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12980 SW 107TH COURT M --- 129"0 SW 107TH COURT _ ,y I I It N n .o h O (rfyiu l -r I' rpm 4J hi - Ca CA A� N i IN W11UM19�1U-JURX Wmmm INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard. U anon 97223 Phone: 639-4175 Type of Inspection Date Requested c t �T -Y�J Time A.M. P.M. Q r1,�1� -- y� Address - / .�._. _ Permit 406({ Owner Lot # Builder _ ��tZ.c1 L L 1 bLt ra /— ��.� /(�/Q z The following Building Code deficiencies are required to be corrected: - 1=�'T�� p,•v rr� LS r.,A,/9 E ia� <`-'e j Ktr— Presented toApproved Inspector _ 'G/' _ _ - [� Disapproved Date '5- CALL FOR REINVECTION ❑ YES CJ No V INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 972.23 Phone 639-41/75 Type of Inspection �4 Date Request/ed Z -o :�z Time.- AM P.M. > Address h Permit # Owner-- - -- -- Lot # Builder The following Building Cude deficiencies are required to be corrected: Presented to Q�'�proved Inspector / Dlsepproved Date _ I f_ CALL; FOR REINSPECTION C) YES C1 NO BUILDING PERMIT CI� � FTIGARD ��be PERMIT NO. : BIJ891*739 CT & OAFM COMMUNITY DEVELOPMENT DEPARTMENT 01,00" DATE V;SUED : 8/16/89 13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175 PPIM. PmT.NO . 891.739 %JOB ADDRESS : 12980 SW 3.0-7-TIA CT 'TAX MAP/LOT 251 3AD A200 SUB: LT: BK : LAND USE : LOT SIZE : VALUATION : 3 ,669 SETBACKS FRONT : REAP: WOPK CLASS : REPATP DWEIA—UNITS : LEFT : RIGHT : USE' 'TYPE : OTHEP NO. BEDROOMS : EXT .WALL CONST : (!'ONS T . TYPE: VN NO . SATHS ; N: S : W: OCCUP.GPI:). : Rzi PPOT .OPENINGS : C)CCUP. LOAD N: E : W: TOTAL AREA: 23 NO.STORIV-S . 1.15'1' : ROOF CONST: C FIRE: RET'{ HEIGHT . 2ND: ARE" SEPAR? WATED: BASEMENT? 3RD: OCCUP. 5EPAP7 RATED: MIEZZANIP"'�'? BASEWT FLOOR L OAD : 410 GARAGE: FIRE SPPKI-P, ALARM? HEAT TYPE' . HD(;P . A(.*(7ESS7 FLOW(GPM) DETECT{ CIOPP7 1:)I-.AN CHECK BY : i-It REMARKS : i,el�iair- arict etdcliticili U? CIOLIk REISSUE OF NO. LAST REISSUE (I lyinial-I PE PM I T 111111A.so W12980 %w -.107th r2t PI..AN REVIEW N $28.93 E tigawd at" S17223 r- I'PE DEVI' R PHONE ( 03) 620-140-1 ( I ATE TAX $2. 23 OTHER WIVELOPMENT CHARGES : C1 0 s Dc# sToPm) N 5011(STREET) T R PDCI* C A PREPAID < > 0 TOTAL: $75 . 66 PECEI PT NO &) This permit is issued subject to the regulations contained in Tale 4 of the TMC. State of Oregon Specialty Codes zoning regulations REQUIRED INSPECTIONS and all other applicable codes and ordinances and it is hereby I!AIAMING agreed that the work will be done in accordance with the plans and FINAL specifications and in compliance with all aPPIOLable codes and ordinances The issuance of this nermit does riot waive restrictive covenants Contractor and subcontractors shall have current city business tax permits This permit will expire and become null and void if work is not started within 180 days or if work is suspended or abanc:oned for a period of 180 days any time after work has conrimpriced It Shall be the responsibility of the permittee to assure req jired inspections are requested and approved 4-0- P@rmfiw Iss-!