Permit (50) CITY OF TIGARD SEWER CONNECTION PERMIT
14 II
a • COMMUNITY DEVELOPMENT Permit#: SWR2016-00071
TI G aA Ft D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2016
Parcel: 2S 109D B08500
Jurisdiction: Tigard
Site address: 13115 SW BLACK WALNUT ST
Project: Summit Ridge No.5,Lot 153 Subdivision: SUMMIT RIDGE NO.5 Lot: 153
Project Description: Sewer connection for new SF
Contractor: Owner: DR HORTON INC
4380 SW MACADAM AVE SUITE 100 1
PORTLAND, OR 97035
PHONE:
PHONE: 503-222-4151
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/11/2016 $5,100.00
Sewer Inspection-Residential 03/11/2016 $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. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of he rules or direct questions
to OUNC by calling 50 2.1987 or 1.800.332.2344.
Issued By: (Z:3/ f ittee Signature:
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Call 503. by 7:00 a.m.for the next available inspection date.
This permit card shall be kep 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.