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15980 SW CENTURY OAK CIRCLE Ll 00 q 'ri L4 t ti -4r, Hto W 1-3 I ' M H U t„ c t, h ko t_] c7 t'l It I I� -a td N tr u, E `l i @ H KR � o � 01 t Q 11 { r1 0 ill 13 0 r+ 0 13 15`386 SW CE,,hURY OAK CIRCLE y 70N IU xKU 127[m3o MS 0865 T T C co EL E O U C E CL 0 cu ' 1,4k , cn 1 7 I n `` � in {1i O c) I Ec , . ru C ` C-) Clru H C a E� is �. k,Ll cn rn • C� C C� �-7 � Z ry I O m G) Ln •-I • 1 p�J11,.Ullul7 ticrr�n s r.��.ra s, � t�anrty ` PLUMBING PERMIT NII holder of a valid plumbing contractors license is hereby 1 authorized to ;cruse plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not fess than four (Q) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all contractors and sub-contractors. I Owner _Addres4.1>:� < ! NUM6ER OF TOTAL PERMIT NO:S TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Ute only) P LS113EPiTIA L. Single Fernily-1 bath—+ac}t� _ 25.00 Ouplex—Each 1 bath unit 25.00 Additional bathrooms—each WOO Mobile Home Spate—each �w 15.00 INOIVIOUAL FIXTURE PEES -� 1 to So Fixtures in 1 building--each 3.00 111 to 100 Fixtures in 1 buitdi "80 2.50 101 to 200 Fixtures in 1 building--each 2.00 _ 201 or rnnre i'�.turet in 1 building—each MISCELLANEOUS Building �.wer-1st So It, 10.00 Sewer--each additional 100 ft. 10.0c Water Service to building T _ 1.0n Prvate Water 5 rams-each 100 ft. 10.00 w Ot,.er fspa<ify1. PERMIT for Plumbing Inspection Phone 639-4171 3%State Plumbing Contractor a- "" 1 ;^ � � -122 TOTAL ' y' !7 , RECEIPT NO. Issued By 1 1 City of Tigard INSPECTION REOUEST for INSPECTION TIME . PERMIT NO. : !SATE: DATE ISSUED:—LL OWNERS NAME . 7- -19•5-" iADDRESS : "U F.t-�, �.a K CO c It _.. CON'T'RACTOR :_zOT TEST. Air C1, Water p , Visual O , Laboratory p RESULT: Approved , Disapproved ❑ Pending O SKETCH: I kt I INS ECTOR DATE FK 0TE Attach supplemental toot data hast] ALL SPACES MUST BE ENDORSED PRIOR TO PLA17,1111M IS,-� (JANCE OrKILDING PERMIT DEPT. V"oFKS DEPT. L 2. to 11 — — -- __ _ _ i 5r CITY -T— ------- BY EXHIBIT "B" 15842 CITY OF TIGARD C RTIFICATE OF OCCUPANCY AND RELEASE OF : 'STRICTION The City of Tigard hereby certifies that the occupancy of the following described structure er premises with respect to which a reswrictiun of occupancy was, on _ March 25 , 1974, recorded in Book 967 , Page 7,15 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIMON OF PROPERM Summerfield - lot 69 As recorded in Book 32, Page 509 Plat records of Washinglon County, Oregon OWE: Mr. & Mrs. Albert Remily BUILDENG PERMIT NUMBER: 74-37 I BUILDING ADDRESS: 15980 S.L Century Oak Circle This is to certify the said structure meets with the require- mints of the Buildi .g Code of the City of Tigard and the above referen(-ed restriction is hereby released and terminated. IN W17NMS WHEREOF, the undersigned authorized officer of the' City o: Tigard han caused this certificate and release of restriction tr, be execut-i this day of 19? . Title: C STATE OF OREGON )ss. - County of Washington ) On this _ dray of y j G�u , 191, personally appeared before me the abo3 a nai iedL�, r, _, whose signature appears hereon r.nd ibp acknowledged to me that he executed the same in his nffical captr!t,y on behalf of the City of Tigard. Notary lic of(OgtCA My JikS4 exp res: z 7y .