12045 SW SPRINGWOOD DRIVE-1 12045 SW SPRINGWOOD DRIVE
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CITY OF
:
OREGON
Bob Smith N
Owner:
Permit No . 1307
12045 SW S rin Wood Dr.
C Building Address... P.— ..�. ..
........................ ........................
Certificate is hereby given this.. .....?.....day of...�.y.n..e.................... ly 7.7.
that said building may be occupied and
;! that it complies With all requirements of
the Building Code for the City of. Tigard, `
as approved b.� the Tigard City Council. `
Building Inspector
ZTiW
/� V' /� /�� S• i� ./h� ,/` �. c �� Ar'61�;. �r 1 7 �'dw !F �`�
���''�, �'/�C�,�,g.Wi �!; .+:�/-\E';�y,.../� '"� �'r� c,>:.++.;. :�,.�tf;:,�� ,. r�+� '�9yr�1'��•
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City of Tigard
� I f
INSPECTION BEQUEST
far ;
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INSPECTION TIME' ._—%'— PERM17 NO. .e__.-_..._.
DATE: . 2EL DATE ISSUED .___._L1
OWNERS NAME :-- �Jc� t — -----
ADDRESS: c- rrY,D
CONTRACTOR : — ----
Tc -T ' Air U, Water El ,, Visual ❑ , Laboratory [3
aULT: Approved I(Y, Disapproved C Pending L
SKE'rcri.
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INS CTOR DATE
50T : Attach supplemental test dot beret 1 1
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�� �Za ry G�/Za��� �e� �r� �.c� sem.
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City of Tigard
° INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: r DATE I S S U E D :_......L-L--
OWNERS NAME :
ADDRESS: �f
CONTRACTOR --
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FEST : Air Q, WoterE ► visual Lab{;ratory []
[�
9ESULT: Approved 0 , Disapproved Penainp,
SKETCH:
1
INSPECTOR DATE
CNO?E : Attach supplemental tett data hereto]
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City of Tigard
INSPECTION REQUEST
for,
l'iSPECTION TIME: _ �`y"—. PERMIT NO. :__
DATE: _-'c//l//7.2 DATE ISSUED : I
C'Y►NE.RS NAME '
ADDRESS:
CONTRACTOR .
-, EST : A:i Lj , Water❑ , seal ❑ , Laboratory [3
RESULT : /kpnroved Disapproved ❑ , Pending E]
SKETCH.'
C
NSP,lCTilR W.rE
[NOTE : Attach supplemental tent data here}]
FORM Nu.AS,–WARRANTY DIED llndt. .erp•ral•t. I✓' r J / n'.nee N••.�r,w•un,.-lot.
eo nonr�nr.o,a••,ra
11 7A �
WARRANTY DEED
KNOW ALL MEN BY THESE PRESENTS, That ....... bob C. 11nLLh lder, lar.
fill Orel;on Cotiutration
hereinafter called the grantor,for the consideration hereinafter stated, to grantor paid by
Boil (I. Grl.itll , hereinafter called
the granter, does hereby grunt, bargain, sell and ronvey unto the said grantee find , antee's heirs, successors and
assigns,that certnin real property,with ilia tenements,hereditaments and appurten fares thereunto belonging or ap-
perta'ning,situated in(he County of Wonhirlptrnl and State of Oregon,described as follows,to-wit:
Loi13h and t.i;c hast, 5 feel, W bol 11 1, L:1 t jewood 11, Cli,y of 'ripard, lleshinl;ton
L'ourlty, UrptSai.
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Sub;Jcct I',o: St:atntory powern Wild nnneenmrr`nts of Unifted Gewercah.e Apeenry, I4et.7,rer
'•Finlenry Lintrict; Ennrnnentn or record; I' mditlonli ,ind rentrLcts
ionor record.
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IIF SPACr INSUFnrIENt, rO1l1I11UE Of5CRIP1ION ON oFWR5F. 51011
To have and to Hold the some unto the said grantee and grantee's heirs,successors and assigns forever.
