12237 SW CLYDESDALE COURT-1 1
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12237 SW CLYDESDALE COURT
7�
ADDRESS PERMIT N0.
r7� PERMIT CHARGE
OWNERryct� cl�r ;' CONNECTION FEE
--
PAID BY
TYPE OF BUILDING r `��� DATE CONNECTED
SERVICE RATE may' INSPECTION VEE
CONTRACTORc..�L �� it �i�r�,rr.'�• PAID BY DATE
SIZE OF CONNECTIOIv -e1ASSESSMENT PAID
i
o EXHIBIT "B" 9101
CITY OF TIGARD
CERTIFICATE OF OCCUPANCY AND RELEASE OF RFZTRICTICN
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 Sonl.amhar-31.___, 19-IP
recorded in Book 994 , Page 644__ , Deed Record of Washington
County, Oregon, is hereby authorized and approved.
DESCPIPTION OF PROPERTYt
lot 23, Clydesdale Subdivision, Tax Map 251 2AA
OWNER: Clarks-LAuQt r 1 e _ -- ---
(BUILDING PERMIT NUMBER: 0050
BUILDING ADDRESS; _ 12237 S.W. Cl desdale Ct.
This is to certify the said structure meets with the require-
ments of the Building Cade of the City of Tigard and the above
referenced restriction is hereby relenned and terminated.
IN WITNE13S Wffl REOF, the undersigned authorized officer of they
City of Tigard has caused this certificate and release of restriction
to be executed this _ /,I _ day of /�/U,,,,,n �___, 197
%u A. a r
Title:
STATE OF OREGON )as.
County of Washington )
On this _1g hr day of _ NQUM bar , 19.349 personally
appeared before me the above named Doris Hartia , whose
signature appears hereon and who acklbwledged to me that he executed
the same in his offical capRcity on behalf of the City of Tigard.
Notary P lie of Oregon
My Commission expires;
r 1 Mad lot t�mtd ��:��. 7� [�'
t"'.`�i•:K�� tt"" ......10........oL. .JLILF'M.
MAR TN�fi1tN,Dlnenr et Rgoetdo �bnNen�
DOOKPACE 787
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} EXHIBIT ugnN!1411
, _"
CITY OF TIGARD
CF.Jt9`IFICATE OF OCCUPANCY AND RELF,ASE OF nnsTRICTIoN
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 _��Br't � _, 19 7P
recorded in Book 994 , Page W b44 , Deed Record of Washington
County, Oregon, is hereby authorized and approved.
DFSCRIPPION of PROPERTY
lot 23, Clydesdale Subdivision, Tax Map 251 2AA
OWNER: _Clarke_jnduetri@_0 -- —_..-_
AUILUING 17FJOUT NUMBER: 0050
(BUILDING ADM SS: _ _12237 S.W. Clydesdale Ct.
This is to certify the said structure meets with the require.
meats of he Building Code of the City of Tigard and the above
referenced restriction is hereby relcnsed and terminated..
IN WITNF3S 14ItF,REOF, the undersigned authorized officer of the'
City of Tigard has cauacd this certificate and release of restriction
to be executed this T�y day of ,_ , 19__•
Title:
STA'L'E of OREGON
County of Washington mss.
on this __lgtb _� day Of 1Cu@lIl�9l + 19 79, personally
appeared before roe the above naved._�Doris Hertig whose
signature appears hereon and who a6ilkowledgred to me that he executed
the same in his offical capacity on behalf of the City of Tigard.
Notary } lie of Oregon
My Commission expires:
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CI'I~Y OF TIGARD � VC
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OR-EGON
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Owner:......Up.rk.e... .................---............Permit No....0050...........
g 2 C1 desdale Ct. .__._.,. ' {�
............... .........
• �
Building Adc�rese.,.......�:2...�.7...�...W...... Y........................... ;° ��:� • i
CertiP -ate is beieby given this.....1. t.h..day of.....N.oyemb,e ......., 19....7.4..
that said building may be occuried and
j ! that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council.. ,.
.............................. �I
Building Inspector
f4rn;'1 , 's� :.:•ei,:V'.,',' -' :d�iiTP Fu:" '�5:�-'Ey'4,ti:'.i�:•i3ri�7.�uF.•.�•:�EI;N?!'•,:;.'�51f32:�i��--+.. �:bL•rivr-: ,:iyr[ri-..-. ._. .,s x..��c..;�.-�sio�Ti.:t.T1�Ft ��ir•�,
',,,���,••���ggqppp�� •. �.� V'• �'� � tiYa .1,r .fir .. '� �! .�•ysf � � :. f *�., i a,�' ,,�y. , .!� I
City of Tigard
INSPECTION REQUEST
L for
INSPECTION TIME: PERMIT NO. : ---
DATE: DATE ISSUED :--L-./-
OWNERS
SSUED :_-L-./ ._OWNERS NAME : tADDRESS: /��� .d .d ddam. C
CONTRACTOR :
TEST' : Air [3, Water 11 , visual [1 , Laboratory ❑
RESULT: p.)provedx _Disapproved ❑ , Fending
SKETCH:
tp -TA
. . �; 12,
I CTOR DATE
CNOTF Attach suppiemsntal test data bereto�
ALL SPACES MUST BE ENDORSED PRIOR, TO
ISSUANCE OF BUILDING PERMIT
PLANNING DEPT.
