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10160 SW CENTURY OAK DRIVE
0 N U� U! H r Ll ` 1 61 r - v cn tn K p H a ( I a e +3 M C� 1 10160 SW CENTURY OAK DRIVE ! w v sARK1 Nvo A2if NsD ms 09TOT I t I W I 1 - w fi q H H � v C9 �. A � . ►-� � vs w cy ca � cn w cn Ei �ti P4 (� ww rw v4 H _ H .� r_> O • FMIBIT "B" • CITY OF TIGARD CERTIFICATE OF GC.UPANCY AND RELEASE OF RESTRICTION The City of Tigarra hereby certiZlzo that the occupancy or the following describer. .-uctare or premises with respect to which a restriction of oceupanuy was, on _ August 13 , 1973 , recorded in Book 939 , pale 970._ , Deed Record of Washington Count;, Oregon, is hereby authorized and approved. DESCRIPTION OF PF �ERTY: SUMMEHFIELD - Lot 62 As recorded in Book 32, Page 500 Plat records of Washington County, Oregon OWNER: Mr. A Mrs. Milford 5- DaArAnn BUILDING PERMIT MMER: 73-180 RUILDINC ADDRESS: 10160 S.W. Ce11tury Ee"rivg This is to certify the said structure meets with the require- ments of the Building Code of the City (if Tigard and the above referenced restriction is :hereby released and terminated. IN WITNE3S WHEREOF, the undersigned authorized officer of the City of Tigard hag cau::ed this certificate and release of restriction to be executed this 4th dad of December , 1973 . ir Title. City R�r STATE OF OREGON )ss. County of Washingto.. ) on this �}� day of '1 e t c kjA e, , 19] , personally appeared before me the above named fin, S ��r , ;4 , who:;e signature appears hereon and who acknowledged to me fiat he executed the same in his offical capacity on behalf of the City of Tigard. ►_ _ 1_�r Notary Pt6blic of Oregon My Commis^fon expires: _ ad .. .i r.:..4 ion lomad /.?J...».....1�.7 .M116...Jt76►.M. e �r,rtN THOMidLN.OINa1r M M+rM�1kMMni E, it 955 , ,, 422 Cr) G� �Y STATE OF OREGON / 11 ss e0-9 caunly of wasF+irtGtan 93 I, Roger Thomssen, Director of Rec,,rds and Elections and E.-Officio Retrderryo�Un- veyonces for sold county, do withinertify that the received and recorded inebbookfofric writing was s No. --•-..._._ of said Cour*Y Witness my hand and awl affixed. ROGER tffpM9SEN, Direct- ,t Records 6 Ewl" L2 putt' OEc 5 IZ �PM113 w OF G p,� occu CIT Y OF TIGARD C}� OREGON Owner:: Tyaleta n_4ave1op1n0n.t...Camp.8jny.._ 11 ,mi` No. 7.3-100...... I Building Address .....iQl. P Cer,.turY...QO Brius..._ ... ...................... Certificate is hc,reby given tiAs....990---day of....Nay.em.�ar ......., 19.. . 73 that said building may he occupied and that it complies with all requirements of j the Building; Code for the City of Tigard, as approved by the Tigard City Council. ItuiMing Inspector ww WAR [ www w City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE: ZZ DATE ISSUED:___L_L__ OWNERS NAME ' — T O, ADDRESS ' 1-497"- '7 -3 -- C ONTRACTO R :`_ TEST. A r ;], Water ❑ , Visuale, I_a" ,ratory [i RESULT: ApprovedDisooproved ❑ , Pending ❑ SKETCH: INSPECTOR DATE E : Attach supplemental test data hereto i amity of Tigard INSPECTION REQUEST for !NSPECTION TIME. PERMIT NC,, . DATE: 104-23 DATE iSSUED OWNERS NAME : TL' ), C,. ADDRESS: In/6O_S. -t! Q n N r R A r 7 n R ; A ST h ter❑ , V : ;Cr ab-ret�r CJ RESl1L'( . raced ,uPP►.r.ed G eridioq, Lj SKETCH: INSPECTOR DATE [NOTE. Attocrn supp ementol toss aoto he►�tI ./1 vity of Tigard INSPECTION REQUEST for =NSPECTION riME. PERMIT NC. . DATE: I1' 73 Jk E ISSUED .__,__!_ OWNERS SSUED .__-__!— OWNERS NAME : 7. 