Permit q CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2015-00205
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Dale Issued: 01/21/2016
Parcel: 2S110CB12600
Jurisdiction: TIGARD
Site address: 12007 SW AUTUMNVIEW ST
Project: Southview Heights,Lot 14 Subdivision: SOUTH VIEW HEIGHTS Lot: 14
Project Description: Sewer connection for 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 01/21/2016 $5,100.00
Sewer Inspection-Residential 01/21/2016 $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. T se rule are set forth in OAR 962-001-0010throughOAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC b calling 503. 32.1987 or 1.800 332,2344
Issued y: Permittee Signature:
42a4/
Call 503.639.4175 by 7:00 a.m.for the next available inspectio
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.