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12490 SW KATHERINE STREET 124SJ SW KATHERINE STREET ( E4 c, kfit 1� a fn r. C7 l� G� L+� GLS M ri7 qr f►r I.�., .y BUILDING PERMIT APPLICATION �"R'13 CITY DtCA T E D r3L)ILE)F' THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN IN, 0vv?4E:R PHC1141 - ..' - OR AS SHO'�.'N AND APPROVED IN THE ACCOMPANYING FLPA.4N AND SPECIFI eTIONS LOT NO--- el L) . ILOCRV,A L ':�r)D F�L MAC) IVION, REPAIR R 51.]PATIO OC AR PORT FSIDENCE OCOMM IN _�qDUSE R M I T. 6 N"" NQ- -C. LQAD F LQ0'9,40f0. 't BACKS REAR ED IN TH! FJU)1 t vrnit "LISJFCT TO THE pEt (,ONTAIN • JI-41S PERMIT I LE ODES A 0 nRDIN'-vCLS AND IT 15 HER�FIN �e-'Rvl i A-Ft'q.ILATInN!; AND ALL APPLICAR I.n Check NE IN ACCORDANCE VVITH 1�-I: PLANS Ahlo SpECIFICATIONS ANO IN COMPL10J' F A'JRK WILL. BE DO THL Issi,JANCE OF THIS pFAMIT DOES Ni. AND ORDINANCL'S CITY ALL APPLICABLE CODES ub total z ANTS, CONTRACTOR SUB CONTF41%C10"S TO HAVE CURRENT IRED FOR �FYYER pi til,o9l NG ANDA 4.1 ING RLS I RICTIVE COVEN St,jw Tax LjCt:�,ISE SLPARA'tE. PE.viMITS REOU t3DC Total nc# ev '4-p6-L-iCAN1 OP AGENT Receipi No Approved SDC PDC CONNECT 5 P E L T 10 N- ---7- SEWER 5URCHARGE Comments : Q1 � NI U -Or----- � F- CA 61) LU [.t ? cr t 00- LLJ W U i— �1� > In F-- Vb � L N 0 Iy _6' �I A x h w.ti a! ro 0 i L) 1 o e 00 I 30 i double I window ' _I i ? 17 n �i t � i ' J 1 rI 1 UJ _.h p r ' „ 1 ! _� a- x p �asol� s W k,� rn I ! V I1u00i4rro�+ t t e�� J An 14 30� j r -- -' dou�bla I w►Mdow � I _J i 7 BUILDING PERMIT APPLICATION TIGARD DATE ' �� ,y_._- `i 3162 THE UNDERSIGNED HEREBY A PPLIES FOR A PERMIT FOR THE WORK IIFREIN INDICATED BUILDER PHONE 6:Cll�-a 8t�E3 OR AS SHOWN AND APPROVED IN THt H;COMPANYING PLANS AND SPECIFICATIONS OWNER PHONE LOT NO. OWNEH °+uemy Brenes JOBADDhESS12490 SU Katherine Street _ ARCHITECT ENGINEER BUILDER ADCAESS DESIGNER STRUCTURE ❑ NEW FI REMODEL LA ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOOTION RESIDENCE ❑ COMM ❑ EDUCATIONAL 11 GOVT ❑ RELIGIOUS El PATIO O CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLABO FENCE OCCUPANCY 2-'3 LAND USE ZONE fi�7 BLDG.TYPE 51N .FIREZONE i _—PLANCHECKLIY _ L9R HEAT_=� Construct bedruum addition to singly family duallinr�. SEE PERMIT # 315'1 (St..1 FOLDEF, F(11-i PLANS) SEWER PERMIT#OCC.LOAD LOAD FLOOR LOAD HEIGHT NO.STORIES 1 AREA 11 U NO.BEDROOMS 1 VALUE $3 f 760• BUILDING DEPARTMENT _ SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 28•00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11IS HEREBY AGREED THAT THE Plan Check .14.00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH1S PERMIT DOES NOT WAIVE Subtotal 42,00 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 13USINFSS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATRIG. State Tax 4'� 1.1�: Total 243.12 SDC - By P 1 PDC# APPLICANT NT OR AOE Approved 11 F3cp low Receipt No. ] t 4DDRES8`--_.