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N W 7 LO f-+ C ro u r— cr j,z O cy •,j LJ (u Li r-L C l" C r•i Lt' z .D i-) W m O rl N to .i N rl N U m cr m .--4 m ~ 41 cy N O.C r-4 N rJ Z -� F- cU C O +J -H L, C m _\H rl N fq El— U 1.0 W rl to ro V O fa ro •1.4 147 0 m N4) O LJ X O O r-1 W 4J r-1 n t; tD m N a Li _ m a. 4.3 LJm � 3 Cl C: J W .3 cC I I---[] t fit: J n Q tl fn �n C, CD r-1 t S,r� _)�Y ee ���!' `l�y`�'tiG�l�/ y. b ,�, ��� rf�ya�iy�,..�a��' ,.�� *��.�•t_� �y�'�.,'. _Sc,. •:�'.}�'+�" ��- .� ,tir`y''h�l���,.i jti,d •. ,` s','j~,.� ^'..�iM ,y�•. � 'Al�'c1cV./�� �',�� /`J. ' ,� f i a _�` >(/l�l�•4' '''�.��1� N ��"�t �" }►`'�qI �r`.,.. n �� " 441�'."�4'� '�t >*"1/'1hF � �M ,V C NY C� CITY . n IGA D AV ORE(1.0N C ;. . . - f�h.er.s...-. ..... S" Bull,i1ng Address...ss 1. Permit No R ...Gentur ... :74-97 �b - Certificate is hereby y (]ak -Q0 v-e Y given this-..14.th -........ 'hat said ..day of-. .....Ngve.�tber• . ., 19..-7.4 building may be occupied and I that it complies with allf the Builrlin requirements of t. g C ode for the City of Tigard, .; as approved b the I Y e Tigard City Coullcil. t r \yAJ fIrvw N� ....................1iidinBInscfoi .-. ��\fir./.'•'.�y�k,.��/�\..+` /.�;�`/ �!�A'�y�•�.,,% t�?''� t,�,,S��� � .-___��'. !""��� � "'�"- '--'a�x> _., EXHIBIT "B" CITY OF TIGARD 8576 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTHI(TION Tile 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 June 7 , 19 7P recorded in Book _978 , Page 695 , Deed Record of Washington Comity, Oregon, is hereby authorized and approved. DESCRIMON OF PROPERTY: Summerfield - lot 78 As recorded in Book 32, Page 50, Plat records of Washington County, Oregon OWNER: Mr. & mre. Pati? Mafhers BUILDING PERMIT NUMBER: 74-97 BUILDING ADDRESS: 10060 S.W. Century Oak Drive 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 rr.Leased and terminated. IN WITNEP,; WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be exocuted this /4 day of ly Title: STATE OF OREGON ss. County of Washington ) On this )N day of AlkA#e4, , 19/4/, personally appeared before me the above namedoti , whose signature appears hereon and who acknowledged to a that he executed the same in his offical capacity on behalf of the City of Tigard. 4,.. '�✓ 1 .�.c Notary Mblic of Oregon My Commission expires: y 3 1 r71•d fw ncmd....... �/.: 1106tH THOURIM,bktoMw of R&mtd•6 tl•ettotw fl' 8004001 �,%A36 ... (��... .. .... D•ouh 9 1 STATE OF OREGON County of Washington is 97�� G q� I, Roger Thomssen, Director of Records F and Elections and ExOfficioRecorder of Con- veyances for said county, do hereby certify - that the within instrument of writing wos txf received and recorded in book of records No. -....._�_.._.. - uf said Cour*y V'ritnev, my hand and seal affixed. ROGER THOMSSEN, Director of Records a Elections 2 424H"74 I tMENEM. City of Tigard INSPECTION REOUEST TUi INSPECTION TIME : &-yl -•i, PERMIT NO. : _ DATE: 121-19V 74 DATE ISSUED:--,L--i'OWNERS NAME : _7 p c- , _ ADDRESS : �L_Q__S .w Cie al' m-4 o�y CONTRACTOR :_ L't_ iTEST: Air ❑, `Nater p , Visual [] , Laboratory [] RESULT. Approved Disapproved D Pending p I SKETCH: - I I — - o t*. I PECTOR DATE EOTE: Attach supplemental toot date beret] XIL SPACES MUST BE INDORSED PRIOR TO ISSUANCE OF BU2LI)IWG PERMIT PLANNING DEPT. BY Date PUBLIC WORKS DEPT. -�/- - - T BUILDING DEPT. Ey Da•;e By TUALATIN RURAL FIRE DEPT. -- APPRO V I D CITI Cl t..�. . PERMIT # ---- fi.DDRESS-'- ---- BY _ _TITLE-- DATE _jKJ � � S J 't`:.•r ''�t+,?_1�� y ,i. p,.a y•y. 't _ }Aln.; �I{jt M •+' .Y AM LM •, City of Tigard INSPECTION REQUEST I for I INSPECTION TIME* �� PERMIT NO. : DATE: AW/7 DATE ISSUED : OWNERS NAME : _ I ADDRESS:/-,v,,---- CONTRACTOR : �1=t.."Ve.