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12485 SW KATHERINE STREET 12435 SW KATHERINE STREET >-4 E-4 0 c. t FAf, Pi 0 rr) LIA r la r Jr to 4 CITY OF BUILDING PERMIT APPLICATION TIGARD DATE _.__-- 19 ?�: �° 0845 CHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN IND CATED OR AS SHOWN AND APPROVED IN THL ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE--- OWNER HONE —OWWNER ;lt ul mcKenzire _ ADDRESS 12488 `:IW Ket11er.1 BUDDER PHONE Owner ENGINEER AulLutB____— ARCHITECT _—_ _ DESIGNER — —_ STRUCTURE ❑_NEW0 REMODEL _0_ ALDITIOII 0".'FPAIR _ ORENEWAL ,LIFIRE DAMAGE DEMOLITION 0RESIDEN�:E OCOMM ❑EDUCATIONAL _OGOV'T DHEAGIOUSCPA110 CCARPORT ❑GARAGE vLISTORAGEOSLAB nFENCE ❑BOND ❑MOV ING OCONDITIONAL USE ❑DESIGN REVIEW GCOIINCIL APPROVED _ [:]SIGNS FA OCCUPANCY . LAND USE ZONE_. BLDG.TYPE.--FIRE ZONL __ PLP.i4 CHECK BY HEAP_ lism r i4ol Dwelling Addins%' .,f;,a LirJt° i 1.u„x Ovor Garage According to Atpproved OCC,LOAD FLOOR LOAD _HEIGHT _—_ NO.STORIES _ AREA VALUE $7* 0 —BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJFt T TO THE RFGVLATIONS 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 ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEIVEn, PLUMBING %ND HEATING. Total By APPLICANT OR AGFNT Approwed Receipt No ADDRESS -..,_ -- 01 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE DIM Contractor Permit No. Rough-in 13/ Fixture Final HEATING Contractor Permit No. Gas or Oil Rough-w Final SEW7i R Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final A roach BLDG,DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY FF-i Final I Landscaping Zoning Final PLUMBING PEI.T APPLICATION Jurisdiction of Jo. Type of Fixture Fee Permit No, Z4— , Permit fee .-7.1 2 Water Closets Toilets `'`' Permit Issued Bath Tubs Approved by U X--Lavatory Building Perm -z2,-;j J�y , Shower R--ceipt No. 7_2G 5` n zishwas ng _�• Sinks. Kitchen cs rdinary � Location of Builu,-ng ._ Sinks. Bar J Sinks. Flo Automatic s was er isposa _ Laundry Ti +_, •'� Name & Address of Owner Drains Flovr r ans area rains a rigerator ..._.. JRain Drains u omatic Was�er� - �.�, Name & Address of Plumber Foun ai.ns, Drin n Fountains Soda = o f Wate r Tank Water Service Size Urinals '— Buildin Old ar ew Altera Repair or .ac -Basins - Yard Install) awn S r nk er stem ming Pool'— Mer Ser n er � ,stem This permit becomes null and void if work or construction authorized is not .ommenced within 60 days, or if construction or work is suspended or abandoned °or a period of 120 days at any time after work is commenced. 11 plumbing firms must be Licensed by the City of Tigard and post a $1,000 bond. hereby certify that I have road and examined this application and know the same o be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or, not, the granting of a emit does not presume to give authority to violate or cancel the provisions f any other state or local law regulating construction or the performance of onstruction. i Signature of Applicant FOR s aIII MOVE h1 City of Tigard INSPECTION REQUEST for INSPECTION TIME :. 4' 3c) PERMIT NO. : DATE: /v 14-4 )!DATE ISSUED: 'G d-7 OWNERS NAME : ADDRESS : / 2�/-,F'S" -«' CONTRACTOR : ":LP --2�L� �� TEST: Air El, Water ❑ , Visual ❑ , Laboratory ❑ RESULT'. Approved ❑ , Disapproved ❑ , Pending ❑ SKETCH: I I 1 INSPECTOR DATE IC01 : Attach supplemental test data heret] I ea ew wr �.