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10390 SW CENTURY OAK DRIVE U 1974 CITY OF :TIG ARD . r pf ie 1 • ( i' i :__... _ ► .Q.� 11 . 1 • t "TW� rc�. APPROVED FOR CONSTRUCTION CI o Y OF TICARD /1)!R go SITU:_ ADDRE0S.. TITLE DATE Y � � a IR was-r_vrx:x�•�rx.-.s. -- .:.1'C-"..�.:�.`_..... -s:.^:x��-..>r-�'r+•;--._..__ ......_... y'�..._.. ;..__..._._...�..._.. �.,�._.�_._.. r M w C i:�,i'�.I !..1 I r ,• I'1 r..,I, )F! T try E. , 1 MRS A/J1C_1 .�06 c" A 4, impri •- �, T ^... •w .r Now., .: {'��` ,^ .r- �. '� �r I I 1 `I I ! I. I 11 t I Ct r I { I 1 I h 1 I 1 t I I t I I 1 C ! 11 1 1 I 1 1 1 r Itl I � tll � l 111 1 1 1 ( I 14 1 III III 1 1 1JillII III I ! I I I I I 1 ��-•- �'I � I'II I III I 1�1 I 111 �� I � I t I (Jill I I I ' I I11 Jill I 1 I � h tlt Iltll � Il � ltl ` I Il111 2 3 4 S 6 7 8 9 10 II 12 NOTE - IF PHIS MICROFILMED �,.. DRAWING IS LESS CLEAR THAN THIS NOTICE;--IT 1S DUE TO I �+ THF QUALITY OF THE ORIGINAL �E 62 92 1.2 92 S2 b2 E2 22 12 02 61 91 Ll 91 G1 ♦a 1 E 1 21 11 01 6 9 L 9 S t, E 1 auris,. ,y ✓� �r!I�illi�lltl�tlltltttt�ttttltttt�ltttlllll�IIIIIIIIIIItt111111�1tttltt��`1ttt�hi11441111111Ili 11111111110111111111111110111, 1�II111111I�IIIlIII11�IIIlIi11111111�1U1�11��JII�I111hlII1IIill IIIIIIIIILI�LI�lllll�llll�slltlllt�llilllll�Iltlt��l1111111 0 W L3 m tp Ell ul rr c C I I , I � I P 1 � � I E 1 I � H ►a _ I � i 1 1-1 r� s�1-i�'•1 f �� C-1 � !'j 1 i•�I 1 VVI t t�. � q ct 0 10390 S'+ CENTURY OAK DRIVE SATHO MVO XdnINSO MS 06£'OT 04 1� 7 I i H 7 r fa 1 HFA U fa V W E-1F-4 14 � i I H 13 i CITY OF TIGARD 639.4171 6062 BUILDING PERMIT DATEJ"e 5 TAXMAP 2� _, 1CCLOTNO141A SUBDIVISION OWNER_._.h•G• ;i..'1@1.i4:i{l JOB ADDRESS _ BUILDER Qtrt�1C - ll. -- STATE REG NO. -_ __„EXP,DATE BUILDER'S PHONE .(may-JAtjj)__ ARCHI)ECT PHONE OTHER STRUCTURE NEW �_ REMODEL ❑ ADDITION ❑ REPAIR MOVE OTHER DEMOLITION 'f RESIDENCE ❑ COMM EDUCATION FTI IND ❑ RELIGIOUS ACCESSORY GARAGE OTHER FENCE OCCUPANCY IQ LAND USE ZONE BLDG TYPE 5H FIRE ZONE .PLAN CHECK BY HEAT -- -lwlnne rd= r,p "MmArH �t i� i��cti i.N„i r»h1t 1a SEWER PERMIT N OCC.LOAD FLOOR LOAD HEIGHT N0.STORIES 1 AREA NO BEDROOMS VALUE _ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit lI•SU THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan_ Check 11.38 WORK WILL B : DONE IN ACCORDANCE WITH 1HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE —�WITH ALL APF LICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.C_k_.Fire RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State lax •hlTAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ---- SDC— Total L APPLI�ANTORAGEN'f PrepdPDCN,-- --_ t,>tona Bel.Due Receipt No. ADDRESS Issued By_-___ -_Approved By_._.___ DATE INSP. TYPE INSPECTION REMARKS PLUMBING T DATE d Contractor Permit No. Rough•in Fixture F nal -- _ HEATING -- Contractor Permit No. Gasor011 -- Rough-in Final SEWER Final _ DRIVEWAY - -- Final Storm Drainage iRain Drain)Final Sidewalk Curb&Street Final —�- Approach 9LDG.DEP"i,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTFICATE OCCUPANCY Landscaping Zoning Final BUILL)ING L*-PARTh1ENT, TIGARD N• PLUMBING PERMIT 1 holder of a valid plumbing contractors license is hereby autho iced to cause plumbing work a erein noted to be installed in accordance with the plumbing code of Tigard. Such installations 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. fob Owner Address eate- NUMBER OF VOTAL TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT NI1AL Sin9re Famii,r-1 bath-eeeh _ 25.00 .