12475 SW KATHERINE STREET 12475 SW KATHERINE STREET
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CITY OF TIGARD 'VCj,
OREGON
Owner:. .rl..K«..Faa.ry_...... _......... .. ................ ..........Permit No. 73-13 .
Building Address-.-.12475. SOLI. .a►therfl� 6� r�et .. .
%ertificate is hereby given this... ._.day 19. J3.
that said building may 'R-,e occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
ae approves, by the Tigard City Council.
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„ -..... ..................
Aullding Inspector
f
I lgard
INSPECTION REQUEST
for
r--J A,; A
INSPECTION T*IME :, ,C ^-2 PERMIT NO. -
D A T E. LQ—RZ-71- ')AT F- I S S U E D
)WNERS NAME '
ADDRESS ' -
CON1 RA CTO R
J , ivoter ?f, Ln ' 7
TE S
RESULT )prov0 --i
SKETCH'.
INSPECTOR DATE
ATE ' attach supplementol test .,u+t; iii.reti
Com _.,_____
Clity )f Tigard C1
INSPECTION REQUEST
for
INSPECTION TIME ' PERMIT NO. —
DATEATF I S S U E D
OWNERS NAME ' - c4aae-)�
A 0 D R E S S
C 1)N 1 RA C T ID R
TES I venter '3 a. La r
RESUtT L7 ppru,o
SKETCH:
L-cl
INSPECTOR DATE
E:N,)TE Attach -;upplernentc 'r,
FILE COPY
of Tigard
INSPECTION REQUEST
for
�ti Timms R
INSPECTION TIME. PE.,
. ...� _ M11' NC-
DATE: -,f—Z-
G.
DATE: - 3'7 DATE ISSUED j
OWNERS NAME
C ON T R A r.TOR
EST * Y ter❑ , `J' . r, '_ab-►ct�r .
RESUL.. . ,,p. raved f7 tr,dI
S KETCH. i
GURIO,1G sP d� �iecryc/,
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�Z�
INSPECTOR DATE
TOTE: Attach suppiemental test onto Uer�lta�
City�, f Tigard
d
�
° INSPECTION REQUEST
for
INSPEC'TION TIME : PERMIT NO. .
i DATE: r ' 2 Z-7- .3' DATE ISSUED
+ OWNERS NAME : ____Z� ---- - --
ADDRESS ' ----
i C t N T R A C T U R :_- ------- --- ----
TE S] , , ..:i ',Inter L7 Ln r0
RESULT Npprured , DisrpproveO 1 ,_j
SKETCH:
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INSPECTOR DATE
CJTE: Attach supplemental !est du•f reret]
of Tigard
INSPECTION REQUEST
for
00V
;NSPECTION TIME .
PERM] NC jj
DATE : -e--,'2—'13 3 AT E. i S S U E D
A r)DR E S S MleA/A-e----S- 707
OWNERS
EST ter E) , V' :—il X. '-a b -ratory rJ
RESUL-", _roved C]
SKETCH:
,�, Prowl
INSPECTOR DATE
[NOTE: Attoen supplement0l tOst
Tigard
INSPECTION REQUEST
for
r4bPECTION TIME . PERMIT NIC, '.
DATE : ZL / ' DATE ISSUED
OWNERS iNAME .
ADDRESS: 664
E 9 T ier [J , Vl----uao 7j
RESUL. p. roved appri-ved 0 L]
SKETCH:
INSPECTOR DATE
LNOTE: Miucn surpiementa! test
aw s qw-ALAw s.
City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : PERMIT NO. : -
DATE : -2-AP-/-73- DATE ISSUED:__1___L.
