Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit* SWR2022-00200
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2022Parcel: 2S108DC04500
Jurisdiction: Tigard
Site address: 15221 SW COOLWATER LN
Project: River Terrace Crossing,Lot 49 Subdivision: RIVER TERRACE CROSSING Lot:
Project Description: Sewer connection for new detached dwelling. NO FINAL INSPECTION UNTIL SDC FEES ARE PAID.
Contractor: Owner: ICHIJO USA CO., LTD.
3800 SW CEDAR HILLS BLVD, STE 131
BEAVERTON, OR 97005
PHONE: PHONE: 503-430-7413
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12129/2022 $6,625.00
Sewer Inspection-Residential 12/29/2022 $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 $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 f OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: I %
Call 503.639.4175 by7: a.m.for the next available inspection date.
This permit card shall be kept in a c nspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.