Permit CITY TIGARD SEWER CONNECTION PERMIT
A Avill?' DEVELOPMENT SERVICES PERMIT #: SWR2000 -00162
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/24/00
SITE ADDRESS; 12467 SW QUAIL CREEK LN PARCEL: 2S103C6 -08700
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 036 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: Sewer connection for new SF detached.
Owner:
FEES
DON MORISSETTE HOMES
4230 GALEWOOD ST • Type By Date Amount Receipt
SUITE 100 PRMT BLD 7/24/00 $2,300.00 0003932
LAKE OSWEGO, OR 97035 INSP BLD 7/24/00 $35.00 0003932
Phone: 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. n
Issued by: __ Permittee Signature: � V �lA
�-�C
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION g AU) , D 0 I9k
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 — Z AM /0' 31) PM BLD
Location / 2-C / -SG✓ C c ( GL¢ LJ Or Suite MEC
Contact Person Ph PLM
Contractor Ph SW "Si000 — ad /G
BUILDIN3 Tenant/Owner ELC
rnng Wall ELR
Footing Access:
Foundation FPS
Ft SGN
Crawl Drai Inspection Notes:
Sla SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear (A\A"AA\0%..v._-
Framing
Insulation Yl�e •
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
P SS PART FAIL Ala
LUMBI • / M,vi •
Post & Beam
Under Slab
Top • ut
later Service
Rain Drai
a Fick 1v4 4 r�
PART FAIL
CHANICAL
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 / 2 - ?( nspector Ex T Approach /Sidewalk Date <) Inspector
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 11 / 9
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417
fQ 3 � BUP
' ` Date Requested �� / U AM PM BLD
Location / Z- y 4 7 5 �✓ Q�t.e+ Jul Ci? 4%/2 Suite MEC
Contact Person Ph PLM
Contractor Ph 0X00 - 00/6 Z
(81.1ILDJDIB Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS 1 ..
Ftg Drain
Crawl Drain Inspection Notes:
SGN
Slab SIT
(Zost & Be" let-
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F
J ' : RT FAIL
• LI
Post & Beam
Ob
Under Slab
Top Out n Iti 14‘°
Water Service
ni ary Sewes---
rai rains
Fina
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 Date ?// 16/ Inspector
EXL J
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.