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Permit (44) CITY OF TIGARDSEWER CONNECTION PERMIT "' � "" WR2017-00271 '� ' COMMUNITY DEVELOPMENT Permit#: S��// 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2017 T I i;;E r<t o 9 - Parcel: 2S110AC00200- Jurisdiction: Tigard Site address: 10985 SW ANNAND HILL CT Project: Annand Heights,Lot 11 Subdivision: ANNAND HILL SUBDIVISION Lot: Project Description: Sewer connection for new SF. 3/26/18:REPRINT to change address. Contractor: Owner: ANNAND HILL LLC BY RICHARDS, M DALE 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: PHONE: 503-768-4375 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 09/14/2017 $5,500.00 Type of Use: SF Sewer Inspection-Residential 09/14/2017 $35.00 Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 1 Total $5,535.00 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - ,{ /�/iPermittee 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. CITY OF TIGARD SEWER CONNECTION PERMIT li ' COMMUNITY DEVELOPMENT Permit#: SWR2017-00271 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2017 Parcel: 2S110AC00200 Jurisdiction: Tigard Site address: 10985 SW ANNAND CT Project: Annand Heights,Lot 11 Subdivision: ANNAND HILL SUBDIVISION Lot: Project Description: Sewer connection for new SF. Contractor: Owner: ANNAND HILL LLC BY RICHARDS, M DALE 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: PHONE: 503-768-4375 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 09/14/2017 $5,500.00 Sewer Inspection-Residential 09/14/2017 $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 $5,535.00 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: <0,--,y74(ze„esePermittee 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. FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1 II III Transmittal Letter . (,n iz n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED • �l�C.iU ruv SEP 14 2017 FROM: l� b lot Sin el Y Co . � N 1 I COMPANY: 3'2J)) �J �} ��!lL�1�� �1VI� �PHONE: G 1,00 (/ I By RE: 1°) I S W itni/Ar r6LNO pn — 6. 01 °1 (Site Addre (Permit Nber ; i I WI b)( ..4t 1 f (I'�o�fc n. - or su&division name and liztym. ATTACHED ARE THE FOLLOWING ITEMS: I Copies: I Description: 1 Copies: I Description: I Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. , Engineer's calculations. Other(explain): p I/R9A vi 9 I u- l REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes D No Fee Description: Amount Due: it) of /9 psi r ` .../, 6 94,6 - $ , V, e:,2-, /° '97i /0t 72-,wT t'&-& $ ad O • 17-0 $ Special $ / 9v TV--_ .r C y6, V, & "'%'• Instructions: Reprint Permit(per PE): I ID Date: To ❑ Done Applicant Notified:5-�- Date: 9 /y /7 Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc ROBINSON CONSTRUCTION CO. 21360 NW Amberwood Drive Hillsboro,OR 97124-6925 • Phone:(503)645-8531 • Fax:(503)645-5357 • CCB#63147 September 13, 2017 REGt ; SEP 14201i ' City of Tigard C�1"Y 0t- Community Development uILDIN 13125 SW Hall Blvd. Tigard, OR 97223 RE: Permit# BUP2017-00193 Phasing Plan To Whom It May Concern: When the architect submitted the plan, I forgot to include a phasing plan. The tenant is occupying the space during construction. They are moving out of each phase for construction. We are currently in Phase 1. I spoke to Dan and he said to come in and no appointment was needed to make the change and pay the extra fee. Th. u, Rya' Robinson Gen-ral Manager cc: File Encl. Phasing Plan CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2017-00271 Date Issued: 09/14/2017 TIG ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S 14/201 0200 Jurisdiction: Tigard Site address: 10985 SW ANNAND CT Project: Annand Heights,Lot 11 Subdivision: ANNAND HILL SUBDIVISION Lot: Project Description: Sewer connection for new SF. Contractor: Owner: ANNAND HILL LLC BY RICHARDS, M DALE 12655 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: PHONE: 503-768-4375 FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 09/14/2017 $5,500.00 Sewer Inspection-Residential 09/14/2017 $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 $5,535.00 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 603.639.4175 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.