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10335 SW CENTURY OAK DRIVE 0 EA CA 0ED ►3 P �= . r� ji ►-+ E,;, E' 4' a—+ 3 Q y Iu A ro V ` i. W 'z7 �h Ua a U] I I I �1 yyy---yyy H Q 1-4 3 2- 10335 10335 5W CENTURY OAK DRTVE w w w w XARa XVO X2ICI.TN20 MS SCFOT s 0 W 0. 0 J y. L.J f } � i El Q 'J J •� Q 1 y I 'n V' •� i FH J (n � �� � cr) rl, r14 Tj r� H — n =sr iJ cu + V l r, .� F O 14 T4 ru R a FW1 O C 7. G. R• t� rY Erb H r • � civ � � `� I .- Lrlti , Ln M M O / CITY OF TIGARD MECHANICAL PERMIT DATE PE T NO. - ?.-/4L RECEIPT NO. 9 Y 3 7 aa e,1 BY E_�� -(:'� 11 I" C< i 10.: FEE 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 Rg111ace ❑ -Relocation ❑ Addition ❑ Alteration ❑ CONTR. "l - /l� (/f'/ ��('• OWNER ADDRESS %S ..�C C� V •� Cl. ! j/� WORK ADDRESS/es=S�;S`lL'�cr�a�f'�l�' APPLICANT - J FURNACE - MANUFACTURER TELEPHONE NO. �('�C/ -!�_i/Y�c'!' TELEPHONE NO. -,n HEAT Input rating (Btu Per Hour) r,.,,v Vent Size 4/0' W Flue Size FUEL OIL ❑ GAS 0 ELECT ❑ OTHER TOTAL SQ. F7 Top door �, Main Floor /2�"G• Basement - -� r.ENERAL ITEM Nc. FEE ITEM NO. FEE For Issuance of Permit .00 Boilers Over G H New - Under 000 Btu 00 r an n New - Over 100 r an n Over 0 CPR Floor urnace Evaora ve cooler Wall - Floor - ua ensT__ 4.00 Vent Fan T—ns-f-all Vents eouu en sem Repair - Heat & Coo Mg 4 00 Hood Boilers n er Domestic incinerator Boilers o omm, nc nera or 2 Boilers �o 30 0.00 Other Not tIsTed Boilers X to 50 lip INSPECTOR'S COMMENTS APPROVED BY DATE ISSUED BY DATE Signature of Applicant • MIBIT "B" 7 1r70* CITY OF TIGARD f:ERTIFICATE OF OCCUPANCY AND RELEASE OF PESTRICTION 'The City of Tigard hereby certifies that the OCCLIP311Cy of the following described structure or premises with respect to which P. restriction of occupancy was, on . /. 7K , 190 recorded in Book, Page y�.� , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRF.FTION OF PROPEraYC , OWNERS Ta,y T� /�E`l �c���-iJ7�"•r='T t�,E'� (IBUILD=NG PERMIT M—MERt 1.3� +2 Y I bUILDFNG ADDRESS: /d33s •i•u.)• �S'ti.I'ct,2K C'�qK laejvL- -- This is to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this �/ day of /�( _ , 19""y. Title: 4-Cr 'PATE OF vRF7GON `O4-1dO ler r.00rd..w?G....'..��_....10. .fw/ . AM P nr ;ounty of Washinireon ss �`' ROGER TH M88EK [Hro, x of R000rd.6 r1--l.ns r on this ( S day of /i/ 19711, pr:rsonally appeared be"ore me the above named 0,, ,C;.. , whose signature appears hereon and who acknowledged to me thPA he executed the same in his offical capacity on bevalf of the City of Tigard. Notary Pu is of Oregon My Commission expires: d 965 P.ko 761 C � � r a c� 31 wt o oc V E 0A gli WAMJLM � Cll i t y f T I g a r d INSPECTION (REQUEST for INSPECTION TIME *. �3 PERMIT NO. - DATE . DATE . 1- ?!L `)ATF ISSUED' OWNERS NAME ' . �• C- - - WDRESS Z' - --- I C• )N'l RA t;TR .. s-Lam' �.S Ai-fief i 1; r Lo r r, 7, I SKETCH. i I i I INSPECTOR DATE ICm:JTE : Attach supplemental Prat] 1 rALr r r w w City of Tigard INSPECTION REQUEST I for INSPECTION TIME : PERMIT NO j DATE: 2,.