Permit II CITY OF TIGARD SEWER CONNECTION PERMIT
ft : .. COMMUNITY DEVELOPMENT Permit #: SWR2010 -00117
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/19/2011
Parcel: 2S 109AB 16400
Jurisdiction: Tigard
Site address: 14071 SW ALPINE CREST WAY
Project: Alpine View Lot 45 Subdivision: ALPINE VIEW Lot: 45
Project Description: Sewer connection for new SF
Contractor: Owner: WEST HILLS DEVELOPMENT
735 SW 158TH
BEAVERTON, OR 97006
PHONE: PHONE: 503 - 641 -7342
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 01/19/2011 $4,100.00
Sewer Inspection - Residential 01/19/2011 $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 $4,135.00
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. se rules ar- et forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions
to OUN y calling 503.232.1 • :7 0 .: 10. 32.2344.
l , .
Issu By: — 7 /� Permittee Signatu iii •� , / /
Call 503.639.4175 by 7:00 a.m. for the next available inspection:
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.