Permit A .
CITY OF TIGARD l SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES . PERMIT #: SWR1999 -00095
" r � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/8/99
II
SITE ADDRESS; 12010 SW TREEVIEW CT PARCEL: 2S110BB -RED04
SUBDIVISION: REDWOOD VISTA ZONING: R-4.5
BLOCK: LOT: 004 JURISDICTION: TIG
TENANT NAME: FOUR D CONSTRUCTION
USA NO: FIXTURE UNITS: •
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Sewer connection for a new single family dwelling.
Owner:
FEES
FOUR D CONSTRUCTION Type By Date Amount Receipt
PO BOX 1577
BEAVERTON, OR 97075 PRMT BON 7/8/99 $2,300.00 99- 316686
INSP BON 7/8/99 $35.00 99- 316686
Phone: Total $2,335.00
Contractor:
G + B PLUMBING
PO BOX 1269
HILLSBORO, OR 97123 -1269
Phone: 640 -5770
Reg #: LIC 00000199
PLM 34 -44PB
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expir ?s
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.
Issued by: Permittee Signature:
II (503) 639 -4175 by 7:00 P.M. for an inspection needed the ext business day
CITY TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR1999 -00095
rl �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/8/99
SITE ADDRESS; 12010 SW TREEVIEW CT PARCEL: 2S110B6 RED04
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 004 JURISDICTION: TIG
TENANT NAME: FOUR D CONSTRUCTION
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Sewer connection for a new single family dwelling.
Owner:
FEES
FOUR D CONSTRUCTION Type By Date Amount Receipt
PO BOX 1577
BEAVERTON, OR 97075 PRMT BON 7/8/99 $2,300.00 99- 316686
INSP BON 7/8/99 $35.00 99- 316686
Phone: Total $2,335.00
Contractor:
G + B PLUMBING
PO BOX 1269
HILLSBORO, OR 97123 -1269
Phone: 640 -5770
Reg #: LIC 00000199
PLM 34 -44PB
Required Inspections
Sewer Inspection
ORIGINAL
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.
Issued by: 4 Kalair Permittee Signature: 61A l — ikl
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bJ ness day ) Y P Y
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Iggq b0l - 73
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested -10-F9 AM PM BLD
Location T'Y e,L V [at) Suite MEC
Contact Person I ZO(u h -1 Ph CQ f PLM
Contractor Ph SWR tqq-( —ono q,D
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS, ART FAIL
e PCO�MBIIO
AbgT Beam
Under Slab
Top Out
er rde-%./ e_,
Final
PASS PART FAIL
NICAL
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
Other Date g /g -- 5 Inspector - 1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection rec, rd from the joie sigeo
l
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 qqq -Cpi 73
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q
9 I > BUP
'7
Date Requested ( - 1 S 1 AM PM BLD
Location 1 I 0 1T' Q ,U 1( Suite MEC
Contact Person V +- Ph Cit-n S7)0 PLM
Contractor Ph SWR I �
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear \ )
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
�PCGMBII��
Pos Beam
Under Slab
Top Out
Water Service
iary e
Final
PASS PART AIL
MECHANICAL
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 �/ l c /
Other Inspector �,� Ext /
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.