Permit Ills`;! i''- CITY OF TIGARD SEWER CONNECTION PERMIT
.t
II COMMUNITY DEVELOPMENT Permit ti. SWR2015 00115
.r` Date Issued- 11/12/2015
"p t 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439
TICaARD Parcel: 2S110CB11300
Jurisdiction: TIGARD
Site address: 15230 SW HARVEYS VIEW AVE
Project: South View Heights, Lot 1 Subdivision: SOUTH VIEW HEIGHTS Lot: 1
Project Description: New SF
Contractor: Owner: STONE BRIDGE HOMES NW LLC
4230 GALEWOOD ST, STE 100
LAKE OSWEGO, OR 97035
PHONE
PHONE 503-387-7577
FAX
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/12/2015 $5,100 00
Sewer Inspection-Residential 11/12/2015 $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 $5,135 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 obtai : copy of the rules or direct •.estions
to OUNC by calling 503 232 1987 or 1.8332 234k...... j //
Issued By: Permittee Signature:
Call .639.4175 by 7:00 a.m.for the next available inspectio, i
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.