Loading...
12940 SW 107TH COURT !fit 1 •-r r r r r i r r r r f r r r l l l l l l 12940 SW 107TH COURT a 1 I _ CDflj Ll rl vll� 711T 1It +k I a .- s� v L II 1 �,� r- [•� t-r 7 O U L N Lo •-1 3 rP C-1 Q rn N I A00RESS i o �� io� `� �� ___� PF RMIT NO. PF_RMIT CHARGE OWNER �j�, k;� — CUIJIJECI ION FEE -VS-0 PAID BY TYPE OF BUILDING _ DATE CONNECTED i/ SERVICE RATE �_-- - _ — INSPFCTION FEE 1176- CONTRACTOR SCONTRACTOR 7h . 7f' L _ PAID BY - DATE SIZE OF CONNECTION _ __ f�'�_ ASSESSMENT r PAID UHIhIT "a" 4896 CITY OF TIGARD Ci:IiTIFICATE (IF OCC Tl`ANCY AND Hf:UA!;E OF IIFLTRICTION The City of Tlga" hetely certifies tint the occ4Wicy of the fuliowlt;g de-,rrib(r. structure or preml:,e;, with respect to which a restriction of ucr,,pancy wan, on 1 , � , recor3ad In K)ok . , Nip , Deed Record of War:hington County, Oregon, 1 , hereby authurlted and approved. DWCk1ITION_uF k,RW'F.ItTYi v 1( 7 3 .ry (��+ T/•I��AJUcrK'.. «�c,I�3[�i �-' ricrti 9UI1lrlNG 1 rMIT NI MARR: BUILDING ,,DDIt� t�`&.P— __�Q..�T~ `:•a./.r T This in to certify the said ,tt.n.cture rrtets with Ube ro,pire- verts of the Pttildina Ctxie cf the City of Ticar,: mid the r0,,ve referenced ret trictio, in her:by released and termirwted. IN WITIMS wiEMY, the undernigned auttwrized officer of the City of Tiiryrrd has cawed thin certificate and relea,,e of ret,triction to be executed this Y day of r 19,,x. Title: STATE OF ()RM)N County of Washington )nn. on this _ . day of appeared before me the above rained _may j, who-.0 slgneture appearr. hereon arty who acknowledged to me ttrst,he executed the gene in his offical capacity on behalf of the City of Tig^rd. ry 1'ub c of r•gun _ _ + Fly C 491 expire,:� Ar �v.l� •,rrraitN. a..,.,,«��fII.►�. Aqr ay7y r.. f1U1 4 cV7 t EXHIBIT "B" CITY OF TIGARL CEPAM ICATE OF OCCUPANCY AND RELEASE OF !M;TRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on recorded in Bookj�; , Page �r��t'' , Deed Record of Washington County, Oregon, is hereby authorised and approved. DESCRIPTION OF PROPERTY: DoT A A) OWNER: BUILDING PERMIT NUNMER: iBUILDING ADDRESS: f�_s.�. 1 r7-1 This is to certify the said structure meets with the require- ments equire-ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNF S 14MREOF, the undersigned authorized officer of the' City of Tigard has ca,u6ed this certificate and release of restriction to be executed this `�_ day of Title: -f- SPATE CF ORAGON ) Ss. County of Washington ) On this _ day of �^ lqpersonally appeared before me the above mined _ , whose signature ears hereuu and Fvho nC4n1ti11QU City of Tigl.ard INSPECTION REOUEST for J - .. all ;PECTION TIME : PERMIT NO. . DATE : ] /tY/7Y DATE ISSUED:__Z 'NERS NAME : ADDRESS : INTRACTOR : _--_-- ---- ST: Air [3, Water ❑ , Visual ❑ , I.aboratory p SUIT. Approved [� Disapproved ❑ , Pending ❑ :ETCH: INSPECTOR DATE TE Attach supplemental test data herald City of Tigard INSPECTION REOUEST S for INSPECTION TIME : PERMIT NO. : I DATE : - V47/-7/-- DATE ISSUED:__LL. OWNERS NAME : ADDRESS : IC O N T R A C T O R :---_._ TEST . Air ❑, Water ❑ , Visuallk� Laboratory [] RESULT.. Approved �, Disapproved ❑ � Pendln Pending M L7 I SKETCH' I I I INSPECTOR DATE IOTE : Attach supplemental feet data heret] 1 I lox I . City of Tigard I INSPECTION REOUEST for ! INSPECTION TIME :,,j,,-77 • PERMIT NO. :: I DATE: DATE ISSIIED:__1__1. OWNERS NAME : ADDRESS : 'XII-JI, L i CONTRACTOR '----- TEST' ONTRACTOR :__-_—TEST: Air 0, Water [] , Visual p , Laboratory Ci I _ RESULT. approved Disapproved O , Pending [J I SKETCH: I I I