Permit CITY OF TIGARD SEWER CONNECTION PERMIT
• COMMUNITY DEVELOPMENT Permit a: SWR2012 00096
T I G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 1 S 135ACO25o0
Jurisdiction: Tigard
Site address: 9346 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: Building 4. Sewer connections for (6) apartment units.
Contractor: Owner: J.T. SMITH CO
5285 MEADOWS RD SUITE 171
LAKE OSWEGO, OR 97035
PHONE: PHONE: 503 - 975 -7639
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 06/27/2012 $27,000.00
Sewer Inspection - Commercial 06/27/2012 $45.00
Type of Use: MF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 6
Total $27,045.00
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 s ed f' 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 through OAR 952 - 001 -0090. You may obtain a py of the rules or direct questions
to O C by calling 503.232.1* • • r .:00.332.2344.
4
Is ed By: / I Permittee Signature:
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.