Permit CITY OF TIGARD PLUMBING PERMIT
111 ,
- = COMMUNITY DEVELOPMENT Permit #: PLM2011 -00159
Date Issued: 05/20/2011
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S104BCO3800
Jurisdiction: Tigard
Site address: 14364 SW WINDSONG CT
Project: Turner Subdivision: HILLSHIRE WOODS Lot: 49
Project Description: Irrigation backflow device.
Contractor: SUNRISE LANDSCAPE SERVICES Owner: TURNER, SCOTT M
26085 SW CHEHALEM RD 14364 SW WINDSONG CT
SHERWOOD, OR 97140 TIGARD, OR 97223
PHONE:
PHONE: 503 - 538 -2386
FAX: 503 - 538 -6867
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/20/2011 $31.27
Specifics: 1 12% State Surcharge - 05/20/2011 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment - 05/20/2011 $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: �P Permittee Signature: etA �79/ / c'e -- 77d �V
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.
05/19/11 12:29PM Sunrise Landscape Services, Inc. 5035386867 p. 01
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