Loading...
10350 SW CENTURY OAK DRIVE C3 W En U) C-) 10, ED ;777 AT b v Ll o CD 13 10350 SW CENTURY OAK DRIVE r' — �' SARC Yvo A2IniNgO MS OSCOT s 0 0 a , T---�.., , ► oIt � , t "' k-i, AK K- Ct I-- ' "h C? • 1 rK� b14 ° may, 4l 94 rxi 1 . m c. 3 cn v U-) M O 1 w City of Tigard INSPECTION REQUEST for ��- I INSPECTION TIME: PERMIT NO. : D,ATE: DATE ISSUED :___,L_./ OWNERS NAME * 7---- ,0 G _ 1' ADDRESS: toT `'ONTRACTOR : I i TEST : Air D, +!ynte-f] , visual Q , Laboratory 0 � RESULT' Approved Ca Disapproved M , Pending Ll I SKETCH. Alk i f it.��-/C�Alt I Il4PECTOR DATE ! ENOYE Attach •upplemfntal tett data beret I City of' Tigard INSPECTION REQUEST � for INSPECTION TIME: PERMIT" NO. :--- DATE: 0. _DATE: _ /-W/ "' DATE ISSUED :.-11.__ OWNERt NAME : -_— - G. ADDRESS: /rJ ' c� S,w , 6e?tUjaAfv AAIl CONTRACTOR : Z-0 TEST : Air ❑, Water visual , Laboratory I] RESULT. Approved/I< Disapproved Ll , Pending _ SKETCH: .� INSPECTOR DATE I019: Attoch supplemental test dgto beret a] City of Tigard I INSPECTION REQUEST for I P/- omr-M v t<�./ INSPECTION TIME: _-!`1PERMIT DATE: 20 -44 DATE ISSN;-ED :._._I--,Z _.. OWNERS NAME : ADDRESS: _1_'v '� 5 �l '".s.0 c.�— VG ._._P � CONTRACTOR : 45)77 TEST * A;r i), Water E] , Visual , Laboratory p RESULT: Approved Disapproved O , Pending p SKETCH. INSPECTOR DATE [KOTE ' Alt-,ch tupplementot tett data beret] PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit fee A,(,- water lFWater Closets (Toilets)_ Permit Issue , i Bath Tubs Approved by Lavatory Wash Basin Building Permit" Shower Receipt No. inTcs� Dishwashin / Sinks Kitchen Sinks Ordinary Locat on of Building Sinks, Slop�- - .r --- - Automatic Dishwasher ✓ , • �_l �c f _ DisQosa Laundry Trans _ Name j& Address of Owner 1�, r '�_�•.. Drains. Floor rains Area _ -='-----�---- Drains� Reerator Rain Drains Automatic Washer Name &- Address ofP umber �l,T�--.:.� Fountains, rin In " Fountainsoda Hot Water Tank ', ,� ', , ✓ Water Service Size- 'a Urinals Buildin Old or_New) Alter, Repair or a 'c - assns - Yar _ eta .� Lawn Sprinkler Syste:a► -" - Swimming Pool UTFer y S rin ler System _� 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 cf Tigard and post a. $19000 bond I hereby certify that I have read and examined this application and know the sam to be true and correct. All provisions of laws and ordinances governing this ty 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 cr - he performance of construction. Signature df Applicant � PP City of Tigard INSPECTION REQUEST for INSPECTION TIME * At" PERMIT NO. : DATE: DATE ISSUED: I OWNERS NAME : el--" -___ _ ,4DDRESS : 7/ CONTRACTOR :_ TEST: Air E], Water ❑ Visuol� Laboratory ❑ RESULT: Approved�e, Disapproved D Pending p SKETCH: INSPECTOR DATE [NOTE : Attach supplemental lest do#o horst: 14067 EXHIBIT "B" j CITY OF TIGARD t CERTIFICATE OF OCCU, �Y AND RFI.FASE OF [tWTRICTION The City of Tigard hereby certi:ies that the occupancy of the following described structure or premises with respect to which a re-friction of occul,ancy was, on August 13 , 1974 l recorded in Book 9;19 , Pao!! 96 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - Lot 51 As recorded in Book 32, Page 50 Plat Records of WzPhin�ton County, Oregon I OWIICR: aw►3oplmant GeV BUILDING FLRMIT NlMER: 73-17.7_ BUILDEIG AUD!M;3: 10350 S.U. Century Oak Drive Thi:, i, to certify the said structure meet-, with the require- mesa; of the BuildinCude of the City of Tigard pprd and the above o ? referenced restriction i,, he-•eby released and terminated. M 0 CA. C U IN WITNMS W11F1U:0F, the undersigned authorized officer of tho co City of Tigard has cau;:ed this certificate and relea,.e of restriction C }` b -4 N o to be executed this w day of a w � CX Title:�QflL�.Ga a. �►��� �. 