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15950 SW CENTURY OAK CIRCLE
ul cn L� 1-4 !W W 0) '*J fti1-4 n LD h 4. ( J I M ( 1 f I - P s ' y T� W i b cn PHI f �j L•a p y h f*] a U) v � C_ a r � r v Li 27 D 1 15950 SW CEN'iURY OAK CIRCLE b 9,13HIo xvo mniNsD MS o96ST 2 C1. V C) L-1 H- W Q O _J W o \\ I ( I ti H H o EA a R a i , cri WW" �n V) T n � y c T L� 7 t. U r-A C i ui l CP M 1 EXHIBIT "B" CITY OF TIGARD 4059 CERT37ICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the o.:cupancy of the following described structure or premises with respect to which a restriction of occupancy was, on March 19 , 1') 1/1 recorded in Book _967 ) page 41 , peed Record of Washington County, Oregon, is hell-1,y authorized ind approved. DESCRIPTION OF PROPERTY: Summerfield - lot 72 A© recorded in Book 329 Page 30, Plat Records of Washington County, Oregon OWNER: nr R �9ra ,ard Sorrels BUILDING FERMIT NUMBER: 74-30 BUILDING ADDRESS: 159EO S.W. Century Oak Circle 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 is hereby relensed and terminated. IN WITNESS WHMEOF, the underqigned authorized officer of the City of Tigard has caused this certifice;.e and relea:,e of restriction to be executed this day Of 19 L"AA. Title: ----- 1114Y RE68RDER STATE OF uRFX4jN ) County of Washington ) "" On this . yof r��1 appeared before me the above named �. ' 1�L Z� personally whose signature appearr, hereon and who ackifowledged to me that he executed the same in his offical. capacity on behalf of the City of Tigard. i i - Noter�fiu1 c o Oregon - .N �� My .=ion Bion expires: d i .. Pooce tnUMUCK h"bnm d pwcmde a Iy"XED b..,._.................... BOUT "A350 f 4059 i . STATF OF OREGON County of Washington asInd t, Roger veloncesElections for ohd Ex-Offilil R pr of ds Recon that the wirhsn d county, do her of Can.. receives and recorded jnunf of Y certify No. _ book of r*cords was of said Witness my hand and ROGERsept affixed. d h Rec..__ & E EOi,ector of �' 30 9 sL i'1 ;�0 City of Tigard I INSPECTION REQUEST for INSPECTION 'TIME : _ PERMIT NO. : _ I DATE: Y'��a . DATE ISSUED:_1_1_ I OWNERS NAME : Z-- z-?- '-_ ADDRESS .' 1 i2 s 0 (2 i e d t- I CONTRACTOR :.__�?�7`----7-V- TEST: Air O, Water p , Visual O , Laboratory O RESULT: Approved O Disapproved O Pending L7 K E S TCH. /I„ U 1 t J 7o , IN PECTOR DATE i r 1OTE — : Attach supplemental test data hereto, , I ALL SPACg3 ISSU,42�C��ST BE ENBORSL, i ;'LANDING rEPT. OF BUILDING ERUITOR TO PTJBLIC ;"ORKS DEPT. BY�- BUILDING , WEPT. rxr;`' '� I?L'ii.4L E D_7t� ' .e �i..2P, Y ate, --ti CITY CYGig C 1'IOIJ I BY DA TE �qhw##M � t City of Tigard INSPECTION REQUEST for INSPECTION TIME . (PERMIT NO. .' ---- DATE: O. .DATE: ¢ DATE ISSUED.- OWNERS SSUED:OWNERS NAME : ADDRESS CONTRACTOR '_. TEST: Air ❑, Water [] , Visual ❑ , Laboratory [] RESULT. Approved ❑ Disapproved ! ( Pending p SKETCH: '• • r, .c.e �s...�c�E �"'Y , U --- i i INSPECTOR DATE I [NOTE : Attach Cupp omental fast date hereto] 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME: Elm , PENMIT NO. ; DATE: /.�ZZZY DATE ISSUED / / OWNERS NAME : _ 7 P.C. ADDRESS: t47�- CONTRACTOR : ------_ TEST : Air ❑, Water[] Visual ❑ , Laboratory ❑ RESULT: Approved , Disdporoved ❑ Pending09 h p SKETCH. 3PECTOR DATEI-N � OTE: Attach st,ppiementel test do 0 beret 01 i PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Pe-.,mit, No. Pe7O Permit fee f-74- Water Closets Toilets _ Permit Issued _ �T� Bath Tubs _ Approved by Lavatory_ Wash Basin Building Perm Shower _— Receipt No. CG'�'��P Sinks Dlshwashing___ Sinks, Kitchen _ Sinks Cr nary Location of Building 0 _ 7a Sin Bar_ _ _ —�'� �'^z---- 1-1 ss� J.iill --.------ Sinks.,_ l oo _r. _._h -- - - Automatic Dis "was Disposal sal --_ Laundry Trays Name & Address of Owner Drains Floor___ — _ _ Drains Area _ --------- Drai_ns,_Ref ri eraattor --------- Rain Drains Automatic Washer - Name & Address of Plumber ountains, in-- _ M, 1<<= K/16. .