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10115 SW CENTURY OAK DRIVE-1 N Q FI ML A F.A t Ln CD U7 UJ t 1 C H r' C v t'i <� ►n Tc� f S I F t' Cil r C _ Its I Cs� F ij rw •+ �( a ._4 H a tti r n v _ c r 0 v tri z t� O 10115 SW CENTURY OAK DRIVE 410 K2AIx0 YVO �EmNsD ms 9TTOT u t7 LJ 0 U Lcj QN ry, C, N -�M4 �A u Er 4 Ln 1-4 mom ,:.p�,. �:i K F�,:`�'glrel+f►` :; a�ra77r i�'�"il!'IAY9�^' !a'r'lr<�1Y"'t'�`"" CITY OF BUILDING PERMIT APPLICATION 1IC-ARD DATk- duly 11919 r�N-° 0938 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORT EE WORK HEREIN INDICATED 620-2979 OR AS SHOV,,N AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER PHONE _ VMI�''rJ<181ta 1.,S�t..6Ea�1i�.�.42:4 (./ � � �®AjL4 OWNER – i ADDRrG, � ll) p r ��-4 OAtL-BUILDER FHONE same ENGINEER `� BUILDER 1DESIGNER _ rte_ SlUCTURE� ONEW REMODEL MTy IJADDI'TION REPAIR ❑RENEWAL CJFIHE DAMAGED_ DEMOLITION LJ RESID5NCE ❑rOMM ❑EDUCATIONAL ❑GOV'T DRELIGIOUSDPAT10 ❑CAR PORT ^[]GARAGI. OSTORAGEEISLAB ❑FENCE ❑BOND_ OMOVING _ EICOND11IONAL Uig El DESIGN REVIEW 0001 APPROVED ❑SIGNS OCCUPANCY_- LAND USE ZONE BLDG.TYPE FIRE ZONE...,_ PLAN CHECK BY HEAT i i) 6wc;:od Litury ruom Url existing at;ru'-turm st-witway jesignated — -- ship ladder to have hand rails. Reinforce structural items as noted un plana. Q C. LOAD FLOOR LOAD _ _ _ HEIGHT NO.STOF'IES AREA VALUE l� — BU1_DING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 24.00 — ---__=—_----THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 12o[30 REGULA(IONS AND ALI- APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- — WORK WILL BE DONIE IN ACCCRDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE rODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS T'' HAVE CURRENT CITY BUSINESS 1%state! legs LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 37.08 BY -- 1,.. '\, APA '1NT OR ADEN AnproVed \. ' il✓�y+ Receipt No --- -- -- ADDRESS ��ONE DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final _ HEATING Contractor Permit No. Gas or Oil Rough-in Final /L SEWER Final DRIVEWAY ~ Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final 3i/. Y r�'y , 4 r.1~ 3 •, f, 1 ��'4.. �r• f { } J , 411,,_•va �'�'s}'R, ,,iii..'. •6 �r ; 4"5. _ryArt.l].�j��fV. MQUBIT "V' 1503P CITY OF TIGARD CIERTIF'ICATE 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 � ';Z() , 19,1, recorded in Book 9lW.t� _, Pap 7 2� —, Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRUTION OF PROPERTY! 4_t4, OWNER- Lc _,— BUILDING PERMIT MMBER: BUILDING ADDRESS: ZZ" This is to certify the saie structure meets with the require- ments of the Building Code of the City of Tigard and the above reference.' restriction is hereby released and terminated. Id WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction co bo executed this _ /3 day of f �",.Q,.,, 197y. Title: Ll1Y FiLL�. ..„ STATE OF OREGON ;ss. Count' of Washington On this I' � day of A�+U �, lgA�, personally appeared before me the above named _ , whose signature appears bereon and who acknowledged to we that he executed the se+me in his offical capacity on behalf of the City of Tigard. 