12730 SW KATHERINE STREET SW KATHERINE STREET
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(Jt;nei':... erbert florissette 0118
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Building Address..............12730 S. U. Katherine Streef
............... ................... ..... ............. .............
Certificate is hereby given this October
day of... .................. ........., 19... 75..
that said huilding may be occupied and
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that i+ coplies with all requirements o
the Building Code for the City of Tigard, ii
m •.s .inproved by the Tigard City Council.
_ ����a��• .....��
Building Inspector `
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: n.-,.. PERMIT NO. .
DATE: 1 :ZS- DATE ISSUED :--"
OWNERS NAME : Ir",z,sca7li _.,�_
CONTRACTOR : -__---
TEST ' Air ❑, Water ❑ , Visual ❑ , Laboratory ❑
RESULT: Approved , Disapproved ❑ , Pending C1
SKETCH.
INSPECTOR DATE
NOTE: Attach supplemental tett data �iereta]
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: M — PERMIT NO, :_ I
DATE: 7 12 ,17SATE ISSUED : ✓' /
OWNERS NAME : _ Motiss f---
ADDRESS: c�� �1�� r �
CONTRACTOR : _____.�L.z� _ ll_ t.� e4s2�_._r�--
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TEST .* Air p, Water[] , Visual,, t_aboratory ❑
RESULT. Approved Disapproved El , Pending ❑
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I SPEC"e OR DATE
EOTE: Attach supplemental test data beret(] I
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City of Ti lard
I
INSPECTION REQUEST
I
for
INSPECTION TIME r PERMIT NO. :_
DATE: -t '-' DATE ISSUED :__1__L_
OWN ERS NAME '
ADDRESS:
CONTRACTOR
TEST : Air El, Water[] , Visuale, Laboratory ❑ I
RESULT: Approved ? , r'!iapproveo' O , Pending ❑ f
SKETCH: "'
INSPECTOR DATE
CO1Q: Attach SUPPIsmsntal test data "rota I
ADDRESS . ," ,Q � '� cLe PE RMI T NO.
PERMIT CHARGE none
OWNER _ CONNECTION FEE
PAID By
a�
TYPE OF BUILDING �:Z LQ,csu.�. DA7r CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR �.� 4�/.Q�f�Jr,- PAID BY DATE
SIZE u CONNECTION �" ASSESSMENT PAID
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City of Tigard
i
INSPECTION REOUEST
� fo _
C 44
IINSPECTION TIME . �a _ ERMIT NO.:
DATE: DATE "SSUED:_._.1—L.
OWNERS NAME . _1f �_'L ,ASFf.
I ADDRESS : r `L_ �
I CONTRACTOR : —
` TEST. Air ❑, Water Visual*, Laboratory C]RESULT: Approved Disapproved ❑ , Pending ❑
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SKETCH:
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INSPECTOR DATE I
COTE : Attach supplomentul toot data ho►et:01
CITY OP
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED N PrONE..
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, I�yRjt ---
oi�riavrt f".« 9ti�itl Af9l.tWe� 73U 1.1.1J.
�_NER ADDRESS BUILDER PHONE
ENGINEER
allLLDER ARCHIT L-- DESIGNER_
STRUCTURE ❑NFW ❑REMODEL ❑_ADDITION 0REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE.0SLAB ❑FENCE
❑BOND �CIMOVING _ ❑CONDITIONAL USE ODESIGN REVIEW OCOUNCIL APPROVED ❑SIGNS
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A
OCCUPANCY..L>ND USE ZONE— BLDG.TYPE _FIRE ZONE PLAN CHECK BY-_-- HEAT-=—
w airty�l� Family c�'�F< �a �Ic& t. bU Gi, [)Stl,'UL .,. ; m-CUrd '19 tO PlAf-10
jbmit! J.
-- - Attached Giaregnr-No aaaseinvrrit - good Frf4ne
OCC. LOAD _FLOOR LOAD ��Ffiw HEIGHT NO.STORIES I AREA t1.3 ' VALUE 20#960
BUILDING DEPARTMENT SET BACKS FRONT REAR 1-10 LEFT SIDF. 17`x' FIGHT SIDE 12—
Permit '�l,'i.Fo �-- — — — -- -----
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILD;NG 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 4.orl ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State ^^ •9L LICENSL. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING ANO HEATING.
Total -- 1.0. 96 P
By _
APPLICANT OR AGErIT
Approved R-ceipt No
ADDAGI Pl Ii 1fJF- -
DATE INSP. TYPE INSPECTION qEMARKS PLUMBING DATE
v
-7-" Permit No. ()6j4j 1/0
r,ough-in
-90'4ot4�,v Fixture
Final
r C—
HEATING
Contractor
-1 r Permit No.120
Gas or Oil
-41 2L�
poelict) 00 0^ov 0 Rough-in
Final
SEWER
Final
DRIVEWAY
Final
StormDrainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCk PANCY
Final
--7 CERTIFICATE OCCUPANCY Landscaping
Zoning Final
UNIFIED SEWERAGE AGENCY NO _-5022
WASHINGTON COUNTY TE a_-1�- % - - —
CITY 01=_ _.. _ __ Tigard --- - - - - --
APPLICATION FOR SEWER CONNECTION PERMIT
UWNLR: _ Herbert E. Morissette, Bldr.
OWNER'S ADDRESS:---- --4M.6.—s�,{�,
� STREE
CIpT(YiSTATE ----- -- ---- -- _-
ZIP
BUILDING SITE: LOT__ 99 BLOCK — __ AUDITION ---B—el lc�Ood__II
TAX LOT N0. ____._.__ _ TYPE OF OCCUPANCY Ra44 sn�r-9____._
ADDRESS _ _. 1773-S- ,_Katheri^p SL'reet - --- ------.._.. ---
DWELLING UNITS- FIXTURE UNITS
SURCHARGE IF APPLICABLE
PE=RMIT FEE-__.._ INSPECTION FEE TOTAL DEPOSITED
(NEW) IcXISTING) BUILDING SEWER SYS-'FM ___ ._.__...FafnQ___C_ree&k .
I
The Applicant agrees to comply with all rules and regulations of the Unified Scvverage Agency.
APPLICAN ,=— '" ''`_ .Z 7�_-= 'z �1----___._ _
SEINER PERMIT
THIS PERMIT AUT"ORIZ.ES CONNECTION TO THE SEvvER SYSTEM.
LINE SIZE .._____ 411 - -- 11y
N S T A L L E R
RECEIVED B Y__ - tt - JnL ___. ._.�3 t y..n —
AGENCY OR ITS AGENT)
COMMENTS:_Building permit # 0118
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
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