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12610 SW KATHERINE STREET-1 �r,♦,rn/�q a�,r M�nn;a�w.ar�SM♦}rvM1�1111 1� i1rW'i1 {�,,9��L, +�y -+�MF�1n*+f9+aM^l�fwr 'raYWk@�V.w�MI ,, ♦ 'x► �. �,y ' . �t� +. ' 1. '°, ' }•.: x�d Ty;4, � F 7R� tlr, .,._l�,r"1,:�1�r4. y # :;y x 7— e-40, 40 �'ii J r t � L I. x r TI l c q. 6 i i A Y i t , '6E. •cw�l6,gfr Ah ti's.�+ r µ..�.�. .�...M...m M, x•�Yh�^ru.'„,,y,.. , I CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundatior 'Nater Llne Ceiling -PIU mb. I Pasl,veam Mech. Shea,/Sheath Framing ec ■ Plby.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Po,,t/Beam Struct. Mech. Rough-in Gyp. Bd. Son. Sewer Gas Line Appr/Sdwlk Reins. ■ Other: --— Date: _ z —� A.M./K P.M. ,_ f Address: _ �_ 1v___ � .b.. `u • a Tenant: ZZ 7_ Ste: MST: R69 _U L J / BLIP:Con/Own: � MEC:_ PLM: ELC:THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r , }y? r ....:. ..... ae. Insp tor. / Z Date: 7-APPROVED -_.-DISAPPROVED/'.;HSL FOR RFINSP. CF CO i 1 i :a I i ' C. CITY OF TIGARD BUILDING INSPECTION NOTICE41 Inspection Line: 639-4175 Business Phone: 639-4171 �, �r 1 Footing Rain Drain Cover/Service FINAL: �, � �<<i,.4� xi ,� Foundation Water Line Ceiling Post/Beam Mech, Shear/Sheath Framing -Mach. � � � PIbg.Undrri,i51au Hlbg. Top Out Insulation -Elect, Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldg. +^�';y��� t San. Sewer Gas Line Appr/Sdwlk Reins. b ,� ' 1 Other: r ( G /� r t 1 Date: L1 �-�E l `f� A M Y /�Pr1,l�ut� Entry: Address: Tenant: . — — Ste: MST: el � ' f a1 ■ BLIP: Con/Own:_ 3 , _ MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: J.1 �+ w � I specto� — Date PPROVED _,DISAPPROVED/CALL FOR REINSP, CFTCO IM / 4 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 i µrt I y !>1 Footing Rain Drain Cover/Service FINAL: }i'v 5 li Foundation Water Line Ceiling Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und!Flr/Slab Plbg.Top Out Insulation Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. H a Other: Date: (e ( A.M. M. Entry: Address: _ Tenant: Ste: MS1': U BUP: ,} , o : -7 -7-7 -7 _ ��� r. MEC: PLM: 2 ELC: THE F4& ( CORRI!CTIONS ARE REQUIRED: ELR G�r yyt r" rf 421 ! r Y i A 2 161 " v �< IIInspector: ts. Date: r, ,APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO y .:iiMra'�IaufWN�A61kauYwNN�w��uw�aawronwarnrurwtr6+t.Mrca�ua�Wssuu+:.ww'.•.^"' M '�+ e n3,�eM"; , ' v r a�. }f; � If, l CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 d Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb, Post/Beam Mech. Shear/Sheath raminq > -Mech. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. ' Post/Beam Struct. Mech. Rough-in ' -Bldg. ,t,' a ` s.� 1 4 x San. Sewer Gas Line Appr/Sdwlk iris` ; V \ I Other: Date: _ A.M PM. Entry: Address a r� Tenant: Ste:__ MST: I \ Con/Own: _ MEC: I PLM: _ ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: tt [ y44y y ` I LL 1 V I I I nspec –^rc ��– ---- -- — _� —p Date: _APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO . Y 1 . .. 4 .. Fl,�.1. maw.. F�,.I,l:Ri°{.��«•�..;:. '.,�,, n � s a n ,rr�pk kl � WN 1 � ,d e• \F Y jh 4v 4 ya y, , 4� x -0f� ! =� 5n ry rn qr � afJq rA CITY OF TIGARD BUILDING INSPECTION NOTICE ! Inspection Line: 6, -4175 Business Phone: 639-4171 , 1 Footing Rain Di ;n Cover/Service RNAL: Foundation Water Line Ceiling Plumb, PosUBearo Mech. Shear/Sheath ramin -M3ch. i V Und/Flr/Slab Pibg. Top Out sulat � -Elect. Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: (�' Date: L A.M. R�M. Entry: Address: l 4 - F Tenant: Ste _— MST: �42 d BLIP: Con/Own: 7 7 —.3 7 7 MEC:.