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9400 SW HILL STREET-1 9400 SW HILL STREET c i m H L7 N 01 Cr O 1 a[ L m E H tn 1 �� fiu ' r � '�'�i4^.�..,,,,c,,'./�•'Ir��a �Y'� ��''a t �,:,'.•!�,d''.h�� 11�1`>'°w4y.��.'M� ,�'L�V� nh��+C4—�`:• -��'°trp��t ,.�r a—[ '�,'•7lr_�n�!�yyCle�—pepdn,�r,. A�` �� ,, '9/(( "✓ ;Il" �. '^'w^ '�"'M S f• �..""-'�1,- •,au'axaF? uSr�:-`.nRrneQt—.�•._ OF OC XC C 1 y OF T I G A D ,OREGONr Owner:..... ogar...0.. ... ..... ---- .....Permit No... ...74-14.i V. �• 9400 S.W. Hill �. Buildin, Address..... .......... ........ ........................-- .........------........---.............---•--. ' Certificate is hereby given this...li+kh----day Of......Februa-r-y......., 19.... ; that said building jnay be occupied and "4? t that it complies with all requirements of i the Building Code for the City of Tigard, as approved by the Tigard City Council. . - _ `•; r'. Bt ildipt Inspector a � - 7N F,I AW, e•'� i�' * i EXHIBIT "B" ' Ftlr CLAVED 16126CITY OF TIGARD I`E B ti - 19%5 CERTIFICATE OF OCCuWCY AND RELEASE OF RES`!MICTION CITv ;1r TIf;AIZD lav, City oT Tigara hexc,by certifies that the occupancy of the following described structure or premises with respect to W.iLcb a restriction of occuFaney was, on 9-4 , 19 74, recorded in Book 9r.14 , Page 300 , Deed Record of Washington County, Oregon, is herery authorized and approved. DESCRIPTION OF PPOi'ER"'YS lot 4, Burnham Park, Tax Map 2S1 2DB OWNER! aq_4QZ lil.e�_ BUILDING PERMIT NUM13Fdt:�_47 BUILDING Al'DRF',Sl _9400 S.W. Hill Clot ae�13100 S.W. Aor_we. ) This is to certify the said structure meets with the require- ments cf the Building Code of the City of Tigard and the above referenced restr'etion is hereby rel!�asri and terminated. IN WITNN3G WHEREOF, the undersigned ,authorized officer of the City if TJgctrd has cau;ed this certificate and roleEse of restrict.'.on to be execL:t^d this /�� day of 19L• All Title:,, $TATE OF ORE);ON ) s County of Washington ) ' on this tnth day ofuar�� _ _, 19_2S, personally appeared before me the above named -�OT1e }{$rtj� , who3e signature appears hereon and who acknowledged to me Lhat+he executed the same in his offical caracity on behalf of the City of Tigard. loe3_ No ublic of Oregon My Commission expires; .,�... t ..».T.�:.SIL a►M-tw. 800 f0ft M U Roatt MAR"- D.evn AJ STATE O' OREGONPI es County of Wnshirgtnn nom. I Roper ?homssen, Director of Reco,ds and Elections and Ex Officio Recorder of Con- �,� veyances farsaid county, do hmby certify Q r� thatthe with-M tnstrumenf of writing wo% recei.rd and recarAed in bo* of rkorde ,/A of raid C:awrty Witness my hand and seal offiud„ ROGER THOMSSM, biretta rA Retards 6 Electiory Or" fe Id Il All "7a 14-LA P E R M I f ADORF,53 PF-.R M I T i A R G E cojJtjrCTION FEE OWNER PAID BY DATE C O N N E C T F D TYPE OF BUILDING 9ERVIC,f- RATE INSPECTION FEF_ PAID BY DATE CONTRACTOR ASSESSrENT PAID SIZE OF CONNECTION pork ck. 700 6- City of Tigard SPECTION REQUEST for SPECT!ON TIME: 1 PERMIT NO. :—_ DATE: 3 'r TE ISSUED :--/-L VNERS NAME : ?o � �• ____ ADDRESS: -2.4-00 , > )NTRACTOR : _ � ltr_4 _ 'F" .ST : Air El, Water[] , Visual A/1 Laboratory p i =SULT: Approved.014 