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10000 SW CENTURY OAK DRIVE
0 0 0 0 H J 1 C co F .77 � �; N rUl H r_a r4 1 ro ioI �.. j 4) Ln ftl Li u, t`"' � C E4 I c c+ I � � C lr ro rt- n I O N 10000 SW CENTURY OAK DRIVE i f 5 ' MING YVO ANCIUZID MS OOOOT T fu a E O u -P C Aet CL t. ru y F- V VI ^ rA 9" a M r� 7 ' 1 rl 114 Jj 01 'i •r1 � '� n F-i � � t � cu10 ` CD rn o c 0 G O I O 1 EXHIBIT "B" CITY OF TIGAPD 11933 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on (parch 25 , 1940 recorded in Book 967 , page 744 —, Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - Lot 81 As recorded in look 32, Page 50, Plat records of Washington County, Oregon OWNER' Mr, I mra_ nale H mmond BUILDING PERMIT NumBm: 74-36 PUILDING ADDRESS: 10000 S.W. Centur/ Oak Circle This i, to certify the said structure meets with the require- ments of the Building Cude of the City of Tigard and the above reierencpd restriction i, hereby released and terminated. IN WITNTZS WHEREOF, the undersigned authorized officer of the City of Tigard has caused thi, certificate and release of restriction to be executed this 25th day of ,;une 19 74 Title STATE OF ORFMN County of Washington ROW.R ^M thse+.t nl RwoM%o, [I.eaon, Rt._....... _.....40 ......... JAGK.... _....... Dnpurc On this 25th day of ,jA , lye, personally appeared ')efore me the above named P�i—drtig , whose signature appears hereon and who acknowleuged to me that he executed the same in his offical c-pacity on behalf of the City of Tigard. ' N % Nutary b cpr Oregon MY C sio expires: STATE OF OREGON County rd Washington T and ElecRlonsranTd E Olic irordof Reet of Crds yarsces frw said county, do'heeeby Certify re tot the within Instrunt" of wtithnq was received and recorded in b%k of records Na of sold Courcy Witness my hoed and soal offixed. ROGER THOMS!EN, Director of Records d E{sctions L O"Uty JU4A IO 51 All '14 is i EXHIBIT "B" CITY OF TIGARD 4 11333 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION I' The City of Ti6nrd hereby certifies that the occupancy of the folJowing describeu structure or prrmises with respect to which � a restriction of occupancy was, on 11-:rch 5 M, 19 74, recorded in Book `_u , Page 744 ,_ -, Deed R cord of ira:;hington County, Oregon, is hereby authorized and approved. I „ 1 DESCRIPTION OF PROPERTY: t r Summerfi Id - Lot 61 As recorded in Book 329 Page 50, Plat records of Washington Country, Oregon it ONPlF.R. Bir_ h Pira (]�1�HLnmond r i BUILDING PEPMT MACjER: 74-36 -- E BUILDING ADDRE:i3; 10000 S.W. Contur/ Oak Citcl`c: Thi3 i, to certify the said structure meets with the require- rlro : rsr.Ls of the '3uildini; C'xie of Lilo City of Ti trci and the above u referenced restriction in hereby relee)ed and terminated. f `'Rt •j c i V ? roo IN WITNESS Wt(EREOF, the undersigned authorized officer of the if n City of Tigard hab aau;;ed this certificate and releaue of restriction k o da f to be executed this 25th -� day of June 19__L4 rC, ----� � ' 7 � �. Title: Rrr _.Ld:?C L =7 h STATE OF OREGON tv County of Ws:>hineton .�►M . !A6 WCUL { gh4N.O.e«nru A ko,mv4s 4 r.ue ten., on t'ain 25th _ day of JIM" _, lye personally appeo.recl afore me the above tuimed DU2ya whose signature appear: hereon and who a0mowledged to mo tr.at, he executed the eats) in his offical capacity on belvilf of the City of Tigard. rotary . c regon KY C slur) erpire .�f 'net -.43 76 I I City of Tigard INSPECTION REQUEST for INSI,17:TION TIME :_A vh PERMIT NO. : DATE: (y (1W-4'_ DA7E ISSUED:--Z—.Z.� OWNERS NAiA� _ , P- ADDRESS : TEST: Air D, Water L7 Visual C] , Laboratory RESULT: Approved X , Disapproved _ Pending p SKETCH: ooe INSPrC:TOR - DATE7- EMOTE : Attach +upplemental lost dafa heret] ' 1 1 ALL SPACES MUST BE ENDORS-1 PRIOR TO APPROVAL Or T SL PL ,i\►S 1 PUBLIC YlORKS D--PT, 8y/ �±9� D. T E // PLAIIJN!1•IG DEPT. CY D-Pr•. MY. COUNTY H.7ALTH DEPT. UY _.._. CI'f'f :.DMI�!I.�T12;.TC��-i U�"-- ------•-----,- "� - TIGARD VdATCIZ MY, -� GrNERAL TCLEPI;or:E • USA -- N. 4Y. NATURAL Ca3 "" ---- - P. G. E. C Y. T. R. F. D. -- - -- - Qy-- Iii TV\kt'N\'Nti:`f�i!N'r�if� �lv . . � .. :``T.�• �1.�.�: ,"'.may]-, 'r5 ♦t.