Permit CITY OF TIGARD SEWER CONNECTION PERMIT
`` ! COMMUNITY DEVELOPMENT Permit#: SWR2021-00176
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/8/2021
Parcel: 2S112BD01000
Jurisdiction: Tigard
Site address: 7897 SW MARA CT
Project: Serenus, Lot 1 Subdivision: Serenus Subdivision Lot:
Project Description: New sewer connection for model home/sales office
Contractor: Owner: BLUE PALOUSE PROPERTIES LLC
14630 SW 79TH AVE
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/05/2021 $5,800.00
Sewer Inspection-Residential 11/05/2021 $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 Code, State of OR. Specialty Codes and all other
applicable 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 fo r in OAR 52-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: . / / pA 2G
L
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.