77 STATE ORMON ) ss. 00104 Washington ) C-1 v l this ? day of _ 1 �, personally d before me thn above named, _-; ' r. :, , whose tura appears hereon and who acknowledge to eye that he executed ' + �'"eflthe wase in his offical capacity on behalf of the Chir of Tigard. s No r F+ lie a 0 n My Comni s e Aires: '�J�X:,c7 P1�a wrwa_7�s��.�.►1M%lat►R ' to Tmoulat!'1.b w w d bee"•swan f*—�Y1�� .........awn 1406'7 ` EXHIBIT "B" CITY OF TI.GARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the followinp described structure or Premise:, with resvect to which a restriction of occupancy was, on August 13 , 1974 , recorded in Book 939 , Pa®e 965 , Deed Record of Washington County, Oregon, is hereby authorized ane approved. DESCRIPTION OF PROPERTY: Summerfield - Lot 51 As recorded in Book 32, Page 50 Plat; Records of Washington County, Oregon OWNER: BUILDING PERMIT NUMBER: 73_177 ._ BUILDING ADPRE38: 10350 S.W. Century Oak Drive This is to certify the said structure meets with the require- ment, of the Building Code of the City of Tigard and the above referenced restriction is hereby releared and terminated. IN WITNESS WHEREOF, the u,idersigned authorized officer of the City of Tigard has caused this certificate and relea:.e of restrictic,. to be executed this day of , , 194. Title: STATE OF OREGON County of Washington )ss. On this k day of . personally appeared before me the above named/ , waose signature appears hereon and who aiknouledged to me f%at. he executed the same in his offical capacity on nehalf of the C1 y of Tigard. 1: A.; No ary P ,lie o -OPLICA611 t My ,C�ammmi,s3i a ires: boss tnaMsSM ac..ae.a awe.a etwrnee. nQIT ........................... Deputy BOOK J04 PAbE78 STATE OF OREGON a N�(Caxrty of Washinbton I, Roper 11t blreetpr of Records and Electlom anll Ex-Officlo Rerorder of Gm ve/nnces for Gold County, do hweby certify that the within biMt"wo of wfffirtp was recelved and referded M book of rkords No. _. of ab *r Witr4m oW hond ord seal offlud. MOGFR TNOMSSEN, bhodar of rr p ^ Records d Eley -ms e,365, 3 5 7/�;-3 1-1`7 6!-F DMIth° � 4 112la r�r CITOF TIGARD 12,120 S. N. Mnin Sf,*.t TIGARD, OREGON 9722 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition ❑ ❑ Remodel Move❑ ZONING _ DATE ISSUED��_7f/ BUILDING DATE REC$IVED 1.12, y, BUILDING FEE No. ERMIT By / J PLAN CHECK $ OTHER^ 4''-) f ��r�S•• $ y _ VALUATION TOTAL/9 r't�.ir $ RECEIPT No. /ba� TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT $ /;/ __ MAP # CENSUS TRACT JOB # Architect or Engineer-] Address ) `' Phone f, y Owner Address - — Phone Builder -- Address Phone BUILDING USE Single Res. ❑ Multi Res, ❑ Comm. ❑ industrial❑ OCCUPANCY GROUP_I•, No, of Stories Total Height Area of Lot Type of Construction I II III IV CV) Floor Area B 1jc� Z_. 2 Set Backs: Front /�_ Bar_k - Z 1 L.Side /./ 'j '' R,Side_ZL'_ Private Sewer Pipe Size Iq Sewer —_ Septic Tank ❑ Water Service Pipe Size j/y" storm Sewerg Ditch ❑ Drywell❑ Street and Curb Requirements Driveway Width_ -. No. of Parking Spaces��, SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED_71i, j J C.) -���n• /✓r i Y FIELD CHECK BY PEIMIT APPROVED BYj_�`�1! It is understood that all work will conform with applicable odes 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 been issued by the City of Tigard Building Inspector. i� s gnature of Apicant —'- r CIT'. OF BUILDING PERMIT APPLICATION TICARD DATE- IK -24 -17y THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAINS AND SPECIFICATION,,. OWNER PHONE _ L 67 T - 71 QWNER ADDRESS BUILDER PHONE, _ !