�____._—_ Fountai.ns* Soda _ _ � 2:.,5 'do, ) -- Hot Water Tan -- Water Service Size _ Ur%nals— _ r Buildin _Old or New Alter. Repair or atc-Fi --Basins - ar ns' a Lawn �p.rl.nkler_System _________—______ Swimming Pool _____ ter __ _ --•. This permit becomes null and void if work or construction -uthorized is not commenced within 60 days, or if construction or worx is suspended or abandclned for a period of 120 days at any time after work is c3mmenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bon I hereby certify that I have read and examined this application grid know the sa to be% true and correct. All, proviFio,iE of laws and ordinances governing this t of work will be complied with whether specified herein or not, the granting of 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. Signature of Applicant - — q U City of Tigard INSPECTION REQUEST for INSPECTION TIME: ��' PERMIT N. O. : DATE: ___A'1L7.k DATE ISSUED :--/ Z I OWNERS NAME : ;,�.C_, ADDRESS: CONTRACTOR : - .d -moi �� TEST : Air p, Water[] ,, Visual Laboratory C] I RESULT: Approved X, Disapproved ❑ , Pending Ll SKETCH: -,` 44/ - r;45_A#J _ I I 0 I INSPECTOR DATE NOTE: Attach supremental test iatu beret] I City of Tigard INSPECTION REQUEST fro r INSPECTION TI MF :� PERMIT NO.: DATE: `-42 L_2.1 DATE ISSUED: I Z OWNERS NAME : —I-D.� --- ADDRESS ` CONTRACTOR : TEST: Air p , Water r, v+RuolO , Laboratory RESULT: Approved J Diaapp rovad Pending ❑ SKETCH: 1'7 V INSPECTOR DATE rNQTE : Attoch supplemental test dVc heret:01 . I City of Tigard INSPECTION REQUEST � fog 's INSPECTION TIME : PERMIT NO. : DATE : !VA)WIL DATE ISSUED:...�LL OWNERS NAME : � A D D R E S S 1 C,ONTRACTO R : -x- c?--Iz TEST: Air ❑ , Water ❑ , Vinual01 Laboratory ❑ RESULT: Approved ,� Disapproved C Pending ❑ SKETCH: C_.:e + -k c — 3 - -7 3n I SPECTOR DATE ( NOTE : Alt ch uIII-m-,IolI 1�•1 darn ti•.• r1 City of Tigard I NSPEC"VIQN REQUEST for INSPECTION TIME: VM-1 PERMIT NO DATE: Y1L81? ^4'TE ISSUED OWNERS NAM ��C ADDRESS. - CONTRACTOR :TE ST : pair U, Watery VisuaX1 , Laboratory [3 RESULT: Apnroved kDisapproved O Pending I`I SKETCH: i INSPECTOR DATE [NOTE: Attach supplemental test data heret01 I . ( i I i F I PLUMBING PERMIT APPLICATION Jurisdiction of No. 1 Type of Fixture Fee Permit No. LA__t,� Permit fee _-' Water Closets (Toilets) Permit Issued Bath Tubs cy Approved by Lavator---�ash�Basin r' ' Building Permit Shower __ Receipt No. -finks' liishwashiri Sinks. Kitchen Sinks Ordina,_ Location of Building :'y`� ,' ✓t -___ Sinks,-Pear______-_-_-- _-.- -M �.�".'-��,, i i- i� Sinks,-S1°P -- Automatic Di-sFwasher -: --_ _-- _— Laundry Trays - ---_ _ Name & Address of Comer .,� .----- - -Dr-ains, Floor _ - -. �i;A f'. ��-�.Y�" !f -- ------ Drans, Area _ -_-_ � ' -" �" Cii% •%: 'h _ .- Ura�risi_Refr�er'ator - -Rawn Drains _ Automatic Washer Name & Address of $lumber_ ountains,-morin- iTt -n— Fountains, Soda X•• Hot Water Tank Water Service Size , Urinals -- _ Building (Cld or D(ew) (Alto.. Re air or - Cat;FF-Basins - arkn—ss_T.�ll _ _- Lawn 'Trinkl.er System �._---"-_-•- Swimming Poo., -__ Ot _r - - ----- ------- - S rinkler S-;stemThis permit becomes null. anc. 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 type 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. _ r / Signature of Applicant - - � � I City of Tigard INSPECTION �i F7EQUEST � for �► INSPECTION TIME. G� u �• PERMIT NO. :---- DATE: DATE ISSUED :._.L1__ OWNERS NAME : — ADDRESS: AME :ADDRESS: crzLl 7a CONTRACTOR : _ TEST : Air O, Wotsr O , Visual O , Laboratory p O RESULT. Approved Disapproved O , Pending O SKETCH. ^� I I I I I I Iti PECTOR DATE VOTE: Attach fupplementoI toot data her et] I N FMIBIT "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 March 19 , 19 