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City of Tigard
INSPECTIONI
REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: DATE ISSUED .____L_ ! I
OWNERS NAME : --
ADDRESS.
C O N T R A t`TO R :
*E ST : Air L., Water p , Visual p , Laboratory p
RESULT' Approved O Disapproved E Pending D
SKETCH: 1�
INSPECTOR DATE:
[OTE: Attach suppler,iental tezf data hereto
CITY OF TIGARD
P. O. Box 23557
12420 S. W. Main
Tigard, Oregon 97223
August 2, 1976
Heineman - Noel h Assoc.
7535 SW 74th
Tigard, DR 97223
A review of our records indicates you have riot renewed your
1976-77 business license as required by the provisions of
Chapter 5 of the Tigard Municipal Code.
If you are presently doing business in the Ci. ty , please sign both
copies of the license and return along with your check. As your
license is now delinquent, an additional 5% of the fee should be
added. 'our counter-signed license will be returned to you.
If you are not doing business in the City of Tigard, plr;a3e
return your license for cancellation.
If I may answer any questions regarding this matter , please feel
free to contact me.
Sincerely ,
Doris Hartig
City Recorder
DH :bg
1
■
CITY OF TIGARD
P. 0. Box 23557
12420 S. W. Main
Tigard, Oregon 97223
August 2, 197f,
R&'f Painting
3775 SW 108th, Apt. #11A
Beaverton, OR 97005
A review of our records indicates you have not renewed your
1976-77 business license as required by the provisions of
Chapter 5 of the Tigard Municipal Code.
If you are presently doing business in the City , please sign both
copies of the license and return along with your check. As your
license is now delinquent, an additional 5% of the fee should be
added. Your counter-signed license will be returned to you.
If you are not doing business in the City of Tigard, please
return your license for cancellation.
If I may answer any questions regarding this matter, please feel
free to contact me.
Sincerely ,
I
Doris Hartig
City Recorder �_J
DH :bg
� "'3"+RGRf3:• ��
40 .
t %��'� '. ... _ - 'RSA:" .. ti'iR'F'�M.'�pfTRHF:�•1,PFj Y'^.T!'n.�{^'FW7�:".^..�a�.''-'_,"y _.',t+T4R�Y�7t.
1�
CC ,
CITY Off' TINAISD
.
(��` OREGON
Owner:........Ua-r.k.e...Lnd.us.t.rl-es..............................Permit No....7.4.-1.4.7 ......
t~~ i Building Address.............1_Q.4.6. ...5...V1�....C.�,.Y.dQsds.J s.....
Certificate is hereby given this.....?l s.t...day of.....N.au.e.mb.ar......... 19.7.4..... x
AA that said building may be occupied and
i ..
4 that it complies with all requirements of
the Building Code for the City of Tigard ''
as approved by the Tigard City Council.
17
% ... K:F:7G.:T.G.�......................... 4 �rP
�FJ�1 Building Inspector
� '� _";..'•.iit'Iy1:iFoektt�F:�:�. �_' .s �-r
10 or
:
EXHIBIT "B"
J635
CITY OF TIGARD �~y 13 1974
CERTIFICATE OF OCCUPANCY AND REIYASE OF RFSTRICTION (;/TY OF TIGARD
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, onof n , 19_y4
recorded in Nook _ 984 , Page 286 , Deed Record of Washington
County, Oregon, is hereby authorized and approved.
DP OCRIITION OF PROPERTY!
lot 12, Clydesdale Subdivision, Tax Map 251 3AA
OWNER: Clarke Industries. Inc• _ __,__._ _ _�_ �____
BUILDING I9;R141T NUK11FR:u_2A_1 A2
HUILDING ADDNEJS: _ 10���
This is tc certify the said structure weets with the require-
ments of the Building Code of t,ie City of Tigard and the above
referenced restriction is hereby released and terminated.
IN W11NP.9S WHEREOF, the undersigned authorized officer of the'
City of Tigard has caused this certificate and release of restriction
to be executed this day of
c
Title
STATE OF UREWN
)ss.
County of Washington )
On this 2121_ day of' _r;oyAmbsr _, 19_7_4, personally
appeared before me the above named 0"44ue 4.n� _, whose
signature appears hereon rind who ackc r+ledgcd tor"ne that he executed
the same in his offical capacity on beha'f of the City of Tigard.
Notary Pulglic of Oregon
iMy Commission expires:
, y
NDE)".LI
Wise i« man
... A N.set.
