Permit (16) INI ill
CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2023-00275
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/5/2023
Parcel:
Jurisdiction:
Site address: 14200 SW 112TH AVE
Project: The Ridge Apartments Subdivision: Lot:
Project Description: Stubbing water service from main to future backflow device location. Backflow permit to be pulled by landscaper.
Contractor: ANDERSEN MECHANICAL Owner: HOUSING AUTHORITY OF WASHINGTON COUN
16285 SW 85TH AVE#410 ATTN: HENRY ALVAREZ
TIGARD, OR 97224 111 NE LINCOLN STE#200L
HILLSBORO, OR 97124
PHONE: 503-992-6664 PHONE:
FAX:
FEES
Quantity Description Date Amount
10 If Water Service 07/05/2023 $62.54
Specifics: 1 12%State Surcharge- 07/05/2023 $8.70
Plumbing
Type of Use: COM 10 ea Minimum Fee Adjustment- 07/05/2023 $9.96
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
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
C.
Issued By: /����Q Permittee Signature: r r ^ f cet,[w�L a�/f� / 1
Call 503.639.417 y 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.