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CITY OF TIGARD
P. 0. Box 23557
1242.0 S. W. Main
Tigard, Oregon 37223
April 6, 1976
To Whom It May Concern:
Subject: Roof Sheathing at 12900 S.W. 107th
On October 2, 1974 an inspection was made at the above
mentioned address, by myself, and I nnted the plywood
being used for the sub-floor was separating at the seams and
not equal to that required by the State Building Codes. A
stop work order was than issued by the City of Tigard Building
Department.
Again at a later inspection of the roof sheathing it was noted
a considerable amount of the plywood was blown due to separation.
After consulting with the Building Official, Mr. Russ Austin,
it was approved .if Mr. Cohen would agree to put a base sheet of
not less than 30 lb. felt over the sheathing, in addition to
the required 30 1b. interlace felt. If you need any additional
information concerning this matter, please feel free to call
me at 639-4171.
Very truly yours,
�amesJ
Brien
Building Inspector
JB:ms
� ..s ,�' a '' c ` yi4a 9 p�h rt 'i�W�,'�� ,/v �••�. I'�•.e /'� „�a h �•s, i'�'{.� � `
:�5^'•^.7^al.'t'ci�f�T r� :-^ac^tcsaq.�-..y ,c. , ,!
OF
xC CUA
VIS' J
CITY of TIG ARD ! 'v ey � V
OREGON
Owner....T.C.. ..V1.ngAn.t...............................-....-........Permit No........OR 7......... u
th Ct Building Address 129.0.0S .W.
• ,... ...........................................
Certificate is hereby given this...6t......_day of....Mar.r,h ..............
that said building; may be occupied and " ��� ►
that it complies with all requirements of
the Building Code for the City of Tigard, } ` ,
}•, j as approved by the Tigard City Council. 4 A _'
-.+.ctl.f�C��tA�:�. ..���-��•—'tea. _ .�'� �t
Building Inspector
�`. � �n �%1'��„�`•Y +'1ti �.y�1µ.F ri2Y"v` a!f� 1�ir�Y,,,111g1! Y 4d� '1/ � � � /+. ��'�r .-✓
EXHIBIT "B"
CITY OF TIGARD 17591
CERTIFICATE OF 00 U1 ANCY AND ItF.i.FA" OF RF iTRICI'ION
The City of T16ard heieby certifies that the occupancy of
the folloving described structure or premioe.,, with respect to which
July 17, 1974
a restriction of occupancy was, on August 23, 1974, lg_,
984 292
recopied in Book 989 , Paige 7,7 Beed Aeeord of Wasbington
County, Uvegon, is hereby authorised and approved.
D*ZCRIYTION OF PH011EM:
lot 37, Pathrinder Subdivision, Tax Map 251 3AD
OWNER: Rmn Amariran Atdy-- Inv
BUIIDIX 17-MT NLWE:i: 0027
HIIIW1% ADDRE;Z: 129Q❑ �y� 1G7th rmtcL.
Thi:: i to certify the -.al-1 structure meet with the require-
ments of the Bullding Cute of the City • f Tiguid and the above
referenced restriction 1:, hereby releaae4.t anti terminated.
fl� IN WITNEis i.700;UF, the underr,igrted auttturlaei officer of the
t City of Tigard ha cowled thi : certificate am, rales:.e of rentricti'm
to be executed thin rlsy of Al.,
Title: -
:iTATE OF URFJ60N ) n1*4 la nemd �... ._...t e yS.a 4M ►tM
County of Washington )rtt Plato T11o"W1�. Dtw+w d awore� tw+,•.n.
Un thi 4Lh day of Mares_.. , lid, personally
appeare.t befrre rr the above hatred Doris Hart,ia t who .e
:;lgnature appear hereon and who arknowledgeu to me that he execuWd
the same in his offical capacity on itehalf of the City of Tigard.
