Permit (14) CITY OF TIGARD PLUMBING PERMIT
111 I,- COMMUNITY DEVELOPMENT Permit#: PLM2023-00199
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/30/2023
Parcel: 1 S 136CA90000
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL
Project: Tigard Woods Subdivision:GARD WOODS,A CONDO COMMUNI1 Lot: None
Project Description: Backflow preventer for irrigation.
Contractor: ESCOBAR LANDSCAPE AND IRRIGATION INC Owner: TIGARD WOODS,A CONDO COMMUNITY
10940 SW WILSONVILLE RD APT 44 UNIT OWNERS
WILSONVILLE, OR 97070 00000
PHONE: 503-808-0632 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/30/2023 $31.27
Specifics: 41 Minimum Fee Adjustment- 05/30/2023 $41.23
Plumbing
Type of Use: COM 9 12%State Surcharge- 05/30/2023 $8.70
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 ma o ain a copy of the rules
Issued By: Permittee Signature: r
2
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.