12745 SW KATHERINE STREET-1 12'745 SW KATHERINE STREET
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ADDRESS /,77 ►(,L, .c��' ..��_ PERMIT N0.
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TYPE OF 13UII-DING DATE CONNECTED /t,7-/9-7,�-
;!_<tVi�;E RATE 3/n►t. INSPECTIOJV FEE - -:�?5
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SIZE OF CONNECIInN ASSESSi:ENT _ PAID
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Owner:.. ....Allen...W......Drs.w....... ... ........__. .-------......Permit No...91G3....... ....
Building Address............ ........... h.Q. nd................... ..................
j Certificate is hereby given this..lS.th.---.day of.....A4�!�,�s.t....._.. .... 19..75...
that said building may b,. occupied and
that it complies with all requirements of
the Building Code for the City (,f Tigard,
as approved by the Tigard City Council.
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Building Inspector
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City of Tigard
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INSPECTION TIME' �3v_.__...� PERMIT NO. :—._____� !
DATE : �1 ?ts� DATE 1 SSUED - --
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TEST . Air L], Vater[I , Visual C , Laboratory p
RESULT' Approved Disapproved ❑ 0endinq p
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INSPEC-TION TIME : PERMIT NO. : __..
DATE: 'LARV 2 DATE ISSUED:-L -L
01.1,NERS NAME : i2
ADDRESS : _
CONTRACTOR : ��°
TEST: Air U, Water ❑ , Visual0\, Laboratory ❑
RESULT: Approved Disapproved 0 Pending ❑
SKETCH:
INSPECTOR DATE
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INSPECTION TIME: '1 PERMIT NO. :—
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OWNERS NAME , 1 )1-cil tssF i E-
ADDRESS:
CONTRACTOR : ee,� =,im
TEST : Air [; Water[] Vist!ai _ I
Laboratory ❑
RESULT: Approved ❑ Disapproved 21 � , rending ❑
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INSPECTOR DATE
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` INSPECTION TIME : ,' ERMIT NO.:
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INSPEE�TI ON REQUEST
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INSPECTION T!;AE - " ' PERMIT NO.: ....
I DATE: ' I J DATE ISSUED:.- - /
OWNERS NAME :
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TEST.Ai► ❑, Water L, , Visual Laboratory ❑
RESULT'. Approved ❑ Disapproved, Pending []
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City of Tigard
INSPECTION REQUEST
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INSPECTIO' T!ME: 4-20PERMIT N0.
DATE ISSUED : Z
OWNERS NAME :
ADDRESS: f i/i - 1��y► er -e CONTRACTOR :
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TEST : Air p, Water Visual 4/1 LaDoratory (]
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CITY OF —, -. h N2 0143
BUILDING PERMIT APPLICATION TIGARC DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS Gyp SfiCIFICATIONS.
�a�.>iOf? We t'�IW ADDRESS IXIAB* 12745 aor.J* ,',st 1��I�tti�pPFIONE 244-15!'... I,
OWNER
Herb MOrriti atty ENGINEER
� R ii�� gFICHITECT []FIRE
STRUCTURE nNEW ❑REMODEL_ ❑ADCITION ❑REPAIR ❑RENEWAL__—_ []FIRE DAMAGE__ []DEMOLITION,
❑_RESIDENCE []COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE - ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONAL USE [:]DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS,
A F A HEAT_
OCCUPANCY—LAND USE ZONE.— _BLDG.TYPE--._—FIRE ZONE—� PLAN CHECK BY�—_..
Construction -if 1115 sq, Pt word XXX frame
sttv6hisd—garage wi hout. ha**�lent accc;rding to OpPrOV1111d NO a
OCC,LOAD FLOOR LOADHEIGHT .___, NO.STORIES_ . AREA 1,115 VALUE
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BUILDING DEPARTMENTSET BACKS F' ONT I REAR LEFT SIDE RIGHT SIDE___ "
Permit 112. --__ —
-- ,f s no THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND A,L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE '',ONF IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State ' LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By _____
—_...---__-. — - - -- -_—.------
APPLICANT OR A(3EN1
Approved RecPipt No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contacto,
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'75 Pu mit No.
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Rutigh-in
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Fixture
Final
4q HEATING
Contra
Permit No.
Gas or Oil
Rough-in
Final
SEWER q—7
Final
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Final
Storm Drainage-
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(Rain Drain) Final
Sidewalk
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Curb&Street Final__
A roach
IJEDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final —
CERTIFICATE OCCUPANCY
-
Landscaping
Zoning Final
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