Permit (153) CITY OF TIGARD PLUMBING PERMIT
•
III I • ' COMMUNITY DEVELOPMENT Permit#: PLM2019-00373
T I G A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2019
Parcel: 2S 104AC 15900
Jurisdiction: Tigard
Site address: 12807 SW 132ND AVE
Project: Csokas Partition,Lot 1 Subdivision: 2018-026 PARTITION PLAT Lot: 1
Project Description: Installing backflow preventer for landscape irrigation.
Contractor: MIKE PATTERSON PLUMBING Owner: HT REMODELING&DESIGN LLC
15028 S MITCHELL LN 21271 ROCK RD
OREGON CITY, OR 97045 ALOHA, OR 97003
PHONE: 503-632-7374 PHONE: 503-887-8247
FAX: 503-632-5647
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 09/23/2019 $31.27
Specifics: 1 12%State Surcharge- 09/23/2019 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 09/23/2019 $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: .)i�2� ee Signature: 6/ih�� `
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.