Permit CITY OF TIGARD SEWER CONNECTION PERMIT
11 r, COMMUNITY DEVELOPMENT Permit#: SWR2014-00122
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/01/2014
Parcel: 2S110BC12100
Jurisdiction: TIGARD
Site address: 14818 SW 122ND PL
Project: Troy Park, Lot 7 Subdivision: TROY PARK Lot: 7
Project Description: New SF.
Contractor: Owner: TIMBERLAND HOMES INC
12670 SW 68TH AVE#300
TIGARD, OR 97223
PHONE: PHONE: 503-620-8860
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/01/2014 $4,900.00
Sewer Inspection-Residential 12/01/2014 $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 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. Those motes_ are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the r -s or direct questions
to OUNC b ailing 503.2 1987 or 1.800.332.2344.
Issued y: �� Permittee Signature: /\ oT
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 .f the project.
Approved plans are required on the job site at the time of each inspection.