--- -- PHONF DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE s^ .� ( �Yl►!1 — --— — -- — Contractor Permit No �G f Rough-in L Fixture_____Final HEATING Contractor Permit No. Gas or Oil -- Rough4n 0 Final SEWER — - - Final -- DRIVEWAY Fins] Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BL1DG3 DEPT.rINAL �TEMPOR.ARY CERTIFICATE OCCUPANCY Final s CERTIFICATE OCCUPANCY Landscaping Zoning Final Y 1 L S' 7 BUILDING PERMIT APPLICATION TIGARD DATE --=`._____ 3155 THE UNDERSIGNED HEREBY APPLIES FON A PERMIT FOR THE WORK HLREIN INDICATED FSUILDER PHONE = � OR AS SHOWN AND.APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICP,TIONS. OWNER PHONE LOT NO. OWNER jjQB y_BC_eCI�. _... JOBADDRESS _IZ49I _-;,ZW !'�haj.j ik3 ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE__ ❑ NEW ❑ REMODEL_ 12 ADDITION_,❑ REPAIR —❑ RENEWAL— U FIRE DAMAGE ❑ DEMOLITION ORESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T El RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE C i STORAGE ❑ SLAB❑ FENCE OCCUPANCY _E_—,3 _LAND USE ZONE _ L'77 BLDG.TYPE E.,P�FIRE ZONE 3 PLAN CHECK BY SIC R HEAT __- Construct addition to single fa!n dwelling. 0 4� SEWER PERMITS OCC.LOAD _ FLOOR LOAD 'HEIGHT __' NO.STORIES 1 _ AREA U'7 NO,BEDROOMS — VALUI62 s 784• BUILDING DEPARTMEN7SET BACKS FRONT _ REAR LEFT SIDE RIGHT SIDE Permit _ t2.4.00 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING REGULATIONS AND ALL AF•PLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 12.00 WORK WILL BE DONE IN ACCORDANCE WITH THE !'LANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE_ CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 36. 00 _ RESTRICTIVE COVENANTS. CON-iRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS — LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATINn. State Tax fi;' . 96 —' SDC— Total 3 J.96 - --_—I ppCS APPLICgNT OR AGENT By _ 1 _ 0C R ----�Receipt No — —_ --- ----- --- I Approved ADDRESS PHONE_ M BUH-UNG PERMIT APPLICATION!'' DATE 'f HE UNDERSIGNED HERESY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED OR AS SHO'v','N AND APPROVLDIN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER LOT NO. vNER JOB ACIORESS Cllii:-T ENGINEER LIESIGNER ILOER RUCTURE 0 NEW R FMODE L -WROITION REPAIR ORENEWAL DIRE DAMAGE.--.13.0, -101 51 rP 1GF C)SLAf 1­ ESiDENCE nGOV'T 014�LIGIOUS F]PATIO EICARPUHT C1,11"AGE 1CCUPANCY0'f-J LANOUSE /GNL�X- -7 .8LDC, TYPE IRE ZONE 3 PLAN C"ECK Pl­ AT -t, PERMIT CQ,.LO-A-D F L 00 R.L QF.Q HEIGHT NO.