40 Notary Publ of Oregon My Commission expires: M.d Wt.,,d.. A.. .':.. .5..10.7...a1�...A M.PM 08 �RA ErOCET}IOMRSEN. r",.~of 11��u]utd�6 00ton. ,., 963 1'.1.1 ■ `��% � $( �� . ) } (�2�| � \§� LOL. , ! CITY OF TIGARD MECHANICAL PERMIT Tc %� PERMIT NO. RECEIPT NO. `-1 FEE - 1. Permit shall be obtained prior to ccmmencement 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. w Installatlo.. R place. Relocation ❑ Addition ❑ Alteration ❑ OWNER DRESS /.�+ ;�(r'�', S 'I l . //G w. ✓� _— WORK ADDRESS/l//.� .7!f".('i•.tl�Cr,/�� APPLICANT / TELEPHONE; N0 RNACE - MANUFACTURER i1 TELEPHONE N0.. - - ,AT Input rating (Btu Per Hour) lrr,-L Vent Size _� Flue Size L OIL IJ CAS[N ELECT ❑ OTHER _ ---%. - _ -- // - --� TAL SQ. FT. Top Floor — - Main Floor _f .�� -k' Basement _--t- -�- GENERAL ITEM NO. FEE ITEM NO. FEE r Issuance of Permit 3.00 A Boilers Over 50 HP ew - Under 100,000 Btu _ 4 00 Air Handling 101000 CFM _ ew - Over u r,pHandling Over 10,000 C nr oor urnace Eva orative Goo er __ a 1 - loor - Suspen edi. 4.00 en Fan — s a ens en�3�stem�= 0 e air - eat & Coo n .00 ood o ers n er 00 mese tic nera or— y0 o era o omm.-Tncinera o� r 20.0 o ers L To _ e — o ers to .60 NSPECTOR'S COMMENTS JA PPROVED BY DATE ISSUED BY _— DATE Signature 62 Applicant _ /��� �r S 'd V Y ., F,h� ' a ff4}J l.w rte�\\ l��' T7�ry�p/(�.` „t• . �r q�r ' ✓� h+�lu 4Ah��" ��44,��'N�� � ^IRI�y All �k�M' �M-.,+' � 'w- � �,. ��. �., _ '�'L1�e s �/fir..' J�.w/ � �.�•.,.�/ �»'w ;,/ rY�.-r+' $` ��,✓ �4�.�..� ' "r"'��•` .A ti k � IV �V CITY OF TIGARD c- +' OREGON r „ �i.`. Owner:....Tua1H.tin..IIe.v.elup.ment...Gampan.y.......Permit No.....t-3-221...... C } � Building Address....�011S..S...W.....l..er�t: ary..Rak...Dr.i.%ja.................. a Certificate is hereby given this—ath......(lay of....Fatr.uary.......... 19. 7.4.... <= that said building may be occupied and 4:: ' that it complies Keith all requirements of the Building Code for the City of Tigard, j as approved by the Tigard City Council. r ` `" ? +:• Building inspector ; . .• r. I u._iv tl 1 i City i City of Tigard i INSPECTION REQUEST I f0I INSPE`_J10N TIME: PERMIT NO. : DATE: DATE ISSUED :_" j OWNERS NAME ; ADDRESS: Al0/' -1- CONTRACTOR : , ----- — ----- TE ST : ,air u , Water Li , v44sual ❑ , Laboratory ❑ RESULT ' hpnroved D , Disapproved ❑ , Pending S KETCH E y 1 i IN PECTOR DATE NOTE: Attach supplemental test data beret] } 3 i. 4 ALL OSPACE-S SE E,'-lrjOR3ED PRICK TO APPROVL OF TPLANS PUBLIC VlOnKS Dt-'PT. COL""TY D-r-T. CITY /.C*-.'."' 7) cj,.; TIG.tiCJ l: TC., 13Y,e__---.-----_.__ ry- U S A By_ & N. W. NATU.',IAL GAS BY.- D.'..T Z P. G. E. By___ Of-.T[: T. R. F. D. BY-- DATE— r a� C i ty of Tigard INSPECTION RE© UEST for INSPECTION TIME * _ PERMIT NO. : DATE: Lr -62S/ ?i DATE ISSUED'__i'_1— OWNERS NAME : Z e�2- C- ADDRESS : /-ut - .- ---.__-------_---_ - -- -CONTRACTOR '---- -.-- -----.----- -.