Permit + - 'A,
li - o CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2000 -00302
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171 Date Issued: 10/17/2000
Parcel: 2S104DA03500
Jurisdiction. TIG
Site address: 13001 SW GALLIN CT
Subdivision: Lot:
Project: QUAIL HOLLOW - WEST
Project Description: Sewer connection permit for new single familly residence.
Owner: FEES
Description Date Amount
PARK WEST PROPERTIES INC
12670 SW 68TH STE 300 [SWUSA] Swr Connect 10/17/2000 $2,300 00
TIGARD, OR 97223 [SWINSP] Swr Inspect 10/17/2000 $35 00
PHONE 620 -8860
Contractor:
PHONE
FAX'
Type of Use: SF
Class of Work: NEW
Install Type: LTPSWR
Fixture Units:
Number of Dwelling Units: 1 0
Total $2,335 00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100, You may obtain a copy of the rules
or direct questions to OUNC by calling 503 246.6699 or 1 800 332 2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Case Activity Listing 5n8/2010�
2:19:43PM •
�...� Case #: SWR2000 - 00302
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SWRA003 Application received 9/18/2000 None DONE DEB 9/18/2000
BLD
SWRA008 Permit Created 9/18/2000 None DONE DEB 9/18/2000
BLD
SWRA705 Sewer Inspection 11/29/2000 None FAIL RB 11/29/2000 No Test
RB
SWRA070 Ready to issue 10/11/2000 None DONE GWL 10/11/2000
GWL
SWRA080 (F) Issue permit 10/17/2000 None DONE DLH 10/17/2000
BLD
SWRA720 Case Finaled 11/27/2000 None PSS MRS 4/26/2001
RB
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