9120 SW MOUNTAIN VIEW COURT NI M31A NIVINnOW MS OU6
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9120 SW MOUNTAIN VIE"4V Lei
CITY
OF
T I GA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00575
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/4/03
SITE ADDRESS: 09120 SW MOUNTAIN VIEW LN PARCEL: 2S111AB-03700
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH. BACKFL�,N PREVNrRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: 2 OTHER FIXTURES:
TUB/SHOWERS: 2 SEWER LINE: ft
WATER CLOSETS: 2 WATER LINE: ft
DISHWASHERS: RAIN DRAIM: ft
Remarks: Install plumbi res: 2 sinks, 2 tub/showers, 2 toilets.
FEES _
Ow��ar: -- "`
Description Date Amount
MELLAND,ORVILLE [PLUMB] Permit Fee 11/4!03 $99.60
9120 SW MTN VIEW LANE
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TIGARD, OR 97224 FFA X' R"%State Rurcharl 11/4/03 $7.96
Total $107.56
Phone : 503-620-8993
Contractor:
ACTION PLUMBING & HEATING
19587 SW RED OAK LN
ALOHA, OR 97007 REQUIRED INSPECTIONS
Phone : 503-356-9630 Rough-in Insp
Top-out Insp
Reg#: LIC 138159 Final Inspection
PLM 34-369PB
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F0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
0 Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work i5 not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: t�t�� ��a- C � i Permittee Signatura-4 _
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Call (503) 6394175 by 7:00 P.M.for an Inspection needed the next business Jay
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION, Bus'ness Line: (503)639-4171 MST
9UP
Received 2_� s _Date Requested �j Z AM;1___PM BUR
Location 6J1� _ Suite MEC
Contact Person - - _ Ph(�� ) _ .Z�`�d rulil),.�
Contractor_^ � Ph(—_) . SWR - -
BUILDING — p Tenant/Owner __-_ -_-_ ELC
Footing ELC _
Foundation Access: -
Ftg Drain EL 71
Crawl Frain "
Slab Inspection Notes: of
f SIT
Post& Beam
Shear Anchors - --
Ext Sheath/Shear `-
Int Sheath/Shear --
Framing -- ---------- _-- - --
Insularon
Drywcll Nailing - ------ -- _-- --T_ __
Firewall
Fire Sprinkler ---- ----- - _ __
Fire Alarm
Susp'd Calling ------- - -----
Roof
Other:_ _ -- ------ - - --
Final
PART FAIL - - -— i—
UMB —
Beam -
Under Slab
Rough-In
' Water Service
Sanitaq Rewer
Rain Drains --- — -- -
Catch Basin/M9nhole
Storm Drain — --- -- -__
Shower Pan
Other: _ -- -
Final
PART FAIL ---
4EC!j
Post&Roam
Rough-in ---- ---------
d Gas Line
Smoke Dampers - -------._._-_-- -__-- - - —
F- Final
rn PASS PART FAILELECTRICAL--,--
Service �----- —
W Rough-In
LU UG/Slab -
_j Low Voltage
Fire Alarm
Final Reinspection fee of$ req aired before next ins
PASS PART FAIL EJReins p - inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _ Please call for reinspection RE:__-_.-__ ._� -_� Unable to Inspect-no access
Fire Supply Line 1 �
ADA
Approach/Sidewalk Daft /I,-) Ext -_
Other:
Final -- --- �- DON T REMOVE this Inspection record from the job alto.
PASS PART FAIL