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10100 SW CENTURY OAK CIRCLE 0 cz) til ti ,� .� Fl- p Lo 3:3 --4 N I C3 10 3 t� cv 10100 SW CENTURY OAK DRIVE MEN AMW ,9ARJU NVO KdnsmD Ms OOTOT C; U r ci W w r � Q J I 1 � Q 4 q i � 1,4 a+ ; n-. 71 � 1 CD tj w �� ►a 7 c7 c, w x r w c4 3 1 4, opi 0 0 0 I 497341 ti: uB1T „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 January 29 , 193-L, recorded in Book 960 , Page 778 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Lot #65 Summerfield Development: OWNER: Tualatin Development Company BUILDING PER-',:IT NUMBER: 74-07 BUILDING AULRE.j: 10100 S.W. Century Oak Drive This i- to certify the said structure meets witn the require- ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. I IN WIT*3SS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction h d-�,_ to be executed this d h day of April , 19 74 �6 G Titie: _ � � STATE OF OREGON )as. County of Washington ) On this day of _ April _ , 19-2A, personally " gl appeared beforet-oe tLe above named Dcria liar tig , who,e signature appears hereon and who acknowledged to me thats he executed b { sj the same in us off!.cal capacity on behalf of the City of Tigard. N jjr VE� k Notary 11ulo is of Oregon 0 C<. My Comm in,r, on ires: E CF y�y 972 iALF241 M � n o .E .e Lr) cp nJ QS cam. 1 ' x !� C U t� 1 EXHIBIT "B" CITY OF TIGARD CKRTIFICATE OF OCCUPANCY AND R>LEA3E OF RIZTRICPION The City of Tigard hereby certifies that the ocr_upancy of the following described structure o:., premise:: with respect to which a restriction of occupan�,y was, on ia�ne� 18 , 19-7*1 recorded in Boric 960 , Pagt 778 , Deed Record. of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Lot #65 Summerfield Development OWNER: -Tualatin Dovalc4mant Lompally BUILDING PERMIT [fPiBF3t: i-07 13UILDING ADDRESS: 101i]p_5..i,1,_1,EtI.t.Ls C__IlHk�T�1i8 This i> to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above referenced restriction ii, hereby released and terminated. r IN W'TNESS WHEREOF the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction M: '- arm., to be executed this Mt-h___ day of e....l , Title'- Cify lecoraer STATE OF OREGON )ss. County of Washington ) on this day of _, ly , personally appeared before he above nameT" whose signature appears hereon and who arl.nowa ge o m that he executed the same in his offical capacity on behalf of the City o7 Tigard. y Notary Put4ic of Oregon - My Commission expires: I i I City Iy of T i q o rd INSPEC PION ECUEST for INSPECTION TIME:_ PERMIT NO.: __ DATE:* 12171�- DATE ISSUED:_�f L_ OWNERS NAME : - 42 ADDRESS CONTRACTOR : TEST* Air 0, Water [] , Vieual O , Laboratory[] RESULT. Approved } Disapprover Cl , Pending [j SKETCH: /41 W/C INSOR GATE COTE : Attach %uppim*entol tett date beret-10 ALL SPACES MUST BE ENDORSED PRIOR TO APPROZVL ,OFT 1=SE PLANS PUBLIC WORKS DEPT. BY DATE PLANNING DEPT. BY_-- --_-_-- OATd:.--_- -__-�__ _.•. BUILD'aG DCPT. BY b=.TE__..�_—._�___ COJNTY FIC=LTH DEPT. OY_--_-----•___-_-• G •f,7 I j CITY AD'MIINII3T[3%Trlq 131'-- -- -----___--- DA' _-- --- _. f rIGARD WATER BY - _•._ U.". GENt:RAL TELEPHONE OY_ U 5 A BY--- N. KY--N. W. NATURAL GAS Tr Re Fr ®r C.'. -.. D,,TG - - y. t t !n � r_E'a7i��" �,' r ,�t y •S>JSi. •� •fly ,� C�',n' hf,"s. x T r,.