Permit CITY OF TIGARD SEWER CONNECTION PERMIT
1,
COMMUNITY DEVELOPMENT Permit #: SWR2010 -00157
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010
Parcel: 2S103CC15400
Jurisdiction: Tigard
Site address: 12275 SW PLANTATION TER
Project: Stepping Stone Estates lot 4 Subdivision: STEPPING STONE ESTATES Lot: 4
Project Description: New SF. 12/21/10, reprint to correct owner name.
Contractor: Owner: ALDER HOMES LLC
PO BOX 2189
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/09/2010 $4,100.00
Sewer Inspection - Residential 12/09/2010 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,135.00
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 r_ - - re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC by ,. ing 503.2 !.1 • : or 1.800.332.2344.
Issued c ` Permittee Sig )
Aria
Call 503.639.4175 by 7:00 a.m. for the next available inspecti • • ' ate.
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.
N
CITY OF TIGARD SEWER CONNECTION PERMIT
° ~' COMMUNITY DEVELOPMENT
1 Permit #: SWR201000157
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2010
Parcel: 2S103CC15400
Jurisdiction: Tigard
Site address: 12275 SW PLANTATION TER
Project: Stepping Stone Estates lot 4 Subdivision: STEPPING STONE ESTATES Lot: 4
Project Description: New SF
Contractor: Owner: STEPPING STONE HOMES LLC
11735 SW KATHERINE ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/09/2010 $4,100.00
Sewer Inspection - Residential 12/09/2010 $35.00
Type of Use: SF
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,135.00
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 are set forth in OAR 952 -001 -0010 thro t i OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.
IIIIIIIIIh
Issued By: / Permittee Signature: g /�t /�_
Call 5 �W 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.