�,-�ti TEST ' Air ,❑l )to—tterEl , Vieuol ! Laboratory ❑ RESULT: pp�C roved,11-4 Disapproved ❑ Pending p I SKETCH: l I INSPECTOR DATE COTE Attach tupplementol isst data beret] i Cid of Tigard Bard INSPECTION REQUEST for INSPECTION TIME: 5 A f. PERMIT NO. : DATE: DATE ISSUED :---Z Z OWNERS SSUED :__LLOWNERS NAME : 7'-,0- 0— __ _ 1 ADDRESS: I0o60 S CfvT�,�-r ,✓#K CONTRACTOR .' _ "1" 78 TEST : Ai► [], Water[] , Visual ` Laboratory Q I RESULT: Approved U Disapproved Pending U SKETCH* � r INSPECTOR DATE CNOTH Attach supplementol test dopa beret] r I City of Tigard � INSPECTION REQUEST for f 0 INSPECTION TIME:�' PERMIT DATE: �_L�/�y DATE ISSUED :— I--/-- OWNERS SSUED :- 11_._OWNERS NAME : —. 7". o a ` ADDRESS: iQ0!L-) —S—!42 CCA)7✓st4 0Aw- CONTRACTOR . _._. .___4-07- 7ff r TEST * Air D, Watery , Visual, ", Laboratory 0 RESU!T: Approved , Disapproved D , Pending p SKETCH: INSPECTOR DATE CNO?F " Attach supplemental test data beret] i I City of Tigard INSPECTION N REQI!1..S T for 0 INSPECTION TIME: PERMIT NO. :_ DATE: / / DATE ISSUED C W N E RS NAME : 1,/D _. __ ------- —-- -____-- A DD R E S S: c- 7 ------ ---- �..___ CONTRACTOR : ­_---- -- --- ---- TEST : Air [.1, Water[) , Visual 0 , Laboratory ❑ I RESULT: Approved. Disapproved ❑ , Pending [] SKETCH I I I A , l I INSPECTOR DATE IN-07V Attac ,i supplemental test data bereto� J i CityTigard of I INSPECTION REQUEST � for I INSPECTION TIME: AK\ PERMIT NO- : DA-rE: L-Z'!!?L1 DATE ISSUED : I OWNERS NAME : ADDRESS: DoT -- CONTRACTOR . I TEST : Air 0Water[] , Visual ❑ , Laboratory 0 I RESULT: Approved 1 Disapproved ❑ , Peneinq p SKETCH: I I I I r 7 �� ry� INS ECTO_R DATE I NOTE' Attach supplemental test data beret a] PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. / ✓31---� .. ;�,e1,�,�(, r o Permit fee .3_ Water Closets, (Toilets S, Permit Issued - Bath Tubs -0- Approved by �d 1 Lavato Wasi Bas n _ _-4 Building Permit Shower _� Receipt No. �Qy.z�„ _ n s Dishwashing_ Z� Sin -s- Kitchen j -�� ins�Ord ina,r_yLoc tion of Building Q1 J �__•,��V __ Sk inks' BaF Sinks. 5Lo � - Automatic bis was er �'. � _ Lis-P LaunC'seqry ys N & Address of Owner .�.�,�a�l�:2t.- Drains Floor Drains Area _1• Drai.ns_ _Re ri orator '� Rain Drains 4 v Op� CC-PIP Automa is Washer Nam. & Address of Plumb( i - rouncains Pin Fountains 50da r — Ho Water an Water Service Size�,v Urinals Buildingw�_ Old or _ AltereDair_or_� _ ,a c - asins -mar Lawn Sprinkler_sE:,em - O�Fier Swimming fool Sprinkler S stem -- --This permit becomes null and void if work or construction authorized is not commenced within 120 ny9a�orif any timetafteron or work isrk is commencedended or abandoned for a period o days t All plumbing firms must be licensed by the City of Tigard and post a $1,000 bora, I hereby certify that I have read and examined this application and know the to be true and correct. All provisions of laws and ordinanr.es governing. this V); 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 rerformance of construction. v v, - moo Signa ure of AISa t 3 I City of Tigard I INSPECTION REOUEST for INSPECTION TIME : PEiM1T NO. : DATE: %'/il_ DATE ISSUED.'--I---Z. OWNERS NAME : - f ADDRESS : ----- E CONTRACTOR '----TEST: Air ❑, Water ❑ , Visuai G , Laboratory [-j _RESULT. Approved Q' Disapproved ❑ Pending ❑ I SKETCH: I I I I I IN ECTOR DATE COTE Attkich supplemental test data hereto J City of Tigard INSPECTION REQUEST for INSPECTION TIME' PERMIT NO. :-- DATE: 0 .44,71 DATE ISSUED : Z Z OWNERS NAME : • 47. C . ADDRESS: 8 CONTRACTOR : TEST : Air [3, Water p , Visual 0 , Laboratory p RESULT: Approved , Disapproved O , Pending [j SKETCH. / 0 p� n "- INSPECTOR DATE FP7E: Attach supplemental test data beret] EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tieard hereby certifies that the occupancy of the following described structure or prewises with respect to which a restriction of occupancy was, on June 7 , 19 7,4 recorded in Book 978 , Page 695 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DUSCRIPTION OF PROPERTY. Summerfield - lot 7B As recorded in Book 32, Page 50, Plat records of Washington Count,/, Oregon OWNERS Mr,_A Ors, Paul mathnrn BUILDING