Loading...
15920 SW CENTURY OAK CIRCLE � a IV C� U` y Q r y C7 �� W 'r 'J M ./l 'q 'Xi to ci ►� �, �J cr. � ►-� c v� QQ f r ��. 0< N N � k'G7 T 'xH1 r� �7 C,A H a. 8 15920 SW CENTURY OAK CIRCLE s jadi0 Yvo Ali itis0 MS OZ69T 0 Q) I � r w y r ` y � N I H �J J I nV i 71 ~ ^J i O H H j ni w rr) 43 N -- M 114 tpo N rn u, • EXHIBIT °B" 15031 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 wao, -in `A,' / 1- , .197-3, reoirded in Book 0139 , Page 9 4.� , Deed Record of Washington County, Oregon, ib hereby authorized and approved. DESCRIPTION OF PROPERTY: �ir•� o,� OWNER: BUILDING PERMIT NUMBER: BUILDING AUDRF3S: /•5- ,1 &'t This le 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 WITNESS WHEREOF, '-he undersigned authorized officer of the City of Tigard has cauaed this certificate and release of restriction to be executed this 13 day of r,/ 1QL�2. Title: STATE OF OREGON County of Washington ) Or. this _ \!� day of �1. .� !, 191k , personally apfeared before me the above named �1�;�_ , whose o'.gnature appears hereon and who acknowledged to me-that h,-, executed the same in his offical capacity on behalf of the City of 'Tigard. .y e Notary f'uelic of Orego My Commission erpires: FAL.A...efor „il.:...t.k.:...L.S.»f0,7Xat..�...AN.4;t F 'st ROM T110MISrh.Mhch�r d •a t1 bov 063 -,,A04 STATE OF OREGON 1 LLQ r ss County of Washington 1 I, Roger Thomssen, Director of Records and Elections and Ex-Officio Recorder of Con- veyances for said county, do hereby certify that the within Instrument of writing was received and recorded In book of records No. of sold County ._.._----- '-""-""- Witness my hand and seal affixed. ROGER THOMSSEN, Director of QNj Records & Elections Deputy, { �� 3 35 PM'7� Ikv,0.4eA! n�1G` eel 0 F 0liv CITY OF TIGA.RDC' OREGON "rr Owner:....ImAiat.0...Qgve.1.� merit_. om an Permit No 73-17 I Building lR Address �eur _-Oak �.•F- ..................... thCeltificateis hereby this... ........day of.... . b.rua.r .......... 19...74 .. thatoccupied I r� said building may be occu ied and .'►% ' ' that it complies with all requirements of ' the Building Code for the City of Tigard, ` as approved by the Tigard City Council. . 1 r Building Inspector ..., 1U1. I CITY OF TIGARiD HEATING FERMIT DATE I/ PERMIT N0. - . lr S_� _.__—� RECEIPT NO. '(�'►� __.__ BYX-0 . '_' FEE __ ��' -- �C b— a oldtained prior tc convnenc.ement of i 1Fermi t' shill nstallation. , 2. Permit shall be obtained for all rypliances which are to become a fixture to the building. 3. Relocation, replacement° a?•4: '"r t'" r �,1?"3cs toh-izrters and duct wnrk require permits. 4. All work p be concealed must be ���. � �. .] before never L,4 T) ❑ New Installation 16 Replace ❑ Pelocatior, L] Addition L.J- Alteration CONTR. c �__ 1' C NER ADDRESS _ � Q'�C��S_•�:Q� �� �____._.—_ WOPK ADDRESS S te'!/ .y LC' C' � C�• L%%<� A F F L I.C ANT TEI.EFHONE NO. FURNACE MANUFACTURER TELEPHON�O. Flue Size HEAT Itput rating (Btu Per Hour _&CjSVent Size FUEL OIL ❑ GAS M ELECT ❑ OTHER TOTAL SO. FT, Top Floor Main Floor %_•_ Basement . �=z _ GENERAL ITEM NO. FEE AM'T ITEM NO. FEE AM'1 For Issuance of Permit 13.001 nBoilers over 50 HD New - Under 100,000 Btu 4.001 - Air Handlinq_10j000 CFM 3.00 New - Over 100L000 Btu 5.001 Air Hand 1 i ns_Uver 10,000 CFM,----- 5.0 Floor Furnace 4_G Evaporative Cooler 3.0 wall - Floor - Suspended 4 0 Vent. Fan _ _ 2.0 _ Install Vents 2, 0 Vent System _ 3.0 Repair - Heat & Cooling 4�001 Hood _ 3.0 Boilers_ Under 3 Hp 440 Domestic 'ncinr.r.ator 5.00 Boilers 3 1.0 15 H 7. :5 Comm. Inei•►erator —� 0d00 _ Boilers 15 to 30 Hp 10.0 Other_ Not Listed 3�0 Boilers 30 to SO Hp 500 INSPF-L'TOR' S COMMENTS ------ APPROVED BY _ -� --_ --__..