9510 SW MILLEN DRIVE 9510 SW MILLEN DRIVE
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l INSPECTION NOTICE
i City of Tigard Building Department
t 12420 S.W. Main St.
Tigard,Oregon 97223
P'lon : 639-4171
Type of Inspe-tion ----
Date Requested _ — Time A.M. P.M.
Address ���a --fir I I _ / _ Permit #_
fOwner
Builder _-._. ----
The following Building Code deficiencies are required to be corrected:
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Presented to ❑ Approved
Inspector __ .'�� Z Disapproved
Date
CALL 7YE8
REINSPECTION El NO
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BUILD11'-I a PERMIT APPLICATION TIGARD DAi'E_-.__LAY 485"
THE UNDERSIGNED HEREBY APPLIES FOR A PERM I FORTH E WORK HEREIN INDICATED BUILDER PHONE 62U-7416__
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.__
OWNER_ Tom Miller Bldg. JOB ADDRESS 95 J ►w ltillelL. uriyx _..��:cr�yss-s:r,_LLl-
-' ARCHITECT
ENGINEER
BUILDER �'�► ADDRESS DESIGNER __—_—
STRUCTURE _ E kNEW ❑ REMODEL LJ ADDITION LJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE CJ DEMOLITION
EX RESIDENCE CJ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 1-1 PATIO C7 CARPORT C-1 GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE ._Kf!MOBILDG.TYPE -FIRE ZONE---PLAN CHECK BY HEAT
—_ Construct: s tj 4� * t►xraily dweAji a; 1attached
SEWER PERMIT0 2b563 (,argiLy ?+SQ—.--_--_-- _�---_--
OCC.LOAD FLOOR LOAD �!� HEIGHT 2()+— NO STORIFS1 AREA �dti N0.BEDROOMS VALUEU.G(J[a.
— — — ---
BUILDING DEPARTMENT gliT BACKS FRONT I„ HEAR A►rl LEFT SIDE j RIGHT SIDE
Permit 34 3.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 222.1.!5 _ 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 _ `65.9`► RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVIF CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 13.71_
SDC— 4'nju.�iU ;
Total ►)P/.6 t ' t ` It
-- PD 41 150100 APPL W4f bR AGENT
By l:l{ SRI►(,' 250.0f)
A roved C>� Receipt No. nUbRE85 —PHONE -
PP
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pDATE INSP. T PE INSPECTION REMARKS _ PLUMBING DATE
0 / ^ Contractor
�� -- ------ Permit No. _ 011
Rough-in —_
Fixture
Final —
HEATING
Contractor r
1 �
_ i1, ��zz ' i Permit No 7 � (�-�ZO•
ca:or oil_.
� _ �_�4L•L�� --- -- � Rough-in — _.—
Final
SEWER
•Y�— _._.______.—, --- -------_._.�__.—.-- — DRIVEWAY --
_�-- ..___ _ ..--- --. ._ _�r__ .�__ —•-•--__ Final -.-----------
._ _..�....._.._._— — liLor m Ureinage
)Rain L1r.iin)Final
SidaweI I
—` �— Curb b Street Final
Approach
BLDG.DEPT. ;'INAL— 1'Ei1PORARY CEfiTIFICATI- CCCUFAt:CY Fino; -
CERTIMATE OCCUPANCY
�T^ —
Landscroing
-1Z oning Final
I
TIE UNDERSIGNED HcREI3Y APPLIES FUR APE RNIIT FUR I11I- WORK t!L-ItLIN IND ICA ILD IUUILOF-14V IONEe`��`���
GR AS SH0%VN AND APPROVED !N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OV1NEI-^IOjI�
'LOT No 5
OWNEp ARCHITECT f f /J
ENGINEER
nUl�_7.:'� AODf7t_��. r)ESIGNFR _^_
- t--� r ,
iTfiUCTURE -^C�NEW 0RES1r10EL [�Ap
- pITIQN LJREPAIR— ❑R-:-:-4 L
E'-JAL '-IREDAMAGEr-� CJDE'•IOLITI
RE�Lr tCE ❑CORM COEDVCATIONAI [-JGOV-T ❑RELIGICUSOPATIO [.]CARPORT ❑GARAGE ❑STORAGEQsL-,,a E]FEr
C�C�P�t_•�Y_L� 2_' NO USE ZONE��� _OLOG.TYPE_2-N__ FIR:" ZONE=LAN CHECK SYS4"~ HCAT
Y
IL
HUER_ PERMIT
_p _ FLOONHI 'Ire) NOM RI S _ C, NO BEDROOM
BillLQING OEPAR I`PWr SE7 BACKS FRONT REAR LEFT SIM ." RIGHT SIDE
THIS PERMIT IS ISSUED SURjFCT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZON
I r in
Check I REGULATIONS AND ALL APPLICABLE CODES AND .+RdINANCES, AND IT IS HEREBY AGREE THAT
--- -- "�"•�'s-� WORK WILL BE DONE IN ACCORDANCE 1VITH THE PLANS AND SPECIFICATIONS AND IN CGIdPLIF.NCE W
:Y.1:1-Cord) _ �p S 9_' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Ci THIS PEitMIT DOES NOT WA
i— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRSNT CITY BUS7N
";at+! Tax ` &„ LICENSE. SEPARATE PERMITS REQUIRED FCR SEWrR, eLU1A81NC ANO HEATING.
I Tucal I r- SDC —
r PUC#
APOLICANT DR AGENT
Appruv y� Receipt Nu.
C•� A!l!�r7 f 5 SPHONE --
SOC - S G
SEWER CONNECTION $ +-�-_�"' �.• _'
SEWER INSPECTION $ 31L
SELLER SURCHARGE I4
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