Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2015-00164
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2016
Parcel: 2S110CI312200
Jurisdiction: TIGARD
Site address: 15062 SW HARVEYS VIEW AVE
Project: Southview Heights,Lot 10 Subdivision: SOUTH VIEW HEIGHTS Lot: 10
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: 503-387-7577
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 01/28/2016 $5,100.00
Sewer Inspection-Residential 01/28/2016 $35.00
Type of Use: SF
Class of Work: NEW
Install Type:
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 pdDlpted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt a o of the rules or direct questio
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Rrniitee Signature:
Call 506. H175 by 7:00 a.m.for the next available inspectiona e.
This permit card shall be kept in a conspicuous place on the job site until comp tion of the proje
Approved plans are required on the job site at the time of each inspection.