► a. .r � wa Address 12465 S.W. Katherine Street_ Permit, No. -44.50w. Pernit c°havge C. B. SIX= Shirley j Owner Connection fee ._.._._�5,..._.._....�_.,......._..,..__..,.._�._... Paid by same Type of building Residence Date connected �IX 107:jLT- Z2 -- Service rate w 3.00 per month Inspection fee Contractor C. B.. Shirley Paid by s same !� Este 4" Paid Size of connection .w Ass��ss�aenr. �____,..._._....... -.,.-.-..-.�--�—�-- SlIku UNIFIED SEWERAGE AGENCY NO. 4750 - WASH I NGTOrJ COUNTY DATE 10-414-7 C I TY O 1---- Ti®.ra APPLICATION FOR SEWER CONNECTION PERMIT C.B. Shirley OWN E R: -- - -- --- ---- - - -- ---.�__ __ --� - - lu S*W* 4111view Ct. OWNER'S ADDRESS. ....______. ___ _ STREET CITY STATE XIP BUILDING SITE: LOT-_41- - BLOCK .____.__-__-__- __ ADDITION TAX LOT N0. _ -__-- TYPE OF OCCUPANCY ADDRESS .-_----- - 14 DWELLING UNITS -- ------ FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE INSPECTION FEE 4-00-_ TOTAL DEPOSITED _-450•-00_______ IIAE&) (EXISTING) Rill UINC, SEWER SYSTEM 'The Applicant agrees to comply with all rules and regulatWolnhied Sewerage Agency. APPLICANT - - - ----- _ SEWFR PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE -- -- 4"- INSTALLER -_ __3d Tbonnoe RECEIVED BYf.__. . _. A NCY OR ITS AUENTI COMMENTS: This Application and permit expires in ninety (90) days. The amount paid w1I be forfeited should expiration occur. a; CITY OF TIGAIRD Mlr & W. Mok 9"ew r»Aac. ort944" "us APPLICATION FOR BUILDING HERMIT New Construction Demolish lrJ Addition Remodel Move ZONING R�7 --DATE ISSUED 3A48-T2 r~ —� BUILDIN�j WA{ T DATE RECEIVED BUILDING PER S 70M NO 7�*r,,a,Q• BY Do � PLAN Cti*.CK S --•- ��YJ - OTHER $ 35.00 VALUATION S OD.b1ia_ TOTAL S RECEIPT No. 9 TWO SETS OF PLANS AND PIAT PLANS MUST BE FURNISHED WITH APP/L�IICATION LOT 1 43 MAP 1 2111 30 310 CENSUS TRACT M•�19 —— JOA 1 _ Architect or Engineer_ asim"a Plan_ 00 Address 2451► A. xl $lvd. Phone�__+�—�"11 Owner Address W>10 S.W. 9111view Ct. Phone Builder Address _ Phone BUILDING USE Single Res. n Multi Res. �— Comm. Industrial OCCUPANCY CROUP I No. of Stories 1 Total Heiqht 16 Area of Lot Type of Construction IWARXXXXIIXXXiM V Floor Area a—_� 1 126.0_ 2— Set Backs: Front aD _— Back 48 L.Side` 3 R.Ride__ 1o.."6'� Privatr Sewer Pipe Five Better U•OJ• Tif"eptic Tank I_J water Service Pipe Size____.V4 u Storm Sewer © Ditch 1)ryweII F1 Street and Curb Requirements adating Driveway Width �,'_.�_ .._.__.__�_._. No. of Parkinq Spaces__ 2 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATInN ADDRES'i ASSIGNED li?4f35 O.M. dtherias FIELD CHECK BY__ PERMIT APPROVED By " It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the buildi-q will not be occupied until a Certificate of Occu ancy has Peen issued by the City of Tigard Building Inspector. i§-Mg r use �, BTJILDER VALU c>'20 &/L' FEE / DATb'yo;;: LOCATION � � V �r.f OWNER Job1'_��; '��� OT 1 F 'L� MBU ER PE � EE SEWER PERMIT yam;<, �I' � ECHANICAI, :'r.:ZMIT L n_mEl �._.._..� ._. BY DA'Z'E ...._...._.-. .._. �_.�..�...._._..�.. _ - . BY EXCAVATION/FILL AIR CONDITIONING FOOTINGS FOUNDATION C, ra VENTILATION _ _ FORMS SPRINKLER SYSTEM -_ SLAB;; MASONRY FLUES REINFORCING STEEL FIRE DOORSI EXITS ?TRUCTURAL STEEL _ _GARAGE FLOOR_ R�I�� _ tiM DRIVEWAY.---.— ROOF FLASHING SEWER_ FLAME lw. STORM DRAIN LATH/WALLBOARD r' I'ARKTNG�_..__._..__._..__.�..._._._.._..__ __.... HEATING FENCE/SCREEN �_._ ......_ .,...,_.., _ . WATF!R NF,ATFR FINAL