� ENGINEER BUILDER Cr ARCHITECT DESIGNER STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENE'NAL FINE DAMAGE ❑DEMOLITION RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PonT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND T❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY--[—.LAND USE ZONE. l' 0 BLDG.TYPE__i7_FIRE ZONE PLAN CHECK BY.,TS.A.AX- r HEAT i`• I�. 7�f!I� i s� OCC, LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE 13i`}/ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit I' 6 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCOR• ANCE WITH THE PLANS AND SPECIFICATIONS At,I']IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSfNESS 1%State F/ LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Totaln By APPLICANT OR AGENT Approved Receipt No. ADDRESS ---- --- PHONE --- - DATE INSP, TYPE INSPECTION RFMARKS PL_.ABING LATE Contractor Permit No. 2 /o you Fixture _ Final HEATING Contractor 4 Permit No. .,-Y►t Gas or Oil Rough-in Final SEWER Final _ DRIVEWAY Final Storm Drainage (Rain Drain) Final Sido walk Curb&Street Final Approach BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY Fine) CERTIFICATE OCCUPANCY — Landscaping 7.onina Final EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MCN BY UMSE PRESENTS, That occupancy of residential structure (a) on the following described lends 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: Summerfield - Lot 11 As recorded in Book _, Page ��, Plat records of Washington County, Oregon. ADDRESS- OF PROPERTY: _ � NAME OF OYiNER: ADDRESS OF OWNER: 1�S> > 1.-( �• \�� /�,1c r��c n�� T IN WITNESS WHEREOF, the undersitined has caused this restriction to be executed this Zi`7 day of OW MR: APPROVED: By: T-ire By: Building Official City of Tigard STATE OF OREGON ) se. County of Washington ) r. , 19Lk; reonally appeared before me the above named and acknowledged the foregoing instru K be �. voluntary act and deed./' a- Notn Public ,or Or gun My C mm_ssion Expires: � - 4`ti' er, 14068 EXHIBIT 'W' CITY OF TIGARD Residential Structure Occupancy Restriction Y.NOW ALL MN BY TIMSE 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 Deec. Records of Washington County, Oregon, is prohibited by she ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: juinmerfield - Lot Az recorded in Book _, Pugs , Plat records of Washington County, Oregon. ADDRESS OF I'ROPERTYs PM OF OMR:�- o�csl ADD'rESS o•:_ OWNER: Irl WITNESS WHEREOF, the undersigned has caused this restriction to be executed this -e-5- day of OWNERi Tu�intro Name^ f APPROVED: T: e I nildirg official City of Tigard STATE, C? OREGON County of Washington ) ..L- , 19 e rsonally appeared before ma the above named ROIL and acknowledged the foregoing instrilbin1f to be voluntary act a&,, deed, Pio nr Fublic for Ore on ..�.� ..7.:.J.7 ...,.7.y BOLA n AA � hh `P0��ER TNUMRACN, R� Du"M e) tde 3 r.IRf—, J `i f,1d�7ty ............................... D.oun STATE OF OP.EGON ( - e M County it WashlrgMn \n 1, Roger Thornsten, DirKIW of Records and Electiom and E.Officln Reeonler of Con- ,� veycmet far sold county, do hMby certify that the within Instrrwnent of wfltirq was cat_ received and rworded in book of r*eords W. of feYt.,n Wr• my hand and seat affixed. f4 r ?[. ROGER THOMSSEN, Director of Records & Electkxu JUL 17 12 2 '?4 I � 14®68 -MIBIT CITY 0? TIGAaD t � t { Residential Structure Occujaney Restrirtic: YNOW ALL ;'WY BY TIME PRE;EN-La, That occu,ancy of residential l j structure (s) on the following described lands prior to the recording o: an occupancy permit releasing the rcotriction in the DCCL iacords t t of Washington Col.nt;, Oragan, is proL:.blted by the ordirr_nce of the City of TiZa rd, Oregon: D SCRIPTIOY 0? PROPEdTY: Summerfield - Lot As rc forded in Boo'. ._, Paye ( , Plat records o; Washington d County, Oregon. ADDUMS Or^ I'ROMITY: /(9 ADDRF.SS OF Oi':yEc'2:1`l-�.