12140 SW KATHERINE STREET-2 12140 SSV KA`T'HEERINE S'T'REET
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BUILWIN'C PERMIT APPLICATION TIGARU DATE !"i°L .19__
THE UNDE:RGIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATE=D BUILDER PHONE LL
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEClrl(;ATIr)NS. OWNER PHONE _.
LOT NO.__ ___5 r���
OWNER ' i'u4rwuOA LUi3er• JOBADDRESS 12 !40 fiJ Katherine St . J>nc�rr
— — � — ARCHITECT
.wne Ptl Box, 1455 Dvtn. ENGINEER cedar oo
BUILDER ADDRESS DESIGNER
STRUCTURE C3 NEW ❑ REMODEL E ADDITION ❑ REPAIR ❑ RENEWAL 0 FIRE DAMAGE ❑ DEMOLITION
CA RESIDENCE ❑ COMM ❑ "DUCATIONAL ❑ GOV'T ❑ RELIGIOU:i P PATIO ❑ CARPORT D GARAGE ❑ STORAGE ❑ CLABC, ''PENCE
OCCUPANCY :_'3_—.LAND USE ZONE _"'��_—BLDG.TYPE _ 5 FIRE ZONE---PLAN CHECK BY L' .1y HEAT
:t; ^H _
Ca truct :Anvle Family dwellin; v/attached r,arrw�,
a - — _ _
sne correction heet ittached�__ 4 !)edrno;:ts 3 athaa _
SEWER PERMIT M •—
_ 563 — --
OCC.LOAD FLOOR LOAD 4') HEIGHT n l NO.STORIES 2 AREA 1820 NO,BEDROOMS 4 VALUE 7 3,81,,,
BUILDING DEPARTMENTgET BACKS FRONT 'R REAR LEFT SIDE "• RIGHT SIDE '•7
Permit THIS PERMIT IS ISSUED SUBJEr:T TO THE REGULAT!ONS COUTAINED IN THE BUILDING CODE, ZONING
?311.. REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THPT THE
Plan Check _ 5 _ WORK WILL BE DONE IN ACC04DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
qt WITH ALL APPLICABLE CODES .AND ORDINANCES. THE ISSUANCE OF TH!8 PERMIT DOES NOT WAIVE
Sub-total _ RESTRICTIVE COVENANTS, CONTRACTON AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Ta,, 14.2ti
SDC
Total r,,49.9 r,
------ PDCM APPI.ICANTORAGEN7
By ------ —
Aper wed
Recelp�No.
ADDRESS PHONE
DATE JINSP.1 TY"� INBPaCTION A REMARKS PLUMBING I DATE
Contractor
e
Permit No.
Rough-in
Fixture
Final
HEATIKG
Con
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Permit No.
;2qOs
11r,'OrOil
TR—Ough-in
11 Final
SEWER
Final
DRIVEWAY
Final
Storm Dr^inAr
(Rein Drain) -Inal
Sidewalk
Curb&Street Final
Approach
—BLDG. DEPT. r"1tr lkl. TEMPORARY CEkTIFICATF OLCUPANCY
�r.rR,I:FtCATE OCCUPANC%- Final
L,)ndscaping
Znninii Final
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INSPECTION NOTIC7
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 9722:3
Phone: 639 4171
Type of Inspection
Date Requested rime A.M. .—P.M.
Address
Permit #
Owner,---- sus- .' ----------- Lot #` -----
Builder [ice
T'-• '.,.lowing 3uilding Code deficiencies are equirer' to be corrected:
4 a
Presented to J Approved
Inspector ---�` ` ---�— Disapproved
Date
CALL Mi REINSPECTION
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregnn 97223
Phone; 639-4171
Type of Inspection
Date 'requested / Y Time A.M. 1/'f P.M.
Address yd d cti'. 2!_�T`7: �i �r� Permit #
Owner___ _ Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
I
I
I
I I
Presented to Approved
Inspector I
Inspector ---------� I Disapproved
Date
CALL FOR REINSPECTION
Ca YES 4 NO
RAM
I INSPECTION NOTICE
�k City of Tigard Building Department
I 12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
i
f /
Type of Inspection
Date Requested __— �� — "� v - =*�j Time_ A.M._ P.M.
i ,moi
II Address
k Owner,------ Lot #
Builder
I The following Building Cotte deficiencies are required to he corrected:
--- `-'fir.-z' •�� -�"!T�- 'may};s.• .^ a+>—�s'.,r�i� �s --
I
Presented to _ �' Approved --
—+r1L
Inspector —. -- Disapproved
Date. ------
CALL, FOR REINSPECTION
YES 0 NO
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BUILDING PERMIT APPLICATION TIGAP:) DATE--
THE
ATE--THE UNDERSIGNED HEREBY Ar'PLIES FOR A PERPAIT FOR THE WORK HEREIN INDICATED BUILDER PHONE4 O�
OR AS SHOWN AND APPROVED II�N,iL'T�F:.CCOf PANYING PLANS AND SPECIFICATIONS.
OWNER,PHONE
CANNEP `JOB ADDRESS. s i z i P 5�� Q21 I+� `• LOT NO.
— ARCHITECT
(� ENGINEER
BUILDER '3 cat_ hn �.. ADQRC" gam�^ --(_is _V ! DESIGNER
STRUCTURE NEW ❑ REMODEL — ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
F_SIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE (3 STORAGE ❑ SLAB❑ FENCE
04--G FANCY LAND USE ZONE BLDG.TYPE �_N-_.FIRE ZONE_—PLAN CHECK BY 9:21—w—HEAT T_
Baas..
SEWFH PERMIT M —
OGC.LOAD_ FLOOR LOAD �V HEIGHT I NO.STORIES Z. AREA �� NO.BEDROOMS VALUE 74 #00
BUILDING DEPARTMENT SET BACKS FRONT .21" REAR 6-'O —`LEFT SIDE 9,24- RIGHT SIDE
�
P�nnit 3 '•jy�. � .CHIS P2RMiT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IY THE BUILDING CODE,ZON!'JG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC2_
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 9S• W RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
UCENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
state Tax •Z
SOC- ...J��L
Total
PC)CA APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESS —~ PHONE
SDr. - - 4/oD
PDC — S I --j �JPd
SEWER CONNECTION S gl,!
SEWER INSPECTION
SEWER SURCHARGE S
1 '3 (00
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
I Phont,: 639.4171
Typa of Inspection
Date Requested—u'rs' '� 3 Time _ A.M. X—P.M.
Address --�2 `'G') Permit
Owner -.— _ Lot #+`
Builder
The following Building Code deficiencies are required to be corrected:
Presented to
�� Approved
Inspector
Date
CALL FOR REIN,yS�"�'MO
❑ YES [A NO