12715 SW KATHERINE STREET-1 �w aw ar wr v w �
1271.5 SW KATHERINE STREET
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CITY OF TIGA RD c
ti Owner:.. Allen W. Drew 0130 ,��('
..........Permit No.------. ............ (Q
12715 S.U. Katharine Street
r � Ri�il�lingAddress.............................................................................................._ ........
yF1,'y Certificate is hereby given this.. -.Ath....(lay of... MaX... 75
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(°, that sulld building may be occupied and
o � A that it complies with all requirements of
the Building Code for the City of Tigard, f
' as approved by the Tigeard City Council.
Building Inspector `' ` r'
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City of Tigard
INSPECTION REQUEST
for I
INSPECTION 1!ME: PERMIT NO. :-
DA'T'E: -r /1 / 72- DATE ISSUED :_1._1_
OWNERS NAME :- __..__ f
ADDRES;::
CONTRACTOR : . ��4' • ` �-'
TEST : Air P, Water[] / Visual ❑ , Laboratory p
RESULT: Approve , Disapproved ❑ , Pending ❑
SKETCH;
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INSPECTOR DATE
[NOTE * Attach supplemental test data beret I
ADDRESS PERMIT N C. - _- O
PERMIT CHARGE .
0WNEh /�� _ CONNf_C T I ON FEE
PA 11) 13Y
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE z. � INSPECTIOJV FEE
EONiRACT0R �� ���. "-- - PAID OY -y _ DATE _
SITE OF CONNECTION ASSESC'MENT PAID
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City of 'I' lgalra
INSPECTION
for
INSPECTION TIME : PEK-rV:T
DAT E DAT t: Iq
OWNERS 14AME: --
ADDRESS * -1,27 )-L
TE•-';T: Air Cl. Water Visual
OTF: Al!cu% !sit do^#
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City of Tigard
INSPECTION REQUEST
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for
1 ter'-i L 'JC 1" 14 ?ol"✓_4! / �l -I
INSPECTION TIME' t. �'�' PERMIT NO. :---
DATE:
O. :___ I
DATE: sj.P ZZ DATE ISSUED :— I I
OWNERS NAME : /X rk
ADDRESS: 1�' %/•� S �``�.�l1 _L:�`�
CONTRACTOR
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TEST : Air 0, Water[] , VievalAf, Laboratory p
RESULT: Approved f ( Disapproved O Pending p
SKETCH.
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INSPECTOR _ DATE
IM01E : Attach supplemental test data beret]
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i City of Tigard
i
INSPECTION REQUEST
for
INSPECTION TIME : ,;2- ' �:iC7 _ PERMIT NO. :
DATE: I APZ2.6 DATE ISSUED:_..,
OWNERS NAME : / rE TTS_
ADDRESS : -or/D'i �=� ,c.i�!<•!o
CONT-RAGTOR :__ ,
TEST* Air [I, Water ,d, Visual J4/, Laboratory []
RESULT: Approved , Disapproved O , Padding C]
SKETCH:
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I INSPECTOR DATE
ILNOTE : Attach supplemental toot data h, roto
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CITY OF
BUILDING PERMIT APPLICATION TIC ARD DATE. - __ 0130
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE---_—
21WE- Allen, 41* Urev ADDRESS— 1271b *We Nutherinw
_ BUILDER PHONE
`t' rb Morifisette ENGINEER
BUILDER ARCIr17ECT _ DESIGNER
STRUCTURE ONEW CIREMODEL _ ❑_ADDITION_ ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE. ❑DEMOLITION
❑ RESIDENCE ❑CCMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE [:]STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING DCUYDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCUPANCY LAND USE ZONE.—._ BLDG.TYPE — _FIRE ZONE—_ PLAN CHECK BY— HEAT._-_
09,C. nn .1b.�. LOAD FLOOR LOAD HEIGHT NO.STORIES _ AREA---- VALUE
BUILDING_DEPARTMENT SET BACKS FRONT REAR LEFTSIDE fJ RIGHT SIDE
Permit 104 a 6")r', _ ------ —---,_ — —��-__---�
-- THIS PERMIT IS ISSUED SUDJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check in.`-;; 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. T4E !SSUANCE OF THIS PERM'r DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State d I}�► LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATING.
Total
By
APPLICAN 1 1117 AGF N I
Approved Receipt No.
ADDRESS PivaNF
w w nw ris .� ow ss
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
�_ ho0Ndy oU "j��4lll lM�/> , Contractor 5*0NMeCAt-
�JNt��v= io,✓ IaDJt y7 `v/��� �. , r Permit No. 3.7 —
f -1 25 Phc7coDo vvTRough-in
Fixture _ — ---
_s8 —_ "v/I _— _ Final_ --
•�S. �� 2 HEATING
f�G�Ti mtractor
Permit No. �sl / ,J,7
Gas or Oil M —
Rough-m
Final
— SEWER
Final
DRIVEWAY
Final
Sto;m Drainage
_ (Rain Dra;n) Final
Sidewalk i 5
fFi.,n
&Street Final
a,.h / ' '' 7)—
BLDG.DEPT.FINAL J TEMPORARY "ERTIFICATE OCCUPANCCERTIFICATE OCCUPANCYcaping
g Final
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