- By C61 OR INSPECTION 63-9-4115 SE't%ARATE PERMITS REQUiRED FOR WORK OTHER THAN DESCRIBED ABOVE Paw C17YOFTIFARD PLAN CHECK APPLICATION C17YOFFIGARD PLAN CHECK COMMUNITY DEVELOPMENT DEPARTMENT PERMIT N u125S.w.K0Blvd,P.o.Box M97,Th,m,Oregon 9rm.(w3)e39J1rs DATE ISSUED JOB ADDRESS: G�0 SCd �07� Cl -1 )X MAP/1-OT a5 l,�J i — SUB: LOT: LAND USE: VALUATION: wG1� OWNER SPECIAL NOTES NAME: �ljyy/yASL _ REISSUE OF: — ADDRESS: /-2 9Isy LAST REISSUE: FLOOD PLAIN/ SENSITIVE LAND: PHONE: p — APPROVALS REQUIRED CONTRACTOR // OLANNING: NAME: i;/QrJ�C Cvv� d �i�d�rS �'-��_ ENGINEERING: ADDRESS: X5'0 .so l /f'�l�f'C _ FIRE DEPT cl —_ OTHER: PHONE: _ ITEMS REQUIRED LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: -- Y _ CALCULATIONS: _ ADDRESS: _ — TRUSS DETAILS: _ PARKING PLAN: _— LANDSCAPE PLAN: PHONE: — — —� -- -- — OTHER: COMMENTS: —i _ _----• _ _---- PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE �J� ,JY 10-432 00 Building Permit Fees _ 10-431 00 Plumbing Permit Fees 10--431 01 Mechanical Permit Fees 1.0-230 01 State Building Tar. (5%) Building Plumbing Mech _ a 10-433 00 Plans Check Fee 8,Q Building Plumbing Mech 30--202 00 Sewer Connection 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC:) 52-449 00 Parks System Dev Charge (PDC) — 31-450 00 Storm Drainage Syst Dev Chrg (SSE1C) 1C-230 09 TRFD 10--230 OEC WashingC�r% County fire N1 (95X) - 10-2.20 00 Amari./Wedgewood 10-1 Al REC N APPLICANT SIGNATURE -------------._.___-----�_—.— Received By: _ — _- -� Date Received: cn/3587P/18P Harold E . Lyman 12980 S.W. 107th Court Tigard, Oregon 97223 Mr. Bob Thompsons,,;/,f,.,� August 1 City of Tigard P46n" Dept. 13125 S.W. Hall Tigard, Oregon 97223 Dear Mr. Thompson, Attached is a rough draft of the rear of our home and the proposed decd: extension. Our present deck is 9 ft. wide and 16 ft. long. We would like to extend the length to 26 ft. TI e old deck surfce will be removed and replaced along w i t the roof cover which w i i l be extended. The worm, w I I 1 be done by Shook.wood Builders, Inc. 15050 S.W. Koll Pkwy, Suite C Beaverton, OR, at a price of $3668.00. Should you require additional information ;Tease contact us, by phone at 620- 1407. Yours truly, Oai old E. Lyman gt$CEIV�G All� 1 ri 19�`J Gom�unih dw�M�OnMt WMAN IN t w w w w i cp �r 43,4%-- PLAN CHECK APPLICATION CITY OF TIGrARD C7T1f0Fi16'4RD PLAN CHOCK ! - COMMUMY DEVELOPMENT DEPARTMENT 0�� PERMIT ,=, 13125 SW KA 8k- .P.O.6W 2x A7.TiOwd-OrOOM -,1(6031 GM 4176 �` DATE ISSUED .LOB ADPO'eSS: /3 2yo 5�✓ lU XI/ 7 '' TAX MAP/LOT SUB:—� IV S.OT: LAND USE: VALUATION: o� SETBACKS: FRONT: _ REAR:__ LEFT: RIGHT:—` WO'M CLASS: HEIGHT: TOTAL AREA: USE TYPE: _ FLOOR LOAD: 1ST: CONCTR TYPE: HEAT TYPE: 2ND: _ OCCUe GROUP: DWEIUUNITS:� 3RD: OCr;Up LOAD: NO BEDROOMS:_ BASEMENT: NO STORIES: NO BATHS: GARAGE: IMP SURFACE: APPROVALS REQ'D SP'�CIAL NOTES ITEMS REQUIRED PLANNING: REISSUE OF: _ LIST SUBCONTRACTORS: — ENGINEFRING: LAST REISSUE: BUS TAR: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: _ OTHER: SEN LND.: TRUSS DETAILS: _ PARKING PLAN: _ LANDSCAPE PLAN: PLAN CHECK BY: OTH m: C0HMENTS: -- ACCT f r DESCRIPTION AMUNT OWNER 10-432 Building Permit Fees _ S'v HAKE: _ -3-431-600 Plumbing Permit Fees ADDRES�S�� 10-431-601 Mechanical Permit Fees f _ 16-230-501 State Building Tax 01) s . 