12685 SW KATHERINE STREET-1 12685 Sod KATHERINE STREET
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Owner:..- h,�.rb... 1q.r.i.�;�.�.�t.�...............,......................Permit No...QIK............
Building; Address....JZ, 95.,__g,r�L� ,K.�th.ezi.ne Streat
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Certificate is hereby given thi9...255.! _...day �f ._..A.�gu�t....... . .., 14i..._.7.�.
'hat said huiloing may he occupied and
that it complies with all requirements of
tho Building Code for the City of Tigard,
as approved by the 'Tigard City Council.
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Building Inspector
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : PERMIT NO. : —
DATE :
O. : —DATE : �DATE ISSUED:
OWNERS NAME : -
ADDRESS :
AME . _ADDRESS : —./',76 i r
CONTRACTOR
TEST. Air O , Water [ , Visual O , Laboratory p
RESULT: Approved , Disapproved U Pending C,
SKETCH.' TA_1 0" OLJ7'- •64itA,`,0ea-^ 1 ,1r.041"".0.
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I INS EC?0R ' DATE
CN'JTE : Attach supplernental fest data hereto]
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City of Tigard
for
IP:�PE ;1N TIME'
rlb! E: DATE MS!
TE " ' ' _ jerLi , visuai
RESULT' A��.,f r j : �ascpprcd'. r_� �,,. ,r Ca
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INSPECTIONr
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IIM.SaLCTIpIV TIME : . __�-._ fJEC�,r%!?1' ,',11...._�..�....�
! PATE: 21.E DATE
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ADDRESS . ��
: Air CI, Wa►er�,{�} , Vitual P�. La!+�frnt�
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CITY OP
BUILDING PERM;T APPLICATION TIGARD DATE' 75N9 0160
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING gL.JNk.Ar�p ItC)FJ.CATI�ONS bdOWNER
Vs ��E_
OWNER Hk, rb flor'�.l1llette ADDRESS �12685 5.1j, 1(IBtherine BUILDERPHONE
owner ENGINEER
�(JlDER ARCHITECT -1DESIGNER
STRUCTURE L_INEW ❑REmODEI_ _ ❑ADDITION ❑REPAIR _ ❑RENEWAL DFIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE�CCOMM ❑EDUCATIONAL ❑GOWT CIREI_IGIOL1IS❑PATIO ❑CARPORT ❑GARAGE `1STORAGE❑SLAB ❑FENCE
❑BOND I]MOVING ❑CONDITIONAL USE LJ DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_.__-_LAND USE ZONE_.__—___TBI_DG, TYPE— ! FIRE ::ONE PLAN CHECK BY t HEAT--—
1,10U
-__
1,10U s,,q. tt, frams duelling iccorrling to sppr�-4r
plans no basement — at t achad garage _
CCC LOAD FLOOR AD HEIGHT NO. TORIES ,�__� AREA 11010 VALUE
BUILDING DEPARTMENT ' ` a
_ SET BACKS FF..,NT Z0 REAR LEFT SIDE RIGHT SIDE 14
Permit 118.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE. BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE 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 COVENANTS. CONTRACTOR AND SUR CONTRACTORS 'TO HAVE CURRENT CITY BUSINESS
1%State 1.lf1 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 129,18
EKY PA a I APPLICANT OR AGENT
Approved Receipt No. +
ADORrSS� FON
DATE INSP I YPE INSPECTION REMARKS PLUMBING V DATE
�`o73'7S Gb`1jrJG ��1PpRcx.+c0 _ — Contractor;
Permit No. P ooW
Po&Tcu, --Po ,U07 ooe"Py --- _ Rough-in
Fixture - -
e�'/7 60w&l F`IP.o _ .+..,r,.i�6 Final
'Ll"OL: /3 '�K�`� HEATING
f-j 11 �4,,�� j �sL) "rl��_ Contractor Zc _
Permit No. L_L 7`t'
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__ ;1L�(� L'���C f �1�__1Q?L�Tt•/Z��1�� Gas or Oil
as 7 ( J / /ri#,,I ) AVPl►Awmr Final ---
e� Ce�v� ZOIC �i SEWER
��r �-►' — ��—_. — Final
DRIVEWAY
Final
_ Storm Draina e _
(Rain Drain) Final
— -- ---__------_—_ Sidewalk `------ J
Curb&Street Final _
BLDG.DEPT.FINAL �— TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final _!
Landscaping
Zoning Final
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ADDRESS PERMIT NO. tray
PERMIT CHARGE none
OWNER CONNECTION FEE tea _
PA ID BY Z.
TYPE OF BUILDING S DATE CONNECTED 4 13 7,!�-
SERVICE RATE rth INSPECTION FEE
CONTRACTOR PAID BY
SIZE OF CONNECTION _ �'` ASSESSMENT PAID
City of Tigard
INSPECTION REQUEST
for
I INSPECTION TIME : �� �`' �'' PERMIT NO.:
DATE: -2 1's 12"' DATE ISSUED'_...i.. L
OWNERS NAME : -_
ADDRESS'! !/
CONTRACTOR
TEST'. Air ❑, Water M , Visual L�1 , Laboratory o
RESULT; Approved WJ , Disapprover! D , Pending ❑
I SKETCH:
I ) I r
I INSPECTOR DATE
ICOTE . Attach supplemental test data hiretIp
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