The URL can be used to link to this page

Permit CITY TIGARD SEWER CONNECTION PERMIT ,. DEVELOPMENT SERVICES PERMIT #: SWR2000 -00118 ,.��i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/01/2000 SITE ADDRESS; 14200 SW 97TH AVE PARCEL: 2S1 11 BA 00107 SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5 BLOCK: LOT: 028 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connection of sewer lateral. Owner: FEES OTTO, ARSE B Type By Date Amount Receipt 14200 SW 97TH AVE TIGARD, OR 97224 PRMT KJP 06/01/200C $2,300.00 0002643 INSP KJP 06/01/200C $35.00 0002643 Phone: 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 952 - 001 -0080. You may obtain copies • -se rules or direct questions to OUNC by calling (503) 246- 187. w Issued by: Permittee Signature: /I� /� 40 CaII (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 II BUP Date Requested 4 c1© AM X PM BLD Location 1 u� D Suite MEC Contact Person (Ask, Ph 4039-iii( PLM Contractor Ph / / b 'tP ; g SWR 2t)f)0 / / , BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Slab Crawl Drain Inspection Notes: �� /I „� � /qcJ SGN " t" - � SIT Post & Beam � 4 Ext Sheath /Shear / 1 / f Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL <PCUMBIN4_,) �y Post & Beam Under Slab Top Out Water Service - -aglEEMPia lb Rain *rains Final PASS PART FAIL 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 Datee ( / 5/66 Inspector i)r /9 E Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.