Permit CITY TIGARD SEWER CONNECTION PERMIT
PERMIT #: SWR2000 -00383
��I�;� DEVELOPMENT SERVICES DATE ISSUED: 2/9/01
13125 SW Hall B Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 12492 SW QUAIL CREEK LN PARCEL: 2S103C6 -08900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 047 JURISDICTION: TIG
TENANT NAME:
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 detached.
Owner:
FEES
DON MORISSETTE HOMES
4230 GALEWOOD ST Type By Date Amount Receipt
LAKE OSWEGO, OR 97035 INSP CTR 2/9/01 $35.00 27200100000
PRMT CTR 2/9/01 $2,300.00 27200100000
Phone: 503 - 387 -7538 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 copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
•
Issued b : 1 _ �� %���� _c! _ Permittee Signature: � $ , LIB k �
i
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION
(2
Business ia?7 24 -Hour Inspection Line: 639 - 4175 Business Line: 639 7
BUP
Date Requested 3 AM 1 PM BLD
Location / 5w QL 4'r I OZ -tie Suite MEC
Contact Person Ph Zfi f — 4'k3 7 PLM
Contractor
,�l 3 k3
ILDI.N13) Tenant/0 er 7 0,30 ELC
g Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
r Inspection Notes:
SIT
Post & Beam
Int Sheath/Shear Sheath/Shear �
Ina th/Shear Framing LIC/L.C. D ywal VIZ ) ` � ( n (1
Drywall Nailing �,/ �'a -1�,
Fire wall G �� 55 � -
Fire Sprinkler 7
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'
AS PART FAIL
MBING !f( P y cp -
Post & Beam
Under Slab
To • Out
^
Fin
PART FAIL
ECHANICAL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA _
Approach/Sidewalk Date 1 1 O 1 Inspector t:7
Other EX
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' • C ~TIGARDSUILDING INSPECTION DIVISION - • .: ,_ • - '
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 It
BUP
/ Date Requested / 7 AM PMJ ?5 BLD
Location ! 2-c/ 9 Z- 54' 6 P0 6 // Oteek Suite MEC
Contact Person Ph X/ f - 4/5 2 —
Contractor Ph - ? ' 0 0 33
BUILDING Tenant/Owner ELC „y/ r/d I &z3)
Retaining Wall ELR
Footing Access:
Foundation FPS
asv ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear �•'� L4.......1./Le
I / � / t �� 1- r Insulation U, c Framing (Q L� ( 1 ca
r
Drywall Nailing '
Fire wall 1`1/1,trie'.. t Fire Sprinkler /C ��`
Fire Alarm 1 1 _ , V --- ^ (2-- ; r �` ^ s
Susp'd Ceiling dam/ ' YV ` �s�.
Roof I
Misc: x�
Final
PASS PART FAIL
- .gi'l''i lr 1/1..ic.� 7 ' j ja 3 L
Post & Beam •
o p Ou
- aier Service ' 3 t 4 r I , U . J0
V nitary Sewer
in Drains _ _ ■ V" • . Ci w V S
F P P SS PART FAIL *rt/1/1/7 ANICAL /�/� V�r �, 1'/
Post & Beam it _
Rough In
Gas Line /. xtp:(42 D L Smoke Dampers A (A_ . : 1 C?.-cb .�'� - Final
PASS PART FAIL /
ELECTRICAL
Service
Rough In / ' , r I l UG /Slab � 1) v`D V (t----
Low Voltage
Fire Alarm I
Final 1 , � C - � p 1 �, ' 6.- •
PASS PART FAIL � /l- V _ � "!�
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 1 \
Other Date I V k Ins pector y C� Ext ��
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
z7P
• CiTY, -T GARD BUILDING INSPECTION DIVISION -
� -.--
. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t WAIIiii
BUP
Date Requested 3- AM PM BLD
Location / 2- t I� Z 5 c UJLt 41 / 0 4-7 Suite MEC
Contact Person Ph 2 97 4t 3 7 PLM
Contractor Ph � ?d?X7' —On g3
UILDI Tenant/Owner ELC /c7d! (frz9
ining Wall ELR
Footin Access:
Foundation FPS
Ftg Drain
/Crawl Drain Inspection Notes: SGN
Slab SIT
(( A/ Post & Beam
p� Ext Sheath/Shear
Insulation
Drywall Nailing 9--5
Fire Sp L. I 6..±
• �?�./
Fire Sprinkler `Arr / -% _'
Fire Alarm
Susp'd Ceiling r &,k 4 `
Roof — _ � I � �
Misc: \r_'^r1i11 2 --- `-�1.- s
Final 11- �� ..e--41 • S GQ._, .
PASS PART FAIL t '
ost & Beam i
i l l - ; ____( e_a_iu4S___
1uy�t - 1 - cam /1 � _ sS,e -
�,3
C Water Service v`�� . f v\/-^ !fib I ^_ e C'B (J
t Sanitary Sewer
Rain Drains
F PA S PART FAIL > n C�a s 3 ,/ S
CH ANIC
A/ Post & Beam
. ■ ell <V .
Smoke Dampers , v 3 � - , ... -- —
Final —111.° _
PASS PART AIL .1�' `- ∎ \r�Dv�
ELECTRICAL 7 !r'" w `
R ervice 2_ $ � .
ou In S� 1 1 \ 0 4' ` 1
UG /Slab �l 4 IV G•�P � �� \ Gln�. �`.�D� -� ` ZJ `t'i^
Low Voltage v/ 7 1 S \ (�
Fire Alarm ` fs l— 7_.)C t-c,4-- uue,,fu
Final
PASS PART FAIL D c �. L1_- r (r7, /Vt j - v •
SITE l ( t C 40 - ■ - :f `
Backfill /Grading d -
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 Date ") I (q G 1 Inspector " Vl — EXt 4
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
T +.s SQ- tea`$ - ,I