�� .10 Q III WITYESS VIMEO?, the undersigned has caucrd this restriction -T�. E T r n to be exocuted this 7i`7 day of U i � • 3 n xc � o 4m G � SMA Tuai=itin P-wc,-,cnt -11r�? (.PPRo�D: air:—> t-z —�•,-,. � "', z building Official City of Tigard STATE OF ORti0011 ) ss• . '�t County of Washington ) rsonally appeared before to .re above namcd ^ _ and aeluiowledaed the forcaoing instri�enr to ..v r_� '"+•----- voluaL..ry act c:n4 deed. t _ y1 t..,, Jtow�r Public ur G.ri-an' i • (�� A rr��''J/� UO'i1.M TN44;Lt[N,p,�,yy�Mn.,M 4 CI�rtHp� Pnit i1 N I.1!.�G 1\7 1+�ll vA1VL �■r ao � � F1The attached Release of MortgARe cannot be released in our records for reason(') checked below: s.0 Incorrect Book and/or Page Uincorrect Nacre of L LJ Original Book and Pape only released, �J L—J not corrections. / Other Reasons Department of Recordg and Flections Washington County, Oregon Roper Thomsen, Director By d l`_ t <_ .ray t Dep,ity EXHIBIT "B" 11160 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEABE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premise:; with respect to which a restriction of occupancy was, on , 4L1,-.i 1.977, recorded in Book 937 , Page ❑ , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PRG.ZMt Summerfield - lot it As recorded in Book 32, Page 50, Plat Records of Washington County, nr©gno OWNER: Tualtin Development Cu. BUILDING PERMIT NUMBER: 73-177 BUILDING ADDRESS: ln350 5.1.. Century Oak nrivr This 19 to certi.'y the said structure meete with the require- ments of the Building Code of the City of Tigard and the above referenced restriction in hereby released and terminated. IN WITNESS WHEREOF, the underaigned authorized officer of the City of Tigard has caused this certificate and release of restrictiun to be exec:. ,ed this �Ili day of /a 19a. Title: : STATE OF OREGON County of Washington )ss. On this / '? day of , personally appeared before me the above named• n r,s 1C/ r whose signature appears hereon and who acknowledged to me that,, he executed the same in his offical -apacity on behalf of the City of Tigard. •� — Nutary ub i rgon e try CQMMpsi tvexpiron: r .IK.�QT»a.e... L3.:�.u7 „_r�P* oMaeive.�ed.nr h...-........._.............. . 7tf2...._._ ep 980 PA61 J 8 7" G � B�r� z� 3 CITY OF TIGARD 12420 S. W. MaIn Street TIGARD, OREGON 97229 APPLICATION FOR BUILDING PERMIT New Construction ❑ Demolish ❑ Addition ❑ Remodel ❑ Move❑ 7.ONING N'/� DATE ISSUED - 1 S' BUILDING PERMIT BATE RECEIVED BUILDING FEE $ 7 ,QPJ No. 7V- (<, BY PLAN CHECK $ Od OTHER $ Z.• O U�P�"✓ 'D��6 VALUATION S/q1 G 90 -4ATA•L $ � 0 �rqj�� RECEIPT No. 7��T7Qc- TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT # MAP # _ CENSUS TRACT 1 _^_ JOB # `j[ Architect or Engineer-T-,.2.0 j. - ,A —�� �c'IQ e..T C' C, Address 11L+y— As. h ___�JSr .Y� Phone (,39- 101 - Owner Address_ - __-_-- —_-------Phone_— Builder <, , — —� _ ------ --- Address _ _ Phone_ BUILDING USE Single Res. ® Multi Res. ❑ Comm. ❑ Ind istrial❑ OCCUPANCY GROUP-S— No. of Stories`--(_ Total Height_ - Area of Lot Type of Construction I It III IV Floor Area B 1 ) Set Backs: Front I(-)' CJ BackLjI of _� L.Sided- O R.Side 10'L9 Private Sewer Pipe Size 4 „ Sewer (', _ Septic Tank ❑ Water Service Pipe Size 3/1 Storm Sewer [O Ditch ❑ Orywell❑ Street and Curb Requirements r r Driveway Width f _No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INI,jRMATIOt' d6i -- - _ .