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City of Tigard
INSPECTION REQUEST
for
O n
,NSPECTION TIME. Dz� PERMIT NO. :
DATE: S /3 L�< DATE ISSUED : I Z �►
OWNERS NAME : 77 j2 ' ---
ADDRESS: f 4 07
CONTRACTOR : --5-e- -\ ± ( '
TEST : Air ❑, Water , Visual k L.aboiatory p
RESULT: Approved Disgpproved O , Pending p
SKETCH.
t
INSPECTOR DATE
CNOTE : Attach luprlementnl test data berets]
City of Tigard
INSPECTION REQUEST
for
IOPECTION TIME: PERMIT NC. :—
DATE: IN 1-7 DATE ISSUED : I I
OWNERS NAME :
ADDRESS:
CONTRACTOR : _
TEST : Air 0, Woter0 , VisualbI Laboratory p
RESULT: Approved Z3 Disapproved 1 , Pending
t
INS.PECT0R _ DATE
COTE: Attach supplemental tell data herr
CITY OP
BUILDING PERM(71' APPLICATION TIC ARD DATE_C wCl ` ,,e NO 0685
THE UNDERSIG,",!Zu HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 639-31
"A AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANP SPFIFICATIONS. OWNER PHONE
OWNER ruslatin DGV010PM Fl L ADDRESS t h!4' `'^t • Ai�I1iA1�kC1 CII` BUILDER PHONE i r1! �+ 1[�Y
same ENGINEER
BUILDER _ 6ACHITECT DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION UREPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY===--LAND USE ZONE BLDG.TYPE VFIRE ZONE - PLAN CHECK SY r} HEAT Intl
�-'nnstruct; 1202' ail. ft. Frame with atter-hed gerragwe No Hasuivin-sl,
--
According to approvIRd plans.
Q4C•LOAD FLOOR LOAD HEIGHT NO.S'rORIES AREA VALUE
_ BUILDING DEPARTMENT v SET BACKS FRONT I_)f REAR 461 LEFT SIDE 61 RIGHT SIDE
Permit `? �`
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 ACCOROANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIA!'CE WITH
Recording ALL APPLICABLE CODES AND ORL LANCES. THE ISSUANCE OF THIS PERMIT DOES NOT ;!RIVE
RESTRICTIVE COVENANTS. ^.ONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINLIS
%State • ' LI ENSE,ffiP/�RATE PERVrTS RP.OUIBED FOR SEWER, PLUMRINO AND HEATING.
1 a. �7wv tt�:F,�e1G �'fl
Total •
By
--- APPLICANT OR AGENT —
Approved r f a Receipt N ,.
ADDRESS — -- pled
I
DATE INSP. TYPE INSPECTIOW REMARK PLUMBING DATE
%G
ontractor 6�n.Q� 37,174
Permit No. n 344 3S^
Rough-in
Fixture
76 �apy _ Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in —
Final _
SEWER 3-/0.7&
Final —_
DRIVEWAY
Final
Z S S 7l�
_ Storm Drainage
Rain Drain) Final _
Sidewalk
Curb&Street Final
Duroach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Land.caping
Zoning Final
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2750
EXHIBIT IIB"
CITY OF TIGARD
CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION
The City of Tigard hereby certifies that the occupancy of
the following described structure or premises with respect to whi.r.h
a restriction of occupancy was, on June 14 , 14 74 ,
recorded in Book 981 _,__, Page 354 , Deed Rr3cord of Washh,01.nn
County, Oregon;, is hereby authorized and approved.
DESCRIPTION OF PROPERTY:
Summerfield - Lot 207
As recorded in Book 349 Page 5, Plat records of Washington County,
Oregon.
OWNER: Tuale .�n Oeva�oon�nt Co. _
BUILDING PERMIT NUM19F.R:_3 Lg
BUILDING ADDRESS: 1D035_ 5. W. Highland Drive
This is to csrt'fy the said structure meets with the rnquire-
mants of the Building Code of the City of Tigard end the above
referenced rA&triction is hereby released and terminated.
