Permit If CITY OF TIGARD SEWER CONNECTION PERMIT
3111 COMMUNITY DEVELOPMENT Permit#: SWR2014-00061
Date Issued: 07/29/2014
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Parcel: 2S109DB05300
Jurisdiction: TIGARD
Site address: 13205 SW HAZELCREST WAY
Project: Sequoia Heights, Lot 1 Subdivision: SEQUOIA HEIGHTS Lot: 1
Project Description: Sewer connection for new SF 8/4/14.reprinted to correct ASI info
Contractor: Owner: LENNAR NW INC
11807 NW 99TH STREET, SUITE 1170
VANCOUVER, WA 98682
PHONE: PHONE: 360-258-7900
FAX
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/17/2014 54.800.00
Sewer Inspection-Residential 07/17/2014 535.00
Type of Use: SF
Class of Work: NEW
Install Type:
Fixture Units:
Number of Dwelling Units: 1
Total 54,835.00
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 11
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 cdfng 503.2 2.1 ,or 1.800.332.2344.
Issu 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.