Permit CITY OF TIGARD SEWER CONNECTION PERMIT
II COMMUNITY DEVELOPMENT Permit #: SWR2011 -00034
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2011
Parcel: 2S108AB04300
Jurisdiction: TIGARD
Site address: 14104 SW 155TH TER
Project: Brentwood Estates, Lot 5 Subdivision: BRENTWOOD ESTATES Lot: 5
Project Description:
Contractor: Owner: DREAMBUILDER CUSTOM HOMES
13115 SW JAMES LN
TIGARD, OR 97224
PHONE: PHONE: 503 - 880 -7132
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/08/2011 $4.100.00
Sewer Inspection - Residential 03/08/2011 $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 sus• .ed for • - the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. ose rules are set o. • ■AR 952 - 001 -0010 through OAR 952 - 001 -0090. You may ob a copy of the rules or direct questions
to OUN• by callin• 503.232.19' or 1.80 2344.
Issu d By: ` d = / ; " Permittee Sig 1.11110P. Ij /
Call 503.639.4175 by 7:00 a.m. for the next available inspection .ate.
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.