10130 SW KATHERINE STREET 10130 SW KATHERINE STREET
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BUILDING PERMIT APNLIPATIC SOF TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR "HE WORK HEREIN INDICATED BLI I LDER PHONE
OR AS 3HOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF---. —
LOT NO-
OWNER �f i'1L:tjna-t.id_jp _—JOEIADDRESS jf, 'II -_ I F.- HONIEADDRESS
AP'CHITECT
ENGINEER
BUILDER 5
^.w _ ADDRADDRESS _ DESIGNER
STRUCTORE ONEW _❑_ RLMGDEL _ _❑_A_DDITION QREPAIR ❑RENEWAL _CIFIRE DAMAGE ^ ❑DEME-O*�LITION
[I RESIDENCE ClCOMM OEDUCATIONAL ❑DON'T ❑REl_IGIOU,,OPAT10 ❑COR PORT ❑GARAGE ❑STORAGE EISLA13 Le;1�ENCE
CBOND [I MOV INC, _ ❑CONDITIONAL USE --Y ❑DESIGN REVIEW ❑COUNCIL.APPROVED SIGNS
OCCUPANCY "r LAND USE ZONE fl" BLDG.TYPE— FIRE ZONE PLAN CHECK BY- _ i HEAT _ _
T�nlft.ruc� wr r n Ponce pl�r plans ucue on resident.imi �arcipie ty.
ULC,L.-QA��. — X14 E�.1��81?_._---- --HE — �d4 5L4.F1 $.—_ _A EB NO,BEiB4QlYt�___-Vp.LI'E_
0IJILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
'Permit .alp
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUI DING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THA'f THE
— — WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COrAPL1ANCE WITH
SUb-total x LL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
R`STRICIIVE COVENANTS. CONTRACTOR AND SUI! CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax , ( LICENSE. SEPARATE PERMITS REnUIRED FOR SEWER, PLUMAING AND HEATING.
TotalBy
APPLICANT OR AGENT
Approved i I'JH Riceipt No.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit Nc.
Hough-in
Fixture
Final
'—=HEt
ATING --
S�, ntrac
EATINGractor
Per, it No.
Ger or Oil
Rouph-in
Finfif
SF'W=R
Final
or,lVEWAY
Final
Stour,Drainage
Main Drain)Final
Sidewalk
Curb&Street Fim,l
Approach
PLDG.DEPT.FINAL TtMPORAF'Y6FRTIFICATE OCCUPANCY Final
CERTIFICATE C' '.',UPANCY
Landscaping
Zoning Final
CITY OP
BUILDING PER,-,.IIT APPLICATION TIC ARD DATE � • 1:1. N° 0534
THE VNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE _
OWNER I.;ordon gippol ADDRESS 10085 SaWo Katherine B�11. Dl< ER PHONE
Owner ENGINEER
BUILQER ARCHITECTDESIGNER _
S�i RUCTURE ❑NEW C3 REMODELS ❑ADDITION ❑REPAIR ORENEWAL ❑FIRE DAMAGE r IJDEMOLITION
❑ R�-E�S-IDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT CIG,-RAGE ❑STORAGEUSLAB ❑FENCE
IM
I OND D".��_' 1 N G QCONDITIONAL USE [:]DESIGN REVIEW ❑COUNCIL A,--ROVED� ❑SIGNS
OCCUPANCY_.__.LA Nt USE ZONE .BLDG.TYPE_ FIRE ZONE.,_, PLAN CHECK BY_ NEAT_
k1,00111i1 i.l :.;QCPU1'L a a.l(o f'ur tOaLali;s 1 h )ux, walali kietwmi)ft ."Wioliiilu
------ unit and ;iarayo install wire glass in door
9CC, LOAD FLOOR LOAD_ HEIGHT NO.SYORIES� AREA VALUE
BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING 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 COMPLIAPICE WITH
Recording ALL APPLICABI F CODES AND ORDINANCES. TIE ISSUANCE OF THIS PERMIT DOES Nr.T WAIVE
- ---- RESTRICTIVE -OVENANTS. CONTRACTOR AND SUO CONTRACTORS TO HAVE CURRENT CITU BUSINESS
I%State • s'L LICENSE. SEPARATE PERMITS REQUIRED FOR SFIAE1, 1 UMBIT 3 AND HEATING.
Total i.Zl
By
APPLICANT C;i AGF1`5
Approved Receipt No.
DAT'z——INSP.JTYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
h
BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CEHTIFICATE OCCUPANCY
'0�
Final
Landscaping
. , I
Zoning Final
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Address 10130 S.W. KaVierine : t.
Permit No. 146E
Permit charge___„_,
William Newnan Connection fee_______37
Owner ---
Pa.i s by k.J . Edwar.ds
Type of building Residence Date connected--8/24/71
J0 Der month
Inspection fee 21 .00 -
Service rate3. D
Paid byDate
Contractor R.J . Edwards
�� Assessment Paid _ g
Size of connection 4 — 1
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PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N° 1466 DATE _ _' , /f 7
PERMIT IS GIVEN TO
ol
OF
� y
TO CONNECT A� J
TO THE SYSTEM OF TIG'kRD SANITARY DISTRICT
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS DFEN COM-
PLETED.
PERMIT FEE PAID :.. . -.-...'- ..................TIGARD SANITARY DISTRICT
CONNECTION I.NSPECTRD AND APPROVED
Deter- -- - S4 perintendent