Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2013 -00114
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013
Parcel: 1 S136CA08400
Jurisdiction: TIGARD
Site address: 11048 SW LEGACY OAK WAY
Project: White Oak Village, Lot 5 Subdivision: WHITE OAK VILLAGE Lot: 5
Project Description: Sewer connection for new SF
Contractor: Owner: ANDERSON HOMES & CONSULTING LLC
12670 SW 68TH AVE, SUTIE 400
PORTLAND, OR 97223
PHONE: PHONE: 503 - 572 -0746
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 07/18/2013 $4,665.00
Sewer Inspection - Residential 07/18/2013 $35.00
Type of Use: SF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $4,700.00
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 suspende• • more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Th• - rules are set f• •h in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to OUNC b; calling 503.232. ! or 1. ; !0.332.2344.
Issued =y: l /�� "- = , Permittee Signature: -f /d
Call 503.639.4175 by 7:00 a.m. for the next available inspection X.
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.