Permit CITY OF TIGARD SEWER CONNECTION PERMIT
S. COMMUNITY DEVELOPMENT Permit#: SWR2014-00099
Date Issued: 09/30/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110BC12400
Jurisdiction: TIGARD
Site address: 14773 SW 122ND PL
Project: Troy Park,Lot 10 Subdivision: TROY PARK Lot: 10
Project Description: New SF.
Contractor: TIMBERLAND HOMES INC Owner: TIMBERLAND HOMES, INC.
12670 SW 68TH AVE STE 300 12670 SW 68TH AVE#300
TIGARD,OR 97223 TIGARD, OR 97223
PHONE: 503-620-8860 PHONE: 503-620-8860
FAX: 503-598-9081
FEES
Description Date Amount
Specifics: Sewer Connection Fee 09/30/2014 $4,900.00
Sewer Inspection-Residential 09/30/2014 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,935.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of 4R. pecialty Cod-; an all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work i• not •parted within 80d:ys of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules asopted by t e Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma obtain a of e les or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / •e - - •.ture:
Call 50 ..c by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until completion of the projec
Approved plans are required on the job site at the time of each inspection.