Certificate of Occupancy T CI OF PERMIT # MST95- -Oic71
DATE ISSUED! 11/03/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2S 1048D -RM0;: 3
SITE ADDRESS...: 12701 SW 138TH AVE
SUBDIVISION ROSE MEADOWS ZONING:R -7
BLOCK : LOT :023
CLASS OF WORK.:NEW
TYPE OF USE...: SF
OCCUPANCY GRP. TSr4f.3
OCCUPANCY LOAD :`
Remarks: PATH I
Owner: _.__. •
JAY MILLER
P 0 BOX 230459
TIGARD OR 97281
Phone #: 684 -7543
Contractor:
JAY MILLER
00 BOX 230459
i 1 tai -iRD OR 97281
Phone*: 684 -7543 •
, #. 1 300109
it 7 . 1 s Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for co.lian.e with
the State of Oregon Specialty Codes for the group, occupancy, d use u .er
which the referenced permit was issued. 4
?�JIL INC INSPECTO ` BUILDING OFFICIAL r
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in arappl
Post/Beam Mech. San. Sewer Gas Line :..
Plbg. Underfloor Rain Drain Framing <7
Alarm Water Line Insulation <QM?
Underflr. Insul. Shear Walj Gyp. Bd. - Elect.
Date Requested: 1113 (9 S Time _AM PM
Address: / - 7 0 I / 3 8 Wk
`
Builder: S 1 — 9/ .s 7 Permit #: 7 -C 4::9,-- I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In�specto�r: / ,-� Date: /� / o. �/ ; s �
li1tPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CERTIFICATE OF
CITY OF TIGARD OCCUPANCY
PERMIT # MST95-0271
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/03/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171
PARCEL: 28104BD-RMO23
SITE ADDRESS..” 12701 SW 138TH AVE
SUBDIVISION • ROSE MEADOWS ZONING:R-7
BLOCK LOT •023
- •
CLASS OF WORK. :NEW
TYPE OF USE...:SF
OCCUPANCY GRP.M*Ki
OCCUPANCY LOAD:2
Remarks: PATH I
Owner: -
JAY MILLER
n 0 BOX 230459
fIGARD OR 97281
Phone #u 684-7543
Contractor:
JAY MILLER
PO BOX 230459
TIGARD OR 97281
Phone-#: 684-7543
Reg #..1 300109 .
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
the State of Oregon Specialty Codes for the group, occusancy, an use under
which the referenced permit was issued.
l e;f4
do
O P /
gdIIN66 INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
J;