Permit CITY OF TIGARD
�� � DEVELOPMENT SERVICES SEWER CONNECTION PERMIT
" = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # SW R 98 -0295
DATE ISSUED: 10/23/98
PARCEL: 2S1O2BA -00901
SITE ADDRESS...:O957O SW TIGARD ST
SUBDIVISION •NO.TIGARDVILLE ADDITION AMEND. ZONING: I —P
BLOCK LOT °058 JURISDICTION: TIG
TENANT NAME -ALLRED/ENGEL
USA NO FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE -LTP IMPERV SURFACE: 0 sf
Remarks: Sewer connection of existing house to main line. Septic tank must be
pumped, filled & inspected or removed.
Owner: FEES
DOUGLAS ALLRED & GEORGE ENGEL type amount by date recpt
9380 S. W. TIGARD STREET PRMT $ 2300.00 GEO 10/23/98 98- 310256
TIGARD OR 97223 INSP $ 35.00 GEO 10/23/98 98- 310256
Phone #:
Contractor:
OWNER
Phone #: `1•+ 2335. 00 TOTAL
Reg #..
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from Septic Tank F i l l
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 OUNC u •Aling (503)246 -1987.
j
Issued by: /,1 i Permittee Signature ii660 ..
1
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�/ /7 / 02 ‘4 56 BUP
//�� s D�ate Requested AM PM BLD
Location `7 �, 7 '..' /�j �cL St * Suite MEC
Contact Person vv Ph PLM
Contractor Ph WR gef' COd -56---
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation FPS
Ftg Drain Ex ired/Research/Re SGN
drawl Drain uest q
Slab SIT
Post & Beam J.E'it%cJA� - '„ /' -� g p
Ext Sheath /Shear J (J 'L /
Int Framing th /Shear ` J y' ' # �* O 6 7rzt) 1 D G
J J ` t�� / /' d
Insulation v
Drywall Nailing �f
Fire wall //�� d — (41:2 l � v ay / / Fire Sprinkler / 47,11A J
Fire Alarm Bbt f/ r -eSs' r e i cy) / S � .
Susp'd Ceiling
Roof (/ ? S.)- t e kV i / �-e /` 1 92 , 55 a t'/l/ /
Misc: / C-, / �/1�
Final / �.Q Iv pp -Q.li .R-. -& I i i / ecii -
PASS PART FAIL Li
� PLUMBIN (/ 344 p ) rQ «fi(J��� U � ma
C.; I
Post & Beam V > �
Under Slab ( k'j / /� eA . c(039- QQ G
•
D g) .
Top Out C / / 44 Ct( / -e-P[ '' d k_42 GO
Water Service ` e I
ear ary
i Se e ,
Rain B rains Nre, c...4) p S +- es coVV\ -Q
- AS' PART FAIL $
/ - ANICAL
Post & Beam I
Rou h In
Gast ine l A / 1 ( `_ I
,
Smoke Dampers 1111 Final I
PASS PART FAIL
ELECTRICAL / 1 l ni
Service V `i 0
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 v (/ o Inspector ` " Z E Z .
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.