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15810-15850 SW GREENS WAY-1 • ... ..„w•.n+.n....•ww•+M.�*•w+.r. ntiyr ..qM t, PP co�c 'N-, L4 • O CJI \ � r M O t C1D z � j1 Ln �. Lo Ul OLn N 000 T ,1e Ln `� M1" yt N .i �, N N ( ► , t� w v Uj Ij \� O W tW W u, Wrl r lU �. (P ILI (((fffiii � }�c '� •'� I ' 1 r ibr N QJ U! U U LU IM J J H 1 .7 Q h i � n•e `C rP rl O l 3 15830, 15840, & 15850 SW GREENS WAY AVID 13NSSED MS OSgS-C 19 'M79t3l '0£SyT acr - CL IN E i 1 r� cl 04 CC lit O ! I I I ) I 1 �- ply, ,r, \ "r o 1 \, � m fs7 y 7 rn �f i >.4 40 t '41 lie r Ln Ak Ln —1 O .] cc) Ln til w � r, r �•_ H r.; r a 'i cv • ut i'1 u7 -1 f 1 EEMB1T "B" 85'7'7 CI9 Y OF TIGARD CERTIFICATE OF OCC'JPANC'f AND RF,LF.ASE OF r.;'1?t :rION The City of Tigard hereby certifies t,-At Lhe occupancy of the following described strucL':re or premises with respect to which a restriction of occupancy was, on s ch 1 , 19_74, recorded in Book 9b4 , Page �! �;o� , Deed Record of Washington Coun`,y, Cregon, is iereby authorized and approved. DESCRIPTION tr PROPERTY! Summerfield - lot 130 As recorded in Book 33, Page 219, Plat -mcords of Wasninnton County, Oregon OWNER: Tu%letin JjRU_Uj"mRnf. BUILDING PERMIT NUMBER: 74-24 I BUILDING ADDRESS: 15810_S.W. GregnpkQy This is to certify the sR;.d FLrueture meets with the require• mer.ts of the Building Code .).' the City of Tigard rand the above referenced restriction is h_reby r(rleased i.i,d tf.nnirvited. IN WITNESS WHERFUP, the undersigne r i ,rized officer of the' City of Tigard has cauo-d thin certi.fiaale nn' r:lease of restriction to be executed this ��L__r_ 'gay or 19 7f' -- /,I ,--" -, TED .� }�lor •c�6J 4TATE OF 01MON )Ss. County of Washington )' On this _L'f!k4 _ day of , LC sK� _, 19 `r'F, personnlly appe3rrd before me the al,o to iVAmad _ 8y i, �_, whose signature appears hereon and whc Acknowledged to me hat he executed the same in his offical- capracity on behn.1f of the City of Tigard. Notary PubbYYie of Oregon My Com`is,;ion expires: — _. d 11Mrotd� C'MNAM F 1 P0�1 ror•r�rd.1............:.... 11.�....ot D� ...._..RM.� t { +n Rr�GCR THOMRdEN. n� pnlyl r�eearitr�ssueeeerseu�.. ti '. yy� pU E Sri � /. '.. .`.I; ..y/ /•`,.�r .,y„gyp.,.yK1y t'.7d4'�, I,, �1a i 4'1114 f� O C l O l (Ji I � I/V h G CIT` OF TIC��` RD C'Y ; P ; + I OREGON � rd Ihivalati. ... . . . . . Vo..Crner:........ . -• -......n4....... ...................... .. . 7 . Building Address.... ,58,1Q...S...W•...�.r.den.ew.ay.............................. .......... ........... ,. Certificate is hereby given this.....LAO...(lay of.....N.a.ve-mb.er........ 19.7.6..... that said building may be occupied and i that it complies with all requiremetits of the Building Code for the City of Ti .a d �' as approved by the Tigard City Council. . y . I Building Inspector Res �. � b=:c -•,"rre''..��"...'�1-_'S�r. T;iT - .r�xIl�J f�� TisTiCad�..�"sc�: •J°v A`y�'{�� :•.b �.Iii�^3,'7 - -e_ .fit' �, + , '�.' ''� r� � �I •;,,,'�f' �.I` fs "tip +� U. r City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. ' -- I DATE :�1'1'1'_;L DATE ISSUED: _j I OWNERS NAME : ADDRESS : 2.7 CONTRACTOR _—_ _— -_-- --_____-- ITEST. Air [], Water p , Visuai D , Laboratory 0 RESI'LT: Approved , Disapproved 0 Pending �] SKETCH:� �~ I I I I INSPECTOR DATE [NOTE : Attach supplemental test data here t- J ■ ALL SPACES MUST BE ENDORSED r'RIOR TO APPROVAL OF THESE PLANS PUOL.IC WORKS DCPT ©Y/S/���-�� D.�TE�J��� I PLr%NNI:dG MPT. DY—_---- DATE_ -- DUILD:NG DCP'P. DY. -- --. .. DATE_ COUtP17Y 1-i;_i^.:.TH CEPT. DY._..__ _. DAT!_..---------_._� I CI ',D!,4lN'ST:"TOR By—-._- --, UATE._.---_-- 7;G:. D 1V'.T E:: •:':T. BY­ __-- _-- DA 1 E_____-_- i G3NSnA.L T::La'JHONE BY T___ DAT^ N. W. K%TUBAL GAS T. R. F. D, BY DATE-- .. - 1 1 I City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT DATE: G7 L DATE ISSUED :__Z Z OWNERS NAME :r %' _ _-- - ----- -- CONTRACTOR : - TEST ONTRACTOR : _TESTAir p, Woterrj visual p , Laboratory p t RESULT: Approved O , Disapproved O Fending n ' SKETCH: � I I I I I I I�TOR DATE I [NOTE .' Attach supplemental tett data bereto� I ALL SPACES MUST BE ENDORSED PRIOR TO APPROVAL OF THESE PLANS PUBLIC WORKS DEPT. By DAT': PLANNING DCPT. BY-- DA—.E DUILDING DEPT, BY_ IDA7.- COUNrY HEALTP OF-:PT. ----------- CITY ADMINISTRATOr BY TIGArD WATER o: ST. By DAT!77 GENERAL TELEPHONE DY__ U S A BY_ N. W. NATURAL GAS Oy­ DATE P. G. L. ... DATE T. U. F. D. DATE-- r' ity of -Figard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO. ' DATE: 40' /42-7�' DATE ISSUED-.--Z-/_ OWNERS NAME : ' : - • ADDRESS : ,SOTCONTRACTOR : _ _-- _ -------__-..-_ TEST'. Air El, Water p , visual 0 , Laboratory �] RESULT; Approved ' , Disapproved 0 Pending G SKETCH* INSPECTOR _ DATE COTE : Attach t •pplemental t#tt data heret�� ALL. SPACES MUS " BE ENDORSED PRIOR TO APPROVAL. OF TI-IESE F LANS PUBLIC VORKS DEPT. BY DAT— PLANNING AT -- - - A PLANNING DEPT, py UATE- 6U'LDING DCPT. BY _ — bATE._ COUN'tY HEALTH C'-i�, UY___ -- DATE._.._-_ CI''Y ADMINISTRATOR Uy -. DATE __ __, TIGARD WATER a 5T. Rye — - -- __ - - DATE_____ GENERAL TELLPHOtdE — USA 6Y__. .__ __w_— — r.'.T:S.... . - N. W. NATURAL GAS EY.._-_----------- D P. G. E. nY T. P. F. D. BY_ --- DATE_ I I I I It i City of T q��rd INSPECTION REQUEST EST � Q for INSPECTION TIME: iY PERMIT No. : UATE: _' //Q"Y-* DATE ISSUED :—L-1— OWNERS —L-1OWNERS NAME : - 0. C- _ ADDRESS' 1-QZ� /37 C O N T R A C TO R : ------ __. _--- I TEST . Air ❑, Water[-j , Visual 0 , Laboratory p I RESULT: Approved Disapproved C Pending [] SKETCH: I I I I I INSPECTOR DATE i IrlE Attach supplemental teff data beretp, I 1 ALL SPACES MUST BE ENDORSED PRIOR TO APPROVAL OF TI:ESS PLANS PU©LIC WORKS Df F T. BY/ GI -4?� [� (,� DATEa �lvv—_ PLANNING DSP'. BY---- DATE--- BUILDING DEPT. BY__ COUN'rY NEALTII D4PT. Dy._ DATE CITY ADMINISTF ATOR Dy DATE-_ TIGAr'D WATER - , . .T. BY... OATC---..._.. GENERAL TELr.PMV :E F3Y__.._._ - --_ _._ C%; s.-- U S A BY •. Tr. N. W. NATURAL GAS T. R. I-. D. I i w, City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE' 4 //7/.71" DATE ISSUED:--LJ- OWNERS SSUED:_..L1.OWNERS NAME : --- ADDRES S : -jL—.c.' 7— CONTRACTOR ' TEST' Air 0, water (] , Visual 0 , Laboratory p RESULT*. Approved � , Disapp •oved U , Pending [p SKETCH: INSPECTOR DATE { CNOTE : Attach svpplemental test data hereto, ALL SPACES MUST SE i-M)OPSED 0' I*F;L7-.iC- PLANS L"!-'C 'IVORK�; CCPT. a y DITM DLr'T. L7Y—.- OWL01PIC CITY !-114,,N!!STW,-,o7 TX GENERAL Tf.L--Vllo:qC u U A MY 14-W. 14AI LORAL GAS P. G. E. 13Y.-- D, T. R. F. M. City of Tigard INSPECTION REQUEST I F. for INSPECTION TIME : PERMIT NO.: DATE: /��/�9 DATE ISSUED:--L- 1-. OWNERS NAME : 7----e,' ADDRESS : /-Ot CONTRACTOR : __.