9 'r- ADDRESS: . r- A,DDRESS: . ON rRArTnR ;-E 5T : W, ter p , V: ua; SQ , '_a boratory ►7 RESUU : �,vroved� appr,,,ed G :' mdlrlc (] SKETCH: �q f( f' I MSPECTOR DATE 5OTF Attacn supplemental test nota her rt�l I 1 i 1 ;ity of Tigard INSPECTION REQUEST If C r. �i'92s <<�c i2 NSPECTI ON TIME . .221 Oy PERMIT NC. . DATE ' 911Z DATE ISSUED .—%i— OWNERS SSUED ._%i_OWNERS NAME ' T�2'C.-- - ADDRESS: _ Jae,60 S.K.. -(f4%vLaw _S)g�.'D 'SON rRAr'TOR ;-EST ' . •Air ter[] , ri RESULT" .p. roved , �.suppratiad G L7 S KETCH: ,�ojGG INSPECTOR DATE DOTEAttacn suppiemertal test uuta her�t� i 6 I, PLUMBING PEF04IT APPLICATION f' Jurisdiction of No. ( Type of Fixture Fetes Permit No. Permit fee r` ^ Water Closets Toilets) Permit Issu-7 1� Bath Tubs �— 1"4 Approved by Lavator�ash Basin :`7 Building Permlt'.^ Shower �� Receipt. No. Sin SUi::hw�riK _ inksKitchen _ ,i Sin s Ordinary _ Location _of Building !,; , .. n� mar------ �� ��i-.��,� z�y• ._ .inks Slop Automatic DiTiwas_er^ Dis pc,sal _ Laundry Trays Name & Address of 'Owner Drains„ Floor Drains Area _ Urain: riRerator _ Ra izi Drair.s Automatic Va her ; 6am& & Adc.ress of, Plumber / -7--�-�- _ Fountains, Prinking Fcuntains. Hot—Waterawns Water Seivice Size , Ur final s Buil n ,Old or w Altar, Repair or a c i-Tasi ns - r arc _ r,s Lawn prinkler "vstem Swimming NooiZ� iF er S rit!k'ler .�ysteR. ��, This permit becomes null ,not void if work or constructi--n auth_ r.ized is riot commenced within 60 day!-,, ar if construction or work is su�,pendpd or abandoned for period of 120 days v., any time after work is c•,-.mmenced. All plumbing firms must be ] +.tensed by the City :�f Tigard and poet a $1,000 bond. I hereby certify that I have --,ad and examined this application and know the samq to be true and correct. All provisions of laws and ordinances gcv--rning this ty0 of work will. be complied with whethoc specified herein cr tiot, the granting of a permit does not presume to give authority to violate cr ��ancel the provisions of any other state or to:al law regulating constructic-n -,r the performance of construction. Signature r_ f App.. -,3n+ rr�— City of Tigard INSPECTION REQUEST ? for INSPECTION TIME : 0,',30 PERMIT NO. -- DATE .- O. . . _DATE : 2Aal DATE ISSUED' Z OWNERS NAME : -7.=. C_ ADDRESS ' I D b(20 i it--, C�ir�Tr.�¢ai_fig✓__.�� CQ N l R A ITES•1 r j, Water Nlic RESULT: Approved'-,—Discpprover+ I SKETCH: i 7 INSPECTOR DATE NOTE: Attach supplemental test sora heret] i J4 ` G I City of Tigard ° INSPECTION REQUEST for i I , `NSPECTION TIME : /I! 3o nm PERMIT NO, . . -- DATE' O, . . --DATE: 7 _ ')ATE ISSUED'--/-' / OWNERS NAME .' TL _ l �— ADDRESS : 1 4 d Sw-PVL }YLC_1_�_ --- CONTRACTOR :_ 11 TES 1 writer 1 , of Lit Ln , rr l r,- r,7 RESULT Npprj�eay . :�i.;xpproveO 1 •,nding 3 . SKETCH I I I f I INSPECTOR DATE NOTE: Attach supplemental !eso .: u•o nerefo CITY OF TIGARD 12420 S. W. Mein Sfree TIGARD, OReCON "M27 APPLICATION FOR BUILDING PERMIT New Construct,on ❑ Demolish ❑ Addition ❑ Remo ' 1 ❑ Move ❑ aONiNG P-D DATE ISSUED 8443 BUILD-PRM'IT DATE RECEIVED BUILDING FEE $�j_00 No• ` 8() BY -- _ P:,AN CHECK $ OTHER S 10.00 VALUATION $ TOTAL $ 87.00 RECEIPT No. G 7 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LCT N 62 MAP N 281 101) CENSUS TRACT W-8 JOB # Architect or Engineer TuOstin Develofflient op, Address 15300 B.W. 116th Ave., Tigard, oreg�n Phone Owner eaw Addrers Phone` Builder Address Phone _ 13UILDI,:, USE Single Res. ❑x Multi Res. LJ Comm. L J Industrial LJ OCCUPANCY GROUP._ _ No. of Storms 1 Total Height 17 Area of Lot Type of Construction XXXXXKXXI ED= V Floor Area B 1_jaDjL_ 2 Set Backs: Front 10' [lack 44 _ L.Side 5 R.Side 7 'Private Sewer Pipe Size 4" Sewer Kingity Septic Tank ❑ Rater