Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2022-00089
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/11/2022
Parcel: 2S109AD00300
Jurisdiction: Tigard
Site address: 14580 SW 126TH AVE
Project: Walton Subdivision: BLUE RIDGE Lot: 3
Project Description: Sewer connection for existing dwelling. Septic tank must be pumped and filled.
Contractor: Owner: WALTON, RYAN & LINDSAY
14580 SW 126TH AVE
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/11/2022 $6,625.00
Sewer Inspection-Residential 07/11/2022 $35.00
Type of Use: COM
Class of Work: OTR
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $6,660.00
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 95 - 010 three AR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signatu •• �`
Call .639.4175 by 7:00 a.m.for the next available inspe tion d• e.
This permit card shall be kept in a conspicuous place on the job site unt co • etion of th • • ct.
Approved plans are required on the job site at the time of e. • inspection.