>, DATE ISSUED* �..LL 1 OWNERS NAME : AC CRESS : C0NTRACTO R :- TEST: A r J, Water ❑ , Visual ❑ , Lo', .rotary [1 RESULT. Approved X , Disapproved _1 , Pending ❑ SKETCH: I i I I INSPECTOR DATE IOTE: Attach supplemental test data herato0 1 / 1 City, of Tigard INSPECTION REQUEST for SPECTION TIME: PERMIT NC DATE : lal7 ZZ DATE ISSUED :— 1_— INERS NAME )N T R A C T O R . ---- - ------- --ST : A:i U , Water [) , Visual 0 , Laboratory � -SULT . Apnroved,X , Disapprovi;d 0 , Pending p (ETCH.' 4 2,1/x'1-3 INSPECTOR DATE TE: Attocn supple I test data bieret] :G i i City of Tigard i INSPECTION REQUEST for --v SPECTION TIME: �'��� PERMIT NO. : DATE ' /�7/13/z3 DATE ISSUED'_L_� i INERS NAME ' ,-- T. K), -----_- — ADDRESS: )N TRACTOR : .ST : Air u, Water❑ , Visual ❑ , Laboratory ❑ ESULT: Aporoved)(, Disapproved ❑ Pending ❑ 6.k4 t4 r�ir3i 73 INSPECTOR DATE 1 F . Attach supplemental test data hereto] PLUMBING PERMI'_' APPLICATION Jurisdiction of No. Type of Fixt,tre Fee Permit No. 7 < Permit fee �_�____ Water C1oseis Tcilits �'`' Permit Issued 1 --? Bath�,b �._`_.-__ 4`,` Approved by Lava t ry___,'vwstt�I3d;�:n _ _ Building Perm__ _- ESi Sh'jwer Receipt No. in - t�h�n Location f Buildi.n& .__ �.1.___._._.r-___..__- _- _•_-_ �i�� 1 -LLa-C�:- \ ....�ri�_._,..r�J.ILi.L`-�_.-�.�� --- _Al:t r., - ---•-�T------r•- nIt .-�--•-- _»_-- �.L.�._..1.��.,..�_____..-......mac__._ --: _ Name & Addr(�. ., , Tr_71- ' Rpt-t, ')r , t:� ^'." —•--• ---- --_--_._.__.-- _.,,,. Name R, A�� 11 c• •t. P.. amrr- , _ l^i.{FIT r 1 t1� 7:. 13 3n r;:I vu ir3 if work r,r cons',. • r <:r i r:: t. rrtir 'r1 . . 7: if' cr)nst'ruc t:i(`ti or w.-,.- !-, l af, ,r icmed my time after- work 7 rill plumhirir 1'.Lrmf-. mast bF.- licensed by the City uJ: Tit,,-i!-1 iiid pest a $1 ,000 bond a herebv cet '. ': • y t .,. r ; havp r-ad and exF.rninF+d t?:t q ti Jn and kt,,.,w the same t „ he true 'rf1 cot re.. . All provisions of i-� ,, r ,.i r,r?rl.:e'r; govern Ong this ty) f wore, 4i:ll. be . ;mpi "J with whether specs f i -- i hF---, r;( `. *.he granti.rig of a give authority to vial F=I the pri.t'Isl :ns i;iv +.hf r stat- cr• 1,,_, 1 law rerulating constrr3 i the perferrnance c f I r Signe ure o r App I - •-,r,f I City of Tigard INSPECTION REQUEST for f INSPECTION TIME :- PERMIT NO. : ..—__ I DATE: DATE ISSUED' Z Z OWNERS NAME . -h- C ADDRESS : 1-07— i CONTRACTOR TEST . A r J, Water ❑ , Visuaip-lr, La', ,ratory [1 RESULT. Approved , Disapproved _1 Pending p SKETCH: I I INSPECTOR DATE Cw,r Attach supplemental teat data heret:01 1 City of Tigard INSPECTION REQUEST for I ' INSPECTION TIME . PERMIT NO.-_ DATE: eV�WoIU . DATE ISSUED' _ 1_.L OWNERS NAME : - ADDRESS : . AME :ADDRESS : CONTRACTOR :-------- TEST'. ONTRACTOR :TEST A r J, Water J , Visuaw, Lo'- ,rotary r RESULT. Approve , Disapproved J , Pending ❑ Ii SKETCH: i I i I i I INSPECTOR DATE ICOTE: Attach suppler—tal test data he,etol 1 City of Tigard INSPECTION RE04UEST for INSPECTION TIME '. PERMIT NO. : DATE :/() L7i3-3 DATE ISSUED:— OWNERS NAME : —Z. ADDRESS : --lor /7 CONTRACTOR '- TEST'. ONTRACTOR :_TEST: A r J, Water 0 , Visual 41 , La'- ,rotary r RESULT: Approved, Disapproved _1 Pending r] SKETCH: INSPECTOR DATE CN OTE Al Inch ;uppl:ment0 test d ltu hereto] I CM