Permit (208) CITY OF TIGARD SEWER CONNECTION PERMIT
: ' . . COMMUNITY DEVELOPMENT Permit#: SWR2019-00219
Date Issued: 08/21/2019
T i A It f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA18000
Jurisdiction: Tigard
Site address: 16672 SW BIRDSONG ST
Project: River Terrace East No.2,Lot 219 Subdivision: RIVER TERRACE EAST 2 Lot: 219
Project Description: Sewer connection for new SF.
Contractor: Owner: WILLIAM LYON HOMES INC
109 E 13TH ST
VANCOUVER,WA 98660
PHONE:
PHONE: 360-695-7700
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 08/21/2019 $5,650.00
Sewer Inspection-Residential 08/21/2019 $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. 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 . . 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ad•:ed by the •regon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m-obtain : copy 14,the es or direct questions
to OUNC by calling 503.232.1987 or 1.800.332. 44. (
tiale
Issued By: 74f
Permittee Signature:
Call 503.639.4175 by 7:00 a.m,for the next available inspection datillitillik. .. ilk
e.
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.