Permit SEWER CONNECTION
CITY OF TIGARD PERMIT #PERMIT 5WR96 -0402
• C4'IIMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/09/96
'13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 1S125DA -00100
SITE ADDRESS...: 06512 SW TAYLORS FERRY RD
SUBDIVISION • ZONING: R -4.5
BLOCK • LOT •
TENANT NAME •PARCEL 3
USA NO FIXTURE UNITS...: 0
CLASS OF WORK...:NEW DWELLING UNITS..: 1
TYPE OF USE "SF NO. OF BUILDINGS: 1
INSTALL TYPE :LTPSWR IMPERV SURFACE: 0 sf
Remarks: SF NEW — PATH 1 EXPIRED
SEWER CONNECTION
Owner: FEES --
NDC LTD type amount by date recpt
PO BOX 1985 MISC $ 0.00 JMH 09/09/96 96 -283699
PRMT $ 2200.00 JMH 09/09/96 96- 283699
LAKE OSWEGO OR 97035 INSP $ 35.00 JMH 09/09/96 96- 283699
Phone #: 697 -3801
Contractor:
CONTRACTOR NOT ON FILE
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 4
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from F
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral. __
Permittee Signature: / 1/ ' dont ,�,„ ■
1 \ ,1 . ��
Issued By: _ �/I
C all for inspection — 639 -4175
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03/24/2000 Activities for Case #: SWR96 -00402
2:13:45 PM EXPIRED
Assigned Hold Updated
Activity D Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRA007 Application received • J'H 08/15/1996
SWRA010 Plan check by 08/15/1996 J'H 08/15/1996
SWRA020 Check for prcl. restrict. 08/15/1996 J *H 08/15/1996
SWRA705 Sewer Inspection 09/10/1998 RC VLN 01/29/1999 Note left: "Our records do not
show a final sewer inspection or
sewer approval. Please have
your contractor furnish a copy
of sewer inspection or call for
inspection to be performed."
SWRA080 (F) Issue permit 09/09/1996 JMH PAID J *H 09/09/1996
SWRA085 (F) Reprint Permit 10/18/1996 JDA PASS JDA 10/18/1996
SWRA085 (F) Reprint Permit 10/18/1996 JMH LOST J'H 10/18/1996
SWRA705 Sewer Inspection 02/07/2000 ST DONE No Hold ST 02/07/2000 2/7/00- inspection request to
Hap
SWRA705 Sewer Inspection 02/24/2000 RB FAIL No Hold AKJ 02/24/2000 no one home
SWRA108 Expired by limitation 03/24/2000 JMT DONE No Hold JMT 03/24/2000
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CITY OF TIGARD BUILDING INSPECTION DIVISION MsT s?o ooyp Z
24 -Hour Inspection Line: 639 -4175 Business Line: 63 -4171 XDt �4 � /
BUP E 1
Date Requested c; 0 AM i PM BLD
Location (p5 iri'I/' Ta1)MK ,rejtYli Suite MEC
Contact Person Ph PLM
Contractor Ph SWR • i'l1
ILDING) Tenant/Owner ELC +(4 k% /d 7
Retaining Wall ELR
Footing
Foundation FPS
Ftg Drain NOT REQUESTED
Crawl Drain - FOUND DURING RESEARCH — SGN
Slab - NO INSPECTION(S) FOUND IN FILE — SIT
Post & Beam
Ext Sheath /Shear J _
Ina Sheath /Shear 1 _ Q /\ LA J
Framing .1 y �. ` a S 1 �..J� I4� � ! � � A , s
Insulation ` 1 I
Drywall Nailing . AL__' ! N �f! W t `k
Fire wall •r L V'\ C1
Fire Sprinkler j � � ��- � \� 1
Fire Alarm t- ILA \ &� �� ,,-, c _ �� r
Susp'd Ceiling aJ� l ZV •
Roof
r /� L '� �� C--(_ 4-kA / • . /
ina �riiWiis_ _ I W14- A K , U l V
• LUMBIN I TA.., �.11\J J 1 Cn/\ ✓lam( ' Post & Beam � o Under Slab ( A4-cl v NI "\/\_ "\/\_ / p / 0 /4C( •Q�.) . \r'`, 4 --N -- (_
Top Out
Water Service (`sJ.� I `.✓-
anitary Sewer
Rain Drains S \ Sc
da r
MECHANICAL c)i2
�
M %!_t/4_ � � .,,...)L,. lit S S I S T�✓- �.,
Post & Beam M l ,, , J�
Rough In ∎/l/ V C AS d `,t) C../� U _ A, , Z�t//N. � A.—r/1
Gas Line
Smoke Dampers S S \A-S - I_ �l� k'
Final
PASS PART FA I l^- 6 ` (/rr vc, v� 4
ELECTRICAL "C` S S a A `
Service �� '-
Rough In 1 ,,
UG /Slab / ► N./( �'1 v k �� •
Low Voltage -1
Fire Alarm
Final [� ' Q 0^ 1
PASS PART FAIL J�J I r' �-
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 f�
Other Date 972-‘4/61 t) Inspector `\ �� Ext�
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.