9345 SW MILLEN DRIVE 1
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INSPECTION NOTICE
City of Tigard Building Department j
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
Ty►:^ of Inspection — F —___-----------_—_
Date Nique iA_. —�—�4:;� mme
��j - A.M._ _P.M.
Address __ Permit #_�•_.
Owner _"tde Lot
Builder
The following Building Code deficiencies are required to be corrected:
f
I
I
Presented to �— - -—� _ -- _ 4<ApprovedY
Inspector �_—_._— � � Disapproved
i
Date
CALL FOR REINSPECTION j
C' YES ❑ NO ''.
,\ INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection C
Yp
A.M.
Date Requested—
Time_ � P• .
/sem , Permit # � —
Address
Lot
Owner -
Builder _�_—.---
The following Building Code/dJeficienci s are required to becorrected:
or
_ /� �,, ,rte- G%��� _ ,rr�-b"R's.'6�.•�---
11
( � Approved
Presented to --
Inspector disapproved
Date ----
CALL FOR REINSPECTION i
YES El NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Ph ie: 639-4171 /
Type of Inspection
Date Requested Ti a A.M. _ P.M.
Address _ r � Permit
Owner -- -- —� — Lot #
Builder
The following Building Code deficiencies are required to be corrected:
-� � '��tt' ._ .�-1•,� '`,'�-�---'?0�,7 Wit...-2'j�,�—�-.
��--/'/� c.4y,.,�'
i
Presented to _ _ Approved
Inspector �/� ,Disapproved
Date 67
CALL FOR RF,INSPECTIOP
,ZrYES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
')ate Requested Time A.M. P.M.
Address
Permit #
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Uisepprocprl
Date
CALL FOR REINSPECTION
YIES ❑ No
GGG-/G83
BUILDING PERMIT APPLICATION TIGARD DATE-_- `z ISAL—
THE
A _THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE.
LOT NO.— 44
_OWNER _ 14arti� tiri JOBADDRESS 9345 $W 11i,llen Vri"—___—_-,--.- Kneeland -ustatoF
F. 97?3U ARCHITECT
ENGINEER
BUILDER Sam —__ ADDRESS 230 NF 1514t DESIGNER
STRUCTURE [2 NEW 1-1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
E-1 RESIDENCE ❑ COMM ❑ EDUCATIONAL_❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE L7 SLAB El FENCE
OCCUPANCY _)( 3 LAND USE ZONE JT7 BLDG.TYPE 5 FIRE ZONE PLAN CHECK BY !'r HEAT_ "B
__--- - Wnntruct single xa ily dvallin& v/attached garW* —.
--_— 3 Bedroom 2 Bathroom_-
SEWER PERMIT M 28414 G#rage 306
OCC.LOAD FLOOR LOAD 4t) HEIGHT 224 NO.STORIES 2 AREA 1960 NO.BEDROOMS 3 VALUE j,Q(�,
BUILDING DEPARTMENT SET BACKS FRONT REAR 9iy LEFT SIDE -'j RIGHT SIDE
Permit .128oUU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING ^°ODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREB" AGREED THAI THE
Plan Check 21.3.20 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 541.20 _ RESTRICTIVE COVENANT CONTRACTOR AND SUB CON'i RACTORS TO HAVE CURRENT CITY BUSINEZS
LICENSE.SEPARATE PERMITS REQUITED FOR SEWER,PLUMBING AND HEATING.
State Tax 13.11
-- SDC— $500'00 SSI)C$250.Ut1
TOM 55a.3a . _ � '`
PDC## 15t J0 APPLICANT OR AdEN t t
By Li •' .
Receipt Nd
Approved ADDR 96
— PHONE
DATE IINSP. TYPE INSPECTION REMARKS PL GING DATE
cor, Tactor"u-jai-tIll
Peftnit N" 4 1ZZ4
Rough-in
U0
tFi Fixtuit,
,
nal
HEATING
Contr
Permit Na
Gas or Oil
Rough-in
Final
VEWAY
FinalFFinal
('Asin Di 0n)Firial
S'
Ilruinagr
4-in 13,w
Sidewalk idewalk
Curb 8,Street Final
.approach
criTiriC -E
OCCUPANCY Fin�sl
13LOG. DEPT.FINAL rEMPORARY c
PT IpIc r,,rr oCCUPA14CY
7uril,b Final
BVILDING RECEIPT G.
