Permit CITY OF TIGARD PLUMBING PERMIT
°'"-- COMMUNITY DEVELOPMENT Permit #: PLM2011 -00082
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/17/2011
Parcel: 1 S135DB12800
Jurisdiction: Tigard
Site address: 11475 SW 90TH AVE
Project: Baxter Subdivision: HOFFMAN PART /MLP2003 -00015 Lot: 1
Project Description: 30' of sanitary sewer line repair.
Contractor: SIERRA CONSTRUCTION & EXCAVATION LLC Owner: BAXTER, JENNIFER S
PO BOX 30642 11475 SW 90TH AVE
PORTLAND, OR 97294 TIGARD, OR 97223
PHONE: 503 - 492 -9242 PHONE:
FAX: 503 - 252 -9808
FEES
Quantity Description Date Amount
30 If Sewer Service 03/17/2011 $62.54
Specifics: 1 12% State Surcharge - 03/17/2011 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment - 03/17/2011 $9.96
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
issuan , r if wo is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili Notification Center: • o ules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or irect questions to OU • 'by c 'ling 503.232.1987 or 1.800.332.2344.
I sued By: /. 1 ' Permittee Signa re: A `. ,
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.
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