Permit CITY OF T SEWER CONNECTION
�! , -; V OR PERMIT # • DEVELOPMENT SERVICES PERMIT SWR98 -0124
DATE ISSUED: 06/30/98
PARCEL: 2S1O4DB -02200
SITE ADDRESS...:13217 SW ROCKINGHAM DR
SUBDIVISION - AMESBURY HEIGHTS ZONING: R -4.5
BLOCK LOT -022 JURISDICTION: TIG
TENANT NAME - TILLEY, BRUCE L
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: Single family detached, Path 1.
Owner: FEES
BRUCE L TILLEY type amount by date recpt
14210 SW 121ST AVE PRMT $ 2200.00 GEO 06/30/98 98- 306937
TIGARD OR 97224 INSP $ 35.00 GEO 06/30/98 98- 306937
Phone #: 620 -4146
Contractor:
OWNER
Phone #: $ 2235.00 TOTAL
Reg #..:
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
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 952-0801-0080. You may obtain copies of
these rules or direct questions to L' by calling (503)246 -1987.
Issued �� / � %� /" Permittee Signature: _��� /�
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
I
i
CITY OF TIGARD BUILDING INSPECTION DIVISION MST g q1 1?
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Ago BUP
?I 1 Date Requested $ 3 - I p U Q' A BLD
Location 132/7 SW l eer.' t' '/'laSuite i_ord -?- MEC
Contact Person -4I . • 4 / / / 0 , / Ph PLM `
Contractor / al f., /5 £ Ph 6 9 - 7 7() SWR 3 a — 6 i c )- V
BUILDING Tenant/Owner ELC
Retaining Wall ELR
F ooting • n Access: o� � C ( � / 4 FPS
.�.� ` ? v SLyzA. A.
rawl Drain • Inspection Notes: SGN
a. SIT
Post & Beam
Ext Sheath /Shea
Int Sheath /Shear 7, / f- 1
Framing Z/ei ...ill 1.
Insulation \� /� ��
Drywall Nailing v ✓(� /�
'
Fire wall \ \)el..i13?- 1 ( 11 91-
Fire Sprinkle ' ( •� a � W I/� �7'�°
Fire Alarm ' _ e
Susp'd Ceiling A M� - p
Roof
Misc: 10 WA . •12 A _ A.. • A ./ As AN. d' .. V .-. ___- -.... •-•--
Fi P AS ART FAIL k / (fj : c R 6.k..._
_
BIN _ C kA e )3 — e - T 61_6 " )
Post beam
Under Slab R(S O Q I g-,{1 --e i c - .0
Top Out— Y (�
water S- • • C�. �i1./` 2 -■■.__ f LA k
Sanita Sewer (A li *- e'
'AS PART ��jj _ Lam I 1
MECHA w41" I L O iJ ] ' // PA ��� rarSELIP 1- Post & Beam
Rough In e,--7, / ) SO Mir '•: .
• Gas Line ` - J � _ 1p
Smoke Dampers 0.? V �-► 1, \ 0 _ ' ^ / Final � v PASS PART FAIL , y o lx....-- ELECTRICAL iii
Service 4 W e �� t e- .
Rough In
UG /Slab Erk.
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 reinspectio [ ] Unable to inspect - no access
ADA x X111 I
Approach /Sidewalk D v ( Ins ector Vvl Ext a
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .