Permit CITY OF TIGARD SEWER CONNECTION PERMIT
n Permit #: SWR2010 -00122
II 8 , ' COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/07/2011
Parcel: 2S112BC14600
Jurisdiction: Tigard
Site address: 14568 SW 82ND AVE
Project: Pacific Rim Properties Subdivision: PAC RIM PARTITION Lot: 2
Project Description: New SF
Contractor: Owner: JIN, XIAOQIANG
8325 SW MOHAWK ST APT 11
TUALATIN, OR 97062
PHONE: PHONE:
FAX:
1 FEES
J 1 Description Date Amount
Specifics: Sewer Connection Fee 04/07/2011 $4,100.00
Sewer Inspection - Residential 04/07/2011 $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. Those rules are set forth in OAR 952- 001 -0010 t - - ! 952- 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503. ..!87 or 1.800.332.23•
Issued By: L� _,...‹.dir Permittee Signature: f�i 2_6-2-1
Call 5 : -r 7:00 a.m. for the next available inspec • n da .
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.