____ TEST: Air O, W or O , Visual CJ , Laboratory O RESULT: Approve , Disapproved O , Pending [] SKETCH: a I PECTOR DATE COTE : Attach supplemental tam; data heret' ALL SPACES MUST BE ENDORSED 'IOR TO APPROVA'r OF TI-ZjL- PLANS pUr,I_IC Worl<s DEPT. PLANNING DEPT. OATS. rojlLL)JhJG 017PT. CY-- COLINTY HTALTH r)r','T. Cl-lY AD!,flN!ST.q,,,,r,)R TIGARD WATZil' 4!ST. GCN=WiL T`_'L-.-.piio-4r- J 15 A N. W. NAYUWAL. GAS P. G. E. T. R. F. D. r; Cily of Tigard INSPECTION REQUEST 4 for INSPECTION TIME :_ PERMIT NO. : DATE: (' IIZI, 1 DATE ISSUED:.._.L Z. OWNERS NAME : Z-- U C_ ADDRESS : L o T 1 3�, _ CONTRACTOR :-- TEST' ONTRACTOR :TEST: Air ❑, Water U , Visual ❑ , Laboratory ❑ RESULT: Approvedx Disapproved ❑ Pending p SKETCH: INSPLCTOR DATE NOTE: Attach supplemental test date heret] i ALL SF'r,CL=J ('.UST DE ENDORSED Pf217 O F�i'�'"'7/ ��_ � 1 i, =SE PLANS �)) r PUBLIC: WORKS: PLAhJrd!-:G DEPT. DUILDING O_I' _ CITY GENERAL TLL- t USA N. W. Nr,Turlr,L GX:, P. G. E. BY—._._.-T. R. F. D. -3 ji i l CUD y3-i 3 To CITY OF TIGARD MECHANICAL PERMIT DATE �� PERMIT N0. 7 y RECEIPT N0. y 9 BY l•��.�/�/'�� �'f!r'i,Lti�;i�. _� FEE _— '� 0--2- 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 tc, be concealed must be inspected before cover up. New Installation lam, Replace ❑ Relocation ❑ Addition [:j Alteration CONTR. t�-_�----- OWNER .J31b,4-� ADDRESS ��i �C� I�Ct/ /!� �'`� WORK ADDRESS /aZo l APPLICANT J TELEPHONE NO. FURNACE - MANUFACTURER [(fin? t1�2_ TELEPHONE NO. HEAT Input rating (Btu Per Hour) Fy (,n Vent Size 5 Flue Size -- _ FUEL OIL U GAS 0 ELECT ❑ OTHER TOTAL SQ. FT. Top Floor — Main Floor /i� �_ Basement _ — GENERAL ITEM NO. FEE ITEM NO. FEE For Issuance of Permit X _x.00 Boilers Over 50 Hp_^_ New -- Under 100 000 BtuX 4.00 Air Handling 10,000 CFM r_ New Over 00 0 0 B u _ Air Handling Over 10.000 CFM Floor urnace4-600 Evia ora ive Cooler . � Wall---Floor - uspen e Ven- - Installen • fenTd Sys�£em� ,0 , Repair - Heat do Cooling— oolin x+.00 Hood _ 0 Boners- -Un er A 4.00 DomFs cc nc nera 0 Boi ers 3 i o 7.50 Comm-1—�n�ci_nerator _ 20.0 Boilersrl 0 10.00 rl or�o� Lc3�"_ • Boe r s U to _�_ • _..____._r--- _ TNSPECTOR'S COMMENTS APPROVED BY DATE __5--Qh_I ISSUED BY _ DATE Signature of Applicant - USIy - TOSS/3 CITY OF TIGARD MECHANICAL PERMIT DATE_ i PERMIT NO. 5/_eJ-W7 RECEIPT NO. /e/97 BY _�'/��/�j �i f.,,i�• � „ FEE 1. Permit shall be obtained prior to commencement of inEtall:,tion. 2. Permit shall be obtained for all appliances which are to become afixture to the building. 3. Relocation, replacements, alterations, or ciianges to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New InstallationReplace �� Relocation ❑ Addition 4 AlterationEl C ONTR. lJ;T �t' __._. OWNER_ ADDRESS /`� rn � /� M. WORK ADDRESS APPLICANT �r� TELEPHONE, NO. FURNACE - MANUFACTURER _ !� - �;?/1 TELEPHONE NO. HEAT Input rating (Btu Per flour) Cop Vent Size Flue Size ^ FUEL OIL U GAS ® ELECT OTHER — TOTAL SQ. FT. Top Floor ---- Main Floor _/L62L Basement GENERAL ITEM ITEM NO. FEE ITEM NO. FEE For Issuance of Permit .00 Boilers Over 0_Hp 95 0 New - Under 100,000 Btu 4.00 Air Handlin&_l0,0O0 CFM 30 New - Over OO.UO Dtu_ --s-_00 Air Handling Over 10,00-0 C; nrl Floor, Furnace 1+.00 Evaporative Cooler 3-foci Wall :7-Floor - us en e . iTritPaan "`- -- 2 Qd Ins aiVenis— • Vel---stem----- _ - 0 Repair - Heat do Cooling .00 Hood Boilers_Under 2 H` 4 00omeaiic n_cinerator 0 Boilers 3 to 0 omm,-inccera`ior- 20.0 Boiler-s-77-To-70 Hp 10.00 er o� Lisiecu Boilers 7 to_ p .7.3.oo INSPECTOR'S COMMENTS APPROVED BY1 DATE S-,1!-7 ISSUED BY _ DATE Signature of Applicant I _ 41595 CITY OF TIGARD MECHANICAL PERMIT DATE 14'elll J/ PERMIT NO. 7S/- y07yJ — RECEIPT NO. _10 BY —� ,fl;111 ���_ f�Z� _. FEE 1 . Permit shall be obtained prior to commeicement 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. New Installation 1A Replace ❑ Relocation ❑ CONTR. Addition Alteration U�c f'rl1r /7 ___-- OWNER ADDRESS / 5 3l/r f,, — WCRK ADDRESS APPLICANT FURNACE - MANUFACTURER21 TELEPHONE N0. —•_✓-> _ /-�i�.f� �_ TELEPHONE NO. w _�- HEAT Input rating (Btu Per Hour) _ � ,� Vent Size _J Flue Size FUEL OIL U GAS © ELECT U OTHER - 70TAL SO. FT. Top Floor Main Floor —Z-:2-!Z� Basement _ GENERAL ITEMNO. FEE ITEM N0. FEE For _Issuance of Permit .OU _Boilers Over U H New - tinder 100,000 Btua 10-�-- — 4.00 Air_Nandling 101000 CFM New - Over 00 0 u -' - --� __ Air Handing Over 1 00er 00 CFM h'lc-or F icor Eva orative Cooler �- oor uspende -T; - ----fin ari _ _ Ies en s _gys a --- R'e- air_ Heat & Coolin __ .00 Hood - 0 Boilers nder I; - 4=00 domes c Tnc�nerator____ �- J Boilers �� �o-mm:' n.�ner o- Moijp-rs oi orsto 0 H 10.00 er os�f --------- _ 20.f 0 t o --- ------------. Z. �r -- -- - INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY DATE #� y CITY OF TIGARD MECHANICAL PERMIT DATE iv _ PERMIT Nn, - 7S/-91-,W RECEIPT NO. 13Y — /(f �' • 1y �, _ ----- FEE _ 7-0 -- 1. Per mJ t shall be obtained prior to conunencement of installation e' 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. r New Installatior U Replace ❑ Relocation ❑ Addition C Alteration ❑ CONTR. ;���c-tom�c� 1��' _f��._____ OWNER ADDRESS / 5 cin. � _ ' `._ __ WORE ADDRESS �`_/1Laa lU APPLICANT f��&Z,17, TELEPHONE NO. �2 5� - C-2 FURNACE - MANUFACTUiiER aye = �!y�,�y� --, TELEPHONE NO.. _ HEAT Input rating (Btu Per Hour) _ �� C?C7C�_ Vent Size _� Flue Size FUEL OIL ❑ GAS IL-1 ELECT OTHER TOTAL SQ. FT. Top Floor ""`� _�_ Main Floor Basement GENERAL ITEM NO. FEE ~� ITEM NO. FEE For Issuance of Permit _ x.00 Boilers Over 50 Hp-- New - Under 100 000 Btu 4.00 Ai.r Handling .1.0 000 CFM - '�-1_ Air Handling Over 10, CFM New - Over 100,000 Btu — p --- Floor Furnace ~^ x+:00 Eva oratiye Cooler __ •r. lla'll =F].00r Su p ended x.00 Vent ran _ Q Install Ve�;s�� ILII Y'Vent SYs-mem �3 0 Repair - Heat & Coolies 4.000 Hood Noi.lers Under 3 I p- _ - 4.00 Dames Inc�nera r 5 0 Boilors 3 to 15 HjP �., 7.50 , - --CoFm.~Inc nei;aFor F3oilers 1�?5 to 30 Hp 10.00 Poi:lers 300 50P -7-5.00 INSPECTOR I S COMMENTS _....- APPROVED BY ?.ATE _.3o�!'7c ISSUED BY __­ _ DATE -—-d-t L 1:(4-- ' dX* LI L Signature of Applicant I I I City of Tigard INSPECTION REQUEST for IINSPECTION TIME :- �'1� ' PERMIT NO. : ------- DATE: ._ O. : .____.__DATE: ._ LZL�Z_ DATE ISSUED:— / I OWNERS NAME : ` I ADDRESS : I CONTRACTOR ITEST: Air ❑, Water p , Visual ❑ , Laboratory p nESULT. Approved , Dieapp►oved 0 Pending p KETCH: � I cw I I I I - -- - -�-�L?� 11WKCTOR DATE NOTE At tach supplemental teff dOfo hetet] i I I City of "Tigard INSPECTION REGUESI for IINSPECTION TIME : A111, PERMIT NO. : I DATE: '-/ '// 2y DATE ISSUED:.