�l... �. •.:�•,•. i' i I ' City o�.t Tigard INSPECTION (REQUEST for I INSPECTION TIME ' PERMIT NO. : DATE : DATE ISSUED:...LL. OWNERS NAME : %-1p.C. ADDRESS :CONTRACTOR :. — TEST:Air J, Water 9r, Visual O , Laboratory p RESULT: ApprovedDisapproved O , Pending p SKETCH' (� •-e.-/�;N S-G � / 3.'30 ISPECTOR _ DATE [OTE: Attach supplemental test dote herst] i City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE : IJEJ' DATE ISSUED: - Z OWNERS NAME : ADDRESS : ' ��- CONTRACTOR : TEST: Air ❑ , Water ❑ , Visual ❑ 1 Laboratory RESULT: Approved , Disapproved ❑ Pending ❑ SKETCH: ( x't&i ria` --'b?Z' IN FCTOR DATE T rNOT�- Al tach tunolemenool f*v0 Anfe Aa.,rn� V City of Tigard INSPECTION REQUEST far INSPECTION TIME: 490 PERMIT NO. : DATE:: Z D ATE ISSUED :-- Z Z OWNERS NAME : ADDRESS: CONTRACTOR '. ; TEST : Air p, Woterp , Visual Laboratory p RESULT: Approved, Disapproved ❑ , Pending p SKETCH. i INSPECTOR LATE F-rTF Attach fupplementnl test data herta� 1 U i ty of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT DATE: —_Z /_ DATE ISSUED:_._r_1� OWNERS NAME : --- ADDRESS : CONTRACTOR :._----_..___- —------ -------- TEST. Air G, Water p , Visual O , Laboratory p RESULT: Approved , Disapproved Cl , Pending SKETC:1: I IrPi)C TORRAp TE COTE : Attach supplemental Pert data hereto, I 5081 CITY OF TIGARD MECHANICAL PERMIT DATE_.,4ZQ "H PERMIT NO. —�.�,Q-M RECEIPT NO. n BY _ i��p f _�/� 1t ,. .. L . FEE oil/ 1. ' Permit sliall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. k. All work to be concealed must be inspected before cover up. New Installation Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ XNTR. ,, ,!. .r !'n . OWNER _ ADDRESS WORK ADDRESS i /9 J r APPLICANT !r,��'�., i([¢n!_r._-,-_., , 5�,c. r / TELEPHONE NO. URNACE - MANUFACTURER i_.)0 A: C �iJ,;�"A// TELEPHONE NO. AT Input rating (Btu Per Hour) % PLUMBING PERMIT APPLICATfON Jurisdiction of No. Type of Fixture Fee Permit No. --I Permit fee Water Closets (Toilets' Permit issued -L ---a --? - -7 Bath Tubs ---- Approved by L%vatory (Wash Basin=_ Building Permit Shower Receipt No . (1 LYT Sinks, Kitchen Sinks. OrdJ.nary___ Location of Building Sinks. Bar Sinks, Automatic, Disposal Laundry Name & Address of Owner Drains. floor-- Drains, �rea Drains, Rffi7 craT—Or Rain Drains , Automatic Washer Name & Address of Plumber _7o_unr,aYF I—nYf H 9 - Fountains=—Soda Hot Water Tank Water Service Ur inals Building (Old or New) (Alter, Repair or N n_s71 Catch-Basins 7-F- arc Ta Lawn SprinklerSystem Swimming Other Sprinkler SysjEm___ This permit becomes null and void if work or construction authorized is not commenced within 60 clays, or if cons -uction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I I hereby certify that I have road and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typE of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. —Signature—of Applicant I City of Tigard oREQUEST � ! NSPEC�TI N for INSPECTION T1141r: 3;-, PERMIT NO. : DATE: �� DATE ISSUED :- Z Z OWNERS NAME : ADDRESS: X,07 CONTRACTOR T-D , I TEST : Air p, Water o , Vieual r, Laboratory p I RESULT: Approved,, Dieopproved O , Pending p I SKETCH. I I 1 INSPECTOR DATE C01li: Attach supplemfntal test data beret] mw w I City of Tigard INSPECTION REQUEST for NSPECTION TIIVE/f/,"�S' PERMIT NO. :— DATE: O. :DATE: �'/-'11. DATE ISSUED : I )WNERS NAME : — ADDRESS: AME : _ADDRESS: '0NTRACT0R : _ BEST : Air ❑, Water[] , Visual* Laboratory p f RESULT: Approved , Disapproved ❑ , Pending p I I KETCH: I I I INSPECTOR DATE Utc: Attach supplemental teff data beret] I I EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on March 25 , 19 74, recorded in Book 967 , page 744 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DE5CRIMON OF PROPERTY: Summerfield - Lot 81 As recorded in Book 32, Page 50, Plat records of Washington County, Oregon OWNER: Mr_ X Mrs. nal o Hammond BUILDING PERMIT NUMBER: 74-38 BUILDING ADDRESS: 10000 S.W. Century Oak Circle This is to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this day of ly Title: STATE nF OREGON )ss. County of Washington ) on this day of _ , ly_, personally appeared before me the above named , whose signature appears hereon and who acknowledged to me that he executed the same in his offical ca: ,^ity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: i I City of Tigard i INSPECTION REQUEST for I INSPECTION TIME: �.