Permit r q CITY OF TIGARD °1�+� 77 S O SEWER CONNECTION PERMIT
: . : COMM UNITY DEVELOPMENT j�' �/ , Permit #: SWR2012 00144
T [G ARta 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: Date Issued: 02/28/2013
Parcel: 1 S126DB05300
Jurisdiction: Tigard
Site address: 9475 SW 92ND AVE
Project: Montage, Lot 24 Subdivision: MONTAGE Lot: 24
Project Description: Building 4, sewer connection for new SFA. 3/6/13, reprinted to correct ASI information.
Contractor: Owner: NW AREA INVESTMENTS LLC
11150 SW RIVERWOOD RD
PORTLAND, OR 97219
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/28/2013 $4,500.00
Sewer Inspection - Residential 02/28/2013 $35.00
Type of Use: SFA
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 adopted by the Oregon Utility Notification
Center. Tho ules - - 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 ailing 503.232.• 9: • 1.800.332.2344. . .. Issued _•_4111 � �`` � ' Permittee Si ature: Th), —� /
Call 503.639.4175 by 7:00 a.m. for the next available inspe do I : • e.
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.
' . CITY OF TIGARD SEWER CONNECTION PERMIT
� ' - a COMMUNITY DEVELOPMENT Permit #: SWR2012 00144
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/28/2013
Parcel: 1 S 126DB05300
Jurisdiction: Tigard
Site address: 9475 SW 92ND AVE
Project: Montage, Lot 24 Subdivision: MONTAGE Lot: 24
Project Description: Building 4, sewer connection for new SFA
Contractor: Owner: NW AREA INVESTMENTS LLC
11150 SW RIVERWOOD RD
PORTLAND, OR 97219
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/28/2013 $4,500.00
Sewer Inspection - Residential 02/28/2013 $35.00
Type of Use:
Class of Work:
Install Type:
•
Fixture Units:
Number of Dwelling Units:
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 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 calling 503.232.1987 or 1.800.332.2344.
Issued B . i 1 / 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.