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10195 SW CENTURY OAK DRIVE Flo CO cn y t� W �j n H r. w rs tLi INN -0 C3 Pi 171, � w �, A Ui O H I �� � r i v Ir f � f 3 -1 n CD c� 101.95 SW CENTURY GAK DRIVE e400000 i. FAI'dG XVO A>_PIMD MS 96TOT cl 0 Li Li CT —i cr O P-4 V) 04 4 lo nr lit FL4 :37. Q T All 4J 7 U liz -114 Ln (1) EXHIBIT „B,. 3'710 CITY OF TIGARD CTIATIF'ICATE OF occiii,ANCY AND RMEASE OF RESTRICTION ",the City of Tigard hereby certifies that the occupancy of the following described structure or promises with respect to which a restriction of occupancy was, on _ 1 ?y7 " 19-1�, recordad. In Book , Page g 72 , Decd Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPMON OF PROPMTYr SUMMERFIELD - Lot 10 OWUM: Tualatin Development Company ­­ BUILDICNG PERMIT NUMBER: 73-289 _f 6UMENG ADDRESS: 10195 S.W. Century Oak Drive This is to certify the said 91.7.ucture 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 WITU S WHEREOF the undersigned authorized officer of the' City of Tigard has caused this certificate and release of restriction I to be executed this �[( day of 19n,, / Titles STATE OF OF M)GON ss. County of Wa:,hinE-t.on On this __�__ _ daY of ' r 197 personally appeared before me the above named-�_4'Lrl`,� c r, whose signature appears hereon and who acknowledged to me tShe executed the same in his offical capacity on behalf of the City of Tigard. Rotary Pu is of Oregon M9 Commission expires: 1l,13k-s 3l Ptl.d for,.turd. �n�IG 7 a1.. .A.M r M HO(MA M M�,,ti,�le�CbMrons eoor 970 rAcE� '"� �,. L � �s� ��s g� �`� �' _� ����,� � �a� a a � �� � o� - F�.e � 11� �� z F' w�_� 4� � \ ry i � e ����� ��� .a dt1 � 3 ��LSE �� € � { ��� �'S 3 � 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 recorded in Bouk _, Page Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY! 9UMMERFIELO - Lot 10 OWNER: Tualatin Dsu 1np® of rnm ■p nr_ IIBUILD=NG PERMIT NUMBER: 73-289 BUILDING ADDRESS: 10115 S.W. Canturr Oak Dries This is to certify the said structure meets •+ith the require- men►,s of the Building Code of the City of Tigard end the above referenced restriction is hereby released and terminated. IN WITNESS WHEREOF, the unders'.gned. authorized officer of the' City of Tigard has caused this certificate and release of restriction to be executed this day of 19 7 w. Title: STATE OF OREGON )as. County of Washington ) on this ,6- _ day of _r 19 ", personally appeared before me the above named 1_s ., , la,/-,/,�, whose signature appeare hereon and who acknz)wledged to me t be executed the same in his offical capacity on behalf of the City of Tigard. Notary Pu ir_ of Oregon My Commission expires: i I City g of Tigard I INSPECTION REQUEST for I INSPECTION TIME: PERMIT N0. : __ I DATE DATE ISSUED :__________( / I OWNERS NAME ' ADDRESS: CONTRACTOR ' TEST : Air ❑, Woter❑ , Visual p LaboratoryI o RESULT* Appro.ed , Disapproved ❑ , pending ❑ SKETCH: c I 0_4),j V �.. i *NSECTOR D� ATEZY I NOTE: Attach fupplaTantal teat data baretaa I I City of Tigard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO. : DATE: - VIU-Z $� DVE ISSUED:__1__I OWNERS NAME : ADDRESS : _ CONTRACTOR ' TEST: Air 0, Water 0 , Visual 0 , Laboratory [I RESUI T: Approved 0 Disapproved 0 , Pending [] KETCH: 2 U.4- 7 yc INSPkTCR DATE CN07E Attach supplemental fest tufa hereto] All Ar CITY OF TIGARD MECHANICAL PERMIT DATE / - / P�.RMIT N0. 7 c/,— � � /LRECEIPT r10. BY FEE C 1. Permit shall 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. Pelocation, replacements, alterations, or. changes to burners and uict work require permits. 