Permit 1 - p CITY OF TIGARD SEWER CONNECTION PERMIT
14 COMMUNITY DEVELOPMENT Permit#: SWR2014-00077
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2014
Parcel: 2S 109DB06300
Jurisdiction: TIGARD
Site address: 13260 SW HAZELCREST WAY
Project: Sequoia Heights,Lot 11 Subdivision: SEQUOIA HEIGHTS Lot: 11
Project Description: New SF
Contractor: Owner: LENNAR NORTHWEST INC
15060 SW 133RD AVE
TIGARD, OR 97224
PHONE: PHONE: 360-258-7900
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 09/24/2014 $4,900.00
Sewer Inspection-Residential 09/24/2014 $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 $4,935.00
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 1:4 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by th= "regon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain . copy of t • ules or direct questions
to OUNC by - • :13.232.1987 or 1.800.332.2344.
Issued ;y:' Cam, 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.