12765 SW KATHERINE STREET-1 12%65 SW KATHERINE: STREET
cn
cu
c
N
a�
t
-P
ro
_4
u7
�r}
uj
cv
INSPECTION NOTICE
City of Tigard building Department
P.Q. Box 23397
'Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Time M P.M.
Dnt.c Requested
Address
Permit *LLL 1-1
Owner,--�21, Lot #
rJCi
Builder
The fridowinp Budding Code deficiencies :,re required to be vorrectsa&
Prespoted 'm
Arl ro%,Cv
Inspector D;,arijirc,ted
Date
CALL FOR REINSPECTION
0 YES LI No
� ■1s � s• � AVS � !C ii�, r
i3t.)ILAJING EE MIS'
C'7YOFTIIFARD tO. : 811.11891U21
CITYOFT*A
COMMUNITY DEVELOPMENT DEPARTMENT 09100k
13125 S W.Hall Blvd.,P.O.Box 23397.Tigard.Orpgon9722J.150=:)639 4175 DA'T'E: J1S5L'l-._-_J.) : 5/1,15/89
14 M. PM i,4 10. 89kow-_
J00 AUUMESS : 1.;.'�76!5 SW KA'THF_P1Nr_- '.i*T*
'T'AX MAP/L.01' SUD: LJ : 1:*
L.AND 'JSE_: :
Cl '61F
.J
L..01" !;;:I:ZF.:* VAL..LJAI':I.(:)N : 1111, "'t, :I A10
i::'r4ON7' : MAP :
WORK C1 ASS : DWE:'LL UNITS : Pl'(;H*Y* :
USL 'TYPE:' ; E':: F�('-NMT I Y NO M-A)ROOMS : EXT l C'ON".11' :
INS'T , TYPE : VN NO. BA'THS : N: SO : k:: : W
(:3.11P.611P. : M1 PRD*T* .01:)EN3:N(',S :
ut;(:,k.JP.I-OAD 141"I'Al.. AFIE:A: P230 N: S : EK : W:
NO. S713114ILS : 1.S 1*: Rn0F CONS*T* : VJPE' PF'J"?
1.2 2ND: API: A RAJ F'.'
3RD : OuGUt-" . SliPAR? PoIT:'.1):
MUZZAN11411:1:7 BASF.*m 1,
FA.-(Jorg L011111) : Vo A 0 A"A:. P-30 FIRE". SPAKLA'? Al_ARM7
FLOW((;PM)
W"A'r XV916i
F)LAN (:'HF'l.,K BY : r-J.t
F&:MAPK5 :
RE 155 N() .
I PEI'SG(JE _J
FEE:S :
vv W',':GGINS BOB a; MARY Pr-..RM 1"T $50 "50
,l
I.P765 SW S11* F4_AN PF-'.VTki.W *'32 .FL%'
'T'J(.'.AP1.) OFI 91p..23
I)li.11LINI-i (50.3) 639-9087 S*Y*A1*F_*
C DEVU.OPME.N'T GHAR(3E5 :
0 — I
L- FOWL 1 14 SOL,4j'TORM)
T J::'OWl...El1 CONG'rP1.1c-1''.1cm ca S T FIF U'll,
R
A
C I :1.(:;P--RU OR 9722.3 < >
T
C, P140rA:' ("50"S' 639 Y01137
Ph S114A140N N(.') . 12043 VUTAL . +b(3Li.0 6
This p i mit is issued subject to the regulations contained in Title 14 Pli-KCL" P'T NO ,
of th:t TMG. State of Oregon Specialty Codes,zoning regulations ---------
And ill other applicable codes and ordinances, and it is hereby AF:"QUT.PK*D 1:NSPIEX"T'1'JN5
agreed that the work will be done In accordance with the plans Alid VOU'll'T.NG
apecifir,itions and in compliance with all applicable codes and F-PAN.T.NG
ordinances. The issuance of thi!.permit does not Naive restrictive
covenants Contractor and subcontractors shall have curreni city (.,YP. BOARD
business tax perm is This permit will expire and ber.OM3 null And f-MAL.
void if work is not darted within 180 days,or it work is suspended ai
e-IrMtriie�n('-d for a period of 180 ldais any time after work has
corn ,aid It shall he respcmsil�illty of the permittee to assurr,
i 'p'.
"t
Fit Ired In an A requested And approved
I'mmiltop 13;qnatur
Issued By
I CAI-L. FOR TNSPF(','rTON 639-41:11.75
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CI OF
TKA ���� PIAN CHECK APPLICATION
RD , uno1& PLAN CHECK b
COMMU1 gITY DEVEI_OPMEPIT DEPARTMENT' - PERMIT 11
13175s-w."61.1 P.o-na.2.U97,TIVac•a.Omqon9rm.(03)63941n _/ DATE ISSUE?
JOB fj RESS: �Z �J _S' t"�ZI_n. 3s _ i AX MACS/LO r
SUB: J. WT: _ F___ LAND USE: -- _- -- ---
"ALU AT ION '-
SPECIAL NOTES
OWNER �1 .,D \1 Iv'1h`S -
NAME• �� REISSUE OF: _
_ �T1� LAST REISSUE:
ADDRESS:
_��..- _►� r - -�A�-_�_�-� ----,- 8_000 PLAIN/
-��•� _ SENSITIVE LAND:
PHONE A_ I.� �---— T J APPROVALS REQUIRED
PLANNING: _-
CONTRACT II r- r_NGINEERING: _
NAME: FIRE DEPTADDRESS: Z z J_ _ OT 14CR:azz
--�---
_ ITEM'j Lf UQ IREU
PHONE: LIST/SUBCONTRACTORS:
ARCH/ENG`. Uf_ER BUS TAX: -- .-...
CALCULATIONS: _
NAME: _ -� � -?_ ----- _ --
--- TRUSS DETAILS: -
ADDF.-SS: -- --
------ PARKING PLAN: -- _
-- - --�`� --- L0NDSCAPE PLAN: Y _
---- -- --_ —__-
01 k:EK
PHONE:
COMMENTS: -_.__-- - ------ --- -- -
PERMIT N ACCT H DESCRIPT `ftl AM0U1VT- AMOUNT PD. BAL DUE
_ 10-432 00 Building Permit F %es ----
�_ - 10-431 00 Plumbing Permit Fres --
1031 01 Mechanical Permit Fees _
-` 10-230 01 State Building Tax
Building
Plumbing -
Mech _
10-4"s3 (n) Plans Check Fee =-
Building
Plumbing
Mec _
30-202 00 Sewer Connection �---- -
30--444 00 Sewer Inspection _----
51-4411 00 street System Dev Charge (SDC)
52-449 0o Parks Sysvem Dev Charge (PDC) - �-
31-450 00 Storm Drainaqe Syst now Chrg (SSOC)
10-230 09 TRFO ----- - -- -
10-230 06 Washington Courity 1 ire N1 (95%)
10--220 00 Amar-t/Wedgewood _--------- . r•,
TOTAt
REC b ----- ----
APPLICANT SIGNATURE
C,
Received By: g -- _ Date Received:
cn/3587P/18P
a .
+.t �� !' r 1. �.� �✓ I� c. ( m,- » f) Y i� '�i �( � t 4 ( '� c� 3t�.. + ..+.. < 1�3
.a;xamm;a`.x.t"., ._.M.
n �z
CI,
OF
CITY OF TIGARD 0",
OREGON
Owner.....Herb .Morissette.................. ..................Permit No....�7............
...............................
_r C' Building Address... .....12755 S.W. Katherine Street
................................ .
24th
Certificate is hereby given this................day of...--October....... 19...75 II
(; �? that said building may be occupied and
that it complies with all requirements of
• the Building Code for the City of Tigard,
i as approved by the Tigard City Council. I,�
........ . .......
10
Buileing Inspector
_ 4 ( ) f�s�� ,...���.�M Vp`!•" v0 „!•' �'� (�"Iita� (� � �.� �'sb (,f dr i�,1 'rwa7 � ..:"+'� �,3 r'.'�
t � 4
f `.�� i `_"�%' �:.^_'y%" �4��`' - 'esti;: �wi'•:'. - .vc��r'a.
/0—...0 ueuu.w u S .
Ci y yf ;', r nrd
for
r
r •,.� vl '
D.aT E: i(-' 2/ 7 s:. DA7Z :S S,:E D :_____L_
0wIE�S :NAME : 11 .0 '7= --
' / GS cJrt T J�`-
A DRESS .
CON"RACTOR : ��--- _—.— ------ I
r
TEST : Ai- C , ''' A- :1 , iv4c�
Rt31iLT: ,�►�-;: ieJ �. �'sti �,-� 9i �) Pendi'l) 7
a ZT^1i:
1 PECT0R DATE
MV w
city of T g cl,
INSPECTION REQ
for
INSPECTION TIME : PERIV!-T
DATE: DAT E
OWNFi,S NAME .'
ADDRESS :
r;v!-T .Air r1. Water Cli , Visual 1-04, 0wif(
n
NO H c tip p!v moot ti I 14-ot .#*toAApf&-441.