4. All work to be concealed must be inspected before cover up. New Snstallation Repla,�e ❑ Relocation ❑ Addition ❑ Alteration ❑ C ONTR. (r1 •% <<�1 / :. f' `c OWNER -"� ADDRT SS r/•_3'�E C` s� C L". //� � WORK ADDRESS ,Gl APPLICANT // TELEPHONE NO. "S;' - FURNACE - MANUFACTURER 11 C,,W r-, TELEPHONE NO. HEAT Input rating (Btu Per Hcur) r,� c r Vent Size � Flue Size -- FUEL OIL ❑ GAS X ELECT ❑ OTHER TOTAL SQ. FT. Top Floor r_-- Main FloorBasement --� GENERAL ITEM NO. FEE ITEM NO. FEE For Issuance of Permit 3.00A Boilers Over 50HD New - Under 100,000 Btu 4 �C; an 1n10,000 C �� New - Over 100,000 Btu A�"ran�S�ng Over10,000 C , Floor urnace4-000 vaQ�o_rarive CC-ooYer Wall - Floor - Suspended 4.00ent Fan�" • Install ens e-1600 --7ent Repair r- Heat & Coolin 4200 0 oa -31 Boilers Under3m�_8'B7rTn_V er-ra r Toile '57o Uomm,-•Tnc3.nc,ra oor 2 Boilers 15 to JO D10 00 er oR_17f le3�""- Borers o 0 Hp_ INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY _ DATE Signature of Applicant �� arc' City of Tigard INSPECTION REQUEST ! for INSPECTION TIME: _ PERMIT NO. : I DATE: 21,427(1 DAZE ISSUED : I Z_ OWNERS NAME ' ADDRESS: _ tial_0 CONTRACTOR : T EST : Air U, Water❑ , Visual ❑ , Laboratory ❑ I RESULT: Apnroved/)lV"', Disapproved ❑ Pending ❑ SKETCH: I I ,fN i I 1 I I I SPECTOR DATE �NOTF Attor,n supplemental test data beretpj ! I 4 City of Tigard INSPECTION REQUEST a for I r INSPECTION TIME : r, � PERMIT NO. : DATE: ..�.L.6 :TZ DATE ISSUED':_1_/ OWNERS NAME : _ < 2, G ADDRESS : _ /� T /� ..lt �,►,�rtC/'r if�i� I CONTRACTOR 'leIA-'G- ;["/� TEST . A4 O, Water [] , Visual , LaF ,ratory [1 RESULT. Approved J , Disapproved , , Pending ❑ SKETCH: I I INSPECTOR DATE INOTE P.ttach suppiementnl feet data hereto 1 City of Tigard INSPECTION REQUEST for SPECTI ON T.ME . _�_ PERMIT 0. . DATE: Z 1,PJW DATE ISSUED :—I Z INERS NAME : C ADDRESS: `Y-- --"— — )NTRACTOR : - -ST : Air 0, Woter❑ , Visual ❑ , Laboratory L-j =SULT: Approved W, Disapproved 0 Pending ❑ CETCH.* INSPECTOR DATE TE: Attach supplemental test data beret] PLUMBING PERMIT APPLICATION Jurisdiction of r No. Type of Fixture Fee Permit No. 7'1-oG -P Permit fee 111� �" , �G N Water Closets Toilets pO Permit Issue - .2 �- y ath 'rubs Approved by ava o as as T Building ff� Perm Shower .o Receipt fie s Dishwas ink bin s Kitcnen n�Sts r inary Location ofu i lding galQ 5 Sinks, Bar - —_�lL�___[' :ins � o i t Automatic Dishwasher a - DJ s oma --- a Name & Address of OwrWr Ar _ r a ns Area -'�CLf` a1 7` n.�"= ' �, — a e r•i erK or 7 sin Drains grow Automatic as erg Nam & Addre;,s of Plumber r ountairs t—"atera'1' nk o Water Service Size Urinals Bui n Old or ew Al.ter, Re air or Ca - -Basins - Yardn awn rin ler Sys em i i w mmn 0010-ther rink er Ty-s- em This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction 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 a;,ic: post. a $1,000 bon I hereby certify that I have read and examined this appl'cation and know the s to be true and correct. All provisions of laws and ordinances governing this of work will be complied with whether specified herein or not, the granting of permit does riot presume to give authority to violate or cancel the, provisions of any other state cr local law regulating construction or the performance of construction. 00 ()t4llud hof` (' Signa re o Applicant City of Tigard INSPEC'T'ION REQUEST for INSPECTION TIME '. = PERMIT NO. : DATE : DATE i SSUEC : I Z OWNERS NAME '. A D D R E S S: CONTRACTOR : — TP , r-- -- TEST : o"%ir 0, Water [j , Visual0*Laboratory [] RESULT : Apnroved , Disapproved U , Pending [] SKETCH.* INSPECTOR DATE MOTE Attach supplemental t9-it dnto hereto] r +r<s* CITY OF TIGARD SUN & W. Md"oleo T14/.RD, ON80 1N gnu APPLICATION FOR BUILDING PERMIT New Construction n Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING__n DATE ISSUED 14-19-73 BUILDING PERMIT DATE RECEIVED BUILDING FEE $ 7.00 No. —" PLAN CHECK $ 1UR T3-299 BY '- OTHER .77 state VALUATION $ 20 769 5 TOTAL $ 91.77 RECEIPT NO.�9 TWO SETS OF PLANS AND PLOT PL -48 MUST BE FUR141SHED WITH APPLICATION LOT 10 MAP R CENSUS TRACT �v JOB {_ Architect or Engineer Tualatin n■ualor--rt Address 15�On -q-u- 1 1 6*h sup_ Phone—___— Owner—MAMA — Address Phone! Builder Address Phone BUILDING USE Single Res. ❑s Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP I No. of Stories _1 Total Height Area of Lot-- Type et _Type of Construction )VX)MX )()MX V Floor Area B - 11290 2 -- v Set Backs: Front 10 Back 91611 L.