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Permit A • CITY OF TIGARD SEWER CONNECTION PERMIT PERMIT #: SWR1999 -00166 � �y;* D E 5 SW H BM E Ng S O RV 2 C E 6 � N TE ISSUED: 8/18/99 SITE ADDRESS; 08821 SW PIPPEN LN PARCEL: 2S111DA -11500 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R -7 BLOCK: LOT: 108 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 a new single family dwelling. Owner: FEES LEGEND HOMES 6900 SW HAINES STREET Type By Date Amount Receipt PLAZA 2, SUITE 200 PRMT GEO 8/18/99 $2,300.00 99- 317737 TIGARD, OR 97223 INSP GEO 8/18/99 $35.00 99- 317737 Phone: 620 -80810 Total $2,335.00 Contractor: Phone: • Reg #: • Required Inspections Sewer Inspection • 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 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- 001 -0080. You may obtain ies of a ul- . or direct questions to OUNC by calling (503) 246 -1987. Issued by: I Permittee Signature: Call (503 639 -4175 by 7:00 P.M. for an inspection needed the xt busi CITY OF TIGARD BUILDING INSPECTION DIVISION MST ' F1T - 00zio? 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q a BUP Date Requested ��v_I� l I AMIAM BLD Location RR21 i( p (a/? • Suite MEC Contact Person i ■ rj2 , Ph (ppl — gb P LM �,� i q G Contractor Ph SWR L1g7 -coi( & BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN •���� Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fin ASS ART FAIL LPCO]I1I6115>i!j Post & Beam Under Slab Top Out 41' am Dram Final „J,, PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab 11 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other �7 Date p / O ) ��E Inspector Q Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.