----__ DATE ISSUED BY DATE Signature eff Applicant/ ? I City of Tigard INSPECTION REQUEST . for INSPECTION TIME : PERMIT NO. :-KJ DATE: L41-11 - DATE ISSUED :I1 OWNERS NAME ' 7O ADDRESS: CONTRACTOR : . i EST : Air u, Woterp , Visual p , Laboratory p RESULT: Apnroved , , Disaoproved ❑ , pending [�r SKETCH: � .... =. A t INSIVECTOR DATE COTE. Attach supplementnl test dcta beret] i ALL SPACES N4UST BE ENDORSED PRIG? TO APPrOVAL�/O� i/�E:]E pLA�JS �7 /'l 1r31_1C 14'Q'�IC:, DEPT. BYVC-C*���t'�' C CCL.:J i H. .. T"H C"I'T• ... - ---- - � .,.. i C17'! n.•, U C A GY - . R N. V/. NATL)RAL GAS pY --- -----_---- - _ DGTE .-- I I i of Tigard INSPECTION REQUEST for i i INSPECTION TIME. PERMIT NC. DATE:/—D /-" • —3 DATE ISSUED OWNERS NAME : —Z= ADDRESS --- ".',ON rRArTOR EST . N ier p , V* :.ual !J , RESUL_— ,vroved -- :uppra•.ad L] SKETCH. INSPECTOR DATE TOTE' Attach euppiementai test autc hereto I i .. I City of Tigard INSPECTION REQUEST for IINSPECTION TIME/: 07- PERMIT MrV ._. 1 DATE: /0/ -21Zj DATE ISS -D'�LL OWNERS NAME . -rlIQ G I ADDRESS : 4-6,7- �iy/f. �iEc CUN*rRACTO R : 4droPv`� - I TEST A r J, Water � , ��is� cl'�, La'- .ratorj F1 RESULT. Approved Disapproved 1 P mcling D I SKETCH: I I I n I �-- 3 INSPECTOR DATE 5OTE Attoch supplemental test data heret] 1 i "" ity of Tigard INSPECTION REQUEST 1 for INSPECTION TIME . PERMIT `JC. DATE: 1 M"ll JATE ISSUED �!_ OWNERS NAME : L/) AQDRESG IsL - t"'ON rRAr*TnR ;'EST tet , `J' . c '.�b . ►at�r,, ..j RESUL•" �vroved 63�- S KETC H: I INSPECTOR DATE [OTE: Attach supplemental test uuta her,-to—j EMMIW City of Tigard ' INSPECTION REQUEST for INSPECTION TIME: I'l-21-0 PEpMIT DATE: J 11Y2B DATE ISSUED :___i_' _ OWNERS NAME : /• ___-- ADDRESS: ,4:ez CONTRACTO R : 7, TEST : Air Ll , Water❑ , V-eual F� , Laboratory p RESULT: ApnrovedA , Disapproved O , Pending p SKETCH INSPECTOR DATE NOTE: Attach supplemental teat data hereto] PLUMBING PERMIT APPLICATION 1 ` ,Jurisdiction of o. Type of Fixt.Lre Fee Permit No. �l" „�' Permit fee .IG / Water Closets Tc i lets . Permit Issue ath Tubs Approved by i avator Wash Basin Bui'.Alding Permit Shower Receipt No. Sin s, sriwa B -ins Kitchen Sin s �r�c inary Lo ation of Building in so ar / 44- = - - inks --- utoma ic_is washer ' — -- ��M- T Diu Gaal _ // Laund Trays__ Name & Address �f ' Owner /,,z l .'41 Drains, Floor_ `Brains rea - ains,, rerI 4 - -- ' Ra..n '1jrains / utoma is a hpr Name _ A'ddre" of VH umber Y oun minsyrinRing � FountinsodaHot Wa L'er Tank ' Water Service Size' _ � Urinals Bu din Old or GQew (Alter, Repair or ,-A c - asins - ar _ s a _..._._ Lawn prinkler System swimminiz ool Mer - S rink er System This permit becomes null and void if work or otintruction auth-�rized is not CMmerlced within 60 :,iv )r if construction :r work is suspended or abandoned f,:r a period of 120 day. at any time after work is commenr�.d . All plumbing firms -nust b�, licensed by the City )f Tigard and post a $1,000 bond. I hereby certify that. I have r-ad and examined th!L application and know the same, to be true and cor r-,;t. A-,1 provisions c f laws and Mrd i nae.(:es governing this type of work will be complied with whether specified hereit, cr rot , the granting of a permit does not presume to give authority to vi )late cr .eiieel the provisions of any other state or local law regulating constructic-ti or the performance of construction. Signature 7c f Api i' City of Tigard INSPECTION REQUEST for s INSPECTION TIME * PERMIT NO. : ..