Permit CITY OF TIGARD SEWER CONNECTION PERMIT
JE Permit#: SWR2022-00090
COMMUNITY DEVELOPMENT
Date Issued: 10/10/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135AC13500
Jurisdiction: Tigard
Site address: 11044 SW 95TH AVE
Project: Ash Brooke Villas, Lot 1 Subdivision: ASHBROOK VILLAS Lot: 1
Project Description: Sewer connection for new attached dwelling.
Contractor: Owner: ABVOZBP21 LLC
1815 NW 169TH PL STE 1040
BEAVERTON, OR 97006
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/10/2022 $6,625.00
Sewer Inspection-Residential 10/10/2022 $35.00
Type of Use: SFA
Class of Work: NEW
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 952-001-0010 through OAR 952-001-0090. You may
obtain a copy of the rulesr
Issued By: ( //' Permittee Signature: ;>rr I'�r,/�/V/� �
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / '�/ '
his 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.