Permit JIL CITY OF TIGARD SEWER CONNECTION PERMIT
' ' COMMUNITY DEVELOPMENT
Permit#: SWR2022-00242
��77 Date Issued: 1/10/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15570 SW PACIFIC HWY
Project: SAFEWAY#1478 Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Adding (1)floor sink and(1)hand sink for floral department.
Contractor: EVOLUTION PLUMBING LLC Owner: ROIC OREGON LLC
7210 NE 47TH AVE BY PROPERTY TAX RESOURCES LLC
PORTLAND, OR 97218 PO BOX 130339
CARLSBAD, CA 92013
PHONE: 503-655-3388 PHONE:
FAX: 503-305-8373
FEES
Description Date Amount
Specifics: Sewer Connection Fee 01/06/2023 $3,312.50
Sewer Inspection-Commercial 01/06/2023 $45.00
Type of Use:
Class of Work:
Install Type:
Fixture Units:
Number of Dwelling Units:
Total $3,357.50
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 rules
".....a....t„.....7.
,� 9 ' JIssued By: � Permittee Signature: � �'�� 1
I 3.639.4175 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.