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CITY OF TIGARD QItF,GON Owner:......fto.tu.it...Ga.r.n..............................................Permit No.....00.7.2.----- .--. t � Building Address................2.2.0,75... ..... 07.t1,...G.t.......................................... , • Certificate is hereby giv n this.....J.e_t.h..day of...Auqua.t<............... 19.15.... 1,. .' f that said building may be occupied and i�, ••�'�", t that it complies with all requirements of the Building Code for the City of Tibard, as approved by the Tigard City Council. I des. ..................... ' d . .. .p, l ' Buil i.ng Inspector tT EXHIBIT "B" 17-105 CITY OF TV;ARD Crrt'r Ib'I CATS OF OCCUPANCY AND I«1.k;ASE OF Rk:1TH I Cf I OH The City of Tigard hereby certifies that the occupancy of the following described structure or premises with rer:pect to which e restriction of occupancy wen, on July 17 ` _, 19_14, recorc'.ed in r3uok .9t14--, Pnlge — 188 , Deed Record of Ua!;hington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: lot 10, Pathfinder Subdivision, Tax Map 251 3AD BUIILIX PERMIT NUMBER: 0071 BU111)ING ADDHFSS: __U675_5,W. 107th ct. _ This is to certify the Maid structure mcetn with the require- meets of the Building Code of the City of Tigard and the above referenced :e!;triction it hereby relenc,ed nod tertnirwt.ed. IN WITNESS WIIF.Rk:oF, the undersigned authorizeu officer of the Oty if Tigi,rd has caused thio certificate and rcl!•ar,e of rer:triretun to be executed this 1Ht.h clay of i. i/ _ _ Title:��i.�.`c�—F�+yn� W– STATE OF 0101GON )g s County of Washington ) On this _jDt!i day of Auouat. _, 19_x, pernorally appeared before we the above named Da r i s Ha r t iA _, who ie 01gusture nppearn hereon and who acknowledged to me that tie executed the name in his offical capacity on behalf of the „ity of Tigard. Notary H clic of Orega<r My Cummission expiress u^ ! 3 LI -AN Ift y Ming PAtih1fJ s"*040.41 ttw." ,.Z � � �°��� v � 1 �R or�O'�i �. � w � 5 � .' � �s � - � � �- ���� ' 9 � � 0 0 �� far s w t 8� ,p,yj^ �}j' N J ��.�f Zp t ■ ■ =law■ ■ ADDRESS PERMIT NO. OWNER PERR MI T C F!A R G E - _- CONNECTION FEE - - AID BY TYPE OF ©UILDING SERVICE RATE DATE CONNECTED - --- _ INSPECTIOP FEE �'o'd LONTRACTOR ! . ,(�, PAID ©Y _ DATE SIZE OF CONNECTION l.11 ` ASSESSMENT PAI Q Cf) o a 0 o � � i :3 N aCL M ~ p 4 r;l cr +c"W w ` J \ O e Ll a 3 W cj cr 3 n a.. Q W O a C cl O Z Q t~i Z a l3 ti x r w w a =) H _... a. z z U) cn w Z3 O Ill w It ,� o ._ O t) F- Ir in L A?,L sp.1•-T r , TO TU A-r FIE y _ Cr$ P, i r ww �y City of Tigcrd INSPECTION REQUEST for INSPECTION TIME: / ) . PERMIT NO. : i DATE: 6 /.3/ DATE ISSUED : Z i 0WNERS NAME : i ADDRESS: - �� -�---- CONTRACTOR i TEST : Air p, Water Visual Laboratory p RESULT: Air.►''`-'�d Dia( ,)V-; Pending O -- SKETCH: I I I E I I I City of Tigard I INSPECTION REQUEST i for EINSPECTION TIME : z",l) PERMIT NO. : DATE; �-� DAT ISSUED:__.L_ EOWNERS NAME: ADDRESS E CONTRACTOR : T_ TEST: Air p Water -- + Visual Laboratory p RESULT: Approved C'isa pp roved C] Pending p SKETCH: -" — -- INSPECTOR DATE LNOTF Affoch supplemMtal foot data horst] i wig CIT'! OF BUILDING PERMIT APPLICATION TIGARD DATE 0072 THE UNDERSIGNED HEREBY APPLIES FOR ; PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMVANY1NG PLANS AND SPECIFICATIONS. OWNER PHONE—_-__ OWNER ADDRESS '� fj, BUILDER PHONE ENGINEER BU .Q_EfL— _ AHCHITECTDESIGNER ��---tt STRUCTURE ❑NEW ❑REMODEL ❑ADDITION IJ REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAE ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS ! ar OCCUPANCY—LAND USE ZONE_ r / BLDG.TYPE FIRE ZONE_ PLAN CHECK BY.____._ __._.