£+de 4' R.Side_ 4' Private Sewer Pipe Size 4" SewerKiny City Septic Tank ❑ Water Service Pipe Size 3/4" Storm Sewer ❑f Ditch ❑ Drywell❑ Street and Curb Requiremento as raauilst by_X bdiui8ipn and zoning nrdinin.,e Driveway Width 1B' No. of P.. -king Spaces , SEPARATE PERMITS REQUIRED FOR SLWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 10195 S.WV CenturyOak_Drive FIELD CHECK BY JB DATE 12-19-73 PERN.'T APPROVED BY �� It is understood that all work will conform with applicable odd ordinances' of the State of Oregon and the City of Tigard, Oregon, and that Vie building wi14' not ne occupied until a Certificate of Occupancy has been iasued by the City of Tigard Building Inspector. na u, f As Applicant ,y 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 leads prior to the recording of an occupancy permit releasing the restriction in the Dead Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a release an soon as a fi_ol inspection determines that the construction is satisfactor'.ly completed) DESCRIPTION OF PROPERTY: A a"W"'_o \.. ®y o;R. ADDRESS OF PROPERTY: NAME OF OWNER: th. �_�a ��+ t i.•--� �• .\ADDRESS OF OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this cam= day of OWNER: me APPROVED: e By, Building Official City of Tigard STATE OF OREGON County of Washington ; °°' c.c�-...�A.- / y�19 Persorall.y appeared before me the above named &.-,i acknowledged the foregoing Instrument to be voluntary act and dead. o ar Public for/Oregon My C mmission Expirest a?-i9-7-3 EXHIBIT "A" CITY IF TIGARD hesidontial 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 Deed Records or Washington County, Oregon, is prohibited by the orttinance of the City of Tigard, Oregon (The City will issue a release as soon as a finnl inspection determines that the construction is entisfactori.ly completed) DESCRIPTION OF PROPERTY: F' c c1 aa� '44,n ,4..c��,�ta �4v.� y r Crc s►�c�� ADDRESS pF PROPERTY: . v a.. NAME OF OWNER: ADDRESS OF OWNER C' c.>�-�\. h r--..� V<" L.• .y cam. � l IN WITNESS W4EREOF, the undersigned has caused this restriction to bn nxecutnd thin `__ day or OWNER: i C l N a l� i %rebs APPROVED: T I te By: Building official City of Tigard STATE OF OREGON 1 County of Washington S ea' /� �s. 19 Person,ally appeared before me the above nmed and acknowledged the foregoing instrument to be voluntary act and deed. STATE OF OREGON il County of Washington ss�� o qrV Publ c for Oregon qy Cemmiecion Expires: I, Ror Thomsen. Directo• of Record and EIege ctions and Ex-Officio Reorder of Con- — T weyonces for said county, do hereby certify that the within Instrument of writing was received and recorded In book of records r said Cotmfy Witness my hand and seal affixed �J ROGER THOMSSEN, Director of Records & Elections SS Do 11°� Pile `�57 ,-97$ CITY OF TIGARD 12420 S. W. Main Street TIGARD, OREGON 97143 APP,ICAT'ION FOR BUILDING PERMIT New Construction Q Demolish Addition Remodel El Move 11 ZONING DATE ISSUED BUILDING PERMIT DATE RECEIV:SD BUILDING FEE $ • 0 J No. BY �- PLAN CHECK $ 0 G) IPt I>Sv� OTHER $ �`' O!� lcehRt c� VALUATION t+� 769 _ $ �� sjq]�i RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT #_ 10 MAP #_ CENSUS TRACT _ JOB # Architect or Engineer Tlft1n+-;h Address 163a© W, 1IV N Phone_[f5.9 . :31d1 Owner ge„-1,,IL Address Phone Builder -some Address Phcne BUILDING USE Single Res. D Multi Res. 0 Comm. F� Industrials OCCUPANCY GROUP ( No. of Stories ( Total HeigntArea of Lot_ Type of Construction V, Floor Area B 1 2 - Set Backs: Front " LU-C7 Back�(a L.Side H -U� R.Side 1,�-U(('�_�� Private Sewer Pipe Size �/ Sewer-k,'6.%, r+. Septic Tank l_J later Service Pipe Si7A_ Storm SewerL DiDitch Drywell Street and Curb Requirem>nts 4u6e4iuUla_r+ t__ 1�•l� H Pa Driveway Width�� � T No. of Parking Spaces` SEPARATE PERMITS REOUIeED FOR. SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BY DATE PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinances c.f the State of Oregon and the City of Tigard, Orequn, 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 Applicant