---- TEST'. ONTRACTOR :____.__TEST' A r L0 , Water c] , wisual La'- ,ratory p RESULT; Approved , Disapproved 1 Pending [ SKETCH: 4273 NSPECTOR DATE supplemental test data heret] L City of Tigard INSPECTION REQUEST X or I INSPECTION TIME :_ PERMIT NO. : __ I DATE: [1 0 J-;3 DATE ISSUED:__! OWNERS NAME. . ` I ADDRESS : r I CONTRACTOR :— TEST'. ONTRACTOR :_TEST. A r J, Water Ll , Visual 0 , La'' .rotory L� I RESULT. Approved Cl Disoporoved J , Pending p SKETCH: I I I I I I INSPECTOR DATE I [NOTE At tact supplemental test dato hereto] 1 i } 3 t is��' City of Tigard INSPECTION REQUEST for SPECTION TIME: S ! �S PERMIT NO. : DATE: 4. L / DATEISSUED :___L_L HERS NANE " r --- ADDRESS: .// _ N T R A C T 0 R : _ /7 fIk'k'f.�l r i e"?M c,,ry�� =ST : Air u, Water❑ , Visual Laboratory ❑ -SUET: Aporoved� Disapproved ❑ , Pending [] (ETCH: INSPECTOR DATE TE: Attach supplemental test data be►eSa] i i City of Tigard INSPECTION REQUEST � for I _- - NSF'E(%, TION TIME : r'ERMI'1" NO. - DATE lC-L73-_ ')ATF ISSUED' �L_L OWNERS NAME *. . - 71_0 1 C CONI RA CT') R - TFSI a r "J . Wier j , �'i", �� � Ln - ro RESULT. Appr,ti ,rd uisrNprove� 1 r;d ,.� SKETCH: i I I I I NSPECTOR DATE I ['DTE ' Attach supplemental !est iofc; heret] 1 �1J City of Tigard INSPECTION REQUEST I for i INSPECTION TIME :I &O PERMIT NO. : .--- DATE' O. : .__ DATE: °L�-173 DATE ISSUED' __1 1_ OWNERS NAME : , 0, �- • I ADDRESS : CONTRACTOR TEST .4 r J, Water �] , ��isi cls , La'- ,rotory (_l RESULT. Approved , Disc,pproved _1 , Ponding I SKETCH: I i INSPECTOR DATE COTE : ^ftach supplemental test data here,] PLUMBING PERMIT APPLICATION Jurisdiction of r.2 o. Type of Fixture Fee Permit No. 7-j ,•, 8-P Permit fee Water closets Toilets Permit IssueA. r 7j Bath Tubs Approved by a a oa (Wash Basin Building Perm .tk Shower Receipt No. Sinks. D,.shwashin Sinks. itched n Sinks. r finer Locg�tion cf Building Sink5. Bar [�a�l� Sinks, oo _! Automatic_Dishwar_ier Disposal Laundry rays_ Nae do Address �f Owner �/1L.Li � r Drains FloorL� ra nsArea Rain Drains / Automatic Washer Name,o( Address of Plumber Fountains, Ouda _ r-h-t— Hot Water Tank Water Service (SizeUrinals Buil n Old or ew Alter Re air or a c - as ns - ans _ __- awn .7 rink er sem cam„ Swimminx Por, bt er Sprinkler •--�v-- This permit becomes null and void if work or construction authorized is nut 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 road and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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. X(P (��t �tk r-►t�f C;61 (/ Sigriature 6f Applicant "ity of Tigard INSPECTION REQUEST for NSPECTION TIME . PERMIT NC. . DATE : . ' /+4)Z-F DATE ISSUED i ,)W N F RS NAME ' _._--_? 12 ry �R A r r, R : -- - - F`3 T v ter ID , V: . '.a bo►ctor; -j R.ESUt._, ' ,p- 0,ied' juppr:)-.ed G .=evidioq [] SKETCH: i INSPECTOR DATE CNO?E: Attach suppiementol test ua'a herct0 1g�5 E)MBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY TIME 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 Dee+. Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNER: s- �y�s~_ c �� \.1 �� 4, v\t ADD=-5 OF OWNLR: y ank r ya \_��t C�aw��o Oct�o� IN WITNESS MMEOF, the undersigned bee caused this restriction to be executed this �_ day of ��� , OWNER* WNER .�t r�Gly�r..►� C Tom', /. � -f Name APPROVED: By: � Tule By: Building Official io Mamd..w„'0.U'.. »..0(WIDOW& City of Tigard A� Tt:otAsst;0u.a'°` STATE OF OREGON et...r 88. County of Waahingion ) September 18 ly 73 , Personally appeared before me the above named Roy Brown, Vice President and aLknowledged the foregoing instrument to be his volui-ary act and deed, Notary public for Oregon fly Comm ssion Expires: 1/16/75 Bonk ;i�� PAGE /8 � }\ � ' � _ f§( \\/° !\k _ % § - G a ! #\ } ( ( 2595 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL NDN 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 the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: tSia- ' \ \ ADDRFI6 OF PROPERTY: NAML' OF OWNER: ", IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER: T�iMp�irTl�/ -�f PA44 *r.T40, le LotJe��15�1— APPROVED: By: Tule By: Building Official City of Tigard STATE OF OREGON ) ss. County of Washington ) ogtornber 18 , 1973 . Personally appeared before me the above named Roy Brown, Vice President and acknowledged the foregoing instrument to be his volu:.;.ary act and deed.NoUry P:,blic for Oregon ty romm:asion Expires: 1/lY7! V4� (11c932 nled:«t.a,td.......�:w 107r�Ot .A MOOCH TMONUM,r,DUooMr N � b 0 c I ° rocc °W •i"i uu p °r yy JI CITY OF TIGARD 11420 S. W. Main S1 *M TIGARD, ORIGON W= APPLICATION FOR BUILDING PERMIT New Construction �X Demolish Addition Remodel Mover ZONING_ p-0 DATE ISSUED9-19_��_ BUILDING PERMIT DATE RECEIVED BUILDING FEE S 77.00 No. BY PLAN CHECK S ecordin fe 9 VALUATIOtd _- C. 'R $ R7 one RON& TOTAL, $ percent RECEIPT No._ �� TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 5 MAP N_ 251 10D CENSUS TRACT W-B J013 A 5005 Architect or Engineer_ Tualatin Development Company Address 15330 S.W. 116th Ave. u _Phone__ Owner Game Address --- --- --Phone �_r ._- Builder same ___--- --- ------ ---�__..�------ — Address _ _—_ -Phone.---- BUILDING hone--_BUILDING USE S.ingie Res. © Multi Res. Comm. 11 Industrial OCCUPANCY GROUP_�I No. of Stories-_ Total Height`-`_ Area of Lot Type of Cons truct.iq%%XXJXXJJXXJJJXXJYX V Floor Area B_. 1� 2- Set Backs: Front lflt Back , L.Side^_bah R.Side Private Sewer Pipe Size __4e ——_ Sewer4, Septic Tank Water Service Pipe Size 3/4n StormSewer X Ditch ❑ Drywell � as required by Subdivision ordinance Street and Curb Requirements --___ Driveway Width_1e0 No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED __-101 1�_�^„Ji1..__1:.E1p111[X_11gk -Uri ve FIELD CHECK BY aryc __----__�---__—__ -.- -.--_ -- -- -_---DATE._-- 9-18-73 PERMIT APPROVED BY It is understood that all work will conform with applicable codes and o dinances 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 been issued by the City of Tigard Building Inspector. Signa urs o£� licant