12695 SW KATHERINE STREET x:)695 SW KATHERINE STREET
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PERMIT NU._
PERMIT CHARGE none
CONNECf►ON FEL
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PAID BY 6,j, I---
TYPE
' L'
y� DATE COWS FCTEV
TYPE OF BUiL'.fING ���,, `Qti c ,� _
SERVICE RATE ��/>,,. �.. ---- INSPECTION FEE
CONTRACTOR ��? ,�r PAID BY _ r, DATE
SIZE OF CONNECTION �' __ ASSESSMENT _�� PAID ,____
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Owner:.......1.{erb...MPris.se.t?:e...................................Permit No...... .014............
... {
t Building Address......._..12,695 S.W.. Katherine Street
... .. ................. r /
Certificate is hereby giver this....?4t .Aay of....Q tober
that said building may be occupied and
' that it complies with all :equiremmnts of
the Building Code for the City of Tigard, ,fi;�
as approved by the Tigard City Council.
T ab�i
Building Inspector
I.
M Y
inwa�n u.!A.
igord
I ' SPECTION IMQUEST
for
7 h
DATE: /� '/I ,�` DA 7. Z D',ED
cWINE74's NAME :
CON l RACTOR :
TEST :
-9ndi^ 7 ']
3 ETuN�
IN Eti70R DATE
*5 ; �• ; ; : ^ mental teat dot iareI3n
City of Tigard
INSP'EuriON �� 4. r
for
INO"PECTION TIME'
rO I E '. DATE
'r
CONTNAOTOR
RESULT'
,77
a C r 7111
City of Tigard
uqs,,-7,E(;,n0N REQ(J
for
INO'PECTION TIME' -- PUIMIT 0.
PAI E:•� kU2I7 DATE M!I-".- Z--Z--
A00HESS: 40 1 �—sl
C 0 PJ T N A 0,TO R : 12"(1 12 a m S 52, a
,':�isrcj , v1suai
RESULT* A 0 Ci�, Unsuppravv IJ
Ll
S
77,
FoR 0 AT E
roc.. F,
City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : �'` ' PERMIT NO.:
DATE: .1 / 71 ISSUED:-".
OWNERS NAME
ADDRESS : « --^-Z---
CONTRACTOR :-
TEST'.
ONTRACTOR :_TEST. Air ❑, Water ( Visual), Lcboratory ❑
RESULT: Approved Disapproved ❑ Pending L3
SKETCH:
I
' INSPECTOR DATE
[NOTE . Attach supplemental test data hereto
I
�r�rt�lyMNt.'NWY+.w.a iWawyµr�.w7kwwa••,�,IfA.$t...:�-w'uyea....�*-,ro«,..e.'ern_�r»..Vw--x..u�Av..,,R.y�'AEN'P�I�M[AnwrytlrtPnMal+rfr7°z*n^I*+rw•.nn�M('^�•'.w'#�N
CITY 01111 12-12 2`N° 01. 4 6
BUILDING PERMIT APPLICATION TIGARD DATE.
THE UNDERSIGNED HEREBY APPLIE, FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECkFI.GATION$, OWN ER PHONE —
WNER_._—_ I"wrilasaatt:a: ADDADDRESS1 699 `i.l.;• trstty+lt iraa BUILUEIIPHONE
� — —
ENGINEER
BUILDER — ARCHITECT _ DESIGNER
STRUCTURE rJNEW ❑REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL _❑FIRE DAMAGE ❑DEMOLITION
0RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCF.
❑BOND ❑MOVING OCONDITIONAL US`E ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCGUP,>NCY _LAND ll,;E ZONE BLDG.TYPE FIRE ZONE PLAN CHECK BY __ HEAT__ =�
construct 987 sq. ft frame me dwelling according to —
approved plans M— sttechad garage—no barsement:
-- —---- ---
QCC 1 OAD _FLOOR LOAD 40- lb HEIGHT NO.STORIES AREA 487 VALUE
BUILDIN(3 DEPARTMENT lots
SET BACKS FRONT REAR LEFT SIDE RIGHT SID' �J
Permit ski.all - - __---- -----" —.
z- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check w* REGULATION:' AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
—� WORK WILL Be DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANr)IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
--� RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
1%statc X8$3 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 132.89
By
- -------------- APPLICANT OR AGENT
Approved Receipt No.
—.
A DUNES S —-- --- ---------- PHONE
REMARKS i PLUMBING DATE
DATE INSP. TYPE INSPECTION
Contractor
/A.*(0 y=�avtt_s,cJ L,vl iA.'SJeC n1) 7S
~~ p✓i✓1�/1 /�OnJ I✓���utU ��Oc1I ��Sf ^ Permit No.
j Rough-in
7S ot71,' M.9a7 ode s± Fixture _ --
/aS760.4 r G �'wo rl bl)"te Final
yiA HEATING
n
/`— — —�
Contractor
Permit No.
Gas or Oil
r� (�1�.^ 1? . — Final _ ---
_.�1�_� SEWER
--- — ----- _--«—.__ Final
—.—. ------ DRIVEWAY
— — --- v— Final ��---- _
—i —7 (Rain Drain) Final
Sidewalk ..
;t..r
Curti &Street Final —
_ A roach �,.•' - .
BLDG.DEFT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY ---
�7 Landscaping
to 7 / Zoning Final
i
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