Permit CITY OF TIGARD SEWER CONNECTION PERMIT
s • COMMUNITY DEVELOPMENT Permit: SWR2012 -00105
T l G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2012
Parcel: 2S109AB14000
Jurisdiction: Tigard
Site address: 14319 SW ALPINE CREST WAY
Project: Alpine View, Lot 21 Subdivision: ALPINE VIEW Lot: 21
Project Description: Sewer connection for new SF
Contractor: Owner: DR HORTON INC- PORTLAND
ATTN MELISSA TRUNNELL
4380 SW MACADAM STE 100
PORTLAND, OR 97239
PHONE: PHONE: 503 - 222 -4151
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/12/2012 $4,500.00
Sewer Inspection - Residential 07/12/2012 $35.00
Type of Use: SF
Class of Work: NEW
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Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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Total $4,535.00
Required Items and Reports (Conditions)
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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.- • - •r more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Orego• tility Notification
Center. ose rules a - set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a 'p, of the ru • • d' ect questions
to OUN by calling 503.232. 9 or 800.332.2344. /
Issu = . By: , Permittee Signature: / ` - - AS /
Call 503.639.4175 by 7:00 a.m. for the next available inspects. n W
This permit card shall be kept in a conspicuous place on the job site until completion of the proj= t.
Approved plans are required on the job site at the time of each inspection.