Permit (48) CITY OF TIGARD SEWER CONNECTION PERMIT
• '� Permit#: SWR2018-00129
a' COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2018
T t c.;k 1=.1) 9 Parcel: 2S103BD02000
Jurisdiction: Tigard
Site address: 11835 SW CARMEN ST
Project: Johnson Subdivision: CARMEN PARK Lot: 11
Project Description: Sewer connection for existing residence. No sewer reimbursement per Jared Isaksen.
Contractor: Owner: JOHNSON, DAVID W
11835 SW CARMEN ST
TIGARD, OR 97223
PHONE PHONE: 503-267-2607
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/01/2018 $5,500.00
Sewer Inspection-Residential 05/01/2018 $35.00
Type of Use: SF
Class of Work: ALT
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 1.800.3 2.234 .
Issued By: Rezesittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspecti n d
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.