PERMIT NUMBER: 74-97 BUILOING ADDRESS: 10060 S.W. Century Oak Drive This is to certify the said structure meets with the require- ments of the Building Ccxie of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS 1411EREOF, the undersigned authorized officer of the' City of Tignrd has caused this certificate and release of restriction to be executed this day of _ __ _, 19___ Title: STATE OF ORIJGON )86- County of Washington ) On this _ day of , l9-., personally appeared before me the above named _ _ , 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 Public of Oregon My Commission expires: _ 9870 EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction KNOW ALL MEN 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 Tigard, Oregon: DESCRIP'PION OF PROPERTY: Summerfield - Lot .-70 As recorded in Book 7i?- , Paas , Plat records of Washington County, Oregon. ADDRESS OF PROPERTY: \t')[`7!C� �,/(/ Cy,�+ vk \ )r "e NAME OF OWNER: Mt. ADDRESS OF OWNER: 1 Z 6 r-t.,n .1LG'�.�.�.E'b'�• I �1 IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this Aay of 19a. OWNERS APPROVED: By: game e-- i le By: Building Official City of Tigard STATE OF OREGON County of Washington ) �.�,,,_ 19,E✓, Personally, appcared before me the above named�--- and acknowledged the foregoing instrument #o be voluntary act and deed41, 11ubli, f r ragon , ..__.....tv2. .,Il pt., seion Expires: t,UCER THOMMEN,blt�Nnt et heowds 6 Elvije y •�•—+--•� ��o� 978 PhECiyS r �h Q STATE OF OREGON x� }� Rf 1j County of Washington I Roger %xvitRen, Dlredor of Records and E{ectlgN and Ex Officio Recarder of Con- veyonees for sold county, do hareby certify received erthe Etrecorhin instrument hdedin bbookfof records was rds No. ..... .._.._ __ _.. .... of cold Cowhty Witness my hand and seal offlxed. ROGER THOMSSEN, nlrectar of Records & Electlhxu Deputy AN 7 12 31 I'iI '1' IMMMMMMMMMMM E)GiIB1T "A" CITY OF TIGARD Residential Structure Occupancy Restrictioa KNOW ALL M-N BY 'MESE 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 DeeL Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: Summerfield - Lot 170 As recorded in Book ZZ?- , Page _f2-0 , Plat records of Washington County, Oregon. ADDRESS OF PROPERTY: \QK'L(,-20 S W. tn¢n�Jtj Ock\5- Noir OF OWi1ER: ADDRS-53 OF OICTER:�3 J L� �i r r,1 wc7�,r„{ b'__ e z Eli C A . IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this any of 19 7y. OWiER: APPROVED: By: By: Building Official City of Tigard STATE OF OREGON ss. County of WashinEton , 19-7,91. P onnlly pcared before me the above mmed and acknowledged the foregoing instrdm+: o be volw—ury act and decd Aw+� t.o' pry Public L7 Or.:gon CITY CSF TIGARD 11410 S. W. Main SfnN TIGARD, OREGON 97117 APPLICATION FOR BUILDING PERMIT New Construction ® Demolish ❑ Addition ❑ Rr.model ❑ Move❑ ZONING DATE ISSUED`_y BUILDING PERMIT BUILDING FEE $_1LjW: No. 75/-97 BY PLAN CHECK $ /(j �F �.� --- OTHER/fr 7�c $ h VALUATION $ J _ TOTAL �iuli'z�-- RECEIPT No. /016 G /� ----- d TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT M "10) MAP A CENSUS TRACT JOB A �D-763 Architect or Engineer­j'ur.krtA L--�,cV. (2Q _ Address IS•3C C) c ."a \1l s`= / ae.. Phone je3g _3k owner Mr • Address 13ZQ ('rCr_rr�uC/rJc 01__.jer.. ��ec �� X =��. Phone Builder"j'-Q C Address Phone_ _ BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP 1 No. of Stories 1_ Total Height`__ Area of Lot_ Type of Construction I II III IVJ Floor Area B 1 1 ZZ�i2_V Set Backs: Front_ Back Zb, L.Side Y' (o'�— R.Sidedy'� Private Sewer Pipe SizeSewerrSeptic Tank ❑ Water Service Pipe Size 3/y" Storm Sewer ❑ Ditch ❑ Drywell❑ Street and Curb Requirements o cej Driveway Width IF'_` _No. of Parking Spaces`-- _ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED I j)()/[) - S �ryrh, ()•�/I' ��,y r FIELD CHECK BY -----DATE , 1�-S;_,,1Y _ PERMIT APPROVED BY t.�✓�l Cc•+ t- 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. Signature of Appricant