—/ Z OWNERS NAME : •�'- AAURESS u4 I CONTRACTOR TEST: Air ❑, Water p , Visual p . Laboratory p RESULT. Approved , Disapproved 0 , Pending L] I KETCH: I I I I C 7 I PECTOR DATE COTE Attach supplemental test data heret] City of Tigard INSPECTION REQUEST for 18PECTION TIME: PERMIT NO. :— DAT E: S/ !L: DATE ISSUED : I Z- WNERS NAME : -rte_ ADDRESS: . � �'-��y •,,r_urc ( _ ONTRACTOR : ----------- - 'EST Air ❑, Water[) , Visual CJ , Laboratory [] IESULT: Approved Disapproved ❑ , Pending ❑ KETCH: ,� 3 7- �ov�' p Ae l-o vclo l T> I FEC t OR DATE OTE : Attach fup;ilamental tact data ba►eta] City of Tigard INSPECTION REQUEST for, _ ._._ INSPECTION TIME: PERMIT NO. : DATE: SLLLl.,!K DATE ISSUED :- I Z OWNERS NAME : _ 77D, if- ADDRESS: -.X6 -302b-52- CONTRACTOR : ------- � -- TF_Sl : Air p, Water[] , Visual Laboratory p RESULT: Approved I Disapproved Ci , Pending [j SKETCH: INSPEC'T'OR DATE NOTE ' Attach supplementc! +e:t data bareta] I F I City of Tigard INSPEC110N REQUEST for IMPECTION TIME: PERMIT NO. : - DATE: _ rL'j?y DATE 13SUED :_L-L_ OWNERS NAME : --- ADDRESS: CONTRACTOR : - TE ONTRACTOR : _TE ST : Air 0, Water 0 Vi sual [] , La bor story r] RESULT: Approved , Disapproved O , Pending (] SKETCH: 197P-?EC T 0 R DATE _ I NOTE: Attach SUPPIlmGmt6l tuft data Sfar�to] I I i �J City of Tigard I NSPFCTION REQUEST for NSPECTION TIME: -4-- _ PERMIT NO : DATE: S' L %1 DATE ISSUED :--L-/ )WNE'RS NAME : 7-,0,(', ADDRESS' -.:3[Z .'ONTRACTOR : ,- rE ST : Air 0, Woter o , Visual o , Lcboratory o RESULT* Approved � , Disapproved n Pending C7 I KETCH. 3PECTOk DATE I PTE Attach supplemental test data beret;] -- — . _ ., _ -- _.... _...._...r..r .._._.......... I City of Tigard . INSPECTION REQUEST for INSPECTION TIME : 3 _ PERMIT NO.: DATE: I 7 DATE ISSUED: L_ OWNERS NAME : ADDRESS : CONTRACTOR : TEST: Air p , Water p , Vieual p , Laboratory p RESULT: Approved , Disapproved [3 Pending SKETCH: ✓INSPECTOR DATE INO'E: Attach +,uorilementol test dote here 1.7 1 Cify of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: DATE . DATE OWNERS NA ­ _�r5�_. ., I, CONTRACTOR :- TEST: ONTRACTOR :TEST: Air O, Water ❑ , Visual p , 1,^ooratury RESULT: A �A Approved , Disapprov , Pending p SKETCH: 1 A/0 INSPECTOR D74rE CNOTE: Attach supplementol oats hereto i I City of Tigard INSPECTION REQUEST for INSPECTION TIME :----- PERMIT NO. : ._ + DATE : ._ Z_ DATE ISSUED'._.LL OWNERS NAME : -t%. _ —.-_ -- I ADDRESS : /C--) 7- / �c - ----- _ ---- I CONTRACTOR : ___.. ------------_. - ---___..___ TEST . A r J, Water ❑ , Visucil ❑ , !_a'• ,ratory r RESULT: Approved ❑ , Disapproved _I , Fending I SKETCI ,n,/?9•,,*w- T t ,,V %l/, rt-J-7c I I INSPECTOR DATE supplemental test data hereto City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: DATE: DATE ISSUED:_ OWNERS NAME : T ADDRESS Z-2 / .340 i CONTRACTOR : TEST: Air ❑, Water p , Visual [I , Laboratory p RESULT: Approved ❑ Disapproved Pending 13 SKETCH: cr'c -7C'1i� Al C I 1t�"f SPECTOR DAVE COTE: Attach supplsmentol boot data hereto] CIT; OF TIGARD MECHANICAL PERMIT DATE PERMIT NO. �_ s'1-A _ RECEIPT NO. /Jyq j BY IIl�,'/'. ,, .,, ��,�.�. --- --- FEE _— — 1. Permit shall be obtained prior to commencement of installation. ?. Permit shall be obtained for all appliances which are to become afixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed mi- ;- be insp., cted before cover up. New Instjdlatio Replace ❑ Relocation ❑ Addition ❑ Alteration CONTR. cA '4 OWNER ADDr,ESR /:i C7 A /l�1. //(r WORK ADDRESS /I6J�.56 • (d q),7�/01P, APPLICANT .✓ TELEPHONE NO. FURNACE - MANUFACTURER TELEPHONE NO. HEAT Input rating (Btu Per Hour) 0^ neoVent Size Flue Size FUEL OIL [A GAS E ELECT ❑ OTHER TOTAL SQ. FT. Top Floor _ Main Floor Basement GENERAL ITEM NO. FEE TTEM NO. FEE For Issuance of Permit X00 Boilers Over 50 H� New - Under 100,000 Btu x OC` _ Air Handling �1000 CFM New - ver . OU.O Btu _ 5 _AirHandling Over 10.000 CFM lour 7urnace _ Eve oratiive Cooler Wa3� - Floor - upon e G� � n=an _ Y Install Vents ✓end aye em _ Re iairr •- Heat & Coote T00 flood — Boilers Under 3 H 14.00 _—Domestl ncinera or— 0 Boilers T .50 comm. 77 nera or 20.0 Bogs I5 0 0 _ 10.00 — der Boilers o =� 00 INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY DATE A-11 SignatuW of Applicknt (L C�" F . 4409 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL 1-2N BY UESE PRESENI'S, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy cnnit releasing the restriction in the Dee" Records of Washington Count;;, Oregon, is prohibited by the urdinance of the City of Tigard, Orej,on: DESCRIPTION OF PROPERTY; Summerfield - Lot , As recorciad in Book � 3Page Plat records oI 'naBhington County, Oregon. ADDRESS OF FROMIT NAVE OF ObrJER:�'. C.• . ��e v r,J4Jw,r + ` � liDD{F5S OF OWNER: 15 ".C—X `. u_% �sc,rJ iN WITNESS 'dMREOF, the undersigned has caused this restriction to be executed this day of 1 9,Z/ OWh'F.R: APPROVED: � trams Title u� Siding Official at'.—Id �y�N a� �. A M VW City of Tigard n pl c n ." .,Iia., ",r.ti El.,"''A STATE OF OREGON County of Washin_ton ) 19 �ersonally appcnred before ae th^ above na"id and aci,r.owledged the foregoing instrumen bo voluntary act and deed..=— ,_ l of y p;tbl.iu MY Commission Expires; IMF Jy wo U d Igi F�� *31 s�-r i i i I City of Tigard INSPECTION REQUEST T for I INSPECTION TIME: _ PERMIT NO. : DATE: Z �ell--3 DATE ISSUED : I OWNERS NAME : -- Al AME :AD CONTRACTOR TEST : Air p, Water Q , V isual U , Laboratory p RESULT: Approved 0r , Dibapproved [I Pending [] SKETCH. y I I I I I 14SPECTOR DATE NOTE: attach supplsmOntni test data beet] I I City of Tigard INSPECTION CTI N REQUES T for INSPECTION TIME: PERMIT NO. : _ DATE ` fir'' DATE ISSUED :—" I OWNERS NAME : ADDRESS: CONTRACTOR : 'C- TEST . Air Q, Woter❑ Visual Laboratory p RESULT: Approved oisopproved O Pending p I 1 I I INSPECTOR DATE I INJtQ: Attach supplemental toff doto herttGj I .J I t I Cit of Tigard gard INSPECTION REQUEST for INSPECTION TIME: . PERMIT NO. : I DATE: _ - ` DATE ISSUED :--L—/— I OWNERS NAME : ADDRESS: CONTRACTOR : TEST : Air [], Water Q visual Laboratory O RESULT: Approved 6Dis4pproved O Pending p I s KE1'Cal: I ee; >l= IN8PEt;TORATE I [ots: Attoor supplemental toot data bereto] I 1 , I I City of Tigard I INSPECTION REQUEST for crzj�C� INSPECTION TIME: PERMIT PERMIT N0. DATE: 217 DATE ISSUED :- I Z OWNERS NAME : :211)' CL� �y,....�, ADDRESS: CONTRACTOR TEST : Air p, Woter p Vievol, � , Lat oratory p RESULT: Approved Disapproved G Pend;nQ [l I SKETCH; I I I I I INSPECTOR ATE I [:NOTE.* Attach supplemental test data beret] I 1 MISSION City of Tigard INSPECTION REQUEST for s MPEMON TIME: C' r' PERMIT NO. . DATE: (Z` DATE ISSUED : ! / OWNERS NAME ; pC��'rRES3. .