�•� h 1.;Lh THOMBSEN. Nromw of Mowds& Elsjran. BUOK ass f.��sss , _.............. n; E-+ (H��p F-1 STATE OF OREGON 1 A,)-e County of Washington fj ss and Elerti0mrond Thomsen, Recorder oof eCons that t s for sold co—",, do he..by certify that the within Im ,..hent o writing was received and ►xord;;d in book o r6cords No. _ of said Caurgy Witness my hand and s*al affixed. ROGER TNOAASSEfa, Director .�f Records d Electk,ry ELM w .+� ■� City of Tigard INSPECTION REQUEST ,.* for INSPECTI N TIME: PERMIT NO. : _ DATE: ,Z 6� DATE ISSUED :,—" OWNERS NAME :—Z--.Z2 C • ADDRESS:/ CONTRACTOR TEST : Air U Wo e►Q , Vieual [� , Laboratory p RESULT: Approved Disapprovi.d D Pending SKETCH: INOECTOR DATE IN-07V Attach supplemwal test data berets] r I I City of Tigard I INSPECTION REQUES7 � for INSPECTION TIME .' PERMIT NO. : I DATE: DATE ISSUED:_.:_L I OWNERS NAIVE :ADDRESS ' A CONTRACTOR :—� ITEST: Air CJ, Water [_] Viaual�;Laboratory c] RESULT. Approved Disapproved ❑ Pending L-] I SKETCH: i i INSPECT �# OR DATE [OTE: Attach Suppllmantal tolls data terat] I I City of Tigard INSPECTION REQUEST for I NS PECTI ON TIME : ��^ ` r,.e PERMIT NO.: Df;{'E: as DATE ISSUED:.1__L_ OWNERS NAME : ____ZGZ`- -- ADDRESS : ADDRESS : ` - 62 CONTRACTOR :— C -- TEST: A40 , Water ❑ , Vieual ❑ , Laboratory ❑ RESULT: Approved , Disapproved ❑ Pending ❑ SKETCH: SPECTl:1R DATE NOTE : Attach fucpitmen taI test data her027 City of Tigard INSPECTION REOUEST /n for INSPECT;ON TIME : ✓✓✓✓ � ' .� PERMiT NO. . DATE: a WINE ISSUED:---I--// ` `- 7 OWNERS NAME : _ AD DRE55 : _ CONTRACTOR TEST: Air ❑, Water ❑ , Visual ❑ , Laboratory C) (/ RESULT: Approved ❑ , Disapproved ❑ , Pending L] SKETCH: ` V- IN PECTOR DATE/ [NOTE : Attach supplemental test data heret] I City of Tigard . INSPECTION RECUES T X or 44 . INSPECTION TIME : '4 PERMIT NO. : DATE : DATE ISSUED:.�.L_L_. OWNERS NAME : ADDRESS : . CONT'RACTO R :— T2-- q�/Z- TEST": Air ❑ , Water [3 , Visual ❑ , Laboratory C RESULT: Ap )roved , Disapproved ❑ , Pending ❑ SKETCH: C_-4--�4'4-e�* c� -3 INSF�tCTOR _.DATE r NOTE , Attach fuODiemanfoI fait date hersfn mnc-TVVwl4 hG(,y CITY OF TIGARD MECHANICAL PERMIT SATE jf 8 7'/ PERMIT NO. RECEIPT NO. _/a o 9 3Y FEE p I 1. Permit shall 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 work to be concealed must be inspected before cover up. few Instellation 1191Replace F1 Relocation ❑ Addition 'ONTR. �, , , �, C7�, ❑ Alteration OWNER DDRESS Jit). //c WORK ADDRES cU�4� C�1 �'• APPLICANT �� ^�� AL --�� .� a ?,.� •�'-..a.. u TELEPHONE NO. URNACE - MANUFACTURER , r _/,�J yt ,� TELEPHONE NO. � � EAT Input rating (Btu Per Hour) S,_o 4 90 Vent Size Flus Size UEL OIL ❑ GAS❑D ELECT❑ OTHER OTAL SQ. FT. Top Floor Main Floor _<< 0 F' Basement GENERAL ITEM NO. FEE ITEC' NO. FEE )r Issuance of Permit 3.00 Boilers Over 50 HP _w - Under 100,000 Btu 4.00 A:rHandlliing 10.000 CFM 2r nrl tw er u r Handlin over loor Furnace Eva ora iv e Coo er Floor Vent Fan - -- iF:TM vent.; Went yu a em _ 0 f�air - Heat Cool n .OU o0 ?ilers n er H 4 00 mes c nc nera or 0 )i era o H .