� Du Ibex-Foch 1 bath unit 25.00 __Additional bathrooms-tach 10.00 111cbiln Horne Space•-each _ _ 15.00 INDIVIDUAL FIXTURE8 COf�('1ERCIAI I to 50 Fixtures In 1 bui',ln -each 3.00 _ r'1 _51 to 100 Fixtures In 1 builsirg_-each 2•50 - 101 to 700 Fixtures in 1 building-each _._ 2.00 `•� _201 or more Fixtures in 1 building—tach 1.11SCELLANE0US Sevrar-each additional 100 it. _ 10.00 Plater Service to building Other (Snecif _PE Fl.',!I T for Plumbing Inspection Phone 639.4171 �15tate Plumbing Contractor By i TOTAL _ �� R1"r.rIPT nen I<-rrorl a,r 4057 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 mpy 19 - recorded in Book 973 , Page 557 , Deed Record of Washington County, Oregon, is hereby a:lthorized and alproved. DESCRIPTION OF PROFERTY: Summerfield - lot 47 As recorded in Book 32, Page 50, Olet records of Washington County, Oregon OWNER: I-, o a i.i; I'*"_m_—u..-GiGitt3 BUILDING PERMIT NUMBER: 74-64 BUILDING ADDRESS: 10390 S.W. Century Oak Drive This i^ to certify the said structure meets with the require. meats of the Building Code of the City of 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 Lhi certificate and release of restriction to be executed this { day of x Title: carr RECOMIR STATE OF OREGON ) s County of Washington ) On this day of c_. Z , 19A, personally appeared before we the above named ft , whore signature appears hereon and who acknowledged to me that he executed the same in his offica.l capacity on behalf of the City of Tigard. otary .Ii6fonof egon M,v expires: . ruod k" 9sF Room THommaK ea . x ft wrM t bom M U L X E Cy 800 994 PALMS 1 Y p �1 '0 Ln � � W m� r I I City of Tigard INSPECTION REQUEST for r iy� Z-- INSPECTION TIME :_ PERMIT NO.: DATE: DATE ISSUED:�LL OWNERS NAME : /- 4,? e-- - - — AUDRESS c) 3!? LTJ <.7174olle, CONTRACTOR : --'/' ;;' - TEST: Air O, Water ❑ , Vibual 0 , Laboratory p RESULT: Approved , Disapproved 0 Pending p SKETCH; 0 ;� P9- IkSPECTOR DATE I IN:OTE: Attach supplemental toot date he►el:01 SPACES I E O BE' ETMO D PRIOR TO ISSUANCE OF I3UTLi711, ; PLAN"TIIj�, DEPT. PER,` IT PUBLIC w OR.,�,v� PN, ,T I'.Y --- J -- j _�� �t e — BUlZ.DIi:G rLpiPi -R AL - i C I ,' ny - I i I i I I City of Tigard INSPECTION REQUEST for IINSPECTION TIME : i't-t2PAI PERMIT NO. : 212174-I DATE: DATE ISSUED:--/ OWNERS NAME : - ADDRESS : - Lo # � I CONTRACTOR :. 