Permit CITY OF TIGARD
SEWER CONNECTION PERMIT
Ph a '. COMMUNITY DEVELOPMENT Permit #: SWR2008 00124
:It G'ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/11 /2010
Parcel: 2S109DD09200
Jurisdiction: TIG
Site address: 12658 SW REMBRANDT LN
Subdivision: Lot: 2 Z
Project: BELLA VISTA
Project Description: New SF.
Owner: FEES
RIVERSIDE HOMES, INC. Description Date Amount
1925 NW AMBERGLEN PKWY, #200 [SWUSA] Sewer Connection Fee 02/11/2010 $3,100.00
BEAVERTON, OR 97006 ISWINSP] Sewer Inspection Fee 02/11/2010 $35.00
PHONE: 503 - 645 -0986
Contractor:
PHONE:
FAX:
Type of Use: SF
Class of Work: NEW
Install Type: LTPSWR
Fixture Units:
Number of Dwelling Units: 1.0
Total $3,135.00
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: „,„,.. W Permittee Signature: F ' -"-,h� z -i, -/O
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.