Permit CITY OF TIGARD
� ,.� i ,,, DEVELOPMENT SERVICES SEWER CONNECTION
"' 1 3125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PE RM I T
PERMIT # • SWR98 -0322
DATE ISSUED: 12/08/98
PARCEL: 2S111DA -05500
SITE ADDRESS...:15240 SW PARKLAND TERR
SUBDIVISION •APPLEWOOD PARK NO 2 ZONING: R -7 PD
BLOCK LOT -050 JURISDICTION: TIG
TENANT NAME -LEGEND HOMES
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... : NEW DWELLING UNITS..: 1
TYPE OF USE -SF NO. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: Sewer connection for a new single family dwelling.
Owner: FEES
LEGEND HOMES type amount by date recpt
6900 SW HAINES PRMT $ 2300.00 B 12/08/98 98- 311375
PLAZA 2, SUITE 200 INSP $ 35.00 B 12/08/98 98- 311375
TIGARD OR 97223
Phone #:
Contract or:
OWNER
Phone #: $ 2335.00 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
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 -0001 -0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
i
Issued by: t Permittee Signature: ..i./ i'�.�...i /l/
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Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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5/17/99 Activities for Case #: SWR98 -00322
9:14:44 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA003 Application received • 11/23/98 GEO RECD GEO 11/24/98
SWRA008 Permit Created 11/24/98 GEO DONE GEO 11/24/98
SWRA705 Sewer Inspection 12/1/98 12/9/98 TLP PASS TLP 12/9/98 all work completed to within 5
feet of house
SWRA032 DST Post - Review Completed 12/3/98 • DLH DONE DLH 12/3/98
SWRA070 Ready to issue 12/3/98 DLH PASS DLH 12/3/98
SWRA080 (F) Issue permit 12/8/98 B PASS BON 12/8/98
SWRA720 Case Fineled 4/6/99 AKJ DONE No Hold AKJ 4/6/99
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