Loading...
Permit CITY TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2000 -00286 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/00 SITE ADDRESS; 14785 SW 104TH AVE PARCEL: 2S1 11 CB 01311 SUBDIVISION: DEL MONTE SUBDIVISION NO.2 ZONING: R -3.5 BLOCK: LOT: 022 JURISDICTION: TIG TENANT NAME: MARGESON USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connect existing residence to newly installed sewer lateral. Septic tank is to be pumped, filled and inspected or removed. Reimbursement district fee paid on this date. Owner: FEES MARGESON, ERIC C + DEBRA J Type By Date Amount Receipt 14785 SW 104TH TIGARD, OR 97224 PRMT CTR 9/8/00 $2,300.00 27200000000 INSP CTR 9/8/00 $35.00 27200000000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection Septic Tank Filled 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: k 1 Permittee Signature: VLI. �- tiw+..AA-._ Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day i T ABLE _ II SEPTIC SERVICE P.O.BOX 1130 WILSONVILLE, OR 97070 (503) 582.1929 FAX (503) 570.0779 CUSTOMER'S ORDER NO. PHONE DATE 109,3 � (0(0 in 9 - ),,' - rfi NAME ../ `1 I I if A la .Sr y) 1 ADDRESS / /9- SP , RcookiA)cey rF; i ••ra '- `�7 SOLD BY CASH C.O.D. CHARD ON ACCT. MDSE. T'D. PAID OUT QTY, DESCRIPTION PRICE AMOUNT ) -■5.1 \. I ( 1 tiwk f I A f-30 0 I 1 715 . A) / t)d9' 1. 1 ■ 1 TAX RECEIVED BY TOTAL All claims and returned goods MUST be accompanied by this bill. ', 1- ; � THANK Ye CITY OF TIGARD BUILDING INSP€CTIbN DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested � AM PM BLD Location / (1 7 5 C 5 /° 4 f Suite MEC Contact Person Ph PLM Contractor Ph SWR •e _G-J '24'6 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 Fire wall 72/2("7" Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final FAIL L U am Under Slab Sk / G 1 Top Out Water Servi Sanitary Se r Qtyf9) Rain Drains Fin 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 Date (3/ d Inspector G' Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r r 'r r , f r , ' el . -.. ,41,:. I 1 ' . • . 7 2 . r 4. . * ... . i Z ),, , . . . I I 0 X ie it ' .,; • I d R ug et l CITY OF.TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Date Requested 9 �/ Z AM PM - BLD Location ( 7 V5 Suite MEC Contact Person Ph 33 G Z z y PLM —e;e) 333 Contractor Ph SWR ZrJUr/ BUILDING Tenant/Owner ELC Retaining Wall � �Gl S f G�r ,� ✓ 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 X1 / ii `` Roof Misc: Final PA ' • RT FAIL LUMB Post & Beam Under Slab Top Out Water Service .= uur�•Y�^Ia. Rain i rains 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� Inspector E xt Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.