Permit (103) CITY OF TIGARD SEWER CONNECTION PERMIT
Fi a '< COMMUNITY DEVELOPMENT Permit#: SWR2016-00476
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2017
Parcel: 2S 104AC 14800
Jurisdiction: Tigard
Site address: 12805 SW 133RD AVE
Project: Walnut Ridge,Lot 2 Subdivision: WALNUT RIDGE Lot: 2
Project Description: Sewer connection for new SF. 1/26/17, DEMO CREDITS FROM BUP2015-00344 APPLIED TO THIS PERMIT.
Contractor: Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY,#370
BEAVERTON, OR 97006
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Inspection-Residential 05/16/2017 $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 $35.00
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 Util'ty Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a 9q.y of the rules or irect questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Amer
Issued By: Permittee Signature:
er
Ca 50 •39.4175 by 7:00 a.m.for the next available inspection •. •.
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.