10120 SW CENTURY OAK DRIVE h'
C�
h—'
c
cn
0,1
rD
tit ct
I �j>
F
OK
go
44.
Cu
r�
i
I
1 `V
H
ha �"
V-4
C) h'
cJ =
cl
G
N
I � w
t
f r h ro
10
ro
C+
U
10120 SW CENTURY OAK DRIVE
sr.7�Q mvo .xunmso ms OZTot
a
o
4J ^1 f
C
w
E
CL
o
CD
AD
CrA
m
J
_] F-1 'X., Ln
I(CQf�7J u]
('xJ /y� t •� p W r y
t7� Cx+PLO
('I '7 rn to
NSP
m 0
> '_,
C)
c kid r=, G, cn
y Q
K
�� a
I
CO
N
O
.-4
]=IBIT "B"
10911
CITY OF TIOARD
CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION
The City of Tigard hereby certifies that the occupenel of
the following described structure or premises with respect to which
a restriction of occupancy was, on , ly_,
recorded 'r Book �, Page Deed Record of Washington
County, Oregon, is hereby authorized and approved.
DESCRIPTION OF PROPNRTYL
''urirnrq ield - l.nf•• 64
In Recordad in Go^I; 32; Page ':'_l, Plat
Records of IJashing`.on County, Oreyon
OWNER: Nnnk i nn
BUILDING PERMIT NUMBER: '73-248
BUILDING ADDRESS: 'nl2n �_ 1, 'kn'!jirx n ��
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 authorised officer of the
City of Tigard has caused this certifiate and release of restriet"A
to '.e executed this / day of tI/I„0 19_Y6
Title:
STATE OF OREGON )ss.
County of Washington )
On this 7day of personally
appeared before me the above named , whose
signature appears hereon and who acknowledged to met he exeaat6d
the same in his offieal capacity on behalf of the City of Tigard..
Notary Pub �c Oregon
My C ispdon expires:
aocts THUMmqrm'bkeatw el%6n 1'09 R V.,tm"s
r 'j.t�
36
W t _W1 �..
0
z
0E, ITOVtm
�•r*ti OI. �1ICV}fD
City of Tigard
INSPECTION REQUEST
for
f' � L
INSPECTION TIME: PERMIT NO. :.—..
DATE: s r�'L DATE ISSUED :__L1_
OWNERS NAME :
ADDRESS: /'9/aa � ,uJ c,�niT���
CONTRACTOR : _Z-o.��y
TEST : Air [), Water[] , Visual p , Laboratory p
RESULT: Approved 0 Disapproved 13 Pending p
SKETCH.
I PECTOR DATE
NOTE: Attach supplemental test data beret -
l
City of Tigard I
INSPECTION REQUEST
f In, r
I
INSPECTION TIME: PERMIT NO. :_
DATE: s h YLL'1 DATE ISSUED :^L.1_._
OWNERS NAME : / -- C.c' . ,. I
ADDRESS: ��'/. v w ��. Ck/1`41,00-4 �F
CONTRACTOR : /my 7— 6 ____.
TEST : Air [], Water[] , Visual ❑ , Laboratory ❑
RESULT' Approved ❑ Disapproved 0 , Fending p
SKETCH. 7- I
I
INSPECTOR DATE
5011 Attach supplemental test data hereto]
i
ALL SPACES MUST BE ENDORSED
PRIOR TO APPROVAL
OF THESE PLANS
PUBLIC WORKS DEPT. BY��`''•� DATE 47-o
PLANNING DEPT. _ DATE _ -
BUILDING DEPT. illy _ DAT
i
COUNTY HEALTH DTPT. L C;.':U I
CITY AOMI:;:;S7R.',T^Z i!1' C',. - •
GENERAL TELEPHONE
I
U S A DY ---- s
N. W. NATURAL GAS E)Y—.__.
P. G. E.
i
T. R. F. D.
r
I
i
��� J tS •��t•tt•. ."I
„ ' l `.
e el
CITY GF TIGARD MECHANICAL PERM?T
DATEfly-- r;ERM I'I' N10, _ _- 7S//�-In RECEIPT NG• _-- /47.2.2 _—_�_
BY
FEE
i
i . Fel int sl 11 .'i be Obtd :11"r1 prl ��ol ! �� 7TUP•.:,r, 11: :: ' f 11�til,Ij�a-,. -:tn.
