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13040 SW 107TH COURT-1
Ail - 13040 SW 107TH. COURT ;4 54 U V n� F+ c w ri .c FH7 1 ^ G f ti 1 • 3 • sn 6 loll 1 CITY OF TIGARD "VC- 0 R�;C.ON Owner: GilClayton Permit No. 0046 .. Building Address. 130417 S.U. 107th Ct. Certificate is hereby given this. 10th ,day of March m?.5... that said building may be occupied and '< that it complies with all requirements the Bulidirg Code for the City of Tigard, as approved by the Tigard City Council ws a Building rnspedor q 1 EXHIBIT "B" 226 CITY OSP TICARD CERTIFICATE 0? OCCUPANCY AND fiELF.ASE OF Rf:LMRILMON The City of TI&ard hereby certifies tint the occupancy of the fallowing described structure or premiuec with respect to which e restriction of occupancy was, on quaust 23 , 191L, recorded in took _gay , P"ge _715 _.___ __+ Decd Record of Washington County, Oreton, is hereby nuthor14ed and nploruved. DEXP.IPPION OF PRUI'ERTY1 lot 30, Pathfinder Subd.vialon OWNER: BUILDING_ISRMIT M1lOrxti BUILDING RUU' &;S: _'"U4II.-4,WI _IMM th.- ----.---- This in to certify the -aid structure meets with the require- ments of the Building t. :e of the City of T1Cprd and Via above referenced restriction in hereby released and termlruatr,' IN WITIMIS WMO:R}:OF, the undersigned authorized officer of the City of Tigard liars cau.ied this certificate and release of restriction to be executed this b d++y of ��, STATE (IF VRF1;oN a. A� County of Vn..hington ) coot*txoreartir. b.,.n.r bs.Ar,a r. fico t V, On this ____ Qth "Ay of _ �,� , 19__jf persorvally apleared before rye the above hared _ DorisHar_tlj.__, whore sigruature appears hereon rind who ar•Ynovledged to me that he executed the same in his arthral salacity on behalf fit the City of Tigard. Notary 11-61.1c of Oregon My Co=ission expires: �r 1014 X351 a w sTAtt OF oftc4ww Cam o1 Wo*wgpftN co ROM* Of CAM .Wmw kr �nN carM�, & hNpv tM11r MOS 'he TOO— fmolu moo nI wo"v " IR1/rld o� rererdmd M Im b of moo d mw cm," W w�► Aad ad aN oM md. krAlk TNONtSUN. Qr11lix d IllcarA two" tMIIIIT "B" CITY OF TICARD M"I.FICATE U1 OCCUPANCY AND hi,1YA:;K OF REiTHICr1ON The City of Ti6urd hetcby certifier. that the ocruix►ncy of the following described structure or premiaeu with reapect to which a restriction of occupancy waz, on ._.__A 1�_ 1919,, recorded in Book _ gsg !'nage 71c Deed Record of Wa:,hington Cuuucy, Oregon, is tmreLy ui,thwi_zed and apl,ruve.i. DFZCRII TION OF PRUDE M: lct 30, Pathfinder Subdivision BUILDING_Ph_.RMIT NUMBER: 0046.______.—_ MILDDINC ADDRl>S:.__ _13041} S+4r-lit7 tk► This is to certify the -laid structure meets with the r(.-quire. merts of the Building Cuie of th, City c.)f •ritprd and the above referenced restriction is t:ereby released -sod terminated. IN MITNM8 ',.1IFPX(;F, the undersigned authwrized officer of the City of Tigard has cau.,ed th1-s certiricaLe and relea,,c of restrictiun ,,o be executed this day of ly_... Title: .,'PATI: of ViUMM County of skshington On this -- loth day of Match 19_11 per!+orally appeared before rK the above mired Ocris M itjkg , whone signsturo nppearia hereon at- ..ro arinowledged to me that hie executed the same in his orfical rapacity on behalf of the City of TIgArd. N,>tary Public of Oregon -- - My Comeisnicn expires: t City y of Tigard INSPECTION REQ for 1140"PECTION TIME' la - PG,N!" DA! E: nATE f� o��i• ___!__L_ 114-1Z4- A-' d O NF-:?S NA.'�E ; .G��vE EL ' To _ &4 �� t � 1A ?A w A ;042 ja: �3�.Lo -5-w_ /0'7 CONTRACTOR o E- En RESULT: L., F-, •r cr1-4 H 44 .t`Z :r ?`� ii mm Jto- ADDRESS /ani Z�,o /DPERMIT NO, 44?