12625 SW KATHERINE STREET-1 r ■w s ns wr +w_ M-&=- .
12615 SW KATHERINE STREET
u �
� C .
u� �a
C 0
N "t
N I
L
3 �
City of Tigard
I NSPECTiON REQUEST
for
INSPECTION TIME: L ' P ,,,.,, PERMIT NO. :
DATE: — "? ZRV 7k DATE ISSUED :-- I Z
OWNERS NAME : ykLle ,r. C. ___--
A D D R E S S: /.aG,? �" Kn. .a •.>,,,�
CONTRACTOR :
TEST : Air E]; Woter❑ , V'sual ❑ , LaD�,uto;! CJ
RESULT: Approved Disapproved ❑ Pending p
SKETCH:
,x
r-4— y. .
Ull
n a
IJ
IN �CTOr� DAT!"
COT Attach suuplemental teef data beret!]
as m— r: at laraMALrae �
City of Tigard
INSPECTION REQUEST
for
-O.-7 1
INSPECTION TIME: PERMIT NO. :-
--
DATE' DATE I ED :�
OWNERS NAME :_ ---- I
ADDRESS: , l2/v�� St.��._ �: •_ .�.�
CONTRACTOR : ---
TEST
ONTRACTOR : __-TEST : Air [), Water[] , Visual/Laboratory []
RESULT: Approved X , Disapproved D Pending p I
SKETCH. ,, 34
E
I
'0 X7 7.
INSPECTOR DATE
F-rTE Attach vu..r'pmentro tsaf data hareto�
1
City of Tigard
INSPECTION REQU ES`r
for
INSPECTION TIME: PERMIT NO. :_ !
DATE: DATE. ISSUED :— Z L
OWNERS NAME : itiai> z<s ✓7-.,
ADDRESS: k�4P �LOS1±-'f'
CONTRACTOR :
TEST : Air ❑, Vater[l ; Visual C1 , Lebaratury 0
RESULT: Apprav®d Disai;prwc�6 U , Pending []
SKETCH: 1
I
1171
I�
I
I
I
INSPEC'rw DATE I
[:N01 Aftoch +,:nfomhn+^! p9} r`(IIQ berPta,!
City of Tigar"I
INSPECTION REQ '
for
INSPECTION T I M E P E R.-V T t,
DATE DATE '-SOS D
OWNERS NAME :
ADDRESS :
TF*T* Air D, Yater Visunlx(l La�Prtqfo
A r c rov d f Disapproved 0
SX u Tcm: 4jlj
j }
,��� ' _
-77
INSPV(rTOQ.
Lr�—OTE'. Attimch t"oplemorltO 1*0 40-9
MELMLS
_ .r. _ •wu„M..�wn.s-..,,,K�,,,,,,,MM,,. ...,, ar.„; arww+c�MR+�w+w!,as+t•Yw�;.."wrMy, .ra�'�'ti..�y,,..�.,,.y;.. ,...,..:Y.-w,.,.,yw,uaMw1M'ai�i��b.. y
T °32' 3
carr OF
BUILDING PERMIT APPLICATION TIGARD DATE __-__--, 19-N2 0177_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOOMPA DYING PLANS AND SPECIFICATIONS. OWNER PHONE --_
Citjr!V ui3 L t.. t°ItAL'J,tkUk �:la rDT)AESS 'd I,, a i ald.ttEi '.file BUILDER PHONE
Q'LVNERA --___---
some ENGINEER
ARCHITECT DESIGNER
BUILDER .
STFUCTURE O
NEW -❑REMODEL - ❑ADDITION ❑n.-AIR -❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAI,, ❑SLAB ❑F-ENCE
❑BOND `❑MOVING OCONDITIONAL USE ODES!GN REVIEW ❑COUNCIL APPROVED ❑SIGNS
JCCUPANCY I-AND'JSE ZONE_ -----BLDG.TYPE_ _FIRE ZONE_-_ PLAN CHECK BY.- _ HEAT_._
new single family rusidence to to constructoi9 according
—�— -----._to g e n e nuumittod. AttecMaZI qs' age—Ta b 3 —woud frnrnu.
CO C, LOAD F:008 LOAD QQ lb HEIGHT NO.STORIES AREA VALUt. _-
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR 4H-9 LEFTSIDE�14 RIGHT SIDE
Permit -- -- __- - - -- -_.
”- --� -� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 'THAT THE
-�- -' WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE IS-,UANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICI'VE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
196 State LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
1 otal
BV
APPI II.ANT ()IT AGUNI
Approved Receipt No
nDDAE93 PHONE- _
Is � ww �[ rr � � ■r
GATE INSP. 'TYPE INSPECTION REMARKS PLUMBING DATE
—T DATE
CMn racto-s��
Permit No. t e—
Roux h-in
Fixture ---
----
�/—�'—' Final_--r — — —
/b-�� HEATING
T _ Contractor A �.
7 2.3-- _ T Per_mi, No./,/ NSz"'
Gas or Oil
--- — — --- — — Hough in —
Final _
SENER
Final
—DRIVEWAY
___-- Final
StormDrainage _
(Rain Drain) Final
_ — — --- -- u --_ Sidewalk — -, - i L C S -/5, 1 C
Curb&Street Final _
Approach
BLDG.DEPT, FIV,;i_ _ — TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
1
)
i
5
ADDRESS / tea ,� u � , �� � PERMIT NO.� ' `� 7
PERMIT CHARGE none
OWNER CONNECTION FEE
a
PAID BY __ e,t -Zc aid L•Y�'c
1YPE OF BUILDING ��-a�lLt�«e DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR 1l,v 'J���,� ,�;� PAID BY _ DATE
SI`E OF CONNECTION _____ '� ASSESSMENT �__� PAID ��^
1
L
I
..�6 ,
y� ,
�/
i
I �
�, �.
J.. '
% , Q`
�� / "�
i
�r
�r � h
� � ,3
i.�.
` ` � � r
.� � � ` � _ -
�.. b� 11
1 �`) .
Ya� /���
/���._
f"�'
� �
1 f�o�T M
L..o�- 1 0 �
�'3�.�...�o�a TC
� „
��e
1 16 �J
/+V. /rs.���.:.. K