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12720 SW KATHERINE STREET-1 MIN '2720 SW KATHERINE KREET I C1 Y U � t • cn N C F+ Ql .0 4) cu ]C cn r. N N N �� 4 � A ■e s i.o 5 I I � , 1 Ln ou I o en to U f a n O Q. p w � u� (� 4%X�tl� 41 `" o, b � 43p 40. .� o 44 tj to c 1 INSPECTION NOTICE City of Tigard Building Departmen, 2420 S.W. Main St. Tigard,0,,,,, 111123 Phone: 639-4171 Type rf 1.1%pection ------- Date Requested lop, -Time A.M. P.M. Address Permit Owner Lot Builder Thi fullowing Building Code deficiencies are required to be corrected: Presetited to Approved It spector Ll Disapproved Date Z12 :;sz CALI, FOR REINSPECTION El YES 1-1 NO INSPECTION NOTICE City of Tigard Building Department J 12420 S.W. Main St. • i igard,Oregon 97223 Phone: 639.4171 Type of Inspection - Date Requested Time 115, _P.M. Aadress Permit Owner_ r/'&Y1 Lot # Builder The following Building Code deficiencies are required to be corrected: _ - "• ti .� 1L f `..,.� �tea..... Presented to Approved —- Inspector ----- ?_� ❑ Disapproved Date 2 CALL FOR REINSPECTION Cl YES ,4� NO INSPECTION NOTICE' City of Tigard Building Department 12420 S.W. Moir St. Tigard,Iregon 97223 Phone: 639-4171 'type of Inspection P --- Data Requested R M—e A. M. PA . Address -3 ' 7 f—, Permit Owner Lot # Builder — The following Building Code deficiencies are required to be corrected: Presented to Approved Inspector' Disapproved Date CALL FOR REINSPECTIOAr I F1 YES ;7 NO (� BUILDING PERMIT APPLICATION TIGARD DA1F '' 53f�3 THE UNDERSIGNED HFREBY APPLIES FOR A PERMIT FOR THE 1^JORIt HEREIN INDICAI ED BUILDER PHONE 64-0-4769 OR AS SHOWN AND APPROVED IN I HE ACCOMPANYING PLAN'' AND SPECIF'ICA(IONS, OWNER PHONE LOT NO.__--jl,', OWNER Jefft,:arrQn JOB ADDRESS I2J�+.• 5W ECxtlldl�3.irG Sta Sherwood ARCHITECT ENG114EER BUILDER .Jacobs Construction ADDRESS Rt. '4 Box 394 J DESIGNER STRUCTURE _ ❑ NEW 1-1 REMODEL R ADDITION ❑_REPAIR _U RENEWAL ❑ FIRE DAMAUE ❑ DEMULITION 112 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO L] CARPORT ❑ GARAGE ❑ STORAGE 17 SLABEI FENCE OCCUPANCY �1t�•3 _LAND USE ZONE *+t1._BLDG.TYPE FIRr ZONE-- ----PLAN CHECK BY HEAT--.-. Constrisct Mid Story addition to oxil,sti"', mingle fancily dwelling. SEWER PERMI'l- OCC.LOAD _ FLOOR LOAD 4U HEIGHT NO. DRIES I — AREA _686 NO,BEDROOMS VALUE _ BUII DING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE _ Parml; 92+S(? THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 6rJ.j'; 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 COMPLIANCEWITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOTWAIVE Sub-total 157.63 _r RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 3.70 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Total 156.33 SDC— ���—- - BY C:L PDG# APPLICANT OR AGENT _ Receipt N�, Approved 1�Gfi A p - - PNnNF •— ,� Iy/ DATE INSP. TY DE INSPECTION REMARKS PLUMBING DATE COnTiaclOf MIPermit N A: Rough-In 4A ,allx Fin' r H G Con tractor Permit Ivu, C�, --A4L�.ft Gas n,Oil Rutigh in Final 9rWER Final DRIVEWAY Final Storm Drainage Min Drain)Final Sidownlk----- Curb&Street Final Ap-roach. 8L00.0 WA -iEiWP6WARY El4TIFICAT LIP NCY CE?TTUL: IFICATE OCCUPANCY C4 Landscaping Zonion Final I '3 i -- 14 BUILDING PERMIT APPLICATION TIGARD DATE__-- 1 THF.UNDERS'GNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE DR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NR PHONE &VULWAd—ff JOB ADDRESS t7 —�-- �yut'041 6 ARCHITECT ENGINEER 7 DESIGNER BUILDER c � ��/ice i1�AQRES� — STRUCTURE ❑_NEW ❑`REMOOEI. 