—nc�_- --__-- - � -Qum--_-----�G • �� &N-OM 4-'#ASVA�baAAOS ADDRESS ASSIGNEb1o9SG� �. GV, 7c�2 Qat /�.�/✓�'� FIELD CHECK BY _DATE PERMIT APPROVEQ�1�'�i 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 will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. s - �-L�r g ature of Appli ant EXHIBIT "A" CITY OF TIGARD Residential Structure Occupony Roatriction KNOB ALL HIEN BY THESE PRESENTS, thaz occupancy of reoidontial structure (e) on the following dencribod lands prior to the recording of an occupancy pormit releasing ';ho roatriction in the Deed Rocorda of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Orogon: (The City will icoue a reloaco as soon as a (incl inspection dotorminea that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY; NAME OF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hoo caused this restriction to bo executed this y�= day of 19:y OWNER: Nar,,b APPROVED: e ii, ingUFFc a City of Tigard STATE OF OREGON County of Washington ; e8' /Y 9 Pores ly appoc rod before me the above nar�od and acknowledgad the forogoing instrument to be u✓ volun ary act and dead. N t ry Public fA5rUrbgon Fly Commiocion Expires: 139F; ' EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following describod lands prior to the recording of an occupnncy permit releasing tho restriction in the Deed Records of Washington County, Oregon, is prohibitod by the ordinance of the City of Tir- d, 0.agon: (The City will issue a release as soon no a (incl inspection doterminea that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: e1 ADDRESS OF' PROPERTY; �y'"y�� �» c- �. NAME OF OWNER: ``– ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hen caused this restriction to ba executed this y�= day of 19�y OWNER: APPROVED: Title Bj: sem. �uild�ng fr' T - 'City of Tigard STATE OF OREGON / County of Waahington ss' �)�)At—cf� /1� ,)19 Pars ally appsarod before me the above mood t and acknowludgod the foregoing instru4nt to be _� u.; VOILA tart act and dead. Nat ry Public r Jfegon My Commission ;xpires: ..��.. ley q ate ►i► THOM98CN.dni+er d 11�forA� [IM•nnn� a BOOK 746 �o r 41 0 3 0, �'rr� € F y r� /r r PLUMBING PERMIT APPLICATION Jurisdiction of Type �f Fixt),r�. Fee Permit iln. Permit fee } 'tidt--r' Cl.tossets (,T(,l] Pts Permit Isstio ;d.t.i� 1ti;Y _ Approved by _... -.`. L:ova tt.c�i Y i W-3st� :�,;ir� �� Buil.ding F'�; mt6t c i *hu-derRect�zpt No. inks . DI. _' ,�-- ----- ---- inksy Ki t :.1 _ n ---- Locaton of Bi[t,ding [ Name AddrW:,s ---- �r rl Dr r4 _ Na;, v Address of F;. / '/ f.._ v1. ,r1 if wo rk <, .'.t.. :zed ii n . t 7 ,,rl • if ^onstrur t.: band,, od . ,.ny time of tF,r work - I f rig t'i i-:. bp licensed by the City T - cf and post a $1 ,000 bon, hereby cert1 : ,,: ' ] iiavF read and examined this app, ,.c.at: .:)n and knew the saj } c �rtaf art'I r[ All prov:i: lolls ;17-1d 1-dnr-tn,,P:' �? vnrnl.ng this t' _rk wl it be 1 . : 'Nl t'i •,rhnther speclf iF 1 herein r nc t '.he granting of pol-T , joac lot t ~ ro givt- au*herity tc, r caric.e-1 t,ho prcvt:,i ns ctt:��r 3tat.t' r ::-11 Law rerulatil.g cGnstruct.ion '^r the performance cf t, ori. Signet irf- :�fpi > t AWL FMIBIT 'V 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 Au ,ll-f 13 , 1? 