100
LAKE OSWEGO, OR 97035 PRMT CTR 1/4/01 $2,300.00 27200100000
INSP CTR 1/4/01 $35.00 27200100000
Phone: 387 -7538 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
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: Permittee Signature:
Call (50 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY: OF TIGARD BUILDING INSPECTION DIVISION ,s- G.SL,
• 24.;ia ur' Inspection Line: 639 -4175 Business Line: 639 -4171 C' • ,
BUP
Data Requested /- 2 ) AM PM BLD
Location / z 3 `1 5 ' 41 C` -' ,( Suite MEC
Contact Person Ph ZG, 1 43 7 PLM
Contractor Ph 2-UtTV - 00 360
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
°LI/Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 1 _ J / f / � l
Framing 1 4 k � 3 kJ Cl Q ( ( - 4- G. � S
Insulation 11 ,
Drywall Nailing L 1' V\ / S L - P - U w ,. UL S 1 s l
Fire wall
Fire Sprinkler • ......a...._.... _ tint--C_ yr__ s 1.
Fire Alarm ( fir ✓/ _ y am, i/
Susp'd Ceiling �JC ✓�
Roof
Misc: �'' ` /� ,�
F PASS PART FAIL '`-� 7 �G 1/`--r e V V `�. s `"e_r S c-,
PLUMBI ( 7 l f c " a C- ,
Q ost & Beam
Under Slab }�n n I / I f
0 0 e CD ►V��tS_k Vim/ ` e. or - sx.- U
Oki/Sanitary Sewer
ow Rain Drains
Final
PASS PART AI Jl.. 1.O—.e 5 h..�� ���
MECHANICAL 1
Post & Beam o. - ■ � _ _ - . A A — "iZJ t
Rough In
Gas Line V t V
Smoke Dampers Otl
Final
PASS PART FAI
ELECTRICAL 09) ,r e_ r- •
Service
Rough In ll� - (�
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 Date / I nspector s U �� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• _ CITY OF TIGARD BUILDING INSPECTION DIVISION ��as �a� _e
24 — fieur Inspecl>'n Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / — 2. AM PM BLD
Location / 1,7 c/ 2_ atOL'( CA 441 Suite MEC
Contact Person Ph 9 /$2 3 7 PLM
Contractor Ph ; - 60 v
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
� rawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear Xviortiv I _ /�Q S 0 Framing �� 1
D ywal � 1 _ r
Drywall Nailing �J r [f-' � •t_k
Fire wall (1'�� t - o
Fire Sprinkler ,(110 `!j �J -----
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
• F7
ost & Beam
o • • IPA
al"- Water Service
b(/Sanitary Sewer
DAL/Rain Drains
F
PART FAIL
ANICAL
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 (� Ex -
- t — ( Date 1 � 'C 1 Inspector �/ Ext C /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.