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: DATE ISSUED : I Z
OWNERS NAME '.' ---
ADDRESS:
CONTRACTOR :
TEST : Air E), Water Q , Visual p , Laboratory I]
RESULT: Approved , Disapproved FJ , Pindinp C]
SKETCH:
IN ECTOR DATE
COTE' Attach supplemental tett data be►etal
I
i
ALL SPACES MUST BE FIIDORSED PRIOR TO
ISSUANCE OF BUILDING PER14IT
PLANNING DEPT.
PUBLIC WORKS DEPT.
BUILDING DEPT. -
TUALATIN RURAL JJ
FIRE DEPT. 1-Y J:t Ce
APF:0VT.D
Cl i: U."
BY — -- —
TITLE .-- - ---— --DATE--
City of Tigard
INSPECTION REQUEST
for
r- IAPAL
INSPECTION TIME : &L�9T°^ff PERMIT NO. : _-
DATE:/O 115- - .74 DATE ISSUED:--L-
1
OWNERS NAME : C4;*� aj
ADDRESS : ..o d �G°S D� �
CONTRACTOR . --
TEST' Air O, Water p , Visual Q , Laboratory p
RESULT. Approved v Disapproved );4 , Pending O
SKETCH: A24:Ct. n^ it A;' 1j „
A I5-' c
IcIVVSPEI:TOR DATE
^OTE. Attach supplemental feet data herst:01
i
L SPACES MST BE E77DORSED PRIOR TO
ISSUANCE OF BUILDII"G PERLI^1
PLANNING DLT-f. _
PUELIC WO:3KS DEPT.
L-UILDTIIG DEPT.
TUALATTN RURAL
FIRE DEPT.
APPRO77P,
_r
I'i1 G_
TLE -
_ ----- ---- ATE-----
4.
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ADDRESS PERMIT NO. �9fG
PERMIT CPARGE
OWNER ��i� a ✓1���'� CONNECTION FEE
� ',,,� _ PAID BY
TYPE OF BUILDING ` G�!E� DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE _
SI7_E OF CONNECTION �j� ASSESSMENT PAID _�
City of Tigard
T
in�sPEc ioN REO u E ST
! for
INSPECTION TIME : lG'� �' � PERMIT NO. :
DATE 'L 7,;17 DATE ISSUED: LZ.-
OWNERS NAME .
ADDRESS : .,
ICONTRACTOR :------ _.----__--OT Lr' —
TEST: Air O, Water 0 , Visual Laboratory p
I �
RESULT: Approved)<,, Disapproved O Pending p
I SKETCH: - -
�
I � 1
I
! INSPECTOR DATE
! COTE '. Attach supplemental test data herel]
1
PLUMBING VERMIT
Jurisd...ction of
No. Type of Fixture Fee Permit No.
� rr Permit feea -
Water Closets (Toilets) Ae� Permit Issues
1 Rath Tubs _ _ .,9• on. Approved by �A �._.
Lavatory Wash Ba:.in Building Permit)
1 Shower , 00 Receipt No.
_Si.n-kt, Dishwa!,,hirig__
/ SInksKi-tchen— . oc
-J_-_.�__L.
_inks -Ordinary _ Location of Building
fink Bar__.__—__ C► r � -----
%_ Automatic_D _sFwa's_
f -ni�osl
_L:aundryTray_ __ Name & Address of Owner
-_ Drains. Floor ac_-S_-_LL1_ � c c Kis=_��!�.� •
-Drains
Drains
,_aefLigerator
— -Rain Drains- _
j Automatic Washer cr. Name & Address of Plumber1s _
_ount_atns, Drinking �� L am_ Via, �y_wyq 5�
I ountai.n Soda
Hct Water Tank 0
_ Wg -,r Service Size
Urinals — — — uildin N
Old or .ew�AAlter. Repair or
Ca tc i-Basins -�ar� nsal — -
I.,awnTri.nkler..."_ystem --- _---- _ — ----__--_
1-MIMMlng, F?aol _— ether
_ SLarir_lkler
7 c i is c-- ;,y 1-
This permit becomes null and void if work or construction authorized is not
commenced wil-hin 60 days, or if construction or work is suspended or abandoned
f'or .a period of 120 days at any time after work is commenced.
All plumbint, firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that 1 have read and examined this application and know the Sam
to be true and correct. All provisions of laws and ordinances governing this ty
of 4ork will be complied with whether specified herein or not, the granting of a
prrmit 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.
Signature of Applicant
City of Tigard
INSPECTION REOUEST
f o r
INSPECTION TIME : 3,' _ PERMIT NO.:
DATE: ZZL ? DATE ISSUED:.._L_L__
OWNERS NAME :
ADDRESS : /d `` l
CONTRACTOR :
TEST: Air ❑, Water L] , Visual ❑ , l horatory ❑
RESULT: Approved . , Disapproved O , Pending ❑
SKETCH:
I SPECTOR DATE
COTE : At .'orh supplemental lost dote heret-10
t
I
City of Tigard
INSPECTION REQUEST
for I
4SPECTION TIME: � toe PERMIT N0.
DATE: /Z DATE ISSUED : I Z
WNERS NAME : do 162Q
ADDRESS:
ONTRACTOR : .._ C*2n✓C.rtC'TC
E ST : Air 0, Water p , Visual 0 , Laboratory p
'ESULT: Approved Disapproved 0 Pending p
KETCH:
I
i
I
I
I
110PECTOR DATE I
TV Attach $Upplefflentel tett data rtereto� I C
1
CITY OF
BUILDING PERMIT APPLICATION TIGARD DATE--L' �'lJ-?r 19 N°-/,V-/y
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ ____
OWNER r-��_ fi�el�� jj- r9 ADDRESS BUILDER PHONE
- ---
ENGINEER
=LUQ-. ARCHITECT _ DESIGNER
STRUCTURE RqNEW ❑REMODEL ❑ADDITION_ Cl REPAIR ❑RENEWAL []FIRE DAMAGE ❑DE_MOLITION
O RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING_ ❑CONDITIONAL USE [-]DESIGN REVIEW ❑COUNCIL APPROVED — ❑SIG_N_S_
OCCUPANCY-X:_LAND USE ZONE`BLDG.TYPE_J^ FIRE ZONE PLAN CHECK BY � lL HEAT _-
OCC. LOAD_ FLOOR LOAD__— HEIGHT NO.STORIES AREA VALUE2J 0"'
BUILDING DEPARTMENT_ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
[F'Ian
-it 11THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—"-�- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
196 State LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
--'----- ----- APpI(CANT UR AC;FNT
Approved Receipt No.
A._nHrs,, Pr40NF
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contracto �1,
7Aae Permit No.
r - - % /'>> G'/! T•► Rough-in
Fixture
Final
_ HEATING
----- _ Contractor %j." 1, h �
Permit No.
Gas or Oil
Rough-in
Final
------ — ---�_ �.
SEWER
Final _ --
T DRIVEWAY
-- — -- Final
Storm Drainage__ _
(Rain Dre;n) Final
Sidewalk
Curb&Street Final
Approach
SLOG, DEPT. FINAL —TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
¢ Landscaping
Zoning Final
UNIFIED SEWERAGE AGENCY NO. __ 4986
WASHINGTON COUNTY DATE —.1ung _1�?_ __
CITY OF _Tigard -- _--- -
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Clzska— LF i�►s-IAS --- - -- .___
OWNER'S ADDRESS:--- 883Q—a. ._ Rig-ck4vv. .Orr ----
STREET
Ii�ard flraragnn-_ _ _ __ -__9.7223_. _ _
CITY STATE ZIP
BUILDING SITE: LOT —_.12BLOCK ADDITION ___--C-1.yde6daj_6
TAX LOT NO. _ TYPE OF OCCUPANCY
ADDRESS _ i046-5-S-W. Clydesdale place
DWELLING UNITS _ _ FIXTURE UNITS -
SURCHARGE IF APPLICABLE
PFRMIT FEE 5{}g INSI,FCI-ION FEE Z{_._ TOTAL DEPOSITED
Q ) (EXISTING) BUIL.DIN6 SEWER SYSTEM _ — __T3��
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT —
r
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE 4!! INSTALLER .
RECEIVED BY
AO NCV OR 1ENT)
COMMENTS: 13e�$._ 1uv ..�1_tL•-_l_y 7_
This Application and permit expires in ninety (`)0) (lays, The iimou )t paid will be forfeited
should expiration occur.
CITY OF TIGAI=zD
12420 S. W. Main Street
TIGARD, OREGON 4/223
APPLICATION FOR BUILDING PERMIT
❑
Demolish Addition
❑ _ Remodel ❑-_ Move❑
rn,w Construction ❑
,r1NING _ _
DATE ISSUED—_6--'.V- --7V BUILDING PERMIT
BUILDING FEE $ ', O. IV-/, I
11A'I'F; RECEIVED - tom- `J' --� Y - --
PLAN CHECK $
VALUAPIOtJ $ ZG'C'o
tY OTHERJi RECEIPT No. /O
TOTAL
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
CENSUS TRACT JOB #
LIyP # __�=J--- MAP # -- ------- _.
