Permit (77) CITY OF TIGARD SEWER CONNECTION PERMIT
� COMMUNITY DEVELOPMENT
Permit#: SWR2017-00237
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2017
Parcel: 2S102CA01100
Jurisdiction: Tigard
Site address: 9795 SW FREWING ST
Project: Partition 1998-081,Lot 2 Subdivision: 1998-081 PARTITION PLAT Lot: 2
Project Description: Sewer connection for new SF
Contractor: Owner: BLACK DIAMOND HOMES INC
15685 SW 116TH AVE STE 290
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/02/2017 $5,500.00
Type of Use: SF Sewer Inspection-Residential 10/02/2017 $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 . -s adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 9 '! la_0 through OAR 952-001-0090. You m. .. :in a copy o the rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332. '44. _
4
Issued By: Permittee Signature: y,
,
, . ,
Cal 03.639.4175 by 7:00 a.m.for the next available inspectiofate`
This permit card shall be kept in a conspicuous place on the job site until co.•'pletio of the project.
Approved plans are required on the job site at the time of each inspection.