9365 SW MILLEN DRIVE 9365 SW MILLEN DRIVE
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INSPECTION NOTICE
City
City of Tigard Buddirg Department
121120 S.W. Main St.
"Tigard,Oregon 97223
Phone: 639-4171
Type of Inspecion
Date Reauested - A.M.1C P.M.
Address Permit
Owner-_ Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector
L1 Disapproved
Date
CALL FOR REINSPECTION
YES [�NO
Mill
INSPECTION NOTICE
i
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone:fa3p-4171
Type of Inspection
Date Requasted �_+ Time A.M. P.M.
Address — yL :L ^--' Perrnit #
iOwner __----.—_ Lot #
Roilder
The following Building Code deficiencies are required to be corrected:
og
-----�—,eel.'--.�Z�L1etf-"
yam'-ri•�� 4._.-
i
Presented to ✓/�— [_] Approved
Inspector �4 =
[disapproved
Date --Z
CALL FOR REINSPECTION
( YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Departmei
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-41*/1
Type of Inspection ZI.-,Z11�171—
Date Requested Time A.M.----P.M.
–C!C—kkl-
Address Permit #
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to XApproved
Inspector Disapproved
Date
ALL FOR REINSPECTION
YES Nn
BUILCA
NG PERMIT APPLICATION TIGARD DATE - ! `'--;-- '9�►� 4823
THE UNDERSIGNED HEREBY APPI IFS FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE ��" - --
OR AS SHO!NN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _.-----
LOT N0.
nWNER arzrelljr�>�r U veru-_ADDRESS Dk :;.Oq �I1. tr lDriv _ Ohl srct t '. --
—� ARCHITECT
ENGINEER
BUILDER _ ADDRESS_ 15S 9 A�t�!«._'se 2.ak� HKWe DESIGNER
L _
- J O
STRUCTURE L ANEW D REMODEL _ L ADDITION L) REPAIR ❑ RENEWAL ❑ FIRE_ DAMAGE O DEMOLITION
RESIDENCE L� COMM C_1 EDUCATIONAL i..1 QOV'7 O RELIGIOUS ❑ PATIO U CARPORT i� GARAGE C_1 STORAGE SLABL7 FENC� � , 9��
OCCUPANCY _�I -LAND USE ZONE Es��BLDQ.TYPE�"�_FIRE ZONE—PLAN CHECK BY HEAT
t�os�sCrucC
sjnjje
_ 7. FIdLltt:U�tut ' !f t rc.c�^.0
SEWER PERMIT# - - 2652'
OCC.LOAD —FLOOR LOAD VALUE t
t HEIGHT Ih+ N0.9TgR1E5 I AREA IJyt)'> NO.BEDROOMS 3 —_ �t,�
BUILDING DEPARTMENT REAR LEFT SIDE RIGHT SIDE --_
_ SET BACKS FRONT 1U —_,}I,i�t —_ .- -- -Permit 325.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CO!OTAINED IN THE BUILDING CODE, ZONING
' I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 7 ; 1.2s WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSJANCE OF THIS PERMIT DOES Nor WAIVE
Sub-total 531 25 RESTRICTIVE C')VENANTS. CONTRACTOR AND SUR CONIRACTOgS TO HAVE CURRENT CITY BUSINESS
--- "— LICENSE-SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. %1
State Tat: IJ.UC1 r_ 504).UO �
` � SDC--- `%rI
Total ��� •�� I L 150.uo P LICANT R AGENT
— PDCM
By c.►i s 0C 250.041 �—
-�Receipt No. ADDRESS -- - �� _�_. ____—- PH-_ON
Approved___T_
��
DATE INSTYPE INSPECTION REMARKS PLUMBING DATE
-- ,:U
Contractor
LL P, L
L—L Permit No.
in
Fixture
Filial
HEATING
o,n Ir a ':'
-AJA- No.
2. Gas or Oil
Final SEWER
Final
DRIVEWAY
Final
Storm Drainage
lFlaim Drain)Final
Side-AmIlk
Curb&Street Final
App onch
TEMPORARY CERTIFICATE OCCUPANCY
V� Inal
i-,V01CATE 0CCUPJtN('y
Landscapi,ig
Zoning Final
Building Permit No. y$„
Location _�►�n— -_ -.,�-
Certification of Registration
With the Builders Board
doing business as (dba) , -
_ _ am registered under the provisions
of ORS Chapter- 101 Oregon Elcxnebuilders Law) .
MY Builders Board Registration Number is
My registration is in full force and effect and expires on
C
5-Tgnature
1■1
f 2 3 s is�l
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK h111 REIN INDICATED SUILOEROVIP10fJF�r�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO otl �—
�T No— Z--
J'.VNEtI A? 1y�_� DDFtF_55 '�"'^rte— yf�
ARCHITECT
j- ENGINEER
:iU11_D.:•� � (�_•"11ti.� ADDRESS �S � 1 4�.�
�- DESIGNER
STRUCTURE VVEIN ❑RFMnO E'_ ❑ADOITION _0T;4PAIR ❑RcVEb'/AL DFIREDA.MAGE ❑DE.•,IOLITI
RhSWCAICC OCC►rw L..IEDUCATIONAL ❑GOV'T URELIGICUS UIPATIO ❑CAR PORT ❑GARAGE ❑STORAGE 05LAS ❑FEC,
ycCQPAr:CYLANE)USE ZONE i— OLOG.TYPE FIRE ZONE____ PLAN CHECK BY— HEA
FUER PERMIT 1
:S;;_L _P FLOOt3 a,Q4�� Q hIE1GHT NO.STORIES l �►RE 1 ANO,9F.DRoonls
51JILOING DEPAR TMENT SETBACKS FRONT 2L REAR ?V Jf LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZON
I Y an Check �1 ��' REGULATIONS AND ALL APPLICA81 CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1
NiORK WILL BE DONE IN ACCOivOANGE WITH THE PLANS A. SPECIFI['ATIC SAND IN COrvIPLIA.NCE w
J.:D•t�[dl � fD'�� ALL APPLICABLE COUES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SUSIN
`. ;at+t Tax I LICENSE. SEPARATE PERMITS REOUIREC FCR SEWER. PLUMBING AND HEATING,
Total I _ PUC# —
r
APPLICANT OR AGENT
Appr v Receipt No.
l�S _ i/lnRE55 HON
SOC - $ ,S c� M ) 1 �q sy O�
POC — $ �--'�# /5y , �, � 3 3 q'l --
SEWER CONNECTION
SEWER INSPECTION $ �
SELL rSVkHARGE $ l Zs /49
Comments :
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