-A� l %'f/t7c, CONTRACTOR TEST - Air 0, Water Visual Laboratory � y � I RESULT: Approved , Disapproved 0 , Pending [j SKETCH. I I I 1 _ I INSPECTOR ATE I EOTE: Attach supplemental fest data hereto I i I i i City of Tigard INSPECTION PEOUEST for INSPECTION TIME * P/V, PLRMIT NO.: DATE: GATE ISSUED:__.L_L OWNERS NAME : ADDRESS : CONTRACTOR :.--------- - - ------ ------_ __ TEST' Air 0, Wate- 0 , Visual [] , Laboratory ❑ i RESULT: Approved ❑ , Disapproved ❑ , Pending Ll SKETCH: .i I PECTOR DATE COTE Attach supplemental feet date hereto1 City of Tigard INSPECTION REQUEST _ for /f1 INSPECTION TIME: �} PERMIT NO. : DATE: DATE ISSUED :— / OWNERS NAME : ADDRESS: ."7 CONTRACTOR : TEST : Air C7, Witero Visual,, Laboratory O RESULT: Approved�l,]� Disapproved O , Pending p SKETCH. I INSPECTOR DATE I 5OTE: Attoch suppl*Tenfol tgsf (lata hereto I City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : DATE: 5 ' DATE ISSUED :_1L1_ OWNERS NAME : ADORESS: CONTRACTOR : TEST : Air p, Water❑ , VieuatAl Laboratory p RESULT: Approved , Diedppro%,e,! ❑ , Pending ❑ I SKETCH. I I I I I I INSPECTOR DATE I OTE: Attach supplemental telt data hare t] I City of Tigard INSPECTION REQUEST INSPECTION TIME. . - �/ PERMIT NO. : DATE: _` L �-T DATE ISSUED :_.1-Z_ OWNERS NAME : ADDRESS: 432- -5 CONTRACTOR : �. �� • _ _ i i TEST : Air ❑, Water❑ , VisuoI x, Laboratory C] It RESULT: Approved,`, Disdpprovad ❑ , Pending p SKETCH. INSPECTOR DATE [NOTE: Attach supplemental test data hereto, i err I City of 'Tigard INSPECTION REQUEST for -5t, C4-11 . K I / INSPECTION TIMEPERMIT NO. : DATE: 'Y- DATE ISSUED : Z I OWNERS NAME : T� p c-- - I ADDRESS: L v i / -3-1 -C�•,,,,,,,iEl-.L/E�� � CONTRACTOR : _�ZI).( - _ I TEST : Air p, Water[] , Visual , Laboratory p RESULT: Approved , (I Diae,�)rovsd 0 Pending p SKETCH; I i I I i INSPECTOR DATE I COTE: Attach supplemental teff data beret] i City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: -.. DATE: DATE ISSUED:_L J OWNERS NAME : -� ADDRESS : ---/ ?) C O N T R A C T O R :.___77tl-- TEST: Air O, Water (] , Visual Laboratory p RESULT: Approved , Disapproved U , Per, inq ❑ SKETCH: c. OYSPECTOR DATE E07E Attach supplemental tett data hereto City of Tigard INSPECTION REQUEST for INSPECTION TIME: +--- PERMIT NO. : DATE: = 7 DATE ISSUED :-1._1... OWNERS NAME : rt, C ADDRESS: x4r7l CONTRACTOR : TEST : Air 0, Water[] , Visual , Laboratory [] RESULT: Approved , Disapproved O , Pending [] I SKETCH: r-�04-6ry /0* ]O N •W , Y INSPECTOR DATE COTE' Atte."ll supplemental test data hereto i( i� I I � � � t(c B�`�r_�` 5 .� Q �' � (c �� � (�. v C1 � � , � O�- t City of Tigard INSPECTION REQUEST for INSPECTION TIME: � '•�� PERMIT NO. :__..,.. DATE: 3 /; DATE ISSUED :- L/ OWNERS NAME ; —L—,t-),_' - ADDRESS: X.or /.3. ' ys�wrr�f F...c-�� %�<•'r,;�f^. rr` fi CONTRACTOR TEST : Air ❑, Water[) , Visual A-+ Laborotory p RESULT: Appro,ied t�, Disopproved O , Pending p I SKETCH. I I I I I I I INSPECTOR DATE I IN-C)TV Attoch supplemental toot dote beret] I I I City of Tigard INSPECTION REQUEST for INSPECTION TIME: h' PEP.nA1T NO. :—. I DATE: DATE ISSUED : I Z I OWNERS NAME :— ADDRESS: AME ._ADDRESS: i 3 CONTRACTOR : I TEST : Air p, Watery , Visual 0 , Laboratory p ' RESULT: Approved , Disapproved O Pend.nq p ET 3 KETCH. � I SPECTOR DATE INOTQ: Attach supplemental tett data beret] City of Tigard for I NZ E CT 1017-11 m E DATEDATE IS3, OWN E'^9 NAME ',—L- 1-2- C . A D 0 R E,9,S: Air Gi, WQf4rC3 , VISUOI r— ,. Laboratory Ap,;,,ovod IX, Disdpprovee! U a I e'L--7(V,I ;vri 501'7 : Aftoch z.-IPPIpfrefital test lof'-t Alrotal City of Tigard INSPECTION REQUEST i for INSPECTION TIME: PERMIT NO. :________ DATE: DATE ISSUED : Z Z OWNERS NAME ', ADDRESS CONTRACTOR :TEST : Air ❑, Woter❑ , Visual ❑ , Laboratory ❑ I RESULT: Approved, Disapproved 0 , Pending ❑ I MICH. I I I I I INSPECTOR �DATE � I [OTE: Attach supplemental test data be►eta i City of Tigard INSPECTION REQUEST for INSPECTION TIME: 4- /2• PERMIT NO. :_ DATE: .Vi DATE ISSUED : / / _ I OWNERS NAME ; ADDRESS' , I CONTRACTOR ' — TE S T ONTRACTOR ' _TEST . Air ❑, Woter❑ , Visual(, Loboratory ❑ RESULT: Approved�l , Disapproved 0 , Pending ❑ I A 17 I I INSPECTOR DAT I NOTE: Attach Supplemental teat data hereto] I 1 PLl_1M MNG PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. ( - 3 3.? r„ .; Permit fee Water Closets (Toilets -� Permit Issued Bath Tubs Approved by _ Lavat. rV_ Wash Basin) Building Permit __ Shower Receipt No. -1-70E­ --Sinks, -7G,in s, Dishwashing` Sinks Titchen Sinks_ Ordinary _ Location of Building Sinksl_SloA Automatic -bis hwas_er Disposal Laur�dr�Trays__ Name & Address of Owner _Drains, Floor --Drains, Area --- Drain Rerierator ,� < Rain Drains —� Automatic Washer Name & Address of Plumber ountains, Drinking i , . ; Fountains, Soda Hot Water Tank Water Service Size 1 _ UrinalsBuildin�,_(Old or New) (Alter, Repair or atc ---a ns - ar - _ _insfall, Lawn Sprinkler System _ Swimming Poo Sprinkler System This permit becomes null and -void if work or construction authorized is not commenced within 60 days, or if constructinn 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 examint(I -this application and know the same to be true and correct. All provisions of laws and ord '.nances governing this typ 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. f '01 j Signature of Applicant it PLUMBING PERMIT APPLICATION Jurisdiction of clo. Type of Fixture Fee Pei nit No. 3 q- P Permit fee o 3 by v Water Closets (Toijetsj(ToiletsPermit Issued _- Bath Tubs Approved by Lavato Wash Basln Building Perm-IT- Shower �_ Receipt No. -.70 - in s, DishwasTi, ingw - Sin Kitchen Sin ss Oriina Location of Building _ Sinks Bar_ w..�.� Sinks SSllOT) -Automatic-Dishwasher 'r _ Disposa _+ Laundry TraaysName do Address of Owne3^ _Drains, Floor__ _ Drains Area L Drainsefri ger_atnr Rain Drains Automatic Washer Namq & Address of Plumber ounalns, Drinkin Fountains, Soda Hot Water Tank Water Service Size i Urinals Building or New Alter, Repair or atc asins-Yard ns 9 Lawn Sprinkler Svstem Swimming Pool O1herr Sprinkler System This permit becomes null and 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 t _me after work is commenced. All plumbing firms must be .