___._____. i DATE: DATE ISSUED'--L-.,/-- OWNERS NAME : - I AUOFcESS : �1 _ _- I C 0 N T R A C T 0 R J TEST A r L1, Water r,] , k/isi-clo , La' ,ratori n RESULT. Approved,, , Disapproved 1 Pending J I SKETCH: I I I I I I _ I fNSPECT'OH DATE INOTE : Attach aupplementm test data heret1 CITY OF TIGARD 12420 G. W. Main SfnN TIGARD, ORVGON WW APPLICATION FOR BUILDING PERMIT New Construction Demolish ❑ Addition ❑ Remodel ❑ MoveL J ZONING P D DATE ISSUED 8-8-73 _ BUUI)LN' PERMIT DATE RECEIVED BUILDING FEE BY PLAN CHECK $ _ OTHER $ 10.00 VALUATION $ 18,720.00 TOTAL $ 81.00 RECEIPT NO. Yr A-7 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT M 3fc 75— MAP N 281 10D CENSUS TRACT w-8 JOB N Architect or Engineer Tuals,tin-Development-00. Address- 15300 S-M- 116th Ave., Tigmd, Oregon Phone Owner— Address wnerAddress Phone Builder same Address _ ---Phone­— BUILDING Phone`BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Indus.;rial OCCUPANCY GROUP I No. of Stories 1 Total Height 191 Area of Lot 6,_ Type of Construction Di V Floor Area 8 1 1068 2 - Set Backs: Front 120 Back 14e L.Side 51 R.Sideyou Private Sewer Pipe Size L___- Sewers mpg Citfeptic Tank ❑ Water Service Pipe Size 3/4• Storm Sewec © Ditch ❑ Drywell❑ Street and Curb Requirements JAatipa Driveway Width _ 161 —No. of Parking Spaces 2 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 15920 B.W. Oentury Oak Dr. FIELD CHECK BY MW DATE 8-8-73 PERMIT APPROVED BY� 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 will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. Signa ure pplicant , EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deet. Records of Wachington County, Oregon, is prohibited -y the ordinance of the City of Tigard, Origon: DESCRIPTION OF PROPERTY: v V cam ca-�t✓c ♦�� "' � G �\ .� r ADDRESS OF PROPERTY: NAME OF OWNER'. ADDRrSS OF OWNER: �S"�c�c 3w - ��`�•T' �-�� _, -T IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this ` ' day of owNER Mualatin Dewlepment Co., Inc. Name APPROVED: By: Title By: r�7LN� Ey— f — Building off icipe City of Tigard STATE OF OREGON ) as. County of Washington ) August 7 , l� ' rcon�11 appeared before me the above namedlt*Y s lewn, Viae P:elident of Turn Tualatin Deweleper! Co.0 Its. and acynowledged the fo•egoing instrument to be his VolW:Lary act and deed. Notary Public for Oregon My Comm.'.ssion Expirestha aly 16. 1971 • `A 9.4871 � EMPIT "A" C,.T'Y OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY THESE PRESENTS, That occupancy of residential structure (s) on the following described lande •ior to the recording of an occupancy permit releasing the restriction in the Deet. Records of Washington Cuunty, Oregon, is prohibited by the ordinance of the C'.ty of Tigard, Oregon: DESCRIPTION OF PROPERM. \\ �t $C ADDRESS OF PROPERTY: NAME OF OWNER: ADDR&53 OF OWNER: . = y C,c; V___ .� IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this; day of 1077 OWNER: Tualatin Development Co., Inc. APPROVED: By: Title By: Vou, _ f--� riled Ia aeeee....l., f,2�_._ It.7 a(?....A M r,Ai Building Ufficitl ROOCII THOMAM.anon e1 1Moo,df a t1aa le"I ' City of Tigardp'f-:.........,.Der }r STATE OF OREGON ) Be. Coun'cy of Washington ) August 7 , 1973 Personally appeared before me the above named Roy Brown, Vice President of Tualatin Development Co., Inc. and acknowledged the foregoing instrument to be voluntary act and deed. d464.-J. /� k�Li �aaa:d Notary Public for Oregon My Comm scion Expires: JanMary 16, 1975 1 l �• e 1 1 i STATE OF OREGON ss County of Washington I, Roger Thomssen, Director of Records and Elections end Ex-Officio Recorder of Con- veyonces for said county, do hereby certify that the within Instrument of writing was received and recorded In book of records No. ------- ._ ...._......_... -..._......------------- of said Costrdy Witness my hand and seal affixed. ROGER THOMSSEN, Director of Records & Electlo r �f ►. �f 73 : Auc 13 9 i.Y CITY Of TIGARD P.O. Box 23557 12420 S.W. Mein Tioard, Oregon 97223