Permit W 1 D t CITY OF TI GA R D SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2005 -00081
x l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/6/2005
PARCEL: 2S 109 DA -S R2_119
SITE ADDRESS: 12996 SW BIRCH HILL LN ZONING
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 119 JURISDICTIO : URB)
Project Description: Sewer connection SF
TENANT NAME:
CWS NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1.0
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Owner: FEES
DON MORISSETTE HOMES INC
4230 SW GALEWOOD ST 100 Description Date Amount
LAKE OSWEGO, OR 97034 [SWUSA] Swr Connection Fee 4/6/2005 $2,500.00
[SWUSA] Swr Connect Credit 4/6/2005 $35.00
Phone: [SWINSP] Sewer Inspection Fee 4/6/2005 $35.00
Refund - [ SWUSA] Swr Connect 5/6/2005 - $35.00
Total $2,535.00
Contractor:
REQUIRED ITEMS AND REPORTS
Phone:
Reg, #:
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer"
Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You
may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued by: 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.
MEMORANDUM /
TO Jeanne Temple, Building Division ..
Jamie Greenburg, Utility Billing
Phyllis Harris, Finance Department
FROM: Dianna Howse, Building Division
RE: Sewer Permits Issued in URB (Summit Ridge & Summit Ridge No. 2)
DATE: June 14, 2005
Summit Ridge and Summit Ridge No. 2 contain parcels for both TIG and URB.
According to the land use case some parcels were to be annexed into TIG and some
were to remain in URB. Shirley Treat entered the jurisdictions of each parcel when she
created them in Tidemark according to a map that she was given.
During a recent plan review, Mark VanDomelen discovered that 16 parcels were
incorrectly identified as TIG when they should have remained as URB. As a result, 7
sewer permits were already issued by the City in error, and 3 sewer permits are in the
review process. All of these permits are being voided.
I have contacted Clean Water Services (CWS) and they will let me know how we need
to handle the 20% that we retained for each permit issued. I have reprinted each permit
and faxed them to CWS. They will be creating and issuing permits for their records,
showing that all fees have been paid.
Jeanne: Please void these sewer permits in your files.
Jamie: Please stop billing for these parcels.
Phyllis: CWS will contact me to tell you how to refund their 20% for these parcels.
Thanks for your help to correct our records. Please let me know if you have any
questions.