OWNERS NAME .
r
I A D DRESS : -
{ CONTRACTOR
TEST. Air ❑, Waterx, Visual , LaboratoryEl
RESULT. Approved , Disapproved Ll Pending Ll
I
I SKETCH:
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Le� s
INSPECTOR DATE
IrN01'F ' Attach supplemental test data here,]
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f
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :*_ — PERMIT
I DATE : % J& Zia DATE ISSUED-_-_,`__L_
OWNERS NAME : 4.a JC"
I ADDRESS : .. - �5
_---_.__--- _
VEST � r LJ , Water ;J , Nlisi-Gly , La'- .ratorl (-1
I RESULT,' Approved , Disapproved 1 , l'�ndinq :.j
SKETCH:
I
I
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i
NSPECTOR DATE
ItF : Attach supplements! test iota heret]
City of Tigard
INSPECTION REQUEST
f o r
INSPECTION TIME * PERMIT NO. :
E DATE ISSUED :__!�_.
OWNERS NAME : eL0&1
ADDRESS: —
CONTRACTOR
i EST _'j , 'N0ter1J_ , V,'surll I'l , I-aborctory r7j
FiZI-SULT ' Avroved LJ
SKETCH.
('D. 'pu ���7n,
ASPECTOR-- DATE
NOTE Alto r,n sup pie men to I t 0%f d at(I h e r 0 t
Address_ 12475_SS.W. Katherine Street permit No.
permit charge
Owner Connection fee 425
._.- Paid b y
Type of building residence Date connected 7-6-73
Service rate _ 3. 00 !4 per month Inspection fee 25
Contractor D. K. Ferry _ Puid by same date ."
Size of connection 4" Assessment. paid
i
City of Tigard
INSPECTION REQUEST
for
r
INSPECTION TIME : PERMIT N(,). : ,-
DATE . h 3 DATE ISSUED '_1 L +
I
OWNERS NAME
ADDRESS : �?Y_?<.� �u�1 •r� 11L� y
CONTRACTOR
$ T 1 r J , Writer e, Ln
RESULT. Approve dkDisopprover+ _l
I SKETCH .---
C�x. To Cloves �'L� �,,����; i,v r3,i%,*wiwv,,-
I
fNSPECTOR DATE
Ct40TE Attach supplemental test „ ata herato
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sa
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t t
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Illq
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of Pikture No ..��
!e t fee + .,
a T t Issue
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N.
VISIM 1waing POAP `
Re"ipt No. ..R.
8
OrdAaary I.eoatton of Building-ti /2Y" S•ate^ ' '4a
A IL
c Dis tafter
sa rays -�-�-• Y
_ Nage & Address of Owner
CZW
`" e1 ......._
tins. Te
� n ra or
uoma icnsWasher Name Address of Plumbep
o umn s
oUT.ta ne o a
a r�
to Ser-alce ze k
r s SuildinA (Old or New) (Alter, Re a
awnppri Ier SYS em
" ,►imming Pooler
Pprinkler system-
- ibis permit becomes null and void if work or construction authorized is not v
commenced within 60 days, or if construction or work is suspended or abandonet, 7�
for a period of 120 days at any time atter work is commenced.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 IMtA
I hereby certify that I have read and examined this application and know the a
to be true and correct. All provisions of laws and ordinances governing this
of work will be complied with whether specified herein or not, the granting of a
permit does not presume to give authority to violate or cancel the provisions
of any other state or local law regiilating construction or the performance of i
construetion.
