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10340 SW HIGHLAND DRIVE I . 1 t f t 1 it 1 f I Q I a i 1 r.4.', ! s a t 7 64 1 i } ; ► k �- I } • �. t '.'«..»,�1y"..�.:'Y.C ::°;.�Br'.�!'_'!�*.�.^r•Ita°r.•;: :�r-ta+.._. �orr��.. ar'r�ree� t+t,r•,'a•••^•rrs....�^haNi 1r".�•�**.w�.w. .. ,f{�. + �.� .....n.-M1'�'.•...y�.w.r..+�«...«-..+Uy,� / iii 1 1 t i i el.;-> SW I.-I I r."I I__I: t I".l j) t..'�♦' .I. ',��I� P. 9 r ' ,.. .♦r I111 ! II� 111.1 I X11II + li'��'t ll 1 ( 1 I 111 � � 1 i 1 � 1 111 I 111 � .� 12 NOTE : IF THIS MICROFILMED DRAWING IS LESS CLEAR THAN THIS NOTICE;---IT IS DUE TO Tif QUALITY OF THE ORIGINAL ' DRAWING. 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L" Lam. —I (Y 1 '-L �S LJ L) 71 t� -+ O W Y 5 Z:i'L) t4 H � c , 1 A _J LI _ L1 -) (U M I 4) (ll —1 T) 4J Cll b •r1 C CO -4 e CT (a L._ r1 Ln e--a C (i) (-I O cr 1.1 (ll n L I Ll I C t,- C ri 1- I O 4) .r ❑ 1-1 (U U) ,--1 wao' U 1-1 r (U .-t w aJ ❑ ti 3 Z:j F-- tU C- C) 4-1 •H L� '_ N'I C :r 1 11 - (Li .11 � J] (1-- 4.) [) a C1 o w (U 1 (-1 Q O M 4-3 0 -P X o ❑ rl w4-) ri n ( ro (u N e-+ Ld t•- mLi umm3 ti -inr-Lth �I I e 11I. v e dR'+1wN14wY!F+p-.r"'r7c�+avrofM�+aRF"�nP�,!7arpry�!!'.,F - CITY OF TIGARD PlumbingFermi ` Building Department3 � Residential El CommerciF.l ❑ NO. New Installation ❑ Replace FN Addition ❑ Alt,ration ❑ i; Rate Licensed 11 1 + - ,. �- — Owner— /l I I v o PY f c. _ Address '} t,,1 �; _.,�,,. _ Job.Address �J I <�.,4 Phone t�'i..���- j r.� _ Applicant i_ Cl N BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS AND SUB-CONTRACTOHc: _ ITEM NO rEE TOTAL — ITEM NO. FEE TOTAL Fixtures Traps 7.50 Sewer:First 100 a. ishwasher — 30.00 D _ 7.50 Each Addit.100 ft. � 115.00Garbage Disposal 7.50 Ejector Pump Water Heater 7,�0 _ 7.50 _ Water:First 1 or,ft ___ 1 2U L� Backflow Preventer 7.50 Each Addit.200 ff. —' 15.00 -- _ Storm&Rain Drain:First 100 ft. _30.00 -- _ Each Addit.200 ft. 15.00 Mobile Home Space _ 25.00 Other(Specify)__i —� Rain Drain-Single Fam.Dwelll 15.00 tz= LPERMIT�FEE �y 1 Comments: �' �% Issued By: Receipt No. _—"— For Plumbing Inspection Phone 839-4171 Signature a 'I+7 EXHIBIT "B', RECEIVED E:924 1,41"v 12 19" CITY OF TICARli CITY OF TIGARO CERTIFICAA: OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premiaec with respect to which a restriction of occupancy was, on , JU-ie 7 , 1) 74 recorded in Book 978 , Page 69ti , Deed Record of WanhinGton Co-,.:,Ly, Oregon, is hereby autr ..Lzed and approved. DESCRIITION OF PRUkLRTY: Summer f'icld - lo! 228 As rerordgd in Book 34, Page 'i, Plat rer,,rds of Wsshinoton County, nregnn OWNER: Allen r. Prickett _ BUILDING PERMIT rRmE:R: 74-98 BUILDING ADDRESS,_1049- . bi. Hirihimid 0, Vol 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 WITNESS WHEREOF', the undersigned authorized officer of the City of Tigard has caused ':hire certificate and Jrelease of restriction to be executed this -t2 ��. day of r 7�✓,�k, _, lye. __d ?9 Title: t STATE OF OREGON ) County of Washington )ss. On this y ,t day of (�'�.cf� ,v, 19' , personally appeared befor—e-' —the ababove named-" ) ,;u���' `� whone signature appear:, hereon and who acknowledged to me that he executed the same to his offical capacity on behalf of the City o; Tigard. b arytic or. My Commi a res; 3.INDEXED 9M R?Rill 7?lOMBSEN,D1e�d Moad�♦61aeHed f�uo� J9f P1159O Rr,l1-r... STATE OF OREGON County Of Woshingfon u I 1or Thontssen Dirwor of Records and E�epscttotn and Ex-Officio Recorder of Con veyonees The said county, do hereby certify that the Within Instrument of writing was received Ord recorded In kook of ncnrds No. of said County -•_—•--• Witness my hand and seat affixed. ROGER TNOMSSEN, O6ector of Records 6 U,,ctions Deputy /97/ Co /a i3 J f, i 0_ IS, la!v Ik ca 01 1- P 4t Ir 0 x y : occ X �k Ki c UP CITY OF TIGARD c OREGON Owner:..........T.tj.ala U.n .D a v el.Q pm erit co......... -----Permit No..74.9a.. ........ Building AddsW ...Hz gh-1 an.d..Drd:.cs.... ............ Certificate is hereby given this....24th,.( Jay of.....ortntier....... 19...7-0-.74.. that faid building may be (,cr!iipied and at it complies with all requirements of the Building Code for the City of Tigard, Ask as ipproved by the Tigard City Council. .. W ........................................ .. ........ Puilding Inspector cl z ra--- -- V.I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: DATE:IV 02,12tDATE ISSUED: . I OWNERS NAME : _T- 0 , C , ADDRESS : CONTRACTOR :- /-a 7` 1- TEST:Air ❑, Water Q , Visual ❑ , Laboratory ❑ RESULT: Approved X(, Disapproved ❑ , Pending O SKETCH: s' t I INS TOR DATE �N07E : Attach supplemental test data horst-10 BPACES MUST PE ENDORSED PRIOR TO .ISSUANCE OF BUILDII•?G PERMIT I'L)IM11IG-DEPT. UBLIC WORKS DEPT. BUILDII'TG DEPT. By TUAT,ATTI1 RURAL FIRE :UI;P'P. - _- - APPROVED CI`T'Y 0i' '11C u:D PERMIT `r ADDRL,S qS -------- BY,y.�, x•�;3 -, �ITI,E_ Y 1� , >I. •� it.�. ,,t; � l�:�tgr! kr!Uh �'+t7' Ir11+n� . � '�7Ml� #t�' }� • jj rl, �{ tit � . t � I �y' �, }#J yy3 r k ,1 + }{t 3,. t } +rk}h '•' ri fi}� <},�.i.', sik�.��{°'t;t{'}isai�: � :, ��t�%� :a I�� �`, , � 7r i.. flit �� S I I � I City of Tigard INSPECTION REQUEST I for IMEI INSPECTION TIME' PERMIT NO. : DATE ISSUED :..._LL - — DAT E: 94._..L_L- I � OWNERS NAME : ADDRESS. _... CONTRACTOR : — I TEST : Air ❑, Water[] , Visual* Laboratory p I REWILT: Approved 06 Dieopprovad O , Pending p I SKETCH: I I I I I 2Z J- INSPECTOR DAT E COTE: Attach supplemental test data hs►tt] I 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME : A M ' PERMIT NO.: DATE: '9 4124 DATE ISSUED:__1__L_ OWNERS NAME : ADDRESS : ZZg zQ CONTRACTOR TEST* Air O, Wats, ❑ , visual Laboratory ❑ RESULT: Approved Disapproved ❑ Pending ❑ SKETCH: INSPECTOR DATE COTE : Attach supplemental fast date herel-10 PLUMBING PERMIT APP' 7CATION Jurisdiction o . �No. Type of Fixture Fee Permit No. fo2��[?_- ,6 cid Permit fee _ '3Puc, c7J" �2 Water Closets Permit Issued -Bath Tubs-�— �, " Approved by 2 Lavat.ory__�ash_Basi.n� Building Perm. t _ Shower _ Receipt No. IV-�i� _ -- Cin Ts_Dishwashing___ Sinks. Kitchen -_--,- - Sinks, Ordinaa. Locattion of Bui1 ding � _ _ Sinks.Slon -- f' _Automatic Disaas er- 1� y;��,5 _z .� �, D ii�o a 1 .� -.� _ hatinaT _Trays._ Namp & Add -ess of Ch�'nc=r -� '. Drains, Floor %.�1 ' Drains, Area _Drains._Refrigerator Pain ~Drains — � 7 Automatic Washer - y V Nate & Address of P�umber Lf - `rourttalilS-;_T�r1tiK11� Foun.ta.in_Gy—Soda --_— Hot Water Tank --- Water Service Size �U '-�� � l/ Buildin Old or dfew ter. Re air or Urinals _ - _ _ ��_�____ Catch-Basins-' mrd __ _ <-T—ns-Tall) -- Lawn Sprinkler_SSvstem . Swimming Pool __ �.._._ Uther —___ ------------•-___-._ __ _gL'L"inkler System This permit becomes null and void if work or construction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City .)f Tigard and post a $1,000 bond I hereby certify that I have r-ad artd examined this application and know the sam to be true and correct. All provisions of laws and ordinances governing this t 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 an- other state or local law regulating construction or the performance of cons+ruction. Signature of Appl cdht i CITY OF TIGARD 12420 S. W. Main Str"t TIGARD, OREGON 97249 APPLICATION FOR BUILDING PERMIT New Construction © Demolish ❑ Addition ❑ Remodel ❑ Moue❑ ZONING DATE ISSUED (�' �f�_ BUILDING P1,RMIT BUILDING FEE $ C'. No. -j DATr RECEIVED f--7y- `S� BY PLAN CHECK $ C/c. VALUATTO'lt; $ - OTHER TOTAL RECEIPT TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH A`'PLICATION LOT #-2,1.