10325 SW CENTURY OAK DRIVE-1 O
ty
Jill
PH
ry
to i
10325 SW CENTURY OAK DRIVE
; AI80 mvo minm30 MS 9ZTOT
o17�
� Lllll �lllllliillll. 11lll
Cj
s
y
wi
43• �,•.i•�� � � r�' � 1
p � �
1
PC, g
F � l
�I H
�� 1 .. fi�tt,,, tt�� � :- •,. - .
J
n
6M
n
i
BUILDING Mr-PARTMENT, TIGARD
PLU,"OBING PEHh11T �
—_, holder of a valid plumbing contractors license is hereby
authorized to cause plumbing rk as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Owner_ eCZ:�nAddress�L1�,' .1 "`Dat
N UM 12R OF VTOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
Singfn Family-1 bath—each 25.00_
Du lex—Each 1 bath unit
Additional bathrooms—each 10,00 ~—
Mebilg Home S acs--each1500 _
INDIVIDUAL FIXTURES CLt!' MERCIAI , __ —
1 to__0 Fixture- in 1 building—each 3.00 V-
51 to 100 Fixtures in 1 building—each � � _2.50
101 to 200 Fixtves In 1 building—each _ r 2.00
201 or more F;,-ares in 1 bu lri; each 1.50 —
MISCELL.ANEO1tS ---
Sewer—each additional 100 1t. _ 10.00
water Service to Duildina -- / _ 5.00
Other (5 ecif 1 —
PERN11T for Plumbing Inspection Phone 639.4171
4`a State —T>
-L---- Plumbing Contractor
�T07AL _�/— — � aFf'FIPT tL'n � Ieeiorl qu
City of Tigard
INSFEOTION REQUEST
for
INSPECTION TIME :-- PERMIT NO- :
DATEA-2 '' DATE ISSUED*
OWNERS NAME : 7 Q C -
/ —
ADDRESS : _ y7 /L� --- --._ -
1
CONTRACTOR :-
TEST
ON-TRACTOR :_TEST . A r J, Water p , `. ist,al ❑ , La' rotary [_1
RESULT: Approved; , Disapproved _1 , Pending Q
I
SKETCH:
i
I
I
I
I
INSPECTOR DATE
! NnlF Attach ;upplementnl fest ,j,o hereto
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ' R PERMIT NO. :
DATE: DATE ISSUED:-
OWNERS NAME :
ADDRESS : -
CONTRACTOR :.--------.
DDRESS :CONTRACTOR :._____--.
TEST: A r L-I, Water p , Visual , La` .ratory p
RESULT: Approved, Disapproved , Pending p
SKETCH:
INSPECTOR DATE
Attach supplemental feet data herstol
ri r r r .w
City o : Tigard
INSPECTION BEQUEST
for
I7---
INSPECTION TIME :fi' 3c) _ PERMIT NO. : ________
i DATE : 1aA?,2/79 DATE iSSUED'_..-'_ _i.—
OWNERS
_OWNERS NAME :
ADDRESS
CONTRA L;TO R :
TEST . A r J, Water %/isuci ) , La'• ,ratory (l
RESULT: Approved Disapproved 1 , Pending p
SKETCH'.
INSPECTOR DATE
5 1F Attach supplemental test data heret]
■r s � �
i
City of Tigard
INSPECTION REOU EST
for
IINSPECTIONY TIME" PERMIT NO. :
j DATE : 14) _ DATE ISSIJED '_.Z
{ OWNERS NAME : T, 13.<< ------
ADDRESS ' —\(
/ ',
CONTRACTOR :------. -
J TEST' A r ;=J , Water Irl , `risualo, Lo' ,rotary [i
II RESULT: Approved Disapproved 1 , Pending p
i r
SKETCH:
I
I
I
i
I
INSPECTOR DATE
INOTE : Attach supplemental test data heret:01
1
I
4,ity of Tigard
INSPECTION REQUEST
for
W-41ECTION rIME . PERMIT NC. . .. _ .
DATE: h2S` 23 DATE ISSUED .—/
;OWNERS NAME :
ADDRESS: �� _�_��.._�._..�__
0 N r R A r.TO R ' _
�3
h, ter p , V: ,:c ' . '_a b : -ctory f"J
.ESU
A l_.
v roved Z , suppra-,ad G -e idi-q, L,]
SKETCH.
i.