Sign.iture of Appl.ican t ,
I
we w +ger wr s w am w
I
I
I
City of Tigard
INSPECTION REQUEST
I
for
INSPECTION TIME: `L PERMIT NO. :.--_—
DATE: i5 DATE ISSUED :--/--L—
OWNERS
SSUED :__l-_OWNERS NAME :
ADDRESS:
CONTRACTOR
TEST : Air O, Water❑ , Visual O , Laboratory ❑
RESULT: Approved`" Disapproved O , Pending
SKETCH: ?44^/ ( C,�
INSPECTOR DATE
[U'rE : Attach supplemental test data heret]
City of Tigard
INSPECTION REQUEST
•r� r
r
INSPECTION TIME* PERMIT NO. :
DATE : L�LZ_-
�LLI-3 DATE I SSUED : s Y/2
OWNERS NAME : _ kj
�? �-��`-- ---
ADDRESS;
C O N T R A C T O R : ------------
TEST : A Water[] , V sual IJ<, 1_aboratory r
RESULT : Ap,,roved '�' , 0iiapproved G Deriding I]
SKETCH:
—�_ M 3
INSPECTOR DATE
NOTE: Attach supplemental test data heret�
1
a' CITY OF TIGARD
114" t w M.k% see"
...wG, WlOON A"iyt
A"PLICATION FOR BUILDING PERMIT
New Construction Demolish � Addition Rc+mndi•1 hove U
ZONING DATE DATE ISSUED_j_-;kj'�_ alllLDING PERMIT
DATE: RECF.IVF.D ►•23-73 BUILDING FEE i III-5Q� � No. u ` .43
-- PLAN CHECK S �
Ely '----__. OTHER = VALUATION $ DAUM
TOTAL S wadi.-.� RECEIPT 410. Poll
TWO ,ETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH A!PLICATION
LOT 01-M5 MAP 1_ iW CENSUS TRACT —W49 �.— JON / - --
Architect or r Engineer ,_,-,.
Address 13" 8.10, Nrt" UV11-
(^iner a X1111XIM D. K• rem
.�. .Phone
nuilder D. K.
Address w __��_ __ Phone _
BUILDING USE Single Res. FLI Multi Res. 11 Comm. n Industrial C
-»_CUPANCY GROUP_ X NO. of Stories--g— Total Ileight_ZQ' w Area of Lot e,M
Type of Construction XUUIMD3= '1311 V Floor Area 8_. _ _ 1� 92 -1,11" _
Set Har_kst Front WO t1a. k 5d' L.Sidei_14'__ R.Side__1jl I.�J
Private Sewer Pipe Site � Sewer uaa_tipr0_ Septic Tank
Water Service Pipe Site____31r Storm Sewer Fl� Ditch [] l)ryw*-ll �
Street and Curb Requirements
Driveway widih _ar{ �._�______„_No. of Park'.rq Spaces a
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHIN,
SPECIAL INFdR"TION
ADDRESS ASSIGNED_____AM
FIELD CHECK HY ,_._r_._ �, --.- ____.. _� __ ._.pJITEGG�•7y7�
pERh12'C APPROVED BY
2
It is understoos *hat all work will conform with applicable crades and ordinances
of the State of ore.,on and the City of Tiqard, Ore;Ion, and that the building wil
not be occupied until a Certificate of Occup cy t►as been issued by the City of
Tigard Buiidinq Inapactor.
g a ure o "Uplurant
a
i
UNIFIED SEWERAGE AGENCY 4! 5
WASHINGTON COUNTY
IfY Of
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER
OWNER'S ADOF*ESS:,.._._._...__.. 1pSMp y, IloaMN ftM Bd.
.r R r f r --..-..—.--....�...
BUILDING; SITE: LOT..___ BIACK _..._...__...__, ADDITION
TAX LOT NO ._ _.� TYPE OF OCCUPANCY .,
ADDRESS 3s�i'S S.M. llatAaruo aw"t
DWELLING UNITS.. _L _....._.___. FIXTURE UNITS ....
SURCHARGE IF A►PLICABLBa._._ .._._.,.
PERMIT FEE .%I,--- INSPECTION FEE 41_.__.— TOTAL DEPOSITED
INEWI (EXISTING) BUILDING SEWER SYSTEM
Tt-im Al)(ilicant agr"4 to comply with off rule-, and regulations of the Unified S"mrop Agency,
i
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWErI SYSTEM
LINE SIZE � INSTALLER
D. K. Arry
RECEIVED BY iI( Qai< aCt'
M fe r U/�tf aateMti
COMMENTS 7 l S1•
This Awhcatson and twrmit eat),res In ninety 1901 dW+ The ammint paid *,if h« lrxfpltnd
should expiration ocew
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