Permit CITY OF TIGARD SEWER CONNECTION PERMIT
• COMMUNITY DEVELOPMENT
Permit #: SWR2013 00069
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013
Parcel: 2S109DA19000
Jurisdiction: Tigard
Site address: 12641 SW CANYONRIDGE CT
Project: Arlington Heights No 3, Lot 119 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 119
Project Description: Sewer connection for new SF
Contractor: Owner: STONE BRIDGE HOMES INC
4230 GALEWOOD ST STE 100
LAKE OSWEGO, OR 97035
PHONE:
PHONE 503 - 387 -7577
FAX
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/09/2013 $4,665.00
Sewer Inspection - Residential 05/09/2013 $35.00
Type of Use: SF
Class of Work: NEW
Install Type:
Fixture Units:
Number of Dwelling Units:
Total $4,700.00
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 call" • : . 32.1987 .r 1.800.332.2344
Issued B / �i �` _� _ Permittee Signature: Y'
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.