Permit (118) CITY OF TIGARD71
SEWER CONNECTION PERMIT
1 ' COMMUNITY DEVELOPMENT Permit#: SWR2019-00253
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2019
TIG;E k f) g Parcel: 1 S134BD12300
Jurisdiction: Tigard
Site address: 10869 SW TEAL CREST PL
Project: Summerbrook,Lot 6 Subdivision: SUMMERBROOK SUBDIVISION Lot: 6
Project Description: Sewer connection for new SF.
Contractor: Owner: WEEKLEY HOMES LLC
1905 NW 169TH PL STE 102
BEAVERTON, OR 97006
PHONE:
PHONE: 503-213-4415
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 09/05/2019 $5,800.00
Sewer Inspection-Residential 09/05/2019 $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 $5,835.00
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 e set forth in *AR 952-f+1-0010 rough OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 51. 2.19: �/•r 1.80;1 32.234/ /
Issued By :•� ,/ Permittee Signature: �'G `c.
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.