�_icensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and know the same to be true and correct. h11 provisions of laws and ordinances governing this typ of work will be complied with whether specified herein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. I I Signature of Applicant ____ PLUMBING PEW07IT APPLICATION Jurisdiction of Tic . Type of Fixture Fee Permit No. �c�-3 SJ- P ` Permit fee Water Closets (Toilets Permit Issue_d -a S---7 _Bath Tubs -- _ Approved by Lava jr _ Wash Easin _ Building Perm-7 -� -- _Shnwe. � Receipt No. .6inks Dis}-iwashin� �'-�---- Sin) S�kitchen - Sinks, Ordinary Locat3or. of Building - Sines,-$ar Sinks' Sion -- Automatic Dis wa.s er -- I'isPos a 1 — __, Laundry Tidys _r Nam . & Address of Owne. - Dz�ains, F] oor _-----_ 9rains�Area Drains. Ee `i erator Rain Drains -- = Automatic Washer Name ,& Address'of Plumber _ oF-u�ntains, Fountains, Soda Hot Water Tank - --= Water Serlrice ( Size -, ---- Urinals Building epar or at_cF-I3asiris -Yard --- Old or New) R _ ------- --5---- i _--_ �ns�ral - Lawn Sprinkler_ vstem _ _ Swimming Pool - ��;r;zr ----- -------____..---- ( ` Sp rink]_er Svstem y-'- --- --"- --- -- — -- - 'This permit becomes null and void if work or construction auth.)Tized is not commenced within 60 days, or if construction or work is suspended or abandoned for a periL)d of 120 days at any time after work is commenced. .All plur,.bing firms must be licensed by the City of Tigard. and post a $1,000 bond, t hereby certify that I have T'Pad and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typ of work wiii be complied with whether specified ;;erein or not, the granting of a permit does not presume to give authority to violate or cancel the provisions of an-- other state or local law regulating construction or the performance of cons-, . ucti on. , • Signature of Applicant PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. '74-_L6-4? Permit fee Water Closets (Toilets) Permit Issued .:).- a _--7q Bath Tubs Approved by Lavatory _ Wash Basin) Z Building Perm1t_—_ _ ShowerReceiF .. No. 9 7, _ SinksDishwashing,__ Sinks Kitchen Sinks, Ordinary Locatlon of Building in:,_ Bar_---- Sinks, Sl -- Automatio Dis—Fwas�iCr Disposal. LawidrvTrays Name & Address of Owner. Drains, Floor –Drains Area _ _ �•'_ Drains Re rierator Rain Drains r Automatic nWasrer Name & Address of Plumber ountains—Drr`inkin Fountain',, Soda _ Hot Water Tank Water ServiceSizP Urinals Building Old or New) (Alter. Repair .)r �_7�ac - assns - ar _ Tns a ��r Lan Sprinkler_System Swimming Pool __ Other Sprinxler System This permit becomes cull and void if work or construction authorized is not :omm��nc�d within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after wirk is commenced. All plumbing firms must be licensed by the Cita! of Tigard and post a $1.9000 bond. I , . . certify that I have road and examined -phis application and know the same to Prue and correct. All provisions of laws and ordinances governing this typ of work will be complied with whether specified herein or not, the gi-anti.ng of a permit doer not presume to gi.ve 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 PLUMBING PERMIT APPLICATION Ji;riadiction of No. Type of Fixture Fee Permit No. 3-1- P Permit fee , ��� • Water Closets Toilets _ Permit Issue - Bath Tubs Approved by LavatoryWash Basin Building PermiF'� Shower Receipt No. Sin s,Dishwashing_^ Sins Ki schen Sinks, Ordinary Location of Building _ in s t Bar _ Sinks, slc)12 _ Automatic Dishwas ei Disposal Laundry Trays Name & Address of Owner L4Drai:,s, Floor , 5r-ain-s. Area Drai rsy Ref riEEerator Rain Drains Automatic Washer Name & Addres, of Plumber ourta.ins, Drinking Fountains, Soda_ HotWater Tank L Water ServiceSi.ze Urinals Building ,Old ;r New (Alter, Repair or Catch-Basins - -Yard _ Ins E-a'31 - — Lawn Sprinkler System Swimming_Pool OFier S rinkler System _T This permit becomes null and void i.f work or construction autaori•!,ed is not commenced within 60 days, or if construction or work is suspended. or abandoned for a --riod of t20 days at any time after work is conmenced. All plumbing firms must be licensed by the City of Tigard an(? post a $1.,000 bond. I hereby certify that I have read and examined this applice.tion and know the same to be true and corre:t. All provisions of laws and ordinances governing this typ of work w..11 be complied with whether specifi ,�1 herein or iot, the granting of a permit doeL,, riot presume to give authority to violate or cFncel the p: visions of any other state or _local law regulating construction or the performance of construction. Si.gnatu of Applicant L) 726. cSta , s� CITY OF T IGARD 12420 S. W. Main Sfr"t TIGARD, OREGON 97143 AP111,TCATION FOR UUILDING 11VPMIT New Construction DemoI i;h C] Addi t-inn ❑ Remodel ❑ Move❑ ZONING 12, DACE ISSUED _ - ate' "�� BUILDING PERMIT DATE RECEIVED � - BUILDING FEE $�/,Z ...SO No. � PLAN CHECK $ /.s7- 62 BY 4"'r1Irn c VALUATIO14 $�� ,,.,— RECEIPT No. 2�_s ;�- TWO SETS OF PLANS AND PLOT PLANS MUST BE FURN'SHED WITH APPLICATION LOT NJ=APL;_[-�LAL MAP N ASO-//CC- CENSUS TRACT l.lJ- _ JOB A_ 7� I Architect or Engineer -_- ",ddrena ' S,VU. 1G)l `7 ��Al� ►��--� �� -- Phone ZA9- owner Address . Phone Builder -A" 7L j Address_ _ _ _ Phone-- BUILDING hone _BUILDING USE Single Res. ❑ Multi Res. Comm. ❑ Industrial❑ OCCUPANCY GROUP No. of. Stories _ Total Height f' Area of Type of Construction I II III IV ("J'Floor Area T(' . Set Backss P'ront_I 1 Back-_7 -e'.1 L.Side _7 _ R.Side j' Tir 7CD0_ Private Sewer PiPO Site _ Sewer A gjL _ Septic Tank ❑ Water. Service PIPS Bite__- __ Storm Sewer Ditch ❑ DryweII ❑ Street and Curb A#44ULremerts�_�_ f2C Driveway width No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION it JG- No S /sy !s_ n I rg*3 y .r yo ADDRESS ASSIGNED FIELD CHECK BY�� - ___DATE_V` PER141T APPROVED BY �.�4 Q-r.,: . �✓ces It is understood that all work will conform with applicab a codec✓and _ r�d�rfes of the State of Oregon and the City of Tigaro, Oregon, and that the building wi.11 not be occupied until a Certificate of Odi'uhancy has been issued by the City of Tigard Building Inspector. S g�na�ture of Applicant — �� Ea:118IT "A" CITY OF TIGARD Recidontial Structure Dccupony Restriction KNOW ALL MEN BY THOSE PRESENTS, that occupancy of reoldentiul otrr .ture (a) on the following deacribod lands prior to the recording of an occupnncy pornit releasing the restriction in the Deed Rocordo of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (Tho City will ioouo a Caleaaa as soon a.. a "idol inopection datormineo that the construction is ontiefactorily conploted) DESCRIPTION OF PROPERTY: P.-ti ®adk \ ADDRESS OF PROPERTY: _ - F.