Permit ,, CITY OF TIGARD PLUMBING PERMIT
' 3 COMMUNITY DEVELOPMENT Permit#: PLM2023-00225
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/28/2023
Parcel: 2S114DB00100
Jurisdiction: Tigard
Site address: 17005 SW 92ND AVE
Project: City of Tigard-Cook Park Subdivision: None Lot: None
Project Description: Site utilities: 135 ft.of storm sewer for a new playground located near the intersection of Durham Rd and 92nd
Avenue.
Contractor: PAUL BROTHERS Owner: TIGARD, CITY OF
8601 SE REVENUE RD 13125 SW HALL
BORING,OR 97009 TIGARD,OR 97223
PHONE: 503-663-1220 PHONE:
FAX:
FEES
Quantity Description Date Amount
135 If Storm Sewer 06/28/2023 $100.06
Specifics: 1 12%State Surcharge- 06/28/2023 $12.01
Plumbing
Type of Use: COM
Class of Work: NEW
Type of Const:
Occupancy Grp:
Stories:
Total $112.07
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 se rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a py of the rules
Issued By: � Permitte Signature: -
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.