Permit Support Document CITY OF TIGARD �5�, f
PLUMBING PERMIT
1111 ■ COMMUNITY DEVELOPMENT '' 4 0 Permit#: PLM2018-00551
T"f(;A i. D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2018
Parcel: 2S 103AA02000
Jurisdiction: Tigard
Site address: 12325 SW 106TH DR
Project: RINGER Subdivision: CLYDESDALE Lot: 1
Project Description: APPROX 30 FT INTERIOR SANITARY SEWER LINE REPLACEMENT IN CRAWL GORDON RINGER. 12/5/18:
REPRINT to change address from 12230 to 12325.
Contractor: JACK HOWK PLUMBING/RESCUE ROOTER Owner: EGBRAD LLC
PO BOX 2830 BY BRADEN, DONALD W
CLACKAMAS,OR 97015 12238 SW CLYDESDALE CT
TIGARD, OR 97223
PHONE: 503-850-3100 PHONE:
FAX: 503-491-2932
FEES
Quantity Description Date Amount
30 If Sanitary Sewer 12/04/2018 $62.54
Specifics: 1 12%State Surcharge- 12/04/2018 $8.70
Plumbing
Type of Use: SF 10 ea Minimum Fee Adjustment- 12/04/2018 $9.96
Class of Work: ALT Plumbing
45 Misc Administration Fee 12/05/2018 $45.00
Type of Const:
Occupancy Grp:
Stories:
Total $126.20
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. 2.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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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.