12155 SW KATHERINE STREET �.9 �
12155 SW KATHERINE STREET
P ' rs ¢ f`ti'+.,w•�4�� � /^��� � 7 ., W! X11 �' ',ry��+¢' � ,qby�l� G9r �1�if;•a���� 'k
1 v i [ T 1�• '� �i i r t �- � ry'M' N
qkv
y� ` �y4,.
y�ri �" •��,'r�_` r� �'1�,_ t` kQw�.�nF M-MOSAM
,111
ll �' - ---. _.. __._ ....._ ,"i:, -'o-„^c. .r�^ts:.r'^7 .7,'•"., nor t
1 � O
ti F-�I► (nl r+
un ra ► ��p
J� I
d y
,
a � `°
ro o ca 11 !
oo a W � a w 1
u
•,-a A .� 4" O ,�
.-a cn G-, a., c-
.c.
✓ by G QI
d1 � L
cd.) rl Q1 Li ro r V 5
ro 4 �, w cG u
sem, � ..-4 ci G v 14a
r
( C: x v a w �1.0. o
o oo w U
G N v $4 CTS A
fig '. O N 6 c)tko
! .
I; r o of
�, ro Lr) Aj
to
MC d AJ
cn .0 tYJ U �O
c , � I V � � O U oai ''•
tj
� C—` K 1 � VI � �'•� �V�yy
W ^ V1 W Ol Cb i{
� O �
ro
� •U � W o ro W �
I
� I
� Q � nh. �,t ,r-sea��:- -- ( rynY- --- - f• 'b,,.".t�-''�;W.� �
INSPECTION NOTICE
City o! *Fiqa,rJ Building Department
124'.']S.W. Main St.
Tigard, Oregon 97223
Phoiw: 6?()-4171
Type of Inspection 7. -------
Date Requested Time —Akj
4--3 - 4M.
Address
Permit
Own�-r Lot
Builder
Th, following Building Code /eficiencies are required to be correct-d:
L
Presented to Approved
Inspector DIMPPruved
Date
CALL FOR REINSPECTION
El YES tJ NO
INSPECTION NOTICE
City of Tigard Building Depai
12420 S.W. Main St.
Tigard,Oregoo 97223
Phone: 339-4171
Type of Inspection &1_4.11411
Date Requested Time-- A.M..
Address zLd" a tPermit #_121
Owner Lot #
Builder .0p
The folk v Buildiny code deficiencies are required to be corrected:
PresentedtoApproved
Inspector Disapproved
Date Lam'-x-
CALL FOR REINSPECTION
YES F1 NO
4115
BUII,DI a PFRMIT APPLICATION TIGARD DATE '�'" ' ' _--_- 19 S`
T'HE UIvUERiIC ULI
'=17 -RBY APPES FOR A PERMI I FOR THE WORK HEREIN INOICATFC BUILDER PHONE 297-]Ag3
OR AS;HOW' ,'PROVED IN THE AC;r.;tJN1PANYING PLANS AND SPECIFICATIONS OWNER PHONE ealoe
LOTNO.
OWNER anti 1 21 Haws JOBADDRESS .,� 12 .55 S.W. Xetherine SE _�����I
- ---- — ARCHITECT
7412 S.W. Tlfeir. 81. ENGINEER apt 21
BUILDER _ ADDRESS DESIGNER _STRUCTURE fNE D REMODEL ADDITION _ [-] REPAIR C] RENEWAL FIRE DAMAGE D DEMOLITION
RESIDENCE CI GOMM D EDUCATIONAL D GOVT ❑ RELIGIOUS [I PATIO D CAR PORT ❑ GARAGE CLI STORAGE ❑ SLAB❑ FENCE
OCCUPANCY =LAND USE ZONE _A1_-BLDG.TYPE FIRE ZONE_ - PLAN CHECK BY
Ccmr>;t,cuct Single rauuy mmlUnq perPlan a mos
- GeeCrorrecrtian Sheet ettersbwd ._ ..—`�. 3 Bed.
SEWER PERMIT# 239316 X00-860'00 -_—� Gsrsige 38A
OCC.LOAD FLOOR I-OAD 40 HEIGHT 13 NO.STORIES 1 Y-AREA 13. 4 NO.BEDROOMS 3 VALUE 59,000
BUILDING DEPARTMENT ;ET BACKS FRONT 2Q REAR 10 LEFT SIDE 20 RIGHT SIDE 34
Permit 310.M, ITHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
201.50 'REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAI THE
Plan Check ;'WORK WILL BE D014E IN ACCORDANCE W'TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
511.50 WITH ALL APPLICABLE CODES AND ORFS NANCES. THE ISSUANCE: OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENANTS CONTRACTOI AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
- 12.40 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax11
,— _ -- � 400 ,_
r. v
Total 523. SCC; z tan ��-�-��
- PDC# APPLIGA TO A- 7 --
,.
By -..-- Receipt No.
ApprovedEm ADDRESS - PHONE
Illy tetlr eA1 alai � # aw ew �
DATEINSP. TYPE INSPECTION _ - REMARKS PLUMDING DATE �—
�` Contractor Iraq
Permit No.
_ 3/d 3 - zz.zo 7,28 SZ
-r3 a2 r i� Rough-in �- -
i B;j p Fixture
;C o �-.r.r ✓ �r1,4u. -C• Final
� 3 HEATING //�� ��//. ��
Contractor y7.-/h1T`
Permit No.
Gas or Oil
I Rough-in �-
Final
— - -- SEWER -----
Final
DRIVEWAY
- Final
Storm Drainage
(Rein Drain)Final
----- - --- ----- - Sidewalk
Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORAR" CERTIFICATE ACCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Znning Final
1
f
i
I
BUILDING PERMIT APPLICATION TIGARD DATE�^'►�!�1_�ts$�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON&2-?7/._"l
ORAS SHOWN AND AP ROVED IN THE ACCON,4PANYING PLA S ND SPECIFICATIONS. OWNER PHONE
/,�/��`?G�V� `.�- 7k, LOT NO.-- -
OVVNER / OB ADDRESS VS - Al .i� l�•w,O_ .v�ff
ARCHITECT—�
ENGINEER
BUILDER �� ___ ADDRESS �y �1 S 4� /la �/a DESIGNER
STRUCTURE 6"NEW ❑ REMODEL ❑ ADDITION 0 REPAIR RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
'RESIDENCE ❑ COMM C1 EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ G9RAGE ❑ STORAGE C3 SCAR❑ FENCE
OGC,UPANCY .LAND USE ZONE - -BLDG.TYPE FInE ZONE `---PLAN CHECK BY �, HEA'f�'�--�-
---- �� q
Alm
SEWER PERMIT M —
OCC.LO:>D FLOOR LOAD HEIGHT NO.STORIFS AREA 3t�L NO.BEDROOMS ✓ VALUF--91000
BUILDINGCePARTMENT SETBACKS FRONT ,20 _REAR �� i_EFTSICEO RIGHT SIDE
Permit /0 1 oxy THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIO"!S CONTAINED IN THE BUILDING CODE,70rcNG
c� SCJ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 1S HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COmPLIAkicE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total .5 f/ S 0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SFW :R,PLUMBING AND HEATING.
State Tax
Taal
—_.also SDC-- _--
PDCA APPLICANT OR AGENT
By .
�~ Receipt No.
Approved / ADDRESS
toc4-,o 4, S
/CIC � 3 r'
DC _7
9 r
EWER CONNECTION
1C�--
EWER INSPECTION $ �^
EWER SURCHARGE S �
1600