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10345 SW CENTURY OAK DRIVE-1 r r 0 IOU 41 ul t � �,J t- w 1 I J 4 1 1 � 1 � I �] Io En �w 1 En e i I '1� a ' r � n ( ti, z I rllr 0 0 3 z n 0 10345 SW CENTURY OAK DRIVE PATK Nvo AHuN2D ms qKoi uj O rr :4 (n 0 >4 44 IN �,-P- 1 1-4 0 -1 0. rA4 NIN Ln C3 BUILDING D-PARTMENT, TIGAnD PLUMBING PERMIT C1 holder of a valid plumbing contractors license is hereby with rized to cause plumbing cork as herein n:ted to be installed in accordance with the plumbing code of Tigard. Such instillations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business license required for all contractors and sub-contractors. Owner= d c �, � w��i Address �at TYPE OF PERMIT NU?.13rR OF TOTAL ITEMS FEE ON EACH AMOUNT AES10��71AL _� �� Sin In Family-1 bath_each _ 25.00 Duplex—Each 1 bath unit Additional bathrooms—each _ 10.00 Mobile Home ••• e Spaceeach — 1500 INDIVIDUAL Fl. TUpEgCQ(1(IIRCIAL _--__ —each _ 1 to 50 Fixtures in 1 buildin 3.00 —'�"- 51 !0 100 Fixfure;_I_n 1 building—each ____ 2,50 — 101 to 200 Fi�tu�es h�1 building—rsch more Fixtrein un 2010 ,00 ------ —each ---- MISCELLANEOUS 1.50, i, Sewar—eacharlditionit 100 It. 'I 1'Jater Service to building — 1� 0.00 " -- Other (S ecit�l• — �--�_ -- — PE�ii'.lIT for Plumbing Inspection Phone 639-4171 4y state - - --—1_11__ JPlumbing Contractor fly TOTAL (� F1Ff FIpT �'.1 - - � i • FJXIBIT "B" A48 CITY OF TIGARD CZRTIFICATE OF OV^UPANCY AND RELEASE OF RESTRICTION wl%e amity of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on • X21 7 y 19_,•„_, recorded in Bonk 946 , page 031 , Deed Record cf Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY1 y,� /O 3 u OWNER• ..Z----- tt, BUILDTIIG FEE IT NUMBER:_ -7_5 BUILDING ADDRESS 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 WITIMS WHEREOF, the undersigned authorized officer of the' City of Tigard has caused this certificate and release of restriction to be executed this 27 day of Feb , 19 74 i Title: Cit, Recorder STATE OF OREGON )ss. County of Washington ) On this 27 day of Feb, , 19 74, personally appeared before me the above named Doris Har.t'g , whose signature appears be, on and who acknowledged to me that he executed the same in his offical capacity on behalf of thy+ City of Tigard. Notary Publb c—of Oregon My Commission expires: 1? ni-to �.J1.M.Pir NOCtII TNOIMLIltlrk pngra1W M/e�td��tl�erMnt c Z WAS d ,AIA CITY OF TIGARD MECHANICAL PERMIT DATE PERMIT NO. RECEIPT NO. _ BY �'c /�' J�C f'off/��/e e e'. _--- FEE 1. Permit shall be obtained prior to commencement of installation. P. Permit shall be obtained fcr all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover tip. New Installatio Replace l.J Relocation ❑ Addition ❑ Alteration ❑ "ONTR. ,�•��Iii/ //!'✓l/. �� _----- OWNER_-b-'ls��'� - ADDRESS /`� j�< •e e //� ---�- WORK ADDRESS APPLICANTx.-f. TELEPHONE N0. ;e e'Z.Y-1 FURNACE - MANUFACTURER � - C(_iii:A_c i: TELEPHONE N0. HEAT Inputrating (Btu Per Hour) �� ,_�_ Vent Size �`_�� Flue Siz,3 FUEL OIL [I GAS g ELECT ll OTHER w —%- ------_--�-- �- --^-- TOTAL .30. FT. Top Floor - - Main Floor /��`� _ Basement -�---- .:tidERAL I'fFM NO. FEE T` -M NO. FEE For issuance of Permit 3.00 Boilers 0vsr 50 Hp New - Under 00 000 Btu Air Han-c3i.n 10 000 CFM 3 New - Over u -_'s'i'r WE ng Oveer T _ Floor Furnace Fva ora ve Cooler _1 Wall - Floor - us en a 4. en `�'An ns a ens 2 `- -PFT fiys�m Pe aIrat- n ' OC Boilers Under i-_ -'-Yoomode- _cI`nc n`e-ra` -` 5 0�: - m.