Permit CITY OF TIGARD SEWER CONNECTION PERMIT
''1 1 COMMUNITY DEVELOPMENT Permit#: SWR2015-00064
TI(3ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2015
Parcel: 2S110CB13600
Jurisdiction: TIGARD
Site address: 12028 SW AUTUMNVIEW ST
Project: Southview Heights,Lot 24 Subdivision: SOUTH VIEW HEIGHTS Lot: 24
Project Description: New SF.
Contractor: Owner: STONE BRIDGE HOMES NW LLC
4230 GALEWOOD ST, STE 100
LAKE OSWEGO, OR 97035
PHONE
PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/23/2015 $4,900.00
Sewer Inspection-Residential 07/23/2015 $35.00
Type of Use: SF
Class of Work: NEW
Install Type:
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 suspend-. • more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Th• e rules ar- 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 b calling 503.232. 9:. •r 1.800.332.2344.
Issued =y: ' I � Lg���j �/� Permittee Signa ure: / �
Call 503.639.4175 by 7:00 a.m.for the next available inspectio ate.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.