NAME: �/ I., �lY(� DATE: .5��o-a —
ACCT. N DESCRIPTION AMOUNT
10-432 Building Permit Fees $
10--431-600 Plumbing Permit Fees $ -Tit
r--`��-�--s -
10-431-601 Mechanical Permit Fees $
10-230-501 State Building Tax
10-433 Plans Check Fee
30-443 Sewer Connection (2.0X) $ �Q S- 6-6
30--202 Sewer Connection (80X)
30--444 Sewer Inspection $ ti `-`•�j
51-448 Street System Dev. Charge (SDC) $
52-449-610 Parks I System Dev. Charge (PDC) $ �`-
52-449-620 Parks II System Dev, Charge (NDC) $
31-450 Storm Drainage Syst:em Dev . Chrg (SSDC) $
10-230--505 TRFD (95X) $ ��
10-478 TRFD (5X)
10-230-506 Washington County Fire M1 (95X)
10-478 Washington County Fire #1 (5X)
10•-2.20 Amart/Wedgewood —
TOTAL
(bs/1214P)
BUILDING PERMIT APPLICATION TIGARD QAT 4�' r• 12- ,19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOWIPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.- 4 _
JOBAODRESSARCHI� � ��l,J ��/lam �nt r/G +1�`}�• Z
�•y� nA
ENGINEER
IGQ�
UILDERS�( � S~/ '�Y^ ENGINEER
B
_ ADDRESS GESiGNER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL EJ FIRE DAMAGE ❑ DEIAOLITIC
(ErRESIOENCE ❑ COMM ❑ EDUCATIONAL 0 GOVT ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE 0 STORAGE EJ SLAB❑ FEN
OCCUPANCY , LAND USE ZONE �/ -6LDG.TYPE �' �t PLAN CHECK BY C-L-HEAT!-T -
_�I�rI G/_�Lh��/ �G_st,_,ft �IL✓(�� �s �L,C��'`C,lf ! �._ -_-_____--__--��__
SEWER PERMIT b --f-� ( G,....�rn f,f .�� YCUe�^ f�/�G• �_ _-- --
OCC.LOAD FLOOR LOAD HEIGHT.�22- t NO.STORIES _ Z" AREA /Jr U'd NO.BEDROOMS VALUE"•o.
BUILDING DEPARTMENT SFT BACKS FRONT :'�- (. REAR LEFT 51QE .' _RIGHT SIDE -
P,3rmII Op THIS PERMIT IS ISSUED SUBJECT TO THE REGUiAT10NS CONTAINED IN THE BUILDING CODL,ZON
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
Plan Check 3. 2 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAi
T WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WR
�Su�fetal _ F.ESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 8USIN, ;
rr UCENSE SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
i Mate Tax %3 ,/ Z-
_T SDC-
Total S s y• 'j 2. -----� -- - -- - - -
PQC7► APPLICANT OR AGENT
Receipt No.
Approved ADDRESS � PHONE —
SSLt, a- I - 6/ 7G y° c ,�J: �/ '41;-Ff•36
s0C - s v o - X .7.3- 1-e - i,f/,f .yu
PDC C4,___ �j.�r��F O6 ¢ J54/4-6 0
SEWER CONNECTION S �� S~ au
SEWER INSPECTION S 35 C-0 0
SEWER SURCHARGE S
3 2- f 44 % cl,a, oo o&4,0,
elf To P
Er'nlma'1� ';
Sn
Building Permit r4o.
Location 9345 5W Millen
Date
Certification of Registration
With the Builders Board
I '
- .— �?.—, doing business as (dba) -
of ORS Cha ter 701 -- — registered under the provisions
p � Oregon IlomebuildErs Law) .
My Builders Board Registration Number is
My registration is in full force and effect and expires on
i nature -
I�
THE UNDERSIGNED HEREOY APPI Ir" [014 AVE NMI f POH THE WUHK HUILIN INUILAILU UUILUur:^IUN '-6 '.f
OR AS SHOWN AND AF'PROVEI THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINERPtl0fir
LOT NO
016VNEP , '-E I F kj JOB A000K55 c� `r) ! �! LLk
ARCfllTECT
ENGINEEF?
1 I I •' 1 OESIG'vER
aulvr).-y IA_���a�:/1t t,.tel;�AOORESS,.
STRUCTURE _ E?JVEW ❑R!NinCEL `— aDO1TfON �Vrr�- ❑REVEYJAL [—]FIRE OA."AF iE r LJDE:.trJL1t
r nESILt[AICC C]C011,M r3EOUCATIONAL r ,OV'T ❑RELIGlf_'US[JPATIO_OCAR P ❑GARAGE -U STORAGE❑SLAB ❑FE
v- a �N PLAN C cCK BY._� ►{EAT.
CCC,�Paf;:Y - ANO USE ZONE OLDG. TYPE „ — --7—
ATTACHED
l -
CONSTRUCT TNUL.L i' CHEDGA AGE,
BArU_F,0_0,h___ BEDROOM
.SEUER PERf'1IT u ' Garage ` y` '
^y�._I..r D F�.Q9R 1440 r...tlELf I T
. „ i NO.STOR Ft . RHEA/r/�Jl4 HEQH49�i5
SUILQING DEPARTMENT SET 8ACK_R ONT REAR LEFT SIDE RIGHT SIDE '2r
-^r^It -. y, -
1 .. THIS PERMIT" IS ISSUED S,laJECT TO THE REGULATIONS CONTAINED 1N THE BUILDING CODE, ZOI
1 I' An Check REdULATIONS AND AL1. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT
(-------- ll WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE V
S.» total �y 7 J ALL APPLICABLE CODES A D ORDINANCES. THF. ISSUANCE OF THIS PERMIT DOES NOT W:
RESTRICTIVE COVENANTS. C NTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSK
sea Tax I {r: LICENSE. SEPARATE P!RXIITS REOUIRED FOR SEWER. PLUMBING AND HEATING.
Toul--_-- spc
r --
L—._. APPLICANT OW AGENr
f Appr( uvErl -y Receipt No. —_
n��FtF'Ss —PHoric--'
SDC
PDC — $
SEWER CONNECTION
SEWER INSPECTION $ -
SEWER SUR,,IARGE $
Comments ;