Permit CITY OF TIGARD
SEWER CONNECTION PERMIT
M A DEVELOPMENT SERVICES PERMIT #: SWR2001 -00154
FBI ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/01
SITE ADDRESS; 12750 SW WATKINS AVE PARCEL: 2S1026C -08500
SUBDIVISION: MLP2000 -00007 ZONING: R -4.5
BLOCK: LOT: 003 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new single family detached residence.
Owner:
FEES
RIVERSIDE HOMES Type By Date Amount Receipt
15455 NW GREENBRIER PKWY #140
BEAVERTON, OR 97006 PRMT CTR 5/18/01 $2,300.00 27200100000
INSP CTR 5/18/01 $35.00 27200100000
Phone: 645 -0986 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
•
•
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: � Permittee Signature: e-
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next busi ss day
X yep ,
• .',C1T1Y OF TIGARD BUILDING INSPECTION DIVISION ,
24 -Hoer Inspection Line: 639 -4175 Business Line: 639 -4171 6 .....36 . p , .
Date Requested 5 ' 2 s AM PM BLD
Location / 2 7 5 0 Se- £-t/4 / t v3 Suite MEC
Contact Person Ph 57Z- L/7° .r PLM
Contractor Ph SWR ?G / - Od 153
OILC _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg D , SGN -
• awl Dr. Inspection Notes:
Sa• SIT
Post & Beam _
Ext Sheath /Shear
Int Sheath /Shear
. Framing CA A...0 ( 1 -
°— d �-------- .
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler U-PrA..i9v-ci -1 . Q t '
`�
Fire Alarm (--� /, �� '� S u I J
Susp'd Ceiling
Roof ` ` S _ C
Misc: (, 1 �J
Fin-
PART FAIL
"NIP IMRIN,Z
Post & Beam
Under Slab
Top Out
\t14----1( i>NCT-4---■:—. K.- --- ci l t_
Fina 1(N IM/ —
AS PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
' P a Ir-....'
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm -
Final
. PASS PART FAIL
SITE
- Backfill /Grading
Sanitary Sewer
Storm Drain • [ I Reinspection fee • 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 _ ` /f
O t heo ach /Sidewalk
Date s/� s 7 i k Inspector VC_< Extr 1
Final
PASS PART • FAIL DO NOT REMOVE this inspection record from the job site.