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10340 SW CENTURY OAK DRIVE-1 t Y o w C LUJ - - - 1, 1 G 1914 -�C<.3-�� .�, Al C�'�-/ rUA?S� c'�.��` .D. / V29 ' CITY OF TIGARD Pr 7, co I � I I I " I . I i / --- -- - ----- -- I 1 I I I I i ,�. 197- ice.�-� ,r,C. v �M.y -� �' ,,•, r APPROVED FOPP, CONSTRUCTION CITY OF TIGARD PERMIT N0. sl�, _ SITE ADDRESS.4._w, r .4; BYCr< .DA'i E GEtyI RAE CJ1;,tPlt�CtORS 8 SllB-CQNTRAC- 165 m3i Hpiwt CiIY BUS11IESS JJCEi11SE i.► L�>L I cv ;�;s�,;;'r' CITY 1)[JI I S pRIOR Building must be completed �� N ;SLR &I KAI! k$, according to city codes and ' Final inspection made before tr►;';16ii ':;11..1 (LI( 'r' i11:11 O(:I: .,1:: occupaw.y. RAIN DRAINS SHALL MEET IrEEP NOI.ES IN CUM AS PROVInfD car i CITY OF TIGARD . 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( ( I 1 lilt If VIII ► � I I ( I III III II II III iII I I .� �z, . ..: .:� .-- NOTE: IF THIS MICROFILMED ( 2 3 `4 5 6 7 8 9 110 1I 12 DRAWING IS LESS CLEAR THAN " THIS NOTICEi 'IT IS DUE TO 1}f QUALITY OF THE ORIGINAL - bRAwING, OE 6Z 8Z LZ 92 SZ 1P EZ ZZ IZ OZ Of 91 L1 91 SI till E1 21 11 01 6I•---,-- 0 L 9 S Ib 1E.-- Z 1�•��" ^ _,'"'• ,IIIIIu11u1111nIlIUIIIIuIIIHIIUII111�1uII11uInaIlI1111IiJt�t�1111111�I11111111n111111�att�1n111In�tllli►f+��11t11Nu�11► IiF1It�11tIII1NIIIIIIIII�IIIIIIIfIII111I1111�11IN�Ulullu11u11I1111hI11I1111I)ll111I111�11UW11�1Lt1I1111I1111I1WItIN ' _ APRIL20 ' 1992 24 )( 0 lti c-t- c r--4 C3 0 X, tn --j 9 , I j-4 til 0 41 < R W m C-2Cn H W w a ET4 t-4 ` f ii C; —c i rl N J. 4z 1-4 ijf 'Zo En t; fir, Ll 1-4 1-3 11 k �,1. 4 lu W C' 14, 0 fm 10340 SW CENTURY OAK DRIVE too)< TiPia Xd0 xmINK MS OKOT n iJ �Nb d + I C44,I ' 1 ice, P� fj'i Yi • •. Ci t1� Cti �•I M. I I �1 . ! r. A 0 E—f �+ ►-� to >+ s) • I r BUILDING PERMI I APPLICATION TI CITY T r o ..�wX."" . THE UNDERSIGNED HkREBY APPLIES FOR A PER WARD DATE--- --l_ 19 ��NO 0353�� r� OR AS SHOWN AND APPROVED IN THE ACCOMPANYING IPLANS ANDFOR THE WORK EICIFrI AIT OIJS.. lJ J OWNER jild1red Gray OWNER PHONE__ — 3atT .tre Century Oak x . ADDRESS (� torn Wowd NG__NEER B I�DER PHONE _ l�-UILDER Produ-tv ER HIT r —•.--__ SIRUCTU-__-RE _- ONE W RE --- DESiGNER MODEL ❑ADDITION QREPAI_q_QRENEWAL ❑ RESIDENCE ❑COMM, ❑EDUCATIONAL CIG ❑RELIGIOUS FIRE DAMAGE ❑DEMO_ LITION ff--- _---__ IOUS C :AR PORT EI �CIBOND ❑MOVING GARAGE El STORAGE ]FENCE ---__ �C_ONDII _ZONAL USE ❑DESIGN REVIEW - U�CUPANC'✓___ —_—__— COUNCIL APPROVED ❑SIGNS --------=_LANA USE ZONE��BLDG.TYPE t s 1IItJk„YUi , � x �� FIRE ZONE t• _ PLAN CHECK BY ----- P utth loaaspd roof and ornamuntal !'s1y�FAT_� — OCC.LOAD FLO_-_— OR l OAS _ -----_— HEIGHT NO. BUILDING DEPARTMENT —STORIES ETAREA VALUE Permit S_ BACKS FRONT _ REA R LEFT SIDE RIiHT SIDE Plan Check THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODEs REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI' THE Recording WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE I%State 009 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE C Total 9009 URRENT CITU BUSINESSLICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. By APProved — Receipt No. APPUCAN1 OR �._»�.