-`Inierator-`Bo_. era , Lq 10 Boilers INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY� DATE Signatureofppl'c t <.. 11 (%e ev 1.r City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : — DATE:/.L &2'�2 DATE ISSUED- Z I OWNERS NAME : --T � f'- ' ADDRESS : �1 CONTRACTOR : __._— --- ----- — TEST' Air U, Water r] , Visuall, La!- .rotary [1 RESULT: Approved, Disapproved J Pending p SKETCH: INSPECTOR DATE Attach supplemental tekt data heret01 Lity of Tigard INSPECTION REQUEST I for INSPECTION TI ME "— _ _ O RMIT NO. : .___�.____ i DATE GATE I SSUED'_ OWNERS NAME : _ I ADDRESS : I L - SL � ��L-- CONTRACI 0 R : — I � ITEST*. A r J, Water Q , Visuo La" ,rotary [1 RESULT. Approved , Disapproved J , Pending [] I SKETCH: I I 4 I / I INSPECTOR DATE ICOTE: Attach supplementul test data heret- 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME PERMIT — DATE : DATE ISSUL D '__1_1_ OWNERS NAME ' - ADDRESS: ,_ CONTRACTOR : -BEST : Air LJ, Water❑ , Visual J , Laboratory p RESULT: Apnroved-4e, Disapproved ❑ , Pending p SKETCH: !MS E C T 0 R DATE C_NOTE . AttaCh sunpiemental test data beretd 1 I � City of Tigard INSPECTION S ECTION REQUEST for IINSPECTION TIME :��_ PERMIT DATE : /v/aa/73 DATE ISSUED'_-1_-L__ OWNERS NAME : CONTRACTOR : TEST . A r J, Water [] , N/isl!al;2(4, Lo' ,rator�j F, RESULT: Approved, Disapproved 1 , Pending O SKETCH: INSPECTOR DATE [OTE: Attach supplemental test data h ret 01 i t I City of Tigard INSPECTION REQUEST ! for V13PECTION TIME :_. 1 PERMrr NC. — DATE:/-U 17173 DATE ISSUED' Z_.L- I OWNERS NAME : I4O DR E S S :��3 y.S �n.�-,,�• c9•� ��L __J COW RACTOR TES1 � , -: , Wnter ZI , Ln - RESULT. Approved� rov0 1 - ndirr , SKETCH: ---._. ._•_.._�.__ .. ..____. 1 I I 4 INSPECTOR DATE ICOTE: Attach supplemental !.?,;tulr neretl 1 1 amity of Tigard INSPECTION REQUEST f o r, N-'�PECTION TIME . _.._ .__ PERMIT NC. . DATE ' /92 /4- `2 DATE ISSUED OWNERS NAME ' 0N rRACTOR "EST ' , Y ter❑ , RESUC'' .P, roved iuppr,o.cd G � idi, c; Lj SKETCH. INSPECTOR DATE NOTE: Attach supplemental teat aata hereto of Tigara INSPECTION REQUEST for INSPECTION rIME . -__ PERMIT NC. DATE : g x'73 JArE ISSUED ..._ OWNERS NAME : — •� ADDRESS' i c)A li — CON rRArTOR : —.-- — -- � ;-EST ' . wter❑ , `J' .;:a, � . '_ah-►et�r; _� RESUL" ,p roved ❑ U 9 KET�.N: , T rS�- � //-5 12 y i NSPECTOR DATE INOTC: Attocn supp,ementol test unto hereto PLUMB1 NG PERMIT APPLICATION Jurisdiction of No. Typr. of Fixture Fee Permit No. Permit fee Water Closets Permit Issue�_i -- Rath Tubs Approved by L.Ava;.car _�W-;shBasl r;l _ �� Building Permif"L / �;Yowe r _�_ ' a� Receipt No. Sinka C.rdinary_ ^ —_ Locate of $uilding N� _Au t .,ma t1 c J: sE75-s ger_ _ u:•_`� ----_.__ -D4',=-'� i Laur.i;, ;��� ___ -_-• Name & Addres_ F" DI Ali+ :neat. _lr P1ame ' Address bi P,4�her --_ ,r7 =7171-: - r,� 1nc i nom._ _'�. r L? 42-- Bui 1a nit 0...d ( Al to r-, Repair- cr hi: t :n:1 v(, f work (.r* cons'.r ^.' T r, . .zed is n r 'c`rcn y . 1 : ._ o- it r!struc tl :n ,:;r w:: k r fwd r ak-,r:,1•` ned iny }.lire of t( r• work i . C ,T[IlTir'�.