& MAP N` CENSUS TRACT �- - 70B N-� --- Architect or Engineer -,���_;,., Address (s�Q �A/. 11 C--U4s�-- ---- - Phoneme Owner���s�- F Pr K-4 -M ------- -- ----- Address jniy��c r-�i.•u T.�.�orf _--Phone q I Builder fiC, - - ... - - --—--- -- Address Phone BUILDING USE Single Res. © Multi Res. ❑ Comm. [] Industrial❑ OCCUPANCY CROUP No. of Stories_ _1 Total Height__ Area of Lot Type of Construction I II I-,I IV ( % Floor Area B`_____ 1j 3._LZ 2- - Set Backs: Front-AD_ Back_Ll_- L.Side _J - R.Side Yt - Private Sewer Pipe Size _- Seweru-�,,5 C; Septic Tank ❑ water Service Pipe Size_1y " St-rm Sewer ❑ DiLch ❑ Drywell Street and Curb Requirements 1.5 Driveway Width 1191 - _ --No. of Parking Spaces_____ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED l j?-T VL' FIELD CHECK BY - __DATE E-Z^ -7 PERMIT APPROVED BY It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of ` gard, Oregon, and that the building wil not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Insrector. S of Appy ant 9871 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction VOW ALL MIEN BY TIME PRESENTS, That occupancy of residential structire (s) on the following described lands prior to the recordin5 cf an occupancy permit releasin¢ the restriction in the Dee" Records of Washington County, Oregon, is prohibited by the ordinance of the City of TiZard, Oregon: DESCRIPTION OF PROPERTY: 6ummerfield - Lot As recorded in gook _q Pa e Plat recoris of Washington 9 9 i County, Or,!Kon. }} d ADDRESS OF PROPERTY: NAME OF OWNER: ��\\ - t 1=3:. ��� A, ADDRESS OF OWNER: 1r)•zC1 in, <, .%L/. C, ,A"h.. IN WITNESS WHEREOF, the undersigned has caused this restriction 7A to be executed this _ day of �„„ 19A/. a OWNE-2: ^ual.atit � ^n APPROVED: B T:tlo By: _ Building Official City of Tigard STATE OF ORia,ON ) ss. County of Washir.oton ) , 19�r. rsonally appeared before me the above m modL -­ _ rrL_—�f and acknowltd3ed the foreuoing instru�'tn� to bo voluntary act and iced. / Not ry Public for 01-.:fon ,•d for nro.d ... l0 h �dM My Comm'r Son Expires: Room rE aoowmreeNid � c,�.i f•7f B00h 97S 01096 M a STATE Or OREGON 1 County of Wasfungtnn 1} " tf r I, Roger Thomsen, Dlmdpr o cords and Elections and EsOflicio Ret C'�n- veyonces for sold county, do hereby certify that the within Instrument of writing was Ieceived and remdW In 1161A d rleo"'a No. _ ---_..------ __._... of said County Witness my hand and seal affixed. ROGER THOMSSEN, D"ector of Records & El"km-4 Jm 7 12 31 7 EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction KNOW ALL MN BY THESE PRESENTS, That occupancy of residential s'..ructu:e (a) o-, the following described 'lands prior to the recording of an occupancy pormit releasing the restriction in the Deec. Records of Wushington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRii,rioN OF PROPLRTY: Surimerfield - Lot Z.Z.b As r-corded in Book _I e11 Vii, Plat records o: Washington County, O,ggon. ADDRESS ON HiOYERTYt NAMts OF orrrre�t_? ADDRESS OF OWNER: IN WITNESS WHEREOF, the undernigr,nd has caused this restriction -r 6. to be executed this day of 2ke- 1921z- ' OtdDtE;2: APPROVED: B ''+''L Tule By: _ Building Official City of Tigard ;TATE OF ORYGON ) sa County of Washington ) �, 19 ?A Ir sonally tired before me the above named 7nd acknowledged the fore6oing instru nt to be vola t.ary rct and deed.