IN I•IT1NF93 WHEREOF, the undersigned authorized officer of the
City of Tigard has caused this certificate and release of restriction4%
to he nxecuted this 24th day of _ February ].976 .
Title: Cit corder
STATE OF OREGON
County of Washington 3 as.
On this 24th -day Of February_, 19 76 , personally
appeared before me the above named -__- Dnrie hAjjjo ,,,_, whose
signature appeprs hereon and who acknowledged to me that he executed
the same in his official capacity on behalf of the City of Tigard.
Notary--P c oe re.on
,Ic�T1�f,r My Commission expires:
11/6/78
r.47L' pL .IG
"t • Mod ler
ROGER THOt4811EN,Direelw d RowM� Lleerton „l.n
4� BOOK I i O PALE 416
2'750
EXHIBIT "B"
CITY OF TIGARD
CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION
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 June 14 , 19 74 ,
recorded in Book 981 , page _ 354 , Dead Record of Washington
County, Oregon, is F,arHby authorized and approved.
DESCRIPTION OF PROPERTY:
Summerfield - Lot 207
As recorded in Book 34. Page 5, Plat records of Washington County,
Oregon.
OWNER: Tualatin DevelonmBf,,yL
BUILDING PERMIT NUMBER: 74-11
BUILDING A['JRE5S; 0,15-a. W. Highland Drive
This ie to certify the said structure meets with the require-
ments of the 8uilding Code of the City of Tigard and the above
referenced A,triction is hereby released and terminated.
IN 1,111NE99 WHEREOF, tha undersigned authorized officer of the
i'ity of Tigard has i.aused this certificate and release of restriction
to be executed this 24th day of February , 19 76
Title; Cit corder
STATE OF OREGON
County of Washington as.
On this _ _ 24th day of February 19 76 , personally
appeared before me the above named Doris Har i whore
signature appears hereon and who acknowledged to me that he executba
the same in his official capacity on behalf of the City of Tigard.
_
fall
Notary POblic of GF-egan �-
,407AP), My Commission expires:
., 11/6 78
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1 o,=TNONNIM Obs"M M Mswds i 21"MM t,
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d
►� STATF OF OREGON
` Count/of Washington ss W,
I, Roger T 9MIM ffl, blfiyi�ppr of Records
anti Electio hand EX.0 ficld" ecorder of
Conveyan for Said county,do reby cer-
tify that a within Instrument writing
was recel d and recordbd in hook o ecords.
No.
of said onty
Witness I hand and I&affix*
b R{iTHVb�SSL lrectoo I
s
��trst�
FESZ6 lUus
zN'16
February 30, 1976
Roge,c Thomsen
Washington County Courthouse
41115boro, Oregon 97123
1
Dear Mr. Thomasens
Enclosed are three Exhibit "B's" for release of occupancy restrictions
which need to be recorded in your records. We also enclose a check to
cover costs. The following is a list of Exhibit's to be recordeds
12132 S.W. Tiedeman - Roger Stalick
12479 SW Brook Court - Alan Nickelson 6 J. Allen Paterson
13120 SW Ash Avenue - Roger Grahn
Thank you for your assistance in this matter.
Sincerely,
Doris Hartig
City Recorder
DNslw
guclosures - 4
January 28, 1976
Mr. Steve Schneider
Oun Franklin Sovings h Loan
1 9.I1. Columbia St.