^ r"• All. plun.bi;;g fire::, iio3t be licensed by the City of Ti; iTd and post a $1,000 bon( I hereby certi ,, t1. I nave --ad and examined this app; icat;on and enow the sar to be true and c err eco t. All prc;v.isl ons -)f laws and Trd i.rranc:e. j*^•verntng this t, of wcrk will be rom,,1 .ed witn whether speciflFd `iere:eri cr not , �he granting of permif does nor ore ,Tr *.o give authority to violate c r anc c,1 t ho prc!v is i.:ns of anv oth,?r st.,to ,al law regulatir,g cons true t.ion c:r the }.�-.i-f-erman-e of c.Jnt, .1! t •:r;J. Signa are ; f Appir-.�,n+ City 9 of Tigard p' INSPECTION REQUEST for cJ�i4 �✓W'�/v .� INSPECTION TIME: � � PERMIT NO. : DATE: y'71�.�11V DATE ISSUED OWNERS NAME : — ADDRESS: AME :ADDRESS: CON-r R A C T O R : _ 7: 1J-G-- -- -------__-- .--- TEST ' ,', _ , '+nater El , V;sual � , Laboratory (] RESU!: : Avroved 1 )isapprovad G ��endi �g Ll SKETCH.* INSPECTOR DATE NOTE Attach supplemental teet data beret 01 EMIPIT "A" CITY OF TIGARD Residential. Structure Occupancy Restriction KNOW ALL M1;N BY TUSE PRESENTS, That occupancy of residential struetuz. (a) on the following described ands prior to the recording of an occupancy permit releasing the restriction in the Deeu Records of Washington County, Oregon, is prohibited by ne urdinance of the City of "gard, Oregon: DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNER: ivy r �y� t•11c - \rte c�r ci� c=c�c�'�5.. ADDRcS3 OF OWNER: "F,Cr*.N Aer Z1i IN WITNESS WHEREOF, the undersigned has caur;ed this restriction to be executed this a� dny of OW!4F 1i: �Z,d7rt/ Name APPROVED: hy:� 'afs TATe By: - Building Official nisd " Z` is.•7�01�-? r M lo[[soots _._.-...... ... City of Tigard pOC CA rHOM53CN.CH[*n STATE OF OREGON County of Washington ) September 12 , 19Z11 Personally appeared before me the above named Roy Brown. Vice President and a2knc,. .—ged the foregoing instrument to be his volw.Lory act a + eed. Nothry Public for Oregon urrr ion Expires: January 16, 1071 N�lOY 945 FALE777 Ell b f cc E { � 2594 EGiIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY THESE PRESENTS, That occupancy of residential structure (a) on the fallowing deneribei lands prior to the recording of an occupancy permit releasing the restriction in the Dee, Records of Wa,hington Count', Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: �'.', �t i_e,e• c�a..e] \•. �o :`rte �S'�� �� n�• .._ 'S r'-' . P\a't y NkI c a•s c� ADDRESS OF PROPERTY: NAM OF OWNER: ADDRESS OF OWNER: - V,q-- IN IN WITNESS WHEREOF, the rndersigned has caused this restriction to be executed this day of ' OWNFR IfJQ�`iar/V �tt�l�Prti6�vT �. INC. APPROVED: By: Building Official City of Tigard STATE OF OREGON County of Washington ) September 12 1)73 , PersonalJ, appearvd before me the above named Roy Brown, Vice President r,nd R-nnow.ledged the foregoing instrument to be his Volu,...ary act and deed. Notary Public for Oregon My Commission Exp+.res: January 16, 1975 946 iALE931 n,ed for te.Zl.tAv,w. ROGER THOMSEN.Dtnnu at NO&*& �t lt...... ...._ .lrL�...._... ..«......._.........n�pury })v / Ln k\2 � CC a 3 �a !