Permit S
r P m.r
' CITY OF TIGARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT Permit #: PLM2001 -00174
n t r Date Issued: 04/27/2001
irl ARD 13125 SW Hall Blvd , Tigard OR 97223 503 639 4171
Parcel: 2S104DA03500
Jurisdiction: TIG
Site address: 13001 SW GALLIN CT
Subdivision: Lot:
Project: QUAIL HOLLOW - WEST
Project Description: Install Back Flow Preventor
Owner: FEES
PARK WEST PROPERTIES INC Quantity Description Date Amount
12670 SW 68TH STE 300 1 [PLUMB] Permit Fee 04/27/2001 $36 25
TIGARD, OR 97223
PHONE. 620-8860 1 [TAX] 8% State Tax 04/27/2001 $2 90
Contractor:
PHONE'
FAX:
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Total V 3+ I '
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503 246 6699 or 1 800 332 2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a m. for an inspection that business day.
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.
Case Activity Listing s1734
Case #: PLM2001 -00174 2:17 :34 PM
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PLMA003 Application received 4/27/2001 None DONE JMT 4/27/2001
JMT
PLMA005 Create Permit 4/27/2001 None DONE JMT 4/27/2001
JMT
PLMA750 RP /Backflow 4/27/2001 None PASS RB 4/27/2001
Preventer RB
PLMA050 (F) Issue permit 4/27/2001 None DONE JMT 4/27/2001
JMT
PLMA800 Case Finaled 4/27/2001 None PASS RB 4/27/2001
RB
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