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10075 SW CENTURY OAK DRIVE +.a i ~ 6 Ln I lit" CD 4 I � '•�i►•i���Y es���'-'�,.;;+/..1 I'cy f'rj i�J t'1 . '. Ct � f.. ,{'i,{c.. •; els� ,-±' � W of tom.'Fil�r." cni w p r. rS 34 rl ol -44 Pill, +\► f + {k" ►-+� �. *� fir- ,r ) 1 i ••e 1 � 1 Mr .. 1 1 )'Y i`- fYlli�'r7�ly�-e�•ei ►yu�t 1..,� ,. ,1 j` � yyli:111i1 'i+l� {c• l ��t •1 +'1 i r,•• ,., .7 7'LfJ i� .:'I J, i f.yl rl i 01 + �Fe4r ,14';w���S:'.ii;:• �:ht�:' !1''i_ic- ` ' �� r .. .�, ';,•... e. ,-�i``r, ., �•.;! '!sib II � �� � , i' rJ e+t; !XII-i ft i Ji j 'Z' • ' • . eY � y 1.�1 * �•A.UJ �� ''�11•,., f I , IT I' r O ..' U 3 G J 3 2� z _-.10075 SW CENTURY OAK DRIVE w/ 1 / 2AIEG xvo x23O.mR3 MS SLOOT� z Q CL U U f••- Z W CL yam. ..i_. I1 i . ` 4 " 1111�4 1 ' 1 11 -� �r ' 1► P 1 � � 1 � I rS C jj ` A. tarl1 ' i,((C.1 Py '�;� •rti��Gln+ � J +�°-'+ t"j��1 'tIHy�I Gf•' � ,•� ( . �I I P �C� Fy �P'� M� til r±' .\.. V ,CtsLO ('� �i� .' Ir !i"t!)•�)1+� ..�1"•( l.'�1:t ! is;I�F•tl 1Ct. •I �J1lo t " Ir<14l dN r d p �"'1 !�;. !_! 'jf cn�F': ;.� (�, �'� 1 x•11 n-7{1 O 1 {►.I Vi L[.;'n l 1%r,fi.tµ'r{►-.l.r;�.- ) - rn In t1- 0 a .a 5031 EXHIBIT °B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hezeby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on - r, 19 � recorded in Book �� , page („f7.3 , Deed Record of Washington County, Oregon) is hereby authorized and approved. DESCRIPTION OF YROpERTYi SGT c5u+�n.r,t�J!°-�rr�Ld) o�uADl✓�s�vr✓ r- pttht,pn,e.r IVOk"AN 13Aie034Ki{ e- . 670cc.,rfrQ0s (G[c�NV�p) OWNER: i.,c� (Jf dr/oD�-rnr r%T �,t/c' (/ (W,4 BUILDING PERMIT NUMBER: BUILDING ADDRESS.*--:2�-`[i.a'l c-�3•'L I LI 4' K L�l�'/(�6' This is to certify the said structure meets with the require. snts of the Building Code of the City of Tigard and the above j-pfcrenced restriction in hereby released and terminated. IN WITNESS WIIERFOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this day of r ^� 19 . Title: STATF. OF OREGON )�5 County of Washington ) c On this 7 day of f , 19? , personally 1" appe .ed before me the above named Y/ , whose signature appears hereon and who acknowledged to me tt4at he executed the isme in his offlr_al capacity on behalf of the City of Tigard. i _ I I otar Pu 1 c of gon !f 14Y Co es: - p I Fd��br rwc�rd .... ..._..' 10 ....ate..... npOt11 THOMbBPp,d,.cer N 1100=110 6 V-110o6 /J BOOK 99r' PALE V , \ �\| � � � t � � / � iii \ a � � � � �� � }(| p � � �� } \ |� � � (� a \� � 7.; �: � § \ ^tom� \ 222 , \+� . � t $ \%!!7 } i �� �� � � ����� � � � / \ 7��� i! a ! > EXHIBIT "Bn' CITY OF TIGARD CERTIFICATE 0'.7 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 4 , 1 --l-s-1 , 192t p recorded in Rook -9-76,, , page ( e]3 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIiTION OF PROPERTY: OT �J �F�'C�rF-t7PO 1nJ f°i��r�k� 3� j0iar,P50 FJI.rsT OWNERS� �geg;�24) C/t'/1r JO %//r I BUILDING PERMIT NUMBER; BUILDING ADDRESS4,lJ��.