12313 SW KATHERINE STREET �I
12313 SW KATHE).IDLE STREET
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BUiLOING DEPARVAENT, TIGARD N? Pe
;t PLUMBING PERMIT /4� 9 d f
ht;lde, of a valid plumbing contractors lcense is hereby ,
__ '>� ----- �----- plumbing c de of
•7d to h•,- installed in ar.corcl��n e with the �
authoriz% cau_ . plurrhir,a work as ht.reirl nc,t1
Tigd*d. 5' •�h installations require inur�Ctiorl by the City Irir';�etaor v�ho ,h:111 be nn;;led not less than four
(4) hours prior to the time the instsl!a,.iwii are ready for inspection. City of Tigard Business License required ;
for all contra.tors and sub-contrictar`:,. ,
' .1�dres'� --[Z�t 3_.�:w;1<_�i��tl��' •�`�' Dat����l.�._ a f,
��. t.`.I1r3 M TOTAL
tTr.h1S FLIK O.`7 EACH OJtC1UNT
TYPfi OF PERtit17
$loaf@ Famiiy-1 hath e•aah �,----_..._.__.-. _...____..._.__ ,_.,.�15.00__�.___ 1 ______�.___-_.__ --- t f. 1)
_ . �25A!1 _ —_- _ J h�
_'I,ip L--E.]c.� 1 b�:h unit __..__ -_ ._. __—_ ---- — �1 A
10.00--------- - - "' I
%tybilq Hume 7£]C9-@3f.� — _ -_ — .._..-___. 15.00_
I to 50 Fi<;ures -----
r_91 to 100 Fixtures in 1
1 101 to 200 Fixture+ in 1 buildirIzeach_- 2.00_-- -- _-----__---- -�
-- - - -
701 or more Fixtu•3s in 1 building--eacn _._1_50_
1.1ISCELLANEO_U5 --- -- - `-_---
rS.,w!r-each additional_10L It. _------M.. _._M - ---- _ __-_ 10.00_
fWator Service to bui(dirL __Ym �gOQ
( PERP,—'1T p e For Plumbing lnsp?crion
( –o --T Plumbiv� Contractor By
I
Issued By
TOTAL � /, _ RECEIPT NO.
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BUILDING PERMIT t 'PLICATION TIGARD BATE___ !/7` I9.80_ 330e
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOH THE WORK HEREIN !NDICATED BUILDER PHONE 662-2090
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SIPECFICATIONS OWNER P ONE
L.OTNO -v0�Olds .._
OWNER Ur E, ffit3t7 JOBADDRESS 12313 SW Katharine Strec t - -- ijiI-)dmi11
;14Rc�N{T�T
NAIf�1�A"�
BUILDER� ')Ol�t@ ADDRECC1=346 Tuaza Rd, ahsrtjoosESIGNER Judy B elland 98)-9353
STRUCTURE MSIXNEW O REMODEL ❑ ADDITION (7 REPAIR ❑ RENEWAL r7 FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE G COMM I NATIONAL ❑ G0%f'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ rIARAG, ❑ STORAGE ❑ SLABLJ FENCE
OCCUPANCY �! _LAND LZONE !'�. BLDG.TYPE __. —FIREZONE 3 PLANCl-IECK_BY .0uh HEAT 981'
_-- C-nnst:ruct sing.le_fslnil^Ijt�ellinq w/attached garage, 4 budroums�- 2 I_?aths.
UE COPF'ECTI.1011 SHEET A TrI(..I IO. -- ----- —
SEWERPERMITN '. 7 ,it1.C10t�la,;nue 5:32 6U•Pt•
OCC.LOAD FLOOR LOAD HEIGHT �{ NO.STORIES _� ARE4 1.740 NO,BEDROOMS tl VALUEFefJy'b J0►
SFT BACKS FRONT REAR 4� LEFT SIDE - r "
BUILDING DEPARTMENT + RIGHT SIDE �r +
Permit —_4209.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 104, 50 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
Sub-total 313.50 1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO 4AVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUM81NG AND HEATING.
State Tax H r .,j
Total :' ;...
;)L PDC# 10 r n f# APPLICANT OR ADEN
BY ,r
�— Receipt No. — _s
Approved Ow AbD Efi�� PHONE
DATE INSP. TYPE INSPECTIGN RC HARKS PLUMBING DATE
Cvntractor
Permit No.
Rough-in
Fixture
Final
0
/LN- ki � HEATING
Contractor
Permit No. IL?&,—Z
Gai or Oil
Rough-in
Final
SEWER
VRIVE(VAY
Final
Sto,rn Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
DEPT.FINAL TEMPORARY CERTIFICATE oc?fTp,.Fy Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Fine
M Ww
i
01
BUILDING PERMITAPPLICATIO14 TIGAF1 OAT'
THE UNDERSIGNED HEREBY APPLIES FOR A PEPmll FOR THE WORK HEREIN INDICATED BUILDER PHONE c?�a
OR AS SHOWN AND APPR(-,VED IN THE ACC'OMPANYINci PLANS AND SPEC!FI�C.ATIONS. OWNER PHO 'E
10 $011 JOB ADDRESS 12-313 U) _KFI_L
O I<�PLOT NO. Q
ARCHtTEC r 1 A I
BUILDER ..?ow++Q _-_ ADDRESS I23 �,�' Taal . Jp�• D +GNER lay, 8 jp�A.4 qt 1-g3s_3_
STRUCTURE NEW C1 REMODEL ADDITION_ _ ❑ REPAIR (, RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
^RESIDENCE C COMA ❑ EDUCATIONAL ,] GOV'T C RELIGIOUS^❑ PATIO C CAR PORT ❑ GARAGE C STORAGE ❑ SLAP,❑ FENCE
OCCUPANCY g_ ~LAND USE 20NE -_BLDG.TYPE t-0 FIRE ON PLAN PLAN CHECK BY HEAT
SEWER PER tiIIT a JIM
OCC.LOAD FLOOR LOAD HEIGHT qg NO.STORIES 2 AREA OQ NO.BEDROOMS VP.LU-
BUILDING DEPARTMENT
'
SETBACKS FRONT -?t3 REAR EFT SIL-_E_�/�sM•} RIGHTStDE S•/�N'f'
P-irmit ��a THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZO N3
4 p REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT T HE
Plan Check - C)//'X WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COh!PLIANCS
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total S /3 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
"tato Tax
- SDC-
Totat
PDC# APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESSPHONE
5DC - U
PDC -
SEWER '"INNECTF" $
SEWER INSPEC1101
SEWER SURCHARGE 8 �..'
,� Io X29 P14Comments : _._ _.___.
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RUC tom, �... 4
`( ��SC��V 2 IQgO
123(g 9f, CA,\WJimfill
F1'ook �tocrr �0 x 2g 11,20
3.40
?et4a Floor- .40 x /<I- �a
' -40 24-21t—
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