$(091 _$ AREA. V BOILDINC, D E I'A R W.E'N T E A R .2- 0 LEFr SIDE PIG311,11 SIDE j F;4CNT F1 irmit PE NMI t 1�� ISSUED SUBJECT TO THE REGU(ATIONS CON TAINE 1) IN THF FILM 1,Di' 'i 1, i I.n Check i1r'GULATIOMS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEPF(q*v . (JPFFD T4A H(1 Vol I H r.iRK WILL BE DONE IN ACCORDANCE WITH THF PLANS AND SPECIFICATIONS AND IN COMPL I'Nr M on NUT V,,AI%JF ub total AI.L APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PENMIT LS -,/F CURFIC N 1 0'Y RuSINF5% CJ r.,-.SIRICTIVE COVENANTS CONTRACTOR AND SUR CONIRAC.IORS TO Ht S'd (e T a x . 9 / SEf'AnATE PEHMITS kEOUIRED FOR SFWER, PLLJ',A8]NG AND HEATING Total :3 6, 6 V R-P li-L-1c 4 i;f-0 i Approved Receipt Nu SDC PDC Co CTIO �5 P L T SEWER_XN CO CTIO SEWER 5 P E L T I SEWER SURCHARGE Comments: ---------- .. O,F CIN AC CITY OF T1GARD ✓Y ORHGON Owner:..._ ...Kl.yu................................ . . ....Permito. -74-44. _....- Building Address Certifiente is hereby given this......xthi...day of....9apLrn�er that said building msy be occupied and that it complies with all requirements of the Building Code for the City of Tigar , AIF as approved by the Tigard City Council, nuil nspertor RT sn.•we, w11 :lit y of Tigard INSPECTION REQUEST f 0 r NSPECTION -IME . FERMI F NC. T DATE '. DATE iSSUED OWNERS NAME A r)D R E S S * EST * . - jY, ter[] , RESUL p, raved Sd ' ; ,UPPIT-A 0 3 KETC H .73 INSPECTOR DATE [NOTE.* Attacti suppieme-itol test ujlL Ler- t0 City of i igard INSPECTION REQUEST fr)r �NSPECTION irIME ' PERMIT NO. . . AL�— ')ATE ISSUED OWNERS NAME ' KI-YdO?,— I A D D R E S 5 - /2� I6 47 4el C+1 N I R A C T 0 R RES010- I) d 'I SKETCH: C) rIN P F ��TJ�R DATE EN:OTE: Attach supplemental —rof 1�1 I y f T go rd INSPECTION REQUEST for iNSPECTION TI ME PERMIT NO. . . DATE. UTE ISSUED'-.-.,,-'--.-,- OWNERS NAME ' ADDRESS 46r2-2 N I RA C T 0 R A-1 Tf:S'l -j , RESULT SKETCH: INSPECTOR DATE Ct:40T At t a uh supp I emen.'a I !v-,l i u• :,Pre t-10 City of Tigard INSPECTION REQUEST _ for INSPECTION TIME: PERMIT NO. DATE: Vii'' //V) DATE ISSUED :_ OWNERS NAME : ADDRESS: ' CONTRACTOR : --- ---- __-..- E ST : ,' ., '.Voter[] , v:suai 111 , I_aboratory f=j RESULT : Ap,,roved :)ijapprooad G , oerldioq p SKETCH', SPECTOR DA NOTE : Attach supplemental test data bereto7 I 73 ,1, Yy0 Ar. loll t ✓M++ ��wyy�.roMJ � COY of Tigard INSPECTION REQUEST for INSPECTION TIME : = PERMIT NO. : . I DATE: - --,' Z-7MI' DATE ISSUED* __L—L-- OWNERS NAME : .4 ' �-f ' IADDRESS : / �/L) kj� ,t`` -i�,.A.__ CONTRACTOR ----- • i 1-EST' .3 , Water L-1 , "isi-GI 7 , La' sato►; 171 - f RESULT. Approved El , Disapproved ,( , F -ndmy L� I SKETCH: a,,Y flu T /N s��,tr�o,s., iM ovnv v qLL I �.� .,��� r��•y �ti+e Pc t/^nA I 3 INSPECTORDATE IC07E ; Attach supplemental teat data beret] 1 .. .r .. a .� City of Tigard INSPECTION REQUEST for INSPECTION TIME: _ PERMIT NO. : DATE: _SL1 DATE I SSUEU :-IL_ OWNERS NAME . �Irre ' ADDRESS. 1�4.Y__.__._ *---.._. 7 2—Y— C 0 N T R A C T O R : _.__--_. —. --_ - .------ .