12705 SW KATHERINE STREET-1 12.705 SW KATHERINE STREET
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CITY OF TIGARD (. r
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I! )wnei-:....A11en..W.... Dr.y.W.........................................Permit No .....Q1.42.... ......
II Building Address.......12•r05. S,.-W.--.Katherine.-U.t�bk+ ..................... ..........
Certificate is hereby givon this........let.ttlay of...A.Pg.us51............... 19....7.5..
that, said building may be occupied and
1 that it e,nnplies witi, al? requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
....................... ..
"u' Building ln%pedor i
cill of Tigard
INSPEGriON REQUEST
f o r
INSPECTION TIMEPERMIT NO. :__
DATE . DATE ISSUED
OWNFRS
ADDRESS * --,
CONTRACTOR '-_
TE'3T . Air 0, wore, 3 Visual 0 Laboratory (3
4
RESULT: Approved
Disapproved Pend�og C)
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INSP CTOR DATE
IN-OTE ' Attach jupplev%arital test data bereic
Ulfy of Tlga
INSPILECTION RP..Q,,,
for
4S. ECT TIME :
DATE
OWNER'S NAME:
TV.'4T:Air U WOor Ci Visual 0 I.c�oirrio
PR' �L'Lr: AP.icvOld 7-;
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City of Tigard �
INSPECTION REQUEST
for
INSPECTION TIME: g16, PERMIT NO. : _
DATE: 2, DATE ISSUED :__.ITL.._
OWNERS NAME :
ADDRESS: /,) �_ ')
CONTRACTOR : !�eezl 1,14?6/R
TEST : Air [I, Water[] Visual Rf, L^_boratory p
RESULT: Approved_q Disapproved ❑ , Pending C]
SKETCH.
�l
NSPECTOR DATE
LOIE: Aotach supplemental telt data 6sret]
I
City of Tigard
INSPECTION REQUEST
B
for
INSPECTION TIME: ,1/0 PERMIT
DATE: DATE ISSUED ' 1_L
/ I
OWNERS NAME : '
ADDRESS:
CONTRACTORTEST *. Air 0, Water , Vieuald, Laboratory Li I
RESULT: Approved oiea proved 17 Pending p
SKETCH:
? �'
INSPECTOR DATE I
N0?
8 : Attach supplemental test data beret] I
'.syr'ltt/'�r,nj>`!'9�="�+r:..,�,.,�,W#,wu}!.....n•-wn:�.w.aMaunwr.,ar;� ,�rr�er •*�
CITY of ^. N° 0142
BUILDING PERMI1 APPLICATION TIG ARD DATE_ _.—_a_, 19
THE UNDERSIGNED HEREBY APP'.IES FOR APERMIT FOR THE WORK HEREIN INDICATE)
r OWNER PHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC�lt�CA���7No. --��—�--
Allen W. Draw 12'tM I.W. Kathrorine 44�»� ti;ty
QWNER ADDRESS BUILDER PHONE _
X b t"orieeette ENGINEER
BILL ka __.-. ARCHITECT DESIGNER
STRUCTURE ONEW C3 REMODEL ❑ADDIIT��IONDREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T I..,IRELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FFNCF.
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPnOVED ❑SIGNS,
OCCUPANCY--_____LAND USE ZONE-_____ BLDG.TYPE_ FIRE ?ONE_ PLAN CHECK BY, '1 lHEAt, _
nnotruction if 1330 3qo ft. f rgms dualling with attached ga rege - -- --
ov ement according to approved plane --
OCC. LOAD FLOOR LOAD— HEIGHT NO.STORIES 1 AREA "�� � VALUE } "w `
BUILDING DEPARTMENT —� SET BACKS FRONT 21) REAR_ LEFT SIDE 1,6 RIGHT SIDE Z�
Permit
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check M REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WIkA BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVI:
— -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO NAVE CURRENT CITY BUSINES'S
I%State 1.74 LICENSE. SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING PND HEATING.
Total glsNxlsa l
By 87.2
APPI (CANT GR AGENT
Approved Receipt No.
ADL1RE55 � 13,4oNE
OAT;_ INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractorf$_yf2l
1 ivU/7/�Cr paa¢�L "�wl i� :/� _ Permit No.
/.�y_1s7eu lln Nol «�Y
Rough in
/S ✓n-t /W(s e� _ Fixture
Final —_
HEAPING-
---- — vt1•T�� .��, _�? --_._ Contractor`moi ixc_
."0 "� _ Permit No.
Gas or Oil-- -- —
_— .-- Rough in ---
____ _ Final
_.�—__ —_�-- _—.--- --- --_ SEWER
— -- — —_�--- — — Hinal
DRIVEWAY
_ _ ----_---- -- — �_ Final_—_—_
Storm Drainage _
(Rein Drain) Final
--- -- ----- -- — -- --- __ ---- Sidewalk i•+. .c/-7- 7S'
Curb &Street Final
__ Ap1-,roach— �a—
BLDG. DEPT. FINAi� TEMPORANY — CERTIFI�:ATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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ADDRESS I;L70, �
PERMIT N O.
PERMIT CHARGE_ --
OWNER CONNF=CT ION FEE
PAID BY
DATE CONNECTED
TYPE OF EJUILUING ���, _ - -- - ----- -
IN5P CTIO FEE
Iy E.�' J I C E RATE _3JM1� � ---- -- ---------
CONTRACTOR -
PAID 8Y DATE
I� ASSt_55MENT _ PAID
SIZE OF CONNECTION - - - -- _---
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