r
h
I
A S P_E dt 6 DATE I
LNOTE : Attach supplemental test uata hereto,
amity" of Tigard
INSPECTION REQUEST
for
NSPE.CTION TIME. PERMIT NC. ..--
DATE:
C. :.DATE: 1 ' DATE ISSUED
JWNERS NAME :
%0Nl'RAr,To R
EST . .' _ V<ter$� V:��n�,IrJ, '_ah.►et�r- r�
i'
RESULT * -,vroved/< -vidi.ic; ❑ �
S KETCH: i
I
f
I
I
Llh#kCTOR DATE
NOTE: Attach suppiementol test aato hereto I
1,
low
City of Tigarr
INSPECTION (REQUEST
far
INSPECTION TI ME AA�XJam. PE,?P, , ,10. : --
DATE:
10. : __DATE: ? IJX;If DATE
OWNERS NAME : —
ADDRESS: ` ' _/6 _--
CON.rRACTO R : - -- . ---- ---
; EST : A,', ,. , JVoter[] , V;sual 4, I-a boratory r]
RESULT": Ap.,roved , `)i3approved G ;pending p
SKETCH:
INSPECTOR DATE
NOTE: Attach supplemental teat data beret
CITY OF TIGARD
12420 & W. IMIn ShIV
TIGARD,ORRAON "M
;.PPLICATION FOR BUILDING PERMIT
Y Addition U Remodel
❑ ❑ Move❑
New Construction Demolish ❑
DATE ISSUED @•lIF BUILDING PERMIT
ZONING P•D -
DATE RECEIVED___j-j-73__ BUILDING FEE $_ � No. 73 .185
JB PLAN CHECK S VALUATION S �B,T •�
BY - OTHER $ - 10•00
RECEIPT No. I
TOTAL $
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT N
L6 MAP A 28111C CENSUS TRACT W'8 JOB A_
� --
Architect or Engineer Tualatin Asva1°pMat C° --.—
Phone
Address
Owner eAm
_____ Phone
Address .amg- - -
Builder
------
Phone
Address saet s++
BUILDING USE single Res. ❑ Multi Res. ❑ Comm. ❑ IndbstrialE
OCCUPANCY GROUP_ No. of Stories_�_ Total Height_�
Area of Lot
Type of Construction
V Floor Area B - 1 139? 2 54 -
Hack 12 L.Side_�_ R.Side`_, _
Set Backs: Front 10 Back_
12
Sewer ulna City Septic T •nk ❑
Private Sewer Pipe Size___V_ ❑
Water Service Pipe Size ;/4" Storm Sewer ❑ Ditch ❑ Drywell
Street and Curb Requirements u4q:i§ ____----
Driveway Width 16' No. of. Parkinc Spaces_ 2
SEPARATE. PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED IOM5 B.W. anteDrive - --
DATE
FIELD CHECK BY,__J.__ — ---- T-"- '-
PERMIT APPROVED
It is understood that all work will conform with applicabli codes and ordinance
of the State of Oregon and the City of Tigard, Oregon, and that the building wi
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector. - � ">
S gnature �plicaot
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occulancy Restriction
UOW ALL MEN BY THESE PRESENTS, That occupancy of residential
structure (s) on the following descrittad lands prior to the r rding
of an occupancy permit releasing the restriction in the Deems Records
of Washington Cuunty, Oregon, ir, prohibited by the ordinance of the
City of Tiara, Oregon:
DESCRIPTION OF PROPERTY:
0 • e moo- ) 1
ADDRESS OF PROPERTY: ♦ ,�; 3 s_W e„��, �i-- . . -
NAME OF OWNER: tit.� & \.k,< -
ADDRESS OF OWNER:
IN WITNESS WHEREOF, the undersigned hart caused this restriction
to be executed this: \-��� day of
\ ",0~4-7
�" DIN C
OV*',R: 7t-144477A) 'U t vac- ,0~4 T r0.
Name
APPROVED: By: !/.�
T.tle
By:
BuildiriE Official
City of Tigard
STATE OF OREGON ) ss. AuRuet 13 73
County of Washington ) ` Bay Ryr-uLm UJILPreeident
of Tualatin Developme h e o.lJA4C appeared before me the above
Y and acknowledged the foregoiz.g instrument to be
Y0141.LaXy act rad itt:d_
Tama.T-11k, 1979
Notary Public for Oregon
My Commission Expires:
1591';
EXHIP.IT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MCN 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 Deep. Records
of Washington County, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregont
DESCRIPTION OF PROPERTY:
ra \\o — S "4t;
Ppb N4,tI—o e- *%-C—\ \� a c.R_
ADDRESS OF PROPLRTY: J
?W,ME OF OWNER: N�.,r
ADDRESS OF OWNER:
IN WITNESS WHEREOF, the undersigned has caused this restriction
to be executed this. ��'
\�S day of j_. _ -� 1)
OWIJIsIi: �Lsd�KT/ti ✓�!I/��p�py�fiT t0 INC;
i
J
Name
By:
APPROVED:
T.tle
, M
By. �11- rti.e tut,•a,ie._..... �_._..to ..at/)
ild ng Of i — nOGrR THOMSIM Dt»cxr of p�°tei 6 tl.et,ue�
City Bard ,J m�
STATE OF OREGON
County of Washington ) August 13 , 1973 ,
Personally apleared before me the above rtrmed Roy Brown, 'Vice President
of Tualatin Development Co., Inc. and acknowledged the foregoing instrument to be
hie voluntary act and deed.
/n
Notary Public for Oregon
M Comm'ssion Expires: January 16, 1975
coop 941 ►,,cE278
� � o
C �
! /
7�J�
b }s
■ /°f! 'm 2 [ �
t