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Permit A . CITY OF TIGARD l SEWER CONNECTION PERMIT DEVELOPMENT SERVICES . PERMIT #: SWR1999 -00095 " r � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/8/99 II SITE ADDRESS; 12010 SW TREEVIEW CT PARCEL: 2S110BB -RED04 SUBDIVISION: REDWOOD VISTA ZONING: R-4.5 BLOCK: LOT: 004 JURISDICTION: TIG TENANT NAME: FOUR D CONSTRUCTION USA NO: FIXTURE UNITS: • CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: FEES FOUR D CONSTRUCTION Type By Date Amount Receipt PO BOX 1577 BEAVERTON, OR 97075 PRMT BON 7/8/99 $2,300.00 99- 316686 INSP BON 7/8/99 $35.00 99- 316686 Phone: Total $2,335.00 Contractor: G + B PLUMBING PO BOX 1269 HILLSBORO, OR 97123 -1269 Phone: 640 -5770 Reg #: LIC 00000199 PLM 34 -44PB Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expir ?s 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: II (503) 639 -4175 by 7:00 P.M. for an inspection needed the ext business day CITY TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR1999 -00095 rl �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/8/99 SITE ADDRESS; 12010 SW TREEVIEW CT PARCEL: 2S110B6 RED04 SUBDIVISION: REDWOOD VISTA ZONING: R -4.5 BLOCK: LOT: 004 JURISDICTION: TIG TENANT NAME: FOUR D CONSTRUCTION USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: FEES FOUR D CONSTRUCTION Type By Date Amount Receipt PO BOX 1577 BEAVERTON, OR 97075 PRMT BON 7/8/99 $2,300.00 99- 316686 INSP BON 7/8/99 $35.00 99- 316686 Phone: Total $2,335.00 Contractor: G + B PLUMBING PO BOX 1269 HILLSBORO, OR 97123 -1269 Phone: 640 -5770 Reg #: LIC 00000199 PLM 34 -44PB Required Inspections Sewer Inspection ORIGINAL 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: 4 Kalair Permittee Signature: 61A l — ikl Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next bJ ness day ) Y P Y CITY OF TIGARD BUILDING INSPECTION DIVISION MST Iggq b0l - 73 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested -10-F9 AM PM BLD Location T'Y e,L V [at) Suite MEC Contact Person I ZO(u h -1 Ph CQ f PLM Contractor Ph SWR tqq-( —ono q,D 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, ART FAIL e PCO�MBIIO AbgT Beam Under Slab Top Out er rde-%./ e_, Final PASS PART FAIL NICAL 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 Approach /Sidewalk Other Date g /g -- 5 Inspector - 1 Ext Final PASS PART FAIL DO NOT REMOVE this inspection rec, rd from the joie sigeo l CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 qqq -Cpi 73 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Q 9 I > BUP '7 Date Requested ( - 1 S 1 AM PM BLD Location 1 I 0 1T' Q ,U 1( Suite MEC Contact Person V +- Ph Cit-n S7)0 PLM Contractor Ph SWR I � 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 �PCGMBII�� Pos Beam Under Slab Top Out Water Service iary e Final PASS PART AIL 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 Approach /Sidewalk Date �/ l c / Other Inspector �,� Ext / Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.