�"~ ..�i•t.!/• C�r,�rJ/+.l��y c `K �,�/d.,' This is to certify the said structure r,eets w:th the require- ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS IM-REOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this day ofc �_ Title; STATE OF OREJOON County of Washington )ss. On this 7 day of , 19 personally appeared before me the above named �- „ _, whose signature appears hereon and who acknowledged to me t t he executed the same in his offical caiacity on behalf of the City of Tigard. i'otar� Pufjlac of -Boa My Ciy -res; i I`: ` .. �"j '�' ., .�;; '1 :3{. .` ✓: 1 �.�w�;�':.y.� �.1 :1^"1;t8'�M' 1'l�e l'f�dad J'.,�f�, i Nix AL1ii�lllllllllll City of Tigard INSPECTION REQ IES'T for INSPECTION TIME * PERMIT NO. : DATE: DATE ISSUED:___[--J—. OWNERS NAME : i ADDRESS : CONTRACTOR : TEST' Air 0, Water p Visual 0 , Laboratory p RESULT'. Approved Disapproved Q , Pending SKETCH: I IN CTOR DATE NOT[ : Attach supplemental toot dato herst' I L SPACES MUST PE TnORSED PRIOR TO ISSUANCE OF B'JILDIITG PER111T PLANNING DEPT. _ PUBLIC WORKS DEPT. B-o�i D ' BUILDING DEPT. By TUtTATYN RURAL By FIDE - APPFOV D C I i'"z 0: ADllRESS i- :� .... BY _TITLE 1 r ,t t t . t i f City of Tigard I INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : _ DATE : & /l9/?V- DATE ISSUED:.-, OWNERS NAME : - ADDRESS : I CONTRACTOR ' TEST* Air 0, Water p , Visual O , Laboratory p RESULT. Approved, Disapproved 0 Pending p I TC K E _• .� S H. I I I IN SOE Cf OR DATE. COTE : Attach supplemental test data here ] 1 I City of Tigard INSPECTION REQUEST f r, r INSPECTION TIME: / 3 u __ PERMIT NO. : DATE: G !if/7!�i DATE ISSUED : _ 1—L__ OWNERS NAME : ADDRESS: CONTRACTOR : 61arri.1126ti TEST : Air [3, Woter❑ , Visual n, Laboratory ❑ I RESULT: Avproved EI, , Disapproved ❑ Pending L] SKETCH. I I f I l INSPECTOR � DATE I COTE: Attach supplemental rest doto beret 1 1 Elm - City of Tigard INSPECTION REQUEST for /r. INSPECTION TIME: ih PERMIT NO. :-- DATE: 12'L/ DATE ISSUED :--I—Y OWNERS NAME ' ADDRESS: CONTRACTOR : TEST .* Air El, Wotat t] , Visual El , Loborotory RESULT: Approved 0 Disapproved 0 , Pending 0 SKETCH. Z= INSPECTOR --DATE 501E : Attach supplernentai test data beret PLUMBING PERMIT APPLICATION Jurisdiction of. No. Type of Fixture Fee Permit No. j��1/0-/0 Permit fee � 1"' .g&� Wat.:r Closets (Toilets) Permit Issued _ `-i 7 Bath Tubs ^.:i Approved by Lavatory Was BBuilding Perm Shuwer 2r>' Receipt No. ioio;z bins Dishwashing Sinksitc Kitchen _ Sinks, OOrdina Location of Building Sinks,--Bar --- Sinks Slop� AUoma tic DishFarr —, •��%U-� _t< Disposal _ Lau_ndry Trays Name do Address of Owner, { ; Brains, Floor brains, Area _ Drainri-era�or .. Rain Drains Automaticalis er- ='7y' Name Address of Plumber `t gun alnsjr n n Fountai-^ns �oda � - Hot ater QTc Water Service