Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2010 00114
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2012
Parcel: 2S110BC10300
Jurisdiction: TIGARD
Site address: 12047 SW CAFFALL LN
Project: Bull Mountain View Estates, Lot 1 Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 1
Project Description: New SF
Contractor: Owner: WEST HILLS DEVELOPMENT
735 SW 158TH AVE
BEAVERTON, OR 97006
PHONE: PHONE: 503 - 726 -7033
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/17/2012 $4,100.00
Sewer Inspection - Residential 02/17/2012 $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.- • - s for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. hose rules - e set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OU C by calling 503.23 1 rr 00.332.2344.
Is• ued By: Permittee Signature �� /.�
Call 503.639.4175 by 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.