> omm. nc nera or 20.0 )iters o 0 H 10.00 -Other o =sted )iters o ISPECTOR'S COMMENTS PROVED BY DATE ISSUED BY q�JJ DATE Signature of Appli ant !'�' _ _ r r City of Tigard INSPECTION REQUEST _ for INSPECTION TIME:'-T'M—__ PERMIT NO. : _—_. DATE : -Y_/ 8_L.Z1 DATE ISSUED :---/--L— OWNERS SSUED :__✓0WNERS NAME ADDRESS: - ;1 �v-�l __S&A i�e CONTRACTOR : _-- _ TE ST : Air u, Water p , Visual (I-aboratory O RESULT: Apnroved,,FQ , Disapproved O , Pending p SKETCH.* —� INSPECTOR DATE [NOTE: Attach supplemental test data beret] PLUD031NG PERMIT APPLICATION Jurisdiction of INo. Type of Fixture Fee Permit No. '],1 -T .-P Permit fee _ Water Closets Toilets �►.% Permit Issue3 Bath Tubs Approved by LavatoW__FWash Basin) Building Permm1f Shower~ _ Receipt No. --- 7'Tn-k Dit Shwas_i�___ -- Sinks Kitchen Sinks Ordinary _ Location of Building Sin sZ Aar_ -- Y _Sinks, _S_l-op -- _N _Automatic DisEwas_er "- Di�o_al__ — Laundry Trajy -- Name & Address of Owner , '- Drains, wner , 'Drains, Floor___ -- Drains, Area _ -- Drains, ReT_igerator _ _ - ^Rain Drains _ ; ----- — - -- �Automatic Washer Name & Address of PlumbeDrinkingr l • _Fountains, Soda i Ho t Wa tee- Tank -- _ Water �e ry i c e (Size--- _ - --"--� --"----- Urinals Building (Ild_or_1�ew) (Alter. Repair or_ _ Catch=nasins =�_ ai -Lawn _Sprinkler System `- -�`—"---- Sw�rrun z n�P o o-1 � _-- --- _ Other, _SpLi.nkler System This permit, becomes null and void it' work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 1.20 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 ordinan-,es go-;•erning this ty-pE 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 k-ancel the provisions of any other state or local law regulating construction or the performance of c onsti-iction. Signature ofApplicant �� EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the 'ollowing described structure or premises with respect to which a .zgtriction of occupancy was, on March 25 193A, recorded in Book 670 Page 445 , Deed Record of Washington County, Oregon, is bereby authoriz^d and approved. DESCRIPTION OF PROPERTY: Summerfield - lot 69 As recorded in gook 32, Page 509 Plat records of Washington County, Oregon OWE: Mr. 6 Mrs. Albert Remily BUILDENG PERMIT NUMBER: 74-37 6UILDENG ADDRESS: 15980 g•W. Century Oak Circle nis 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 released and terminated. YN WITNESS WHEREOF, the undersigned authorizes office., of the' City of Tigard has caused this certificate and release of restriction to be executed this day of , 19 Title; STATE OF OREGON )ss. 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 My Commission expires: CITY OF TIGARD 11410 S. W. Main Street TIGARD, OREGON 97113 APPLICATION FOR BUILDING PERMIT New Construction � Demolig''. � Addition El Remodel El MoveEl i ?ONING / - ,o DATE ISSUED 3- /S BUILDING PERMIT DATE RECEIVED BUILDING FEE $_2y00 No. PLAN CHECK a J7- -01' �.SL` 3 J -- BY` OTHER $ y D D [tz��en,N� VALUATION -TeThL $ �1�f /yoSWe, RECEIPT No. W1>-- 7bT.rcr TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # _ G, _ MAP # CENSUS TRACT J – JOB # SC's G� _ Architect or Engineer •Ti : .,�r i•' I_�.