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10240 SW CENTURY OAK DRIVE-2 0 0 . cn C"? ID 7 " r* 9k H 77 fes.. � p� �-� � ;� ;� v � ►ti "yc� M � P � (! a t ,xil•N El �7 cg qHM 1-4 Flu ['143 a d i k r V 1 �r f ! t ftt 10240 SW CLNTURX OAK DRIVE a ■ ZAIMa XVO AMIN30 MS OVZOT • At w.. ___ _ .. �.. , cl ., fuIN , cu rncn ,� , r.1 Cl cr O ryx z M1Cal IS'j ry1. c`� r C.� '�' 's i 'r•. j I 1 , Q p i i 1 r-� • W ED rn N 4-) C (D U • (T G N d i�11 BUILDING PERMIT APPLICATION TIGA-70 DATE—4144 THE UNDF-RSIGNED HEREBY APPLIES FOR 4 PERMIT FOR T1 iE WORK HEREIN IR' .ICATED BUILDER PHONE1-314_ZLl OR AS SHOWN AND APPROVED IN TF-F ACCC,k•'PANYING PLANS AND SPECIFICATIONS. OWNER PHONE �. p, LOT tJO. _�•:":ER ��QH �� IOBAf'�)RESSw? _ � (� V Sw idb V��le• ARCHITECT AA ENGINEER BUILDER _ ^ADDRESS- __,yb�V�;. DESIGNER STRUCTURE" ❑ NEW ❑ REMODEL ADDITION ] REPAIR ❑ RENEVIAL Cl FIRE DAMAGE Cl DEMOLITION RESIDENCE C COMM ❑ EM ATICNAL ❑ GOO'T ❑ RELIGIOUS ❑ PATi7 Cl CARPORT Cl GARAGE G STORAGE ❑ SLAB❑ FENCE --� -- T" OCCoiPANCY K= __-.LANDUSEZONE ��• DG TYPE �u__FIREZONE_ � PLANCH=CKBY HEAT__ SEWER PERMIT K OCC.LOAD FLOOR LOAD HEIGHT NO._-TORIES AREA G NO.BEDROOMS •• VF.L U"-?jp-4* BUILDING_DEPARTMEN'( SET BACKS FRONT PEAR LEFT SIDE ?IGHT SIDE Permit - ---( `•1THIS wEHMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOWNC 21g .99 AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERZ?'Y AGR[Fp TFAT THE IQI.inCheck _ •9� `I WORK WILL BE DONE IN ACCOP.DANCE WITH THE PLANS AND SPECIFICATIONS AND Its+ COMPLIANC; WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER"IT DUES NOT WAIVE sut'tetal 7 1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINES: 1 hate Tax LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING- -7�= --1 SD C— PC CA APPLICANT OR AGENT By - - __ Receipt No. Approved Pf"iRESS �- -- - — PHONE — SDC - . PDC - S _ SEWER CONNECTIONS SEWER INSPECTION S SEWER SURCHARGE f nmmamtc: KOO T/� ---- - - - . BUILDING PERMIT APPLICATION TIGARD DPTE - _ 19,E �2 4165 THE UNDERS!GNFD HEREBY APPLIES FORA PERMIT FOH THE WORK HEREIN INDICATED BUILDER PHONE !'39-Y�r2a�J OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC'FICATIONS. OWNER PHONE --_ OWNER_14+1-m Cl.,wk A- _ JOB ADDRESS 10240 S.1.4 Ccatury 00 C?r. LOT NO. ,mrr'tffield— ARCHITECT BUILADDRESS Abm DER �' ENGINEER —. e DESIGNER STRUCTURE C NEW ❑ REMODEL 1911111ADDITION [- REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SL_AB❑ FEir�iE OCCUPANCY ------LAND USE ZONE –Bn PD P'.DG.TYPE _ _ FIRE ZONE-----PLAN CHECK BY r• HEAT '�+rgz ttCurt rarnilY t'"d a-:t+twian to einele family dwellinr, See cc+rrectiou 011(tat ,jtt3Che,j. SEWER PERMIT# OCC.LOAD FLOOR LOAD 40 HEIGHT 11 NO.STORIES t AREA I(i^ NO.BEDROOMS VALUr BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 44.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDI"G CODE ZONING REGULATIONS AND All APPLICABLF CODES AND ORDINANCES, AND IT IS HEREBY .vCiREED THAT THE Plan Check 28*1)3 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. -,HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 73.43 RESTRICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tex 1.113 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Total 15.21 SDG - -- By PDC# APPLICANT OR AGEN1 - - a�� Receipt No. Approved dolt AD E ---.