Permit • CITY OF TI GARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2001 -00035
' I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/28/01
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SITE ADDRESS; 12401 SW QUAIL CREEK LN PARCEL: 2S103C6 -08500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 034 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:
Owner: FEES
DON MORISSETTE HOMES Type By Date Amount Receipt
4230 GALEWOOD ST
STE 100 PRMT CTR 3/28/01 $2,300.00 27200100000
LAKE OSWEGO, OR 97035 INSP CTR 3/28/01 ' $35.00 27200100000
Phone: 503 - 387 -7538 Total $2,335.00
Contractor:
Phone:
Reg #:
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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. ja
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Issued by: I Permittee Signaturef,, v� ,{ C�/�
Call (5 3) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
• . • ' • CITKY OF TIGARD BUILDING INSPECTION DIVISION '
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 .d:/- O�
BUP
Date Requested SA ( AM 6/
Location Id '- o 1 (1) it / L rtt - e f t- Suite MEC
Contact Person Ph PLM
Contractor Ph SWR (XC / - 000 3.S
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Vok/Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear t� J
Framing .�tN'T c / 1 / O\ cvl-4 -- \- S S
Drywall ^n
Drywall Nailing v ' \ 4,19 '
Firewall
Fire Sprinkler -i
Fire Alarm , °. �'Z' 4 Susp'd Ceiling (�^ �
Roof L--Z LQ
Misc:
Final
PASS T F IL
UMB
'post & Beam
C i
op O 1L"-
6,/,L a er Service
(}4&.Sanitary Sewer
[Rain Drains
Final
PASS PART 0
MECHANICAL
Post & Beam
Rough I Of
Li
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 $ 6 ‘ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin \ c `"
Fire Supply Line [IPlease call for reinspe on : TO C-- M.— "7 �. `[ ] Unable to inspect - no access
ADA V o
Approach /Sidewalk 11 b 1 1
9
Other Date ' Inspector 'V v Ex
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
" ' CITY OF TIGARD BUILDING INSPECTION DIVISION �� �: U G � u L
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S /J AM //5 7 PM BLD
Location / Z Y U I .5 c., Qu 4 l .I Ck "< Suite MEC
Contact Person Ph .20 ei, 37 PLM
Contractor Ph SWR 2C6f
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
tg Drain SGN
OR/Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear I 1,4 9 . I J
Framing � s 4•71, W �/ l '
D
Insulation
wal Drywall ��� ,` I \ t C l 5 �-,�� � V •
Drywall Nailing � � Y u�
Firewall
Sp rinkler
Fire n
Sprinkler l i���^ t ! !
Fire Alarm - L Q "1/2A- G.
Susp'd Ceiling h �TN Q.f/�
Roof / /, am, „,� 1`�� ��Q �-cr
Misc: Y / '� "
Final � 2---, \-- '-- ' ---vim
PASS PART FAIL
a •• os & Beam -5 4 '/ ' 6 J-
—__ 2_ -- c-c.....23) (44d v Top -r u'ervice 4) 0_0 5l--e_ LL -C V
$/I/Sa nitary Sewer 1 n
04/Rain Drains ( v /` ) ..---- U) r fi-r —e,; \
Final � ( _
PASS PART FAIL "7/`"J ?/\/ -2_ -1 n f • .�..`- '
MECHANICAL 1 ;
Post & Beam ��" ' - ''` � A - L -
Rough In , ^ -- _ 1 kJ-- k ce- -''�\ ,,isc
Gas Line
" Q
Smoke Dampers 0 A v- k(` �� ■ Final ( &V 5 �.t: � �e -(Q PASS PART FAIL \
ELECTRICAL \
Service 5.I/k s
Rough In
UG /Slab ► . . r / - ■ I`
Low Voltage
Fire Alarm IM _ u� C 1. L. .. . -.4...r
\ ,.�
J
PASS PART FAIL V / 1
SITE 1f1 1/1A "\--e 5 kv■ 1..J 6. /
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 Date 5 ),s/ C, � Inspector l/ (/� Ex 6
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
S, G
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— Or( aF`TIGARD BUILDING INSPECTION DIVISION •
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-24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
:UP
Date Requested 9 ' 3 AM PM/ BLD
Location / Z VP/ .3A 0(44 / / Ch-'-< < Suite MEC
Contact Person Ph oZ / — q'3 7 PLM
Contractor Ph C / ^ 00035
cpUILDINO• Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Inspection Notes:
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear I�L �� /
Framing I 1 ,,,��_ L/ 7 ���
Insulation /' � 1 '
Drywall Nailing [� , \A) ) V 1 f(_ —
Fire wall ti‘c Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof - 6 v� /
Misc:
' FAIL
` 4 /
Post & Beam
Under Slab
Top Out 1
la r
?1/45k_Ci C/QL,k u (AA Slaej
Fina •
4010 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 l i I
Other Date "� L Inspector Ext,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.