12610 SW KATHERINE STREET 12610 SW KATHERINE STREET
n�
m
H
U7 lj�
C
H
L �'l
Y
• � o
3
• '� rl
N t
o � 0
N
1
�- i4 h f � f !1 R f ,� r�� �h r• y,r •
st'� � .� r+�fi ;wllp%� ' '� ,ti ,1� �t,�• �k',:.; ��y �p+ �t' °,r"�„ •`,� �b L !/
,,, a •Y�;���;',�� - �t,'b ,u!rliin,�'�'fHiw ;'sa�,E;� '�n�► �en'�`'�;',aor� ��� �a'���i� ,� y�
to
44 4.0
IZZ Ind r:
d� cl
O °Q'
� T � ff II •� �_r, O� H N (Uj U ��j � IP���
Q v N O I V l
M p N
.O
�€ e N q ^C 0)
41 so
T l4
M I
in Ntj
VIT
hr, <,�, MIF,; i'•-`�`' .+ � '' IIIA t t�;�,�'If fAP. ,IM!, nA9'; �P` ��
�yh .'Ira N-7—A,
_h.+o .n��f•a '" ,ad' "1 A �' 'k �.+' �• :. � hi. „•.w� .c.' """"'"/\��rr ` T a..w'
INSPECTION NO iiCE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Prone: 639-4171
Type Inspection
C,to Requested % E3 Time A.M. P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Di to
CALL FOR REINSPECTION
YES It, NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 4t A.M. P.M.
Address 7-1- ae,Pe"mit
Owner Lot 4
Builder
Tti 1,Nllovv*.ng Building Code deficiencies are required to be corrected:
a 4:2
c�
>1
Presented to Approved
El Disapproved
Inspector
Date
CALL FOR REINSPECTION
El YES ZNO
BUII_DI, ,(;I r) IIMIT APPLICATION TIGARD DATE _ 19_
THE.UNUERSIGAED ,EREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATI O [3Ui;_DER FHU'4E
OR AS SHOWN VX APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNI-R PHONE
OWNER off" �'�ff t. JORADDRESS1,n'I" I1) SW 1{athe,,.Eire '!tr?et --
ARCHITECT
ENGINEER
BVILDER f3�T:k ADDRESS _ _ `� ["� `- ---DESIGNER F�olx'rt 1.). F;aer
STRUCTURE ❑ NEW ❑ REMODEL LA ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
U'RESIDENCE LI COMM 17 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO L) CARPORT Cl GARAGE ❑_ 1TORAGE ❑ SLAB❑ FENCE
OCCUPANCY -2-1 LAND USE ZONE _Li-_L BLDG.TYPE --5li--FIRE ZONE -- PLAN CHECK BY -SLY-h HEAT
o,, ^tnict. ?., �st�ry y� dcli t.i�n (frRinily resc:r�, dining tt7�1'c�>'ryrt�t9,� l�c�drooy, &[ )atl--," I .
-i.1y c14�f ��� � �.� /14YtJ I:'�rI'T(�'1 <::f L'T i' AC IF !. 1 [le(I11 co
SEWER PERMIT M
OCC.LOAD FLOOR LOAD t(1 _HEIGHT 21 NO.STORIE_S '? AREA �A r NO.BEDROOMS_ 1 VALUI= ,
BUILDING DEPARTM(-.NT ^ SETBACKS FRONT -- REAR 1.` LEcT SIDE 1(, RIGHT SIDE
Permit 1 4 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED F4 THE BUILDING CODE, ZONING
T REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, \ND IT S HEREBY AGREED THAT THE
Plan Check •�'�l WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF TH .S PERMIT DOES NOT WAIVE
Sub-total _ r�? 5rr RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HA IL CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEAT NG.
State Tax
SDC
Total 4,?.F,
APPI.ICANT OR AGENT
BY s-1
rnieGa �ll-
I , Reoelpt No
proved ADDRESS H�"`'" ADDRESS HO .
DATE INSP. TYPE IN!,PECTION REMARKS PLUMBING DATE
Contractor
Permit No. ijGb 7•q()
Rough-in
Fixture
Final
HEATING
__k Contractor Owm Qy—
Permit No. 7.7,86 /Z 4v
Gas or Oil
Rough-n
Final
SEWER
Final
::DRIVEWAY
[F:I:n.1
Storm Drainer
(fto gain)Final
Sirlawalk
'Curb&Street Final
Approach
6C6x _DvPT.FINAL TEMPORARY CERTIFICATE. OCCUPANCY
CET?TtncA`rEOCCUPAN(-Y Final
Ldfidscap7ng
Zoning Final
..........
