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9920 SW CENTURY OAK DRIVE-1 ko Uo N O Cn k. C-) O Cl cn 'o u r— � :3-; 114 O O CcD r*i r*1 3=t n ?] 07 •i 1 I "o Lf) r) H :i ) � r� 't tr�l N m a) rJ h-+ rt- m h' O i U X 'o m O rf (1) r+• W O C O n �7 n c+ 3 -+) 3 C J CT rY H 1 m CT l n -h Cr, (n CLi H w cn NI r• U :ED CJ •t om 'U r H o r+ cn N CL I m rY Cl r ►m' M rNY ~ 0 M 4 1 7 rl —1 i. M #_ < I X _ 71 rl I'l b -l 'o (J) U) 0 G-) -•1 C,7 Mr F'• m N r+ m H N P. G) ;D r• r C O E H �) U, f-) J 1 IU n 7' H m C E m n. H x- r— u n h 11 0 ro rr O-I lJ H N )-� H 'Ti H H• F-• � �jt m o a m D o ccnoF .1 I O 1-1 m (D X (A (q O r l P. (+- r-• r-t � r� C W l.7 U -I G 't O T. O O O rY n U 9920 5W CE:•1TURY OAK DRIVE: SAING MVO A2 OINSO MS OZ66 0 U 41 frCL 2: o ' 41 W 1- m Q O p C a� 41 cu LJ [J r� Q E N I C Ili +� 1 W 1 4.) -4 ► w C O N X } � W O •••1 c N 3 O c a7 •••1 -H H H .--1 1 F- O •N O O LL > ro U n C ~ C m '-I > J tD C] O O O U •r1 C C Cu Ga E _Y C4 a) •-1 ` 4-3 .-1 O N (U � a) N U (U W N clti N c4 w •.+ 3 0 p c c rt � En = la (7C1LJMCL W t� W U W Q O W ct p CL 2 ffin u F- W H � 1--1 O • W a 1 C! ~ I O J • w W O -I (a (U W I C (nRy u O C O O u7 r; C (0 t4 W O_ C 1 c -4 [Y L U C) •11 N u to (a r 1 ai aJ O I-, J M Cr 2 64 0 m H cu c n +) •.1tL -'t) C -4 m U) 4- t)t o CUD) W E: coa.) E -0 c 3,E 4 Ell,, a) IVx n O .-I W +� .-1 r• t (a a) (ti F- m m r1 E: Li W GJ n CL (n Li O J m I u 3 O M O� T OF 0C CITY Y CSF TIC_ ARD W OREGON � ,4 /e ... 74 . 142 Owner:..M�.....h...I�r.s....L ..Jl..Blum........................ Permit No...........-. .... . .. �F�? R Building Address..... . .9.9'Z.Q.. ...W.....G.ont.�tr.Y....Q.ak...Pr. v.o ........... ....... ..... Certificate is herebygiven this.....2Qth..da of...No.vembE.k__....__._ 19...2.4- s` that said building may be occu led and that it complies with all requirements of . the Building Code for the City of Tigard, pJ''•o..,-'=v�� as apl,rn.,pcl by the Tigard City Council. } - Building inspector r ..,r_ 2,_`F •ss..��.'u�tv "''=:"e'-r'.:S'r*, u:i .i: :'3 :�ecTf6c�dm' "'- ',a-+.«�-._:,e - - _ t�fr' /`�� ��ter �h 475 �a��.,•�/k� y} ,�a�l yf/ +,4,'y, {pn�'/; , �'�1:�,b �rt�,r�,.��n�y,��a�+ry7f Il'"' ���� :>oo••eee � a .cul. EXHIBIT "B" 9096 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF ITZTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy weep on Sept. 4 19�'i recorded in Book 984 , Page 282 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY¢ Summerfield - lot 85 As recorded in Book 32, Page 50, Plat records of Washington County, Oregon OWNER: mr. A Mrs L J Blum -- BUILDING PERMIT NUMBER: 74-142 BUILDING ADDRESS: 49243 S.M. eert-tetty Oak orive This is to certify the said structure meetr 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, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction r� to be executed this . .1c _ day of _,:, /,;,- , 19_ STATE OF OREGON )ss. County of War.hington ) On Vats 20}h day of hi—,mh,r , 19-", personally appeared before me the above named loris Hartin , 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 Pub c of Oregon My Commission expires: 113OtU M"R80k DbOOft M MuuM fir MINI, n p IV . .. ....` 500K�n�� P,AGE782 STATE OF OREGON County of Washington AS Ca I, Roger Thomssen, DirWPr of Records H and Elections and Ex-Officio Recorder of Con- H t veyonces for said county, do hncertify W that the within instrunxnt of writing was H received and recorded in bG.A of rycords H of sold Counfy� Witness my hand and *eat offixed. ROGER TNOMSSEN, Director of Records 6 Elections C� C� Deputy NOV ZZ IZ 50 c?% c.^ S 617 (l� �3 177 I I City of Tigard I INSPECTION REQUEST I for INSPECTION TIME: – PERMIT NO. '.