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12260 SW 106TH DRIVE-1 = -.—I 12260 SW 106TH DRIVE ll�101— u LO ru '47 .w lb op Fj4 W C) rl �4 PL4 :31 E-4 cn C. DL4 W4' j 0 q INSPECTION NOTICE City of Tigard Building Depanrnent '�` i P.O. E' - 23397 Tigard, Oregon 97223 Phone: 639-4175 Type, of Inspection Date Requested �_ 9 riimee,, A.M. Ac+dress � �� I{l �� 6 _ L'_.___ Permit # Owner Yy Lot BuilderThe following Building Code deficiencies are required to he corrected: Presented to __. r-Approved Inspector --� pp L.I Disapproved Date CALL FOR REINSPECTION YEs I--] NO I W ■ ■ It ■ INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection zo Date Requested z Time A.M. i" M. 0 Address � � _ Permit *416'a D ! ------- — Owner _ -�'/b -------- .. . Lot #. _ BuilderThe following Building Code deficiencies are required to he corrected: Presented to __ _ _ ❑ Approved Inspector �/�' - [�'fll'sepp►oved Date CALL FOR REINSPECTION ❑ YES 11 NO CITY OF TIGARD MECHANICAL PERMIT Receipt # Permit # 7� _ Description i Table 3A Mechanical Code t]TY PRICE AMT City of Tigard / — --- - - — 13125 S.W. Hall Blvd. 1) Permit Fee -0- -0- 10.00 P.O. Box 23397 — Tigard, OR 9722.3 2) Supplemental Permit 3.00 639-4175 t,,,- Furnace to 100,000 BTU / 1) incl.ducts&vents 6.00 Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of Development Floor Furnace 3) incl.vent 6.00 Job Address -- Suspended heater,wall heater Address 4) or floor mounted heater 6.00 Tax Lot Map No. Vent not incl,In — Lot Block subdivision 15 1, appliance permit i 3.OU Name(or name of business) 6) poo)nir of g absorption ufnig 6.00 Melling Address Phone 7) Boiler or comp to 3 HP Owner _ absorp.unit to 100,000 BTU 6.00 City/State Zip - Boiler or comp to 3 HP-15 HP 8) absorp,unit to 500,000 BTU 11.00 Name 9) Boiler or comp 15-30 HP absorp.unit 1/2-1 million 15.00 Melling Address PhoneBoiler or comp to 30-50 HP 10) absorp.unit 1 -1.75 million 22.50 Contractor Clly Stale Zip Boller or comp to 50 HP 11) absorp.unit 1,750,000 BTU 31.50 Stets Regiatrallon No. City Bus.Tax NuAir handling unit to 12) 10,000 CFM 4.50 I hereby acknowledge that I have read this application that the Information given is 13) Air handling unit correct,that I am the owner or authorized agent of the owner,that plans submitted are in _ 10,000 CFM ' 7.50 compliance with State laws,that I am registered with the State Builders'Board,that the Non porteb>e number given is correct (If exempt from State registration please give reason below). 14) evaporate cooler 4.50 Vent tan connected 15 to a single duct 3.00 -- -- - Ventilation system not 16) included 1.1 appliance permit17) 4.50 Hood served by mechanical exhaust 4.50 9lgneture(owner or agent) __ Date Domestic type 18) Incinerator 7.50 I Describe work f I addition I alteration 1 1 repair- I I to be done residential 11--- non-residential-I ! Commercial or industrial Existing use of t 9) type Incinerator 30.00 building or properly_ Other i.e„woodstove,water Proposed use of 20) heater,solar,clothes dryers,etc. 4.50 building or property —_ 21) Gas piping one to four outlets 2.00 - Type of fuel- oil I-1 natural gas n LPG I I electric I 22) More than 4-per outlet NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- SUB-TOTAL STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSF-NDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL SFe-.ial Conditions,_ -____ --------- — - -- Date issued _ _by- 49M �X}fTAIT "p' CITY OF TICARD WTI!