0 ADDITION ❑ REPAIR O RENEWAL O FIRE DAMAGE E] OE�AOLI1 RESIDENCE ❑ COMM ❑ EptIC/ITIONAI ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT CZ GARAGE G STORAGE 0 SLA80 FEI �! FIRE ZONE PLAN CHECK BY HEAT•-------- _ OCCUPANCY __LAND USE ZONE ` ' BLOC.TYPE ,— _ — ---- SEWER PERMIT It ""7' NOBEDR OCC.LOAD FLC"JR LOAD HEIGHT NO.STORIES AREAS_ . MS � VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SInE RIGHT SIDE Pormlt L THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS GULAONS CONTAINED IN THE BUILDING CODE.ZOd REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED TEAT Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPU4 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT W Sub-lolal -- LRESTRICTIVS COVENANTS.ICENSE.SEPARATE PERMITS REOI CONTRACTOR URR£!tT CITY BUSIN RED FOR SEWER,PLUfAqltAG AND HEATING. SIaU Tax SDG— Total APPIJCANT OR AGENT —,-- By ----- lecolpt No. AOORES5 f NONE App"e4 SOC SEWER CONNECTION 8 - SEWER INSPECTION $ - SEWER SURCHARGE 5 �,_-- BUILDING RECEIPT NAME: r n ` _ DATE: _ ACCT DESCRIPTION AMOUNT 10-432 Buildyng Permit Fees 10--431-600 Plumbing Permit Fees 10--431-601 Mechanical Permit Fees 10-230--501 State Building Tax S 13, '��'' 10-431 Plars Check Fee $ 30-443 Sewer Conncction (20X) $ 30-202 Sewer Connection (AD%) $ 30--444 Sewer Inspection S 51-448 Street System De%#. Charge (S')C) 52-449-610 Parks I System Dc-,v. Charge (PDC) $ _ 52-449-620 Parks .iI Systlsm Dew. Charge (PDC) $ 31--450 Starm Ori inage Systcm Dew. Chrg (SSOC) $ 10-230-505 TRFO (95X) $ - 10---478 TRFD (5%) $ 10-230-506 Washington County Fire N1 (95X) S lu --478 Washington County Fire 01 (5%) $ 10-220 Amart/Wedgewood S — TOTAL Sz `'LL (bs/1214P) Y' BUILDING DEPARTMENT, TIGARD N? 2898 PLUMBING PERMIT <, _ holder of a valid plumbing contractors license is hereby authorized t cause plumbing work as ,�ein noted to be installed in ar.ordance with the plumbing code of Tigard. Such installations requiress than four e ins con by reed City or Inspector who hCity of Tigard Beusinessnnt l License required (4j hours prior to the time the installations are y actors and sub-contractors. fob _ for all contractors _ h�zr Y. AddreS81 s ) ;�.l r 'i.t' �i ;.. gate Owner a - �' NUMBER OF TOTAL AE F�5 IT ITEMS FEF. ON EACH AMOUNT 2 .00 Si Is Famll -1 beth-each - /25. -- Duplex-Each 1 beth unit _ - 10 additional bethr0oms-each Mobile Home Specs-each _ INDIVIDUAL FIX_TUREB .COmMERCIA - _ _ I to 50 Fixtures in 1 building _ 51 to 100 Fixtures in 1 building_each 101 to 200 Fixtures in 1 bW1(r1R --each , 1,50 201 or more Fixtures in i builder-each MISCELLANEOUS - - -� - 10.00 - — 5ewer_ eoch edditlonal ICU its, -- 5.00 - — Water Sorvice to building - -- - �— . Other S ecir L PERMIT_ ��L�� For Plurnhing inspection Phone 639-1171 State Plurnhing Contractor By RECEIPT VO. Issued By TOTAL - ^� w w tt■i w w BUILDING DEPARTMENT, TIGARD PLUMBING r EFih11'I �� _ QCXnM*' A n—A-1-r,44 Cn _ ___, holder of a valid plumbing contractors license is hereby authorized to cause plumbing as herein noted to be installed in accordance with the plumbing rode of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. Job Owner_.µ. , "aim _ Address 20-In ZAU Datc�L0 NUMBER OF TOTAL TYPE OF PERMIT ITEMS BEI: ON FAC" AMOUNT I _n111pLV _Sin la Family-1 bath—each _ 25,00 Duplex—Ench 1 bath unit 2_5.00 Additional bathrooms--each —�_ — 10.00 Mobile Nome Space—each r 15,00 INDIVIDUAL FIXTURES C[l(�f�lEf�CiFll _ . 