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10040 SW CENTURY OAK DRIVE-1 C3 �" JAI: J.� u, ol flu V) Ic II H 19. .lo tn 10040 SW CENTURY OAK DRIVE '4AINC1 X10 AmINRD MS OIi00 w r H y a "S ON h w U � 7 ra rn t � O r� H ' 16 �T a V]PA raq Ne Fri 134 O � NJ n w� :3 Q� ,n 3 8 8917 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 premi:ie;, with respect to which a restriction of occupancy was, on _ August 13 , 1')73 , recorded in Book 939 , pap 967 —, Deed Record. of Wa:hington County, Oregon, is hereby authorized and approved. DFSCRIPTION OF PROPERTY: SUMMERFiELO - Lot 79 As recorded it Book 32, Paga 50 Plat records of Washington County, Oregon OWNER: Tualatin Develooment-_,_gr2$Ry (Inr. t plrsl_ ]ama&_V. i,lhite) BUILDING i'ERMIT NUMBER: 7?-181 BUILDING ADDRESS: 10040 S.W. Century Oak Drive This 1i to certify the said structure meet: with the require- mento of the Building Code of the City of Tigard and the above referenced restriction i:; hereby released anu terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restric.ion to be executed this 4th day of December , .1973 . Title cCitY cor e STATE OF OREGON 83. County of Washington ) On this 4kt- day of d;,b�4, �.�, , 191,�, personally appearel' 'afore me the above named �,�r ;s 11c� { ,r , whose :signature appears hereon and who acknowledged to me that he executed the same in his offical capacity on behalf of the City of Tigard. Notary MbIJc of Oregon My Commission expires: 117..3.,.eLa_,AIW P.M. r+_,r,CR TNOMlSCN.ar«.�.e1 gerd��ei.�,�„M Nputy a BOOK 955 f%L 421 eel 01 i rl STATE OF OREGOri County of Washington 1 9 and ElccRtiugnsra BOER Olfic of Recorder ofeCom veyoncq for sold county, do hereby certify that tM within Instrument of writing was received and recorded In book of records No. of sold County ...... `'"'' Witness MY hand and seal affixed. ROGER THOMSSEN, Director of 11-ords 6 Elections U i CF� OV 0c , CITY OF TIGARD �Cy OREGON (hwn►r:.......Tux1&tin. Dev.@lnpment_Gampeny....Permit No. ?."3-101...... Building Addrer, :0.04D S.W.... Gan.t.ur.y..Aak..0r.iv.e .. ..... .................... Certi�iente is hrrehy triven this.29th clay of.November 19....7S that said huilding may he occupied and that it complies with all requirements of the Building Code for th►• City of Tigard, as apprnved by the Tigard City Council. r 81►Ildln►; hiaM ctnr I n w City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : .---- DATE : /,' O. : .____DATE : /,' DATE ISSUED:_-�-_L_ OWNERS NAME : ADDRESS : CONTRACTOR : — _ TEST.Xr ❑, Water p , Visual% , Lah ,ratory [l RESULT: Approved� , Disapproved J Pending p SKETCH: 41 NSPECTOR DATE "lemental test data heret, I ,-.its of Tigard INSPECTION REQUEST for NSPECTION TIME - __.-_- r E?MI 1- NC. DATE: .9 /WC-1-3 DATE iSSUEU OWNERS NAME : Zt(I � ' -- -- - ADDRESS: _/0040_ Q— CON rRA(ftTOR : -------- E S T ------EST Y, ter 0 , IV" i-L�r. bcret•)r ' RESULT: �,vroved [] S KETCH: INSPECTOR _ DATE LNOTF: Altacr, sup piementai tast uucu heret0i city of Tigard INSPECTION REQUEST far N-SPECTION TIME . __. _ . FERMI'I �NC. . DATE: DATE iSSUED --_/ `WNF RS NAME : T- (.. _ --- -- - A D D R E S S: 'anIVTRArTOR e'EST ' , v, ter RESULT' : kvrovedg .,;upp►a,dd GLiI S KETCH: I I I I NSPECTOR DATE ENOTE: Attach suppiemental teat uu;e hereto I 1 City of Tigard INSPECTION REQUEST for NtiPECTION TIME. PERMIT N(;. . DATE: DATE iSSUED .