•ICATS OF OCCUI'ANCY AND !tlili►:;E OF Rk!)THICTION The City of TlssN herevy eertlfle:. that the occupancy of the folloving deycrited astructure or premi .e with renl*ct to which s restriction of ocrupancy was, on r - i , 1/"13 , recorued in RuoA Fete Ueed Record of WN tlif ;ton County, Uregon, 1:1 herety authurlted and al,iruved. DE:OUITION OF F•RL1'ERTY: OWNER: BUI LUI NG 11.1U41-1 IWUtU: IrUIL::::IG ,,,r:a'ti_,.;:_�.I.J:u u• �� rl ! ��• (1, M i 4 Thh t rr 1f,, the Maid Mtructure rxet , with the require- ,et-L:, or tf,R lAuin,• Cafe or the City r •Ryan: an<: the above referenced re!.triction L hereby releaaed find terminated. IN WITNF:;:: 'AMPL:F, the undernigrned suttiorited .Pricer of the City of T.gaN ha, cau„ed thl certiriaate sno reiea:,e of restriction to t,e execute.l thfa ll day of �r i Title:` r•;r* re rater __ STATE Or URWUN ) Oounty of W%--hingt,)n ) s On this 22 fay of Apr.il �{f,L, personally sp1mureu before me the above raved Doris NarGliv `, vbotie uItpa ture appear hereon and who arknowledped to se tramt.1w executed k the -ame in h, --fflcal capacity on behalf ,,f the City of T,werr. w P -- 1. 'k tar r' r. of Ch-egun U P a 1n t: r, arq.trer- 971 ;'.'E t 4! > t�f I S .� r � It lot * I ; .-. w s, u MUM "B'• CITY Op TIGARD CERTIFICATE OF OCCU!'ANCY AND R!•.ZA&A OF MiTHICfICIN The City of Tigard hereby certifies that the occupancy of .ne fullovirng ueacribed structure or premlue;, with respect to which fa re.,t.rlction of occupancy was, on .� a A,0 • , recomed in haox ssSS , lbgr D9�.".�;'Deed Record7o County, uregun,, 1" r�TLi,y autru,rAl end approved. DESCRIPTION OF PPW'EM: C`+'=' OWN1:R: PUILUIIIG iiK MIT ley Thin 1•a tv ccr, 'u,ture meets %ni h the require- =M: of t m 9�.ildltt& C.■le of the City r Tigard aad the above mferencea restriction i, hereby released 9nd terminated. IN MITNT:::, iAMREL1, the under;lgr:ed authorized officer of the City of Tigard ha,i cau:ied thi, certificate sna rales:,* of rentrictiur, to be executed this day of , 1) 22 Apr 11 74 RTATE OF uRkD.iN ) City Recorder can. Oounty of Wa,hington ) On thte day of -�, per-iorally appeared before me the above meed vho:.e signature sppearn h*' m and who ac � e` t.�iaaaxxxtl •.tn lye executed the same in hi-s offical caiwcity un"ap ity ofeTllyard. aregtxr+ Q„ My r M!I!T'I h i oC. a Y4 Ire n; L�J LlTncorrect Bock and/or Pape pct Name of ������ Tncorr *4 Original Book and Pare only released, Or), nF not corrections. Department of Records and Elect io/nq Washington Cr�wIty, Oregon /7 Roper Rop.,er Thomssen, Director 4974 tIWIBIT ..A" CITY OF TiGA" t'.}:RTIFICATM UP oc.W,ANCY AND RKLAASE of PxmimoN The City of Tigard hereby certifies that the occupancy of the fo"oving described structure or premiseL. with respect to which a restriction of occupancy was, on recorded In &wx )-i" , Pup 13 , Used Record of Mar.hington County, Urtgon, is hereby authorized and approved. ULiCRIITIUN OF YAQI'h`RTY: PUlWIYG YERKIT NUMDER: �! '� •� L+ f /n BUIIDIAG AUDEi—S 7 /J ' 4• C� .(� (1�+ let'- i This in to certify the -said structure meets with the require- merto of the 9ullding Cude of the City f Tll+prd and the above referenced restriction Li hereby relenneu -snit termirmted. IN MM:;!, AMRKUF, the under-Agned awthorized -,fficer of the City of T.gard tai: cau•,ed thln certificate ano relea;.e of restriction to be executed this i 18th _ aa; sf April l� 74 title: City Recorder STATS OF URMON County of Washington ) ,c on this 1BLti day of April 1J_", per-.4-h.,@nally *1 'I app@ereu before see trke above �vmed Doris Hartia "� - t signature appear: hereon arvi who acknowledges to we that lie executed r the saes in his offical capacity or. oehalf of the City of Tigard. 