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10435 SW CENTURY OAK DRIVE 0 GA cn Ln E c 7- Lv ti 0 A (!isui . I � I1 c� A 1-/ C Z .1 f.7 10435 SW CENTURY OAK DRIVE sr 9ATHG MVO A81AjNRD MS ui CL :-4 uj C3 cr 8 04 P >4 t7 It z4it ff'J � , Ftl Gj _� "J ri 0 0 0 rX4 rr; re N I u rr\ FMIbIT "B" 6009 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 premiser; with respect to which a restriction cf occupancy was, on octot,er 17 , 19„]x, recorded in Book 949 _, Page 568 `, Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PRrPERTY: Summerfield lot 24 As recorded in Hook 32, Page, 50, Plat Records of Washington County, Oregon OWNER: 10§35 S.W. Cant, f Oak Drive BUILDING PERMIT NUMBER: Mr. and Mrs. Reed L. Holman BUILDING ADDRESS: 10435 S.W. Century Oak Drive This is to certify the said structure meets with the require- ments of the Building rr,i,. of the ciiy of Tigard and the above referenced restriction ii, hereby released and te.-ninated. IN WITNFZ.1; W11EJT-,0F, the undersigned authorized officer of the City of Tigaid har; cau:,ed this certificate anu release of restriction to be eyecuted this 1st day of May , 19 74 i Title: ri1: STATE OF OREGON ) rs. County of Washington On this Is t day of May , 19 74, person illy appeared before me the above named _ Doris Isar tics , whose signatuve appears hereon and who ackncvledged to me that he executed the same in his offical capacity on behalf of the City of Tigard. i.— Notary PLMlic of Oregon 0 My Commission expires: M10d 1«,� a...�`..3...........1�.7yic A00CM TIIUMRRCN r%e ,„/ .iM. r v C1r�C+ 41.1 PUM!9.a-parr 800!, 9 73 1.1d�7�t7 boo Q V u g� f� EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF PESTRICTION The City of Tigard hereby certifies that the ocr.upancy of the following described structure or premises with respect to which a restriction of occupancy was, on �,f.,r1 y , 19-U, recorded in Book 949 , Page _;G9 , Deed Record of Washington ,ounty, Oregon, is hereby authorized and approved. 1>7;SCRIITION OF PROPERTY: Stmunerficlrl lot 24 As recorded in Book 3:, Page, 50, Plat Ree(.)rls of Washington County, Uregon OWNER: 1 X14 3 5 _A_ (' :I u rW n.,k I)r i un BUILDING PERMIT NLMER: Ir. and :Ira. Reed L. ii,o.man BUILDING ADDRMS: 1U435 B.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 it hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caueed thi9 certificate and release of restriction to be executed this is t day of ;lav 19�,. STATE OF OREGON ss. County -)f Washington ) On this lot day of May , 19 74, pe"-sonall' appeared before me the above named Dario Harfis , whose signature appears hereon and who acknowledged to we that he executed the same in his offical capacity on behalf of the City of Tigard. S. - ---- Notary J'A�Llc of Oregon My Commission expires: 1 (2.3 �7S I I (4 C) L CITY Of' TIGARD MECHANIC.IL PERMIT DATE PERMIT NO. ,. 9/rJ RECEIPT NO. _ZOO BY �'. '1 P�„ �J l� 'i FEE 1. Permitrshall 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. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All -York to be concealed must be inspected before cover up. New Installation . Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ CONTR.- , . /.:C,. 4, a ('� OWNER ADDRESS - (`--J•, WORK ADDRESS APPLICANT �� // . /L . f`., J, TELEPHONE No. .r FURNACE - MANUFACTURER TELEPHONE NO. HEAT Input rating (Btu Per Hour) /-2r,rrVent Size Flue Size -- ~ FUEL OIL ❑ GAS rV7 ELECT❑ OTHER TOTAL SO. FT. Top Floor rJ; .. - Mair Floor Basement GENERAL ITEM !v FEE ITEM NO. FEE For Issuance of. Permit 3.00 Boilers Over, 50 H New - Un er P00 000 Btu --4.00 —Air - andling 10 000 CFM New - 079r u _ r an in�Over 000 C 3.0 oor urnace a ora ve Cooler Aa - oo-, - Suspendeent-Fa-ri 2- nrl Install ems en sem - 0 Repair - ea & ooli� .00 -go-o-& Boilers Under 4.00 mes c nc nera or -- - 0 Boilers o .�0 �Zomm,-in�nere oar 2U.0 s 1o 10.00 -See Boilers 75 to 50 HP , INSPECTOR'S COMMi'NTS APPROVED BY DATE ISSUED BY DATE Signature of Applicant s t it �r rw �r I City of Tigard INSPECTION REQUEST for INSPECTION TIM : �'`` �'"`� PERMIT NO.: DATE: _ ,,1124 DATE ISSUED:- OWNERS NAME : ADDRESS : CONTRACTOR : � TEST.Air ❑ , Water Q , �' ---al Q , Laboratory Q RESULT: Approved , Disapproved ❑ , Pending [3 SKETCH: INSPECTOR DATE IN7C OTE : Attach supplemental fast dole hereto] ie marxnxw ALL SPACES MUST BE ENDORSED PRIOR TO APPROVA . OF �T,,HEESSE PLANS C� PUBLIC WORKS Dr.PT, BY BY.--_- PLANNING DEPT. BUILDING DEPT• COUNTY )ice/+LTH DEPT. BY. C;TY ADtd'r415TRATOR We TIGARD WATtR •:'ST. _._ GF_NER4L TELEPHONE BY-- -- - ` BY U5A _- N.W. NATURAL. GAS P. G. E. I I i i I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE: —3 ?Wt DATE ISSUED'.---/ I OWNERS NAME : ADDRESS : CONTRACTOR :--.- TEST' ONTRACTOR ; ____._TEST: Air O, Water p , Visual p , Laboratory p RESULT: Approved disapproved p Pending p SKETCH: PAPECTOR DATE [NOTE Attach supplemental tett data hereto, ALL SPACES ' ;UST EE ENDORSED PP�CR TO APPS-3VAl 1. CF 1*; i-SL PLANS P U .. cc T.C, - - P. G. C. I T. R. 7, 11 • 1 4 i i I Y i City of Tigard INSPECTION REQUEST for INSPECTION TIME : ) /-" PERMIT NC. - DATE: C. ;DATE: .1-2112LZI. DATE ISSUED;__1___L_ OWNERS NAME : J9, ,9, C.ADDRESS : X A jLj jjZ I CONTRACTOR :---- TEST: A r J, Water �] , ViscalX, La'" ,ratory Ci RESULT; Approved , Disapproved 1 , Pending ❑ I SKETCH: I I I I I I INSPECTOR DATE ICNOTE Attach supplemental test data here+] 1 City 9 of Tigard �► INSPECTION REQUEST for INSPECTION TIME: ILA!! PERMIT NO. : DATE: '-�e /i7 /73_ DATE ISSUED : I OWNERS NAME :���� _ ADDRESS: CONTRACTOR : TEST : Air U, Woterp , V sual ❑ , Laboratory [I RESULT: Apnrovedji� , Disapproved 0 , Pending SKETCH. INSPECTOR DATE [OTE: Attach supplemental test data beret] I City of Tigard ► lNS �PIEC'MON REQUEST � for IINSPECTION TIME : PERMIT' NO. : I DATE: /2141 L-j DATE ISSUED' — I--OWNERS NAME . ' 122 ADDRESS : .µ I CONTRACTO R TESL : A r [3, Water �!Visual , La'- ,rotary U RESULT. Approved , Disapproved _1 Pending p I ;SKETCH: I I I I INSPECTOR DATE Lti IFAttach supplemental test data heret:01 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME :.LL—_ PERMIT' NO. ' .------ DATE'. O. : ._—_--- DATE:. Ill.2-12-9- DATE ISSUED' i 0WNERS NAME : _ f A C - ---- — I ADDRESS : ler.;-Z I CONTRACTOR :__ '��_-_.�_.___._—� J TEST —A A r 'j , Water ❑ , ViscallA, La', ,rotary [1 I RESULT. Approved, Disapproved _1 , Pending E7 SKETCH: I i I I I INSPECTOR DATE LNoTF Attach supplementul test date heret7 PLUMBINu PERMIT APPLICATION Jurisdiction of !No. I Type of Fixture Fee Permit No. Permit fee _ Watrr CCllc�sets Tc: luts Permt Issue Bath Tubs -� Approved by ~ Lavat•-) _ I_ B,i,;iri Building Permi. Receipt No. D: o- hwij2Y i.nL ._ -- ,-,I NK c;rciindry -�-_-� Locati.og of Buildifrg S 1.nk , .,. _ Name Addreas t Qwrnt-: �..L -/.�G:..:' rte Name a Address ,,i Bu.ildi i �C .dam__' _ ; A� ter Re a71, c:r ns ,.,rinik.er 'E,r1 .rr r.1} , .ana vt-:.d 11 wnrk r.r const.r. r 'r; ?f d 13 n :,t. i,' construcfi,�n :,r w•,- k- i.� �:ip�3 r abar:dnned -1 r Iny ti.rie of ter work 1 ra r; ;,rng firms muat be licensed by the City of Tigard and post a $1 ,000 bond. F r �br ! 1. 1 ; that i beve --ad and examined th.t s apF,i : .. -a 1A.,,n and knuw the same c:.,r.rwc ' . :',11 provisions of laws an(] :-jrdinances g^vcrn;.ng this tyT he omplie ', ::1.th whether specified herein cr not *he grunting )f a t4 V)�. t. :resume ,_ give authority to violate r .�,nc.cl the prc,, is1 :ns oto or local law rc•gulatiz,g construction or the perfcrmance of , 1 Sign-at ore A p11 . int i i City of Tigard I INSPECTION REQUEST Ir for INSPECTION .— TIME. '�'�' PERMIT NO. :_._-- I DATE: LZ-,17-5 DATE ISSUED :._._L._L_._ OWNERS NAME ' ADDRESS: CONTRACTOR , / I TEST : Air u, Water[] , Visual Laboratory ❑ A proved 0 Disapproved O Pending/9 RESULT: p � I SKETCH: ��T-- Q INSPECTOR DATE I COTE: Attac.t •,pplemental teff data bereta� I 1 CITY OF TIGARD 11130 L W. Mob Eh d TIGARD.OREGON 01x1 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING p-0 DATE ISSUED_ 10-11-73_ BUILDING, PERMIT UATF. RECEIVED BUILDING FFE $ 106.50 No. '73: 236 PY —' PLAN CHECK S�_T � record' P�1:r-- �— OTHER $ 1.06 1% state �ALUATION $ TOTAL $ 121.V6 RECEIPT No. 901Z TWO SETS OF PLANS iND PLOT PLAIT MUST BE FURNISHED WITH APPLICATION LOT 0­44-- MAP 4 CENSUS TRACT JOB 1 Architect or Engineer__ jualatin ,Develoymynt Co. _ — Address 15300 L,W, 116th Ave. Phone _ Owner 17r_ Holman --- Address Phone Builder Tu..I at i Y Address 15300 S.W. 116th Ave. Phone ❑BUILDING USE Single Res. Multi Res. ❑ Comm` ❑ Industrial OCCUPANCY GROUP 1 — No. of Stories 2 Total Height 22 Area of Lot__ Type of Construction XJ(XX1(f(XXMXX!(V(X V Floor Area B ---- 1` 139b 2 546_ Set Backs: Front_ 101 Back 121 L.Side 41 R.Side 41 Private Sewer Pipe Size W1 Sewer in City Septic Tank ❑ Water Service Pipe SizeZ4/1 Storm Sewer © Ditch ❑ Drywell❑ Street and Curb Requirements As read! rad_i,�c-_s„hrfi Driveway Width— Bpi _ No. of Parking Spaces _ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED__`— 10435 S.W. Centt_ry rak Drive FIELD CHECK BY—E WC— -J-- _DATE ln-1,1-71 PERMIT APPROVED 8Y it is understood that all work will conform with applicable" odes a d_ r nencea of the State of Oregon and the City of Tigard, Oregon, and teat the uildinq will not be occupied until a Certificate of Occupancy has been is ped by the City of Tigard Building Inspector. gnature o plicant 9 4539 EXHZ817 "A" CITY OF TIGARD Residential 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 Dead Records of Washington County, Oregon, is prohibited by the ordinance of the r,1ty of Tigard, Oregon: (The City will issue a release as soon as a final inapection determines that the construction ie satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: Nm Q NAME OF OWNER: *.t-,.•. w Mr,__ ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this \N, day of S;:4m.:6r . OWNER: APPROVED: `Tii • ' By: _ Building c • City of Tigard °f',TE OF OREGON C,,unty of Washington °°' C ctober 11 , 14 7_ Personally appeared before me the above named Roy Brown and acknowledged the foregoing instrument to be voluntary act and dead. [ Nota" Public ac or Oregon My Commission Expires: 111/75 . f! rued w< •a..•.�G1. POCE11 THO SUM• E. 049 .568 r, .. .,. : 6' (} cg � f }§!� E § ) 7|f$ 7! » EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of resid•ntiel structure (a) on the following described lands 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: ; ih• City will issue a release as soon as a final inspection determines that the construction is sAtLefactorily completed) DESCRIPTION OF PPOPEHTY: Nt t> 'a �,aGa.-atie� \.� �eac� ��.� Qc��� 'O�sG0 TN- ADDRESS OF PROPERTY: iqz .z v: �- NAME OF OWNER: ADDRESS OF OWNER: "� = ,�_ r ., t. IN WITNESS WHEREOF, the undersigned has caused this ,restriction to be executed this \\ �~ day of �r, 19 1,y OWNER: NZoew APPROVED; / Tit A. BY: Building Off`. c a - ;ity of Tigard STATE OF nRFGON County of Washington ' Qctobar .��Y, 19 z� Personally appeared before me the above named �r Roy Brown and acknowledged the foregoing instr.iment to be his voluntary act and deed. Notsfy Public for Oregon My Commission Expires: _I[117S