-- PLM: ELC: THE FOLLQWING CORRECTIONS ARE REQUIRED: ELR: da i I i nspec or: _ �--- / _ Date: <' PROVED �DISAPPROVED/CALL FOR REIN SP. CF CO i' N",il�7 I r, /sYi {'k sad v �' n CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: by Foundation Water Line Ceiling -Plumb. � ar e, J AY'.I r y+"G:. PostrBeam Mach. Shear/Sheath Framing Plbg.Und/Flr/Slab Plbg. Top Out Insulation Ele ;t. Post/Beam Struct.v--IAech. Roug_ Gyp. Bd. -Bldg. > �; =t` San. Sewer Gas Line Appr/Sdwlk Reins. 14 Other: i Date: A.M.—P.M. Entry; Address: (,.1 i� z � Tenant: Ste: MST: BUP- Con/Own: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ` ' 9 7 1 Inspectpr: _ Date: PPROV(:D —DISAPPROVED/CALL FOR REINSP, CF CO H Ib y 4 Ell!9 ,S"Y� t y 1 nl I f�ALLIQfi��' aJ 5 •;� ��, �;:��, a �1 ! at °� � ��4�"w � ��� � �,,.�'r _�k'F'F`V� '$f1 g 1'M;R"y11p11e F CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: i Foundation Water Line Ceiling �C Post/Beam Mach. Shear/Sheath Framing M'bch. i PIbg.UndlFlr!Slab Pibg.Top O Insulation -Elect. ■ Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San, Sewer Gas Line Appr/Sdwik Reins. ■ Other: jet (,GLS' Date: 1 A.M._ P.M. Entry Address: l Z Lc iL�,�1,,� Tenant: _ Ste:__A MST: 4760 '40 BLIP: Con/Own: —__— MEC: _ PLM: ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: i Inspe or: . — Date: __APPROVED —DISAPPROVED/CALL FOR REINSR CF CO ti 15�iRiR��,� P • J CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639.4171 Footing Rain Drain,r F'tti Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. J + Post/Beam Mech, Shear/Sheath Framing -Mech. Plbg.Und/Fir/Slab Plb . To out 9 p t Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg, San, Sewer Gas Line oi Appr/Sdwlk Relns. I � Other: ,r .r �c+ �;,Y�u , ■ j Date: — A.Ki P.M. Entry: rr � Address: Tenant: r'°j ,,,Yv ' ■ ----- Ste: Con/Own _ BUP vlar, --- MEC: Eli THE FOLLOWING CORRECTION;ARE REQUIRED: EI.R: -� ,<z nspector:2;;— — ---_ _ — _ Date: APPROVED DISAPPROVED/CALL FOR REINSP. CF � . I f. ,t, CITY OF TIGARD BUILDING INSPECTION NOTICE Inspeciion Line: 639-4175 BL siness Phone: 639-4171 Footing Rain Drair, Cover/Service FINAL: ' Foundation Water Line Ceiling -Plumb. 4 ti , E I Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. r � San. Sewer Gas Line Appr/Sdwlk Reins, Other: C C /.y AMU AIMI C—_ Date: ,[_ A.M._ P.M Entry:--- �a "� •k t. Address: ` ! �L) l.�l _ Tenant: Ste: MST: 11% i/ " 77 BLIP: k�, Con/Own: MEC: PLM: d o T t1; ELC: THE FOLLOWING,CORRECTIONS ARE REQUIRED: ELR: � tea rJ r�x 4�:"S rii r gyps I�V��� tied+ 01 .+ +1x21 ���✓a '1"t� y. i r. t� a Inspector: _ Date: —____,__ •Fi,'°'�`� ; L__APPROVED _ DISAPPROVED/CALL FOR REINSP. CF CO4.: °" 7k ' `psrti rh; _4 114T, �c gt,;yeiq jt a idts �F'fiya { p ai ie" r��lg j' ,'�y y >n " ,a• it�. 'nqh n t15 vEz^a fKt y r" ­Iyp y �.� � �.. .. ^��' �..T" d 1�,.; � � r ••� ' " ,° I'd � �,d••� i,, 'h � � � H ,t� a h t I kl >ar ��ilk4 r CITY OF TIGARD BUILDING INSPECTION NOTICE �a4a yt . Inspection Line: 639-4175 Business Phone: 639-4171 w' �ykJ,.sl4 ��fioi � f + a of Footing Rain Drain Cover/S.,rvice FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. t " Plbg.Und/Flr/Slab Plbg. Top Out Insulation j £ � y��' a � Post/Beam Struct. Mach, Rough-in Gyp, Bd. Bldg. r San. Sewer Gas Line Appr/SdWlk Reins. Other: �DL� /N • M. Entry: Address,: �7.-- (r� ­v, t Tenant: --- . Ste:--- MST: �� 7� Con/Own: _77 EC: PLM' ELC: THE FOL . WING CORRECTIONS ARE REQUIRED: ELR vnz t M e u m 1 p f 1 1 }}} �7 Y r I a Ct In actor: ---- Date: PPROVED _DISAPPROVED/CALL FOR REINSP, CF 00 t a a i nA, 5 w �t Cv wtLA CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 .A jFooting Rain Drain Cover/Service FINAL: Foundation Water Line Coiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. Plbg.Und/Flr/SlabPlbg.