Permit CITY OF TIGARD*
A DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
! 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639-0171 PERMIT # • SW R99 - 0050
DATE ISSUED: 03/08/99
PARCEL: 2S1O2BC -07400
SITE ADDRESS...:1263O SW PATHFINDER CT
SUBDIVISION •PP1997 -113 ZONING: R -4.5
• BLOCK LOT •001 JURISDICTION: TIG
TENANT NAME •NYDIGGER, MARK
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: Construction of single family detached, Path 1.
Owner: FEES
MARK NYDIGGER type amount by date recpt
9315 SW COMMERCIAL PRMT $ 2300.00 B 03/08/99 99- 313519
TIGARD OR 97223 INSP $ 35.00 B 03/08/99 99- 313519
Phone #:
Contractor:
OWNER
SIGNED RESPONSIBILITY FORM
IN FILE
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.
Issued by:6 KlAgiN-4 Permittee
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
5/17/00 Activities for Case #: SWR99 -00050
2:32:48 PM
Assigned Hold Updated
Activity Description ' Date 1 Date 2 Date 3 To Done By Disp: Level By Updated Notes
SWRA003 Application received 2/26/99 GEO RECD DRA 3/4/99
SWRA008 Permit Created 3/4/99 DEB DONE DRA 3/4/99
SWRA705 Sewer Inspection 3/8/99 4/16/99 GS PASS AKJ 4/3/00
SWRA032 DST Post- Review Completed 3/8/99 B DONE BON 3/8/99
SWRA070 Ready to issue 3/8/99 B PASS BON 3/8/99
SWRA080 (F) Issue permit 3/8/99 B PASS BON 3/8/99
SWRA720 Case Fineled 4/4/00 AKJ DONE No Hold AKJ 4/4/00
•
•
•
•
•
•
Page 1 of 1