2, -�� - 10-433 Plans Check Fee _ PHONE• ___ 30-443 Sewer Connection t ' -- —— - 30-202 — CONTRACTOR 30-444 Sewer Inspection t Nom;• 51-448 Street System Dev. Charfte (SDC) f' : — - _ '52-449-610 ADDRESS — 52-449-620 Parke System Dev. Charge (PDC) i 31-450 Storm Drainage Syst Dev Chrg(SSPC) PHONE: 10-230-505 TRFD (95x) Z_ -` `- 10-435 TRFD (5X) ARCH/ENGINEFR 10-230-506 Wanhington County Fire /1 (95x) Nom:-�— 1.0-435 Washin*ton County Fire /1 (51) t - -- ADDRESS: - —`M-- 10-220 Amart/Wedgewood = -- ---- TOTA,, —�_-. P►10­HE : 1 PREPAID BALANCE DUE APPLICANT ST ;NATURE "teeivod 1cv: Date Received: ,--- i I i i 1 I I xm i CITY OR BUILDING PERMIT APPLICATION TIGARD DATE 3 19 N° 0 5 22 5 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICA'rED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ OWNER Harold Lyfirlarl ADDRESS 1 1`11 f th Ct. BUILDER PHONE �YlY ax)tx roxc, ENGINEER BUILDER ARCHITECT DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY___. LAND USE ZONE BLDG,TYPE FIRE ZONE_— PLAN CHECK BY HEAT — roof un dock OCC. LOAD FLOOR LOAD _ HEIGHT NO.STORIES AREA VALUE .A BI IILDING DEPARTMENT SET BACKS FRONT REAR LETT SIDE RIGHT SIDE Permit C;i, - -- --- -- ---THIS PERMIT IS ISSUED SUBJECT TO THE RFI;ULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERI.BY AGREED THAT THE WORK WILL BE DONE IN ACCORCANCF WITH THE PLANS ANh CPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUAIXF OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE C^`/{' "ITS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRFNT CITY BUSINESS 1%State LICENFE. SEPAI S REOUIRFD FOR SEWER, Pl UMBING AND HEATING. Total By - ---------- APPLICANT op AGENT Approved Receipt No. ADDRESS PTT0-f4 - - DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Q- Permit No. Rou2h-in Fixture Final HEATING Contractor Permit No. Ga- or Oil Rough-in Final ------ SEWER--- Final DRIVEWAY Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final -Ap2jqach___, BLDG DEPT, FINW TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final to_ 1 Landscaping Zoning Final f_ Addrere_�a lb D .a .1 �n� t.k Permit No. 9c( 3 Permit charge _ Owner / Q : xe , Connection fee - Paid by �l ILLk4 a1s,.K , Type of building -�i� Date connected Service rate Inspection fes - 5 Contractor Paid by date .....�-..-......_..... ....r.......»_.._.r...,,.....•., 51:e of connection Assessment paid Addreae_� ��11_ GL-. /01't-� L'-t, Permit No. 14 Permit charge Owner Connection fee Paid by Type of building � � � Date conn— ted — /- Service rate Inspoctxjii fee _ Contractorp-F��_ � Paid by date Size of connection y Assessment �,� paid F:YIlli�IT "li" i5ilti CITY GY TIGkn Ct;Ffr1:F' (wm OF OCCUF'AF1CY AFib REI.FdI<jE OT RjtZiTHICI'ION The City of Tigard heteby cc' ! Ifies that the occupancy of the following described structure or premises with renpect to which A restriction of uccupancy was, Or. ]aOuary � , 1I-7A recorded in Book 960 , I'a9e Deed R,--rd of Wa,hrcgton County, Oregon, Is herety authorized and approved. DESCRIPTION ION OP }'RDYF:RTY: Tax Map 231 3AD, Lot 33, PethfFnder Subdivision OWNER: Nnllrti �T-}ARr— — BUILDING FEAMIT NUMBE 7�-293 PUI U)I30 AUUR&Z: 1 2 9 11 flThis Se to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above ,referenced restriction ir, her:!;y released and terminated. IN W1TN1I13 WfEREUP, the undernigned authorized officer of the City of Tigard has caused this certificate and releahe of restriction to be executed this day of - -^--' 19 Title: 9T11% .)1 ORF1f1ON se. Cosnty of Washington day of 19 • personally On this — -- appeared before we the 6"ve raced whose signature ap,sare bareon and wtn acki:cwledged to to that he txseuted the same in his effical capacity on behtlf of the City of Tigard. V11 VII&Iry, i, is re�oo Miy Comm Jlcpiree:�„��, ar.,,x t>k;rsurrr n.-,.. M s.-« . ♦ r....,..,. r' lilt] V r MAF g ,• . i CITY OF TIGARD MECI-ANICAL PERMIT 1 DATE_• 013131 PERMIT N0. 7 — RECEIPT NO. - > > -.- --- �-J/(o`�r� 4� ; 1 BY ------ FEE Permitshall. be obtained prior to c•om-encement of installation. 1. Pe1 appliances which are to become 2. Pei-mit shall be obtained for 31 a• fixture to the building. or char es to burners and 3. Relocation., replacements, alterations, g duct work require pennies. inspected before cover up. 4. All work to be conc--aled must be q �� Replace ❑- Relocation ❑ Addition ❑ Alteraticn ❑ New Installation OWNER q, 1 ►6 - f +� - CONTR. _ WORK ADDRESS y'l t•= �_� ADDRESS APPLICANT --- TELEPHONE NO. ,; , _ �,,�,tt •. TELEPHONE NO.- FURNACE - ,44IVUFACTURER �r• �_____._. ' _ Flue Size HEAT Input raising (Btu Per Hour) Vent Size _ S r___ FUEL OIL �.� GAS M F,I,F.CT �� OTHER _ _---- _ - ------ Main Floor Base ..e_nt TOTAL SQ. FT. Top I''toor MT -- - __ GENERAL � ITEM N0. FEE � _.._.._. 7",�•,M :;0. 00 Boilers Over 50�For lssuance 'of Permit _ _ -- -- flew ::-Under 100000 Btu_ _ 4.00 - _• Air Handling_ 1n�00 CFN— _ Dtu Air Nandl ij Over 10,000 C 4� flew =Over 100,000 '- q �'loor I;urnace :00 Evaporative Cooler C1a11 - ?!'door - us en ed -4.00 1�ent_Fan -- ' _.^Vend _ x.0_0 Hood R afr - H_e_at_& Cooling -- I� Boilers Under 3 N - ___. 4.00 pomes c Inclnerator� 13oile`rs 3��0 15 -N _� _-7•a0' mm.� nc�nera or 13o1e rs to ` 0H� _ -- 10.00 �Oth'�rroL�i to-�� T3o�lersT50� ^ IIgSPECTOR1S COM�fEIVTS APPROVED BY _r__�---- _ DATE _ ISSUED BY Si ;nature of Applic ■ A O of rn rn z z m c � -� m rn s ri D Dv c�i -4 z v n p Z Q C1' c10 Z Q CA rn 3 T, a o n v u 0 00 4 y V O kit ,.Er 0 m to a O Q l-' o � J 11 rn n c C Q L10 p . D � r - - ALL SPACES MUST BE ENDORSED PRIOR TO A PRO'J L O - HESc PLANS 7 A r PUpLIC WORKS DEPT(/! 'DY - - --- DATE i-. PLArJ,':i.•!G DEPT. 3Y--.. --- - I DATE._.-.. EiLJiL^.!`!G GEPi, I7Y__. n0 Cn'J1:t"! H_I.LTH DEPT. F31!--_ __ U, I • T:_LEPHON'c DY_ H. W. NATURAL GAS BY _____ r%rz _.___�-_.—._ I P. G. E. - T, R. F, D. AY...... DATE qwf�f �L i> I City of Tigard - INSPECTION REQUEST ,,f o r INSPECTION TIME: ��• kRMIT "'NO. : DATE.