Size Urinals Building Old or New'. l.lter. Repair or Catch-Basins - Yard Install) Lawn Sprinkler S .,wimm n Pooh _ 8�fier' _ :prink er ya em _ 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 of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application -nd know the same to be "true and correct. All provisions of laws and ordinances governing this t}p 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 any other state or local law regulating construction or the performance of construction. �c — ��� — ;, Signature of Applicant ,`{" +�. CITY OF TIGARD MECHANICAL PERMIT DATE_ PERMIT NO. �J�J/ RECEIPT NO. BY - ( .,. ,/,.� FEE r A' 1. Permit shall be obtained prior to commencement of installation. 2. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Installation Replace L1 Relocation ❑ Addition ❑ Alteration ❑ CONTR. OWNER_ !. ADDRESS / r C �/ (• 7/ _._. WORK ADDRESS APPLICANT T. `1 - TELEPHONE N0. FURNACE - MANUFACTURER .11: i TELEPHONE NO. HEAT Input rating (Btu Per Hour) ; Vent Size _M_ Flue Size FUEL OIL ❑ GAS© ELECT❑ OTHER TOTAL So. FT. Top Floor Main Floor r Basement _- - GENERAL ITEM NO. FEE ITEM NO. FEE For Issuance of Permit v ,00 Boilers Over 50 Ho _ 51p New - Under 100,000 Btu 4,00 Air HandlinA 10.000 CFM iew - er 100,000 u Air�HI�ing Over 10 000 C Floor Furnace _Eva orative Coo er Wall - Floor - ous en e e-R-t 2.p ns ta en s Z.kluendEem Re a-ir -- peat do cooling .00ood Boilers Under 4 00 �DomesTic .—tor Aoi era �o —�1� -- 0 0Com . ?ncineartr 20.0 o era o 10.00 er of e� Bers o , 0 INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY DATE _ Signature of Applicant City of Tigard INSPECTION PEAU ES T _ for INSPECTION TIME: PERMIT DATE: _ LlLU V DATE ISSUED :__L OWNERS NAME : T-L) C� ADDRESS: 410T___,�_ CONTRACTOR :'FES T Air G, Water❑ , VisualdACLaboratory p RESULT: Apnrovecf Disapproved ❑ Pending ❑ SKETCH.; INSPECTORDATE A E T~ NOTE: Attach supplemental test data bereto] I I I City of Tigard INSPECTION REQUEST for i I INtPECTION TIME: PLHMIT NO. : ----,-- DATE: O. :___._._ _-,-_ DAt'E: 2 /'6'/_7 DATE ;SUED :--L-Z.-- OWNERS SUED :--LL__OWNERS NAME _ -_10 , C ,--- ADDRESS: .ADDRESS: 4-2 "t 2--- CONTRACTOR : -CONTRACTOR : TEST . Air ❑, WnterQ , Visunl ❑ , Laboratory ❑ RESULT: Approved Disapproved ❑ Pending ❑ SKETCH: I I I I ;7- INSPECTOR INSPECTOR ATE 1 I NOTE: Att-ich supplemental test dota beret01 I I CI .1-Y OF TIG/-` RD 17420 S. W. Main Street TIGARD, OREGON 97223 APPLICATION FOR BUILDING PE101IT r1 !w Construction Q Demolish Addition Remodel Move DATE ISSUED_ k-7SL- BUILDING PERMIT I n'1'}' kI;CISIVF,D BUILDING FEE $ � /• 51' _ NO 6 Y -� PLAN CHECK $ 7, — - - - --- l-. �V VALUATION OTHER/:cV-YWIW?, $ RECEIPT No. TWO SETS OF PIANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION I,()T q__ -� P1AP A •`�/'/Vli�� CENSUS TRACT `— _ JOB A Arc-hiLect or rngineer:_�_• , \ e--1-1, , l --L2 = :—.