74, recorded in Book 967 , page 41 , Deed Record of Washington County, Oreoon, is hereby a,-.horized and approved. DESCRIPTION OF PROPERTY! Summerfield - lot 72 As recordod in Book 329 Page 30, Plat Records of Washington County, Oregon OWNER: _nr_ R Mrs Ward So rnlc BUILDING PERMIT NUMBER: 74-30 BUILDING ADDRESS: 15950 S.W. Century Oak Circle 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 in hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the C!.ty of Tigard has cauoed this certificate and release of restriction to be executed this day of , 19 Title: STATE OF OREGON S6. County 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 executed the same in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon May Commission expires: CITY OF TIGARD 12420 S. W. Main Strut TIGARD, OREGON 97222 APPLICATION FOR BUILDING PERMIT r- New Construction Demolish ❑ Additicn ❑ Remodel ❑ Move❑ ZONING _-_ DATE ISSUED —=1 h� BUILDING PERMIT DATE RECEIVED BUIi,uIi:v i'EE $_2j. 017 No. BY PLAN CHECK $ 3g 5U 7 -ASO _ OTHER $ '77 /,90 57ATC VALUATION O y3 $ X00 k��L0:a ra RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT MAO # —_ CENSUS TRACT �1 C�— JOB # Architect. or Engineer Address Owner_ ---- Address Phone Bui lder;Siz�� Address BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ Ind atrial❑ OCCUPANCY GROUP == No, of Stories \ — Total Height—-- Area of Lot Type of Construction V Floor L.ea B --- 1 yy$2 Set Backs: Front-A�_ , BackN!:t\' L.Side`�,p' _ R.Side ---�, Private Sewer Pipe Size y'1 Sewer*.:.--,c.�c�lSeptic Tank ❑ Water Service Pipe ze '�,y" Storm Sewer � \Ditch ❑ Drywell❑ Street and Curb Requirements) c„��1����•�3,� -- - _ -- -�� Driveway Width \ q,_I No. of Parking S aces SEPARATE PERMITS REQUIRED FOR �r,4ER AND PLUMBING SPECIAL INFORMATION ADDRESS ASS IGNED FIELD CHECK BY DATE PEP14IT APPROVED BY ��i«}_�,(�91i�•�, - 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 t' e City of Tigard Building Inspector. .s-�(1 �1 a n t��� --- S gnature c pp u w � 8i9 EXHIBIT "A" /4 CITY OF TIGARD lii��R N ti ►y �1F Residential Structure Occupony ReatrictiGV i�GPftD KNOW ALL HIEN BY THESE PRESENTS, that occupoicy of rv, .ential ctructure (e) on the following describod lands prior to the recording 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 fioc:l inspection determines that the construction is satisfactorily completed) DESCRIPT'ON OF PROPERTY: ADDRESS OF PROPERTY: c NAmc OF OWNER: p� _ cwe y_. �tao �� ��,� .eM 3, ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hao caused this restriction to br executed this _ .� day of 19_y'� OWNER: \ c_ �m APPROVED: T tle B u IZI d i n g 0 f F i City of Tigard STATE OF OREGON r` County of Washington A0' c 19 7 yl Per Wally appoarod before me the above named �!/�,.�, and acknowledgod the foregoing instrument to be Voluntpfy act and deed. 1� 1 lry Notary Public or 0 egon Icy Con(miooion Expires! tr:L)tXLu FIIwA Im rwrnrd.�/(, ,/9 14 7.�I.✓l AM MOMA MUM88M. rhr,., el R_14, nr.............»_._�»....................... n,.,,..r. j' 67 FAGS 41 � CrIb x~ !B . _\ .� zell EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of recidontial structure (s) on the following concribod 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, Dragon: (Tho City will Issue a colocoo as soon so a final inspection determines that the construction is ontisfactori)y completed) DESCRIPTION OF PROPERTY: ADO'ESS OF PROPERTY: \c C c:,-_ NAfIE OF OWNER: -�- ADDRESS OF OWNER IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of a`<> , 19�`�y OWNER: APPROVED: Title B y: 641ding Official City of Tigard STATE OF OREGON County of Washington ; 09' 19 71 PgDponally appeared before me the abovo nomad •l1_ 1.w ,L_ and acknowledged the foregoing instrument to be Vol unt y act and dead. NotarOy Public for Oregon Cy Ccmmiaaion Expires: a , 9 7P •. ....