Permit CITY OF TIGARD SEWER CONNECTION PERMIT
` . "' COMMUNITY DEVELOPMENT Permit#: SWR2017-00255
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 11/20/2017
T[C � .L 9
Parcel: 2S112CB00700
Jurisdiction: Tigard
Site address: 15134 SW CHANDLER LN
Project: Mangold,Lot 3 Subdivision: MANGOLD SUBDIVISION Lot:
Project Description: Sewer connection for new SF.
Contractor: Owner: WESTWOOD HOMES LLC
12700 NW CORNELL RD
PORTLAND, OR 97229
PHONE: PHONE: 503-406-2442
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/20/2017 $5,500.00
Type of Use: SF Sewer Inspection-Residential 11/20/2017 $35.00
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
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 Nott"cation
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy the rules or direct tuestions
to OUNC by calling 503.232.1987 or 1.800.3 2.2344.
Issued By:
.046.1
.46.1, A Permittee Signature: ��
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 projec.
Approved plans are required on the job site at the time of each inspection.