�—_ Phone c 1 Addre,s - _ __ Phone„ nui Iden —_ -- -- - ----- --- Add ressPhone_— HUt_J ILDING USE single Res. Multi Res. Comm. lJ Industrial LJ OCCUPANCY GROUP No. of Stories-___. Total Height- -,---- Area of Lot-,— Type of Construction I II III IV v Floor Area B Set hacks: Front_, r c Back_ r I,..;i 3e /`[__ R.Side!/ ' F Private Sewer Pipe Size.+�/ _ ,;,"•oer; C i L Septic Tank ,iater Service Pipe size /c," Storm Sewer Ditch Drywell LJ si-reet and Curb Requirements Driveway Width I , _ _ No. of Parking Spaces.__,. SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION v)i)RUSS ASSIGNED FIELD CHECK BYI-----_—-----,_-,_--------- ------- DATE_ _ PERMIT APPROVED BY it. is understood I:hat all work will conform with applicable codes and ordinances , f the State c,f Oregon and the City of Tigard, Oregon, and that the building wil not be occupied until a Certificatt- of occupancy has been issued by the City of Tiq•3rd Building In4pec•tor. Signature o Ap Aicant • ` 3752 • EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL 14CN BY THESE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deet Records of Washington County, Oregon, is prohibited by the ordinance of he City of Tigard, Oregon: DESCRIPTION OF PROPERTY: l Y , C_t A L_a7 T _�• PAZ i�Cr,rc,Pc� ih Wc,SI,�c�c��ori C. A-', I C) n . ADDRESS OF PROPERTY! LL?G'7`J ; (I— IC LSC'. 1 NAME OF OWNER! r.►�, ,,..�.,� e ►tea,-��,�� ,���_CIS ADDRESS OF OWNER! 2 �y _ a► c' : �}- l]c. LCaY-.e_ C�tiw�901 b� IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this <j i~ day of OWNER! Cry I...c. Name Q APPROVED: By! Tali By= Building Official Fi1wA 1rn IweeA City Of Tigard ROCENT, OM9s•N•n'c.M�.�N ro'.�I�� STATE OF OREGON ss. County of Washington �.y�„���, 19 ersonally appearea before m, the above named and acknowledged the foregoing instrumin voluntary act and deed. o ry Public for' Ofegon My Comm!ssion Expires: ZZ 1 BOOK 6'M PAC1693 I o� a paw _ti �S kx 7 c 5 � x LL PEI € 0 o J ilii EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNO', ALL IM BY THESE PRESENTS, That occupancy of residential structure (e) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deer- Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon; DESCRIPTION OF PROPERTY: X7-, C. A C,-- �"C,E_CI, jv� c.e•�1` 'j:� �.y t_ 7J j�\C�'t' 15 C:;3�' ADDRESS OF PROPERTYi ll%�`%�7 `�.W �'�•�� u �i C'nk 1'�! WE OF OWNER: ADDRESS OF OWNERS ?2 2 -N 7 E7_ E..I C_ -,,i- IN WITNESS WHEREOF, the undersigned has caused this restriction f h. to be executed this ) day of OWNERS < fume / APPROVERS By: 7-�j ?'•<� l �—_^.- Title By: Building Official City of Tigard STATE OF OREGON se. County of Wajhington 47 , 19-Z14 Personally appeared before me the above named and acknowledged the foregoing instruLknf to be voluntary act and deed., a1 N707 Public YoV Oregon 1V Commission Expires: