Permit CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2019-00194
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2019
Parcel: 2S112BD10600
Jurisdiction: Tigard
Site address: 14904 SW BELVOIR CT
Project: Elderberry Ridge, Lot 2 Subdivision: ELDERBERRY RIDGE Lot: 2
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 11/04/2019 $5,650.00
Sewer Inspection-Residential 11/04/2019 $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. Specialty odes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started w.hin 180 days of issuance, or if
work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted y t Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop of he rules or direct questions
to OUNC by calling 503.232.1987 or 1.800.332 2344
Issued By: r_-----._.P_etmittee Signature:
Call 50.3f6"34.4175 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.