Permit CITY OF TIGARD SEWER CONNECTION PERMIT
IN B. COMMUNITY DEVELOPMENT Permit#: SWR2014-00119
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2014
Parcel: 2S 109AA01000
Jurisdiction: Tigard
Site address: 14475 SW 125TH AVE
Project: Sandford Subdivision: VALLEY VIEW Lot: E
Project Description: Sewer connection for new SF. Sewer EDU credit applies from SF demo permit BUP2014-00205.
Contractor: Owner: JUSTIN &TRACY STANDFORD
13604 SW ASCENSION DR
TIGARDE, OR 97224
PHONE: PHONE: 503-341-1858
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 11/06/2014 $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 $35.00
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 • . 32.19 r 1.800.332.2344.
Issued y: ik,= Permittee Signature: �L� /
Call 503.639.4175 by 7:00 a.m.for the next available inspection da 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.