Permit (56) CITY OF TIGARD SEWER CONNECTION PERMIT
INa COMMUNITY DEVELOPMENT Permit#: SWR2015-00241
T f('Ake ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2016
Parcel: 2S 103CC00500
Jurisdiction: Tigard
Site address: 12125 SW PLANTATION TER
Project: Plantation Estates, Lot 4 Subdivision: 2012-001 PARTITION PLAT Lot: 2
Project Description: New SF.
Contractor: Owner: KKNW LLC
BY CRANDALL, MARK L
1800 NW 167TH PL STE 150
BEAVERTON, OR 97006
PHONE: PHONE:
FAX:
FEES
•
Description Date Amount
Specifics: Sewer Connection Fee 06/06/2016 $5,100.00
Sewer Inspection-Residential 06/06/2016 $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 the rules or direct questions 1
to OUNC by g . 32.1987 or 1.800.332.2344.
Issued�y: Permittee Signature: K.
/
O
inspection 503.639.4175 by 7:00 a.m.for the next available
date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.'''.5-'
Approved plans are required on the job site at the time of each inspection.