__.. ..,..,_. _....ADDRESS [)ATE INSP. TYPE INSPECTION REMARKS PLUMBING OATr Contractor Permit No. Rough-in Fixture _ Final _— — HEATING Contractor Permit No. _ Gas or Oil Rou h•in Final SEWER Final DRIVEWAY Final Storm Drainage _ (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY --- j 0 �, Landscaping Zoning Final 1 41 i 'r { EMIBZT "B„ 929 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF I)MTRI:CTICN The City of Tigard hereby certifies that the uccupancy of the following described structure or premises with respect to which a restriction of occupancy was, on . 5M Y g , 19 74, recorded in Book 973 , Page 559 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield — lot 52 As recorded in Book 32, page 50, Plat records of Washington County, Oregon OWNER: M11ATall I dray BUILDING PERMIT NUMBER: 74-69 BUILDING ADDRESS: 10340 S.W. Century Oak Drive This is to certify the said structure meets with the require- ments of the Building Code of the City i)f Tigard and the above referenced restriction in 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 ,Z day of _, lyr. Title. BTATE OF OREGON ) ic County of Washington ) On this _ day of r �19Y, personally appeared before me the above named , whore 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 oADregon My Commission expires: i97 P OKAR THUMSM.D1e.ao d bsetea 6 thKncns v M_ u � o Ali. 14 >s' y L t j City of Tigard INSPECTION REQUEST for INSPECTION TIME " _ PERMIT NO. : DATE: L� _ DATE ISSUED:__L_L OWNERS NAME : ADDRESS : Lo3�c'� CONTRACTOR �i ?- TEST: Air ❑, Water ❑ , Visual 0 , Laboratory ❑ RESULT: Approved , Disapproved fJ , Pending ❑ SKETCH: 71 Hyl QiA I IN ECTOR DATE CNOTE : Attach supplemental test data heret] 1 ALL SPACES MUST BE ENDORSED PRIOR TO ISSUAN-L' OP ?3JILDING PERMIT PIA.??1'NG DEPT. PU�� -J ►�O�i;S DEFT. _ lam' Date Ly cl 1••Vtlai:� � d y 'f City of Tigard INSPECTION REQUEST for ;PECTION TIME : PERMIT NO. : -- DATE 0. : ____ _DATE /x`11 DATE ISSUED:--L-i. HERS NAME : -T. 0 ' ADDRESS :<<� NTRACTOR : �JN ST: Air O, Water 0 , Visual, Laboratory p SULT: Approved, Disapproved 0 Pending p ETCH: /,c/,SPfe--Tion/, �� var INSPECTOR DATE Attach supplemental toot dote heret:01 City of Tigard INSPECTION REOUEST ' for IINSPECTION TIME : PERMIT NO : _ DATE: /isi_T DATE ISSUED:-1-1- OWNERS NAME : _!L -- ADDRESS ; -- i CONTRACTOR I I TEST: Air ❑, Water ❑ , Visual ❑ , Laboratory ❑ RESULT. Approved Disapproved ❑ Fendlrq 0 I - - I SKETCH. I I I I I _ 114tOOCTOR DATE I [OTE '. Attach supplemental toot data heret:01 I City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :, DATE: DATE ISSUED : Z OWNERS SAME : ADDRESS: CONTRACTOR : -----.--- TEST ONTRACTOR : _ --------._TEST .' Air ❑, Water[] , Visual ❑ , Laboratory ❑ RESULT: %pproved ❑ , Disapproved ❑ , Pending ❑ SKETCH: G C/ r,fes/•- . f 0( �Kl To r (C/ ta -rl-- INSPECTOR DATE [:NO1E' Attach Aupplemental test data bs►eta] esr eft i � City of Tigard INSPECTION REQUEST for INSPECTION TIME : �' '� ` PERMIT NO. : _ I DATE: 61 .DATE ISSUED:--Z--/ I C W N E R S NAME : - -Z=,2C -_ -- ADDRESS : CONTRACTOR :—____..