/5 PERMIT CHARGE OWNER �., l'Qi_uEf,�_ -/�Ilb� ����+ /y/sr CONNECTION FEE O PAID BY TYPE OF BUILDING ���� � � DATE CONNECTED SERVICE RATE -�� � -,T---- INSPECTION FEE PAID BY `,��� DATE CONTRACTOR -- SIZE OF CONNECTION / ASSESSMENT _ PAID it I City of Tigard IWSPECTION REQUEST � for (4 cJ�k. IW,PECTION TIME: PERMIT N0. : !:) DATE: _/ I DATE ISSUED :___l__L.- I OWNERS NAME : r.L.7 ADDRESS: CONTRACTOR : TEST ' Air 0, Water , vieual))-�, Laboratory 0 RESULT: Approved,' Disapproved 11 , Pending L — SKETCH: _ - 1 � _ INSPECTOR DATE �NOTE ' Attach •uD131eTental left data beretoj WINUM /Jc, 0 ` a�? Seto—.i o y3 ADDRESS PERMIT NO. 4e9/5- PERMIT CHARGE OWNER CONNECTION FEE -Ve) PA I D BY TYPE or BUILDING , „�Qp-.,< <. _ DATE CONNECTED SERVICE RATE INSPECTION FEE � 5 CONTRACTOR PAID BY �,�.,,,_ DATE SIZE OF CONNECTION ASSESSMENT PAID I 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME: _ PERMIT NO. : — I DATE: 0 - DATE ISSUED :- I Z - OWNERS NAME '. -------- ADDRESS: CONTRACTOR : -- TEST : Air ❑, Woter Visual Laboratory p Approved DiA roved O Pending p I RESULT pp s, _ PP I r, SKETCH: Ac- INSPECTOR DATE [NOTE : Attach supplV"emtal test data beret] f I CITY OF BUILDING PERMIT APPL!GATION TIG ARD DATE____— , 19 N° 0046 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER 64irni1 Clayton, - --- LU --- ADDRESS BtJit9 PHONE ENGINEER $UILDEH ARCHITECT--_ DESIGNEF_ STRUCTURE ❑NEW ❑REMODEL. ❑ADDITION ❑--ttREPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLIPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAFJ ❑FENCE ❑BOND ❑MOV ING DCOADITIONAL USE EJ DESIGN REVIEW ❑COUNCIL APPROVED 5SIGN3 OCCUPANCY_–_ -LAND USE ZONE_ —BLDG. TYPE FIRE ZONE_ PLAN CHECK BY_ HEAT --- �'onstruct Apprcx 1�j0t1 sq ft. from dwelling with attd h , Garage --no basement according to approved A p)allf -- -- LOAD FLOOR LOAD 4171b HEIGHT v0.STORIES AREA 1560 VALUF 3101 BUILDING DEPARTMENT "LO .r r' "y SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE -7.00 w Permit I. Q --- ---- – ----- - -" THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check 63050 REGULATIONS AND ALL, APPLICABLE CODES AND ORDINANCES, AND ITIS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA',;ONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES, 1HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS 1%State • i LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUM03ING AND HEATING. Total By ---- — t+I} APPLICANT OR AGENT Apprcved Receipt No. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. �-Otto l r 1=,x Br,,rH Tu Fixture Final ` A DRAp c tisk A TLoweS� �:t,uT"I N lk,T 4ic r3 HEATING l vr*Tex -S ys 7-k'sr-) As 1_61-1 alp Contractc. A ►/l Tk3 7-2�- rr r,v ee,,o Permit No.--7-V fire .T�-tyres, et 13 r9ce 'Ke"e- 'G I ru e-c L D:tj Gas or Oil C3-& Rough-in - -- /� l 9rC,l nib �r"_ OA—, Final _ -- J%� v 7_ I-X i SEWER -rr2e696?C ©/G r�i NLL•�r ,� — _ C -��Y � tet- F ma Z DRIVEWAY �i _ -7� �' ���: �'ICI� /��aJ.(rr✓(', Jfid v> Final �---1 -7?- Storm Draina / (Rain Drain) Final _ Sidewalk Curb&Street Final Approach BLDG. DEPT, FINAI TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Luning Final �1 454 EX,''HIT "A" CITY Of TIGARO Rfr ,;4l,r.t&al Structure Orr..upancy NnutrI , tIall vNGW ALL MEN BY THESE PRESENT, that o, :upanty of residential otruc,ture (s) on the folloWlnc, den, rihed landei prior to the ruc:ord- 1ng of an arcupanry pormlt releg9lnq thfa rk-bt.r:rtinn in the teed Rnr.ords of Uaahtngton (.ounty, Ore4'In, 1a nroh:httcrrl by the ordinance of the City of Tigard, r)regar): (Thu I I,t.p Will L'itWe A r'?laase ai soon as a final :ritirtertton determlrip,c that thfr , unytrut t:LPL, :s satiefectarily romphitod) C"_'TION Of t_- VERiy: lot. 30, Pathfinder Subdlvlshon A00Rf 55 or PPnpf RTY : 1304Q_ILWj 1_10 th Ave, NAM1Gang Clayton A; 0W%L t+ 14465 5.,_W _Ugard, Oregon ---- t i l � r r APPRnVLE/j I ' i�.