Diw ipproved 0 Pending p :ETCH: (J"v - .;� 7 _ 7 Y I MR I INSPECTOR DATE I E ' Attach supplemental fast data beret] 'i f 01ty of Tigard I NSPECTION REOU S � for IINSPECTION TIME /2- -' 3c-) ,PERMIT NO. ; DATE: ,; - DATE ISSUED:- L1-OWNERS NAME . �C- �'9-�p��✓ ADDRESS : CONTRACTOR :��-'IVF -x- _ TEST: Air 0, 'mater C1 , Visual X, Laboratory RESULT. Approved , Disapproved 0 , Pending p SKETCH; C�-U12B Al �/57 vF r3 19POIT10AI&I WIV7-Iq X/ (PP-I C rz 7 INSPECTOR DATE LNOTE : Attach supplemental lett data beret] City of Tigard INSPECTION � REQUEST for I INSPECTION TIME: PERMIT NO. :_______ DATE: 2—X/� DATE 13SUED :_—L-__ OWNERS NAME . Gam, 49-,ts,1/v' ADDRESS: CONTRACTOR : TEST . Air [I, Water❑ , Visual 0 Laboratory p RESULT. Approved El Disapproved Q Pending p SKETCH. I ASU I Y 91'LL INVECTOR 1DATE EWE.' Attach supplemental test data berP1] I 1 L SPACES MUST BE NDORSE .ISSUANCE OF BUILDING PERMIT R TO PLANNINC. DEPT. PUBLIC WORKS DELT. Dy BUILDING DEPT. TUAZATIN RURAL By - PIRE DEPT. --- APPRO VE,D cin OIC' D" Ci'Tvii AY _ "�'--------. DATE it t , f I LY City of Tigard INSPECTION REQUEST T for 1 46 N%p I INSPECTION TIME: PM PERMIT NO. :—.-- DATE: _1 111124- DATE ISSUED :— OWNERS SSUED :—OWNERS NAME : __ ADDRES : lua_ A-1 C O N T R A C TO R : __ 4--4 TEST : Air 0, Water❑ , Vieua)1 �1 Laboratory ] I RESULT: Approved C7 Dieapprnved .R , Pending [] 3h�CM.' !f; � �� � i z ET /7 C ,r I INSPECTOR DATE EOTB : Attach supplemental test data beret] .. I 1 ( City of Tigard I INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :— DATE: Z Z� DATE ISSUED :— LLL OWNERS NAME : �~� L41dA" ADDRESS: rY�n' Ji'u CONTRACTOR : - TE ONTRACTOR : _TE ST : Air ❑, Woter❑ , Visual El , Laboratory ❑ RESULT: Approved �$ , Disapproved ❑ , Pending 0 SKETCH. I ut< -rot c, p0 � { ut7°pLirtr.. � I i I I 4; ej I IN,�Z,TOR DATE I [NOTE Attach fupolemental test dote bereet] I rsr aia eas � sw ew v wn City of Tigard INSPECTION REQUEST for 1N'PECTION TIME* f�' PERMIT NO. :. .- DATE:/ DATE ISSUED :_..1...L- OWNERS NAME : . CL' A�1,4-A7-'- - ADDRESS: _1�— �. CONTRACTOR : _ TEST : Air [D, Woter❑ , VisualK Laboroiary ❑ i RESULT: Approved, Disapproved 0 pending r] S FETCH- i I i I INSPECTOR DATE IN-01E: Attach supplemental test data beret!, i 41- City of Tigard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO. : --._._, DATE: DATE ISSUED: -J-, I OWNERS NAME : — ADDRESS : - CONTRACTOR AME : _ADDRESS :CONTRACTOR : � �F. S TEST: Air O, WVater , VisualxLaboratory ❑ I RESULT: Approved, Disapproved pp ,�, pp roved ❑ , Pending I KETC .�P': .+� C,1. ,R R r✓!c�' N t V . ILA I INSPECTOR DATE COTE : Attach supplemental tact data her6t] i I I City of Tigard INSPECTION REQUEST � for �w'�- i , G C.�G L� I INSPECTION TIME: PERMIT DATE: -4(14�,G[� DATE ISSUED :_ L1- _ OWNERS NAME : < D .1, c� r I ADDRESS: CONTRACTOR : _ �-� I TEST : Air ❑, Woter D visual � l� Laboratory O RESULT: Approved Disapproved OI Pending Cl SKETCH,* I I i INSPECTOR DATE CMO?E' Attach supp'"em"I teat data beretai 14089 EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT , that, ocrupancy of residential structure (s) on the following described lands prior to the record- ing of an occupancy permit releasing the restriction .in the Deed Rac_,ords of Washington County , Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a release as soon as a final inspection determine, that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY : Lot 4 , Burnham Parley Tax Map 2S1 2DB ADDRESS OF PRGPERTY j .,;jnp_S+.61..