Permit (222) 'PI CITY OF TIGARD SEWER CONNECTION PERMIT
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COMMUNITY DEVELOPMENT Permit#: SWR2019-00097
Date Issued: 05/20/2019
T j G,,' RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1126D13500
Jurisdiction: Tigard
Site address: 7694 SW CORNUTT ST
Project: Elderberry Ridge,Lot 31 Subdivision: ELDERBERRY RIDGE Lot: 31
Project Description: Sewer connection for new SF.
Contractor: Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PL STE 370
BEAVERTON,OR 97006
PHONE:
PHONE: 503-645-0986
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 05/20/2019 $5,650.00
Sewer Inspection-Residential 05/20/2019 $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 $5,685.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialt ides and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started withi 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopt'd by he Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a opy • the rules or direct questions
to OUNC by calling 503.232.19' or 1.800.332.2344.
Issued By: — 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 o the project.
Approved plans are required on the job site at the time of each inspection.