Permit CITY OF TIGARD SEWER CONNECTION PERMIT
Q • COMMUNITY DEVELOPMENT Permit #: SWR2012 -00030
Date Issued: 04/12/2012
T f G ARE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S110BC10600
Jurisdiction: Tigard
Site address: 12064 SW CAFFALL LN
Project: LENNAR NORTHWEST INC Subdivision: BULL MOUNTAIN VIEW ESTATES Lot: 4
Project Description: New SF
Contractor: Owner: LENNAR NORTHWEST INC
2103 NE 129TH ST SUITE 100
VANCOUVER, WA 98686
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 04/12/2012 $4,500.00
Sewer Inspection - Residential 04 /12/2012 $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 $4,535.00
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 • , led by the Oregon Utility Notification
Center. Tho = - - re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtai' py of th rul s or direct questions
to OUNC •• calling 503.23 19 o 1 :80.332.2344.
Issue. By: p Permittee Signature: / Ag'
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 oft e project.
Approved plans are required on the job site at the time of each inspection.