Permit •
CITY TIGARD SEWER CONNECTION PERMIT
I� DEVELOPMENT SERVICES PERMIT #: SWR1999 -00215
' '` c- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/12/1999
SITE ADDRESS; 12745 SW WATKINS AVE PARCEL: 2S102BC -THP03
SUBDIVISION: THOMPSON PARTITION ZONING: R -4.5
BLOCK: LOT: 003 JURISDICTION: TIG
TENANT NAME: MCDOWELL
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFM NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection of single family manufactured dwelling.
Owner:
FEES
DANNI MCDOWELL Type By Date Amount Receipt
12745 SW WATKINS AVE
TIGARD, OR 97223 PRMT DST 10/12/199E $2,300.00 99- 319008
INSP DST 10/12/199E $35.00 99- 319008
Phone: 643 -6090 Total $2,335.00
Contractor: •
Phone:
Reg #:
•
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 • . -- 001 -0080.
You may obtain copies of the - rules r direct questions to OUNC by calling (503) 246-1987.
//
Issued by: Permittee Si g nature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST (`9'
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 338
Date Requested if I?'? f qq AM PM BLD
Location 10- 5a) Lik '' Suite MEC
Contact Person i2 C Ph ( o.(0 -5- c) - `f.S / PLM
•
Contractor Ph SWR Ton 2
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: Se,+- u Q !�
Post & Beam �, I ,Q ' -I-9./ SIT
Ext Sheath /Shear m � C-•' �-r -I G sa___
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
•
Final
V IS PA RT 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 Date , Inspector /27)n Ext
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site.