Permit twt11 LUI'1 ECTION
CITY OF TIGikRDPER # PERMIT
SWR95 -0235
rCOMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED s 06/20/95
13125 SW Hall Blvd. Tigard. Oregon 97223•8199 (503) 839 -4171 PARCEL: 291 04BD —RM01 1
SITE ADDRESS...: 13788 SW WALNUT LN
SUBDIVISION ° ROSE MEADOWS ZONING° R -7
BLOCK.......... ° LOT -011
TENANT NAME °
USA NO FIXTURE UNITS...s
CLASS OF WORK...sNEW DWELLING UNITS..s1
TYPE OF USE -SF NO. OF BUILDINGS:1
INSTALL TYPE °BUSWR IMPERV SURFACE..s ssf
Remarks: PATH I
Owners FEES
JAY MILLER type amount by date recpt
P 0 BOX 23291 PRMT $ 2200.00 JD 06/20/95 95- 267016
INSP $ 35.00 JD 06/20/95 95- 267016
TIGARD OR
Phone #.1 684 -7543
Contractors
CONTRACTOR NOT ON FILE
Phone #s $ 2235.00 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
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.
Permittee Sign> ures ""`, �� ! /10.
111FOR: mow
Issued . P'
Call for inspection — 639 -4175
S- a4^7o
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639 -4175 Business Phone: 639 -4171
Inspection: e4 . ." -,,
,tea �_..../
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
• Plbg. Top Out Elec. Rough -in FINAL:
• st/B : - 11 , , - . San. Sewer Gas Line -Bldg.
bg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 'l I ( -1 R J Time \g) PM
Address: /3 - 7 Q n 4--c)
Builder: n gl - I T9 Permit #: 5 ' e..- 3 $
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ie
/ / / z z
Inspect dyy Date: 7 / z-- 9s-
�
_'PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.