LJ
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _Y—',0'V PERMIT NO. :
DATE: --Y, i.l1LS DATE ISSUED :--L_.L I
OWNERS NAME :
ADDRESS: /22/ 1; LIZ,
CONTRACTOR : l '' doj k-s'
TEST : Air p, Woter❑ Visual o , Laboratory ❑ I
RESULT Approved,, Disapproved 0 , Fending (;
SKETCH: I
I
INSPECTOR DATE I
�NOtE: Atte^h suppiein' m1al test dmto bereta]
Ii
City of Tigard
INSPECTION REQUEST
: . E(�
for
INSPECTION PERMIT NO.: —
DATE:
O.: —
DATE: L'��`CL.r�'_ DATE ISSUED:—J--.-
OWNERS NAME :
I ADDRESS :
CUNTRACTOR :AC--a-ti2!'' �'� -
I
TEST: Air C7, Water (] , Visuolel Laboratory
RESULT. Approved Q , Dinapprive-' , Pending C]
` SKETCH ,er,ct-- c ►/'f� T�aiv ._._-
� �OE�01y` ,� pie<',._.
i
INSPECTOR DA'rE
ICNOTEAttach supplemental test data horst]
I ,
t ,
'
City of Tigard
INSPECTION RECUEST
for
I
INSPECTIC. ' TIME : _ PERMIT NO.: _.._—.
DATE: LF'J ".5 DATE ISSUED:--L-I
OWNERS NAME : Al0 r1 s so { — -- -.
I ADDRESS :
CONTRACTOR -----
TEST. Air CG, Water [j , Visjal*, Laboratory [I
RESULT: Approved 0 Diaapprovedefd, Pending ❑
I SKE-rCH:
5e,A-1
� u%/mac'"5 -` I��L�c.�-✓� �'�
r
I
04SPECTOR DAVE
INOTE : Attach vipplemental fest data herefl
1
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: _ �� PERMIT NO. :
DATE. / DATE ISSUED :___1_L
OWNEkS NAME : ._ 6 C
ADDRESS: ��' //01 •. � p� I
CONTRACTOR :
TEST : Air ❑, WId
Visual Laboratory ❑
I
RESULT: ApprovDisapproved D , Pending G I
SKETCH.
I
I
I
INSPECTOR DATE i
t07F : Attach 10010men al test data b.reta]
h
Iller ■s wII
..,.rY aYYervmnr^w'±►o..wi,.e•n•M1.nrnVwwawp �lA'YIIA' .v IN,ynl...wM,.w,;.-„.y.,�.......... "�.gMIF M1F�u'”�59E!w`+�K.11u�+5Jdk�I.c��ilrr�•.
CITY OF
BUILDING PERMIT APPLICATION TIGARD N° 0147
DATE--.�--- --. 19
THE UNDERSIGNED HEREBY APPLIES FJR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN
♦♦ AND APPROVED IN -THE ACCOMPANYING
)J Wr -
PLANS fy? Sf' GIFIC�AyTaIONS. OWNER PHONE—_—___°_.—
OWNER _
.. 41 I+IS./Y h��i47u 4f AL-I` jot,?* Kat,"mitifl�p� (51..
��--ADDRESS 1OUILUER PHONE _—
ENGINEER
RLJjI DEB — _ —ARCHITECT DESIGNER —_
STRUCTURE ONEW _❑REMODEL_— ❑_ADDITION CIREPAIR— ❑RENEWAL OF IRE DAMAGE ❑DEMOLITION
RES!DENCF ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSOP'o 10 ❑CAR PORT ❑GARAGE 0 SrGRAGE 0SLAB OFENCE
—
� �wOND C1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LISIGNS
QCCUPANCY_.____LAND USE ZONES-----BLDG.TYPE —FIRE ZONE PLAN CHECK BY HEAT_, _
-------_-- -- , � �_
1-jelling a1^.corai.ng to approved
t;M r a.w —" ba sfl ell mon t
OCC. LOAD_ FLOOR LOAD _ HEIGHT NO.STORIES AREA 13311) VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR 25 LEFT SIDE t RIGHT SIDE
Permit -- -----_ ._ _�.- --- --
-� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE BODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— "— — WORK W1LL BE DONE IN ACCORDANCE WITH THE PLANS F"D SPECIFICATIONS AND IN CC:MPLIANCE WITH
Recording ALL APPLICABLE CODES AND V."IDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
I%State L.ICEN;� SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
-- ----- APPI_ICAN1 OR AGENT
Approved Receipt No
ADDRESS — -----PHONE
DATE I NSP, TYPE INSPECT ION REMA!"KS PLUMBING DATE
Contractor,
Permit No. -7Y—
Rough-in
Fixture—-
Final
/P
HEATING
C OST51ME 0 n,6 AU py dA
,;-JO-7CM C, 7o-:s 7- Contractor At
Permit No. 11-7
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage_____`__
(Rain Drain) Final__
Sidewalk 7-
Curb
-Curb &Street Final
Apprqa.chL
SLOG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
I
r
�,��` - — P E fi f4 I T CJ 0.)&,i i LALt
PERMIT CHARGE none
CONNECTION FEE
OLNER - r._..
PAID By
TYPE OF BUIL91NG DATE CONNECTED
ti
S F R U I C E R A T E R INSPECTION FEE
CONTRACTORPAID BY _ DATE
SIZE OF CONNECTION N' ASSESSMENT PAID
I
t
e �or- �ho-� o 5
See
� ho�� foo k
11�� �W ►� a�h �r �n � �t