Permit CITY OF TIGARD SEWER CONNECTION PERMIT
!PI COMMUNITY DEVELOPMENT Permit#: SWR2014-00064
Date Issued: 07/2912014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109D806500
Jurisdiction: TIGARD
Site address: 13226 SW HAZELCREST WAY
Project: Sequoia Heights. Lot 13 Subdivision: SEQUOIA HEIGHTS Lot: 13
Project Description: Sewer connection for new SF
Contractor: Owner: LENNAR NW INC
11807 NE 99TH STREET SUITE 1170
VANCOUVER,WA 98682
PHONE: PHONE: 360-258-7900
FAX•
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/1712014 54,800 00
Sewer Inspection-Residential 07/17/2014 535 00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,835 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 withi• 180 days of issuance. or it
work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by t e Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain = copy o he rules or direct questions
to OUNC by calling 503.232 1987 or 1 800 332.2344.
Issued By: l rt;diet' Permittee Signature:
A
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.