- /)` --� DATE ISSUED :__ I--/_ OWNERS NAME : -r ADDRESS: CONTRACTOR : TEST : Air Water ,,, Vieuol t; Laboratory RESULT proved Disapproved Pending O S KETCH: / S ' 5- 7` i /mor! r G/j . i I I INSPECTOR DATE I 001E Attach supplemental test d0a beretc7 i I I 4 City of Tigard INSPECTION REO U E ST for SII IINSPECTION TIME :_$60-2 PERMIT NO. : _. I DATE: DATE ISSUED:_./- Z OWNERS NAME : ADDRESS —l -"; 5 c� i .►,1�___ _ .�Y. I CONTRACTOR '-Jcr,t TEST: Air p, Water ❑ , Visual, Laboratory ❑ RESULT. Approved ❑ , Disapproved `jam, Pending L] ISKETCH. ',>•c a �l' - S -_ ;t; 17. 1 CJ1 C',VEY") T17L.E_ INSPECTOR DATE COTE Attach supplemenfal feet data heret] W i i 11 O Ili I I City of Tigard ! INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :-- DATE: O. :— DATE: 5j 11-a DATE ISSUED :_L1_ OWNERS NAME : j0m ADDRESS: ZQT 3 3 OnTb'' 'A.-'Qe.-Of- CONTRACTOR : Of-CONTRACTOR : � ";' g '&o TEST : Air ❑, Water[] , visual X, Laboratory p RESULT: ApprovedX, Disapproved O , Pending E] SKETCH: I INSPECTOR 6ATE NOTE . Attach supplemental test data bereto] .war w■[ � s a. el: � � I I City of Tigard S 10 I N PELT td REQUEST for PZ INSPECTION TIME: PERMIT NO. :7��Ste' 0-1 DATE: 171- DATE ISSUED : I OWNERS NAME' : P01 L Cv " ADDRESS: i 7if'0 e> , /U7 c-14 CONTRACTOR : - TEST : ONTRACTOR : _TEST : Air [7, Wate>1�, Vieual;k�, Laboratory ❑ RESULT: Approved , Disapproved ❑ Pending p I SKETCH: I I ' � I I I ✓ INSPECTOR bATE �NO)TF Attach supplemental test data bereto� e City of Tigard INSPECTION RE© UEST° for INSPECTION TIME : r PERMIT NO. : DATE: DATE ISSUED:_._L_L OWNERS NAME : ADDRESS : I Q59 CONTRACTOR tc Vit, �� TEST: Air ❑, Water ❑„ Visua17, Laboritory ❑ RESULT: Approved , Disapproved 0 Pending [3 SKETCH: INSPECTOR DATE COTE Attach supplemental toot data horst] I I I City of Tigard INSPECTION REQUEST for I NSPECTION TIME: G ___ PERMIT NO. : DATE: X1121 21(j DATE ISSUED :_____L_L _ I )WNERS NAME '. --- ADDRESS: AME : _ADDRESS: �O 33 O N T R A C T O R TEST ' Air 0, Water[] , Visual [3 , Laboratory 0 I RESULT: Approved ' , Disapproved 0 , Pending 0 SKETCH: I I I I I I I 3 1t r IN PECTOR DATE NOTE: Attach supplemental test data beret] t M i L n (� �u PLUMBING PERMIT APPLICATION Jurisdiction of T`o. Type of Fixture Fee Permit No. Permit fee _%`,�' _ Water Closets Toilets '/.!r' Permit Issued-_ _ Bath Tubs _ t.�c Approved by - --� Lavatory (Wash Basin-- __;•. c Building Permit Shower �.< < Receipt No. _ _Sin�ca s T) shwashin'g- __ _-_ Sinks Kitchen r_ Sink._sLOrdinary_—_— —_ Location of Building -. _ _- .-�._-..-_- -•__•__... _ Sinks, Bar -- SinksS12p_------------- ---._ - __�21.�1�__�i �o�,`;-h�+----7•--•---��---•- _ Automatic DishwasFer Nacre-&-Addresgo _Q�mer � _ ------ -------- Dr ains Floor _ Dra its, Area ---- — ,— i <- ------------ - Drains Refrigrator 't -Ila;n Drains _ / _Automatic Washer t Name & Address of Plumber - -T'ounta`ins�rinTcinr -" —_ T7- TiC.__- --- _F'ouritains, Soda _ -- ;�?