Permit III CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2015-00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/17/2015
Parcel: 2S111BA06200
Jurisdiction: Tigard
Site address: 14030 SW 97TH AVE
Project: New Century Holdings,LLC Subdivision: ARLIE'S PLANTATION Lot: 2
Project Description: Sewer connection for new SF
Contractor: Owner: NEW CENTURY HOLDINGS LLC
13815 SW CAROLINA CT
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/17/2015 $4,900.00
Sewer Inspection-Residential 03/17/2015 $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 . the Or-gon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop of the es or direct questions
to OUNC b •- g .232.1987 or 1.800.332.2344. '
Issue, By: ' /I I Permittee Signature: � fr
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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.