L'LOLL
flotary }..b ,r, of Oregon
My Cuetmiinion expires:
opt' is eoo�1013E3Ju
V
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CY
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EXHIBIT "B"
CITY OF TICARD
(4'?MIFICATE OF OCCUPANCY AND RF.1YASk OF RF_;TRICTI.ON
The City of Tigard heteby certifies that the occupancy of
the following described strL;^ture or }remises with respect to which
a res friction of occupancy was, oa 197A_,
recottled in Book _oae , rnEge _ g95 _0 Deed Record of Wfv,hington
County, Ore Eon, is hereby authorived and approved.
UESC.tT_WION ''.F FROFER'rYt
lot 4, Pathfinder, Tax flap 291 3AD
OW":
BUILD-NG F'FJtMIT NUMBER: 74-154
6LDF_NO-ADDRPS91_1p735 5.W._.P_atbfAfjdn.t
T'his is to certify the -aid structure meets with the require-
inerts of the Building Code of the Ci6y of Turd and the above
referenced restriction is hereby released and terminated.
IN WITNESS WHEREOF, the urnler!O fined authorized officer of the'
City of Tigard has cau,;ed this certificate and release of restriction
to be executed this day of , 19
--
STATE OF URtX;ON ) s
county of Washington )
On this Any of _.._ �� 19,_, personally
appeared before me the abuve Mined __..___�, whose
signature appr.ars hereon and who arknovie' dged to me that he executed
the same in his offical capacity on behalf of the City of Tigard.
Notary Public of Oregon —�
My Commission expirest
r
jaao -- � l J4
ADDRESS Iry /0'I6k PERMIT NO. .�qy
PERMIT HARGE
OWNER CONNECTION FEE
PAID BY
TYPE OF BUILDING ra�� s� DATE CONNECTED
SERVICE RATE @s� INSPECTION FEE ,2s"
CONTRACTOR JT.�°, �Ic�ct PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
i
r
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gal 71JTJ
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Y/ � •• r VVV h
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'� F- to D �i .;• , ' � �, ' 4
.r.
City of Tigard
for �(
1148PECTION "IME'
CONTkAOTOR
TF` er;� v1su�
RESULT' ^'wDdFr\ f,
S If.
/SPP y,r P ffFG r= D P I V(eWA�Y QL'L Lr .
CTAc'", tkH-I.F V�ll9S `t ���tV� t�FT sP T'�
Qr-t: A R- I N,S'T�4tL_F D PRI C)P,
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2qa�
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1_
�N, Y, . '�f0o�, •�4�1.5.•,1.i•J! ."-L.1!_':OIt,J..l►q►.l::�, _ - : .�
IN THE. MUNICIPAL COURT OF THF CITY OF TIGARO
Washington County . nregon
CITY OF TIGARD
Plaintiff*
}
vs
) No.
T ) AtFwAViT or SERVICE
1
Oefendant. )
STATE OF' OREGON )
as.
County of washington )
it, ,,,_,Jol/"OES 43e i LFA/ _ b o i n g first duly
sworn, do depose and certify that I Pn•sonaily sarved a true copy,
certified by th" building official as such, of the Stop Work Order
attached herato, marked oxhtbit A and inc�nrporatsd herein` on
GG`I'uel &a working or causing
work to be donR at
on the day 01 by n.:,rwonally
handing said Stop Work Order true cony ora said Person.
'subscribed and sworn to before me this �2 day of
19 /�7,
C firy ubl c � r®gon
my mi ion Expires:
1 1 1 I I I
17
Cc
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.
CSS
tr
or,
pw
.,
go 7
cc
241 CIS
O v
rd
cc rs
Ir
i .
