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12750 SW KATHERINE STREET 2.2750 SW KATHERINE STREET m ID N a� O) r_ •moi F4 Ql L ro CO O U) N N r" + 11� OF' 0(, arfy or, TIGARD OREGON 0 Herbert E. Murissatto .......................... .................... .............. .... -mit No. ...... owliel ...........Per 12750 S.W. Katherine Street wilding Address.....-.... .............................. .. ....I.................... ......... ....... 75 • Certificate is hereby given this.... day of.....U.c.t o.b.e.r...........119..... that said building may be occupied and jj` - that it complies with all requirements of the Building Culp for the City of Tigard, as approved by the Tigard City Council. . ............ 7AII(ling In%pector 'alt. Wr; � �J �., ` ,�do J �•� �,y/; �.,! '`:,,� �,�>' 4./ `„•I ` / \ � �, � `� �� �^� mm Il��IN�It7ANpA�1Is►����� , '1. �IO N I�� 1 REQUEST for ,1WINE^S NAM£ ; CON"RACT�)R TE:ST : 4i- u , -;e^e•:�. 'Viaua� M . �-,+•,ry . 2-.")IJLT: A itld�� �;�v�;-fir+, 1 "� ?+��di 3 ;E.TCN: 1 l FF,;CT0R rDATE ire, �•�.-;4 1•_i^'aimsool tail data t .�-..-.... .. u�.....c.•... ....�...w....,urn.�.:,-wwe.sw�a.....-r.:r+=�.sy..,.�,:.:::_,�..a.._..-wr•e. J i i City of Tigard INSPECTION REQUEST for INtPECTION TIME: �'� PERMIT NO. : DATE: '> ! Z/%S" DATE SUED 0 W N E R S NAME ---- ADDRESS: _L_�?� ONTRACTOR : TEST : Air U, Water❑ , Visual , Laboratory p PESULT: Approved , Disapprovea U , r-nding [] SKETCH: Ld �� , is �,�, 7 _-� 5" viNSPt r,tOR DATE: FHOTE: Attach 9-.pplemsntel test data ,or eto] City of Tigard INSPECTION REOUEST f Or �^ INSPECTION TIME : PERMIT NO. : -- DATE: O. : _DATE: L- LS DATE ISSUED. Z OWNERS N SME : CONTRACTOR : TEST*. Air G, Water��, Visual)d , Laboratory ❑ RESULT'. Approved Disapproved, ❑ , Pending ❑ 13KE:I'CH: I I 1 �qpDATE EOTU Attach supplemental test data herst:01 ADDRESS j;�7 c' a1�c� Key t�s:ris� �r, PERMIT NO,.,. PERMIT CN?iRGE rano rf OWNER � __._. CONNECTION FEL 't a PVD D 8 Y � 1 TYPE OF BUILDING sac k'c,t� c DATE CONNECTED SERVCE RATE 4 INSPECTION FEE CONTRI, OR L �2u f, �; PAID ID ©Y DATC SIZE OF CONNECTION 01 AiSESSi•iENT PAID i CITY OF BUILDING PP.RM.,'f i APPLICATION TIGARD DATE ?5N" THE UNDERSIGi\'1_D HEREBY APPLIES FOR APERMIT FON THE WORK HEREIN INDICATED OR AS SHOWN AND AFI'RO—,D IN THE ACCOMPANYING PLANS AW'� pP pF�r,,Cq�I � ondWNEE PHONE OWNER �tellrbtaxt P1rat: tr�t�n 7 si? �..U• Karrd��rIneI d i ADDRESS _ BUILDER PHONE $IBM( WAR bf.J 14R ENGINEER BUILDER _-- ARCHI"T C_T — DESIGNER STRUCTURE ❑NEVI ❑REM')_DEL ❑ADDITION C1 REPAIR ❑_RENEW_AL ❑FIRE DAMAGE - _❑DEMOLITION_ ❑ RESIDENCE ❑,;UMM ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUS❑PATIO_❑_CAR PORT ❑GARAGE ❑STORAGE!JSI.AH ❑FENCE 13BONJC1 MOVING ❑CONDIT IONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY—`LAND USE_7.ONE Iy, ► r — _BLDG.TYPE `FIRE ZONE_� PLAN CHECK BY_ HEAT Y r1.1-('fJ1V aMi1Y raee�.Rlettlr; 1 to tea c.UI—Istructsci according to plans —�--- submit-ted. attached �,arago — no besemrront wjju(# flame 1 1492 ,LOADFLOOR LOAD AI I at, —HEIGHT — NO,STORIES — _ AREA VALUE BUILDING DEPARTMENT ,i`.' --- -x� SET BACKS FRONT_ REAR LEFT SIDE RIGHT SIDE 16 Permit M. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Chack lid.00 RE,3ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREF)Y AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANO SPECIFICATIONS AND IN COMPLIANCE WITH Recording AL1 APPLICABLF CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE 11 — ReflRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIl-1' BUSINESS 196 State- I(CENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total • By APPLICANT ()R AGENT '--`----"-"--- Approved -� — Rl!celpt No. i AD SS --_____-- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE --e—ole Convact av'&U�-v Perini- No. Rough-in 0-'f— I e64Z-e.,j eLk' Fixture 7. Final HEATIM S^4-7& Contractor Permit No, Gas or Oil Rough-in SEWER Final DRIVEWAY Lel (Rain Drain) Final Sidewalk Curt,&Street Final Approach --il-013.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping --honing Final ML r/ p" UNIFIED SEWERAGE AGENCY NO. _____ 5058 -- -_ WASHINGTON COUNTY DATE CITY UF__._..__._ _.__ Tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: Herbert E. Paorissetta 244-1308 OWNERS ADDRESS: _ 8905 S.W. Dolph-- - ------ - STREET Portland Oregon CITY - NATE _ ZIP BUILDING SITE: LOT SID- BLOCK _-____ ADDITION - _ Belluaod_.11 TAX LOT NO. - TYPE OF OCCUPANCY residence ADDREc;S 127301 S.IJ., Katherine-..Strew DWELLING UNITS 1 - FIXTURE UNITS --_ SURCHARGE IF APPLICABLE — PERMIT FEE 525 INSPECTION FEE 25 __ TOTAL DEPOSITED 550 (NEW) (EXIS i ING) BUII DING SEWER SYSTEM Vanno --Qxask -- --- -The Applicant agrees to comply with all tUles and regulations of the Unified Sewerage Agency. APPLICANT .�-- ,`�_r11 . 1__a �.� e . SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE 411 INSTALLER FlECEIVED BY ��� W ��. .r OIAGENCY OR I S AGENT! COMMENTS: S"-U --to Leron Heights -_build 1g__permit 8208_ This Application and permit expires in ninety (90) days. The amount paid will he forfeited sliould expiration occur. 1 I r I 90 ' � 1 CAL l � i 1 M 1 r r ..,.. /6 IRA 1 s �r c air ,r• J