`iii4. r; Y� y ,•Pt -4,. i I City of "Tigard I NSPEC#710N RE I QUEST for i{ qc NSPECTION TIME: FERMIT NO. : DATE: DATE ISSUED :_L-- WNERS NAME : _ -- --7,142,e—' ADDRESS: el :O N T R A C T O R : PEST . Air ❑, Water[] Visual 1K Laboratory [] RESULT: Approved , Disapproved O Pending p �KETC H' -- �— I I I i I INSPECTOR DATE I OTE : Attoch supplemental telt dato hereto] I 4 I City of Tigard I INSPECTION REQUEST I for INSPErTION TIME f PERMIT NO. ' OWNERS tVAMC OW DATE: - DATE ISSUED: _..L _..1_ _ ADDRESS ; CONTRACTOR :_ ___- -.Q�__ TEST; Air p, Watc, U , Visual p Laboratory [] RESULT: Approved Disapproved ❑ , Pending p 3KETCM: I $ ic 6—R DATE COTE: Aftoch supplemental feet data horst] City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : — DATE: O. : _DATE: 3 -7DATE ISSUED:...I OWNERS NAME : ADDRESS : CONTRACTOR : - ..___ TEST: Air O, Water ❑ , Visual O , Laboratory O rRESULT: ApDrovel Disapproved O , Pending ❑ SKETCH: r' I PECTOR DATE NOTE : Attach tupplamgntal teat date herat-10 i I �t i C y of Tigard INSPECTION REQUEST Q EST for I NSPECTION TIME: U 4 41. PERMIT NO. : DATE : ' is DATE ISSUED :_._l _,/___ I )WNERS NAME ' ADDRESS: 61 CONTRACTOR TEST : Air n, Woterp , Visual p , Laboratory p RESULT: Approved Disapproved 0 Pending p I ')'KETCH. I I I I INSPECTOR DATE 10tF: Attach supplementol test data beretp] I 1 t I City y of Tigard INSPECTION REQUEST Q ST for IN8PEC110N TIME: PERMi NO. : DATE: _ / / DATE ISSUED :—/ Z OWNERS NAME :----7L ADDRESS: - CONTRACTOR : DDRESS: _CONTRACTOR : TEST . Air ❑, Water[] , visual ❑ , Laboratory ❑ RESULT. Approved fi� , Disapproved ❑ Pending ❑ S KETCH: I I I I I I -y I I PECTOR DATE I 5!0TVAttach supplemental test data bare;] I City of Tigord INSPECTION REQUEST for INSPECTION TIME . !��4vO PERMIT NC. . DATE : ,u !,V DATE ISSUED —,--!— OWNERS `yAME :=- '�- • ,,ONTRAr,TOR : EST ' . �r �e�p , �r":ua� !J , '. ab -story Cj RESUL'; ' ,p, roved �;dppt ,.� Q G e�id�, U S KETCH: .2_f�, IN PECTOR DATE [NOT15' Attach ;uppiemertal test aata her 01 I I JN I 1 City of Tigard INSPECTION REQUEST for I SPECTION TIME: PERMIT NO. : i DATE: , W.TE ISSUED : Z Z INERS NAME : —/ , ADDRESS: )NTRACTOR : 770, ,c _ =ST : a.lr U, Wotera , Visual, Laboratory 0 cSULT: Approved Disapproved O Pending p (ETCH: _ I I I I INSPECTOR DATE TE: Attach supplemental test data beret] I CITY OF TIGARD MECHANICAL PERMIT ATE _ PERMIT NO. _ RECEIPT NO. i 1 fY lC� i %Yf�'r7//i7FEE 1. Penrit 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. h. All work to be concealed must be inspected before cover up. ew Installation Repla��a EJRelocation ❑ Addition ❑ Alteration ❑ ONTP,. ,,; /> /f / r• OWNER ,• , DDRESS WORK ADDRESS !( ✓E!'. (�...1�"i.:lrr,/� APPLICANT r_�� y�,,' V r� � 'i r 7i ! rr TELEPHONE NO. Ilf'NACE - MANUFACTURER J'/r, - ( TELEPHONE NO. EAT Input rating(� (Btu Per Hour) Vent Size / Flue Size 1fVT OIL ❑ GASH ELECT ❑ OTHER OTAL SQ. FT. Tol Floor Main Floor Il G =( itesement -�- ----- GENERAL ITEM1,10. FEE ITEM NO. FEE or Issuance of Permit _ 3.00X Boilers Over . 0 H ew - Under 100,000 Btu .0 ll rHandlin 10,000 CFX ewe(Over 100.000 Btu r Handling over loor urnace too va ora ve Cooler 3 - Floor - us en a i.OU Venten iTf-an vents 7--= Vent Svstem fir - Hea-t & Cool n .00 Hoo _ ' 3ere Under 3_H�_ 4 00 Domestic Incinerator )" era 3 to 15 H . UComm. nc neral ZO 31lers o 10.00 Other Not Listed Viers 50 to qO Hp 15.00 VSPEITOR'S COMMENTS 'PROVED BY DATE ISSUED BY DATE Signature of Applicant,, EXHIBIT "A" CITY OF TIGARD Residential Structure Oer_upeny Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the err' -,ante of the City of Tigard, Oregon: (The City will Inoue a rmleaee me soon as a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: F��`a (._v:- �'s aa! �O'O�l.n��O s-. C.-O ti'.'t.