--- TEST : Air ❑, Water ❑ , Visual [] , Laboratory L] RESIULT : Approved C; , Disapproved O , Pending SKETCH: -� 'TL& OR k '): INSPECTOR DATE COTE: Attach supplrmental test data hereta City of Tigard INSPECTION REQUEST for INSPECTION TIME' _, � PERMIT NO. :_ `�3.,c:. 4 DATE: r' 25 DATE ISSUED :_'?L/� OWNERS NAME : ADDRESS: --- C 0 N-r R A C TO R __C0N-TRACTOR _, Z —..-- i E ST : r�:r , 'ANater❑ , V:aua, I_aboratary (_j RESULT : /kp,,roved l :�i�uppro�ed G Fendi ig SKETCH. INSPECTOR DATE NOTE Attach supplemental test data heretal Address 1,7Ago S_i.i_ Katherine -- Permit No. 4936 Permit charge Owner pAtar K1vm_ connection fee 425 Paid by Peter Klym Type of building Residence Date connected 5-9-73 w Service rate i-nnTe r mn n t h __ Inspection fee 25 Contractor Peter Klym Paid by same Date Size of connection All Assessment Paid City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE : 7 / ZZ 2 3 DATE ISSUED : i 1 OWNERS NAME : ADDRESS: � - CONTRACTOR EST : Air L , ,Noter%, v: ,uai>k, 1_aboratory f] RESULT: Ap,,roved , :Iiziupprotiad G Pendinq r] SKETCH. INSPECTOR DATE NOTE : Attach supplemental test data hereto] i O.W iJ�r�•r•y,Ftr!�. .. ..a.�.n .g.w�.r�r.•�wr�rynn..�.,r-,...� ...,.o,.w ,. A+.iir PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixt arm Fee Perm:.t No. Permit; fee �_�� Water Claset_ Permit Issi.jed Bath I_'ub•s _ _ _ Approved by Lava-tory-TW +_sh B._� =- r1— - Building Fermi'. �i. Shower __. _—_' ` Recei.p t No. a.in K tchetl Location of Buildtr.g _Aut��ma +;► i -Di —_ .—.__ Lau.ndriiPT_ s_ __-- --- Name ddry�:, i OW1 D,a iris,,F l c o r__ — _. .. �=- �4•-+-- -__��.�.—_ - 11-a:.nJ, Area __ F Dr•a,_r.;,,_RST brat 7r I41 Ra-ti Drams -1Ut7c�matic Washer _ Name & ddrE �,s „t Fountains Or- n in > _ � - 'ountairis� cda Hot Water Tank .g~ _ WatF?r Sere%'- "_iz� Building Cidr__�;� ' Ai. t�r', Re-pair -Basins____-�'ar _ c7 �ns �_._ �a"L Lawn 3 rinkl e r_ >y!;' ___._.— 3w�mming 70 1 _- ------- bt, FT _— —_ __-•------______.�--- — -Z)Er.inkler Sybtem_This p�!rmi t becomes t, ,l 7. and vu-Ld i.f work or constrtinti .n `.h: x ::cmmenced w; thin 60 1-.,v - . -f, if constructir_n or, wozk %-,a� ., nderl at;d^ntd fir a peri cid of 12.0 day; at ;_any time after work 16 c .mment-,-1d. All plumbing firms must be licensed by the City of Tigat,-! and post a $1,000 bond,. I hereby crrtify that I have --ad and examined this appli :ati:;n and kn( w the same to be true and correct. All provisions of laws and ..