- .. a.
7.
BUILDING PERMIT APPLICATION TIGAH�
THE UNrERSIGNED FIFREBY APPLIES FOr-I A PERMIT FOR T!,E VlORK HEREIN INDICATEDO. BUILDER PHONED
AOR AS SHObVN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER,PHOtiE
O IIINE '•l M_ 006k JOB ADDRESS ��iZ�j l C� �J'KJ IW
L-0- � 2- 74 • LCT`:O. IV.Z- 11 luo- -
ARCHITECT
E14GINEER p-�1T Qer.
B�_1II_CrN Q s�'P� ADDRESS hM DESIGNER-
��DD TT YY
STRUI'TURE _0 NEW 0 REMODEL � 1�ADDITION El REPAIR - ❑ RENEWAL —❑ FIRE DAMAGE ❑ DEMIOLI 110
RESIDENCE C COM!4 ❑ EDUCATIONAL ❑ GOV ❑ RELIGiOtJS G PATIO ❑ CARPORT ❑ GARAGE G STUB GE ❑ SLAS❑ FENC
Cti•�',vPANCY LANDusE7oNE ^BLCG.tYPE uFIRE ZONE-��'� PLANCHECKBY -HEATTq:—
-- - -- -
Cox A
roe
40
SF14ER PERMIT A_
OCC.LOAC_ FLOOR LOAD �`'�'� HEIGHT �i NO.STORIES �r AREA Q NO.BEDROOMS L VALLI 660
SUILDING DEPARTMENT SET BACKS N=BONY � REAR �,� LEFT SIDE�•
_ ,(0 RIGHTSIDE
P^rmlt f THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUiLDI\G CODc'.,70n:N-
_ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ACIPEED TPAT Th;
Plan Chert • , V ,WORK WILL HE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CQicPLIANC
1 -- - l WITH ALL APPLICADLE CGDES AND ORDINANCES. THF ISSUANCE OF THIS PERI"IT DOES NOT WAIV
gut,teT�I _ 2.� •�D_ f RESTRICTIVE COVENANTS. CONTRACTOR AND SU3 CONYRACTORS TO HAVE CURT ENT Cit f BUSIN ES
LICENSE.SEPARATE PEH;tiiITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Sate Tax _— v 0
SDC•-
Total • _ Q�61SO!_ ---- PDCiI APPUCAN70RAGENT
By
Receipt No.
Approved ADDRESS -._ _ - - -- ---- PHONE _
SEWER CONNECTION
,;EIJER INSPECTION
`EWEp SURCHARGE S
�rnnnn�C' \\od• 'I.4 .,g/ \ Y �w• �I� (l�� •8/ ��J� •A G�7�Ij,(.�H�/.------
"OP (6104. 24o.00b
� air car aw �wr w� a� as
�t�+ ���rs.�•�. ,�� Nev. list
z Lo`E !vz , f3e�wowQ TL
Anw
Iddk �loo,r- �C x I c. 44
AV
42 .f. 10 1401&7
��►t�o4+ �. .2Gv x 1 G� ICS .�3.sc' Q 7 no _
24 P#3
�o r �s
D.IT] 3.47E `3314ED
LW�Er S
NA7"7" �1F�iLt SSS 7lt'
4-cuss:
� l D � Lam. ,�(-P� l�„�/ra•'�
C0N7RA07 R
TEST : �i- �, �':`�-� , `1i3.:c; . �-�•�r
"CET"H.
j
I
a k � I
�i. .,./. 7.3
1
t
I
./ INSPECTOR DATE
`N'JtS: 1•t��• t:o !�ntntal tett data hereto]
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : k5A. " PERMIT NO.:
DATE: -11,5) 7S DATE I S D:- -L_j
OWNERS NAME : - 4A1 _.�.5
' ADDRESS : _1 w"�e Yr ) _
CONTRACTOR :-.-- -.7I,.:le=S
TEST: Air ❑, Water (j , Visual)!(, Louaraiory ❑
RESULT: Approved )( Disapproved O Pending 0
i
i
I
I
I
I INSPECTOR MATE
IEN07E: Attach sup dementO feet data hereto
1
City of Tigard
INSFIECTiON REQ(.jE,.!,) T
Or
IN'S'PECTION TIME ' — l—/k-2E,404UMAlT NO.
OWN FT;,15 N A M E : —
A U 0 R E 3 8: Z
CONTRACTOR
TF ," W*ier ri , VISUG!