�z N&�y NA11E DF OWNER: AO ''SS OF OWNER: IN WITNESS WHEREOF, the undersigned has nauoed this restriction to be oxr:cuted this _ = d.;y of F � � , 19�y OWNER; Na f.!o APPROVED: � '��/ Titla By: Building Or'r'ic11l City of Tlgord STATE. OF OREGON County of Washington an. �^ February 14 19 74 Personally appoorod before ms the above named P.or Brawn _ and acknowlodgad the foragcing instrument to be his voluntary act and dead. i Notary Publicof r Oregon Fly Commioaion Expires: 1/16/75 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Rostriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lends prior to the recording of an occ.upnncy pornit releasing the restriction in the Dead Rocordo of Wasnington County, Oregon, is prohibited by the ordinance of the City of Tigard, Or000n: (Tho City will issue a release as 000n an a final inopection dototnineo that the construction is satisfactorily conplsted) DESCRIPTION OF PROPERTY: S .+....a .-rt'.o.,\ 4�'► e�e..L o r- �a a_�► \.� �oo`tt j'�� P c.c.� ��� P\4� �V..G.O�O`� e�. �l�s'i►�.v.��C'� C_e.s�,R�1 �. r��o'� ADDIESS OF PROPERTY: �s� c� `:z�s� C-.t ,Le r. `\�\�•.� NAf1E OF OWNER ADDRESS OF OWNER: ��-w ofl\ c V0 .N WITNESS WHEREOF, the undurai.cned hos caueod this restriction to be executed this �y�=� clay of � �, OWNER: �Namo APPP JVED t Title Ely: 8u—'iTd'in9 0 f 71 r.a City of Tigurd STATE OF OREGON ) ©s _ February 14 74 Lounty of Washington > _, 19 Personally appoarod before mo the nbovo nomad Roy Brown and acknowledgod the foregoing instrument to be i voluntary act and deed. LL __ NotaryPublic for Oregon ,/I6i79 ny Cominiooion Expires: EXHIBIT "A" CITY CF TIGARD IResidential St:ucturo Occupany Rvotriction KNOU ALL MEN BY THESE PRESENTS, that occupancy of residontial structure (o) on the following deacribod lands prior to the recording of an occupancy pornit 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 Josue a release es soon so a %ani inepoctio^ dotsrmines that the construction is aat.isfnctorily completed) DESCRIPTION OF PROPERTY: s '- %_-�"r" a.\a - "_ R e, A90RESS OF PROPERTY: �� �� Ste\ C—_s�,�W •.��,iJ JAf1E OF C'R'IER: --,;r ADDRESS OF OWNER: •�°� �o� ��\ \�.��= _-�,�,..� .� _ IN WITNESS WHEREOF, the undersigned `goo caused t'iis restriction to ba oxecute' this �'� dny of '� �� , l9�y, OWNER: APPROVED: By: --T Bui ding U`'1'ic o City of Tigorc STATE OF OREGON Coup*; of Washington as. Fobsma%'Y 14 19 74 _Personally appoarod before me the above ncmod ,Roy Brown and arknowledgod the fnroguing instrument to be his volunter, act and deed. i Not Lry Pub ..r. for`Oregon �,A fly Comwicuion Expires: 1/16/75 EXHIOIT "An CITY OF TIGARO Roeicantial Structure Occupony Restriction KNOW ALL NEN BY THESE PRESENTS, that occupancy of residential structure (s) an the following described lands prior to the recording, of an occupancy pornit releasing *hu rootriction. in the Doea Rocorda of Washington County, Orocon, is prohibited b/ the ordinance of th- ';ity of Tigard, Orogon: (Tho City will issue a :olocaa as soon as a °incl inapoction doterninoo that the construction is aotisfactoril), conplutod) DESCRIPTION OF PROPERTY: S V•i.-�..`•� ♦ �� �� � �off[ \'�� p �g. �t.��•.-•;1 O:_a fir+. �a off. -�.�, CC' o•�` ��., \ �o..� P.O.S.-c .-C.t� � �i 1 c.L�•:..•.��o t. �.o v..�v\, C.>t-O.�a.�. ADDRCSS OF P,°OPLRT' NAME RF OWNEh; �Cv \ ac_ C•��," \��;�,�__ C��� \!.e_ ADDRESS OF OWNE? -�•.moo.-a; �.-�.�o� �-\-a IN WITNESS WHEREOF, the undersigned has cat.00d this restriction to bo executed this \� ;;ay of 19 OWNER: APPRO'JEO: 'i itla By: E3uiZding Uffic.iT'ul --'� City of Tigard :.TATE OF OREGOi; ss. February 14 74 County of Waahir;gto , r , 19 .� Personally appoarsd bofore nu '.ho abovo nomad Roy Brtrwn and ar'.now.odgod tho forogoing — instrument to bevoluntary art and dood, Notary PublJ for Orogoq/1b/7S F-y Commioz;ion LApiroo: • LMt�- EXHIDIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN SY THESE PRESENTS, that occupancy of reaicsntial structure (a) on tho following deocribad lance prior to the rccordir,; of an occupancy pornit releasing tho roatrirtion. in the Deed Rocorda of Washington County, Oregon, is prohibitod by the ordinance of the City of Tigard, Oregon: (Tho City will Laoue a rolcaao an 000n as o "incl inspection dotorninca that the construction is satisfor.torily conplotod) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNER ADDRESS OF GWNER: IN WITNESS WHEREnF,, the undersigned hao caucod this r©strictiun to be axe :uted this clay of F �� , 19-- OWNER: APPROVED: ,ItIa � By: Building iT'ng Uffic= City of Tigard S 4TE OF ORESON County of Washington 3 as. February 14 lg 74 Pereonally eppoared before me i;ha above namod Rep Brown and acknowladgod the forogoing instrument to be his voluntary act and dead. Votary PL,'Ilic fo: Orocor, MY Commiosiu.. E.xpiroE; 1/16/79 • I J Department of Commerce—PLANS REviEw Section R o l79. STA-11OrrICE BUILDING, PORTLAND 97201 NOTICE OF PLANS REVIEW ^' \ 1�Ili UC,9 ITN1e IS NOT AA�NU1LDINO/\.MITI ) _ ��/ Building INID& 4' .TJC��/�/'=`_"Y�� i��F �.__c ar UiL1l�_-__ No. 64� - I •?iL' r°i County N/eaSHIA116T�IlI Occupancy .e y-PFSJnE;pynfi&A const L�1X�__ Plan iee��— fj /� � Sound Value . ►_ Architectt ilio�No'-41.._J I��- N 1 a New Bldg.J Add�ittio�n ❑J Alteration E I Date Received Owner I.t1,llk4nLJ-�7SdiVftC'`o Address v.�1N4kil��l,,lL�����a (�� Date Reviewed S'ories --/� Area L &WE AHic _�/_/��NL: Fire Walls/xs[u L Hre Escapes _JV090,. Emits 6 _ �/- (��j00&A1�j�AIVJYLl�. RAsrweNT HT eT„n� .` Toy w.nTH Stairs L1IV L/JNVWy Vert.. Sheits v �% _=__ Sprinklers / —/ ` _ Man Alarm lVt,� SP W-1 -- /-- -_ LOVED CLOSED 1�ML ��.0 Tss AREA SDv syr Cd NT Vitt s!T E. t -&__ Ht. DO. -/V[' /� Flood rs.'yp� Belling _/ Roof CdIV- Str. Member I — CI Ass NO TYRE AREA COVO Wall rover((, -/ Htr ren. enol. .�1�—___ Typr flue Type Hlg System en NT The! submitted plans have been reviewed for conformity with fire protection statutes and regulations of Oregon admin- i 121 istered by fhls office. Items No. _Al"f�-Ln_:��L�C3 checked on the enclosed list are applicable. These Items and any specially noted provisions must be incorporated into the project to meet current fire protection regulations. Approval of submitted plans ii not an approval of omissions or oversights by this office er of noncompliance with any applicAble regulations of local government.' REMARKS: tJA1t�712�5_tJ1L1�Dualt--- lf1t�1L/17tlFtl_-I -13 SdrD.6121921L,Q-_1,;31C:_�aCtf/3 J'�Oe!Q`fI�ACT� "A" �l��L 4�'4P�tll�T s. A FA1 TP-Y /dt� J)W-. W-0D LTA—161>F 09&_ AV1-A "13,11K4 r-LI& DUC12 e--ASI, -L-- _�t�,G��-��Ql4lJ4LlE�'}�l lV/>cIL /��� /���__.ZZ�-.-1��_J�--..,Nl� d/��( ►� .�.:.s.G�X�__�_,��_. Q " 11� 0a..Y__��aQd�,Z_1 _ 1A2 +S y1` 1�51r "T_ _ '_� � --- A-16nut0 "O vAg , /I I. (�Fxarninedp`_- Copies to: U_C�t-D" -- Ji L�- �4La1ty,- H ld-t� T=__G��` I STATE OF OREGON DEPIRTMENT OF COMMERCE Plans Review Numher4,3v _Iq PLANS REVIEW SECTION CHECK-MARKED REGULA,IONS, IN ADDITION TO ANY REQUIREMENTS APPEARING ON THE ATTACHED REVIEW NOTICE, MUST HE INCORPORATED INTO THIS PROJECT. Approval of submitted plans does not constitute approval of any omissions or oversights nor of noncompliance with any applicable regulations of local government that may exceed State requirements. 