And said grantor hereby covenants to and with !;aid grantee and grnntee's heirs, successors and assigns, that
grantor is lawfully seized in fen simple of the ahove granted premises,free from all encumbrances
and that
granfor will warrant and forever defend file said premises and every part and parcel thereof against the lawful claims
and demands of all persons whomsoever,except those clniming under flip above described encumbrances.
The true find actual consideration paid for this transfer,stated in terms of d•'inrs,is$ none
"Howey-ir, the actual consideration consists of or includes other property or vt ,e given or promised which in
the wbnte consideration(indicate which)"'(The sentence behreon the syrobohm,it not applicable,should he deleted.See OItS 91.0.10.)
part of the
In construing this deed find where ilia context so requires, the singular includes Nie plural and all grammatical
changes shall be implied to mnke the provisions hereof apply equally to corporations and fo individuals.
In Witness Whereof,the grantor has executed this instrument this 3.6tiday of 14rnrch 10 77;
it a corporate grantor,it has caused its name to be signal and seal affixed by its officers,duly authorized thereto by
j order of its board of directors.
j Uob C. SmiLl1/IS 111rlcr, lar.
fU•aruMd br n most elbn, .-J�"`��I C.•-7�Lx/��
rarparRlr.•all J'-- \1
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STATE. OF OREOON, ) STA7'E OF OREGON,County of iYaall I nrCon )Ep
IR. 1`"t•r•11 .I f t , 19
j
Count) of Uul l:. :ins L Li l
•
19 Personally appeared and
who, being duly sworn,
Prrn.nmPy nppenred flip above named each for himself and not one for the other,did pay that the loaner is the
president end flint the latter is trip
.. - _. selnefnry of
Bob G. Stnit.h Huildcr, Itir. a cnrporatina,
and acknowledged flip Inregoing ltfl'ru- and that the sent allixed to the foregoing instrument h rise corporate seal
meat to be voluntary act and deed. of ,:,i I corporation and flint said in•frunlent Ivan signed and sealed in be.
half of paid corporation by nuthoilty of its board of directors;and each of
17Pfnrr n1r' fluent acknow(pdged said hntrunlent to be its voluntary act and deed,
slme:
(nl'FICI AL .J�(.am
SEAL) x`1 �c,�y SEAL)
Notary Publir for Oregon Not•1ry PubliOnr Oregon
j My conmds,lon expires: My rnmmlaslon expir.•s:
Irl
Uob G. .imit,ll L;i.l3det, Sac' STATE OF OREGON,
rinANlon s NAMR AND Annan+ County of
1 certify that the within inafru-
Bob G. !;1111U, meat n•nn received lot record on the
day of ,19
at dolock M.,and recorded i
MI, li–=rr It NAMT AND pan Pt•r ePAG6 nnrnv[n
Ann r•er,ai ,•leen l•, 1. to"
in honk on page or ns ,
nsd:onnrnp oar fitr':reel number
rheni r: Corapa civ o1' Ot 1,udr Record of Derds of said counfv.
I:ul l:anyon lldl. Witness my hand and seal of
U„nv,'t I.. ,', Ur(IIt on County affixed.
