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Permit Support Document (72) CITY OF TIGARD PLUMBING PERMIT cw�.t COMMUNITY DEVELOPMENT i .y 0 Permit#: PLM2018-00096 T i C;A i I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2018 Parcel: 2S 110AD 11300 Jurisdiction: Tigard Site address: 10982 SW ANNAND HILL CT Project: Annand Heights Subdivision: ANNAND HEIGHTS Project Description: irrigation Backflow. 3/26/18:REPRINT to change address. Lot: 25 Contractor: CONTOUR LANDSCAPING Owner: WINDWOOD CONSTRUCTION INC 12485 SW TOOZE RD 12655 SW NORTH DAKOTA ST SHERWOOD, OR 97140 TIGARD, OR 97223 PHONE: 503-682-1302 PHONE: FAX: 503-682-1302 FEES Quantity Description Date Amount 1 ea Backflow Preventer 03/08/2018 $31.27 Specifics: 1 12%State Surcharge- 03/08/2018 $8.70 Plumbing Type of Use: SF 41 ea Minimum Fee Adjustment- 03/08/2018 $41.23 Class of Work: OTR 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: -----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. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10982 SW ANNAND HILL CT, TIGARD, April 6, 2018 at 9:37:30 AM OR, 97224 Record Type: Record ID: Residential - Plumbing PLM2018-00096 Inspection Type: Inspector: 399 Plumbing final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: 1 " Febco backflow device model 850 ser#56131 Approved with test report. Violation Summary: Inspector Contractor