-.Ilan-/��o� -_ NAME OF OWNER : jjg4ALrrwhn ADDRESS OF H W N L R ! __2Ur r_c%_Lj_ r u n r e. IN WITNESS WHEREOF , the undersigned has caused this restriction to be executed thi :,_.:;_day ofj&/i_ �( OWN t.P- N ame T.ctle APPROVED,) d?y B y : "I'l 14 7.Yat l....1... u i i n g Official iAi.�����4���� 1'l1lMnt;CF1. n,t«,oo� A.nc,,,� i. IF r •,c,n� City of Tigard By..»..............................,,Vst,r STATE (IF OREGON County of Washington ss 7 ._ S , 1.9 Personally appeared before me the above named ti,a6AQr {°�.�ul. 1 and acknowledged the foregoing instrument to bP 6,L-�_voluntary act and deed. Notary PubliE for Ore on My Commission Expires: BOOK, 98 4 PALE 300 f• V SP 4s or IS U p aout N al elf co ■ EXHIBIT "A" CITY OF TIGARD � Residential Structure OccuCancy Restriction KNOW ALL MEN BY THESE PRESENT, that, ocrupancy of residential 1 y 4 structure (s) on the fallouing described lands prior to the record- ing of an occupancy permit releasing the restriction in the Dead � Records of Washington County, Oregon, is ptohibitpd by the ordinance , of the City of Tigard, Oregon: (The City uill iSSUP a rolease as , soon as a final inspection detnrm,nna , that the construction is satisfactorily comp let•id) c DESCRIPTION OF- FROPE.RiY: I Lot b , Burnham Parb fax Map 29Y 200 U 4 I ADDRESS OF PRnpERTY° t sten a_,,, A. .kv* _.,. j NAME OF OU2LH Rre,gr rrand• I ADDPESS OF OUNLR: w;1;5 _q-u_ rj,p:a@ _ &ton, Grasso I tw a ' IN WITNESS WHEREOF , the undersigned has rausod this restriction to be executed this '� day � n OWNE►3 0 Title ov APPROV + .�'•" ©y: s ..t�,,�� F l����i(�'j1ttMAriGN..Iht��e�nl t,•nu�M S �M•�+on� - biiding Official ( City of Tigard � -..'•.-.».'.' STATE OF OREGON 4 County of Washington ; ss - 19 / ' r Personally appeared before mcg the above named and ar.Knoulodged the foregoing instrument to tie /I voluntary act and does. nary Publit or Orel on My Commiaslon Expirpa: /-`A oz � EOOx i3�`3 FA6E,31��� UNIFIED SEWERAGE AGENCY NO. ____-_ 4996 _- _-_-- WASH I NGTON COUNTY DATE __ July 1:_1974 CITY OF tigard APPLICATION FOR SEWER CONNECTION PERMIT OWNER: _ Roger Grahn 9655 S.W. Cypress OWNER'S ADDRESS: STREET Beaverton Oregon 97005 CITY STATE 21P BUILDING SITE: LOT 4 BLOCK ADDITION TAX LOT NO. . - __ TYPE OF OCCUPANCY xi nn a_t.�. Aa_h - ADDRESS _____—_ DWELLING UNITS --- --- .--_ 1 ___ FIXTURE UNITS ___._ SURCHARGE IF APPLICABLE PERMIT FEE 525 - INSPECTION FEE 25 TOTAL DEPOSITED 550 (NEW) (EX!STING) BUILDING SEWER SYSTEMTigard The Applicant agrees to comply with all rules and regul tions of h2Un ' rage Agency. APPLICANT /-2° SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO 1-14E SEWER SYSTEM. LINE SIZE 411 INSTALLER - --- ------ 42; RECEIVED BY_. 