?. Permit ;1.ijI bE. obtnt.r_I fr,r all 'NLiot: ars, to tEr
.me
C!'. :rrn . 1; rn—, and
ti. wc.k t•: 1c• �_'n�calF.9 TM,:� , . t. :n5i.`'� �•. .. i .
New Insta'.. a t) �X� H�I�I.tICF ❑ kr,lc.,- �ti c is ❑ i,: � � � �.. !- r a~.� n U
CGTdTR.— L�_. .._ ... ...------ C'JtiE-1
ADDRESSSE66 � pp
—.._��L�1� __�!L�._.____._____.._.-_--•-- �FFLICAi;T •_GGA( -
T�.1.�F'C'
FUR14ACE - "A1'UFti''TURER ;F!E1:?!C�'v� Nr^ _—
l/ y
HEAT Inp-i? rating (Btu Pt,r If3t,1 ','.r:
FUEL OIL OAS 91 ELECT ❑ OTHER -
TOTAL SQ. 4T. Tcp Floor _ A?air. r.. 14 .x_—_ B.2-_r•:.-r: -
FEE
For of F �r7n�t _ X00 Boa
=er=
New - Undr•- -"�-
New - Over,rl�- , 'K'_ OQ_ ---Ai = C - --
1C0 0:���BFsu � n _�i- -�-;r•��?:�...�"�yf' ,(�_
o o r u- '. -. 0 E-.r�T } :- v _KWa 11
=C +�GC`� �'r i i -
uendec�
—41
Instal ': -,T. -'---fl-7 _....___ -_.------------
Re air - -� _t b� C r,)ice- 4-
Bo erste` r��Y 3 N
r'I
, rjr
C.
ri��n. _l .
P-01 ers I tc`�G - 1G�'�0 20
75:��?_�`• -�-.. _J� .___.-----
,.� -3
Boi era � to
INSPECTO!� ,3 COWE-1,I TS
APPROM) DATE S �.IEI1 u� DATA;
Si-gna+•a••� f App] tr3nt
City ,of i igard
INSPECTION REGUEST
for
INSPECTION TIME ', Ap"I PERMIT NO—
DATE . /
O-DATE . / "%lt ")ATE ISSUED--.—L'---i—
OWNERS
SSUED'_._;OWNERS NAME . •
A O D R E S S ' _G U jr
C 1 N'I R A C T')R ..
SKETCH,'
c
INSPECTOR DATE
IO?E: Afteeh supplemental 'esi .; o•., neret]
t � w
r/JI
1 '
r
Cify of Tigard
INSPECTION REOUEST
for
__ C,C L'L '[• �� is ..,,..E--"�-�—,
INSPECTION TIME : PERMIT NO. : _
DATE:4 2 / /1 3 DATE ISSUED:_1_L
I
OWNERS NAME : Li 0, C
i
ADDRESS :
CONTRACTOR :---- - -
TEST .
ONTRACTOR :TEST. A r ,] , Water , I/isl,al (<, La.'• ,rotory p
IRESULT. Approved , Disapproved _l , Fending J
I SKETCH:
I
I
I
I
I
0
INSPECTOR DATE
I [NOTF : Attach supplemental fest darn hereto
_a
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 December 5 , 19 730
recorded in Book 95�j , Page 416 , Lead Record of Washington
County, Oregon, is hereby authorized and approvad.