Service Pipe Size 3/4" Storm Sewer ❑i Ditch ❑ DryweIl❑ Street and Curb Requirements ■ meting Driveway Width_ 18' No, of Parking Spaces 2 SEPARATE PERMITS REQUIRED FOR :EWER AND PLUMBING SPECIAL INFORMATIO,1 ADDRESS ASSIGNED 10160 B.M. oentury oak Dr. FIELD CHECK BY__ _ JB _ _—,DATE`_&&U__ _ PERMIT APPROVED BY It is understood that all work will conform with applicable co es and ordinances of the Sta`.e of Oregon and the City of Tigard, Oregon, and that th,s building wil, not be occukfprl until a Certificate of Occupancy has been issued by the City of Tigard Building inspector. gnature pp cant EXHIBIT CITY OF TICARD Resilential Structure Occupancy Rr.striction KNOW ALL PEN 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 Deems Record:; of Washington County, Oregon, is prohibited by the ordinance of the City of Turd, Oregon: DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: - v v NAMtOF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to bt executed this t'r day of bs OWNER: /0 L i¢T..t/ CIWl-c,y�r - Nene APPROVED: By: 4 BY: � l7WlerMeae....�+�.».�....Ie.�K»�...AM.�►. Building; Offici � 1100tH City of Tigard Py !�N M_...... .............».Q.... -M t STATE OF OREGON ) Ss. County of Washington ) August 7 , 1973 . Personally appeared before me the above named Roy Brown, Vice President of Tualatin Development Co., Inc. an,' acknowledged the foregoing instrument to be hie _ volw.ra&7 act and deed. Notary Public for Oregon 1•1y C0m•r"sion 1Cu11ires:Jgnuary 16. 1975 Book 9391,+0970 | � � c ^ � CK q b ° �`Y ! : . E � . � EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction KNOW ALL MuN 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 Cuunty, Oregon, is prohibited by the ordinance of e City of Tigard, Oregon: DESCRIPTIJN OF PROPERTY:`` � .� .�•,.-....._��', t\� — �yy��©fit PFA, ADDRESS OF PROPERTY: � v NAME OF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed thio — - day of OWNER: . Name APPROVED: By: /Q� /, T,tle By: 4�uwn �, 44z Building Uffici City of Tigard STATE OF OREGON ) ss. County of Washington ) __. August 7 , ly 73. Personally appear-- ',;fore me the above named Roy Blown, vice Premident of Tualatin DevtJoWiliki a$#j be, and acknowledged the foregoing instrument to be his voluntary act and deed. A" �TC.cAn� Notary -Public for Oregon Pfy Comm'ssion Expires: January 16, 1975 EMBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hezeby certifies that the occupancy of the following described structure or premises; with respect to which a restriction of occupancy was, on recorded in Book -, Page , Deed Record of Wa:ihington County, Oregon, is hereby authorized and approved. DESCRIMON OF PROPERTY: SUMMERFIELD - Lot 62 As recorded in Book 32, Page 50, Plat records of Washington County, Oregon OWHER: ML, 6 Mrs. Milford S_ pwarann BUILDING PERMIT NUMBER: 73-160 BUILDIIG ADDIt1:.1.;: .10160 S.W. Ciantury Oak Nriue Thi., i•=. to 2crtify the said structure meett: with the require- ment. of the Building Cela rf the City ,.f Tigard ani the above referei,ced restriction i.+ hereby released and terminated. IN WITNESS WIMREOF, the undersigned authorized ,lficer of the City of Tigard has ceuied tvii certificate and ralea.e of re:.triction to be executed this day of 1 . Title: STATE OF UREDON as. County of Washington ) on this day of , ly_, personally appeareu before ne the above named , whose signature appear:; hereon and who acknowleugeu to me that he executed the same in his offical capacity on behalf of the City of Tigard. Notary Pu1,l.c. of Oregon My Commi.,r,ien expires: