Permit (11) lig'.,
CITY OF TIGARD
. SEWER CONNECTION PERMIT
`- COMMUNITY DEVELOPMENT Permit#: SWR2023-00097
Date Issued: 6/8/2023
T E GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC25900
Jurisdiction: Tigard
Site address: 15859 SW BLUEWATER TER
Project: River Terrace Crossing,Lot 124 Subdivision: RIVER TERRACE CROSSING Lot: 124
Project Description: Sewer connection for new detached dwelling.
Contractor: DEVELOPMENT NORTHWEST INC Owner: PACIFIC LIFESTYLE HOMES INC
1075 W HISTORIC COLUMBIA RIVER HWY 11815 NE 99TH ST#1200
TROUTDALE, OR 97060 VANCOUVER,WA 98686
PHONE: 503-667-1781 PHONE:
FAX: 503-667-9891
FEES
•
Description Date Amount
Specifics: Sewer Connection Fee 06/08/2023 $6,625.00
Sewer Inspection-Residential 06/08/2023 $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 forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules "—1
Issued BY:
j -..Xe �_, ' � �- Permittee Signature: r� /"" _ __._
Call .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.