Permit (191) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2019-00090
T A It.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2019
Parcel: 2S 112BD 11600
Jurisdiction: Tigard
Site address: 7730 SW HANSEN LN
Project: Elderberry Ridge,Lot 12 Subdivision: ELDERBERRY RIDGE Lot: 12
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 08/12/2019 $5,650.00
Sewer Inspection-Residential 08/12/2019 $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. Spe :Ity Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not start•• within 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adop - 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 ••y of the rules or direct questions
to OUNC by calling 503.232 87 or 1.800.332.234 . \`
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 of the project.
Approved plans are required on the job site at the time of each inspection.