Permit r CITY OF TIGARD � SEWER CONNECTION PERMIT
'� COMMUNITY DEVELOPMENT � Permit#: SWR2014-00124
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2014
Parcel: 2S110CB11600
Jurisdiction: TIGARD
Site address: 15172 SW HARVEY'S VIEW AVE
Project: South View Heights,Lot 4 Subdivision: SOUTHVIEW HEIGHTS Lot: 4
Project Description: Sewer connection for new SF,to be used as sales office/model home. 12/24/14,reprinted to correct parcel number.
Contractor: Owner: STONEBRIDGE HOMES NW LLC
4230 GALEWOOD ST SUITE 100
LAKE OSWEGO,OR 97035
PHONE: PHONE: 503-387-7577
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/04/2014 $4,900.00
Sewer Inspection-Residential 12/04/2014 $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 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. •• - • -re set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OU • by calling 503.2 = 1987 or 1.800.332.2344.
Is ed By: / # Permittee Signat re: y,,c0y4 e,y/t/
Call 503.639.4175 by 7:00 a.m.for the next available ins e ' n 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.
n CITY OF TIGARD SEWER CONNECTION PERMIT
'°� II COMMUNITY DEVELOPMENT Permit#: SWR201400124
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2014
Parcel: 2S110CB02000
Jurisdiction: TIGARD
Site address: 15172 SW HARVEY'S VIEW AVE
Project: South View Heights,Lot 4 Subdivision: KING CITY NO.14 Lot: 9
Project Description: Sewer connection for new SF,to be used as sales office/model home.
Contractor: Owner: STONEBRIDGE HOMES NW LLC
4230 GALEWOOD ST SUITE 100
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503-387-7577
FAX:
FEES
Description Date Amount
•
Specifics: Sewer Connection Fee 12/04/2014 $4,900.00
Sewer Inspection-Residential 12/04/2014 $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 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 calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 50 . . 175 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.