1 to 50 Fixtures In 1 buildino—each 3.00 51 to 100 Fixtures In 1 building—each 101 to 200 Fixtures in 1 bu11di2 —each _ _ 2.00 201 or more Fixtures In 1 building—each 1.50 MISCELLANEOUS Sevier—each additional 100 ft, _ 10.00_ Water Service to building 5.00 Other S eeif 1 23 PERMIT / ,0,0 C7 for Plumbing Inspection Phone 639-4171 + A o tate //0 Plumbing Contractor Py �1 ' I Q7Al. /C�, .__. �C RECEIPT NO. ISM, l tiv I of i_ilgcrd a j ZZPECTI ON REQUEST / y Fa r i ---_ 'SIT DATE: A''- 0.47E ,SS::£D CW,NFr:S NAME :�f ati;i:RESS: /,,tT-k-PC CON"RACTOR TEST : Ai- Li IRESULT: Apl�,-,-vqd Pen di- S KzT�N; INC, C"r0R DATE test dot(. 1 i I City of Tigard INSPECTION REQUEST t r, for IINSPECTION TIME : �� � s �'`�" PERMIT NO.' — DATE: .�/--'�� '� DATE ISSUED:--j OWNERS NAME : —IskG4c - CZ r c Zn ADDRESS : �:�. Fs '_.�' ► DONTRACTOR : TEST: Air u, Nater [i , visual _aboratory RESULT. Appr^vad, , :)'.a:ipproved ' Penjing I SXET,.H: I I 1 I t 17 y 1 1 SPE CTO DATE ICNOTE: Attach evpplemental toe' data here'1 „ x wu ,. ro ,..,o�,wa.,.,..n....r1t.a.,,,.w,,„,rw,.,� w,wo...,1�►r,.pl�x,.+a�v+�s.w,p• .: .,•o.,,,� CITY 0' 7 N2 0353BUILDING PERMIT APPLICATION TIGARDDATE — t9 THE � UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN 1 HE ACCOMPANYING PLANS AND SPECIFICAT,ONS. OWNER PHONE — owNER .1OADDRESS LU* 1272'0 3,,w. jt IM t ” rttxl ADDRESS AUILDER PHONE _ ENGINEER BUILDER —__ _�— ARCHIT€CT DESIGNER STRUCTURE ANEW ❑REMODEL — ❑ADDITION OREPAIR ❑RENEWAAL ❑FI��^^JR--��EDAMAGE ❑_DEMOLI'T';)N u RESIDENCE: ❑COMM ❑EDUCATIONAL ❑ ❑ GOV'T RELIGIOUSQPATIO OCAR PORT 0GARAGE LSTORAGE EISLAB FENCE ❑BOND CI MOVING —]CONDITIONAL USE ❑DESIGN REVIEW OCOUNCIL APPROVED L1sIGr•s ' .S�CCUPANCY LAND USE ZONE L3-.--,—BLDG.TYFE FIfiE ZONE PLAN CHECK BY HEAT " d, construct; 1240 aq. ft. 1-a story dw all.ing With attached garage 40,111 --- 1,gee+w nt - according t,) a .1praVed planta --- w� bedroues 2CC—LO O f _FLOOR LOAD 40 lb _HEIGHT �NO,STORIES 11._ AREA _ VALUE DEP BUILDINGARTMENr 79 _._ _. —. SET BACKS FRONT REAR LEFT SIDE RIGHTSIDE Permit 133.(j0 —` THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Cneck 1 1050 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ` WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANE,SPECIFICATIONS AND 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 CURRENT CITU BUSINESS 1%State 1.33 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total Byr III, '1 -- --"- APPL.IC.ANT 017 AGE.tJI Approved Receipt No. --- " ADDRESS PHONE 1 E IgS� �pQ1 {t IpI E y} t 1 I i t if 4 DAME INSP. TYPE INSPECTION REMARKS PLUMBING DATE L1",i'�� !-�•- -t L. Contract Permit No. L�I'��'�<=t�•�f�� �? --72d Rough-in - _ Cad Q- �C �Q� <�'t' - �,z.�4 Fixture Final HEATING Contractor 3 S 7 Y y Permit No. — G 7, Gas_ Gas or nil TO&*L/i3 _ Rou h•i n _ — Final SEWER OK. QL-1 Final DRIVEWAY/n-i(o•7- Final Storm Drainage (Rain Drain) Final Sidewalk /0,1b•7 S _ Curb&Street Final A roach 10-1 b L - BLDG.DEPT, FINAL — TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY — — Landscaping Zoning Final R i> ;S iI i' �3 c I Al"ORESS 2- 7;z, 26-) .11 r NO. PERMIT CHARGE none OUNER �W____ COHNEITION FEE lfz sl— PAID BY OF ouii-oitir. DATE C 0 14 N'�c T F 0 St-11VICE RATEFEE CONTRACTOR PAJO BY 0.11-E611 4— SIZE OF COINNF.CrION A!33FSSMENT PAID C., 1 i 001 r: 'J O c'• h tr. /J _J f� � ✓ u 6 � a 7 s T � s 00 lo � a � +� w ww w rw /�� ' J 0 �'/ =Q �, �" �.� � o � .^ �, � 9ory � � �� � I � 0 m � y� a �� 0 a _ _--- _.- ---%�o � ----- --- --_.._.______----- ---- -- -- �