�F�_lr_�5 Im,r , AddressC7['2 Phone Owner Address Phone — - Builder ------- Address _ _Phone BUILDING USE Single Res. © Multi Res. Comm. r-] Industrial L OCCUPANCY GROUP _ No. of Stories Total Height Area of Lot Type of Construction 1 II III IV rV 'Floor Area 3 QZ 13 Set Backst Front_L2__Q"BackL.Side6R.' deny Private Sewer Pipe Size " Sewerk",.. 1" #,. Septic Tank U Water Service Pipe Size_"_ Storm Sewer M Ditch L Drywell❑ Street and Curb RequirEa,ei, as .7riveway Width _I _ No. of Parking Spaces SEPARATE PERMITS REQUIRED FOP. SEWER AND PLUMBING SPECIAL TNF'RMATION ADDRESS ASSIGNED \%=CN FIELD CHECK BY _ _ DATE` ___ PERMIT PPROVED BY✓ .h l �s� It is unders'oud 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 he occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspertor. �t Signature of App i ant - RECEIVED 1I iF�R ;;,'� i9i G 39� EXHIBIT "A" ,ITV OF "C,ARD CITY OF TIGARD Residential Structure Occupony Restriction KNOW ALL HIEN BY THESE PRESENTS, that occupancy of resides' .1 structure (8) on Ll-z following described lands prior to the re :ording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibitod by the ordinance of the City of Tigard, Oregon: (The City will Issue a release as soon no a final inspection doterminee that the construction is satisfactorily completed) DESCRIPTION OF rRUPERTY: ADDRESS OF PROPLRTY; ���� /39po �, %. Ca.�ia.,.. 04 G.�L NAME OF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hen caused this restriction to be oxecoted this �y day of �=_or R , 19 OWNER: APPROVED: Title 8y: i ding OfFci— ity of Tigard STATE OF OREGON County of Washington B°' Y ) )19 Per orally appoarod before me the above named 4 and acknowledged the foregoing instrument to be voluntary act and deed. aa. / 2uw.►.�� No a y Public for/Oregon My Commionion Expires: F M. RCI;; M THUM98CN.rh w,%,al Ibee�d�6 [henen� r, 967 ,,%L745 y o �L -C Em tz L7 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Rostriction KNOW ALL (SEN BY THESE PRESENTS, that occupancy of residential structure (s) on the following duacribod lands prior to the recording of an occupancy pornit releasing tho restriction in the Deed Rocordo of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (Tho City will iaouo a :aloaao as soon ao a faacl inspection dotorminoo that the construction is oatisfactor' l rnm?lotud) DESCRIPTION OF PROPERTY: P'> Ei se. c_v... c�C_C1 \.� t�c.. e:'F� '� ...' 1 Q•�<+.\� �.C=+ ADDRESS OF PROPERTY: ADDRESS OF OWNER: �.,•..`�5 �... c _ .. . _,., ,_, \�. .v IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this \—.71= day of ��,�, � , 19y. OWNER: Nam9 APPROVED: Title By ui ding Uftirial City of Tigard STATE OF OREGON 111 7� County of Washington so. 19 ,z.L Personally appoured before me the above namod a, and acknowledgoc the foregoing instrument to he voluntary act and dead. LA L; Notary Public f, r 0 egon notary Expires: d. tiC' .