12980 SW KATHERINE STREET 12980 SW KATHERINE STREET
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INSPECTION NOTICE
City of Tiga,d Building Department
12420 S.W. M-in St.
7igafd,Oregon 97223
'hone: 639-4171
Type of Inspection
Date Requested Time � A.M. P.M
Address Permi!.
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
oo-
Presented to Approw,.'
Inspector DluWaved
Date
CALL FOR REINS PP.(MON
YES ONO
F
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 9722.3
Phone: 639-4171
t_
Type of Inspection
Date Requested _ L_ Time A.M. P.M.
Address — 12 q() '0_-1hP-- Permit #_ !V .`.t_ —.
Owner._._ y� Lot
Builder _
The following Ruilding Code deficiencies are required to he corrected:
MAX
.�, ,7
d
a
Presented to _ n Approve•j
Inspector '�'
—_ .__ � Disappro-ied
Datemm—
i
CALL FOR RH;INSPECTION
C�7 YES f.] NO
s� ss M wse sw
INSPECTION NOTICE
Cit-!of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 839-4171
Type of Inspection
Date Requeaed ____��•
Time Y A.M..---P.M.
Address !J —` / ' �^'� — ._ Permit
�Owner l_ot
Builder— _The following Building Code deficiencies are requireid to be corrected:
Q=om-^•--c'"'-rT�.- -- ---
✓ I
Presented to — — — Approved
i
Inspector .e�� —_— [_� Disapproved
j/�e -
Date �v
CALL FOR REINSPECTION
C� YES 0 No j
BUILDING PERM 11-APPL.'CATION TIGARD DA1f -- Ix+:n 1 in_'� 4359
THE UNDERSIGNED HEREV APPLIES i OR A PEI iMIT V-0k THF.WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVEE IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
., . Isiller :Juilder. 12930 ", VaOierine it:. LOTNO. !"U 13B�saoYod
OWNER JOB ADDRESS
ARCHITEr.T
BUILDERADDRESS
�iD711@ 17 520 fi•'I• Doortr.a FOrr)DES1014 i T. I3i'L1eT
STRUCTURE 13 NEW ❑ RE AODEL ❑ ADDITION ❑ REPAIR O RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION
Lia. RESIDENCE P COMM El EDUCATIONAL El GOV'T I .' RELIGIOUS El PATIO 11 CARPORT ❑ GARAGE ❑ STORAGE 0 SLAB❑ FENCE
OCCUPANCY k'L� LAND USE ZONE ._A"'7 BLDG.TYPE -JK _ FIRE ZONE PLAN CHECK BYtf HEAT _ G
construct5in�le l'rtuily b belling vjatt-:.~head rare,*�e
"ee correction shoot
S3 WER PERMIT# 7 5C,i 13
_OCC.LOAD FLOOR LOAD titi HEIGHT 1'�* NO.SXPIPS 7 _ AREA 111 "
N0.BEDROOMS 1 VALUE `�► '�'1
BUILDING DEPARTMENT SET BACKS FRONT _ REAR LEFT SIDE_1` _ RIGHT SIDE
Permit �3-3.0 0 THI3 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINE ' IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICAPLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan r_ �k «�+ '`, WORK WILL BE DONT_ IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLIC 9LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub tOtdl Fr l�'•'I+ r RESTRICTIVE COVi_AANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY SIISINESS
•1%'•
State Tex I`+ LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
S • _.-.-
--
SDC - 400*UJ
Total 611110
` PDCk t 1010+00
APPLICANT OR AGENI T
By thlb
Approved � "101 Receipt No. ADURES8'----�- �� ��fHONE�—��
DATE INSP. -rypr INSPECTION REMARKS PLUMBING DATE
.3 1-7.,eAOP_^ Contiactur
Permit No. -5 432 zo 3
5 Rough-in
W", Fixture
Float
HEATINfo'
jax
— Permit No.
Gas or Oil
Rough-in
Final
sEWER
Final
DRIVISWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Appropch
mLtKl,.DEPT.Irz_E"Tir_i6 W)__�Z75E_c i —Cy Final I GE:RTIF ICATE OCCUPAN -17
C
Landscaping
L Zoning Finn(
w mjma
■
CAJ!!-_LPHO ���50�., ��/'�
THE UNDERSIGNED HEREBY APPLIES FOR APEFih11 r FOR THE 'WORK HEREIN INDICATED BUILOCRP.11ONE^ ��I&
GFi Ai `.SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOTHOVINE :�N'G"fI"rte-�y
�T rI .� LOT No.i6s.L•__�1( -
D':/wCn lb►►� M (!E-{` �AOldlrJ S ADDRESS (V� ��J—F�11!1 n i'.._! '
--- ARCHITECT
R
ENGI
I< FEA
ADORES5I �V_�� �� .�/� ��• DES1G'V'`R 1��1 .�.--
Tf UCTUIa£ `IE'h' ClFIE MODE L ❑ADDITIO'v ❑REPAIR ORENEYIAL — ❑FIREOA.MAGE DOE-MOLITI.
RF>IL,E'It.a CiCDM.F.iEIELIUC, TIONALl�G0V'T !JRELIGfC':JlUPATIO UCARPORT GARAGE ElSTORAGECISLAB []FEN
CCLl1Pm Y-e--lLAND USE ZONF._fl�l BLDG.TYPE `� -FIRE ZONE_ PLAN CHECK BY -� HEA:i _
S E U E R PERMIT m �_-----___--— -- _ �_.___L3a J►•�^� —. _ _.—__
'2X_L.0 =f_—_— FLOOa1.9AD YV EIF.IGHT_.- 140_-_Nc. STORIES �_ ,0AEORO NIS V
,Z� A l$1 , rEL All'—09
SAIL NNG DEPARTMENT SET BACKS FRONT '15C? FlEAR LEFT SIDE 10
__ RIGHT SIDE 7--
��,^'[
THIS PERMIT I_ ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONI
heck �.�d— REGULATIONS AND '.I.L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGF:EED THAT 1
--- 60FIK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CWIPLIA.NCE W
ALI. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA
--a--- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURFIENT CITY BUSIN
-at;! T,i c-_—�- �4,q� LICENSE. SEPARATE PERMITS REGUIRED FOR SEWER. PLUMBING AND HEATING,
SDC -
Co 30•-�_ PDC#
.3., 1 __ _ —�- ---
APPLICANT OR AGENT
jApproved Receipt No -
t� ,fir an .qF.5
`fPnOrvE
SDC - $ e 1
PDC $ I lC)()
EWER CONNECTION $ S 25
SrWER INSPECTION $ 315
4
SEWER SURCHARGE $ ��►D _� VtUoOlt/, hw �+�
2 O /�fso s��j�►e� tc. Le•rRak .� .
Comments :
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