___.____ _ ITEST: Air p, Water p , Visual p , Laboratory p RESULT: Approved , Disapproved p , Pending p I SKETCH: I ze v _ I I 1 r 2 Z _L__1 IN PECTOR DATE CNO'F : Attach supolementat test date horst] I AJ PLUMBING PERMIT APPLICATION Jurisdiction of No. Type c_ Fixture Fee Permit No. �' -/pc/-P Permit fee Ld Water Closets Toilets .5-CIC Permit Issued fl Rath Tubs Approved by _ Lavatory � asasin _ Building Perm Shower _ 1c- Receipt No.' /0 in►cs Dishwas}iinA / 5in— cs�Kitchen 2' ' Sinks r inary Loca ion of Building J'!j�'-) SSccJ __ Sinks, Slog _ f= 7 115 ? _ -- u oma iC D s whir 17_ cc_szs=au �Dispose�— Laundr_y_Trays- Name do Address ofOwer �i;L�I,LCrr Drains Floor //. It 16"0'y,f 0, /,/ �' - _ DDrains Area i a,-n • Si. i//wl _Drains_LR�aera or ,,f V Rain Drains i Autoia=c Wisher ,21' Name do Address of Plumbef run ,a ns. r n n -- Fountains oda +2 Hot Water er Tank �L Water ServiceSize' t Urinals Buil_d�ng (Old or Ke (Alter, Repair or atch- as ns - Yard Ingtall) Lawn rin -l-er Swimming PooherN S rinkler ys_em W This permit becomes null and void if work or construction authorized ti, 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 and post a $1,000 bond. 1 hereby certify that I have read and examined this applic -tion and know the same• to be true and correct. All provisions of laws and ordinances 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 to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Signatpre of Applicant r. I 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 May g , 1974, recorded in Book 973 , Page 558 , Deed Record of Was'.,ington County, Oregon, is hereby authorized and approved. DESCM-TION OF PROPERTY! Summurfield - lot 52 As recorded in Book 32, page 50, Plat records of Washington County, Oregon OWNER: Mildred J Cray � BUILDING PERMIT NUMBER: 74-69 BIJ1LDING ADDRESS: 10340 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 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 day of , 19 Title: ST,kTE OF ORWON ss. Count;, of Washington ) On thio day of , 19 , personally City of Tigard INSPECTION REQUEST for INSPECTION TIME'. ��`�� PERMIT NO. :-- DATE: O. :_—DATE: �' � DATE ISSUED : Z Z OWNERS NAME : 7 � ---.--- – ADDRESS: � 7– CONTRACTOR : CONTRACTOR : T-0. TEST : Air [I, Water[] , VieualkLaborotory C] RESULT: Approved, , Disapproved O Pending Ej SKETCH. INSPECTOR DATE [NOTE: Attach supplemental test data beret] i R i CITY OF TIGARD 11440 S. W. Main Street TIGARD, OREGON 97443 APPLICATION FOR BUILDING PERMIT Demolish ❑ Addition ❑ Remodel ❑ Move❑ New Construction © — DATE ISSUED �'L� 17 BUILDING PERMIT ZONING � �� No. DATE RECEIVED BUILDING FEE $ ;7 q PLAN CHECK $ -3 7- VALUATION BY —"— OTHER $ 4-0 U TOTAL RECEIPT No. 0 0 $ TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT #---::i-2l MAS' A CENSUS TRACT JOB N moi[> FZ Architect or Engineer'j— �,� OA-: OT- — Phone AddressJti 3UC �� \Ai. lL, �H f9 , Owner Phone _ Address — - - Bui lder—A 17. - Phone Address BUILDING USE Single Res. El Multi Res. ❑ Comm. a Industrial❑ ,. No. of Stories ( Total Iteight____ Area of Lot _ OCCUPANCY GROUP__ Type of Construction I II III IV CV Floor Area B— 1 Z.