Comity of Tigard
INSPECTION REQUEST
for
rbc Z'CL441f
INSPECTION TIME : PERMIT NO. :
DATE:. DATE ISSUED:.._,- L
OWNERS NAME : G41—'W-T 2ir1,)
ADDRESS . /;9U,; T _
CONTRACTOR : 001 S�1iu�7.yy�c�J
TEST: Air D, Wate6'c'r, Visual*JR� Laboratory D
RESULT: Approved, Disap; -4 D Pending D
i
74.y
iN SPE CTC►R DATE
ICOTE' Attach supplemental toot data haretoJ
I
456
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 Deed Records
of Washington County, Oregon, is prohibited by the ordinance of
the City of Tigard, Oregont (The City will issue a releaes
as soon as a final inspection deteruinse that the construction,
is satisfactorily completed)
DESCRIPTION Of PROPERTYt
lot 37, Pathfinder, Tax flap 251 3AO
ADDRESS OF PROPERTYt t2gnn s u :n7th r _
NAME OF OWNER! Tisa Vincent�yJarry Cohen contractor)
ADDRESS OF OWNCRS 530 N.E. 118th --
IN WITNESS WHLRLOF, the undersigned has couseo this
restriction to be executed this Ig day of .11wy st _ , 1974 .
nWN//E R t
ame
APPROVED: Title!
By:
Ruilding- OfFIC161
City of Tigard
STATE OF OREGON
County of Washington es. A ouei 19 _ ► 19 JA--
Personally appeared before as the above named
Jerry Cohen and acknowledged the foregoing
Instrument to he voluntary act and deed.
otsry u re on
tNf �o i9*18h Expirea!
pt r w
".ta r►aj..4w ftwr r a....N a
1
')S'1 1, 717
;4
A �
or °
i,
�
CITY OF
BUILDING PEWIT APPLICATION TIGARD DATE__ �_, 19 N° 0027
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OWNER PHONE —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PI ANS AND SPECIFICATIONS.
OWNER —_ ADDRESS BUILDER PHONE
ENGINEER
11inGliyn+ ARCHITECT DESIGNER
g�LDER --
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION [:]REPAIR []RENEWAL [:]FIRE DAMAGE ��----11 []DEMOLITION❑_RESIDENCE [:]COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE OSLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY-----.-- LAND USE ZONE_._ —_-BLDG.TYPE_._. _FIRE ZONE__ PLAN CHECK BY HE.AT._. ___=
---- --- This is a reissue- Lhenging a.ote an building permit ------
74-1b4 from lot 4 to let 37
add this permit to permit number 74-154
QCcLOAD T FLOn9 LOAD _ _ HEIGHT NO.STORIES AREA VALUE"
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
1� 00 THIS PERMIT IS ISSUED SUBJECT TO (HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check v 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 ANn IN COMPLIANCE WITH
Recording nave ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRF.:TIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING- r .
Total w i}() ! �/� :! ,��)
BY --- - -
APPLICANT ORfAGENT _
Approved Receipt No.
ADDRESS P u wF
w A�W-tw-jtw,IifW�Wfw-j�wim
w w
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
/67 77 V Permit No. '?(/-I
Rough-in
Fixture
Final
/C>10 HEATING
s;o.!1—tacI2r&
Permit No. rfA-
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Ap2roach _
SLOG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
.................
J
14081
I
EXHIBIT ^a" i
CITY OF TICARD
Residontial Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential
structure (s) on the foliouing described lands prior to the record-
ing of an occupancy permit, releasing the restriction in the Deed
Records of Washington County, Oregon, 1s prohlbltrd by the ordinance
of the City of Tigard. Oregon: (The City u111 issue a rnlvase as
soon as a final inspection determinnn that the construction 1s `
satisfactorily completed)
DESCRIPTION OF PROPERTY: 1
lot 37, Pathfinder Subdivision, Tax flap 251 3AD
ADDRESS OF PROPf Nly: 1290(1 ',�.1�. 1117th pt 11,
Na
NAME OF nWNFR: FMNXXtfMNX
ADDRESS OF OWNER: P.D Box 1fiQ --
a
3I o ? IN WITNESS WHEREOF , the undnrsigned has caused this restriction
ro ro` 19
n Lo t!e executed th16 ti_day of
„j�[•
t JyV bw OWNE R
-ti a
title
{ 4o
ey:
B U i n g U 1 C 1 a (,1�p�t11 THUMn4tN.If,�s w'�~O"� Mfu�v 4�
City of Tigard
STATE OF OREGON ss _ yy, , 19•x•,__
County of Washington
peroonally arifinared before me the above named
�- rnd acknouledgod the foregoing instrument
V—=
i to bn ll,i _.voluntary ert and deed.