Portland, Oregon 97258
Dear Steve:
This letter is in roferunce to tho following joba by Tualatin
Ouvelopment Company, Inc. in the Summerfield Project:
10020 S.W. Highland Dr. -- lot 212
10000 50. Highland Dr. Lot 211
10040 S.W. Highland Dr. lot 213
10215 S.W. Highland Dr. ---- lot ? 91
10480 S.U. Highland Dr. lot 233
In the meeting with Bruce Clark, City Administrator, it was
agreed that the deviations frau the setbacks on ]ots212, 211,
213 and 191 were not sufficient enough to cause any great
concern to the City of Tigard. However, the existing setback
from the patio to the mar property line of 10460 S.W. Highland
Drive (lot 233) is not acceptable. It is our recommuhdation
that Tualatin Duvolopmont Co. , Inc. daud approximately 6 feet
of the abutting golf course to this lot. Thus giving the
lot the required 8 foot setback from the rear property line.
I have discussed this solution with Mr. Drawn of T.D.C. and
it "Pomn acceptable.
If I can be of any further help, please contact me at 639-4171.
Sincorely,
Russel Austin
Ouilding Official
RA/fa
FMIBIT "A" 11911
CITY OF TIGARD
Residential Structure Occupancy Rcatriction
KNOW ALL 1PU3N BY THESE PRESENTS, That ccccupancy of residential
structure (a) on the following described lands prior to the recording
of an occupancy permi� releasing the restriction in the Deec. Rocords
of Washington County, Oregon, iE prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRIPTION OF PROPERTY: Summerfielu - Lot 7
As recorded in Book iy , Page � Plat records of 'Washington
County, Orogon.
ADDRESS OF PROPS M Jm /111iLly-
NAME OF OWNER: ` IQ� tl l'V
ADDRESS OF OWNER:. i S �Lx� ^_L,)
IN WITNESS W11ERE0F, the undersigned has caused this restriction
to bo executed this7s-
/y day of �� 19-)v ,
OWNER:
T I atin 11l?vo /
( i
APPROVED: }3y?
Building official
rllnd� cAor'd................'f'.........1P ......at........A M.s.
City of Tigard ROW R ;&RSgT DDtnrrnr nl ple"Id■71. EI—II r,
R9.......... _........................L...................................__._ D.P",
STATE Or OREGON ) ss.
County of Washington
ersonally appeared before me the above named
and acknowledged the foregoing instrument t be
voluntary act and deed.
I
C2.Yt.eyrL.
o lry Public
354 --�'-ZZ-z _ __
STATE OE OREGON
COUMV of Washlni� n`l st .
and Electio'er and
Ex sen, Olrertor of Records
�eYences foo and Ea.O/lido Recorder of Con-
ehol thesaid counlY, do hereby certify
Wthin Instrument of rebs was
revel vra a� recorded
atardell In book o} records
Of sold
Witness mY hand and teal affixed,
Records
ROGER THOMSgN Dhacfor of
6 Electbry
.JUN ZG ' 10 51447q
i
j CITY OI•. TIGARD
fI
Residential Structure, Occupancy Restriction j
KNOW ALL MSN BY T)C SE pR;;S-rZiS, That Occupancy of residential
otructuro (c) on the following described lands prior to the recording
of an occupancy I J Permit releasing the restriction in the Dce(� Records I•
{ of Washington County, Oregon, is prohibited by the ordinance of the
jCity of Tigard, Oregon:
DESCRIPTION OF FROMiTY: Summerfi rld - Lot �G77
As recorded in Doolt _3 q Para Plat records of Washirkton
I
County, Oregon. �
. I
C
I
l i
ADDRESS Or' FROPCRTI:
ADDMSS OF 0 4Q")
Z 162
NAhtt; 0^ OTdNEi;: «�r>ra�!.*ik �'lr �Ullrntu"f"`�
.1
IN WITNESS WID:REOr, the undersigned hun cauocd this restriction
a' to be executea thio /�_ ' 11s ff
day of - ..lui:�. 19*If-•
a
o �
o V �P
-4
• O
TunIn.tin 1)evr .r; >rent r,anv_. 1—
M
d ' hal.