1. Structure required to be (❑ Type I) (❑ Type II) throughout due to (❑ areal ([] height). 2. One-hour fire resistance rating required for- all interior construction. 3 All living units required to be comnletel•y separated by one-hour fire resistive construction. 4 Exit corridors require separation from any other area by one-hour fire resistive construction 5. Fire resistance of doers of interior openings to corridors required to equal 1si " solid core doors. Relights in cor- ridors require wired glass set in fixed (steel) framing. (n Storage rooms, rinsets, laboratories, shops and areas of similar hazard requira separation from other areas by at %� least one-hour fire resistive construction Furnace and bniler rooms requite one-hour fire resistive rnnsttuction. 7 All vertical openings such as stairways, trash chutes, etc., reglsire full enclosure of (❑ 1-hour) (❑ 2-hour) fire resistance. Access ways to such shafts require self-closing and latching Class B fire door assemblies (,] I-h(ite rated) (❑ Ili-hour rated). A Attic areas require draft harrier.. As per Secr a205, not exceeding rarh 3,0u0 square feet. (9,000 square feet where sprinkler pr-)lection provided.) 9 Voids created by ceiling-floor systems require draft barriers not exceeding each 1,000 square feet. 10. Building projections such as balronies, eaves, overhangs, etc., require fire protection equal to interior ceilings with al, openings protected as required for ceilings to prevent passage of fire into building voids and attics. 11 Fire stops, blocking or framing members p,erced for utility ams require parking to equal fire resistance prior to such piercing. Wood frame ronstruction regvires firestoppinp, of both vertical and horizontal draft openings At max- imum intervals of 10 :eet. 12. Corridors require at least Q feet in clear width. Drinking frnintnins or other equipment may not operate in a man- ner whirh would obstruct the minimum 13-foot width. 13. Corridnrs serving patient bedrooms require at least R fret in width. 14. Cnrridnrs require smoke harrier partitions with doors rt 150-foot internals IF,,, Exit doors from lobbies, corrid-rs and roorns with potential orrupanries of 50 or more are required to swing in the direction of exit travel. IS Exit doors from lobbies, corridors And assembly areas require panic hardware 1171 HArdware for all dnors is required to be of simple type having no provisions for locking against egress, with V obvious method of operation. lA At least 44" (inches) in clear width, without rrcjections, is requires for exi'- and patient room doors through whirh parents must he transported in wi.eelchairs, stretchers nr bedel. 1P Sleeping rooms require at least one window ree.dily openahle from Ins�dr witho•it aperinl tools and providing a clear opening of not less than 720 square inches with the least dim( .inion not less than 22 inrhes Maximum per- mitted height to bottom of np�ning from floor is 4R Inches (Ref Ser, 1304) 20. Surfare flrr.ie epre,id rates of walls And ceilir.gs, minimum rerlairement: stairway--25, corridors---75, other roorns —225 (Ser. 4203) 21. Combustible acoustical material required to be secured with staples or equivalent metallic holders or a heat resist- ant Adhesive capable of withstanding '.000° F. for one-half hour. efts-� 22 All curtains, drapes and similar furnishings are required to be noncombustible or rendered and mainta)ned flame- proof. 23. Rows of seats Letween aisles may not exceed 14. Rows of seats opening onto aisles at one end only may not exceed 7 seats, (See continental spacing, Sec. 3313-3314) 24 Seat row spacing, back to back, required to be at least 33 inches, or 27 inches plus thickness of seat back and in- clination of back. 25. Posting of capacity of assembly areas as noted is required by ORS 479.195. 28. Heating, cooking, air cendi'.ioning An,] similar service equipment are required to be approved and :fisted by a na- tionally recognized tPaing agency, such as U.L., Inc., and to ne installed In compliance with agency's specl:ications and recognized safe practices. The installation of ventilation systems is required to be in substantial conformity with the 1970 U.B.C., Volume II. Corridors are not acceptable for use as supply or return air plenums. 27. A dust collection system is required for shop areas for nonportable machines emitting or producing dusts. (Ref: Sec. 1008) Dust co!lection equipment to be located outside of building or In one-hour separated room equipped with automatic sprinklers. 28 Pressure relief valves are required for all water heaters, Installed either in separate water tank port or in port for hot water line. Shutoff valves may not be located between a water tank and relief valy-. 29 A firefighting water supply is required within 500 feet of building that is capable of producing 500 gpm (mini- murn) for 10 minutes for each 5,000 square feet of floor area within building up to a maximum of 500 gpm for 30 minutes or from 5,000 to 15,000 gallons of stored or static water (Ref: (IRS 474.200) 30. Interior wet etandpipes at least 2 inches in diameter located and equipped as per Sec. 3804 are required. Couplings and connections required to be American National Standard Thread. Where standpipe:, nre served by sprinkler piping, a 1-inch reducing orifice Is required at the hose valve connection. 31 Approved automatic sprinkler protection throughout occupancy is required. Piping to be flushed of debris, with certification of flushing submittoyd to this office. 32. Approved automatic sprinklers nre required over and under stage and in all auxiliary areas, including dressing rooms, storerooms and workshops. (S-c, 3802) Sprinkler feed piping requlr-d to hes e;ushed of debris, with certifi- cation of flushing submitted to this office. 33. Stage roof ventilatory, displacing at least 5'7r of stage floor area, oponablr by hand from stage floor and by fusible link or other heat activated device, are required. (Sec. 3901-08) 34. An approved fire alarm system with signals audihle throughout building and manual alp.rm sending stations adja- rent to exits from each floor or area are required. 35. An approved electrically supervised combustion detection of the Ionization type is required for all patient rooms. 