I ,_L _ZZ 7 NSPECTOR DATE-7- 0 T F ATE0TF Attach supplemental test doto herefu l� City of Tigard INSPECTION BEQUEST for INSPECTION TIME: �„t< ��.w PERMI f NO. : DATE: DATE ISSUED :-/ Z OWNERS NAME : ------ ADDRESS: �— CONTRACTOR '. --- TEST : Lair CJ, Water[] , Visual ❑ , Laboratory ❑ RESULT: Approved ❑ , Disapproved ❑ , Pending U SKETCH: , Ap c/" INSPECTOR DATE [NO-, a Attach supplemental test data berota] a City of Tigard INSPECTION REQUEST for INSPECTION TIME: E' "� PERMIT NO. : -DATE: -)- / 4 ,— DATE ISSUED : OWNERS NAME : ADDRESS: `'' el t> , 01 CONTRACTOR : ---------__�____-------------�.__ __— TEST : Air ❑, Water[] , Visual D , Laboratory ❑ RESULT: ApprovedS(, Disapproved 0 Pending ❑ SKETCH: 3-7y 905 fld—PECTOR DATE NOI F. Attach iuvn'eme^' .I left data hereto, w w w �r t w w ar w s City of Tigard INSPECTION REQUEST for INSRECTION TIME: .,/ = v PERMIT NO. : DATE . DATE ISSUED :— I OWNERS NAME : ADDRESS: _. q� �O 7 CONTR A CTO R . - I EST : Air ❑, Water❑ , Visual Laboratory ❑ RESULT: Approved �, Disapproved ❑ , Pending Cl SKETCH: INSPECTOR DATE rMntF nt►cch fuppj@n'dntal teff data beret a] i I City of Tigard INSPECTION REQUEST for INSPECTION TIME: __MZ PERMIT NO. :� I DATE ' "�_1LJLZ__� DATE ISSUED :. I Z OWNERS NAME *. ADDRESS: _�- CONTRACTOR : 10 PY10 XV /• '7 — f I TEST : Ai( u, Water[] , Visual 0 , Laboratory p RESULT: Apnroved K, Disapproved O Pendhig p SKETCH.' I I I I I I �SECT0R DATE [OTE Attach supplemental test data beret] I 1 1♦ 1• :�,ity ()f Tigard INSPECTION REQUEST f G r ,NSPECTION TIME . . PERMIT NC. DATE: off; IL� -)ATE ISSUED OWNERS A0DRESS: .,0N rRArTOR 4e,,7 EST ' v sere , `,'' .. '.ah:►ct�r. RESUL. Opp! L S KETCH: INSPECTOR DATE 00TE "I Fri r©sr c., . ,� =9NN EXHIBIT "A" CITY Or TIGARD Residential Structure Occunany Restriction KNOW ALL AEN BY THESE PRESENTS, that oc..cup.ncy of residential structure (a) on the following described lands prior to the recording of an occupancy permit releaa:nq the restriction in the Deed Records of Washington County, Oregon, is prohibited by tris ordinance of the City or Tigard, Oregon: (The City will issue a release as soon as a fim6l inspection determine* that the construction is satisfactorily completed) JaESCRIPTION Or PROPERTY: Tax Map 251 3AU, lot 35, ^nthfinder Subdivision ADDRESS OF PROPERTY; 12geo s_yl, io7th rnyrt NAME OE' OWNER: PI_L_ rlmyfnn ADDRESS Or OWNER; 129ea s_u_ 13? su._ IN WITNESS WHEREOF, the undersigned has caused this restriction to be exic.uted this day of OWNI R: APPROVED: _ • By! /Building c a City of Tigard STATE or OREGON County of Washington Personally appeared before me the above named i,c_ „1 ( CL.tand acknowledged the foregoing lnatrumant to be voluntary act and deed, o ary Public For Oregon Ay Coo In* an Expires: _►.Z ail Q� GO STAtF OF OMF(;ON I. Fln�tr th•YfM�eff INNs►of r,l IleA'ardf Ofd t'"foam ),od to(HI.(re ARC'MI p, C— H'YAMA[fM FAY Wool fMIM*, dr) h",v fNll�y fkof AM NfMn hikywyool Ad 1►OWN oM •KN`wF O tl 1tftllf sd Ih bonA n1 rw',& Nn rri Otld C.W" W" + f*•w KIP-d Q d 0001 rilN-rd. ROGFa 1"OmigN. fHfAAcrof .,A NwtfYAh A ENel" cAAbffly �c g 11 opt PM'13 EXHIBIT "A' CITY OF TIGARD Residential Structure Occupeny 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 Deer: Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a 9018460 as soon as a ?Joel inspection determine• that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: 'ax f:np 251 310, lot 35, pathfinder Subdivision AQQRESS Of PROPERTY i ;'p�0 i�il• NAME Of OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER: JI /► �.