Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2011 -00145
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Date Issued: 10/20/2011
Parcel: 2S103DC00818
Jurisdiction: Tigard
Site address: 11230 SW FAIRHAVEN ST
Project: HIDALGO Subdivision: VIRGINIA ACRES NO.2 Lot: 11
Project Description: 100 ft. of sewer Reimbursement district #30 fees paid 10/20/11.
Contractor: Owner: HIDALGO, SALOME
HIDALGO - BARRIOS, JESUS A
11230 SW FAIRHAVEN ST
TIGARD, OR 97223
PHONE: PHONE:
FAX•
FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/20/2011 $4,500.00
Sewer Inspection - Residential 10/20/2011 $35 00
Type of Use: SF Reimbursement District Revenue 10/20/2011 $6,000 00
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $10,535 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 -0090. You may obtain a copy of the rules or direct questions
to OUNC by callin• I -. 987 or 1.800 332 2344
Issued By • - -
r
Call 503.6 ` 7:00 a.m. for the next available inspection date.
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.