----- -- PHONE - -- -- - - DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE C... tractor i n-ii-�q2 %1 i Permit No. i/- -d Rough-in Fixture Final HEATING Contractor Permit No Da•or Oil Rough-in Final _ SEWER Final T DRIVEWAY Final Storm Drainage (Rein Drain)Final Sidewalk Curb&Street Final _ Approach 13 DG.DEPT.FINALTEMPORA .Y CERTIFICATE OCCUPANCY ICERTIMCATE OCCUPANCY�� Final Landscaping Zoning Final ttti.,, �,���� •�+ ,'n� r(�j� �ea`,j tit _ •. EXHIBIT "B" 928 CITY OF TIGARD f CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifieg that the occupancy of the following described structure or premises wi*:, respect to which a restriction of occupancy was, on May 3 , 19-4 , recorded in Book 973 , Page 556 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield — lot 58 As recorded in Book 37, Page 50, Plat records of Washington County, Oregon. OWNER: Ayala-A Kahl.,uss------ -- BUILDING PERMIT NUVRER: 74-68 BUILDING ADDRESS: 1n2An S.U. Egratuy-V Oak Osivs 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 authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this d2 7 day of Title:_r'.,/ STATE OF OREGON County of Washington )ss. On this .2 2 day of 19 , Personally appeared before we the above namea„L ,,,. S, c:r f , , whose signature appears hereon and who acknowledged to roe tfiat he executed the same in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon May Commissirn expires: 7- 'y' 77 A M-W "012 THOMMM,OkOWW W PAMM4 a [lerhenl I r l7 a W �WA City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT N ). : DATE: Z�,ZZ----t DATE ISSUED :--L I OWNERS NAME : ADDRESS:.-,'o2-,Lo SW ,4ur, CONTRACTOR : I-e, r SS 1 EST : Air ❑, Wotsr❑ Visual p , l.aborotory p RESULT: Approved', Disapproved CJ , Pending f] SKETCH: I r I I I I I IN PECTOR DATE COTE: Attach supplemental test data hereto] 1 7 r, i SPACES MUST $E ENDORSED PRIOR TO ISSUANCE OF BUILDING PERMIT PLANNING DEPT. _ PUBLIC WORK, DEPT. By - BUIIDII;G DEPT. L� TUAI TIPT RURAL FIRE, DEPT. r�. __ _-__- _ _ _-_ __ ...... Duto APr:'OVFD F ..l BY- __ _T. TLE_ DATE i All -wr 11 5 June 37, 1974 Mr. Roy Brown Tualatin De"velopmont Company 15300 B.N. 116th Avenue Tigard, Oregon 97233 Dear Roy s It has Leen brought to my attention that, again, a residential structure has boon --onstructed over an easomernt. In this particular case, a structure has been erected over an 18 inch storm line between Lots 50 and 59 of Summerfield 1. It appea►ri to me that the only solution would be to vacate the existing Storm Gine Snsemant, dedi .-ate a now storm lina easement on Lot 59 and reconstruct a new 18 inch storm line. You will be required to submit the necessary drawings, vacation papers and dedication papers prior to reconstruction of this line. one, solution to prevent a reoccurance of encroachment would be to b•sttaer nark yoeir propel ty corners and Easements prior to conptruction. Unti), the abooi mentioned problem iso resolved, no occupancy will be allowed within this reaidencn. if you have any questions concernir#7 this matter, please feel fro* to call. Ve:y truly, Nick Hie+bert Director of Public works NNifa I City �of T� ord INSPECTION REQUEST � for INSPECTION TIME: ` PE— yr NO, :__ DATE: l DATE ISSUED :--L-,!— OWNERS SSUED :__1_,!_OWNERS NAMI~: : .�s�_ D ADDRESS: —�r1ht� G/�"� — I CONTRACTOR : 7 TEST : Air p, Woter Vieuai _ Lahorator '~ I y � IRESULT: Approved Disapproved U Pending p SKETCH.' I I I I I INSPECTOR DATE I rNOTE: Attach supplementai test data b^retj r f City of Tigard INSPECTION REQUEST for INSPECTION TIME : _gym PERMIT NO. : DATE: Ce -71' DATE ISSUED:--Y---j.' OWNERS NAME : r t� L ADDRESS��!�-s CONTRACTOR TEST: Air 0, Waier C! , Visual 0 , Laboratory [I RESULT: Approved O Disapproved O , Pending p SKETCH: INSPECTOR DATE NOTE : Attach supplemental toot data heret] �. .... Y.a.• y.yw '++r-v.wi'o'r- ...+..yr....+r.- __', _ ._n._-_ - - M. .t •.