u
NotaryPublic cit L
My Cammiysion Exp&sl�—
t00% 984 v,1292 i
14081
EXHTBIT "AI'
CITY OF TICARD
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT , that occupancy of residential
structure (s) on the following described lands prior to the record-
ing of an occupancy permit releasing the restriction in the Deed
Records of Washington County , Oregon, is prohibited by the ordi.nalce
of the City of Tigard, Oregon: (The City will i3sue a release as
soon as a final inspection determines that the construction is
satisfactorily completed)
DESCRIPTION Of PROPERTY :
lot 37, Pathfinder Subdivision, Tax Map 251 3AD
ADDRES? OF PROPERTY . -_12900
NAML OF L'WPJ1-H -' M149119ANX Pan American_Bldr_�
ADDRESS OF OWNLH
IN WITNLSS WHEREOF , the undersigned has caused this restriction
to be executed this S- day of_�/,� � , 19�,
OWNER :
Name
Tit,
APPROVED,)
�j r� 19 7.f...dl. A M 1
Building Officialrllpf t wrata... (..:...,l../•....
City o f Tigard 4 R GTA THUMRSCN. IAurrer of Pte-"A@ 14 fawr�bne
1 .. n.v�w
STATE OF OREGON
` ........
County Of WashingtonP'"'""'"� ����ss _ 3 �,✓
19
Personally appeared before me the above named_
�, 1*b_ 'IPiCP"t and acknowledged the foregoing instrument
to be voluntary act and deed.
Notary Pub zc � or Or ' on
h 9
My Commission Expires :
BOOK 984 1AU292 `+
STATE OF OREGON
County of Washington ss
and Elect ons and ms en, Dira or of
Records
VeYonces for said county, do charMdebr of Con.
thattht within instrurnent of Y certify
received and recorded in writing was
No. bi�ok of records
Of said Cou
Witness mY hand and seal affixed,
ROGER TMOMSSEN, Director of
Records d, Elections
�ef-,
Do"
°�;� JUL I l 12 ';
EXHIBIT "A"
7 -/7-7y CITY OF TICAHD
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential
structure (s) on the following described lands prior to the record
ing of an occupancy Permit releasing the restriction in the Deed
Records of Washington County, Oregon, is prohibited by the ordinan
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)
DESCRIPTION OF PROPERTY:
lot 4, Pathfinder Tax Map 251 3AD
ADDRE55 OF PROPf.RTY — in7
NAME OF _--•.�.C..__Ilzr�cent___._._,�_ .........
ADDRESS OF_OWNER___
IN WITNESS WHERrOF , the undersigned has caused this rE_', rictio
to be executed this___;j: _day of-, / 197
OWNER:
�-7
APFROV ED;,�
Buil idil ng Officia
City of Tigard
STATE OF OREGON )
County of Washington ) as
741 ig
Personally appeared before me the above named
�LN[p/& and acknowledged the foregoing instru-e-L
t° b® tiro _____,voluntary act and doed.