NAMG.Anunt m
Unul a.h,rr,n.i.,egvrrtrd all Inv Mel•m•nn shell 6a oro is Ihr I•Ilrwlnq.idrrn
Re,:crdingOfficer
I; 13rnvcrdinm lid. i9y Deputy
itd:uvert.onf UrrvoI,
NAME.AnORAR,TIP
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FORM No 633 —WARRANTY W0 Ilndo.,dual or Corp—fv), eT e.rNn Nr--S,•w PURL'ew,Na eo r,,+TLAND.oe too.,
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WARPANIY DEED fAlt
'gin r' 11
KNOW ALL MEN BY THESE PRESENTS, That.............BoL G. --otilth Eoilder, T.nc. Il
an Ore, m Cott+oration
hereinafter called the grantor, for the consideration hereinafter stated, to grantor paid by
11611 G. :;Tnitll hereinafter called
the grantee, does hereby grant, bargain, sell and convey unto the said grantee and grantee's heirs, successors and i
assigns, that certain real property, with the tenements,h4reditaments and appurtenances thereunto belonging or ap-
pertaining, situated in fhe County of Washington and State of Oregon, described as +'.rllows, to-wit.-
Lot
o-wit:Lot. 118 end the haat 5 feet of Loi; 114, Err-jewood II, City of Tigard, V,'Pshini;t.on
Count;;, Oreton.
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j Subject to: Statutory powers Find ansesnmen.s of Unified Ser:erage AC,enc •, i•iet.y.rrer �
Sunitary District; Irsementc of record; r"-nditions ar9 restrictions of record.
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I 1!F SPACF INSUFFICIENT, DESCRIPTION ON REVER 1 SIDFI
To Have and to Hord the Srrine unto the said gr.. ?e and grantee's hart, successors and assigns forever.
And said grantor hereby covenants to and wi.h said gwnfee and grantee's heirs, successors and assigns, that i
grantor is lawfully seized in fve simple of the above granted premises, free from all encumbrances
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ana that
grantor will warrant and forever defend the said premises and every part and parcel thereof against the lawful claims
and demands of all persons whomsoever, except those claiming under the above described encumbrances.
The true and actual consideration paid fcr this transfer, stated in terms of dollars, i;: $ none
"'However, the actual consideratien consists of of includes other property or value given or promised which is
the whole indicate which
Pari of the consideration ( which).11) men fericc Behr sen tire symbols(D,it not applicable,should be deleted.See ORS 9J.030.)
/n construing this deed and where the context so requires, the singular includes the plural and all grammatical
r.rianges shall be implied to make the provisions hereof apply equally to corporations and to individuals.
/n Witness Whereof, the grantor has executed this instrument this -10t-}day of March 19 (7;
if a corporate gttintor, it has caused its name to be signed and sea/ affixed by its officers, duly authorized thereto by
)rder of its board of directors.
Bob G, amlt,ll P Ti7(ir_r, Inc.
Ill e■etuled by a eerperolleo,
Q rSi ��
afnR terpernte Reel) /
STATF Or OREGON. ) STATE O: -GON County of _ 1"nSh ifit:).t)r. )ss.
sit. hia' ct+ lf.) 19 �'
County o/ )
, 19
:' rtonall3' aPpr�:ad y01 .. %ttI and
_ who, being duly s+rorn
Personally appeared the above named inch for hirnsell and not one for tie other, did say flint the torroer is the
president and that floe latter is the,
setr:trrry of _
Bou G. Stili-Ai BIOI,iC1', Irlc. a corp ration.
and acknowledged the toregoing instru- and that the seal oflived to the forrQoino insNunoent is the corporate seal
+,mor is, he voluntary act and deed. of sr,id corporation one that Rail iostrunienr oras signed and sealed in be-
hall of said corporation by authority of its board of directors; arid Path a!
them acknocvodged said inttrumenf to be its voluntary act and deed.
Before nip a/or me: r
1 1l, r // ./� q/ - (OFFICIAL
11 CAa.'. 1 SEAL)
Notary Public for Oregon Notary Pubor Oregon
jMYrnmmission expires: My cnmmisr on expires:
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BU:-4-0 EPA:.TNI E.% TiGARiD NO.
? PLJV,31NG PERM1 i
;i l�, ,►( � ,%aa 74zT/�, ;bider of a v contractors iicerse .s ne;eoy
auu.or.Zec to cause piumoinwork as ner a:n noted -.0 be with t�e piu.:,oin f code of
%gard. Such insta. ations require in,spe;,iioa by trie City inspector Wi.G Sila.. Le iotiliec not less Via.-. fGUr
4 ;ours prior to tie the Installations are ready for inspection. C.ty O: „card Susiness License req.fired
for a., contractors anG sub-wr.ra•ctoirs.