=Top Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. 1r■► San. Sewer Gas Line Appr/Sdwlk Reins. Other: / Date: �Q A.M. —7 P�INAEntry: Address: Ste: ant: SUP: ` Con/ wn:�tJ s' P�M; 1/ —— ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: pace_..----------- Dats' APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO e �J , l CITY OF TIGARD BUILDING INSPECTION NOTICE `. Inspection Line: 639-4175 Business Phone: 639-4171 ( Footing Rain Drain over/Servi FINAL: Foundation Water Line Ceiling -Plumb. " Post/Beam Mach. Shear/Sheath Framing -Mech. ,yr :• Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. ,Y . Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins, f�§§ it!(. • Other: I Date: 160 3?) A.M. _ _P.M. Ent Address: Tenant: Ste:_ MST: Con/Own: __. _ MEC:, f PLM: I ELC: n""4 j THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:of r 1(� I L � s �� �'F'e r• �, C 1 0a S Y Inspector: F' Dater _APPROVED DISAPPROVED/CALL FOR REINSP. CF COIF?��1;yy}}�f �! !{!��, C, �,L,. J'j,d y 1 v r4 8 d�fa7l 1AP�ry�� 7 w 1 CITY OF TIGARD UILDING INSPECTION N E Inspection Line: 6 4175 Business Phone: 6 4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. IIII Post/Beam Niech. Shear/Sheath Framing -Mech. i Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. G I San. Sewer Gas Line Appr/Sdwlk ReinG. r" Other: Date: A.M. P M. Entry: Address: r.�Ce /LU � �a/•.G —�.� Tenant: Ste: MST + z BUP: - Con/Own: MEC: PLM: ELC: ----- --- THE FOLLOWING CORRECTIONS ARE REQUIRED: — ELR: I OF ,&n?z i, : r r �r y i pr e i n ctor: Date/o�" 1 _APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO � I ♦ �J CITY OF TIGARD BUILDING INSPECTION NOTICE 4 Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. f, Post/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg. Top Insulation -Elect. , Post/Beam Struct, Mech. Rough in Gyp. Bd. -Bldg. San. Sewer Appr/Sdwlk Reins. 'i Other. - - - Date: _ 0 Gj _ A.M. P.M. Entry: — Address: �_����_ � ^ L__.-_ `� �' ■ Tenant: _ ---_ Ste:-- MST d BLIP: 5Q� Con/Own: ---- -- MEC: PLM: ELC j T FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date: APPRO\ DISAPPROVED/CALL FO CF BQ� CO y • 1i`1 +ljty -.µ 1 t j { *.td�{ aY�if�4y ifiMgyy,! 3i La b.� h +rf u y i 14L .r n. S� n �f tr.t v 7 j#� •+k+l �M�o �1 til tar�S�{� �3 e, CITY OF TIGARD BUILDING INSPECTION NOTICE � g h 11 k Inspection Line: 639-4175 Business Phone: 639-4171 " Footing Rain Drain Cover FINAL: + + Foundation Water Line Ceiling -Plumb. rs• +4� Post/Beam Mach, Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Pibg Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. 41 Other: \t7 2 i Data: 12_(" 10 9 �� A.M. P.M.__rEntry: 1. � Address: _L � ::(ao.t � s__ � __..,.I Tenant: Ste•.__._ MST%_0q_7. BLIP: _ Con/Own:_ _ MEC: PLM: ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I 4-3 - - OOP !r }N 4 k SS 11�+w = A + c Inspector: 1 *� _ Date: �,.� j —APPROVED _DISAPPROVED/' L FOR REINS CF CC L� a � I 1 �J i 7r CITY OF TIGARD DEVELOPMENT SERVICES r PERMIT . . . . . . . MST-06-0475 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 MASTER FIE RM I T # : DATE' ISSUED: 10/15/96, PARCEL: 2S104AA-08300 SITE ADDRESS. . . : 12610 SW KATHERINE ST I I SL SBD T V I S I UN. . . . : BELLWOOD : T Z ON I NG: R-4. 5 C � BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 101= Remarks: Repairing fire damaged garage --------------------------- BUILDING -------------------------------~------------------ CLASS OF WORK.:REP HEIGHT........: 0 FIRST—.: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: � REISSUE: STORIES.......: 1 FLOOR AREAS— ------ BASEMENT...: 0 sf REQUIRED SETBACKS--- REQUIRED--- -- ~-- I TYPE OF USE...:SF FLOOR LOAD....: 50 SECOND....: 0 sf FRONT.........: 0 PARKING SPACES: 0 TYPE OF' CONST.:5N DWELLING UNITS: 0 FINBXNT: 0 sf RIGHT.........: 0 OCCt1PANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..$. 15000 REAR..........: 0 -------------------------------------------------------------- PLUMBING ------------------------------------ ---___—___—_��--- SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.......... 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS—: 0 SEWER LINE ft: 0 51' RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 1 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------- MECHANICAL ----------------------------------------------------------~ i FUEL TYPES---~------ FURN { 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 /GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 ---------------- ELECTRICAL ------------------------------------------------------------ --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- ---TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- ---ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 alp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ------------------------- ----------- PLAN REVIEW SECTION ----------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=(125 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ---------------------------------------------- ---- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------- A. SF RESIDENTIAL-------------------------- B. COMMERCIAL---------------------------------------------------------------------------- AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE AL.ARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # 5 ` rEMS: 0 Owner: ------------------------------------Contractor: ___..---_..__----------____-_ TOTAL FEES:$ 402.11 LOU GRILL TEGRIT INC 12610 SW KATHERINE 5716 7E 92ND AVE ' TIGARD OR 97223 PORTLAND OR 97266 Phone #: 684-2003 Phone #: Reg #..: 064290 This permit is issued subj!ct to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All wcrk will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ---------------------------------- REQUIRED INSPECTIONS ---------------------------------------------------------- Mechanical Insp Shear Wall Insp Electrical Final _ — Plumb Top Out Low Voltage Mechanical Final _ Electrical Servi Insulation Insp Plumb Final — Electrical Rough Gyp Board Insp Building Final _ I Framing Insp Rain drain Insp Erosion Control I-'e r m i t+ P e i g Ti a 1;1.1 r e : � 1 xl�11 I S S�.r e d I3 y : j_.M �"'"`�` •� _�__ Cal for in s;pTec-tion 6,..,9--•41.75 L *' s Plan Check d In-fir :ITY OF TIGARD Residential Building Permit Application Recd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd f V- !; 4 7 IGARD, OR 97223 Single Family Detached or Attached Date to P.E. V) ` S03) 639-4171 Date to DST /O "'tt Print or Type Permit d(j �, �= Called I Incomplete or illegible applications will nct be accepted Name of Subdivision Lot d j Name Job k (J- 0000 10 Address site Address Architect Matting Address r. 1 j_ e t () art/ K/1 T" lLInl Name City/State Zip Phone Nam Owner MwWV Addron w U S c Mil /,,, /. T City/state Zip Phone Engineer Marling Address -- CO/State Zip Phone Name General C 62/ r //�< Describe work new O addihon 0--alteration O repair lontractor