Permit CITY OF TIGARD
,� ,, ; � i � ; � � DEVELOPMEN SE 0 N
PERpIf T • SNR97 -008
DATE ISSUED: 05/82/97
PARCEL: 2S184DD-07'.•'.�,
SITE ADDRESS... :12799 SW RIDGEFIELD LN
SUBDIVISION :MOUNTAIN HIGHLANDS NO.3 ZONING: R -4.5
BLOCK LOT •028 JURISDICTION:
TENANT NAME :FOUR D CONSTRUCTION
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE •SF ND. OF BUILDINGS: 1
INSTALL TYPE •LTPSWR IMPERV SURFACE: 0 sf
Remarks: New SFD
Owner: FEES
FOUR D CONSTRUCTION type amount by date recpt
PO BOX 1577 PRMT $ 2200.'.x'. JSD 05/02/97 97 -294
BEAVERTON OR 97875 INSP $ 35.'.' JSD 05/82/97 97- 294055
Phone 0:
Contractor:
OWNER
Phone 0: $ 2235.w TOTAL
Reg 0..:
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 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 �r�'' j / �� j - later _
Per m i t t e e S i g n at � � � .�/ 4 1100''
Issued 6
Call for inspection — 639 -4175
6/30/99 Activities for Case #: SWR97 -00089
1:27:19 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes '
SWRA007 Application received 3/25/97 JSD PASS JD 3/28/97
SWRA705 Sewer Inspection 7/29/97 MS PASS J'H 8/20/97.
SWRA070 Ready to issue • 4/29/97 B PASS BON 4/29/97
SWRA080 (F) Issue permit 5/2/97 JSD PASS DST 5/2/97
SWRA720 Case Finaled 7/29/97 MS PASS J'H 8/20/97
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