0-0- 4, _ ITEST: Ai► ❑, Water ❑ , Visual ❑ , Laboratory I-) RESULT. Approved , Disapproved ❑ , Pending ❑ I SKETCH: I I I I I I I SPECTOR DATE [:NOTE : Attach supplemental test date heret] City of Tigard INSPECTION REGI U E ST for iPECTION TIME " - - PERMIT NO. : — DATE : O. :DATE : DATE ISSUED'__.L1 ►NERS NAME : ADDRESS : 1`7-ir,--�9V e..c,,� -u-q c)«e Lx :ST: Air ❑, Water ❑ , Visual O , Laboratory O :SULT: Approved ❑ , Disapproved X , Pending ❑ ;ETCH: C� �9 -S 4 '114 i�74 INSPECTOR D-11AT/E( E : Attach supplemental toot data herefo7 I I City of Tigard INSPECTION REQUEST ! for IINSPECTION TIME * PERMIT NO. : -- DATE: O. : _DATE: DATE ISSUED:—.L-J. ! OWNERS NAME : ID,e , -- IADDRESS : ' S/7 - `�L�..,.AxcIV ! CONTRACTOR :------- TEST' ONTRACTOR : ______TEST: Air ❑, Water [] , Visual ❑ , Laborator-, [] RESULT: Approved ❑ , Disapprover O , Pending U ! SKETCH: Ar I ! I INSPECTOR DATE IEOTEAttach supplemental test data horst] PLUMBING PERMIT APPLICATION Jurisdiction of fNo. Type of Fixture Fee Permit No. Permit fee T",Ql�y, .28� ^ Water Closets (Toilets) I Permit Issued 5--i�7 / Rath s Approved by _Lavatory_ Wash Basin eJoy Building Permit" Shower "'% Receipt No. O/ _ �i-n t7s -'Dishwas ing Syink---Kitchen _ Sin S. OrdinaryLoca ion of Building Bar1417"'4'e _ n s' B _ / ,-.1n 1"'4'e ((,�,,!� 1s:T '/. r -'1-7 _Au omaticDishwasher i!.,,,,�r. ,Z ,.;�.1 t�•,� i Laundry Trays Name & Address of Owner _ _Drains Floor _ t'L'.. ���.r',.-, .��j.•rt < . D:sins res � -- �r•.; siiL .� �� rain�rigerator _ �-,T.z�,✓ _ Rain Drains Automa is Washer ^r•' Na a do Address of piumber�. ✓ .� Fuun Gains, Soda Hot Water Tank _ Water Service U'_inals Building Old ore%i) (Alter. Repair or a tc - ac ns - Yard Inns •a - awn , rr n�erystem _ Swimmi-n P�oel� OTher ____ _,p_rink�er System 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 and post a $1,000 bond, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this tyl 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. •��� -u'�` C.li�r ��% :w � fit Signaturb Qf Applicant 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 premicec with respect to which a restriction of occupancy was, on _P7 �i 19-y, recorded in Hook 973 , Page 557 _ , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIMON OF PROPERTY1 Summerfield - lot 47 As ri)cordod in Book 32, Page 50, Plat records of Washington County, Oregon OWNER: _ 1 .'ny R �, Wilma M kl�r9ao BUILDING PERMIT NUMBER,. 74-64 i BUILDING ADDRESS: 10390 S.W. Century Oak Drive This i, to certify the said structure meets with the require- mer.ts of the Building Code of the City cf 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: STATE OF OREGON )ss. Cowity of Washington ) on this day of , 19_, personally appeared before me the above named , whose signature appears hereon and who acknowledged to me that he execu+.ed the same in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: _ i CITY OF TIGARD 12420 S. W. Main Street TIGARD,OREGON 97223 APPLICATION FOR BUILDINt; PERMIT New Construction © Demolish Addition Remodel EI Move❑ ZONING IL DATE ISSUED_ '�„]�� BUILDING PERMIT N DATE RECEIVED BUILDING FEE $ j •dt? �/ 7 B1 PLAN CHECK $ 7 �'C_ Y $ /•/•G J VALUATION $.7,/,, ? OTHER _ TOTAL $ �,`�, �?n7i RECEIPT No. (pp-7 TWO star OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N`_'Y- P1AP 1! CENSUS TRACT _ JOA _ Architect or Engineer="-C'- e. r� Addrr_seJ 30CD S.W 1\C�-~ �•�e y T c�rc� Phone�'�` address Phone` _ .iIder�� Address _ Phone BUILDING USE Single Res, © Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP` No. of Stories Total Height � Area of Lot.