1: r 1 . t 'F,tar; t iof 'Jrequn 0 � j V My ;Umm11,1.f 1 axj ire 4 Me ►.uE243 M ���� r.- R�f � � CJ �yGG �� � �� � ��� � ���'a � .:., G � ���l� f� �•�, �. -'; EUMT "B" CI7Y OF TIGARD CERTIFICATE: OF rxCUE'ANCY AND P.E:LA 38 OF RE:MICTION The City rf Tigard hexeuy certifies that the occupancy of the following described structure or premises, with respect to which a restriction of occupancy moa, on ;sec aaxbduc S__, 1/2.L, record&N1 1n Buox _1_, Naves _JVS Ueed Record of Ma,hington County, Orem, 1i. hereby authrrized al:u approved. MCRIMUN 1W E'Rt1E b'RI'Yc LIMNER: BUI E11 I NG PERMIT MMEP: : , PUILDINC AUDR&L;: Thl, 1., t.p rert.ifj the laid structure meets with the require- marts of the P.ilding Cute of the city f Tigard and the above referenced re,triction 1, hereby releaAea seri terminated. IN MITNI:;G ME0WAS, the underrigned authorized officer of the City of Tigaru hal cau..ed thii certificate ani release of restriction to be executed this lath dad of' April 11 7;1 Title: City Raoor�i or 3TAT8 OF OREYIUN ) County of Ma:hington ) On this l#Ltl "Y of haril personally appeend before cue the above need Uoria NUtia vho.,e ,.ignature appear« hereon land who acktwwledged to me tba;x he executed the same in his offical capacity on "half of tho City of Tigard. A at i' l.c of vregon � �ueaais%ion extyire�: City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE: /Y!2'*DATE ISSUED:__1.1_. OWNERS NAME : ADDRESS : a CONTRACTOR : — TEST: Air ❑ , Water ❑ , Visual C7 , Laboratory [] RESULT: Approved Disapproved ❑ , Pending ❑ SKETCH: if PECTOR CNOTE : Attoch supplemental test data horst] i i r I 14V-1 City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE: 7 - DATE ISSUED: _L1_ OWNERS NAME : ve- ?-- ADDRESS : 12-2-He s-u" 166' I CONTRACTOR (!-<- , c7 F S TEST* Air❑, Water ❑ , VisualLaboratory ❑ I RESULT: Approved Disapproved ❑ , Pending ❑ SKETCH: INSPECTOR DATE COTE Attach supplemental test dote hereto, I s l i r 1 .i t a Address /Q1�G0 �i c� /OG� � Permit No. Permit charge Owner _... Connection fee 4x62 .� Paid by 4u �L"� Type of building Date connected ,'// f7 Service rateInspection fee Contractor �..tt �(��., Paid by s1:g1I(,(--, Date Size of connection Assessment Paid J �s _ 0 City of Tigard I INSPECTION REQUEST for c/ SFECTION TIME: `ice PERMIT NO. : DATE: 2 Y1 ,7Y DATE ISSUED : L /NERS NAME : — ADDRESS: OF )N T R A C T O R : —_ Y /4, T z. --- -- i -ST ' Air ❑, Wvter❑ , Visual , Laboratory f7 _SULT . Approved, , Disapproved ❑ , Pendirg ;ETCH; r INSPECTOR DATE TE Atiar!. supplemental test data beret] W W t I I city g of Tigard and INSPECTION REQUEST for IINSPECTION TI ME : ' " �' PERMIT NO. : DATE: 2- ' DATE ISSUED:_ 1—L— OWNERS NAME : - N` ' ADDRESS : ICONTRACTOR : f TEST*. A-r U, Water O , /isualX. Lah gyratory P RESULT: Approved A Disapproved -1 Pending SKETCH' I I I I I INSPECTOR DATE I [OTE : Attach soppiementoI test dots heret] 1 City of Tigard INSPECTION REQUEST for SPECTION TI E PERMIT NO. : DATE: - Za DATE ISSUED: _.LL_ NNERS NAME : ADDRESS : C�'� �L��� plc= , �:c Nk )NTRACTO R : - EST. A r J , Water ❑ , Visual 0 , La" .,ratory [1 ESULT: Approved 11 Disapproved _1 , Pending ❑ KETCH: INSPECTOR DATE )TE ' Attach supplemental test data heret] PLUPM111G PwXT APPLICATION .iurisdiction Of a` Fee Permit No Type of Fixture . 