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12630 SW KATHEROE STREET
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Owner:.....Herb-er.t..leorisset.te....................-----.....Pernlii No...
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. Building Address......1263.0..S.M..-.Katherin.c S.twAe.t~ ................................
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Certificate is hereby given this.......24,thday of - Act.ob.ar........ 19......7.5
that said buil(Viig may be occupied and ;t
that it complies wi0h all requirements of
s o the Iiuildhig Code for the City of Tigard,
e }; its Approved by the Tigard City Council. LJ
10
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Building Inspector j
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C.m•na
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INSPECTION REQUEST
for
INS'PFvYi%",�*l T..,)AE
DATE: _�� Z OAa;E ;3S',;ED
CWyEr^,S NAME :
C O N T R A C Ta R : _
G:71
1 PECT CR DATE
N'�7Q. �•t:� �. � �mental test data bar" I
City of Tgard
INSPECTION REQUEST `
for
INSPECTION TIME: PERMIT NO. :—
DATE:
O. :DATE: -19-//s/ 7S- DATE I S UED :. I Z_ �
OWNERS NAME "
ADDRESS: fr, t i
CONTRACT?R : Q
TEST : Air [1, Water El Visual Lc.boratory p
i
RESULT: Approved Disapproved Q Pending p
SKETCH: J) 3 ; 40Pw, 5`��4_, s--
INSPECTOR DATE
[NOTE : Attach iupr'rmentrl tis!,t Aato Isereta�
City of Tigard
1 N S FIECTI O N REQUEST
fQr
INSPECTION TIME: ► PE�MIIT IVO. :—
P.AT E: DATE i SE Vc,1.; ;.__L__1
OWNF IS NAME ---
AD0RESS:
C 0 H T R A C T 0 R : __ S � kA_Krf7 - --- -.
TIF " it , W�ier[j , visuu� {
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RESULT: er:, L, k , ;.isapprcv �i_ ►rti O
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��,, 'laa1 �*.ela�spntal Laff Zof.*•viAr*i* I
Mir s w =am—A-1
City of Tigard
Mspa;TION REQ(,) -r
for
INO" 'ECTION TIME'
CONTkAOTOR
3
RESULTIJ �•�~ w L]
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ADDRESS PERMIT N0. Svy
PERMIT CHARGE none
OWNER _ _ CONNECTION/ FEE
PAID BY
TYPE OF BUILDING _ n-c1 c(?2��a _ DATE CONNECTED l. f _
SERVICE RATE ` �„Z _ INSPECTION FEE
CONTRACTOR i.� 1:;�.�;,�_�`. �,� r A I D 0Y ��[il�c�_ DATE
SIZE OF CONNECTION �' _ AS: ESSMENT PAID
N
CITY OP N° 0„176
BUILDING PERMIT APPLICATION TIGARD T'
THE UNDERSIGNFD h E5Y' APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPriOVED IN THc ACCOMPANYING PL!NS AND SPECIFICATIONS. OWNER PHONE --- - -__--
19' t.'Qrt Mort 4 .zLI.!:1L”' i ,._,I, ktr9 ha x ,,
QWNFH _ • d f�f1L1RESS_ - BUILDER PHONE
MOWN
AUILDEH_._. ARLHITE.CT DESIGNER r-J1 _
;TRUC'TUPE +-LIJNEW tJREMODFI_ ❑ADbITION ❑REPAIR ❑RENEWAL FIRE DAMAGE 1DEMOLITION
i rE-,IDENCE L.JCOMM DEDUCAT!ONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT EIGARAGE 0 STORAGE OSLAB ❑FENCE
DBOND EJMO VING GCONDITIONAL USE L DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
OCCUPANCY_ LAND USE ZONE-- .-..BLDG.TYPE. — FIRE ZONE__ PLAN CHECK BY, RFA HEAT
Now Sin;, „� family Ire sidenca to be constructed mccording t.' plans
SlLbMi tt8d. attached garays-no burse mont - wood frame —
_OCC. LOAD _ FLOOR r.OAD _ 40 lb HEIGHT NO.STORIFS AREA VALUE --
BUILDING DEPARyTMENT �- SET BACK` FRONT 2Il REAR LEFT SIDE `r RIGHT SIDE
Permit .-._-----------__._---_.—_----
THIS PERPAi T M ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIf.NS AND ALL .APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL U DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- `—' RESTRICTIVE CJVENAN'iS. CONTRACTOR AND SUB COiJTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMPING AND HFATING.
Total
BY
--- --------.----- Wont rca,rut Ok AGENT
Approved Receipt No.
ADDRESS -F,1iORI:-
WAWA
DATE INSP iTYPE INSP'.OTION REMARKS PLUMBING DATE
ow
Contractor_1;_/,,
c Po-o_~7� o Permit N,. &
C ) Rough-in
-.Fixture
/.";;,r Final HEATING
Contractor
Permit No. 4_7
r
. ....... Gas or Oil
3/-ISS � `�'�� v��- 1 z�*7a � -- Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk mac,)
Curb&Street Final
Approach
SLOG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANC
CERTIFICATE OCCUPANCY Filial
Landsca,iing
Zoniv-, Ficil
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