�'"7Li Lir_.�.i •1e APPROVED: Title B y: /guess'n g Official City of Tigard STATE OF OREGON ) ee. County of Washington ) , 19 Personally appeared before me the above named and acknowledged the foregoing Instrument to he voluntary act and dead. t o ery Public oe regon My Commission Expires: EXHIBIT "A" CITY Of TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESf.NTS, that occupancy of residential structure (a) on the following described lands prior to the r6cording 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, Oregon: (The City will issue a release as soon as a timal inspection determines that the construction is satisfactorily completed) DESCR OTION Of PROPERTY: Tax wap 251 3AD, lot 359 Pathfinder Subdivisiuri ADDRESS Of PROPERTY i I;;e�n .y� jpTu, k ; NAME Of OWNER: y„_r CRESS Of OWNERi 17u,an V. ii -..- IN ..IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of , 19_ OWNER: Name APPROVEDt Ti I Ura Byl u nq 0 f icial City of Tigard STATE Of OREGON County of Washington •s. , 19 Personally ariesred before me the above named and a-knouledged the foregoing instrument to be voluntary act and Ceed. Notary Pu lTc or Oregon Mt Commission Expires: UNIFIED SEWERAGE AGENCY NO. 4918 WASHINGTON COUNTY DATEA _ ; I j CITY OF Tigard APPLICATION FOR SEWER CONNECTION PERMIT i OWNER: NX M.L. Clayton - OWNER'S ADDRESS: 17.980_ S.W. 132 Ave. _ STREET CIT STATE ZIP BUILDING SITE: LOT--.--3.5 BLOCK _ __— ADDITION Pothfin,4 r TAX LOT NO. _ _ — TYPE OF OCCUPANCY residence _ ADDRESS 12940 3.W, 107th Court DWELLING UNITS 1 . __.__.. FIXTURE UNITS I SURCHARGE IF APPLICABLE — k PERMIT FEE -..- 45O___ - INSPECTION FEE 25 . TOTAL DEPOSITED -475_ Ti a (EXISTING) BUILDING SEWER SYSTEM .___ __ 9___.d ? The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. Y• s ;-� • APPLICANT I SEWER PERMIT I THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. k LINE SIZE - --------4"-- INSTALLER _-_____-.._ -_-- \ -- _--_-_ RECEIVED BY-- i - CA,- VlgI1-'lLY lf"fIAGENCY OR ITS A06,T1 ` 1 COMMENTS.�El �•U�'vr►t�. a� F� This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD i 1 42 S W M41" 111.001 ,.GARD. ORRGON MIS APPLICATION FOR BUILDING PERMIT New Construction u Demolish Addition ❑ Remodel EJ Mover ZONING__jL_Z_______ UATE ISSUE,D— tMILDING PERMIT DATL RECEIVED BUILDING FEE S 99. 00 No. I PLAN CHECK S BY— - - -- —3.IM- ecordingfeyALUATION S_. g, OTHFR TOTAL RECEIPT No. ' ezzj 73 ! TWO SETS OF P%ANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION I LOT 1 35 MAP 1__251 3AD w CENSUS TRACT W-19_ JON I Architect or Engineers M•B.V.S. ���__ �_ _____ Address Portland _--_`_-_ _—Phone_ ` OwnerMM_l.-Clayton I Address_129b0_S_W. 132�Av.e - _-� _ Phone. 639-8148 Builder sama Address some Phone BUILDING USE Single Res. ® Multi Re,. ❑ Comm. Industrial[] OCCUPANCY GROUP_1_- No. of Stories—1 - Total Height-". — Area of Lot Type of Construction xkxxkkXA%1(xxV# V Floor Area B_M Set Backs: Front_ Back is, L.Side_ __7__._ R.Side ?-- Private Sewer Pipe Sise.__. -i",.-.- Seweruna Ilyo_td Septi- rank Islater Service Pipe 5l se n Storm Sewer U Ditch Drywe11 { Street and Curb Ruc;uirements 1 DrivewayWidth No. of Parking Spaces 2 _ �+ SEPARATE: PERMITS REQUIRED FOR SEWER AND PLUMBING I SPECIAL INFORMATION ADDRESS ASSIGNEUi_ 129�n1II7 - t A�_ FIELD CHECK BYr _ _- Ig__---_____-__ -_ -_._DATE:---11-_13:_Z1 PERMIT APPROVED BY_jjjc'•-`_it is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has been issvy4d try the, City of Tiqard Building Inspector. ( f qna u e o App r