Permit CITY TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2004 -00353
4i! DATE ISSUED: 1/11/2005
13125 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS; 10932 SW DURHAM RD BLDG E PARCEL: 2S115AA OTOOA
SUBDIVISION: OAK TREE APARTMENTS ZONING: R - 25
BLOCK: LOT: OOA JURISDICTION: TIG
TENANT NAME: OAK TREE II APARTMENTS
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 24
TYPE OF USE: MF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Building E - 24 units
Owner:
FEES
OT2 LLC Description Date Amount
5437 ROSALIA WAY SUITE 100
LAKE OSWEGO, OR 97035 [SWUSA] SwrConnectic 1/11/2005 $60,000.00
[SWUSA] Swr Connectic 1/11/2005 $0.00
Phone: 503- 620 -4373 [SWINSP] Sewer Inspect 1/11/2005 $45.00
. [ SWINSP] Sewer Inspeci 1/11/2005 $0.00
Contractor:
Total $60,045.00
TAPANI PLUMBING
21707 NE 206TH AVE
PO BOX 1458
BATTLE GROUND, WA 98604
Phone: 206- 687 -3983
Reg #: MET 00001629
LIC 60958
PLM 37 -269PB
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow 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 obta• ..es of these rules or direct questions to OUNC by calling (503) 246 -6699.
Issued • . j ! . 4 I � -t Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the ne t business day