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Permit CITY TIGARD SEWER CONNECTION PERMIT i rjk DEVELOPMENT SERVICES PERMIT #: SWR1999 -00206 4 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/09/1999 - W SITE ADDRESS; 12977 SW 113TH PL PARCEL: 2S103AC -FON07 SUBDIVISION: FONNER WOODS ZONING: R -4.5 BLOCK: LOT: 007 JURISDICTION: TIG TENANT NAME: S R TURNER 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: Sewer connection for a new single family dwelling. Owner: FEES STEVE R. TURNER 8835 SW CANYON LANE Type By Date Amount Receipt #408 PRMT BON 12/09/199E $2,300.00 99- 320291 PORTLAND, OR 97225 INSP BON 12/09/199E $35.00 99- 320291 Phone: 503 - 292 -5920 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection ." I GINAL 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: T �� /�'' �---- Permittee Signature: r / Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next b iness day CITY OF TIGARD BUILDING INSPECTION DIVISION 161& / 9 F cd3a c{ 24 -Iur Inspection Line: 639 -4175 Business Line: 639 -4171 - n BUP Date Requested 4) % =J r 7 AM - PM BLD Location 1)- 7 - 7 1/3 kk , Suite MEC Contact Person ]/j'� ( -2 U A © Ph , �1.� .s- SWR ��7"� Q� r Contractor Ph 3 `7 6c)/ 7 4 i UILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ICACI — 00 2 Lp St.. "�`� SIT -ost : Beam I \ U ea /Shear t 1N1 STZ�.r� -dam • Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Alarm Susp'd Ceiling Roof Misc: - Final PA • AR FAI �( - ost & Bea • •er as Top Out Water Service Sanitary Sewer Rain Drains Fin. • • • RT FAIL •I' ost & .. Rough In Gas Line Smoke Dampers Final PASS PART 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 k 712-7 / J 4. 5 Inspector Ext-S Q � 1 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION q9 _ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST /Z lid 3 . - `j� BUP Date Requested 0 / �4 / 4� AM 93 PM BLD Location /,-,19 7? Su) 7/ 3 1-11 PI Suite MEC Contact Person itAa /5 R- Iikiniv Ph ?-90 - Sqe° PLM c Contractor Ph 3 (f5-GO l q e.eft-- C ' -' OCR lC 1p LDI I Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Dr Drai n Inspection Notes: C no s SGN lab J�� '"l"1 — G v �0 (o SIT Post & Beam Ext Sheath /Shear � ,1 \ — d (, P 1/4-11--• , Int Sheath /Shear Framing Insulation /� q Drywall Nailing %� a " �3 "_ ` '� LJ 7,L Fire wall ,� Fire Sprinkler �/ V'■ I C C.,■r Cv■-.) 1 0.■%-1 S • Fire Alarm Susp'd Ceiling Roof opq 0.� Misc: Final PASS !'_ _ �(�' /, �:i �� ` • qt & Bean%, Under Slab Q PC 0 P a @ % Top Out Water Service Sanitary Sewer n Ural ' ina PASS 01 FAIL MECHAN % S .� Post & Beam /� Gas Line Rough In 7 t, S ` ,� c� _ . ` � --1- cJ �J v V �l —"'� Smoke Dampers Y _ \ .4 C vv o ,„ C " "' 1-e— ) - Final T /t PASS PART FAIL 10) _ C . � � L=,-.._..05 l &� ELECTRICAL 1 Service ` � f 1 V1� � .L . y • 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 / 1 1 Inspector `( Other Date ) 2?/ (� Ext)� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.