Permit CITY TIGARD SEWER CONNECTION PERMIT
1 � DEVELOPMENT SERVICES PERMIT #: SWR99 -00071
r �' II 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/20/99
SITE ADDRESS; 11909 SW TREEHILL CT PARCEL: 2S110BA -RED11
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 011 JURISDICTION: TIG
TENANT NAME: FOUR D CONSTRUCTION
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
Remarks: New SF - Path 1
Owner:
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S`�V dr FEES
Type By Date Amount Receipt
O. 00)( 1 5 7 / PRMT BON 4/20/99 $2,300.00 99- 314700
deft \J e} 1O '\ , ( '7.7 7s INSP BON 4/20/99 $35.00 99- 314700
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
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 -1 •
/
Issued by: F n ' �1 ��yA A Permittee Signature: ,�`.
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bu,+ ess day
CITY OF TIGARD BUILDING INSPECTION DIVISION
U 1 Ms t
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
6 BUP
Date Requested
T ted j / VD AM PM BLD
1gV / Location I 1 / 1A IA`/ Suite MEC
Contact Person OC1.tie__? Ph 72/ LIS PLM
Contractor Ph qc7-650 7 I (
L
- 61N� Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear - 011 peA J['P ` - .
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler c�
Fire Alarm W /tif /' /.' /L 1 -0 ✓g/P /-L� l �� ��f��/� // — /9 – �/
Susp'd Ceiling ) f
Roof
Misc: 0/ •
``1 PART FAIL
• MBING
Post & Beam
Under Slab
Top Out
anitary Sewe T /
Rain 5".eC 0
1 C �—
( PART FAIL Pea 14 / Ts �� v1 Z L S�TIO�� C a' 0
ECHANIC
Post & b ( S eam q// Gc % A-e ye c
Rough In �/
Gas Line
nQke Dampers
�* PART FAIL
RICAL
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 / �/
Other oach /Sidewalk Date/ v(i Inspector / Q7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Bob sate.