1� Ctc._� �� �C � ----------- ll (AOENCY 01 ITS AGENTI 1 COMMENTS: ----------- -------- _ This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD 12420 S. W, Mein Street TIGARD, OREGON 97222 APPLICATION FOR BUILDING PERMIT New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING - DATE ISSUED`1 1_u BUILDING PERMIT DATE RECEIVED _ BUILDING FEE $- 7V -r NO. by I�lei PLAN CHECK $ lr' /ic�;:••c -►L.IJ$ - ---- OTHERPn..-/...y $ y °, VALUATTON $ � TOTAL: $ RECEIPT No. Alve TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION 1,0'r N 4. - MAP N CENSUS TRACT -- — --' JOB A Architect or Address Phone _ --- - --- - WAJ Address ��js /�� Q� � .�� �,f�_�._12f�✓�!f t0� __---------Pho'nene4me Builder Address 111.1I1,DING USE Single Res. LAJMulti Res. ❑ Comm.- U — Industrial❑ ()CCUPANCY GROUP _ No, of Stories / _ Total Height !4 - Area of Lot200G I� 'ryhe of Construction i II III IV � t•'l.00r. Area B I Set Lacks: Front 'LQI— B,ick---- - — I,.Side - R.Side Private Sewer Pipe Size Sewer�4 c,,t, Septic Tank ❑ Wat.Car Service Pipe Size_ n �- Storm Sewer ❑ Ditch ❑ Drywell❑ St.I-net and Curb Requirements____________-___ Driveway Width-_1qi-- _No. of Parking Spaces Y SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ............ FIELD CHECK nY DATE PEP14IT APPROVED It is understood that all work will conform with applicable codes and ordinances of the Stam Of Oregon and the City of Tigar , Oregon, and that the building will not be Oc"Pied until a Certificate of Occu ncy has7be n issued by the City of Tigard building tnr.rrctor. __,� �A� - Signatur of Applicant -` �-`-`-"----- CITY OP BUILDING PERMIT APPLICATION TIGARD DATE -7w'�. 7`► ,s N° 0 017 THE UNDE14SIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING P C AND SP3CIFICATINS. OWNER PHONE—­ L OWNER i'a @T Gratin ADDRESS � r �* BUILD ER PHONE ENGINEER BUILD fL-au ar ARCHITECT DESIGNER S',RUCTURE ANEW 0REMODEL 0ADDITION ❑REPAIR ❑RENEWAL ❑FIR-1E DAMAGE ❑DEMOLITION C1_RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS[]PATIO ❑CAR PORT ❑GARAGE ❑STORAGE[:]SLAB ❑FENCE ❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LJSIGNS� - QgCUPANCY-. LAND USE ZONE 1Bl^G.TYPE----'--FIRE ZONE PLAN CHECK By­j -_— HEAT—=. THX-1� I'.a A ! UPLILATE FUR UUR ALORDS -- — — — — --- Y 11,1 4 4, UCC. LOAD FLOOR LOAD HEIGHT_ NO.STORIES AREA VALUE -BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE 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 A* ORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording - � i�!' A, -tIALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 11%State LICENSE. SEPARATE PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING. Total By --• APPLICANI OR AGENT Approved Receipt No. AA DESS ------- PHONE —"-- s is. lL DATE INSP, TYOE INSPECTION REMARKS PLUMBING DATE Contractor/L c vev .✓ �Ic Permit No. o� ��.-6 7 `�zr►�C•v Rough-in Fixture - ,� Final HEATING ��rL�j Contractor ya-e r , /fL?7y7 '�J Ocr �� o-0�' a1tG Permit No. � "�7 v-7y y1s1-11170-- Gas or Oil •,t L C Rou h-in - - .J�'7ef Final __— �_ SEWER Final DRIVEWAY Final Storm Drainage T (Rain Drain) Final _ Sidewalk Curb&Street Final — __ A roach BLDG.DEFT,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY — - Landscaping Zoning Final i is l !�il1`1 j� 1 14 Cl �� 30 OfJ PLAN PLAN is PL tic N0, 10 � �► �' 01 .I� To >rur; STt�f�FT- i -