Permit . CITY OF TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR2000 -00062
;•1 � DEVELOPMENT SERVICES DATE ISSUED: 04/14/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 08900 SW PIPPEN LN PARCEL: 2S111 DA -15200
SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7
BLOCK: LOT: 145 JURISDICTION: TIG
TENANT NAME: LEGEND HOMES .
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 for new SF •
Owner: FEES
Type By Date Amount Receipt
PRMT BON 04/14/200C $2,300.00 0001427
INSP BON 04/14/200C $35.00 0001427
Phone: 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
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 ( , t,. ' •
at • Permittee Sig • ture: .
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next .,siness day
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2Z ' e A 04'07
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 .
a � �� �� BUP
✓ 1, 4 u Date Requested AM PM BLD
c /�
Location ? 900 gccl /,0��) v"i Suite MEC
Contact Person G /
p Ph 7 0 9 PLM
Contractor Ph SWR ' 1.000 - "tOZo f Z®
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ft SGN
ravel Drain Inspection Notes:
SI b SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof '
Misc:
Fina
PART FAIL
• ' :1 t
Post & Beam
Under Slab
Top Out
ate'
anita Se
ain rai
Final
pAso PART FAIL
MECHANICAL
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 1 /2 roach /Sidewalk 6 D Inspector // /�
Other Ext
Final •
PASS PART FAIL 0 NO REMOVE this inspection record from the job site.