Permit SEWER CONNECTION PERMIT
to CITY OF TIGARD COMMUNITY DEVELOPMENT Permit#: SWR2022-00210
Date Issued: 12/29/2022
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S108DC03500
Jurisdiction: Tigard
Site address: 15129 SW DEEPBROOK LN
Project: River Terrace Crossing,Lot 38 Subdivision: RIVER TERRACE CROSSING Lot: 38
Project Description: Sewer connection for new detached dwelling.
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 12/29/2022 $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. Th e rules are t forth in 0 952-001-0010 through OAR 952-001-0090. You may
obtain a copy of theem rules�
Issued By: — -—__.Permittee Signature: .e�.)//�,//���!�Call 503.639.4175 by 7:00 a.m.for the next available inspection datte. �Y
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.