— NUA:tcrCr' 707,A-
3
O A- PcRFJ{IT tiG'S
TYPE OF JZAN[T Tc:'. -__ :: EACH A l.OL1:T Wfice Use v
R=S. -IAL / s -
Si-7q,4 =s + y-1 bath-each ! 25.i,} T• Q d
-ax-cath 1 bath un:; 25.00
-- h corns-esti _i 10.0fl i oy
-cine Space-each _ i5.00
`:-D .%'.L JAL FIXTURE FEES
_ Fixtures in 1 buiAing-each
_ auresI :.uildiag-each I -50 I
-u0 = xtures in i buiidisy-eaca 2-CO
_ -rare :ixtures in 1 building-each 7.50
�A ous
vc -1st 50
-ewer=n:cn xd,Cionai 100 ft. i i0.0c
'Se-vice:o buiidinq 5.00
vr. V ter SYsiems-ti cl "vc lG.CR
For Ptumorng inspection Phone 639-4!9i ,
Piumo;n� CantlactorY
-A 0 S' n Cc.?" \.�. issued eY
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iGARD
MO.
Pi.o.YtBAG PERMIT
"o-ce!' u= a Vac,-. L.L .ma ng contractors license .S -.ereay ,
a'�t.hcrized to caLse 1NorK as nee:am nczed to ba i:S:.3..ea ..'. a:comance With the aiuma7inS coda Of
..dam. JUc+t'1 instas.a:ions r3QUi;E io.-, he City Inspector who s.?a.i Je notif.ed not less t:la. fcu,-
Y Oli:S prior to ti.T,e the i=ijations aie raady for inspection. City of .igard 5usines5 Lice::Se required
for a.. contra_ctnr5 anG SLb�Oili�w.tv:�
NUMBS-. OF 707A, PERMIT NO'S
TYPE SOF ?ZRI'>•. _- iTE:,RS Qti .=ACtf A:.iJLNT Office Use Oniyi
s:o_NTIAL S
bath-each / 25 GO c- O d
p>;x-each 1 bath uml 255.00
oc-,. oath:ooms-each f 10.00 i f Q 00
c.^1s Space-each
--
V.:. jAL FIXTURE FEES i
Fixtures in 1 buiidinr,-ezch
��7itU Cel 3 i buAding—zaCi ^
J'J
:. 500 Fixtures in 1 bui'dinc-each
0- �0-cfixtures in ? buidim-ewh 50
3Z r- ANEoUS
Sewer-1st 50
:,ewer-cac` addrtinnai 1GG ft. ?C.OG
•1>•:::2'Se-vice:O buiieing
ti'•aer S stems-ecch. .3G 1GXG
S:;er-:fyi: t I
35 -c far Plumbing /nvecyan Phone 6394.
4 _ P:umbiny Contractor ay
Permit $3.00-oo
;
f - mar . Meel/lanica�i Permit
�, erm t �o
'
Fee
:ew '.nstal?anon R'ptace ❑ Re'oeation _ Additlori _ Altera*on --
TOTAL 7• ��
CO+�TRACTOR — OWNER
j41P�1//)7 rA,/��`xsfVj/
AD^?� +: „" r�'C:c S%�.� �-�/� 1- WORK ADDRESS
PHONE -, c 2 z APPLICANT
Heat Input Rating (M Per Hour}_������ Venus F'ue Size
FUEL -31L ❑ GAS ELECT OTHER
ITEM NO. FEE ITEM 110. FEE
For issuance of Permit 3.00 3oilers Over 50 PP �25.00 _
New- Under 100.000 BTL! Y ~4.00 A Air Handling 10.000 CFM ; -.()C
New- Over 100,000 BTU 5-00 � Air Handling Over 10.000 CF144,_ f 5.0C
Floor Furnace i 4.00 Evaporative Cooler T3.00
Wali - Floor - Suspended 4.00 Vent Fan 2 OC
Install Vents i 2.00 s Vent System 3.0C
Repair- Heat & Cooling 4.00 mood - 3.0C
9o0ers Under 3 HP 4.00 l Domestic Incinerator 5.0c
Boi;ers 3 to 15 HP 7.50 Comm. Inunerator
Boilers 15 to 30 HP 10.00 i Othe,. Not Listed t 3.0C
Boilers 30 to 50 HP 15.00
INSPECTOR'S COMMENTS.