�J OWNERS NAME ' ADDRESS: "OON rRArTf) R : _ ?8/� EST ' .._ f+i ter❑ , `d:-;La; !�', _y b,,retory r RESULT" -4p.-roved ;uppr'a1.dd ;-elldio uu SKETCH: 75 NSPECTOR DATE [NOTE Attacti supplemental test uata hereto' City of Tigard INSPECTION REQUEST far INSPECTION TIME ' %� PERMIT NO. -. ----- DATE : 1i+� DATE ISSUED '----4- OWNERS NAME : . 42, C -ADDRESS' y � C 0 N't R A C T 0 R : L�� = ------ — EST : ,> ( u , Watery , V:suai,' , 1_aboratory ❑ RESULT : Aporoved , Disapproved G Bending ❑ SKETCH.' INSPECTOR DATE NOTE: Attach supplemental teat data hereto PLUMBING PERMIT APPLICATION Jurisdiction of No. 'Type of Fixture Fee Permit No. �7: Permit fee yam_ Water Closets Tcilets l•'� Permit Issues Bath Tubs Approved by avator Wash Basin _ ��' Building Perm Shower _ _ --IAL Receipt No. . n s Dishwus ,in Sinks , Kitchen � Si.n s Cr%inary ---� Locati?n of Buildi.rng n s Dd r __ _— _ Sinks, S1c� _ - - Dis olil,I Laundry Tray_ Name & Address of Owner Drains, Floor Trains Area _ Drain.�l e ri�erator �- --*-� I Rain Drains Automatic ashor Na gc Address PI-limber oun ains rin inq� ounta i- nsL�S-o;da . 71ot Water'- lc-nk Water SPrvice Si e 1 Urinals _ Bui.ldi Old cr Nt±j (Alter-, Repair, or__ „a c i- asins—Yard In6T.a _. awls rink ��r System - P4--wimming Pool I I nther -sprinkler System — a . , is permit becomes null and void if work or constructi,;n auth.-rized is not --mmenced within 60 days, or if construction or work is suspended or abandoned f - 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 $1 ,000 bond. I hereby certify that I have --ad and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type' of work will be complied with whether specified herein cr not, the granting of a permit does not presume to give authority to violate cr cancel the provistons of any other state or local law regulating construction ar the performance of construction. 5 gn ture Cf avj� ant. .r r I I City of Tigard i INSPECTION REQUEST for INSPECTION TIME ' NERMI f NO. DATE : 2 //3/-73 DATE ISSUED.- --' OWNERS NAME T- n C-- -- --- ----- -- ADDRESS : - ON1 R A C T 0 R --- -_ TEST 401ter %'II aI Ln r RESULT. Approved , Dkcpproved 1 - nding J SKETCH: -12 2 -L23 INSPECTOR DATE [OTE: Attach supplemental test sotr hereto i ity of Tigard INSPECTION REQUEST for• NISPECTION TIME . PERMIT NC. :..� DATE : L/`Y' DATE I S S U E D . i OWNERS NAME : T'i'e' ADDRESS: -- ;i"�N rRArYr) R - . EST , , .r .. N�terp , V:��a � '.ab:►atarr'� i RESULT' ! vrave ;sappr,),dd G .•e►ldioq I;] SKETCH. INSPECTOR DATE NOTE: Attacn supplemental test aate hereto] t CITY OF TIG ARC) 12420 S. W. Main !treat TIGARD, ORaGON WW APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition ❑ Remo3el ❑ Move❑ ZONING p.D DATE ISSUED 8.$ 73 BUILDING PERMIT DATE RECEIVED BUILDING FEE $_ 77.pp No7 BY PLAN CHECK $ - OTHER $ 10.00 VALUATION $ 17,878.4o TOTAL $ 87_00 RECEIPT No._Z4� N 73 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N T9 MAP N 281 10D CENSUS TRACT W8 JOB N Architect or Engineer Tualatin DV!!I! Rt 00. Address 153DO S.W. 116th Ave.1 Tigard Phone Owner Address Phone Builder Address Phone BUILDING USE Single Res. a Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP_ No. of Stories`_ Total Height­11_ Area of Lot Type of Construction - V Floor Area B ... 