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Permit CITY TIGARD SEWER CONNECTION PERMIT 44 ‘4 , ' , � � DEVELOPMENT SERVICES ; PERMIT #: SWR2001 -00113 �` ., ��� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/30/01 SITE ADDRESS; 13034 SW RAPTOR PL PARCEL: 2S104DA -07300 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 059 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 rowhouse. Owner: FEES BROWNSTONE HOMES 12670 SW 68TH PKWY #200 Type By Date Amount Receipt PORTLAND, OR 97223 PRMT CTR 10/30/01 $2,300.00 27200100000 INSP CTR 10/30/01 $35.00 27200100000 Phone: 503 - 598 -7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections 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 by: Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD BUS' DING INSPECTION DIVISION - MST Z- — a ? 0 24 -Hour Inspection Line: 6U -.175 Business Line: 639 -4•.. . BUP Date Requested AM PM BLD Location / 30 3 �( Suite MEC Contact Person Ph PLM Contractor Ph SWR 0-6) 0 0/, -j BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain 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: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water S rvice nit§ Rain Drains • Fin 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 Fire Supply Line [ ) Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date / ° 0 ( Inspector 7r1/ c7de. Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.