Permit CITY OF TIGARD
: � ,, ,� i �:�� DEVELOPMEN SERVICES
SEWER CONNECTION
PERMIT
PERMIT # • SWR97 -0023
DATE ISSUED: 01/23/97
PARCEL: 1S136DB -02601
SITE ADDRESS...: 11610 SW PACIFIC HWY
SUBDIVISION • ZONING: C —G
BLOCK • LOT •
TENANT NAME •ALPENROSE DAIRY FOR MAYTAG,ETC
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:ALT DWELLING UNITS..: 0
TYPE OF USE °COM NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: SEWER CONNECTION SERVING MULTI — TENANT BUILDING ALSO ADDRESSED AT
11608 SW PACIFIC HWY. CONNECTION TO "PUBLIC" STEWART SANITARY SEWER.
UNKNOWN DU'S COUNT SUBJECT TO CHANGE UPON INSPECTION.
Owner: FEES
WAKER ASSOCIATES INC type amount by date recpt
11610 SW PACIFIC HWY PRMT $ 2200.00 JMH 01/23/97 97- 289377
INSP $ 45.00 JMH 01/23/97 97- 289377
TIGARD OR 97223
Phone #: 643 -9410
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 2245.00 TOTAL
Reg #.. .
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from Sewer Inspection
the date issued. The total amount paid will be forfeited if the Septic Tank F i l l
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.
Permittee Signature:
Issued By: a i I
Call for inspection — 639 -4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech. .
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
_IlarrR Gas Line Appr /Sdwlk Reins.
Other:
Date: I /-c( 19 7 A.M P.M. Entry:
Address: / / 6 /0 r64-ti r , c-1
Tenant: S{e: MST:
Con /Own:
CD 43 wQ
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
S 1-42 eo,k3
Inspector: Date /?
Cy ttfaRROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
5vt/P17 - avz3
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam S Mech. Rough -in Gyp. Bd. -Bldg.
. ewer Gas Line Appr /Sdwlk Reins.
Other:
Date: r A.M. P. Entry:
Addre s: Ar a ' / /. _ C
Tenant: Ste: / MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
1 14//e/ - e/L t;
41 0 132.-6446 le-ri ( 4 &. 2
A .1
d - • / 2 „a_ r •-• i
ec
h.
In ector:/7 /77.--- Date: . 7
PROVED DISAPPROVED /CALL FOR REINSP. CF CO
1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
an.'Sew Gas Line Appr /Sdwlk .
Other:
Date: I la-815 / M. _ Entry:
Address: / 147 / 0
Tenant: ' Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
I? a(9
Insp ctor: Date: /C .7/ /
fPFROVED _ DISAPPROVED /CALL FOR REINSP. CF / CO
5 t,� R 9 - cr?)z)
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
an. Sew Gas Line �Appr /SSd wlk Reins.
Other: C� C �"e4 -lk
Date: k 1D --3191 A.M. P.M. Entry:
Address: l G up Va-c-LP_. — 4 -
Tenant: --//ll / Ste: MST:
Con /Own:
- 7 pp OU - O D__ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
i
_ i i
;d „,„„ore' "//
, 0
/
(.23/7
Ins ctorg: Date:l
PROVED DISAPPROVED /CALL FOR REINSP. CF