Permit CITY OF TIGARD
SEWER CONNECTION
, , 1 .11 1 DEVELOPMENT SERVI PERMIT #PERMIT swR98 -0155 •
DATE ISSUED: 08/12/98
PARCEL: 1S134DA —DMO23
SITE ADDRESS...:11370 SW THUNDER TERR
SUBDIVISION -DAKOTA MEADOWS ZONING: R -12 PD
BLOCK LOT •023 JURISDICTION: TIG
TENANT NAME -BEACON HOMES INC
USA NO FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE •SFA NO. OF BUILDINGS: 0
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: New SFA — Path 1
Owner: FEES
BEACON HOMES INC type amount by date recpt
9500 SW 125TH AVE PRMT $ 2300.00 GEO 08/12/98 98- 308246
BEAVERTON OR 97008 INSP $ 35. GEO 08/12/98 98- 308246
Phone #:
Contractor:
OWNER
Phone #: $ 2335. 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
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 -0810 through OAR 952 - 0001-0080. You may obtain copies of
these rules or direct questions OUNC by ailing (503)246 -1987.
Issued by: � . � � �/ Permittee Signature:
)4(4e#51
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
68/99 Activities for Case #: SWR98 -00155
2:33:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRB003 Application received 6/25/98 B RECD BON 6/29/98
SWRB008 Permit Created 6/29/98 B DONE BON 6/29/98
SWRB705 Sewer Inspection 6/29/98 8/31/98 MS PASS MRS 8/31/98
SWRB030 Hold for 8/4/98 DEB HOLD DRA 8/4/98 Hold for release from Eng &
Pln.
SWRB031 Hold Release 8/5/98 DEB DONE KJP 8/5/98
SWRB070 Ready to issue 8/5/98 DEB DONE KJP 8/5/98 Must pay fee in lieu of
undergrounding.
SWRB080 (F) Issue permit 8/12/98 GEO PASS GEO 8/12/98
SWRB720 Case Finaled 12/24/98 JH PASS J'H 12/24/98
Page 1 of 1