RESULT nr.. Oise pproved Li
S K%:00,
I ki!:e�E r"IM R WITE
i
City of T lyal-U
INSPECTION
_ for
INSPECTION 'riME :
i C)ATE: ---3. DATi E
i
OWNERS NAME .
ADDRESS : �� _._ w .. ._.
C00TRACTOR :_
i TE-43T:Air[3, Wa'arX, Visullp', i_abArritf
PEWLT. Aperovcd,< , Disapproved [I
I �
INSPECTOR
�NOTF At tech v1pp!ainou,tc,I , ia4t do:v h.-
...,.. , _ - ....x -:.,...:ton va...mwren 9n9rly+.a-eY�,zwp-. �*m-, .., �..✓....,.c�'7A4MAGYv'�'trwarr»--'r1r�w' s�S7�p�i'7f+1!RS,.ry'q"wwre-.. �a.;,'irypr.wl�+ro+w+nr^+Me.
G, err- r 0 Z.. CITYY O' Q
BUILDING PERMIT APPLICATION i IGARD DATE ____., 19--N2_
179
THE UNDERSIGNED 4EREBY APPLIES FOR APERMIT FOR THE WOPK HEREIN INDICATED
OR AS SHOWN ANL' APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEF PHONE
OWNER IiRroort E• Mori***tt* ADDRESS 1WD.II► __�._BUILDER P,iONE _
ENGINEER
BUILDER �rrthakms ARCHITECQT _— DESIGNER
STRUCTURE ONEW 0 REMODEL. D_ADDITION CO REPAIR ORP:tWAL ^^
� —I,]FIRE DAMAGE ❑DEMOLITION
C3 RESIDENCE [:]COMM- C,EDUCATIONAL OGOV'T ❑RELIGIOUSOPATIO ❑CAR PORT ❑GARAGE. OSTORAGEOSLAB CJFENCE
�OBOND CJ MOVING OCONDITIONAL USE —ODESIGN REVIEW
OCOUNCIL APPHO_ED USIGNS_
QCCUPANCY _ LAND USE ZONE __ BLDG.TYPE_ M
') FIRE ZONE_ PLAN CHECK BY —_ HEAT__
single Family residence to be oonstr'ucrtari v,(;;rrdinq to
-- — r r
OCC. LOAD ,I FLOOR LOAD 40 it) HEIGHT —NO.STORIES AREA VALUE
BUILDING DEPARTMENT SE-F BACKS FRONT _ifREAR Lj LEFT SIDE ] Y, RIGHT SIDE
PermitTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF ii liti.D P:a CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY A(;REED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PIANS AND SPECIFICATICNS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE Cf)VCS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
----'—'— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRFNT CITY BUSINESS
1%State LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
Y
APPLIC4N1OR AC±FNt
Approved Receipt No.
ADDRESS ri" rvr
a o� ew to � I�w sir t�
I
I
_ DATE INSP. TYPE INSPECTION e REMARKS PLUMBING DATE
Con trac 1h,,_., —
t A)G 204K. L4 7 OWf2, Ne Permit No. 007 '/-/7 Y
VLa,."I Ste? Mnnr,S Rou2h-in
;- 7
Fixture Final7 � HEATING
Contracto7X/_A,.<'7 Permit No.
/0 7� ia�iL O�s�yc�„�y7y - �At Gci1 Gas or Oil
� S �*/dtifyctf- 7-,g _43,-, fIa5,� zv Rough-in
Final
_ .— __ - -- ------ -----SEWER � 4,,:: 6-7,y
---- - - _ Final
- DRIVEWAY L f S-1- 7j'
Final
Storm Drainage
(Rain Drain) Final
Sidewalk —429 CIL,
Curb&Street Final
Approach _
BLDG.DEPT, FINAL- TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
-,t/ Landscaping
Zoning F'nal
f
I
� I
PERMIT
A U D IZ E 5 S _T•,.�l�%,�,_,.-��_:r.�_. ' s.i�. �.�.--_- ',i
PERMIT CHARGE none
CONNECTION FEE -
C'tJ N E R
PAID 8Y
TYPE OF' HUILOING DATE CONNECTED --•-
2C � ..5 �i
n INSPECTION FEE _,
SERVICE RATE �---
' I PATE
PAID B Y
CONTRACTOR ,.d.4�.1,�.-, Q ..._-_-- ._- -_------___ --
SIZE OF CONNECTION
ASSESSMENT PAID ---------.-
�F
kr
i
ZAP
i
r•
I 1
I 1
s
I
I
i
r
\ I
u
1_oT O2_
Iti
t Zv'