�� PERMIT DATE: / 7p DATE ISSUED :--I—./--- OWNERS SSUED :-1__l___OWNERS NAME : ADDRESS:_ CONTRACTOR : Com- 6 TEST : Air p, Woter❑ , VisuoLaboratory p II RESULT: Approved Disapproved ❑ , Pending p I SKETCH. I I I I INSPECTOR DATE I NOTE: Attach supplemental toff data bereta� I CITY OF 'TIGARD 12420 S. W. Maty Street TIGARD, OREGON 97227 A•'PLICATION FOR BUILDING PERMIT New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING_ P--D DATE ISSUED - l 5 - 7V BUILDING PERMIT DATE RECEIVED BUILDING FEE $ .O u No. 3 BY _ PLAN CHECK $ 37- 00 ---� - OTHER $ Y.c O VALUATION $ �/.� ash RECEIPT NO. �- Tz�TN TWO SE'T'S OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N_—6/ MAP A _ CENSUS TRACT JOB N Q Architect or Eng inee r�� �� .&1 yPL.M._CMA-- cp Addressl,LS`�, .:.L.J ,tel e-+6� _�'ZT 9 atCLPhone_(,,,j0Z-31 a Owner Address_ Phone Builder gp,,.. v.-. Address Phone BUILDING USE Single Res. © Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP_ No. of Stories k Total Height—__A Area of Lot Tyke of Construction I 1I I11 IV C_ Floor Area B 1 zG`6 2 Set Backs: Front «j' Back L.Side y� R.Side--!y- iL N Private Sewer Pipe Size 4° Sewerk; . Septic Tank ❑ Water Service Pipe Size 3 Storm Sewer a Ditch ❑ Drywell❑ Street and Curb Requirements q r..s Driveway Widthte— _ Na. of Parking Spaces__ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED/Q� _ 1_e�vle,'yi FIELD CHECK BY ? DATE PERMIT APPROVED et It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. .� SS gna�f ppl ca ` IN EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Roatriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of reoidontial structure (o) on the following describod lands prior to the rocarding of an occupancy pormit reloaeing the reetrict.•in in the Deed Rocordo of Washington Cotnty, Orogon, is prohibitod by the ordinance of the City of Tigard, Oragon: (The City will Josue a roloaso as soon so a final inopaction dotarninoe that the construction in antia, cctorily completed) DE5CRIPTION OF P�0PERTY: �..a J — —V_< - , �\\ — '-- U rte. , V.. \`� tic_ r �`•`-� \\� C y.,�•F� i>� �v��+.. (�� C:�.:- cj'A- Ca'4 V .1•1[�\ .�..``C 4 n to J �� \` , \.7-. \+–,••�L, J \ ADDRESS OF PROPERTY: `�. �. cjc - T �r� C _a c�,r.�, C ,<`\• NAN,E OF OUNER: �,.< - .�?. �+\� •-_. L:_ \ -\�, -_ A C D R E 5 5 DF OWNER: IN WITNESS WHEREOF, the undersigned hao caused this restriction to be executed this �� `_ day of «. \ , lgy� OWNER: APPROVED: /— Title yvilding OfP'icia� City of Tigard STA1t OF OREGON County of Washington ea' -- '} L / 19 Po anally appeared before me the obova narod „ .r I --- T _ and acknswlodgad the forogaing instrument to be voluary act and dead. 1 � N ry Public Orogon My Co-mmicoion Expires: �2/9 7d' 1394 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Dead Rscorda of Washington County, Oregon, is prohibited by the ordinance of Lhe City of Tigard, Oregon: (-ins City will icaue a release as soon as a (incl inapection catermines that the construction is eottafactorily completed) DESCRIPTION OF PROPERTY: �Z�_c c�--�•a o� \t\n.'a�r.. .� .;...-• �`.ca.� w c. y f �" R�'�� �� ADDRESS OF PROPERTY: NAME OF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hao caused this restriction to be executed this --� ds,, of OWNER: ( � Name APPROVED: Title Cardnrl O ticia Y 9 STATE OF OREGON County of Washington as. % arc_ 19 onally appeared before me the above named Y2 and acknowledged the forsgoin instrument to be voluntary act and deed. Nothry Public f r Oregon My Commission Expires: y6 Ned for..ro e......., r+ooce mom4firm..ank*-ow tt"rerr s 1'10� 967 '. : 744 � o i STATE OF OREGON 6 ss ` County of Washington I, Roger T'homssen, DirWor of Records and Electium and Ex-Officio Recorder of Con- veyances for said county, do hereby certify that the within Instrument of writing was received and recorded in book of records No. of said CountY Witness ^'y and wal affixed. ROGER THOMSSEN Director of Records 6 Electlans --rc,er Dqxft Z5 9 71!