+.. - � __ . " y757 �oG # -es� CITY OF TIGARD TIECHANICAL PE12MIT DATEj�� � PERMIT NO. �-M — RECEIPT NO. BY _ � � s ----- -- FEE 1. Permit shail be obtained prior to commencement of installation: 2. Permit •shall be obta_ned for all appliances which are to become a fixture to the bui_iing. 3. Relocation, replacer,:=-its, alterations, or ch..nges to burners and duct work require pe:--- -its. 4. All work to be conce_,ed must be inspected before cover up. New Installation JA Replace Relocation ❑ Addition Alteration-L] C _ OWNER—., ONTR _ . ADDRESS _� �:� - . �i,� ___l1 __ 1�'ORK ADDR�.SSa '►.. _L(L11't .�A APPLICANT lyjd&� � TELEPHONE NO. FURNACE - MANUFACTURER �Ud� TELEPHONE NO.. HEAT Input rating (Btu PerHour) G�1 OU() _ Vent Size � Flue Size rp^ --`-. FUEL OIL ❑ GA S KU ELECT U 0--, �R TOTAL SO. FT. Top Floor I-lain Floor /.0(r2 Basement -------- GENERAL I ITEM NO. FFE ~T ITEM NO. FEE For Issuahce 'of Permit ?.OOT Boilers Over 50 HD �� New ---Under 100,000 Btu_ L'.00 �r Air Handling-1 000 CFM - New - Over 100;O JR _ c p Air Handling Over 10,000 CFM �� Flt;or Furnace _ -.00 ^ E�orative Cooler— .O Mall Floor - suspended _ -.00 �� v int Fant fii-s-f=7e ��� Vent_SYs elm j- it-0 Repair - Heat & co( lin x.00 Nood Boilers Under �0 Boilers 3 to 15 Hp 7 . 50 Comm.inc nerator�� _, r0•� Boilers 5 to 30 H-p-- 1C , -0-0 Other Nn�L -Re-C- Boilers 30 to-50 5 .00-]_ INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY • DATE Eee W"At Signature of Applicant PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. 741-101,-pPermit fee _doh c,,, gale Water Closets Toilets �-- Permit Bath Tubs �� Approved by / avator ash Basin Building Perm Shower Receipt No. moo. /G n .s_ Dishwas inkaKien' Sinks. Ora nna Location of Building Sin I s SOD -- �Ontlii f%♦ /�eLi� /t,,,, u on-a ttai--cam— s was e r is o3a —' Laundr Trs �� Name Address of. Owr:er % Drains Fl oaor Wil, -- Drains. rea — — �is��. , i c Drains, e r aerator �� ----- — 1 Rain DrainsAuto -------- / ounmains tic Washer nr n � Name Ad/dress of plumbe Foun ains Sodi �— / Hot d-mer an i Water Service 51H7� - Urinals Buildiu Old or Nfw/ Alter Repair or Catch-Basins - ar nI seTl � —�---t Lawn r n erSvstem Swimmi�n�g oo — 17heer --- S rinklelstem_This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended nr aban•toned for 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 -T. have read and examined this application and know the same to be true and correct. All provisions of .laws and or: inances governing this typ of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority tt, violate or kancel the provisions of any other state or local law regulating s-onstruction or the performance of construction. �20,6�0 C•ti��clJ Sl"ture of Applicant A 2 o EXHIBIT "B" CITY OF TIGARD 1 ' CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifief that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on May 3 , 1974o recorded in Book 973 , Page 556 , Deed Record of Washington County, Oregon, is hereby authorized end approved. DF.5CRIYPION OF PROPERTY: Summerfield - lot 58 Aa record...i in Book 37, Page 50, Plot records of Wasrington County, Oregon. OWNER: BU'LDING FERMIT NUMBER: 74-¢9 BUILDING ADDRESS: jn2Qn q_U_ ront,iry nok ny-tv*— 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 WHEREOP, the undersigned authorized offic r of the City of Tigard has caused this certificate and release of restriction to be executed this day of , 19` Title: �^ STATE OF ORDGON SS. County of Washington ) On this day of , 19_, perFionally appeared before me the above named , whose signature appears hereon and who acknowledged to me that he executed the surae