CITY BUSINESS LICENSE 9EQUIRED FOR-ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVE^ BY DATE ISSUED BY DATE
R EC E 1 PT N O. � ���----
ra ' Sirmatum of Applicant c.
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/OUr No 7sE—E/ltlal WANANrr W/e IW.-y..l•r(.qsr-r,� {JJ\� -
1 1 1)� -,-,ref-.wr-r 4•.eU-,,p.ih.CO ro- •wp
T1TLE iNWI C",,^•' (rh' •"Y U OREGJN(c1A1 wA-EAWY fx(o
� �t
KAOW AL[.AlF.N a THESF.PRESENTS,That tf
COMMONWEALTH PROPERTIES, INC.
Iw the consideration lrerrinnitrr-fated•dorm hereby/rent,bargain,9e/1 and convey unto hereinafter celled gr�nlor.
Bob G. Smith Builder, Inc.
I hrreinn/frr torted prenfrr, and unto pran""I heirs, sur•.or-fors and assigns all of 'hat ,erfom real Property I
fear Wash lgtonfnmrnf% mrd appurtenance- fhereunro be/on in P perfy with flN
h d Washington ,State of Oregon,described as follows,fo.wlt.r m anywise wpperfernrnip,.situated in the Count i
Lot 119, ENGLEW000 11
Subjrct to conditions, "UVPnants, restrictions. , �•
easements and reservations appearing of record,
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a so
If 't ""
er ry%Ur II(Ifro (ONINdr ofshoON IM"t Stan
Arid
d thr grantor lo s,n a and to Hold rhe serunto the said grantre and granfee's heir-,succesand a%sigrye forever,
fetrnY covenants to and with the said granfre and grnnfre'- heirs, succ")r% acrd assigns
that lard reel property is 'ree from encumbrances created or nulfrred thereon by grantor end that grenfnr will war-
rant and defend the spar and every part and parcel thereof against the lewlul claims and dr:nand.. of all persons
claiming by, through,or under the grantor
The true and actual camiderafion paid for this transfer,.0 lied in term%of riollors,is j
"Hower,,, the actual consideration consist% o/ or include% other ptoprrty or value A,,- n9.10000
rl.shale
Part of the congdrrnfian(indicate which)."(The-enterer,hear,"the svmbof-m g I' pro which is
/n cnry%tevin flti%d .11 mfsnpllcsbh•,a!—ld be deferro.c.,,ORS 91.ale•)
g deed and where the context so requirri, fire singular 'nc•ludr•s rhe plural and all gramn%alior
change-%hall M•infphed to make the provisions hereof app% equnfly to car ,,lions and fo individuals.
In Wff rh%Wbr reo/,the grantor hes executed this in.rrunrnt this
if a torpor-le grantor,i1 he%caused its ria 1 deyof January 1977
order Of its board o/directors. rife to be signed and ser ,1 sed by its officers,dull• auUrorirM Iherrfo by
_ CUMMONWE H PR TI INC.
tF 2l!rc ill xGlr r�gtt G--_
STATE OF(REGON, ) STATE O
(rREQON,CO..,,o1 Washingtw_
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Courtly d _. ...__ ; Janua 11 ,e 77 ).