•rdirtance,3 g•:verning this type of work will. be complied with whether speci.fi.ed h"rei.n r r- ro',t, he granting r)f a permit dt.:es not presume to g-ve authort-ty to viola • r an- e'.1 the provi :;.t ,ns of any r Cher state r local law regulating cons ti uc ti on r the performance f construction. City of Tigard INSPECTION REQUEST for INSPECTION TIME . PERMIT NO. . DATE: /y 7-7 DATE ISSUED:� 3 OWNERS NAME . ;1 J- -- -- ADDRESS : I CONTRACTOR : -____ TEST. Air ❑, Water ❑ ,�Vjsual , Labaratory ❑ RESULT: Approved 0--, Disapproved L] Pending ❑ SKETCH: I I I I I INSPECTOR DATE [OTE : Attach supplemental test data ho-et] 1 CITY OF TIGARD 124" L w, wM !MN 110AaD. 0080M "US APPLICATION FOR BUILDING PERMIT New Construction O I,t,..l�:is Addition 0 Remodel Move ZONING fl.T _ DATE ISSUED h.J.Tt BUILDING PERMIT DATE RECEIVED 4•LO- [BUILDING PEE $ No. W BY PLAN CHECK $ a QT►�Ogp.00 OTHER S 10.00 VALUATION TOTAL $ •110 RECEIPT No. �(rZ TWO SLTS OF P'.ANS AND PIAT P1,ANS MUST BE FURNISHED WITH APPLICATION LOT 1 n MAP 1 UL MAA CENSUS TRACT b-Zy _ JOB Architect or Engineer Deaald kiss _ _ -- --- Address_�__ ____ .Phone_ 58,_„+cA. Owner Peter 1(l. Address Nouta _Phone_/t!t-�-j19/ Builder--- Acid uilder_ _Acidress _ Phone DUILpING USE y Single Ree. l.S! Multi Res. ❑ Comm. 0Industrial ()CCUPANCY GROUP_^ No. of Stories­l­ Total Height-'-- Area of Lot-09p— Type of Construction gUX=X3@2jXXX= V Floor Area B_..— 1__ 2�__.� Set Backs: Front SB w Back�2 _ L.Side }� R.Side-18_ Private Sewer Pipe Size �1^ Sewery &Tj0j&__ Septic Tank 48ter Service Pipe Size­jL4"__ — Storm Sewer l.L Ditch ❑ UryweI Street and Curb Driveway width_ 1A� _ __.._._ No. of Parkinq Spaces _ 2 SEPARATE PL:RMITS RFOUIREU FOR SEWER ASID PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED— _. _-� o4- t. FIELD CHECK BY-- —DATE , WA- PERMIT APPROVED By It is understood that all work will conform with applicable codes an ordinances of the State of Oregon and the City of Tigard, Oreqon, and that the building will not be occupied until a Certificate of occupancy has been issued by the City of Tigard Building Inspector. SiAl gnature cant-- , i UNIFIED SEWERAGE AGENCY NO. 4836 WASHINGTON COUNTY DATE 4-19-73 _ CITY OF J APPLICATION FOR SEWER CONNECTION PERMIT 1 OWNER ..- __ -.-_—_--- Peter Klym OWNER'S ADDRESS: .------Route- 3 Box 113 STREET Cornelius ore®on — --- ------ --- ---- _ ...... --------- -- CITY � if-ATE 21P BUILDING SITE: LOT ,------_ BLOCK _____..___.-_______ ADDITION —__may-__ _ TAX LOT NO. __.____-.__ TYPE OF OCCUPANCY - Residence - ADDRESS _1? S.W. Kstberiae _ DWE!_LING UNITS - FIXTURE UNIT;' SURCHARGE IF APPLICABLE PERMIT FF - _425 _ INSPECTION FEE 25 . .... TOTAL DEPOSITED _—_ 4>o (NEW) j(EXISTING) BUILDING SEWER SYSTEM ZU= Tiord The Applicant .tgr,,vs to comply v,ith all rules and regulations of the Unified Sewerage Agency. APPLICANT -- SEWER PI=RMIT I THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. 41 LINE SIZE -.__ �_ INSTALLER _ Peter >Klym RECEIVED BY 1AGNMY OR ITS nGE COMMS TS' ;1L'cf �f9. rft�3 _ _ .._.._ �'�;+c. hu•!� 1 � J, --- O This Application and permit expires in ninety (90) days. The amount paid will be forfeited Should expiration occur.