Permit • CITY OF TIGARD
ia - DEVELOPMENT SERVICES SEWER CONNECTION
- L 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PERMIT # #PERMIT SW R98 -00` i •
DATE ISSUED: 03/02/98
PARCEL: 2S109AB -06700
SITE ADDRESS...:13098 SW STARVIEW DR
SUBDIVISION •FORAN ZONING: R -7
BLOCK LOT -009 JURISDICTION: TIG
TENANT NAME
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: SFD - PATH 1
Owner : - •--- - - - - -• --- - -- -- - -- FEES - - -- - - - - --
RICK DAV ILLA type amount by date recpt
31836 SW FAIRWAY VILLAGE LOOP PRMT $ 2200.00 BON 03/02/98 98- 303863
WILSONVILLE OR 97070 INSP $ 35.00 BON 03/02/98 98- 303863
Phone #:
Contractor: - - - -- ---
OWNER
Phone #: $ 2235.00 TOTAL.
Reg #...
--- - - - - -• REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
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 r
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 OUNC by calling (5031246 -1987. _ ____
Issued by: - Permittee Signat�_ire ' /_..
6. jdniri4if + + ++ 4• + + + + + + ++ + + + + + ++ + + + ++ ± ++ ++ + + ++ + -I- + + + + + ++ •1- + ++ + + + + + + + + + + + + ++ + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + + + ++ + + + + + + + + + + ++
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Page No. 1 CASE HISTORY FOR CASE NO.: SWR98 -0021
RICK DAVILLA
13098 SW STARVIEW DR
12/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update /
Code Sent Done Done Date . By
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SWRA080 (F) Issue permit / / / / 03/02/98 PASS GEO 03/02/98 DST
SWRA705 Sewer Inspection 02/10/98 / / 07/24/98 PASS RB 07/27/98 RB
SWRA720 Case Finaled / / / / 10/05/98 by review PASS RB 10/05/98 J *H
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