in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon MAY Commission expires: _ ;J I � I I City of Tigard I INSPECTION REQUEST for IINSPECTION TIME : e2-'&f0 PERMIT NO.. I DATE: qL-rV;79_ DATE ISSUED,-- OWNERS SSUED _OWNERS NAME : 1`0,C — 41)DRESS : CONTRACTOR : ITEST: Ai► O, Water p , Visual O , Laboratory O RESULT. Approved Disapproved D Pending p K I S ETCH: i I I i INS CTOR fDATE EMOTE : Attach suppler; : I test data hersto� CITY OF TIGARD 12420 8, W. M.0 slr«t TIGARD. OREGON 97227 APPLICATION FOR BUILDING PERMIT New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING DATE ISSUED '4.7 BUILDING PERMIT UA'I'E RECEIVED BUILDING FEE $ No. PIAN CHECK $ ;'7 :, - 1, ,(a BY------- OTHER $ — VALUATION $�, 3iy TOTAL ;� $ ,>y RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N _ MAP A CENSUS TRACT JOB N X17 Architect or Engineer-7 �r ��-;�-� � �r_ j ��� Cm - Address �QQ Phonel(- � _ Owner Address Phone Builder Address Phone BUILDING USE Single Res. © Multi Res. ❑ Comm. ❑ IndustrialEl OCCUPANCY GROUP_ No. of storiesj_ Total Height_ Area of Lot` Type of Construction I II III IV C Floor Area B _ 1 ►cz�a 2�_- Set Backs: Frontes Backe_ L.Side_y I '- R.Side_ Private Sewer Pipe SizA �j Sewers"' Septic Tank lJ Water Service Pipe Size_��c - Storm Sewer ❑ Ditch ❑ Drywall❑ Street and Curb Requirements_,nc� Driveway Width Le2' — No. of Parking Spaces_7_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL, INFORMATION ADDRESS ASSIGNED` Ip�L �/O S /G/i ��'.• �� r U'�� �G — FIELD CHECK BY PERMIT APPROVED BY It is understood that all work will conform with applicable - .des 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 Tiqard Building Inspector. s Signature of Applicant E:GiTEIT "k" CITY OF TIGARD Resid:ntial ,'tructuro Occupancy Restriction KNOW LLL :+wN BY TIPOSE PRESENTS, That occupancy o: residential st'•ucture (a) on the following desaribed lands prior to the recording Of an Occupancy parzit releasing the restriction in t:.e DeeQ Records of Washington County, Oregon, is prohibited by the ordira,nca of the City Of Tiziard, Oregon, DESCRY':OAT 0:_PROPERTYi ;ur,:rr.J:fic:a - Lot .,a rccorded in nook 57 Parva !9'Q_ c'Iat recor6n of : County, ADDRESS OF p?,02ERTY1 1C)C-�Cj `A / l'r.�,�✓'� ��",� /7 �,., ll/�M OF Ori:\�.� �� 1•� !' /z.�- �. f` r ,. ADDRESS OrLA IN VITAZ5S WHEREW, the undersiCned has c;;used this restriction to be executed this9 Z.5 dry o. A-P,, / l A.PPROVFD: Byi Title By, Building Official City of Tigard STATE 0? OREGOh 1 ss. County of Washington ) S, 19 rsonally appgdred before me the abova muzud ll and acnnawledged the fore,,oing instru=r,t to be voluntary act and dee Pio` ry Public :or C „0 MY Comm.ssioa Exp or.: 6006 EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction KNOW ALL ICN BY TIME 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 Deeo Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: Summerfield - Lot As recorded in Book 3_, Page 43-70 , Plat records of Washirf-ton County, Or,�ron. ADDRESS OF PROPERTY i ►C�2 4 b �j.1U Cn T vr _/ r' ��� NAME OF OWNER: �� ►..+r, ,_IL��1 ,rte s�5 ADDRESS OF OWNER: 1 ys Yi L_j• p,^ :Q I IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this j day of &I art OWNER: Name /n APPROVED: Bys Tit10 By: Building Official City of Tigard STATE OF OREGON County of Washington ) S 197 rsonally appeared before we the above named acknowledged the foregoing instrumeht be voluntary act and deed 0 ota Public fo regon PAL try Cc m!bsion E)Virest eoace t"oMastt/N/.Duerr M Pip.............. ....... »... - �1�"tdcx�J°U'ooh 973 GOQG o �| � | � j ` � & � �f��' � 0 § } Vic -* 7 a} h , �!�'� i t ■