14300 SW HAZELHILL DRIVE-2 14300 SW HAZEL HILL DRIVE
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_ INSPECTION NOTICE
City of Tigard Building Depai tment
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
t-
Type of Inspection -_ /�-•+e v-f-
Date Requested - $-� Time _A.M.—�P.M.
Address % �=?�7_ _S w i`T;ay Permit #_
Owner ._-- -_-- Lot #_
Builder.
I
The following Building Code d eficiencies are required to he corrected:
Presented to ,- _._..._..- _ ,. [ Approved
Inspector _ 1
- _ �, Disapproved
Date
CALLFOR OR REINSPECTION
( ] YES 1-7 NO
BWLDING, PERMIT APPLICATION TIGARD DATE_. J11 110 13 ,g ''3 4489
fHE UNDEP:P:,NED HEREBY APPLIE: FOR A PFRVIIT FOR i HE WORK HERE'N INDICATED RIJILDER PHONE L,92-ItS!
OR AS SHOWN AND o�PPROVED IN THE ACCOMPANYING PLAN,AND SPECIFICATIONS. 0WP)ER PHONE
OWNER .ray Miller I�ldr. JOB ADDRESS 14300 S-Z i4asel,hill )) LOT NO. 23. h;netR LjrCh�r�3rive _ —
ARCHITECT
ENGINEER tl.dr.
BUILDER ' ADDRESS 73291 Tiataral �3Lt. DESIGNER___
STRUCTURE-__I2 NEW 0 REMODEL -__C_ADDITION_— ❑ REPAIR ❑ RENEWAL _❑ FIRE DAMAGE ❑ DEMOLITION
❑ r&SIDEN E 1:7 �OMM C] EDUCATIONAL ❑ GOV'T 1-1 RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ S_TURAGE ❑ SLAB Cl FENCE
OCCL k.'. Y �'`- _LAND USE ZONE —?t-30 BLDG.TYPt }' FIREZONEPLAN CHECK BY _ ti HEAT ` ��ent
Cmistructtyle fa,:iily +?w.jjinv y/,gtnrhecl
---�-- see correction shoot attaciled 4 'A3edroorfis
_.... . _ _ 3 3aths
SEWER PERMIT k
OCC.LOAD FLOOR LOAD A0 HEIGHT ? ' NO.STORIES 2 AREA "> t ' NO.BEDROOMS 4 VALUE 134
BUILDING DEPARTMENT SET BACKS FRONT .10 REAR ?r'ri LEFT SIDE RIGHT SIDE
_ _ {,,
Permit — .')2U,30 THIS PERMIT!S ISSUED SUBjECr TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
Z3F1 y.� REGULATIOt;S AND ALI_ APPLICABLE CODES.AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ • WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
15111.81 WITH ALL APPLICABLE CODES AND ORLINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total _ RESTRIC fIVF COVENANTS. CONTRACTOR AND SUB CONTPIACTORS TO HAVE CURRENT CITY BUSINESS
-- 7000 y LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax ,«OU•(A)Total -179.f6 SDC—
PDCk t 100.00 APPLICANTORAt3ENf
By chtj
du0b Receipt No.
Approved ADDRESS PHONE
DATE INSP.I TyrE INSPECTION REMARKS PLUMBING I DATE
�7-1jj - Contractor
Rough
Fixture
HEATING
Contractor
Pqrmit Nof� '-? 7
dell
if dvlor Oil
Rouph-in
Final
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
BLUC, DEPT.PIN ILITEMPORARY CERTIFICATE OCCUPANCY
f-rr?rmcATraCCUPANCY I!— Final
L.Landscaping
Final
Final