�I� 1i k hf -1-1-77-5717, ,! — _Hot Water Tank _ _ �.cr �a <, rv��- ur11,-,r! Avg Water Service(Size Urinalsr --___ Bui.ldin Old or ew)(Alter�epair_or_—_ Ca t^h-Basins - 'YarJ Instal. _I,awn Sr i.n k l e r__S' stem ---------- ----------- ------------ Sw mm n g Pool -- --- U th e_r --- - -------- ------------ ---- Sp_riinkkler System_---_ ---•-------- �y y y This permit becomes null and void if work or construction authorized is not ;.emmenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is cDmmenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have rAad and examined this application and know the same to be true and correct. All 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 _Signature icant EXHIBIT "A" CITY OF TIGARD Residential Structu�o Occupsny 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 Dead Records of Washington County, Oregon, is prohibited by the ordinance of 4 the City of Tigard, Oregon: (The City will issue a release as soon as a fisel inspection determines that the construction is satisfactorily comol•ted) SCRIPTION OF PROPERTY: Tax Map 25; 3AO, lot 33, Pathfinder Subdivision ADDRESS OF PROPERTY; l'�Ycl �.�i, iG761� Gawr• NAME OF OWNER: ADDRESS OF OWNERS IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this qday of �!• ••.... ,, 19J . OWNER: I& NA4 l�itq gfr '�Jr[[7Mr tsJ Y � •' .�l i Ve o. 'Ross APPROVED: Title Byf ���%��'� Buildinga7—Iciy City of Tigard STATE OF OREGON ) ha. , County of Washington ) �`���,� ��:,(;� 4 19 Personally appeared before so the above named 1isn,« .�?- ,rpt -' t r and acknowledged the foregoing Instrument to be voluntary act and deed. Notary PyybAic for Oregon 11y C0041slop E xpl res i RMrla T1tRRN, dew d a...,a.a rt«�wiw� Jfi1► ..3y7 ' '` ` rrl it i= 1 EXHIBIT *As CITY OF TIGARD Residential Structure Occupant Restriction KNOW ALL REN BY THESE PR(SENTS, 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. Oregon: (The City will issue s release as soon as a fia•1 inspection determines that the construction is satisfactorily completed) DESCRIPTION Of PROPERTYt Ta. Map 231 3AO, lot 33, Pathfinder Subdivision ADORG55 01' PROPERTY; � �uon c �� ig7Aw Timwe` — NAME Of OWNER: ,7ot�E��+ t. �` ...e� ,#:.— - A 0� RESS t1 OWNER: IN WITNESS WHEREOF, the undersigned has -&used this restriction to be executed this day or OWNERi !y1�•s i. ��bfL�1sg Y— 'Rase APPROVED: Title ey: Buila1mg r- al City of Tigard STATE Of CREGON ) ss. County of Washington ) x + 19 / • Personally appeared before as the above nosed LLIP rr....�1- '.r ! _ and acknowledged the foregoing instrument to be voluntary act and deed. t < . i' oory PLAImic for nregan RY COSWUsion Expireal One '�4 EXHIBIT "B" CITY OF TIGARD Ck=1YICATE OF OCCUPANCY AND RkLFASE Of P.iTKICfION The City of Tigard hel eby certifies that the occulnney of the following described structure or premises with respect to which a restriction of occupancy was, on January 23 , 19._7A recorded in Hook 260 _, Pals AA7_ , Deed Record of Washington County, Oreg•,, is hereby authorized and approved. DESCRIITION OF PROI'ERTYI Tex Map 251 3AD, Lot 33, Pathfinder Subdivision OWNER; d�.t i er al L mow♦r._{Kerr BUILDING YERXIT N"f73-29-3—`___ _ --- BUILDING ADDRK.Z: ._129flI1_S.W.