Permit CITY OF TIGARD SEWER CONNECTION PERMIT
` a , COMMUNITY DEVELOPMENT Permit#: SWR2021-00017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/5/2021
Parcel: 2S 109AC09100
Jurisdiction: Tigard
Site address: 13080 SW FORAN HILLS CT
Project: Foran Hills,Lot 12 Subdivision: None Lot: None
Project Description: Sewer connection for new detached dwelling
Contractor: Owner: BULL MOUNTAIN LLC
3115 SW STEPHENSON ST
PORTLAND, OR 97219
PHONE PHONE: •
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 04/01/2021 $5,800.00
Sewer Inspection-Residential 04/01/2021 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,835.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal 1Code, State of OR. Specialty Codes and all other applicable
9 9P Y PP
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Holly Vovvvt&We.-e Permittee Signature: On/AppliCati.0-{1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.