Permit (203) CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2018-00349
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2018
Parcel: 1 S134AB01700
Jurisdiction: Tigard
Site address: 11331 SW BASSWOOD CT
Project: DAVIS Subdivision: ENGLEWOOD Lot: 74
Project Description: Backflow preventer for irrigation.
Contractor: OWNER Owner: DAVIS, ELEANOR R
ELEANOR DAVIS 11331 SW BASSWOOD CT
11331 SW BASSWOOD CT TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 971-219-2727 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 07/17/2018 $31.27
Specifics: 1 12%State Surcharge- 07/17/2018 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 07/17/2018 $41.23
Plumbing
Class of Work: OTR
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,Permittee Signature: ye
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11331 SW BASSWOOD CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Plumbing PLM2018-00349
Inspection Type: Inspector:
399 Plumbing final Don Sylvester
Result:
PASS - NoCofO
Comments:
1 . 3/4" Watts DC, model 007M3QT, serial #069283, for irrigation, located in back yard
under the deck- approved with test.
Violation Summary:
Inspector Contractor