WI; bl�cor
My Commix io Expit'=
> s
UNIFIED SEWERAGE AGENCY NO. ______4993_
WASHINGTON COUNTY DATF
CITY OF .--
APPLICATION
F .--APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: - -- ---
OWNER'S ADDRESS: -7
STREET
_ t� � _ 4
- -
CITY �- STATE ZIP
S- --
BUII-DING SITE: LOT - BLOCK _- ADDITION . t�Z�csc�t�CL_
TAX I OT NO. -- TYPE OF OCCUPANCY _
A D D R I SS _ �r, s� n ' �l l '�.r. /fig 0 0 A)-7
DWELLING UNITS_-- _ 1 _ __ FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEEINSPECTION FEE , 1-0TAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM
v
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT—_Q!-.�_ ✓� �� —�-
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY. 4,u"A-k-
(� 1 GENCY OR ITS AGENT)
COMMENTS: _
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
UNIFIED SEWERAGE AGENCY NO. _ 4988 _
WASHINGTON COUNTY DATE
CITY OF-------
APPLICATION
F----APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: l fIZs� Ll� iz 'r•t,N>
OWNER'S ADDRESS: �• /3 fG y-3 -------- — ------
STREET
/'/,��� �
i, 1 / fe /
1 —SL_---- --- --- --
CITY STATE ZIP
BUILDING SITE: LOT ___ BLOCK __ - ADDITION _ t'fL t•vL'u�
FAX LOT NO. TYPE OF OCCUPANCY —
ADDRESS
CCUPANCY __ADDRLSS
DWELLING UNITS — FIXTURE UNITS
SURCHARGE IF APPI ICARLE
PERMIT FEE INSPECTION FEE _.?_S___ TOTAL DEPOSITED
NEW1/ (EXISTING) BUILDING SEWER SYSTEM �? -
The Applicant agrees to comply with all r i,�nd regulations of he Ur:fied Sewerage Agency.
APPLICANT -1—
SEWER PERMIT
I HIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY _ *IN
CY OR ITS AGENt)
COMMENTS:
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
CITY OF TIGARD
11170 S. W, M41n StFOO
TIGARD, OREGON 17727
APPLICATION FOR BUILDING PERMIT
New Construction � Demolish ❑ Addition C, Remodel ❑ Move
ZONING DATE ISSUED__'3�Y_7� BUILhIV PERMIT002
BUILDING FEE $ �i iNo. .._ ��( --/<
L_ j:
DATE RECEIVEQa_--
P[.AN CHECK $
AY �� VALUATION S
TOTAL/f Jfi/r $ _ t�� RECEIPT No.
TWO SETS OF PLANS AND PLOT PIANS MUST BE FURNISHED WITH APPLICATION
LnT 1 37 NAP 1 CENSUS TRACT P�sTrl�a'/ � . oB
Architect or Engineer__
Address Phone
Owner
Address 1;:�y.3_��. '.__-)L1.tJ�LLU.IJPhona__ _=1?
Builder
Address
BUILDING US6 Single Res. Multi Ree. l _J Comm. U IndustrialC' �
OCCUPANCY GROUPNo. of Stories—__I. — Totai Height_ _ Area of Lnt'oJ
Type of Construction I II III IV V Floor Area B_ 1_ 2_ _ _.
Set Backst Front_ Back_2 L.Side_J_� _ R.Side_�� _
Private Sewer Pipe 3lxe I — Sewer—_ _ _..�_ Septic Tank ❑
water Service Pipe Size- —!&-- Storm Sewer ® nitch ❑ Drywall❑
Street and Curb Requirements--.--
Driveway
equirements- __Driveway width ZA No. of Parking Spaces__ `
SEPARATF. PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
AUDRLSS ASSIGNtO 14 /14Co 44,.E
FIELD CIII:CK BY y~ DATE /j j A*
PERMIT APPROVED BYri-st
It is understood that all work will conform with applicable (:odes and ordinance;
of the State of Oregon and the City o, Tigard, Oregon, and that the building wil
not leu urcupied until a Certificate 0 Occupancy ha .been issued by the City of
Tigard Building 1nk.hector. \\\\\\
qns ure 0 NP ca