•r' '•1. ] •1I'ltnFft"(� hnf:�rrrug thn .3hr,;n �i:imr+d L.-�1llr � �dL.II, 1'"! •1 � "�Wlr'r!'-,n':1 t.h-. t:.[1=r)r)1„rl In9trUmnnt STAtf (W MOON - �.,t.. 1 4L� w cmc” of With'-�V°•,-. .Ljivo J5� i15 „• w,d r4crry" *"d E-Off-?to NAC"- Of COn Iq- IH w"*_ P%wwIINk 04 tN",-v ~ «n.wd t-nd -aterd�d M Yat a -0-th H" W Inq, w•, berg! o-td tic offhud. RWO Th wigN D•rase- d K«trda A �I�cllrfr Ootr Auc23 12 z+;�M'1,a City of Tigard INSPECTION REQUEST for SPECTION TIME: PERMIT NO. :- DAT E: O. :_DATE: DATE ISSUED :- /NESS NAME iADDRESS. r! fJA` L`f+1 -d.Z:yIE'1 ill NTRACT0 R : -_ `� ✓` =ST : Air u, Water p , Visua , Laboratory p =SULT: Approved ? Disapproved ❑ Pending p CETCH: G INSPECTOR GATE TE. Attach supplemental test data beret] T ' and City of i g INSPECTION REQUEST for i e c IINSPECTION TIME : /��`' PERMIT NO. : DATE : r Z 11017! DATE I SUED: L-L— OWNERS NAME L��` _ I A D D R E S S : -- - - -- 7/�/�' I CONTRACTOR :— TEST . ONTRACTOR .—TEST. Alr J, Wa+er J , Visual El , Lai ,ratory [1 Ii RESULT'. Approved , Disapproved _1 , Pending I — I SKETCH: v�cif it L. J I v c I I PECTOR DATE r EN0TE Attach supplementcl test data here,] 1 � i -7 Til f UNIFIED SEWERAGE AGENCY NO. _ 4915 __ WASHINGTON COUNTY DATE C I T Y O F Ti. -_qqr d APPLICATION FOR SEWEF; CONNECTION PERMIT OWNER: _ ick _ Bow & W_ 118_Qi- @opco OWNER'S ADDRESS: __ .. __] 175 S,_1��__Ash Qrive STREET Ti __....--------- 7"t T1 V -- -- -- STATE""y'""---- -- - ZIP BUILDING SITE: LOT 30 BLOCK ADDIT 0% Pathfinder TAX LOT NO - TYPE OF OCCUPANCY Residence ADDRESS 13040 S.W.___107th Court DWELLING UNITS 1 -__.,. ._ _ _ FIXTURE UNITS SURCHARGE IF APPLICABLE __-5@ to- 9rry 1)811 PMIT FEE -. 950_— INSPECTION FEE -25 _ TOTAL DEPOSITED ____475____-__._ (NEW) (EXISTING) BUILDING SEWER SYSTEM Tigard The Appli.ant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICAN1 VC?e� / ! SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE __ __ 4" INSTALLER RECEIVED BY C CL rt.�.Y.cQ.. � Com ENCV OR ITS AOENTI COMMENTS: CITY OF TIGARD ')4)0S W M.-n 41,001 •,r„►xU 0044014 17771 APPLICATION POR BUILDING PERMIT New Construction © Demolish ❑ Addition ❑ Remodel ❑ Move ❑ UAT6 ISSUED 11���_73 BUILDING PERMIT BUILDING FEES 1 91.50 NO. UArr RECEIVED 73-'255 ------~— PLA-14 CHECK 5 45.`1, --.___ _ DY 4.00 rucuYAL04TION R T5�985 OTHER S — .92 RECEIPT TOTAL $ 142.17 _1LL�-7-- TWO SETTS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LUT 1 1n MAP 12S1_�lllCENSUS TRACT LL'14jolt /`__ Architect or Engt,naer .___ Minicoy Hpyri4_Address 1717., S.U. Ash Dr. Phone Address- sane ____Phone- Builder some hone._Buildersass Address _ ,«.r_ __ _ ---Phone BUILDING USF. Str)gla Res. ❑ multi Req. ❑� )=omm. ❑ `Industrial[] M-CUPANCY GROUP_L— No. of Storiesj__— Total Height -_ _— Area of Lot_ Type of Construction llXX>jjj'1XILnXURX V Floor Area 11 --- 1_1614 2____ Set Becks: Front_ 211 Back 211 L.Side 91 _ R.S11e 81 _ Private Sewer Pipe Siza, 4” Sewerusa_tAlard Sept 11: Tank ❑ stater Service Pipe Size 3/4" Storm Sewer © hitch ❑ DryweI ❑ Street and Curb Requirements Existing Driveway Width - 18! ___,_-__—No. of Parking Spaces SEPARATE PERMITS RF.VUIREU FOR SEWER AND PLUMBING SPECIAL INFMR.MATIOtl ADDRESS ASS IG4ED_____j -_---.-.--- FIELD CHECK BY PERMIT APPROVED it is understood that all work will conform with applicable iodes and )rd ancea of the State of Oreqon and the City of Tigard. Oregon, and that the building wil not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. 1f 7 qna ure o pp cant i t. i �/"