-- Type otwType ,f Construction I II III IV CV Floor Area B 1� _ 2 _ Set Backs: Front__, BackjpP L.Side - _ R.Side� Private Sewer Pipe Size q " Sewer } Septic Tank ❑ Water Service `Pipe Size--?/-y11 Storm Sewero Ditch ❑ Drywell❑ Street and Curb Requirements tNo. of Parkin S Driveway Width _��_ g paces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BX--- DATE PERMIT APPROVED BY It is understood that all work -tll conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not he occupied until a Certificnte of Occupancy has been issued by the City of Tiqard Building Inspector. g a ure bf Appficant EMIBIT CITY OF TIGARD Residential Structure Occujancy Restriction KNOW ALL =4 BY T::LSE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy pexuit releasing the restriction in the Deea Aecords of Washi.,;toa County, Oregon, is prohibited by the ordinance of the City of Tigard, O.egon: DESCRIPTION Or PROPERTY) Summerfield - Lot /`7 As records b in Book :&ue _ , Plat records of ';lashing?con County, Oregon. ADDRESS OF 112O?2MT"• SE1L.' OF G DDDitF.SS C 0's1 d;:�:- 7.f�)S 5 ,- 1='��r-(�L`r- V g �LuC IN WITIVGSS V.,MIECF, the undersi„ned has c used this rootriecion to be awacuted this ? day o; �_ ,., 192Z- 0 rX_,R 921 ,0',rX.3R s APPROVED: Title Bys Building Official City of Turd STATE OF ORGON ) ss. County of Washin„cr,on ) , 19,zA Persona ly appeared be o"a me tho above named and acknowledged the foregoing instrum to be voluntary act and dee NO- y Public f G.egon Na' Comm!ssioIl :pares: 600'7 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALT, ICN 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 Dee4 .1ecords of Washington County, OreEon, is prohibited by the ordinance of the City of TiZard, Oregon: DESCRIPTION OF PROPERTY: Summerfield - Lot q7 As recorded in Book _, Page ��, P1,nt records of Washingtor, County, OrAgon. ADDRESS OF PROPERTY: C7 5( S W. C e AW 17140 h`C NAME OF OWNER: Leroy ADDRESS OF OW111ER: Z b)5 5.�, 1�a-i?j G MSL VID. r-l��r,el IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this 7 5 day of _� 192k. OWNER: Pr 919 l_ A, .�EQ No APPROVED, `3 Title By: Building Official City of Tigard STATE OF OREGON County of Washington ) 3' , 19 7�: P rsonally appeared before me the above named y �_ and acknowledged the foregoing instrume to be voluntary act and deed..—A....- Ctt•N.iv.---1 1° No r Pablic for PeAon 1'11-11M'-. ........ P.11 POGLN THOMASEM. Nt«rur Ib �`J' Comm.a ssion E-.-Ares: P1...._..... ..............7.J..Cw�.............._....h ..:.a..�P1th fftt'7�f tt •-.�� EnO� J!J 600'7 Ali Con jj ''J i City of Tigard INSPECTION REQUEST frr INSPECTION TIME: PERMIT NO. :---. — DATE : _ S 7 DATE ISSUED : Z I OWNERS NAME : _? - ADDRESS: CONTRACTOR TEST ' Air p, Woter p , Visual'", LabUrotorl p RESULT: Approved . Disapproved 0 Pending p SK M. I ( 1 INSPECTOR DATE I M COTE Attach supplemental test data beret] w I 1 City of Tigard INSPECTION REQUEST for LG•--vim_ �t-ti. INSPECTION TIMt" PERMIT NO.: DATE: DATE ISSUED:- OWNERS NAME : ADDRESS : CONTRACTOR : r TEST: Air ❑, Water p , Vieuulx/, Laboratory p RESULT: Approved, Disapproved p Pending p ' SKETCH: INSPECTOR DATE [OTE: Attoch Supplemental t*ef dote heret-