Permit (15) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2023-00365
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2023
Parcel: 1 S126DC00902
Jurisdiction: Tigard
Site address: 9500 SW GREENBURG RD
Project: Crown Oak Apartments Subdivision: LEHMANN ACRE TRACT
Project Description: 0.5 EDU increase. Lot: 5
Contractor: MODERN PLUMBING
Owner: WS-JP LLC
11120 SW INDUSTRIAL WAY BY CAMBRIDGE REAL ESTATE SERVIES
TUALATIN, OR 97062 PO BOX 2968
PORTLAND, OR 97208
PHONE: 503-691-6166 PHONE:
FAX: 503-691-6771
FEES
Description Date Amount
Specifics: Sewer Inspection-Commercial
10/30/2023 $45.00
Type of Use: COM Sewer Connection Fee 10/30/2023 $3,412.00
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: .5
Total $3,457.00
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: r
g e r ! c a� �. b h
Call 503.639.4175 by 7. 0 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.