--.– DATE: O. : -- DATE: �` - DATE ISSUED : Z OWNERS SSUED :_tOWNERS NAME :— I ADDRESS: ` 2 a ALA/' Csr lT�terJ 0� k CONTRACTOR : TEST '. Air El, Water❑ , Visual ❑ , Laboratory ❑ RESULT: Approved , Disapproved ❑ Pending L7 SKETCH; -Yq ' I I —;PECTOR Z , i IN DATE i C07C Attach supplemental test data beret 0j I 1 i ALL SPACES MUST BE 'F_''7"iZSrD PRIOR TO ISSUAI'ICE 07 EUILDItIG PElZ 1IT PLANNING DEPT. PUBLIC WORKS DEPT. BUILDING DEPT. Ly Date - 7 J- --------...--- -' -- ..date TUALATIN RUR1.L FIRE EP i. D,zt e APIROG:D P;^:' CIT'l u_ PERMIT # AbDRESS . . BY- _ TITLE DATE �jk'�.�t ��1;�r.,a;Xf'�&t�l�< �a}.i�zutY,'#+ii�rr:y:►a`s%�k , i + EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that thu occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on Sept. 4 `, 19 q recorded in Book 984 , Page 2B2 `, Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTYt Summerfield lot 05 As recorded in Bouk. 32, Page 50, Plat records of Washington County, Oregon OWNER: - r,, & &s. L,j.—F31uffL BUILDING PERMIT Numma: 74-142 I BUILDING ADDRESS: 9920 9.W. Eeritbry 3sk ¢ This is to certify the said structure meets with the require- ments of the Building Code of the City of Turd ar.d the above referenced restriction is hereby released and termLiated. IN WITNESS WHEREOF, "-s undersigned authorized officer of the' City of TI Bard has caused this certificate and release of restriction to be executed this day of Title: STATE OF OREGON ) County of Washington )s . On this _2nfl, day of nim„omh �, 19_jA, personally appeared before me the above named _Doris Hartin_ , whose signature appears hereon and who acknowledged to me that he executed the same in his offical (:apavity on behalf of the City of Tigard. Notary PubjYc­o?­Oregon My Commission explrest •.r d� s. City of Tigard INSPECTION REQUEST for � INSPECTION TIMI;:: Z' _ _'PERMIT NO. :____. DATE - �_1�• , '- DATE ISSUED :__I 0WNERS NAME : ^,Z" ADDRESS: ZL `a�S� i%,r�E,t'��Ec CONTRACTOR : _.L �• �`� TEST : Air p, Water 0 , Visual , Laboratory p RESULT. Approved, Disapproved 0 , Pending p SKETCH. INSPECTOR DATE NOTE ANach supplemental test doto beret CITY OF ..-.. ...,.., BUILDING PERMIT APPLICATION TIGARD DATE 8"30 t9 7t42 0 0 52 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN 'NDICATFD OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER FHONE -­ sI,. ADDRESS 9420 S.U. century C { QWNER ��//pp -- -- %GILDER PHONE �-- - Jame ENGINEER BLliDER —ARCHITECT DESICNER STRUCTURE -_ ❑N111V ❑PEMODEL ❑ADDITION El REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ODEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSOPATIO ❑CAR PORT ❑GARAGE O STORAGE OSLAB ❑FENCE ❑BOND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED 05!-is _ OC UPANCY_ LANI1 USE ZONE--BLDG.TYPE—­ FIRE ZONA— !LAN CHECK BYHEAT_ ---- -i Z4 r"cis : nn Ela 61 ma3ter bedrium to jo t t CC LOAD FLOOR LOAD - . : Q--COAD___ HEIGHT NO.STORIES AREA VALUE __ BUILDING DEPARTMENT SET BACKS FRONT REAR 20 LEFT SIDE 4 RIGHT SIDE Permit __-__-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN T4E BUILDING CODE, ZONING Plan Check - REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGr:EF.D THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN CUMPLIANCE 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 BUFINESS 1%State '116 LICENSE, SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,. f Total a•als By APPLICANT OR AGENT Approved Receipt No ADDgE55 DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE -' 9�•n c 1�C = — Contractor'�;;,H•�<<,, Permit No. i Roul t in --- -- Fixture Final _ HEATING — -- — Contractor Permit