7y-!•�"/' petr�it fee -•tet r ° Permit Issue 'L V C oBeta CliP,t Approved by �� a building Perm o a r ' fi Receipt No. 2 over ishw � n s 1 c en Location of pnlilding .J .ax, -- - V a_.. 8— 1.�.��--..058 Name_ Name A Address of 04ner — a,ns`�ree P P 8 U -�in ui Plumber rr,r, ss � re ns Nae A Address ` 1 mn c. as PI' -moo s nry�r.�.��np-.�-- ._.._._.---.__.'_.--- 8 r B 1:"'"'" d 'r Il :-2e„ k• erV,ceduildin Old or New' Alter Ke e r o— r r ns - or awT, r r r.. em er �. J r e r ,v a r -_..-_- s ,r ork or suspended or abandoned Thio permit becomes null and sor void if w work is canstrvction or natl^urtic�n authorized is no Com 'ed within 60 clay atany time after work in cnmmenr.P�• for s period of 120 days of Tigard and Dost a 519000 bo" All plumbing fltu"a must. be licensed by the City read and exomired this appii'-'ation and know the M w Gerti.fy that I have govern this I her by provisions of laws and ardinsnces ranting of to be trek. and correct. All pwhelher specified herein or not, the provisions lied with to violate or cancel the Provisions of of work will be creeume to Sive authority erformar► peraait does not p lating construction or the D of any other state or local law �gu construction. gnature a App icons C �C City of Tigard INSPECTION REQUEST for r- -7 INSPECTION TIME: /V PERMIT NO. : DATE: tom /-/C/73 DATE ISSUED : Z OWNERS NAME _--.__--- ADDRESS: ---- -- -- --- - CONTRACTOR ! TEST : lair u, Water[] , Visual ❑ , Laboratory ❑ RESULT: Apnrovedx , Disapproved ❑ Pending p SKETCH.' INSPECTOR DATE COTE : Attach supplemental test data hereto, w w w w W w silt w City of Tigard INSPECTION REOUEST for _ �c f/yLY- INSPECTION TIME :_ PERMIT NO. .' -.---.— DATE:1/ 1-2,1' 7-3 DATE ISSUED:__1 OWNERS NAME : ' �''c h;►c�yc C a- ADDRESS : /a ' �.Gci, /C'Jrh G`' Fsi1G CONTRACTOR TEST: A r D , Water ❑ \/isual O , La'- ,ratory [t RESULT: Approved © , Disapproved 1 , Pending SKETCH: �+:tc' T� FL L -I ; w' C "LT K INSPECTOR DATE Attach supplemental test data hereto, EXHIBIT "Aa CITY Of TIGARD Residential Structure Occupsny Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Dragon: (The City will issue a raises@ as soon as a fimsi Inspection determines that the construction Is satisfactorily completed) DESCRIPTION Of PROPERTY: Tax Map 251 3AA, lot 4, Clydesdale Subdivision ADDRESS OF PROPERTY: 12260 r.-U- Infith nriuo NAME OF OWNERS lauid S hula ADDRESS OF OWNER: 11805 S.W. Gaards, Tigard, Oregon IN WITNES5 W11EREor, the undereigned has caused this restriction to be executed this day of , 19_ OWNERI � P �. None APPROVED: �.. T— ��— flr s �1d1 fte � u t n r. sT City of Tigard STATE OE OREGON rounty of Washington ss' 1 !�, , 19 ]� Personally appeared before ms the above nosed and acknowledged the foregoing instrument to be voluntary act and deed. Rotary PuVl1c orr0 egon �-- M► Comsiaion�Expirest PA 1. tit11 1�'tMlRtt1, hwti d ark....A tw+»�. l:•a- 01 of STATt to oetcat l u i r. R„pit nw-urn Uw�a1w � U�..,.f. end Iretrynt end F.O/i.tr R.earAr. of c:.,.. r0.0 0% kr w/ t,tnti, de Iw�t. tr.t,h M. M «tyn of wo-I 004 r� a card Cw►rt Nhen! and Mal of#l**d 4CGtR THWSUN. RK.