§! \ Ix ip E 0 |£7 a | � � CITY OF TIGARD 11410 S. W. Main ahwW TIGARD, ORBOON 91t»I APPLICATION FOR BUILDING PERMIT New Construction ❑X Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZOVING p-0 DATE ISSUED 9-11-73 BUILDING PERMIT DATE RECEIVED_ BUILDING FEE $— 4. No. -n+ C Ry PLAN CHECK $ 37.00 215 OTHER $____ 470 recordingVALUATION $ TOTAL $ 1.11 one perc@RgCEIPT No. -- r TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 18 m,-,p A_2S1 11C CENSUS TRACT W-8 JOB R 5018 Architect or Engineer Tuslatin nmvolnpmmnt Gn Address 15300 S.W. 116th, Tigard Phone Owner Mr. Johnson Address— Phone Builder_L,,p1A*in.nauslnpount. rn_ Address__ game as above _ Phone BUILDING USE Sinqle Res. ❑ Multi Res. ❑ Comm. ❑ Industrial L OCCUPANCY GROUP_ No. of Stories-1 Total Height Area of Lot — Type of Construction IXXEYXXXXXXXXXX V Floor Area B --- 1 1208 2 ---- Set Backs: Front- 10' Back 101 L.Side 6' R.Side_ 7' Private Sewer Pipe Size 4" Sewer King City Septic Tank ❑ eater Service Pipe Size 3,14" Storm Sewer © Ditch ❑ Drywall❑ Street and Curb Requirements existino n-iveway Width 17' No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNEDY 10345 S.W. Century Oak Dr. FIELD CHECK BY EWC DAITE 9-11-73 PERMIT APPROVED Bx it is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building w.l; not be occupied until a Certificate of Occupancy has been issued the City of �. Tigard Building Inspector. S1c ature plic n_` EXHIBIT "Alt CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MN BY THESE PRESENTS, That occupancy of residential truc+.ure (s) on the following described lands prior to the recording nf an occupancy permit releasing, the restriction in the Deems Records of Wnsh.ngton County, Oregon, is prohibited by the ordinance of the City of Tit�;ard, Oregon: DESCRIPTION OF PROPERTY: P -a .« c .� «a. \.� v•�et �,-, , `ems _ Y � \ r.�' �a C.,c`-e�'a b� \)I�a,+,-fit•..,e-.r��v.-. r.-t• . ' i \ 1 ADDRE;;S OF PROPERTY: �. ;;AMI, OF OWNER: M. �\ �s � C < ADUII&;S OF OWNUi: �� �`- b es� IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this .Sri- day of.- �.►._ lyy-., OWNER: Name APPROVED: By: /v.t�4A/�,yr/ f/ 61ry T.tle By: Building Official riled lot reeNd...... .' P_..._la?a.o�� *M PM City of Tigard Rort%T}loMgp[ prem-al Records b rtomtnne STATE OF OREGON ) sae ''+ County of Washington ) September 5 , ly 73, Personally -ippeared before me the above named Roy Brown Vice President and acknowledged the foregoing instrument to be his volw,Lary act and deed. Nota y public for Oregon My Comm'SEion Expires: JanuarY 16, 1975 Boa PALE 1 /4 1811 4 � EXHIBIT "A" CTTY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENTS, That occupancy of residential :Aruct,ure (s) on the following described land, prior to the recording of an occupancy permit releasing the restriction in the Deeu Records of Washington County, Orego• is prohibited by the ordinance of the City of Tigard, Oreo. DESCRIPTION OF PROPERTY: 1 L.t v.e�t,•. . ADDRESS OF PROPERTY: — l'3 + . NAME; OF OW14ER: r r..- a yt ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused thi;a restriction to be executed this day ofr`� _�� 19y; OWNF�R: Name ,/ APPROVED: VY ` lel. /'/f�� Tule By: _ $3 Building Official Q •• 99 // 4vPM. rfledlarr.cnd........�Q......._10�d._eU.... / City of Tigard n1,1-,Mk TIMMIMEN../d,Mnr of it.aards b El.runns left►t *.r, n� STATE OF OREGON County of Washington ) 5fnbtraber S , 19LS Persrnally appeared before me the above named droll& Viee PIV lideM and acknowledged the foregoing instrument to be hie volw.:.ary act and deed. No ry Public for Oregon My Comm'ssion ExpiresMgM:r 1;1914 t' BOOK � � PALE ' f■f2 \ � \\� � om `M CPI 7 z ` �°- I ■ 0 