`W ave 1
wilding Official
city of TipArd pOt;I.q 100SEV.[�risr�n .,of P 6 Elerrirro•
1 A1.................«.......•1..,"«J .d............................................
STATE OF ORFIION ) ca•
County Of Washington )
JejerflonallY appeared before me the above named
and acknowledged the forei,oing instrument t(?—b(*
voluntary act and deedWarty
public fo r.gun
ih0D psi i,,J:JcJ"!
EXHIBIT "B"
CITY OF TIGARD
CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION
The City of Tigard hereby certifies that the occupancy of
the following describod structure or premises with respect to which
a restriction of occupancy was, on _.______ June 14 , 19_ 74 ,
rernrdud in Book _gay page _35q y^�v� Dead Record of Washingto
Cnunty, Oregon, is hereby authorized and approved.
DESCRIPTION OF PROPERTY:
Summerfield - Lot 207
As recorded in Book 34, page 5, Plat records of Washington County,
Oregon.
OIJNtzE_: -----
BUII_DING PERMIT NUMBER:
RUII.DING ADDRESS: �10D15-_a-o— de i-ghlend Drive
I
This is to certify the said structure moats with the require-
ments of the Building Code of the City of Tigard and the above
refaronced restriction is hereby released and terminRtod.
IN WITNESS WHEREOF, the undersigned authorized officer of the
City of Tigard has caused this certificate and release of restriction
La be oxacuted this ---24th day of _ February , 19 76
Tftle:— City Recorder
STATE OF OREGON 99.
r,vunl;y of Washington
On this � .Qth „rday of Februer�_4�� 19 76 , personally
+pliP3red before ma the above Warned I)gpcL
rtio ,dliose
signature appears hereon and who acknowledged to me that he executed
the same in his official capacity on behalf of the City of Tigard.
--T-
My Commission expires;
11/6/78 -_—
CITY QF TIGARD
12420 S. W, Main StrNI
71GARD, OREGON 97117
APPLICATION FOR BUILDING PERMIT
New Construction Demolish Addition rJ Remodel F1 Move
ZONING V DATE ISSUED-- J�7 BUILUINc PER14IT
BUILDING FEE C No.
DATE RECEIVED �. r � $-x` , !—` -- /�-'►J4+ y
/ ) PLAN CHECK J el. c;✓
It, VALLUAUA TION $
OTHER $ , rJ
TOTAL $ �, RECEIP': No._LVJ
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT # n,�'�7 MAP #� CENSUS TRACT �- JOB Of
Architect n: Engineer
Address l 3b 1�1 �l�Sµ _AY�_r� : rC�- Phone��
owner_f��,U,,_C -.--___---
Address Phone
Builder.,-l[y,,n51----_-_-_-_
address Phone
BUILDING USE Single Res. � Multi Res. � Comm. Industrial
OCCUPANCY GROUP--r - No. of. Stories____%-- Total Height- Area of Lot
Type of Construction I II III IV(Y� Floor Area
Set Backs: Front Back $ L.Side ` R.Side
Private Sewer Pipe Size_ q n _ Sewer4i,1,,-C Septic Tank L7
i
Water Service Pipe Size_fy�c Storm Sewer K Ditch [] Drywell L�
Street and Curb Requirements
,)rive,,ay Width Lek _ No. of Parking
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
G.i..,N.i' ta �f n Cz--r —
__ ///� / �r�.` ♦!. i✓let.7_ /h /7,GZ 5l�,a� /�:'� �f' /�l,ra�t..J //-� /'//. f-w�i�
ADDRESS ASSIGNED) /41_x`/ S•j -�,,Y' �-
FIELD CHECK BY------------- --- .—DATE
PERMIT APr-Htj iD BYE%'
It is understood that all work will conform with applic,tble _- .ses 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 Oceapancy has been i. d by the City of
Tigard Building Inspector. / l/`,'�/,l//
,� ,�- _ -
t' gi nature of App rcant