--.._. �......... Pr Persona"veppeared Ernest E. Platt
Elizabeth B. Underwood a '
• Psra"W Nerad •tiro, bslry dbty 1.o,n,
Y a0l+seed firs,bop aerh 1w hlmMll sed not erN•for Iter alter,did aaY Ihef fed MrelN h flr
__...._..-.__....__...._. vice
assistant prnldent sell fhst f/rs httsr is that --
aM ecAnnnledged rh• 1n,e , COMMONWEALTH PROPERTIES,INC.
sninrt in end that the real Nlired tb the Inregnin/Jnthunrnl h the
mint fo M sYluntam are and d—d. of said cur corporate�n-relMat
noran..sad that •old imrrunwnt,,ar sitrrd and aslwl.n!r! ° •1" `�,f
holt of raid unlro Of ,, 6r ourh"'4'Of hs.Nr-rd of dir.protr;and.arA Ol
1N•lore nr: thea erAnnN ledged uid inrtrunrent to b.ill voluntary stl sed dead
t (OFr/C/AL Beloro nn;
SEAL)
..0 _
�12�1(,(�6�C./5r�'f,��„�
Notary publr Inn Or.gon (OFF/CJAI. .
'
Nnfary Public lar Ors SEAL) ,
MI conrrdr,on expires !oa .�.. '
IEty autanfalon.spites. 12/7./80
f COMMONWEALTH PROPERTIES, INC.
_. - -.-
sTAI<OF OREpON
e•N.o--N•r •Nb-Wont-.
I .
� Bob G Snit% iltJer, County of nc, wa" ^°^ •
n., -rid fl«t,�M-r tAnmswn. OnOrro. of fAr
K✓�tl-qNa n-•57rvi. :�A7-q��U •-r.nr.. rel, u,d r oner.rde r,.-.r"r" C,N.
yfl F:, r•- -"d wnn,n�n1n--MM 1 w""h'�~'fy
No_
nr Mrr _-OYnfy_�
0wlm,.
•rr •„nhr-. t,e � Na,rl '^s oral sliretra. i .d
u.N.r.r,e.n M r-re w Ib wM-wty.rr,... R.rn.r„ t 4.�s9!N. OMsey, d
i N•rr •nu.na ne ~ 'refers
+� h
FEB ZB 3raF1! '71
g '0? h
E A S E M E N T
KNOW ALL MEN BY TV.ESE PRESENTS, Than BOB G. SM BUILDEiR, INC. , hereinafter
referred to as Grantor, (whether singular or plural) in consideration of the sum of
$1.00 and other good and valuable consideration to said Grantor in hand paid by the
CITY OF TIGARD and WASHINGTON COUNTY, hereinafter referred to as Grantees, does
hereby grant, bargain, sell and convey to the Grantees, their successors and assigns,
a perpetual utility easement and right-of-way for the purpose of constructing, re-
constructing, maintaining, repairing, and using the same for utilities, including
sanitary sewer and storm sewer lines, mains and conduits, over, across, in and
through the real property located in the County of Washington, State of Ocegon, and
that is more particularly bounded and described as follows:
The West 5 feet of the East 10 feet of Lot 119, ENGLEWOOD II,
in the City of Tigard, Washington County, Oregon.
To have and to hold the above granted and described premises unto the Grantees,
their successors and assigns forever, for the uses and purposes above provided.
The Grantees shall have the right at any time hereafter to enter upon the above
described real property for the purposes hereinabove mentioned, ai,rl in connection
therewith may remove any trees, shrubs or brush necessary or convenient to accomplish
said purposes,.
The Grantors, their heirs, successors, assigns or representatives shall not
construct or maintain any bu''lding or other structures upon the above described real.
property prior to written ap?roval by the City as to conformance with City speci-
fications regarding construction.
The instrument does not grunt or convey to the Grantees, any right or title
to the surface of the soil along the route of said service except for the purpose
of laying down, inspection, maintaining, and replacing the same.