\1 i (j T-�L,•���� I ADDRESS OF PROPERTY: NAME OF OWNER: ADDRESS OF OWNER: `C IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER: `j / am• APPROVED: Title By: -2,��r— ;�e -- Building Official City of Tigard STATE OF OREGON County of Washington 3 ' a 164 `1L� 9 Persaigally appeared before me the sb� e n e te7..J ' i and acknowledged the foregoing tnetrument to be volunt ry act and deed. No y Public or r gon My ,ommiasion Expires: 13213 EXHIBIT ^A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (e) an the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (Tho City will issue a release as soon as a finjl inepoction determine° that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNER: ADDRESS OF OWNER: -7- IN IN WITNESS WHFREOF, the undereigred has caused this restriction to be executed this day 3f lg-may, OWNER: APPROVED: a By Building Uf�c aal "— City of Tigard STATE OF OREGON ` Criunty of Washington ; ' Y� w lq ZY Pe �o ally Appeared before me the #ova ne d le, II % and acknowledged the foregol"g instrum nt to be --- volun ary act and deed. 7t z 2cay r l,._. No ry Public forgradon Mr Commission Expires: ,/ I_y C,!.,i for?o Rd... ... _.....to t.— Qt./D.A N,P1T !t'CCA THOWMEN.r rfwl r of Awotde b Elontlen• `y1 �X�GfI� ��60 , ,778 sw. o � o o t � Q�� 9 0 w r .�0Y88 W ~ CS _ .� >< r V V Sgii/ A5 �73�r CITY OF TIGARD " 11120 S. W. MUIn ltrwt TIGARD, OR§OON "M APPLICATION FOR BUILDING PERMIT New Construction © Demolish Addition Remodel Move ZONING DATE ISSUED -7 BUILDING PERMIT BUILDING FEE $f r c% No. n DATE RECEIVED PLAN CHECK S BY OTHER $ VALUATION $( -� $ ` ti7iq�k'" RECEIPT No. S- TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT MMAP A CENSUS TRACT _ JOB Architect or Engineer Mj,,LG�.1^�,�.�,1w1,�4 T_ Add ress -.- ,-�1(d+F, hone �•y=f�].� Owner Gn wt C —.�_�._ ------ ---- Phone-_,_-- BuilderG.lmt_. -- ---- --- --�� Phone----- BUILDING hone^ _BUILDING USE Single Res. IR Multi Res. Comm. El Industrial OCCUPANCY GROUP-,_— No, of Stories_ Total Height------ Area of Lot--- Type of Construction I 1I III IV (Vj Floor Area B _ 1 �� Z__ Set Backs: Front 0 Backlj•L L.Side 1`}'L_ R.Side s - O_ El Private Sewer Pipe Size_ Sewer 1[,_. r,�y — Septic Tank water Service Pipe Size Storm Sewer Ditch ❑ Dr.ywell ❑ Street and Curb I Driveway width" No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED d/ = -r^'fi'''t Y 0A1C FIELD CHECK BY _ _ -___-_--___``-__DATE PERMIT APPROVED BB �Lalst� It in understood that all work will conform with applicahl codes 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 Occupancy has Leen :issued by the City of LA rd Building Inspector. \ Signature pp icon'. a.,'� PLUMBING PERMIT APPLICATION Jurisdiction of No Type of Fixture Fee Permit No. Permit fee _ �n.?o Water Closets (Toilets Permit Issued _ Bath Tubs Approved by Lavatory Wash Basin Building Permit Shower Receipt No. Sin y D;__h— wasfiin'r Sinks, Kitchen Sink Ordinary - Location of Building _ << oink sBar - .--------------- -- Sinks,-SS10 p — -- — -- �-- ---_—_----- _Automatic_Dishwasher — ------ - - ---- D i s pc s a l -_ — -�_..--- --- ----- Laundry Trays_ Name & Address of Owner Drains, Floor —+ - Drains, Area - _ ---� ----— _Drainst - Rain Drains Automatic Washer Name & Address of Plumber Tountains, Drinking ` Foiuitains, Soda `- Hot Water Tank Water Service Size , -_ Urinals Building (Old or New Alter. Repair or is+^h=Pasina Yard rd-- 7ns_all) -- L.Lwn Sprinkler System — Sw-Imming Pooh Sprinkler as_em 1------ _ ---`- __ 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 and know the sam to be true and correct. A1.1 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 any other state or local law regulating construction or the performance of construction. Signature of Applicant