38 All exit doors and access ways thereto are required to be Identified by approved electrically illuminated signs srrvecl h1' two circuits with one separate from all other circuits- (Sec. 3312) 37. An emergency power system Is required for the ( ) gymnasium ( ) Auditorium ( ) building to maintain ozit Illumination for not less than one-half hour in event of public .tility failure 38. Fluorescent light fixtures installed on combustible surfaces are required to be U.L., Inc., approved for such mount ing, or Installed to provide at least 1-inch air space between the fixture houswq and combustible material. NOTE: Loral regulations r!: !nsurance standards for most favorable insurance credit may, and often do, exceed these minimum Stat.• requirements. 16238 EXHIbIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the used Records r,f Washington County, Oregon, is prohibited by the ordiirnce of the Cfty of Tigard, Oregon: (The City will issue a release as soon as a final inspection determine° that the construction is anilefactorily completed) DESCRIPIION OF PROPERTY: P.ti RlCo� .1%-.& \.' goe`.t ADDRESS OE F OPERTY: �•ti�.�p J� �" Q., NAME Of OWNER: -t.,.\s�..� ��y���. %X:t% Se-�r��-M ADDRESS OF OWNER: k��_- IN WITNESS WHEREOF, the undpreigned hair caused this restriction to be executed this \%- ~ ds; of —`� OWNER, u Mc APPROVED: e ny: Building ng D C A City of Tigard STATE OE OREGON Ccunty of Washington °°' February 14 , 19 74 oersona.11y appoared before n:e the above named Rr,y Brown __ and acknowledged the foregoing ins':rument to be ,1yy,i voluntary act and deed. otarc for Oregon My Commission Expires: 31 RJkAh TIWM'SEN U1 hwanh 6 thnion@ 964 �,L[f 9$ lu F W YY 1 a , 141233 EXHIBIT "An CITY OF TIGARD 9saidential Structure Occupany Restriction KNOW ALL MEN BY 'THESE PRESENTS, that occupanr- of resident:il struc.ure (a) on the foilowing described lends prior to the recording of aro occvpancy permit releasing the restriction in the Dead Rgcards of Washington rnunt.y, Oregon, is prohibited by the or.:'nance of the City of T.!gnrd, Oregon: (The City will issue a release ea sour. .a a finnl inspection determines that the construction is antisfactor'ly compiatod) DESCRInTIOM 0- PROPERTv: ADDRESS OF PROPERTY: NAME DF OWNER:_S, ADDRE°S OF OWNED: \ p�� \\' �'` TN WTT�-SS WHEREOF, the undersigned has ceaaed thiu restricti.,n to be oxec,,r,ed this s . '� day of OWNER. YMW APPROVED: By: ing — Clty of Tigard STATE OF CREGON County of Waahington 89. _ F' I I,arY 14 , 19 7,1 Personally anpoerad bol'ora me the above named lhny FIrcm-n and ackn-awledge,-1 the foregoing ' inetrumnnt to be his voluntary act and deed. luta y Pub ir. of r Oregon w. Ely Commiacion E xpl roe: _ �l�5 i/ Nc� R rHOMAUN,M»e�a 6 Ci�auop� r <.............................even w V !1 g ox 69 . 3 rF t; 162,10 XHiOIT "A" .TY OF TIGARD Rosidontial Structuro Occupcny Roatrict.ion KNOW ALL MCN BY THESE PRESENTS, that occupancy of residential atructur•.j (a) an tho follouitlg described lands prior to the recording of nn occupancy pormit releasing tho rortri(.0 o,7. in the Deed Racordo or Washington County, 0:ogon, in prohibi•`.ij by the ordinance o^ the City of Tigard, Orogon: (Tho Cit;, sill ioaua F. -olooco an Boon as a final inopiction doturmina,i thrc the construction is sntisfoctor.ily complotcd� DE"CRIPTI0,11 Or PROPERTY: V3" A D 0 R E 5 5 OF I! ;0PERTY: NAME Cr-OO W ' F7:_� ADDRESS _0_F OWNERor-, S� �\\c ` w ��•;a,�� N. IN WITNESS WHEREOF, the undersigned ho3 caused this restrictiol to be executed this d a I of a_p , 19�.vt OWNER: C Nano �► APPROVED: 7it.1a l ' 9y: Building Uffic ol —� City of Tigard STATE OF OREGON County or Wanhincton as. P'E,bruary I.1 lg 74 Parson3lly oppocred boforn mcg th,, abovo named Roy , own and rcknouladgod thn foregoing instrumant to b3 hiv _ voluntary nct and dacd. 1 >J IVatary Pub.'c for Oregon Vo/ Coramiocion Expires; 1/'16/75 .Xt kAlLR TNuMRREN, ,,, m al Naoo,ds 6 ClaaUang .,�, .. er..�........ ......... . .lyra ........... .............o.ouh �:,�E696 { � \ } f§f| . % % G �/ j,�� � �ƒ � � \ , , !!� � � . � � � '�% .� �� %a| � \ ! . �f � � �ƒ) � _ �x. ` & � ƒ��/$ � 7 � � & 3 7 ����� }}ƒ � � � ! }���! j | w }`�7 � � � $ �|k� i! 2 lEall EXHIBIT "A" CITY OF TIGARD Raoidontia.l Structuro Occupcny Roatriction KNOW ALL MEN BY THESE PRESEN S, that occupancy of rooidentiol structure (o) on the following d�gcribod !endo prior to the recording, Of an occupancy permit releasing Lnr roctriction. in the Dead Rocorda of 61aah+.ngton County, Orogon, is prohibited by the ordinLnce of the City of Tigcrd, Orogan; (The City will issue a ro.los: n no noon on a incl inspection doterminan that the conotruction is aotiafcctorily completed) DESCRIPTION OF PROPERTY: \\� %-co"-�le- CN, Vim\ o^a�e� .., �.�"ek ADDRESS OF P^OPERTY• N A Il E O F O W PJ E R: —t- ADDRESS OF OWfdF,4: IN WTTNE.SS WHEREOF, the undersigned has cauoad thin rent:ictior to be executed thio _wL day of JL-%.� OWNER: f�n APPROVED: ZLa_ �—� IitIa By Bui. ding Official City of Tigard STATE 'iF ;cG1J ' County of Woohington j `�' I'ebrnary 14 _ 19 71 Porsonally appeared bofaro ma the above nomad , Roy Br"—.n and acknowledged the forogoins instrument to be hie _ Voluntary act and dead. ,1 j ryPuolic or Oregon ` "I Ccminiouion Expires: I/16/7x, AOaCII iA y fHOM11ABN,drrrr, � � AM r'Ir{- rd,ti f.IMlon, .......... Deputy 964 ►.,«697 C tµ f r-- 1� lU 4 0 ac N . 1623' EXHIBIT ^ L .TY OF TIGARD Residential Structure Cccupony Rootriction KPM ALL HIEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following descri.bad lands prior to the recording of an oceupn-icy pormit releasing the restriction in the Dead Rocords of Washington County, Grugon, is prohibitod by the ordinance c " the City of Tigard, Orogon: (The City will Josue a release as soon as a final inspaction detirminea that the construction is satisfactorily completed) CLSCRIPTION OF PRrIPERTY: l a fiDORESS OF PRCPCRTY: \�,"�-.� �_ SW __S� • r+ �^ �Qy NAME OF OWNER OWNER: AnDRESS OF OWAER_�S3cZy, L�1 ��. A•• • _ IN WITNF5S WHEREOF, the undersigned hao caused th!s restriction to ba oxecuted this dny of OWNER; APPROVED: Title By: ��_ buil-ding d�7 ing Of r is sT— City of Tigoro STATE OF OREGON County of Washington ss' I'eb;:,g-y _ , 19 71 Personally apponrod before me the above namod Ioy ruv)11 __ and arknowlodgod the foregoing instrument to be 1,i" voluntary act and deed. Notary Ppb c rcr Oregon ny Commiooion ERpires: 1/Ir,/75 7 to).yoi N D1hevolds i N*,ions ne/MM 964 ALL693 t a I °of� I I City of Tigard INSPECTION REQUEST for INSPECTION TIME: �PERMIT NO. :___ CATS: IL; DATE ISSUED :_LL_ I OWNERS NAME : - 7- 10--c ADDRESS: ., -, —'`�y ---R�—– ------ ----- _— CONTRACTOR : TEST : Air O, Water p , Visual [I , Labor_'Tory p I RESULT: Approved ,Q , Disapproved O Pending p SKETCH; 0 I E i rNSPECTOR DATE CNOTR ' Attach supplemental test date beret j