Permit CITY OF TIGARD SEWER CONNECTION PERMIT
8 COMMUNITY DEVELOPMENT Permit #: SWR2012 -00126
T l G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/25/2012
Parcel: 1 S136DCO2701
Jurisdiction: Tigard
Site address: 7040 SW BAYLOR ST
Project: Ledridge Subdivision: ELNOLA HEIGHTS Lot: 2
Project Description: Connect existing house to sewer service, less than 100'. Reimbursement District #46 fee paid.
Contractor: Owner: LEDRIDGE, JAMES A
1141 SW ENGLEWOOD DR
LAKE OSWEGO, OR 97034
PHONE: PHONE: 503 - 244 -0011
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/25/2012 $4,500.00
Sewer Inspection - Residential 06/25/2012 $35.00
Type of Use: SF Reimbursement District Fee 06/25/2012 $13,456.00
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
•
Total $17,991.00
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. Tho are 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 cal ing 503. 32.1 or 800.332.2344.
Issue By: Permittee Signature: ` / / J
Ak■ Call 503.639.4175 by 7:00 a.m. for the next available inspectloh 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.