Permit INCITY OF TIGARD SEWER CONNECTION PERMIT
.n COMMUNITY DEVELOPMENT Permit#: SWR2022-00048
Date Issued: 5/23/2022
TECAB I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134CB01800
Jurisdiction: Tigard
Site address: 12132 SW SUMMER ST
Project: Boren-Lamb ADU Subdivision: SUMMER HILLS PARK Lot: 21
Project Description: New sewer connection for detached ADU.
Contractor: Owner: LAMB, RICHARD PIERCE & JANNA MAE BOREN
12130 SW SUMMER ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/23/2022 $6,085.00
Sewer Inspection-Residential 05/23/2022 S35.00
Type of Use: ADU
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units:
Total $6,120.00
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 forth in OAR 952-001-0010 through OAR 952-001-0090. You m fain a opy of the rules
Issued By: /�, ittee Signature:
Cal . 9.4175 by 7:00 a.m.for the next available' p on date.
This permit card shall be kept in a conspicuous place on the jo until completion of the project.
Approved plans are required on the job site at the time of each inspection.