Permit CITY OF Ti G AR D �= ER CONNECTION
DE VELOPMENT SERVICES PERMIT
i an�. sM i , / II PERM I T # • SWR96 -0475
:11+1- - 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: i i / 26 / 96
PARCEL: 2S104DD -02700
SITE ADDRESS...: 12859 SW RIDGEFIELD LN
SUBDIVISION • MOUNTAIN HIGHLANDS #2 ZONING: R -4.5 PD
BLOCK • LOT :024
TENANT NAME •
USA NO • FIXTURE UNITS...: 0
CLASS OF WORK... : NEW DWELLING UNITS..: 1
TYPE OF USE :SF NO. OF BUILDINGS: 1
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: Path I
Owner: FEES
BETTER BUILT HOMES, INC type amount by date recpt
PO BOX 5672 PRMT $ 2200.00 JSD 11/26/96 96- 286983
INSP $ 35.00 JSD 11/26/96 96- 286983
BEAVERTON OR 97006
Phone #: 648 -5401
Contract or:
CONTRACTOR NOT ON FILE
Phone #: $ 2235.00 TOTAL
Reg #.. .
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
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 'urchase
a °Tap and Side Sewer° Permit and the Agenc wil nstall !late ,
Permittee Signature: ,�.:6/ _de//_%!" f '-
�I�
Issued B AO* c _
Call for inspection — 639 -4175
5/23/00 Activities for Case #: SWR96 -00475
2:43:55 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received 10/14/96 JDA PASS JDA 10/15/96
SWRA010 Plan check by 10/15/96 . JDA 10/15/96
SWRA705 Sewer Inspection 2/10/97 MS OPAS MRS 2/11/97 sewer to be pumped
SWRA080 (F) Issue permit 11/26/96 JSD PASS JD 11/26/96
SWRA705 Sewer Inspection 8/12/97 7/9/97 RAB FAIL J *H 8/12/97 Changed tap, sewer
incomplete, call for reinspection
SWRA705 Sewer Inspection 7/11/97 RAB PASS J *H 8/15/97 new tap, converting from
pressure to gravity system
SWRA720 Case Finaled 8/18/97 JT 8/18/97
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