DESCRIi'PION OF PROPERTYI
Summerfield - lot 64
As Recorded in Fool: 32, Page 50, Plat
Records of Uashington County, Oreyon
OWNER: l I,r '
BUILDING PERMIT NUMBER: 73-240
$UILDIIJG ADDRESS: 10 2n "; rrn+nry nal ,This is to certify the said structure waste with the require-
ments of the Building Code of ttre City of Tigard and the above
referenced restriction is hereby released and terminated.
IN WITNESS WHEREOF, the undersigned authorized offices of the'
City of Tigard has caused this certificate and release of restriction
to be executed this day of , 19_„•
Title:
STATE OF OREGON )es.
County of Washington )
On this day of , 19_, personally
appeared before me the above named ► whose
signature appears hereon and who acknowledges 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:
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: IL30 PERMIT NO. :---
DATE: 1-Z
O. :__—DATE: 1-Z /--)C/ DATE ISSUED :—L.L
OWNERS NAME '. --
ADDRESS:
CONTRACTOR
TEST : A-i I_J , Vo,terQ , 'visual P4114, Laboratory ❑
RESULT Apnroved , Disapproved ❑ , Pending []
SKETCH:
-3
INSPECTOR DATE
COTE Attach supplemental test data hereto-1
awl
1 91
Juris"Ot
.Ola of
b'• liteJ►f ia►tau'xe""' !',ao
row.t Cam
��
L•a t��0le/taj1dit04 -14�..�;�aL�GC,,,�,..,.R.�......•
., yam"-------
Ik Addr is of Owner
rNOMP76 Address of 1 be
......
a--
r
This ,permit becomes nul]_ and void if tiw,rk or
cOmsa+�ced withii 60 days , or if sous c>gnatruction authorized is not
for a period of 120 days et: any time art*tr work work
rcoaaeaenus ended or abandoned
All plumbimg firms must. I)e llcezamad by tkwe City of Tigard and post a ®1 QOO
bM6
I �tvby curt i f y that i kMve �^wa�! �,i mod �-hi e
to be true and correct. All ,prwieio�a Of laws a.td �,t-4 Incesngovern ow �Is
Of work will be comp 1 i e�d with � i type
Permit does not pree,.me t�� specified h@:.p,� or n t, the gran
Of aaay O'Uier state or 1.ocalalAw authority to violate or canc*1 the �provisions a
canstruction. e"St� uanbtruction or the orMenceof
pe�^formeaace of
4- 0- 0<5 ?�Ld /1";
-d�UA eA .
�40
i
City of Tigard
INSPECTION REQUEST
for
I INSPECTION TIME :a--..I4 - PERMIT NO. : .________
DATE*A 1/3/ DATE ISSUED'—
OWNERS NAME : �>
J ADDRESS : �--
I
CONTRACTOR :—
T'ST. A:r J, Water Q ; wisual lf, Lo!• ,ratory [1
RESULT' Approved Disapproved _a Pending �]
I SKETCH:
I
I
I
i
INSPECTOR DATE
I �1( TE Attach cupplemeMal test ciato hp
ret]
1
N912
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupany Restriction
KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential
structure (a) on the following de:cribsd lends prior to the racurding
of an occupancy permit releasing the restriction in the Deed Records
of Washington County, Oregon, is prohibited by the ordinance of
the City of Tigard, Oregon: (The City Will Issue a release
as soon as a final inspection determines that the construction
is sa_isfactorily completed)
DESCRIP ION OF PROPERTY:
'N' :. Nab.sa o`s<. 7s> , P •y. 5 , P\
\
ADDRESS OF PROPERTY: X
NAME OF OWNER: V %-c-, ,1"r V\C' �n
ADDRESS OF OWNER: j�
,N WITNESS WHEREOF, the undersigned has caused this
restriction to be executed this �,,�` day of N ly , 19-_ .
