12670 SW KATHERINE STREET w w
1267U SW KATHERINE STREET
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I�origsette..................................... . 0159..
.Permit r�+o.. .. . ... '� �;,.
• •• 12670 S.W. Katherine 3tre6t I .
( r Bullr►tng Address................................................................................. t,
} Certi�icate is hereby given this.. _? thday of....October iso ;15
C , I that said building may be occupied and { ;
' � • i reg uirements of
t,�at It c ulplles with �1 ! j .h
the Building Code for the City of Tigard,
�l as approved by the Tigard City Council.
/ Building Impertor
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City of Tigard
INSPECTION REQUEST
for
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IWECTION TIME: . Z d=:% NCS. :—
DATE: .7— /23 ;? ' DATE ISSUED : i
OWNERS NAME :—v2-+ &r r md2
ADDRESS: 1 ;14, 70---
CONTRACTOR :
14, 70CONTRACTOR '
TEST : Air p, Watery , Visual El , Laboratory p
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RESULT: Approved Disapprove Pending p
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SPECTOR DATE
ENOSE: Attach supplemental test data beret
City cit Tigard
INSPECTION REQUEST
for
INSPECTION TIME: A s r" PERMIT NO. :.
DATE: "22L75- DAT !SSUED :_ _LL_
OWNERS NAME . _____ /n�G7 -- I
ADD RES S: ._.._.l_2_
CONTRACTOR :
TEST : Air p, Water(] , Visuaix, Laboratory p
RESULT: Approved ,� , Disapproved 11 fending (]
SKE:TCN; ,, /G ; d.�s ;�...� -�- 75...
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INSPECTOR DATE
FNOTE: Attach aupplementat test data beret*] t
City of Tigard
t
INSPECTION REQUEST
for
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INSPECTION TIME: . I,, ) PERMIT NO. :_.._—
DATE: DATE ISSUED : I Z
OWNERS NAME : —
ADDRESS:
AME : _ADDRESS:
CONTRACTOR :
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TEST : Air C7, Water p , Vieual Lnboratory [j-
RESULT:
RESULT: Approves! � , Disapproved_ PP Fending []
SKETCH:
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INSPEC','OR DATE
FrTEAttach supplemental test data bereto� I
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City of Tigard
INSPECTION REQUEST
I " for
IINSPECTION TIME :_�iL�_c____ PERMIT NO.: -----_
DATE: DATE ISSUED.__-1—
I OWNERS NAME : w.L?kt_ --�
ADDRESS : -----
CONTRACTOR :_—'
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Laboratory
TEST; Air 0, Water U Visual C7 ,
IRESULT: Approves' n Disaprroved D pending
SKETCH,.
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INSPECTOR DATE
INOTE Attacrtuppismentul test 406 harst:
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: >; DATE ISSUED :- I Z
OWNERS NAME . Ir-, are-u<,:i�7��
ADDRESS: , a 6 70 �_�t� �"rn i F/C'�t.r n• c __�__.
CONTRACTOR :
TE ST . Air p, Woter�Q , Viauul 0 , Laboratory p
RESULT. Approved ja Diaipproved 0 , Pending p
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IN ECTOR DATE 1
F-rTB: Attach eupplementnt telt data beret,]
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City of Tigard
i 'ECTION REQUEST
lNSP
for
INSPECTION TIME : �°� PERMIT NO. : __
DATE'. -,) /-/3//5--"DATE ISSUED:---.Z-
OWNERS
SSUED:—..ZOWNERS NAME : �Yl�►h'i5-5� 77 6--
0.1 &-7o
.&-7a ADDRESS : , [° h��-'« Looc)D ..�
I CONTRACTOR
TEST . Air O, Water Visual jI , Laboratory
RESULT: Approved,g , Disapproved ❑ Pending []
SKETCH:
INSPECTOR DATE
EOTE ' Attach suppismental test doto heret]
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` CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE_._ ,9 N° 0159
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANY11�14i PLANS AND SPECIFI'ATIQNS. OWNEI!i PHONE ___ —
Ilorb Marieset tim 126,70 ' .f�. "atherin i
OWNER ADDRESS BUILDER PHONE_
ENGINEER
I;X i.!
$,WLR ref — ;1R�HITECT tt--�� DESIGNER
,;rHUCTURE rl-_tINEW 0 REMODEL_ ❑ADDITION ❑REPAIR CIRENEWAL UF!RE DAMAGE f-1 ❑DEMOLITION
0 `1ESIDENCE OCOMM ❑EDUCATIONAL CGOV'T CRELIGIOLISUPA-'0 ❑CAR PORT ❑GARAGE 0 STORAGE OSLAB []FENCE
0B0N1) ❑MOVING DCONDITIONAL USE CDESIGN REVIEW L._I000NCIL APPROVED ❑SIGNS
QgCUPANCY LAND USE LJNE— _`BLDG.TYPE .� _FIRE ZONE_ PLAN CHECK BY.
Construct 110U Sq. Pt. frame dwakliing according to
Approved pans. Attenhod gar>r go -- no basement
OCC. LOAD FLOOR LOAD HEIGHT _ NO.STORIES ____ AREA VALUE _
BUILDING Dv' 4RTMENT SET BACKS FRONT REAR 4;. LEFT SIDE11 RIGHT SIDE 1 `.
Permit j,tl}�,Q('] �.�—..
—" -" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONYAiNED IN THE BUILDING CODE, ZONING
Plan Chsck 10•UQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS ANZ,SPECIFICATIONS AND IN COMPLIANCE WITH
Recordiny ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
.i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HFATING.
Total .
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By — -- - ---- —-----.�
APPLICANTon AGENT
Approved Receipt No. t I
ADDAFSS --p,+,)NE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/"0�o�"7.i — 0 �dL - Ne✓�2PD 4+�iiNpaf� IJ< Gr,)� �•� Contractor 50
&#IPi&d0✓0 Pe,mitNo. P-Uo!t�_
r)I"? N'1 QA Al" "on), 2,L � �JN1Rough-in
C Fixture
Final
�� 1 A) �� rZttil HEATING
t _ Contractor .
Permit No.
Gas or Oil
Rough-in s
—'�,Z`��14
�I-7s Final
(;74-PAGf10t� -- 0l� T o fJyv � SEWER -7
Final a
DRIVEWAY
Final
Storm Draina e
(Rain Drain) Fir al
-- -- Sidewalk9Z6 [
_�_ _ Curb&Street Final _ C 7 `� 76
Approach —/7 7<
I BLDG.DEPT,FINAL �~S'FMPORARl' CEFTtFICATE OCCUPANCY
01 CERTIFICATE OCCUPANCY Final
Landscaping
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Zoning Final
7
Net
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RD1)RESS 10 ��y. �j� �� PERMIT NO._ 50 _5
PERMIT CHARGE no,a_.._.....��
FILINER CONNECTION FEE
PAID BY c B?c e
TYPE OF BUILDING ' .e.:ycc�, _��_ DATE CONNECTED
SERVICE RATE V INSPECTION FEE
CONTRACTOR � tiLLA j � L- �
_ PAID BY ''",,', DATE
1 4 1 �_ ._.51ss
SIZE OF CONNECTION y' ASSESSMENT PAID __
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