Permit •
CITY OF TIGARD
� DEVELOPMENT SERVICES SEWER CONNECTION
Al, `� I PERMIT
- '!� ° = 13125 SW Hall Blvd.,ligard,OR97223(503)639 -4171 PERMIT # SWR9B -03 8
DATE ISSUED: 12/14/98
PARCEL: 1S135AD -05100
SITE ADD RESS...: 1 0705 SW S I TKA ST
SUBDIVISION -TRENT TERRACE ZONING: R -12
BLOCK LOT :001 JURISDICTION: TIG
TENANT NAME •KIMCO PROPERTIES, LTD
USA NO FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE °LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single - family residence.
Owner: -- FEES
KIMCO PROPERTIES, LTD type amount by date recpt
22060 SE 442ND AVE PRMT $ 2300.00 DLH 12/14/98 98- 311493
SANDY OR 97055 INSP $ .35.00 DLH 12/14/98 98- 311493
Phone #:
Contract or:
OWNER
Phone #: $ 2335.00 TOTAL
Reg #...
REM' RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect i on
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 952-0001 -0080. You may obtain copies of
these rules or direct questions to OIINC by calling (503)246 -1987.
Issued b : Permittee Si nature: /- (;-- -1 - -----..-' 9
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
8/24/99 Activities for Case #: SWR98 -00328
3:16:56 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received 12/2/98 GEO RECD DLH 12/3/98
SWRA008 Permit Created 12/3/98 DLH DONE DLH 12/3/98
SWRA705 Sewer Inspection 12/3/98 1/12/99 TLP PASS TLP 1/12/99
SWRA032 DST Post - Review Completed 12/3/98 12/8/98 JSD PASS - JSD 12/8/98 Need contractor information
before issuing permit. DLH
SWRA070 Ready to issue 12/8/98 JSD PASS JSD 12/8/98
SWRA080 (F) Issue permit 12/14/98 DLH DONE DLH 12/14/98
SWRA720 Case Fineled - 3/11/99 VLN 3/11/99
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CITY OF TIGARD
� DEVELOPMENT SERVICES SEWER CONNECTION
Al, `� I PERMIT
- '!� ° = 13125 SW Hall Blvd.,ligard,OR97223(503)639 -4171 PERMIT # SWR9B -03 8
DATE ISSUED: 12/14/98
PARCEL: 1S135AD -05100
SITE ADD RESS...: 1 0705 SW S I TKA ST
SUBDIVISION -TRENT TERRACE ZONING: R -12
BLOCK LOT :001 JURISDICTION: TIG
TENANT NAME •KIMCO PROPERTIES, LTD
USA NO FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE °LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single - family residence.
Owner: -- FEES
KIMCO PROPERTIES, LTD type amount by date recpt
22060 SE 442ND AVE PRMT $ 2300.00 DLH 12/14/98 98- 311493
SANDY OR 97055 INSP $ .35.00 DLH 12/14/98 98- 311493
Phone #:
Contract or:
OWNER
Phone #: $ 2335.00 TOTAL
Reg #...
REM' RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect i on
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 952-0001 -0080. You may obtain copies of
these rules or direct questions to OIINC by calling (503)246 -1987.
Issued b : Permittee Si nature: /- (;-- -1 - -----..-' 9
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++