IN WITNESS WHEREOF, the Grantor above named, does hereunto set his hand and
anal this f,D ! _,day of March, 1977.
Approved as to form:
BOB G. SMITH BBfUILDER, INC.
S-7
By,. �� �64
Bob G. Smith
STATE OF OREGON )
County of Washington ) sa.
On thislOof March, 1977, before me, the undersigned a Notary Public in
and for said County and State, presonally appeared the within named Bob G. Smith
who, being duly sworn is the president of BOB G. SMITH BUILDER, INC., a corporation,
and that the seal affixed to the foregoing instrument is the corporate seal of said
corporatiun and that said instrument was signed and at:ted in behalf of said corpor-
ation by authority of its board of directors; and each of them acknowledged sai":
instrument to be its voluntary act and deed.
Before me:
Notary Pub 90t,
for Oregon
My commisa expi yes: �� ,/�
i
.w,. r..-+w.n=wcrs�.;-nar-.,,.n.-s.r.,,f....wQ'mD:tira^.:,rnn,,.. ,•,.�,
BUILDING PERMIT APP!'CATION �o Y TIGARD DATE 2-16-7 Ig_ 137?
THE UNDERSIGNED HEREBY APPLIES FOP APERMIT FOR TH : WORK HEREIN INDICATED BUILDER PHONE
—
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAIVS AND SPECIFICATIONS. OWNER PHONE_—
LOT NO.
OWNER f1UG '� , tri JOB ADDRESS i,iQCJ AGI 5priT '%i_JWCOG I64ME ADDRESS _
ARCIIITC.CT
ENGINEER
BUILDER ADDRESS ADDRESS DESIGNER
STRUCTURE KLr NEW EIREMODEL 0ADDI1ION CJ REPAIR _RENEWAL ❑FIRE D/,MAGE DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL 0GOV'T URELIGIOUSUPATIO []CAR PORT ❑GARAGE 0 STORAGE OSI_AB OFENCE
UBOND L MOVING ❑CONDITIONAL USE UDESIGN REVIEW OCOUNCIL APPROVED USIG':S
1 _ kJtW 'E3
OCCUPANCY LAND USE ZONE--_._" T ONBLDG.TYPE_ FIRE ZONE J_—_ PLAN CHECK EY HEAT___ '�_
�_ir;;7tq 49j n"a1G! fp J �� yCi --- 3 �.g�q—�►�i hmr( ny�ntg t�1hl ?
OCC.LOA �H.QsitlT . zTOCtIES__ _ABt� N2_@_E<Q_R%[ills ___VAL.U_E_____ _—
BUILDING DEPARTMENT SET BACKS FRONT 40 REAR Q LEFT SIDE 2,L', Rn IIT SIDE
Permit
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINEI: 'V 11'ILDIN, CODE, ZONING
Plan Check r• REGULATIONS AND ALL APPI_iCABLE CODES AND ORDINANCES, AND Fr1Y AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIC/ 'U IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINONCES THE ISSUANCE OF AIT DOLS NOT WAIVE
-- RESTQICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS Tu ,. JAREMT CITY BUSINESS
State Tax LICENSE. SEPNRATE PERMITS REOUIRED FOR SFMFR, PLUMBING AND H IN-7.
Total
By .AP—._ A .ICANt OR ACErY f
Approve-.1 Recei t hu. , /
— INE
..air`..ire . .w■.+��r.�..,W...k,,..i...... _d..u.._a_.oa....ri.L:•:WAMwwrtar�.µ.,..a.,a.w,..—...�_.._..�..........,...:..:.....,.. .,.:...,..... w. ..
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DATE INSF. TYPE INSri.t;TION REMARKS PLUMBING DATE
Coritractor
Permit No.
