Permit (6) II yCITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit#: PLM2020-00035
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
Parcel: 2S112BD06500
Jurisdiction: Tigard
Site address: 14786 SW 80TH AVE
Project: HUTCHENS Subdivision: BRITTANY MEADOWS Lot: 1
Project Description: 100 ft.of sanitary sewer to re-route sewer to correct lateral.
Contractor: RENNER TRUCKING& EXCAVATING INC Owner: HUTCHENS, DANIEL F & RACHELLE A
228 SW WALNUT ST 14786 SW 80TH AVE
HILLSBORO, OR 97123 TIGARD, OR 97224
PHONE: 503-846-1512 PHONE:
FAX: 503-846-1354
FEES
Quantity Description Date Amount
100 If Sanitary Sewer 01/23/2020 $62.54
Specifics: 1 12%State Surcharge- 01/23/2020 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 01/23/2020 $9.96
Plumbing
Class of Work: ALT 1 ea Investigation Fee 01/23/2020 $90.00
Type of Const: 1 ea Investigation 12%State 01/23/2020 $10.80
Occupancy Grp: Surcharge
Stories:
Total $182.00
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 he rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-.:•e ou may obtain a copy 'the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee 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.
Plumbing Permit Application
Site Utilities FOR OFFICE USE ONLI
Cl of Tigard RECEIV Received
II - `J g Permit No..
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Phone: 503.718.2439 Fax: 503.598.196 Other Permit No.:
Inspection Line: 503.639.4175 Date/By:
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