No. Gas or Oil —— — - — -- Iloujgh in Final SEWER Final _ DRIVEWAY — -- - -- �_ Final - — — --� (Rain Drain) Final — _— — Sioewalk Curb&Street Finvl Approach _ BLDG.DEPT. FINAL TEMPORARY CERTIFICATE `CCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final s i- I I City of Tigard I INSPECTION REQUEST for I INSPECTION TIME: PERMIT NO. : DATE: el,I 1�'V DATE ISSUED : I I OWNERS NAME '. �' - --_---- _— __-- ADDRESS:Z-oz: �CONTRACTOR : TEST : Air D, Woter p , Visual D , Laboratory Ej RESULT: Approved 0 Disapproved , Pendinp SKETCH: ��JJ ,07"y I ,j ��?T 5'S 3PECTOR DATE 5011 Attach fupplempntal test data berets MalIBIT "A" CITY Or TICARD Residential Structure O,:cupancy Hestriction KNOW ALL 1,01 BY TI{ SE PRESED83, That occupancy of r,zidential structure (s) on the following described lands prior to the recording of an occupancy permit releasins th. restriction in the Deed Roccrds of Washington County, Oregon, is prohibited by the ordinance of the City of Tigurd, Oregon# MSCRUITION OF PROPERTY: Summerfield - Lot As recordad in Bods 'AZ , Pa�;a , Plat recurds u, Cashing—ton County, Oregon. ADD,uiss OF PROPERTY: qq �('�—S Gv� (�ch��z�. Q k 17i�✓G_ NAME OF OWNER: Mi. �„ Mrs J, lv,� ADDRESS Or OWNER: 11130 :1.( T� ... r IN WITNESS WHEREO., the undersigned has caused this restriction VL to be executed this any of _��^�- xgzx. ' OFII`IER# 5 , Tual.n.tin DAY;. o:.Tlt ' Name Titlo Building Official City of Tigard TATE 0r OREGON 66. C (' County or Wnshingtor• ) �t � 19,�• Personally appeared before me the above narced and ncknowledged the foregoing instrumYt to be /w vol.untnry act aad dr.eWi,. �r, Public i Oregon :x.\ 0'71 MaiIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MGN BY TIME PRESED S, That occupancy of residential structur. (s) on the follywing described lands prior to the rec�,rcling of an occupancy permit releasing the restriction in the Deet Rocords of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon; DESCRIPTION 0r' PROPERTY: Summerfield - Lot As recorded in Book j" PaEe , Plat records o: Washington County, Oregon. ADDRESS OF PROPERM q91,0 r7� ;'�n�". ed D��5 17ri✓L ME OF OWNERS Mi ,7 11.i . ADDRESS OF OWI R: ,, "an i ,'j- 7& J Til IN WITNESS 3,11ME0 , the undernigned has cased this restriction to be executed this offTye _ c ay ofd 19,7 - 0Vi;M-R: e Tu�nl..�.titi DF e nment -ane. Jnr.�� 1Name Arm,OYED: Byrn A7 ,rr- Title /�2 By; Btiilding OfficialModcere 'j-/ ,w,t� ..r.�� ►jL ,n ..... .. City of TigFsrd ... � � 'FIUMSPEM.bluer MOW" Dr owe STATE OF OREGON ) s© County of Washington ) V 19.zl� Personally appeared before me the above named and acknowledged the foregoing instru to be /u volutltnry nct nrld flotn y public fc# 6ragon M:7._ VII�w..e0JV1 r+l.�c�u 50 984 MUM- 'ATE OR OREGON County of Washington I, R«+e► Thomssen, Dinctpr of Records and Elecrlo'ts and Er-Officio Recorder o1 Con- w canvas far said county, that the within Instrument ofb.�Y certify received and recorded In book afwrricov was Of said Cgmjy.__ _. Wltneu my hand and seal offhced. ROGFR TMpM$SFN, Director o7 Records 6 Eleetbry D" N+ us. 1p Q JUL 17 12 24 PH'74 x f 140'71. t•:11iIEI; „ CITY Gr v G'Vma Residential Structure O:cusriney Rc.tractioa All 1•::::1 By 7X-Si' NUSEE2•S, That occu mncy of residential structure (s) on ttu: folloWing described lands prior to tha recordinu of ar. occupancy pe:.ntt rc•leasinff tha reGtric:ion in the Decc. R.-cords f � of Washington County. Oregon, is prohibited by *ho ordi:.cnco of the City of T ZArd, Oregon: DESCRU'TION O? PnOMITY: Summerfield - Lot As recorded in Book %c� , raga <.7—D , Plat records of liashirnton County, Or-gon. j i j ADDRESS 0? PROPERTY: I �� 1 G✓ ���tt�rll� L°c 1�5 �f j«'- j I( r. 1" 07 MINER: Nli hits /_•. J 3I.