Architect or
Phone
nwnr.r -s-�-f
7 Phone
_ Phone
HU7LDING USE Single Res. ❑
Multi Res. ❑ Comm. Industrial L
ot'CUPANCY GROUP�Z No. of Stories
Total IJeight__/ Area of LotJih
•pype of Construction I II III IV V Floor Area
Back Z.i 't L.Side / R.Side�—_
— -.
Set Lacks: Front —
Sewer 'Q Septic Tank ❑
Private Sewer Pipe Size____ ----
S �'rater Service Pipe Size_ Storm Sewer Ditch Dtwell❑❑ Y
Street and Curb Requirements - - -�
Driveway Width J _ _--------------No. of Parking Spaces__,_-._
SEPARATE PERMITS REQUIRED FOR SEWER AND pLUMBING
SPECIAL INFORMATION
ADDRE:jS-ASSIGNED�U `I��a
DATE r' --
F•IELD CHECK BY__-- ----- -- ---- -- ----- //////))
PERI4IT APPROVED BY/..-7/
is understood that all work will conform with applicable codes and ordinance
It
itthe State of Oregon and the city of Tigard, Oregon, and that the building w
not be occupied until a Certificate of Occupancy has been issued by the City c
Tigard Building Inspector. ---- -— ---_.
S' nature ApP-��ant-'--�-----
140'75
EXHIBIT "A"
CITY OF TIGARD
Residential 'structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential
structure (s) on the following described lands prior to the record-
ing of an occupancy permit releasing the restriction in the Deed
Records of Washington County , Oregon, is prohibited by the ordinance
of the City of Tigard, Oregon: (The City will issue a release as
soon as a final i.nsper,ti.on determines that the construction is
satisfactorily completed)
DESCRIPTION OF PROPERTY :
Lot 129 Clydesdale Subdivision , Tax Map 2S1 3AA
ADDRESS OF PROPERTY ; 10e61; Saw. Clydesdale Place
NAME OF OWNER: d ark® Indus r{ea, Inc.
ADDRESS OF OWNER: AA3n 4 ii A®cksr Dr. 97223
IN WITNESS WHEREOF , the undersiqned has caused this restriction
to be executed this 26 day of June , 1974 .
OWNER .
Name
Tit, e
APPROVEDi)
Building Official i PUpA lo+ toomd....l..-'q......... P M.
City of Tigard R01-MR THOMRSCNIl��o,;rO&m Of 110mtd. d. R►.o++oo.
STATE OF OREGON ss ,a'�%. 7/ c.ol,+y
Founty of Washington � June 28 19 74
a
Personally appeared before me the above named
OrvilL_Chan®an and acknowledged the foregoing instrument
he voluntary act and deed.
Notar Pubic r Oregon
n q ray ion Expires :
BOOK 984 FA6E2* mi 86 _ 9, —_
0U
STATE OF OREGON ) P"
} u
County of Washington 111
I, Rnner Thnmssen, Director of Records
and Elections and Ex-Officlo Recorder of Con.
veyonces for said county, do hereby certify
that the within Instrument of writing was
receival and recorded in book of reco,ds
No. ..... .....--
of sold County
Witness my hand and seal affixed.
ROGER TMOMSSEN, Director of
Records 6 Elections TV
1 '
�. 11
Dep
'a� w
,P vT
1.40'75
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential
structure (a) on the following described lands prior to the record- + }
ing of an occupancy permit releasing the restriction in the Deed i.
Records of Washington County, Oregon, is prohibited by the ordinance t.
'{ of the City of Tigard, Oregon: (The City will issue a release as !#
soon as a final inspection determines that the construction is {
f satisfactorily completed)
DESCRIPTION OF PROPERTY:
Lot 12, Clydesdale Subdivision , Tax Map 2S1 3AA
ADDRESS OF PROPERTY° inagc a 1t rlY.d@sdale Place
—
NAME OF OWNER: rtar{ca Tnduwh*lea InC•
a
ADDRESS OF OWNER;-.a R_W f_ar-kar f1r 97223
f ao
A a IN WITNESS WHEREOF , he undersigned has caused this restriction
-+� o to be executed thl s 28 day of June , 1974 ,
ro
o OWNER:
' r
�1C
-, Name
CD
APPROVED4
nilding dTf cial ru.eis..rwa... __7 _i97ffel� .�M,
City of Tigard R6,:I.R TIiOM98CH.bmmw of 11«meM 4 M-hem
S ATE OF OREGON
Dep"
County of Washington ; se ����June 28 , 19 74
' Personally appeared befo►a me the above named
nruill@ Chapman and acknowledged the foregoing instrument
to be voluntary act and deed.
' n, q4l o ar u ,•c; r rego n
1 �i My Ea mi ion Expires;
BOOK a84 fnE2, 86
i