Mailing Address to be done: A t/�= Additional Descipuon of Work: Cid y/State Zip Phone (,.112 f 6,t, T w- " ` 6(, .. ., ✓..71'3 1 Oregon Const.Cont.Board Lied Exp.0 to Attach copy of () t "L O -`i Project Currtrtt COT Business Tax or Metro d Exp.Uale Valuation IsUc*nmm Name 14 l f I l NEW CONSTRUCTION ONLY: Mechanical EW C& U y P L tJ S Sq.Ft. House: Sq.Ft.Garage: Sub- Mailing Address Contractor ±10c) n/ w 12-1 } S i Comer Lot Yes No F:ag Lot Yes No cay�smte Lp Phone (check one (check one � ?,(.p -5 -o-ly it Restricted Audio/Stereo Burglar Oregon Cgnst. nt CoBoard Uc.d Exp.Date I/ 1W Energy System Alarm _ Attach Copy of 'I "j `-I �'L.. i� _a__L�-r Current COT Business Tax or Metro d Exp.Date Installation Garage Door HVAC in ueenses f,n t'( Opener Systems Name (check;,N that Other. Plumbing /I)/L WA C K I E /'f lii'; �,�,I n;' i, apply) Sub- Mailing Address Will the electrical subcontractor wire for all Yes N ) ��r restricted energy installations? Contractor ylState Zip Phone/30 * CityHp- the Subdivision Plat recorded? WA Yes No Oregon Const Cont Board uc.a Exp. Date Reissue of MSTft Solar Complianc-z i\ttw.h Copy of u o`1_ ( ji �� (Calculation Attached) Current Plumbirg Lic. x Exp. Date Linformatton ereby acknowledge that I have read this application,that the Licenses - 1 ( i 1 1 given is correct,that I am the owner or authorized agent of COT Business Tax or Metro ax Exp. Date e owner,and that plans submitted are in compliance with Or"nn ate taws. Name si ture 4f dAgent Date Itrw Electrical �l ltf� [1 I�.';, I ( ' ! SLE C 7/L(C.. C ct Person Name Phone Sub- Mailing Address - r;. I Contractor l ,� ) (.,; FOR OFFICE USE ONLY: 1 t trlvtate Zip Phone FOR # MaplTLlt: IL b 1 Il Oregon Ca t Cont Board Luc.B Exp.D to Attach Copy of ` + I I ' / I i Setbacks Zone: Solar. Current �Yedtreal Lic. 0 Exp. Date ueenses L -, (' u- `1 ) COT Business Tax or Metro d Exp.Date Engineering Approval: Planning Approval: TIF: CstsvMfapp doe j i i Permit# Account Descries AArr.Q= Amt. Pd. Bal. Due MST. Permit (BUILD) _Lfu )y Plumb. Permit (PLUMB) , Mech. Permit (MECH) �� / 4 ELC/ELR Permit (ELPRMT) State Tax (TAX) Bldg: ,5. 5`3 Plumb: t Mech: ELC/ELR: _ S. �►0 Plan Check MST: (B'JPPLN) Plumb: (PLIOPLN) Mech: (MECPLN) 1�,�1, (0. 1 COC Review (LANDUS) q 6) . _ — y u .� Sewer Connection (SWUSA) Sewer Inspection (SWINSP) i' — Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (E:ROSN) Fire Life Safety (FLS) TOTALS: i:WftVmnop.aoc Rev 71% f I ,.i ' SITE PLAN TEGRIT INC. 777-3778 MAP # 251 04AA TAX# 8300 SUB BELLWOOD 2 LOT 102 12.610 SW. KATHRINE ST. � ` IGARD OR. 97223 j �N 1" 20' KATHERINE STREET / GARAGE / — AREA. OF REP IR ti ` EXISTING HOUSE \\ i L I N. 126. 63 s' .p�.. 1. f _.,.. YUYmwI.....„....,._ ....,,,,.yrew,NR"hY1M`%��1°;t!!to?lk'$'t +"rMu}�'�� �.:r...�, .x..-..•n�..w.,,->_, _ . r I a m'rY OF l I L E�Btl:i F�r::t..31 "i �':If C�t�r'r�1 r�!1 I i 1, 14U» AMIJUN t' 330, NAME a It-'GH [T INC CASH AMI:!UNI r 01Ao Eal'i1.'>R a a `to r' 16—[A FA. 9tt NU AVL i-AYMEN"t DATL. s B 0i :t`, t=OP rI..AIJr) OR Slie )11)1 Z),11-114 a I PURPOSE GIF PAY MH"J I AMCILIN I PA I D PURPOSE OF I HYMEN l All(JUN7 PAID #l.11►_l7IN173 WakMI) I'I.U11, INb PL-4,M ."r. 11w MFECHANICAL. f='t" i,I.k t"B'RIC: iL PC-14M1 B' 11iLl. 11.10 ! fiT. BUILT) PLR 13. "..,:s 11ECHANIUAL PLAN (AiLC K 6. i:lb ��I LAN) U:h' Arai='1_ 40• RIVE i ll ! 1I � MST96--V47; jlA26.1121 TAW KW HL R I Nt- :0 rUTHt_ AMOUNT PAW r1 P'8 I 1 1 r.l B 5' Lit, 1,t U. Br..,l llI- 8,0YMi-.N1 wt:.c;l•.::rl.11 rarJ. 041-.1+1- AM0..11141 . 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