•,� n ADDIMS OF 0147i il: 7ti J±Cx T•� CD C � � o $ o m l:, WIT:�MSI S WHEAEO:, the underaigned has caused this rostriction to be executed this l 1 day of ,1, x�,7 ' 1 m)lIntin Mc -rr.cnt C x'Irsnv. 11r,. itnno D �. I APPROYs;D i �y'T�-� /i •x-r ss " ►,tlo j r_.__ tiilding Oi i'icial ���1 _t�7L•a��:�.eNf r A:. nwl1 e.ce�d .. City of TiCArd R yy rnu►tsatN.ttir.n•e•d .*."'�a tlsabm _._.....lr A. nt OF OREGO CouN County of iKington ) , 19zk� /1 i /,per6onally appeared before me the abovo nnmed and acknowledged the forc&oina instru f. to bo j volUr.tory nct and decd. llt.bw.�.✓ `Y .t�fwrt._.. •v•otn y Public f9i Oragon ( sm[''roe CITY OF TIGARD 12420 S. W. Mein Street TIGARD, OREGON 91227 APPLICATION FOR BUILDING PERMIT New Construction 1A Demolis't Addition Remodel ❑ Move ZONINGDATE ISSUED G'�'S��7) BUILDING PERMIT DATE RECEIVED BUILDING FEE $ Ji/..�7s No. /( 2� BY f /� PLAN CHECK $_ VALUATION $ OTHER/1 e1&.+i•1 TOTAL /%• 4r.rt• $ RECEIPT No. lety-0 _—eorZN V —.-------- 4"4 TWO SETS OF PLANS AND PLOT PLA S E FURNISHED WITH APPLICA' 1N LOT !1_ 5 MAP A_ ____ CENSUS TRACT JOB Architect or Engineer:��1( 1-1 - - :t Address 1f3eK:? .u7 Llle*�' A —Phone [,•3 i�1C�1 I Owner- r. a L..J. t�XaLvx --- ---------- Address �, 7b7--~*_TTrtLcco _ —Phone —_ Builder - Address _ —.-.---Phone— BUILDING Phone—BUILDING USE Single Res.^❑ Multi R,_s. ❑ Comm. L] Industrial.❑ OCCUPANCY GROUP _a:�� No. of stories__? ?_ Total Height-____-- Area of Lot------- Type of Construction I II III IV j v Floor Area B1j910 lb , -� d Set Backs s Front_��-� Backe !(i L.Side-6,— " R 'ide 6L-0— 1 Private Sewer Pipe Size y u Sewers Septic Tank ❑ Water Service Pipe SizF-�Y-91 _ Storm Sewer Ditch ❑ Drywell❑ I Street and Curb Requirements_C,5 Driveway Width r,E21No. of Parking Spaces` SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BY_`___ PERMIT APPROVED BY t/ It is understund that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Ticard, Oregon, and that the building will not be occupied until a Certificate of occupancy has been issued by the City of Tigard Building Inspector. S gnature of Applicant 1 CITY OF BUILDING PERMIT APPLICATION TIGARD DATE_�� THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFryICATIONS. OWNER PHONE OWNER !. • /?L.,_'�. ADDRESS 2224- j lG TI/T� �..Q UQ ILDER PHONE ---- ENGINEER �• ARCHITECT DESIGNER BUILDER �-'1 _ -- 51RUi( URE NEW REMODEL OADDITION CREPAIR ❑RENEWAL ❑FIrr .1 R�EDAMAGE ❑DEMOLITION ,RESIDENCE CCOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSCPATIO ❑CAR PORT ❑GARAGE l_ STORAGE❑SLAB ❑FENCE ❑BUND ❑MOVING ❑CONDITIONAL USE El DESIGN REVIEW CCOUNL. L APPROVED ❑SIGNS _OCC_UP_ANCY�-LAND USE ZONE. BLDG.TYPE .J FIRE ZONE-3 PLAN CHECK BY��t'JJ�• — HEAT_____---- -- UCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE / )/� BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE ------- ----- -- =i�.� Permit-- — -- _- — - -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Chetk 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 RecordinALL 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 APPLICANT OR AGENTApproveFeceipt No. PHONE L INSP, TYPE INSPECTION REMARKS PLUMBING DATE Contractor-_YNLtoo- Permit No. --o 6 NOT mit/iF Rough-in -)104) UN7) / - -4% j Fixture 43 fX1,V=C e—Arour Ar Final HEATING Contractor Permit No,&: Gas nr Oil Rough-in Final SEWER Final DRIVEWAY Final Storm Dra-ma e (Rain Drain) Fin.1 Sidewalk Curb&Street Final A roach BLDG. DEPT. FINAL. TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUFANCY Final Landscaping Zoning Final