1_1,1M _ 2`M„=_ Set Backs: Front 10 Back`38_ [..Side_ jja__ R.Side g Private Sewer Pipe Size_ _ Sewer_ ,"t,_ Septic Tank ❑ Water Service Pipe Size_ 3/4, _ storm Sewer [. ] Ditch ❑ Drywell❑ Street and Curb Requirements Eza ting. _ Driveway Width 1&i _ No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 10040 B.N. ak. Dr. _ FIELD CHECK BY i ,B -----DATE— AA842 PERMIT APPROVED BY 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. gnature pl cant MMU EXHIEIT "A" CITY OF TIGARD Residential Structure occupancy Restriction KNOW ALL HIEN 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 Deet. Recordti of Washington County, Oregon, is prohibited by the ordinance of the City of Tlgbrd, Oregon: DESCRIPTION OF PROPERTY: c%.S evecrIx•O Ito 0�0e1C 1_.L"t.C(?hg (7�1 �•_`HSf�I��Cnl,tel) ll'A ' �) ADDRESS OF PROPERTY: NAME OF OWNER: 3. ADDIM',S OF OWNER: o-, 'I" IN WITNESS WHEREOF, the undersigned has caused this restriction t.o be executed this —\" day of 19�,_. _ 7 Name APPROVED: T.tle B y: BuildirfE Official.- City of Tigard STATE OF OREGON ) as. County of Washington ) M"ust 7 , 19 73. Personally appeared before me the above named Rehr Brown, Vice Plestdent of Tualatin Development Co.,Inc. and acknowledged the foregoing instrument to be his voluntary act and deed. t � ' �% .0 -An -%j avl Notary ublic for Oregon My Comm'.ssion Expires: fea»esr 16. 1176 x.4881 d EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY THESE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deet. Records of Washington County, Oregon, is prohibited by the ordinance of the City of TiMrd, Oregon: DESCRIPTION OF PROPERTY: ADDRLSS OF PROPERTY: NAME OF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this _ —�?= day of V,- OWNER: / Name APPRO r-PD: By: /�C�, 2r4-- T.tle A41 A,0 By: L/YK�/ — nwd IM n+ae�d......tT:��_.1���et7....AM FIf Building Off al Roctn THOM/s>et",d�nbr N 1M dos tt.mbn. City of Tigard r?.................11C.. �.� ,.... ....._. p„...y STATE OF' OREGON ) ss. County of Washington ) Ausust 7 , 19 73• Personally appeared before the above named Roy Brown, Vice President of Tualatin Development Co.,Inc. and a..knowle ., the foregoing instrument to be his volui—nary act and aeeu. Notary Public for Oregon My Comm'ssion tvires: lanuarg 16. 1975 0009 9a9 NEW � >r I GG 3 �Za y I € ° I F d ppz I 0 0s�#P € � y� 2• .WycCL$ 4 F � F.7giI$IT CITY OF TIGARD (,,t:RTIFICAT,E OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or preml©es with respect to which a restriction of occupancy was, on 1 19 _ , recorded in Hook , Page , Deed Record of Wa:-.hington County, Oregon, is hereby authorized and approved. DE5CRIMON OF PRUERTY. SUMMFRFIELD - Lot 79 As recorded in Book 32, Page 50 Plat records of Washington County, Oregon OWNER: Tualatin DQvelooment rnmeanv White) BUILDING FEIMIT NUMBER: 73-181 AUILDIM AUUkE.,.i: 10040 S.W. Century Oak Drive Thi i.- to ccrtif; the Said structure meet with the require- ar.t: ,f t.•je :;:.1.adinC, Code if the City t,f Tigard au.; '.ne above referenceu re!:triction 1.- hereby released and terminated. IN WITNL,5 WHEREOF, the undersigned authorized ,:1'icer of the City of T.gard has caused thi certificate and relea:.e of restriction to be executed this daY Of ---------- Title: STATE OF uRSGON )90. County of Ws::hington ) on this day of 1•lr, personally nppeareu bei'ore me the above named , who:-.e signature appears hereon and who acknowledged to me that he executed the same in his offiesl capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: }