Permit (6) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2023-00069
Date Issued: 6/8/2023
T I C;A l<`o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112CA14700
Jurisdiction: Tigard
Site address: 7788 SW LAYTON LN
Project: Brookside,Lot 7 Subdivision: BROOKSIDE SUBDIVISION Lot: 7
Project Description: Sewer connection for new detached single family dwelling
Contractor: Owner: BLACKWOOD HOMES INC
PO BOX 4188
TUALATIN,OR 97062
PHONE: PHONE:
FAX:
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 fo ' OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: !j �� l;c $ec et-7
Call 503.639.4175 by 7:00 .m.for the next available inspection date. f
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.