Permit (78) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2017-00365
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2017
Parcel: 2S106DA13800
Jurisdiction: Tigard
Site address: 13009 SW REDFOX TER
Project: River Terrace East,Sales Trailer,Lots 137&138 Subdivision: RIVER TERRACE EAST Lot: 138
Project Description: Sewer connection for sales trailer using the sewer lateral for lot 138. At removal of sales trailer,sewer connection
credit will be given to new residential structure.
Contractor: WILLIAM LYON HOMES INC Owner: ADLV LAND HOLDINGS LLC
703 BROADWAY STREET, SUITE 510 BY FORSUM, MICHAEL
VANCOUVER,WA 98660 7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: 360-695-7700 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/22/2017 $5,500.00
Sewer Inspection-Residential 11/22/2017 $35.00
Type of Use: CMS
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: .5
Total $5,535.00
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
to OUNC by calling 503.1' •' or 1.800.332.2344.
Issued By: - Permittee Signature: /et/ /097-70&/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.