Permit (25) CITY OF TIGARD PLUMBING PERMIT
111 - COMMUNITY DEVELOPMENT MEM Permit#: PLM2016-00256
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2016
TIGARD Parcel: 1S136AA10800
Jurisdiction: Tigard
Site address: 6783 SW LOCUST ST
Project: Oak Street Estates,Lot 9 Subdivision: OAK STREET ESTATES Lot:
Project Description: Irrigation backflow. 5/26/16: REPRINTED to correct address.
Contractor: PACIFIC LANDSCAPE SERVICES INC A WASHINGTC Owner: LENNAR NORTHWEST INC
PO BOX 821903 11870 NE 99TH ST, STE 1170
VANCOUVER,WA 98682 VANCOUVER,WA 98682
PHONE: 360-891-0367 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Backflow Preventer 05/13/2016 $31.27
Specifics: 1 12%State Surcharge- 05/13/2016 $8.70
Plumbing
Type of Use: SF 41 ea Minimum Fee Adjustment- 05/13/2016 $41.23
Class of Work: NEW Plumbing
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:
.41111t / • Permittee Signature: L//116
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.