Permit (2) CITY OF TIGARD SEWER CONNECTION PERMIT
i • COMMUNITY DEVELOPMENT Permit#: SWR2019-00197
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/17/2019
Tic A R.0g Parcel: 2S112BD11000
Jurisdiction: Tigard
Site address: 14964 SW BELVOIR CT
Project: Elderberry Ridge,Lot 6 Subdivision: ELDERBERRY RIDGE Lot: 6
Project Description: Sewer connection for new SF.
Contractor: Owner: RIVERSIDE HOMES LLC
17933 NW EVERGREEN PL STE 370
BEAVERTON, OR 97006
PHONE PHONE: 503-645-0986
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/17/2019 $5,650.00
Sewer Inspection-Residential 12/17/2019 $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 $5,685.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spe ialty i odes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not start•d wit n 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adop ed 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 opy if the rules or direct questions
to OUNC by calling 503.23 . 987 or .800.332.23
Issued By: Permittee Signature: `
•
all 503.639.4175 by 7:00 a.m.for the next available inspection da
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.