`Z - 2, R.31de Set Backs Front---AL) L.Side_,7 15 " Se ❑ Private Sewer Pipe Size t1 SewerJCtic Tank�4.2 P ❑ Water Service Pipe Size '3/4 i�, Storm SewerDitch ❑ Drywell Street and Curb Requirements ui rra ---------- -- Driveway Width 1`b NO• of Parking Spaces Z _ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED a? FIELD CHECK BY- —___—_- -----• DATE Yll ---- -----' PERMIT APPROVED BY It is understood that all work will conform with applicable codes and o:.•dinances of the State of Oregon and the City of Tigard, Oregon, and that the building Wil not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. � / _) Signature of ApIflicant 1 6008 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL 1G:.N 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 DeeQ Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY., Summerfield - Lot tz recorded in 3ook __u_, Page _Sd , Plat records of WRshir;ton County, Or-ron. ADDRESS OF PROPERTY: LZ-y2,40 S.�t/. e-'enrXL-D C1 NAME OF OWNER: t,'I ADDRESS OF OWNER: 14 l Z�' ��l.J. �r. - �c�., ��c.,.� IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this 2S day o" Z, l 1921- OWNER: ry t � Name APPROVED: By: Tale By: Building Official 1 City of Turd AP STATE OF OREGON ) ss 1r t. =County of Washington ) 7S , 19,197Y.ti • y = = rsonally appeared before me the above named and acknowledged the foreLoing instrume to be ,.� voluntary act and dee L 2 y� •) ^ No ry Public fo egon My PM Com¢ ssion it:8: RoQrA TIJUMASrN.Direetm rl 27/ 010" 9731�LE 558 � \ . , � . `l$| - j 6 \�/�} G y ` • \\ � }� � ; . ! � i! "MIBIT "All CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL t•2X BY MSE PRESEy;S, `IvAt occupanoy o: residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Dae. Records of Washiartor. County, Oration, is ,prohibited by ane ordinanca of the City of Tigard, Oregon; D?SCRl?T:0X C^ NEOPMTY, ala - pct r,u ruccrGi: PlN;: records o: ashin,;t Jn County, Orp[;on. AuDRESS 0': PRO:MUY: LC7 5 L1 I AD:MaSS Or OV-;-,,;R. I L4 C _ 7 IN IrLTI^t.SS V.MREGF, tha undersi ar-e. has caascd this roswiction to be exacuted this day of �I�, I 192�. APPROVED2 BY: Title Byt Building Official City of Tigard STATE OF ORI.GON ) County of xashirZton ) as. S , 19 Personally appeared before me the stove raced s, and aaknowledged the foreLoing instrument Ob be voluntary act and deed 1 -i, J ' LG1tu.i'Y I;2 o y P;•`-.c or 0 agon icy Commission E . ires: -/9.7/ City of Tigard INSPECTION REQUEST for INSPECTION TIME : ��;;�� - PERMIT NO.: DATE: DATE ISSUED:__1__I OWNERS NAME : 7 Da ADDRESS ; CONTRACTOR :_— TEST: AirD, Water (] , Vieual ❑ , Laboratory ❑ RESULT: Approved ❑ , Disapproved ❑ , Pending ;KETCH: �✓bT ��-��r: INSPECTOR DATE [ NOTE : At tech eupplemertoI test dato hereto]