PUBLIC WORKS DEPT. l,.
• BU.ILDING DEPT.
TUPj,ATTN pL'FAL --
FIRE DEP . r..
Ci..,
PERMIT - f
BY- TITLE
.__ _----_______DATE
v
City of Tigard
151 SPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. '
DATE: /C /`i-L—, Y DATE ISSI)ED :�LL_.
OWNERS NAME :
ADDRESS: J R2—2
CONTRACTOR : _0—� -�el TEST : Air [], Water[] , Vi sual fi I Laboratory p
RESULT: Approved , Disapproved p , Pending []
S KE7 CH:
Al
rt INSPECTOR DATE
[:*gtib: Attacb supplemental test date berefe]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: -� r PERMIT NO. :_
DATE: 1019/' DATE ISSUED :-
OWNERS NAME :_!�/'h'�r //�14� /:s :-;71/,�-5
ADDRESS: /f .
CONTRACTOR : CfZ-Ae i , e#4,r1nA1�l
TEST ' Air p, Water[] , Visual , Laboratory
RESULT* Approved /
ppraved O Disapproved ,a/ Pending C1
S KETCH:
16 7
w
INSPECTOR DATE
NOTE: Attach supplemental tett dot here t]
i
I .
I Cit; of Tigard
I
INSPECTION RE®UEST
for
INSPECTION TIME * 7 'PERMIT NO. :
I DATE:71--3d1 DATE ISSUED:._.Z
OWNERS NAME :
ADDRESS :
1 - 3' o�n - (�,C `:�. ���L c��►;
I CONTRACTOR
TEST: Air ❑, Water [j , Visual, Laboratory [)
RESULT. Approved , Disapproved ❑ , Pending I]
I SKETCH:
� jvj
---
`-7y
.- -- ` - - -
- job,
INSPECTOR DATE
COTEAltach supplemental test data hereto
j
4053
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 inspection determines that the construction is
satisfactorily completed)
DESCRIPTION OF PROPERTY :
lot 239 Clydesdale Subdivision, Tax Map 2S1 2AA
ADDRESS OF PROPERTY : 12237 S.W4 C1Ydasdale Ct.
NAME OF OWNER : Clarke Induatriaa
ADDRESS OF OWNER : 8830 S.W. Uackar 01.+ Palftland____�
IN WITNESS WHEREOF , the undersigned has caused this restriction
to be executed this . 3 day of � 191
OWNER:
C. Name
Title
APPROVED-
By
uilding Official
City of Tigard
STATE OF OREGON ?
ss
County of Washington z 3 ��,Y , 19
Personally appeared before me the above named
and acknowledged the foregoing instrument
td.,. be voluntary act and deed.
y 1 M yF•
IN
H Notary Public for Or gon
My Commission Expires:
rswIM Mawd......................»
rd`,s�
pr.... . ....... 90QK 994 PAGE84
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2 ; CITY 0F -
BUILDING PERMIT APPLICATION TIS
ARD DATE—_— _14N! 0 050
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT F0I3 THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEH PHONE
OWNER ��'II'S{n >l.r,;:'{�lC1tT',�10t3 --- ADDRESS__. -___.. -- 46UILDER_PHONE5-7101
ENGINEER
BUILDER _ __AR HIT CT DESIGNER _
In
ONEW ❑REMODEL ❑ADDITION _ ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
LJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE C3STORAGE❑SLAB [JFENCE
❑BOND OMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE_�^_ _eBLDG.TYPE �? _ FIRE ZONE PLAN CHECK BY____ HEAT- _
Construct 1274 aq. ^t. fromu dualling according to
lens atta.:had 526 sg ft garage
approved p — -no basement installe i5fteutor
OCC. LOAD ® FLOOR LOAD 0 lb HEIGHT 121 NO.STORIES �'_—_ AREA 1294 VALUE
BUILDING DEP WNE SET BACKS FRONT 25 REAR 20 LEFT SIDE £; RIGHT SIDE f�
lJ1T� — -- ---
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10•g0 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERERY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE.WITH
Recording 4.65 ALL APPLICABLE CODES AND ORDINANCES. TH5 ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CI!c:RENT CITY BUSINESS
1%State 1.00 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 115.00
By i�t A
— -- ---- -
—� --- APPLICANT OR AGENT
Approved Receipt No
I
DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
— / Contractor
Permit No. 'a-I P so- 9-I �- 1 C(
Rough-in
Fixture
— - -- Final --
- HEATING
-- -- - — - Contractor
--- — --- Permit No.
— Gas or Oil
Final
-- - ----
SEWER
— — -- Final
-- -- DRIVEWAY
-- -- - — Final
-- -- --- - Storm Draina e
---- (Rain Drain) Final
- — - Sidewalk
--- — _ Curb&Street Final
----` __ A roach _
SLOG DEPT. FINAL TEIdPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Of ---- --
_J
Landscaping
Zoning Final