Permit (30) CITY OF TIGARD111 SEWER CONNECTION PERMIT
11 COMMUNITY DEVELOPMENT Permit#: SWR2023-00043
13125 SW Hall Blvd.,Ti Date Issued: 11/16/2023
T t Cp A P and OR 97223 503.718.2439 g
Parcel: 1S135AC14700
Jurisdiction: Tigard
Site address: 9444 SW LONGSTAFF ST
Project: Ashbrook Villas,Lot 14 Subdivision: ASHBROOK VILLAS Lot: 14
Project Description: Sewer connection for new detached dwelling.
Contractor: EDWARD MULLEN PLUMBING Owner: ABVOZBP21 LLC
1601 SE RIVER RD 1815 NW 169TH PL STE 1040
HILLSBORO, OR 97123 BEAVERTON, OR 97006
PHONE: 503-640-0113 PHONE:
FAX: 503-640-4483
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/16/2023 $6,625.00
Type of Use: SF Sewer Inspection-Residential 11/16/2023 $35.00
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
Issued By: Permittee Signature: ' IS-----
Call . 39.4175 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.