Permit Support Document (46) 1111
CITY OF TIGARD PLUMBING PERMIT
_ " COMMUNITY DEVELOPMENT Permit#: PLM2023-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 r Date Issued: 2/2/2023
( /� Parcel: 1S127DD01200
Jurisdiction: Tigard
Site address: 9875 SW CASCADE AVE
Project: BMW of Tigard Subdivision: None
Lot: None
Project Description: Installing temporary backflow device for construction water.
Contractor: JRT MECHANICAL INC Owner: HOLMAN TIGARD REAL ESTATE LLC
PO BOX 1450 17800 SE MILL PLAIN BLVD#190
BATTLE GROUND, WA 98604 VANCOUVER, WA 98683
PHONE: 360-666-0330 PHONE:
• FAX: 360-666-0830
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 02/02/2023 $31.27
Specifics: 1 12%State Surcharge- 02/02/2023 $8.70
Plumbing
Type of Use: COM 41 ea Minimum Fee Adjustment- 02/02/2023 $41.23
Class of Work: OTR 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
Issued By: Permittee Signature:
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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.