Permit 1111 CITY OF TIGARD SEWER CONNECTION PERMIT
1''' COMMUNITY DEVELOPMENT Permit#: SWR2016 00246
TR. A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2016
Parcel: 2S 104AC 10900
Jurisdiction: Tigard
Site address: 13320 SW DOE LN
Project: Walnut Ridge,Lot 8 Subdivision: Lot:
Project Description: Sewer connection for new SF
Contractor: Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PKWY
#370
BEAVERTON,OR 97006
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 09/07/2016 $5,100.00
Type of Use: SF Sewer Inspection-Residential 09/07/2016 $35.00
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 1
Total $5,135.00
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 rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a i py of the ru-s or direct questions
to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
Issued By: �� Permittee Signature: 0 //�
03.639.4175 by 7:00 a.m.for the next available inspection .-
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.