��HEA1_ _- Ty� ! OCC, LOAD FLOOR LOAD ' 1 HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit —'—' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BF DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOG=S NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State / 'i' LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING. �OtAI ,41,i, 1 Y A_PPt ICANT OR AGENT Approved ./ 1 Receipt No 1#. "7wAf..w ADDRESS DA r- IINSP r TYPE INSPECTION REMARKS PLUMBING DATE Contractor, _ Permit No. o l l'R 17 Rough-in Fixture Final HEATING L tor o. il n Final _ SEWER _ Final DRIVEWAY Final _— Storm Drainage —— (Rain Drain) Final Sidewalk Curb 81 Street Final —� _.._ _ _ _ Approach _ BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoninq Final J, , A 14077 EXHIBIT "A" CITY OF TICARD k Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT, that occupancy of residential ,structure (s) on the follouing described lands prior to the record- ing cf an occupancy permit releasing the resttiction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance i of the City of Tigard, Oregon: (The City uill issue a release as soon as a final inspection dvtnrminn^ that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: l . I lot 20, pathfinder Subdivision, Tax Map 251 3AD ADDRESS OF PROPERTY; 1,'x75 5-1t 7h Ct. xa� NAME OF OWNER:r_ r_ int ADDRESS OF OWNER: 4gY3XtdYYYOT<YN IQ,435 S.E. Uivision.Gresham , 3 n M r-, 2LIN WITPJL(i'i WHEREOF , Lha undersigned has roused Ih13 restriction e l a o to be executFd this_ _ day cif `�T, 19 7 . V n OWNER: o m d a Name .r * T it e _ APPROV41Ld, ") ^ Oy: / Ilo'r.a t�r:;tN.4Nwa N �t.M �+ u Ing Official —" ` s.°"a.R 6 r} City of Tigard M....El� .. _... . ..yyL�c . ..._.... STATE OF OREGON County of Washington 1 39 Personally appeared before me the above named 77ru,+ !i he e., L4 and arknowlndged tho foregoing Instrument to be /,S vo)untnry act and dried. I � n ary Puh or reyo—n—` My rf)" 11 r.l[n FrpiC�•h: 1_ / s eooK 984 FAuc288 I i I 1.40'77 EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction KNOW ALL IGEN BY THESE PRESENT, that occupancy of residential structure (s) on the following described lands prior to tho record- ing of an occupancy permit releasing the restriction in the Deed 1 t Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon; (The City will issue a release as soon as a final inspection determines that the construction is satisfactorily completed) DESCRIPTTON OF PROPERTY; lot 20, pathfinder Subdivision, Tax Map 251 3AD ADDRESS OF PROPERTY NAME OF OWNER : r ---- _.11incaclt__. ADDRESS OF OWNER ' xggy$x�XppYXY&Yxl1. 1@4.��_�.:.E..�_Qiv_i,eion Gresham IN WITNESS WHEREOF , the undersigned has l:au:5ed th> � reatrlction to be executed this_�day of ,/, / 19 . OWNER Name — I 1'1 t. e APPROUE�p By : a�e. rw _ _ _ + flu1 ding Of fi cis p0<i1.A T#T0t9sCN. M . � tam, M Ib.x.,a1ti ElwoMoo� City of Tigard pr•-..,�1,... � � } ................. STATE OF OREGON County of Washington ss 7` Personally appeared before me th,- ni--Jove named i ------------- _and ar,knuwledged the foregoing instrument to be /1,5 _voluntery act and deed. Notary Pub .i for regon .� �,. _._ My Commission •�: Ew�iras; P���� 984 mr2S)A STATE OF OREGON C County of Washington sc 1, Roner nd EM-'-e Director of Records and Elections and Ex-Officio Recorder of Con- veyances said county, do hereby certify that the within instrument of writing was received nd recorded in book of neords No. _: Of said Cowley -----.,... Witness my hand and scof uffixed. ROGER TNOMSSEN, Director of Records $ Elections -P ex,i D&PI rty JUL 17 12 24 PH '74 . w ,■r w ww ww � C IF atilt N{D G PERMIT APPLICATION TIGARD DATE , t9 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOF.a HEREIN