Permit CITY OF TIGARD
SEWER CONNECTION PERMIT
,�\ DEVELOPMENT SERVICES PERMIT #: SWR1999 -00205
^ ' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/09/1999
SITE ADDRESS; 12855 SW 113TH PL PARCEL: 2S103AC -FONO2
SUBDIVISION: FONNER WOODS ZONING: R -4.5
BLOCK: LOT: 002 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 of a new single family dwelling.
Owner:
FEES
STEVE R. TURNER Type By Date Amount Receipt
8835 SW CANYON LANE
#408 PRMT BON 12/09/199C. $2,300.00 99- 320290
PORTLAND, OR 97225 INSP BON 12/09/1990 $35.00 99- 320290
Phone: 503 - 292 -5920 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 of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued by: l l i'-t_LWC , r� Permittee Signatur �(L&)
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bu . ess day
CITY OF TIGARD BUILDING INSPECTION DIVISION ,may tic{ q_ 0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested fc) a-( q AM PM BLD
Location 42-6 i1/ 3 Pl • Suite MEC
Contact Person # a((\ / Ph c2Y * 5-9,40 PLM
Contractor Ph W (,O 1( at) - 00 Zd.
UILDIiii) Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ft Drain SGN
ravel Drai Inspection Notes:L le`CAC1 062,05 6
Sla _ SIT
Post & Beam
Ext Sheath /Shear 4 - 4
Int Sheath /Shear
Framing
Drywall Nailing Insulation _ \ �
Drywal — � f2@e
Firewall
Fire Sprinkler ti✓l •
Fire Alarm
Susp'd Ceiling
Roof
Misc: `lam
P RT FAIL
Post & Bearry
Under Slab
Top Out
Water Service
Sanitary Sewer
am Ural
PAS PART FAIL
ANICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date a/ Inspector C Ext3
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.