7'�, recorded in Book —q-j7 , Page a L , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - lot 51 As recorded in Book 32, Page 50, Plat records of 113shington County, Oregon OWNER: Tualtin Devclonment Co. BUILDING PERMIT NUMBER: 73-177 BUILDING ADDRESS: .10350 -5.,'. Contury Oak Drive 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 ir, hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized offLcer of the City of Tigard has caused this certificate and release of restriction to be executed this day of , 19 Title: STATE OF OREGON County of Washington ss' on this day of , 19_, personally appeared before me the above named , whose signature appears hereon and who acknowledged to me that he executed the same in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: CITY OF TIGARD 14420 S. W. WAIn MnN TIGARD, ORIGON 17717 APPLICATION FOR BUILDING PERMIT New Construction a Demolish ❑ Addition ❑ Remodel ❑ Move ❑ ZONING P•D DATE ISSUED 8-8-73 BUILDING PF.RMft DATE RECEIVED BUILDING FEE $ 9.00 No. '23 .177 PLAN CHECK $ - HY VALUATION :? 24,864 OTHER $ ID.00 TOTAL $ 99.00 RECEIPT No. S(, S A 73 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 51 MAP M 281 110 CENSUS TRACT W-8 JOB 0 Architect or Engineer T_D_e_ Address 153PO S.W. 116th Ave., Tig%rd, Or MM Phone (>wner Address Phone Builder Address_ Phone_ BUILDING USE Single Res ulti Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP i N o Stor 2 Total Height 13 Area of Lo�4080 'Type of Construction V Floor Area 8—._ 1_ Set Backs: Fro ck L.Side_ R.Side_� _ Private Sewer Pi ze ', Sewer X16 city Septic Tank water Service pe S e 41 Storm Sewer a Ditch ❑ Drywell❑ Street and Curb R r is esistiD` Driveway Width No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 10350 9.Y. Oentwy Dalt Dr. _ FIELD CHECK BY _ _ DATE PERMIT APPROVED BY 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 Certific:,t.e of Occupancy has been issued by the City of Tigard Building Inspector. Signature,ak Applicant 93 y MUP.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 'she recording of an occupancy permit releasing the restriction in the Deems Record:; of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: ',, . f'POr•A.he-O 1 A+ \;fie^K'. r;J ��`�'�° �o�� � 1^ ��l I�; t�E C Q'k U':. (�1 NIA>(.1�� \ ^:•,- i Y, f_ fT r.•�c. ADDRESS OF PROPERTY: > - v�- NAME OF OWNER' —_ may.arc c1., \ C' ADDRESS OF OWNS' IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of / Iia me APPROVED, By: 'I'.tle By: �liK1y . Building Official City of Tigard STATE OF OREGON ) ss. County of Washington ) August 7 , 1;3 rylepan o appeared before me the above named'oy Blown, Vice President of Tualatin DeA �. and acknowledged the foregoing inct.rur.,ent to be _ voluntary act and iced. Notity Public for Oregon My Comm'nsion Expires!`aus" 16, 1975 148'7 EMBIT "A" CITY OF TIGARD Residential Structure Occupancy Re,trictiun KNOW ALL iCN BY THESE PRESENTS, That occupancy of residential tructure (s) on the following described lands prior to the recording ,if an occupancy permit releasing the restriction in the Deems Records of Wru.hington County, Oregon, is prohibited by the ordinance of the City of T!j3rd, Oregon: DESCRIITION OF PROPERTY: r/ /'rr avr•i s ..� N/�sli ..y�asn C.�..•..lr � C7 c.,err. ADDRE:,t:, OF PROPERTY: `� v NAME OF OW'4ER: ADDRi?.iii OF GWNEH:_ Ill WITYESS WHEREOF, the undersigned has caused this restriction 1.o be executed this, -- day of �_ _�.•, 19_.�t Name Al PROVED: Hy: T,ttJle By: lJyiCL/ ( y.�1'B� rjj.d fns tomId ..,� :, ,__...14I�ul/ M Yet building Officier HCGRe TMpMaREN� of ItMotd�6 Clwc�u�n� City (,f Tigard a;.._........... STATE OF OREGON ) ss Count;, of Wa.;hingtun ) Auaust 7 `, 19 73. Personally appeared before me the above named Roy Brown, Vice President f I1-1a:in Develypment Co. . Inc. and as,nowledged the foregoing instrument to be his voles—ary act and deed. Notary Public for Oregon. MY Comm'asion Expires* January 16, 1975 eon On#*965 00 V[1r Tw u t S a R^'S 3 C 5 ; i c as W O