�$ ( Rough-in
r
Fixture —
Final _
J 13
HEATING
:c / Z,�.F7 t Contractor
Permit No. i/.. -- ;�.J� �,- �" 7,7
•r
KZk.i�n,L " �. Vas 4f OII _
Rough in
—_
Final
— SEWER
----- -- —----- ----- DRIVEWAY �L� - � . �7- 7-7
Final
Storm Drainage
_ (Rain Drain) Final —�
— Sidewalk
Curb&Street Final
Appruach
RLnG DEPT.F NAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
\ Zoning FinalF
4
\\ T�]� /r /� 4{ /� CITY A O F ��o -�
_�t. �E; l�J:rT AP UPATtn�� �,�t\ �.i.f DATE 2 �� 15_ ?2a _
''�= ."kDE SIGNED ^ERE9Y APPLIES FOR A PERV!T FOR THE WORK HEREIN INDICATE()
CR AS SHOWN AND APPROVED !N THE ACCOYPANY!NG PLANS AND SPECIFICATIONS. OWNER PHONE
cc � t,. •L,,( ,_xVy. . ADDRESS •T � BUILG`R °-!
CANE
ENGINEER
a. ncg - C. ARCH!TFCT ^ DES!G:4ER
S�GFUrT;_ac y£yy ._.REV!OD�' �ADC!T!ON QREPAIR L,RENEWAL ^FIRE DAMAGE ^DEMCLITIO'�
RESIDENCE COMM _EDUCA: 4AL —GOV'T �REL!GIOUS�PATIO OCARPORTT ^GARAGE (STORAGE❑SLAB ^FENCE
BAND NQVlNG ^N!7!T�ONAL USE n DESIGN REVIEW t--COUNC!L APPROVED nSIGN-,
OCCUPANCY !_AND USE ZONE �p 7G.TY _r_W_FIRE ZONE PLA!1!CHECK BY K/ HEAT 'Lf"
J R
QCC. •_QAD cLOOR LOAD HE!GHr NO.STORES AH A �(i Ai enc S- nC�)
RI„'L�lNG DE°ART1P!EN'r SFT RACKS FRONT j> REAR ( () -A LETT SIO RIGHT SIDE L J�
°ermit ��� — --`
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
P!an Creck REGULAT!ONS AND ALL APPLICABLE CODES AND ORDINANCES, AND !T IS HEREBY AGREED TPAT THE
i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. T14E ISSUANCE OF THIS PERMIT DOES NOT WAIVE
r-- RESTRICTIVE COVENANTS. COQ:T?ACTOR A R CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State S i 7 LICENSE. SEPARATE PERMITS REQUIRED FOH ..ER, PLUMBING AND HEATING.
Tota! 1 -7
_-- _ --. APPLIC•1N1 04 AGI.;
_-
1!�! roved , Receipt No.
ADDRESS P►,ONE
S 7�
ILI C
UNIFIED SEWERAG" 11 AGENCY NO. 11659
WASHINGTON COUNTY DATE 2-16-77
CITY OF--Tigard
APPLICATION FOR SEVVF-- R CONNECTION PERMIT
OWNER:
OWNER'S ADDRESS: --- --- ......
STREET
CITY
BUILDING SITE: LOT._119 131 O C K ADDIT10t.'
TAX LOT No. TYPE OF OCCUPANCY _._
ADDRESS . _12(10-5L -1gringwood Dr.___
DWELLING FIXTURE UNITS
SURCHARGE IF APPLICABLE _
571. 25_. - 6009
PLRMIT FEE -- INSPECTION FEE - TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM ._ Fenno Crook
The Applicant jiglees to comply with all rules and recgula ions of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
.1.
LINE SIZE INSTALLER .......
n[rEIVED BY- .- . ,
(AGENCY ON ITS AGENT)
C(' 1MENTS: Bldg. #130T
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
I
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'Dress 0 y�5� �2 _ Permit No.
--- Permit charge 22 72 _
Owner
Connection fee
- Paid by
Type of building —1t Date connected
service rate
_._.� Inspectian fee
Crjntractor Paid by date
`.lire of connection Assessment Paid
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