n. CITY OF TIGARD ism & W. mom am* TIGARD,ORN M "M i APPLICATION FOR BUILDING PERMIT clew Constructicn © Demolish ElAddition Remodel Move❑ ")NINGAd.n DATE ISSUED 10-18-73 ILDING PERMIT BUILDING FEE $ 99 IF.DATE RECEIVED n_I%_7j N No. •73 2�}1 PLAN CHECK $ f/ 0° � BY f eOTHER $ reoo dip MkLUATIONv ate RECEIPT No. S Z�4 TWO SETS OF PLANS AND PLOT FLANS MUST BE FURNISHED WITH APPLICATION LOT t w /7 MAP N 741 inn CENSUS TRACT LL a JOB ! __ Architect or Engineer Tu_10r_1n Novel ooaaat CAmay;r— — Address Avg.r-Tr _Phone Owner - Address _ Phone Buil0er Address none BUILDING USE Single Res. 1x7 Multi Ree. ❑ Comm. 1:1 industrial❑ OCCUPANCY GROUP I No. of Stories t.L Total Height 16 Area of Lot Tytl Type of Construction )tXX)"XXX)t*XXlf( V Floor Area B ____ 1 _IAMML_ 2 ____ r 7/ i ' Set Backs: Front Back L.Side .jMMp R.Side,.jWWL Private Sewer Pipe Size_ ♦o Sewer_ ufeptic Tank ❑ Water Service Pipe Size +/ Storm Sewer ❑X Ditch ❑ Drywell❑ Street and Curb Requirements As required by subdivision ordinance Driveway Width_ 16+ _ No. of. Parking Spaces 2 SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION { ADDRESS ASSIGNED S.W. Century Oak Drive Y FIELD ^4ECK BY is _ __ DATE 10L-j0-73 i PERMIT APPROVED B� It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building wil: + not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. i S gna ur Appli can . �:•eiil 6004 EXHIBIT "A" CITY OF 1'-CARD Residential Structure Occupany Restriction KNOW ALL AEN BY THESE ^RESENTS, thst occupancy or residential structure (a) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Dead Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a release as soon as s final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNERi ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this reAtriction to be executed thio �—<` day of 19 .� OWNER: a� APPROVED: e By: Builaing Official City of Tigard STATE 9F OREGON se. October 18 73 County of Washington 1 , 19 PoWsor�r�eappeared before as the above named of _ and acknowledged the foregoing instrument to be voluntary act and deed. ��--d Notarf Public for Oregon My Commission Expires: "oo"T11oMggr.1 N..ox M ft.--fine V. r.... eooK 951 [aL:4�4 O r s � 0 '^a o. > s ry r u IL d' W _ C ® a r V C ce 0 {to nY� N /- _W L �_ � EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MFA BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the recording of an occupancy permit aaisasing the restriction in the Deed Records of Washington County, Oragon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will Jesus a release as soon as a final. inspection determines that the construction is satisfactorily completed) DESCRIP1101v' OF PROPERTN' , AD RESS PROPERTY: NAME OF OWNER: ADDRESS OF OWNER:y_c: - y IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER: N/rm e� Ct APPROVED: Title By: Buuilding OfficiT-- City of Tigard STATE OF OREGON County of Washington as' October IS , 19 73 Personally appears before me the above ncmod Roy BrcNn and acknowledged the foregoing Instrument to be his voluntary act and deed. Not ry Public for Orogon My Comialocion Expires: 1/16/75