Permit t CITY OF TIGARD SEWER CONNECTION PERMIT
PA k DEVELOPMENT SERVICES PERMIT #: SWR1999 -00187
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/08/1999
SITE ADDRESS; 13615 SW WALNUT LN PARCEL: 2S104BD -09600
SUBDIVISION: MLP98 -0008 ZONING: R -7
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME: WILSON, RAYMOND
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: New SF - Path 1
Owner: FEES
WILSON, RAY & SHIRLEY Type By Date Amount Receipt
1708 NW SLUMAN RD
VANCOUVER, WA 98665 PRMT DST 09/03/199E $2,300.00. 99- 318105
INSP BON 09/08/199E $35.00 99- 318165
Phone: Total $2,335.00
Contractor:
•
Phone: ORIGINAL
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 -1987.
■
Issued by: ti Permittee Signature: ((�
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bu i ess day
CITY OF TIGARD BUILDING INSPECTION DIVISION il 0 q c ?i- 00a
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -417'
BUP
Date Requested 0 /n 151 AM ZPM BLD
Location / 3 / 5 WO Yl..t+ k-X4 -.c./ Suite MEC
Contact Person Q9C/Y12—. I Ph 3C/ `?.10 ( PLM
Contractor Q ,t - t< (4' -eS Ph SWR Iel4 C1- 00 k& 1
(BUILDIN4 Tenant/Owner ELC
Retaini • Walk.) v ELR
sootin Ac
�Y•.•Iu:k1i7i► (. (�qeJ� FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT •
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 0 n /�
Framing . r -t/r 0 l-W \ ` 0 -c - , .\ k 04 L.--
Insulation 1 _ _ { _ t- •
Drywall Nailing T - ` 2 fZ a
Firewall 3 c 9J ' w -7
Fire Sprinkler �� Z �� 1 C �`I — 0 0 \ /
Fire Alarm c
S
Susp'd Ceiling ) J''C •
Roof 2
Misc: lACe- kL6■f5L
inal
F
PASS PART 'AI 9 V •' V l f!`''�r`�' � ' 5 1��� V Q C
...,,,,,
PLUMBING ( -( ` ek.- t�
Post & Beam
Under Slab YVI� p er ` � V e ( /l S2- ` S .
Top Out
Water Service ® ti rj ...1/'1 e..`�.� " � - "f"'
Sanitary Sewer / •
Rain Drains r0 1/
Final
PASS PART FAIL
MECHANICAL (�
Post & Beam Ivirvo\91t_ 1 �� D �, `i `n/1; Rough In -f"'1 �C.� _ 0-U
Gas Line
Smoke Dampers ... ` • L_� 1116 t____ ! .
Final
PASS PART FAIL j = l I` (.._ -C7A) - 0 Atm1„ . , 4'
ELECTRICAL
Service + \AA.Q (. C77-4 — Ull; 1) t •
Rough In ' �" •
UG /Slab ZS1/L v l Q Y1/\/1 S c--/tif-
Fow Voltage � •
Fire Alarm (2i"."... L Q �, ^r• VIAirsti
Final A re ' C s -i , — Q -v ‘A. , ...).--e_ .
PASS PART FAIL �./�.�\ 7
° Ba d kfiiIl /Grading
Sanitary Sewer
Storm Drain N [ ] 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 (
Ap Js /sA - crQS` 2/�'? AcI Inspector V? CJ _ ----- Ext i
Date
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION <V` l ggq1 -cam 93
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 _ � � BUP
Date Requested i 2� /C0 AM PM BLD
I
Location ` 2 )(D f S Suite MEC
Contact Person R Ph • PLM
Contractor Ph ) 973 M�,-p7 / ' 00/ k7
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: /At
Final ; r %
PA PART FAIL - ' . _ r
Post & Beam
_ Under Slab
Top Out
r e i
I tagr
Rain Drains
40. F•�p
PART FAIL
CHANICAL
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 ;r �',y'" Inspector Ext
/
Final
PASS PART FAIL b0 NOT EMOVE this inspection record from the job site.