12140 SW 127TH AVENUE-1 N,
12140 S6! 127TH
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City Of Tigard
INSPECTION REQUEST
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INSPECTION TIME : /y' P PERMIT NO. :
DATE: S'115121 DATE I ,SUED:_-L_.
OWNERS NAME : , s
I ADDRESS : S ti _
CONTRACTOR -"� "',
TEST:Air O, Water 0 , VisualA" Laboratory O
RESULT: Approved , Disapproved O , Pending G
I ^SKETCH:
INSPECTOR DATE
IrN07F. Attach supplemental fest data herat]
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CITY OF 'T'd(-.;ARIA 'VC
¢ OREGON
Owner:........Herbert__E_._. f.or,issette�...Bldr....permit No..0097 R• '
Building Address.............12140 S.W. 127th Ave.
¢: Certificate is hereby given this.....eth _day of........Y........................ 19.'75.... ;r
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as Artn•oved by the Tigard City Council.
Building Inspector
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City of Tigard
INSPECTION REOUEST
for
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IINSPECTION TIME : �� � PERMIT NO. : ._.
I DATE: _4ZZ2c1� DATE ISSUED:-.L�_
OWNERS NAME :
ADDRESS : /- '
DDRESS : - ' -Z�-
CONTRACTOR
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TEST: Air ❑, Water [] , Visual , Laboratory p
RESULT'• Approved 0�/ , Disapproved ❑ , Pending O
I SKETCH:
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I INSPECTOR DATE
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LNOTE : Attach supplemental test data hereto
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City of Tigard
INSPECTION REQUEST
for
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INSPECTION TIME: -222 Y" PERMIT NO. :
DATE:,ala /4 DATE ISSUED :
0WNERS NAME : /���R/J"I'7 L� ___���
ADDRESS:
CONTRACTOR :
TEST : Air p, Water 4f, Visual 07, Laboratory O
RESULT: Approved , Disapproved U , Pending 0
SKETCH.
ON —\J 1 -j
J
INSPECTOR DATE
�NOIE ' Attach supplemental toot data hereto
¢'S
November 13, 1974
Herbert E . florissette
8909 S.W. Dolph
Port and, Oregon
Dear Mr. M0':i3satt'3 :
This letter is in re erence to the side yard setback for
r .M the dwellinq located at 12140 S. I. 12701 Avenue on lot
98 , 0,Mijocid I1 Subdivision.
w* Aftiar checking the measurement of the side yards setback
Oil the strout side, 1 Found a small discrepancy in the
location o!' the curb.
Ai'ter an on site inspection, the building department has
approved the location of the dwelling With approximately
1� Peet, d�3 :ia�i�n at. thn ,-uar and slightly more at the
f rent.
Ij.nc9rcly ,
Russe] Austin
Buildinq Official
RA/fs
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CITY OF 0C.aber 25 '"NQ O O 9 7
BUILDING PERMIT* APPLICATION TIGARD DATE —119—
THE
,toTHE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWO� PHONE
Herbert E, rorSseatter Zb - 1 �'
. -477
OWNER 'ADAESS -
_ BUILDER PHONE
i
�11A1• ENGINEER
BUILDER ARCHITECT _DESIGNER f
STRUCTURE ❑NEW ❑REMODE.L ❑A.DDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY___—LAND USE ZONE BLDG.TYPE FIRE ZONE' PLAN CHECK BY__ HEAT_____
.. °f munt--Atachted 'u'arege9 — ----
1133
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA _VALUE
jUILDING DEPARTMENT a + ' -6
.- SET BACKS FRONT xQ HFAH LEFT SIDE RIGHT SIDE - 7
(10Permit 951 = —_--- _- -_—_-- -- —_ -- - -
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 BE DONE IN,ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ' ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVF CURRENT CITY BUSINESS
196Stete LICENSE, SEPARATE PERMITS RE(JUIRED FOR SEWER, PLUMBING AND HEATING.
Total 140•
By - -- -
APPLICANT nP AGENT
Approved Receipt No.
ADOPESS
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
Rou h-in
/ g 7 •3 t, '�� Cit" Fixture
/a-/ -_7f Final
- G 7S BEATING
� arl '� � !1 iS�r+�..-:.. ��rl GXf 1 i , ". Contractor
UD o0l m"a Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY _
---
Final
Storm Drainage
Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BI-OG DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
J Zoning Final
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58
UNIFIED SEWERAGE AGENCY NO. 5015 _ _
WASHINGTON COUNTY DATE 10-25 -74
CH-f Y
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Herbert E. Morissette
OWNER'S ADDRESS: ------- _B905 S.W. Dolph_
STREET
portland
CITY STATE ZIP
BUILDING SITE: LOT— - BLOCK ADDITION
TAX LOT NO. _ __ TYPE OF OCCUPANCY ..
ADDRESS _ 12690 S.W. Katherine
DWELLING UNITS -- _._ 1 FIXTURE UNITS - -
SURCHARGE IF APPLICABLE _. - _-
PERMIT FEE --- -___ 525 ___ INSPECTION FEE 25 .. TOTAL DEPOSITED 5511_ _
(NEW) (EXISTING) BUILDING SEWER SYSTEM ...- Fanno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT'
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _ INSTALLER
RECEIVED BY. �-+�
11c,
CENCY OR ITS AGENT) p
COMMENTS: I
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
by16 RECEIVED
EXHIBIT "All I4uv 1,1, 197 .
