Permit (84) CITY OF TIGARD SEWER CONNECTION PERMIT
14 -. COMMUNITY DEVELOPMENT Permit#: SWR2017-00369
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 . ' Date Issued: 12/18/2017
T r c A R[ g Parcel: 2S110AD11700
.\\3 - Jurisdiction: Tigard
Site address: 10926 SW ANNAND HILL CT
Project: Annand Heights,Lot 29 Subdivision: ANNAND HEIGHTS Lot: 29
Project Description: Sewer connection for new SF. 3/26/18:REPRINT to change address.
Contractor: Owner: ANNAND HILL LLC
BY RICHARDS, M DALE
12655 SW NORTH DAKOTA ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/18/2017 $5,500.00
Sewer Inspection-Residential 12/18/2017 $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 $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 503.232.1987 or 1.800.332.2344.
Issued By: 4A A �.�� Permittee Signature: ���1i/r,_ I1)//i
/3
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.
1111 CITY OF TIGARD SEWER CONNECTION PERMIT
1
COMMUNITY DEVELOPMENT Permit#: SWR2017-00396
T 1 i;,4 J. l:5 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018
Parcel: 2S106AD06000
Site address: 12982 SW RIVER TERRACE BLVD Jurisdiction: Tigard
Project: River Terrace East,Lot 167 Subdivision: RIVER TERRACE EAST
Project Description: Sewer connection for new SF. Lot: 167
Contractor:
Owner: ADLV LAND HOLDINGS LLC
BY FORSUM, MICHAEL
7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: PHONE: 602-694-4031
FAX:
FEES
Description Date
Specifics: Amount
Sewer Connection Fee 02/13/2018 $5,500.00
Type of Use: SF Sewer Inspection-Residential 02/13/2018 $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 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 503.232.1987 or 1.800.332.2344.
Issued By: ��
AZdt-t /"ermittee 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 project.
Approved plans are required on the job site at the time of each inspection.