Permit CITY OF TIGARD SEWER CONNECTION PERMIT
az - COMMUNITY DEVELOPMENT Permit #: SWR2010 -00008
Date Issued: 03/17/2010
TI GAR b 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102DCO3300
Jurisdiction: Tigard
Site address: 13903 SW BRAYDON CT
Subdivision: MCDONALD WOODS Lot: 6
Project: McDonald Woods
Project Description: Connect new SFR to sewer.
FEES
Owner:
GERTZ CONSTRUCTION CO INC Description Date Amount
19200 SW 46TH AVE Sewer Connection Fee 03/17/2010 $3,600.00
TUALATIN, OR 97062 Sewer Inspection - Residential 03/17/2010 $35.00
PHONE: 503 - 692 -3390
Contractor:
GERTZ CONSTRUCTION CO INC
19200 SW 46TH AVE
TUALATIN, OR 97062
PHONE: 503 - 692 -3390
FAX: 503 - 692 -5433
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $3,635.00
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 Notificatio Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct qu-: ions to OUN .y cal • 503.246.6699 or 1.800.332.2344.
Issu d By: jde Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.