OWNER:
\ Na�
APPROVED: `�-Title
By: o �',cr ,
Bui. ins Officii
/ City of Tigard
STATE OF OREGON
County of Washington 89' November 6 , 19 73
Personally appeared before me the above namod
1t,,y Crown and acknowledged the forego.ng
instrument to be his voluntary act and deed.
Nu bt ry Puulic for ullragon
STATE OF OREGON My Commission Expires: 1/16/75
� County of Washirvaton
I, Roger Thomssen, Dlrnctor (f Rec-ds
and Elections and Ex-officia Recorder of Con
veyonces for said county, do hereby certify
that the within instrument of writing was
recei—c! and recorded In book of records
N,
of sold County
Witness my hand and seal affixed.
ROGER THOMSSEN, Director of
Records d Elections�/I rk
/i C-'6
L""ut 955 :416
5 12 08 PN'Y3
_r
EXHIBIT "A"
CITY Of TIGARD
Residential Structure Occupany Restriction
KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential
structure (s) on the following described lends prior to the recording
of an occupancy permit relessi.ng the restriction in the Deed Records
of Washington County, Oregon, is prohibited by the ordinance of
the City of Tigard, Oregon: (The City will ue a release
as soon as a final .napectiors determines that the construction
is satisfactorily completed)
DESCRIPTION OF PROPERTY:
ADDRESS OF PROPERTY: \ V
NAME OF OWNER:
ADDRESS OF OWNER:
IN WITNESS WHLREOF, the undersigned has caused this
restriction to be executed this t day of 19��..
OWNER:
�a 2 u
Na a
APPROVED: -�\ T tle
By:
Building Officia
City of Tigard
STATE OF OREGON
County of Washington ss" November 6 19 73
Personally appeared before me ")e above named
Roy Brown and ack Wledged the foregoing
instrument to bo his voluntary act and
deed.
Notary Public for Orogon
My Commiesion Expires: 1/I6/75
CITY OF TIGARD
lino I. W. M.In M..«
TIGARD,ORROON 9=
APPLICATION FOR BUILDING PERMIT
New Construction lJ Demolish Addition Remodel Move
ZONING P-D DATE ISSUED 11-6-73 BUILDING PERMIT
DATE RECEIVED BUILDING FEE $ 68.00 No.73 , 249
PLAN CHECK $ 10.00
BY— — OTHER $---4-.Tr -1%—:ording VALUATION $— 17,306
'i�'sioto RECEIPT No. q 7
TOTAL
i/-4
TWO SETS OF' PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT N 64 MAP A CENSUS TRACT ,_ _ JOB i
Architect or Engineer Tualatin Devejum nl Company
Address-, i s inn Phone 639,41 71
owner p1rs__�ora L Hnpkina --- ---
Address Phone
Builder Tualatin_Development
Address lF,gnn cam_ 116th Aug T+ Phone
BUILDING USE Single Res. 51 Multi Res. Comm. El Industrial C
OCCUPANCY GROUP I No. of Stories- 1 Total Height_-___— Area of Lot
Type of Construction XXXjMXXMXXJMXXV Floor Area B`__ 1_jjVa-- 2--
Set. Backs: Front 10' Backj4,6" L.Side qt R.Side
Private Sewer Pipe Size 4"- --.. Sewer_King_Lj_ty Septic Tank
Water Service Pipe Size_ VAn Storm Sewer 0 Ditch F] Drywell.U
Street and Curb Requirements as required by subdivision #M ordinance and P-D
Driveway Width 18 feet _ — No. of Parkinq Spaces__
SEPARATr PEPMITS R.EQUIR.ED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED `1Q�Q� V C■nt�ry nak Drive
FIELD CHECK DY, TR — ` ----_- _ ---_,DATE t t oa
PERMIT APPROVED BY Lam- tu
It is understood that all work will conform with applicable odes and ordi' Hne.,
of the State of Oregon and the City of Tigard. Oregon, and that the building wi
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector.
S ature o plicant