Permit (4) CITY OF TIGARD PLUMBING PERMIT
i v COMMUNITY DEVELOPMENT Permit#: PLM2023-00221
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/31/2023
Parcel: 2S 106 DC21400
Jurisdiction: Tigard
Site address: 13909 SW 171ST AVE
Project: Riverside at Scholls Meadow, Lot 50 Subdivision: RIVERSIDE AT SCHOLLS MEADOW Lot: 50
Project Description: Backflow preventer for irrigation.
Contractor: TRUSCAPES INC Owner: RIVERSIDE HOMES LLC
21600 NW AMBERWOOD DR. 15350 SW SEQUOIA PKWY STE 320
HILLSBORO, OR 97124 PORTLAND, OR 97224
PHONE: 503-531-9216 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 07/31/2023 $31.27
Specifics: 1 12%State Surcharge- 07/31/2023 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 07/31/2023 $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: l —_ C P ( t ( "j
Call 503.H39.4175 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.