CITY OF TIGARD CITY OF TIGARD
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 relapsing the restriction in the Deed
Records of Washington County, Orrgont is prohibited by the ordinance
of the City of Tigard, 0— dun: (The City will issue a release as
soon as a final in4r..jr.tion determines that thh construction is
satisfactorily completed)
DESCRIPTION OF PROPERTY:
Tax Map 2S1 4AA, Tax Lot 8700, lot 98, nallwood II
ADDRESS OF PROPERTY: ,1, -S W`
NAME OF OWNER: Herbgrt F. Moriaeatt,g. Bldr. _
ADDRESS C" OWNER: 8905 S•J+(e 0g1-nb- j2rtland -
IN WITNESS WHEREOF , the undersigned has raused this restriction
to be executed this 23rd day of OciLntLL , 19 74
OWNFR.
le C
Name
•/4.t .V ��
-- T it.
APPRO'J
B y:
[MildingUFFicial
Zity of Tigard
STATE OF OREGON ) sg 19 y
County of Washington
Personally appeared before me the above named
and acknowledged the foregoing instrument
to be %d voluntary act. and deed.
INDEXI_D eJ llltus 4 �_ j° -
STATE OF OREGON �Efr" Wtacy Public oI Orgoon
r
County of Washington 1 My C0mm15sion Expire^
linger T1x,mssen Direatpr of Records :�. ✓ i I _—_-
ond Electiuns and Ex-Officlo Recorder of Con-
veyonces for sold county, do hereby certify
that the within ImtrumoM of writing was
received and retarded M book of records
No _.._.._ —._..
of sold County
Witness my hand and seal offlaed.
ROGER THOMSSEN, Director of
Records 8 Ekwtkm
r
Depsey
EXHIBIT "B"
6361 CITY OF TIGARD
C'.j.RPIFICATE OF OCCUPANCY AND RELF,ASE OF RESTRICTION
,The City of Tigard hereby certifies that the occupancy of
the following described structure or premises with respect to which i
a restriction of --cupancy was, on 0ctober 31
recorded in :ook "98 , Ila go ir'C� , Deed Record of Wanhington
County, Oreton, is hereby authorized and approved.
DESCRiITION OF PROPERTY:
Tax Map 251 4AA, Tax Lot 8700, lot 981 Bellwood II
OWNER: orhaTt [ W-gi---f tg, W i d^
BUILDIIJG PERMIT NUMBER: 0097
1BUILDLN} ADDRESS: 12140 S.W. 127th Ave.
This is to certify the said structure meets with the require-
ments of the Building Code of the City of Tigard and the above
referenced restriction is hereby released and terminated.
IN WITNF3S WHEREOF, the undersigned authorized officer of the'
City of Tigard has caused this certificate and release of restriction
to be executed this 8th day of May , 19 71
Title._�!
STATE OF OREGON )ss. I
County of Washington )
on this 0th _ day of _Ma 4 _ r 1975, personally
appeared before me the above named _b ❑oris Nartir , whose
;;lgnature appears hereon and who acknowledged to me that he executed
the same in his offical rapacity on behalf of the City of Tigard.
Notary Public of Oregon
My Commission expires:
11-5-78
INDE:_ .)
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TPE UwOERSIG`1eU HEREBY APPLIES f Olt �1 PEI�M1 f hUt1 I Nt wVU11ri 11t HcW I(vuILA I Lu OVINEPUUI POII
Coli AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OVT1110 �orl —
LOT PIO ®�
OWNEP �QM Jt_! !)I,'A��� 198 ACOftLSS �(r,
_
h//// ENGINEER
nUII_D._•V -L2,-'1ru /`�/ATL lt1 R
ADOES, `'G` `� t(t i1�Q��/ ^^L�/C OEStGwER
STRUCTURE _ (DNEW ❑RE!1InOEL_ 1001T10'V E-1 REPAIR `JR---NFCIALL ❑FIRE UA?RAGE 1� ❑OE:•IOLIT
U'RESIL�["ICE ❑COFI.M ❑EOUCATIONAL ❑GOV-T ORELIGIOUSOPATIO [JCAR PORT OGARAGF ❑STORAGE❑SLAG L=
CCCUP lr;•_v J1=3—LArvO USE ZONE E� 4 BLDG.TYPE.LH__i PLAN CtiECK BY HEAT_ —
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r� iST/Pii� T At�t�l ri �nl i O S//i:l�L,'= l�K/J�'11tt/ .7))y2L� r:�M�
-_, �1 ST�YV o✓�C/f°,Ea j A rio T o
ENC 4- 1GG
SEWER PERMIT rr
FLOO_FjlLOAD n HE GHj rNO.STORIES ,( AREA/i'I, NO,SEDROOKIS -- YALUEt_4Tow_
5111LCIti; OEPAR TMENT SET RACKS FRONT --- REAR LEFT SIOE RIGHT SIDE �-
°crr..tt � - 'IJ Sc' -
1� THIS PERMIT IS ISSUED SU13JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZOr
I i:�rt Check r�_ 13 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND ,T IS HEREBY AGREED THAT
I---- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIC/,TIONS AND IN CG1.1PL1A.NCE 1
S:17-total / 3 _ ALL AP^LICABLE CODES AND ORDINANCES. THE ISSUANCE O" THIS PERMIT DOES NOT W,
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUS11
Tax I `j LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
0 S SOC -
r------ POO
_Lr,��- APPLICANT OR AGF_Nr AGprovtd ` 94c Receipt No. ---A r+ory
SU(' ,(Storm
SOC
POC =��
SEWER CONNECTION $
SEWER INSPECTION
SEWER SURCHARGE $
Comments:
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