INDICATED 1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ OWNER \t �f I'�C �'V�.r ADDRESS7)'- BUILDER PHONE ENGINEER ARCHITECT _ DESIGNER _ TRUCTURE VNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [-]DEMOLITION SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO []CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE QBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS CCUPANCY._-_I AND USE ZONE � BLDG,TYPE�FIRE ZONE_) PLAN CHECK BY4y().26L HEAT CC. LOAD _ FLOOR LOAD HEIGHT_ NO.STORIES AREA VAI UE BUILDING DEPART MEUT SET BACKS FRONT _HEAR_ LEFT SIDE RIGHT SIDE etmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Ian Check 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 lecordinp ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS %State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. otal Y APPLICANT OR AGENT / ,pproved ----- --.—� Receipt No. ---__— -- REMARKS PLUMBING DATE DATE INSP, TYPE INSPECTION Contractor Permit NO. 17ex Rough-in Ile eZo- Fixture 4'L&tf�_�To A)& 1A) Final HEATING & Itz 4111 -el"L. c Contractor 4- Permit No. It, qv /,.I� Llt�t Gas or Oil h-in Final SEWER Final e_ DRIVEWAY L. v t Final 1 OI Storm Drainage 0 C _Rain Dain) Final Y) i Sidewalk e" /4 t.) 0 Curb &Street Final 11"'PI c A roach jAl- 'D Bi DG, DEPT. FINAL TEMPORARY ERTIFICATE OCCLPANCI( Final CERTIFICATE OCCUPANCY Landscaping Zoning F inal W W W i 0 V1 7 UNIFIED SEWERAGE AGENCY NO. 4992 WASHINGTON COUNTY DATEJV5��� CITY OF APPLICATION FOR SEWER CONNECTION PERMIT OWNER: OWNER'S ADD RESS:_.r1 ��7�__��e�_ (/ctti STREET A CITY STATt ZIP BUILDING SITE: LOT _L>V.__ BLOCK _ ADDITION1Lct.._ TAX LOT NO. TYPE OF OCCUPANCY -� ADDRESS _ __ /07 6K'_ DWELLING UNITS _ ___ _� __ FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE _____ ' '�© _ INSPECTION FEE c­957__ TOTAL DEPOSITED jW)L , (EXISTING) BUILDING SEWER SYSTEM _____�1c ,�__. The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT._ ""`. ._- .--r,-_.– ' SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTErvI. Of LINE SIZE ..__ ___ INSTALLER RECEIVED BY. .. AGENCY OR IT. AGENT) COMMENTS: This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD 12420 S. W. Main Slr*W TIGARD, OREGON "M APPLICATION FOR HUILDING PERMIT Now ConstructionVV Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING DATE ISSUED_ l 3_5 ;f BUILDING PERMIT BUILDING FEE S- �[ No. DATE RECEIVFD�=J„/ �-�' 7 //53 SY PLAN CHECK $��).�_ ---- -- - VALUATION $ OTHER s —_1. • ,.. f �_' a TOTAL $ _I e ,I» PECEIPT No.JU-Y' TifO SETS OF PLANS AND PLOT PIANS ;MUST JE FUTA�NISIIED WITH APPLICATION IAT 1_ '10 - --- MAP 1— CENSUS TRACTR. JOB 1 Architect or F.nylnrer Address Phone Address IP343 1_ ..�� _nlyl3..L:]L�1__._.�,AS1 e4rn- ___..�� __Phone_(k` - Bui Ider Address Phone BUILDING; USE Single Ron. Multi Res. ❑ Comm. ❑ Industrial[- i OrCUPANCY GROUP No. of Stories-1—Y,?..,.— Tutal 11ei ht Area of Lot JJD / Type of Construction I I I III IV V Floor Area B »_ 1_ 2--- net _- Set racks: Front L_tf- Back 3_ � I..Side/ _t-_ R.Side Private Sewer Pipe Size_ If _ __ Sewer_ {�, Septic Tank ❑ Water Service Pipe 5iae_ � _ Storm Sewer Ditch ❑ DryweII Street and Curb Requiroments� --_1!J Driveway Width ": d No. of &-arking Spaces__' SEPARATE. PERMITS RXQUIREU FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASS IGNED`_-/4J-,7 1- _--- FIELD CHECK BY__. __._ . _._ � _ _ __ _ . . . DATE �I_L._'���___. Pk wm rr APPROVED BY ' ! t• f / 1�r•.� It is understuad that all werk will conform with applicable codes and ordinances of the Stste of Oregon and the City of Tigard, Oregon, and that the building will nut be Ocl_unied until a Certifica oE�occupancy Ann been issued by the City of Tigard Building Inspector. a\