+Ft d ibC�row s a DIM EXHIBIT "A" CITY OF TIGARD Residential Structure Occupsny Restriction KNOW ALL REN BY THESE PRESENTS, that occupancy of residential structure (a) on the foilouing described lends prior to the recording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited h•, the ordinance of the City of Tigard, Oregon: (The City will issue a Valeria as soon as a fleas Inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: Tax Map 2S1 3AA, lot 46 Clydesdale SubdivA"an ADORE OF PROPERTY& j,22&Q s W i pews NAME OF OWNER s .- ADDRESS OF OWNERS 11805 S.W. Geardas Tigard, Oregon IN WITNESS WHEREOF, the undersigned hes caused this restriction to be executed this day of , 19_ OWNER: Name APPROVED: • By: Ruilding c a City of Tigard STATE OF OREGON county of Washington @@.i M iI19 ,4„_ Personally appeared before as the above named and acknowledged the foregoing Instrument to be voluntary act and deed. ary pb c trr7fagon M� Comstisalon Fxpirsas 'f I� ! ! ! pP4 7 z UNIFIED SEWERAGE AGENCY NO 4929 WASHINGTON COUNTY CITY O F Tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: . Dave Schulz OWNER'S ADDRESS: 111 11805 S.W. Gaarde STREET - I Tigard CITY STATE ZIP - BUILDING SITE: LOT 4_ BLOCK - - ADDITION Clydeadale TAX LOT N0. ._ TYPE OF OCCUPANCY r�8��e+iae- } ' ADDRESS 12260 S.W. 106th Drive .i DWELLING UNITS _. FIXTURE UNITS a SURCHARGE IF APPLICABLE _ 50 Derry_ Dell PERMIT FEE 450 INSPECTION FEE 25_ TOTAL DEPOSITED _ 475 ' ( -� --- -- (NEW) (EXISTING) BUILDING SEWER SYSTEM - Tigard G` 1. i The Applicant agrees to comply with all rules and regulations of the Unifie Sewerage Agency. yr'/ APPLICANT _. SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE .. 4" INSTALLER RECEIVED BY " (AGENCY OR ITSGEN I COMMENTS _44.,,7 �G 7- p7 This Application and permit expires in ninety (90) days. The amount Maid will he forfeited ' should expiration occur. i CITY OF TIGARD 11420 • W h4tn laws "GARD. OnIGOH M22 APPIAC.ITIUU FOR BUILDING i'I.i 1I I' New Construction a ,)emollsh ❑ Addition ❑ Remodel ❑ Move ZONING R-7 DATE ISSUED.y11-11-- BUILDING PERMIT DATE RECEIVED BUILDING FEE S 77.00 No. 73-267 PLAN CHECK $ 3u.bu- c BY - OTHER S A5oR9}PjntVALUATION S 20.447 _ TOTAL S 120.27 RECEIPT Two SETS OF PLANS AND PLOT PLANS MUST BE FURNIS11LD WITH APPLICATION LOT 1.- s _—_ MAP 1 251 3AA CENSUS TRACT - JOB 1 Architect or Engineer V_kill Q►.pigtc;�_ __- -.------ Address Ae, u_p — -- ��Phone— _ __.Z'� d.tuadua�.--fit-Hand _.�---- Owner nun yGllul7 Address 11005-S.U. GaArde--� --- -- --Phone-��-____�. Builder Address __ _ ,___ Phone _ BUILDING USE Single Res. E] Multi Res. ❑ COMM. ❑ Industrial D OCCUPANCY GROUP I I _ No. of Stories�l Total Height-__ Area of Lot_ Type of Construction txxttXXttIXX]Mx V Floor Area Set Backs: Front IU ilack­kgL.Side R.Sid,- _ Private Sewer Pipe Site 4" _ Sewer�ejL_j "jdSeptic Tank ❑ Water Service Pipe Sise__�q"� Storm Sewer © Ditch ❑ hrywell ❑ Street and Curb Requirements_ _Hilt-t111G_. Driveway Width _ 1V __- . ,No. of Parklnq Spaces-SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATtON ADDRESS ASSIGNED ___- 172An --- FIELD CHECK BY J6__ _ .__ __ �__ __ . DATE 11-13-731 PERMIT APPROVED By 4&-. �/,.� It is understood that all work will conform with applicahle codes and ordinances of the State of Oregon and the Cityo _41 garOregon, anti that the building will not be occupied until a Certificay 01 pancy has Pj Rsued by the City of Tigard Buildinq Inspector. 1'-� ►f,_ : gnetu—its 1 I 7 1 i I I J� f I \ I J fl I j1 II I I I I _ n r