- lQZib--fir;---- This is to certify the said structure meats with the require- Certs of the Building C(de of the City of Tigard and the above referenced restriction ir, tpereby released end terminated. IN WITNE39 WHEREOF, the undersigned authorized officer of the' City of Tigard has cau3ed this certificate and releare of restriction to be executed this day of r 19—. Titin: �� 9TATE OF URWON )es. County of Washington ) On this day of _ , 19�r personally appeared before eA the above rand , whose signature apprars hereon and who acknowledged to me that he executed the ease in his offical capacity on hebalf of the City of Tigard. Notary Public of Oregon __ My Commission expires: UNIFIED SEWERAGE AGENCY NO WASHINGTON COUNTY DATE _ ?p-73 __._-_. -- APPLICATION FOR SEWER CONNECTION PERMIT OWNER KollGran.LDni.truratian OWNER'S ADDRESS 3354.S.E. Kauthnrna STIRIEtT Portland Orogun 97223 city STATt tip BUILDING SITE LOT __. BLOCK ADDITIUh Pathfinder TAX LOT NO __. __. ...._.__ TYPE OF OCCUPANCY realdence ADDRESS 12900 S.W. 107th Court DWELLING UNITS 1 - I FIXTURE UNITS >; WCHAA,,f Al'PLiUABLL PF Ak+r r W ...0 INSPECT ION FEE 25 TOTAL DEPOSI TFO 475 (NEW) it yrrl BUILDING "rWER SYSTEM Tiyj►sd It* Allplrear• •t++wc to r omnlr with all rult•t and r"it,morii of thr• Unshed Sewerage Agency APPLICANT a4. � AcL.*�t 10, SEWER SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWCR SYSTEM UNE SIZE 4" t .INSTALLER RECEIVFO BY L �aalhcr ow M •omit` J COMAAENTS t TO-% All,rlrcalror+ ,Ind pc--t r+Rpims In ninety (901 rl,r•t The •nua,rt Ir.rtd Wtll tie fUr11g1,'11 V'ould elrt.'ratron occut rr ( 1 N I vITY OF TIGARD 12420 s w wM Ww. TIGARD, OMaGON "nj i APPLI('J,"+'IUN"� Ft)H BUILCIN6 PLAiMil' New Construction Deawl►ah C1 Addition Remodel Move ZONING R_7 _ DATE ISSUED t^_4 -7-Ii, BUILDING PERMIT BUILDING PEE S 116.50 No. DATE RECEIVED 59.25 -?3 BY PLAN CHECK S—"" � '?s,cordiny VALUATION S 35.597 — OTHER S 9 S 179.92 _ RECEIPT Na. TOTAL TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT 1 3.1 MAP 1 25: 3A0 CENSUS TRACT _J,(�,1,r , JON 1 Architect or Engineer L.M. Bruinier - Address 1304 S.U. Herths Blvd Portland Owner Hollcraft Construction Address 3354 S.C. Hawthorne* Portland _ _-Phone_I-Va._jjpL__._ Builder s+amn Add res a -- Phone BUILGTNG USE single Res. Multi Res. � Comm. � Industrial OCCUPANCY GROUP—L_ No. of StorieR_x Total Height_ ,_ Area of Lot_, Type of Construction IXXZIXXZIXXXIXXXV Floor Area Set Necks: Front 29 Back 4ZM L.Side_ 4 R.Slde 2�((_'�� private Sewer Pipe Size 4" __ Sewer_ ,uI uargeptic Tank lJ Water Service PipeSize__ (4" Storm Sewer © Ditch hl orywe11❑ Street and Curb Requirements__— __ a =rU„lred -- Driveway Width _ `^______._.__ _____._.__ No. of Parking Spaces ` Sf:PARATF. PFRMITS REQUIRED FOR SZWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSICNEU��3�990 9.:� t�■ 11 �2jp_�pysj —.— ---» ----- FIELD CHECK NY �r -.._r_._ a ___ DATE.-_I PERMIT APPROVED BY 6. It is understooi that all work will conform with applii:ahle codes and or inanc of the 2tate of oregon and the City of Tigard, Oregon, anti that the building wt not be occupied until a Certi'icate o Occ a,pcy hps been issued by the City o Tigard Building Inspector. µ+•''f1-,r na ure pp 1 anti