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10385 SW CENTURY OAK DRIVE r O W m M p J O al Ott 7d '' 'Ti g, + Ln r Z n r l Z 1 r, n rn !r I j1 r 0 v 3 . r� a � O 10395 3W CENTURY OAK DRIVE r RAIN4 MVO AMdtnD MS S8f OT C u W CL C W J W R� } }I W U C -- 1 � - Z \ � J J � a r �J \ � lu� a a �^ Icy.• M 1 •"� F, rr, ,�` fly -24 lit - _ !4tt I 64 �� kCT7 O C V � � {� �J ♦♦�� c� F-1 t� E_ .> WK j 1 I O 1-A Y H ra U E-4 C7 rlH 1 r '/1 A N N �� H I,rq p ^ r 1_J � 'rI • M a I�4 c� L m M O --1 � � a City of Tigard I N,3PECTI ON REQUEST for INSPECTION TIME: PEOMIT DATE; ATE ISSUED :_ / / _ 0WNERS NAM'",,' ADDRESO' _ CONTRACTOR : ` TEST '. Air ❑, Water[] , Visual ❑ , Laboratory p RESULT : Afproved ' DieaPproved Cl Pending p SKETCH: I NSPECTOR DATE 50TE " Attach t11pP10r"9Ptn1 test data H�ref� EXHIBIT "B" 15034 CITY OF TIGAIA CERTIFICATE OF OCCUPANCY AND RELEASE OF RE3TRICTLON The City of Tigard hereby certifies that the occupancy of the following described structure or premises with recpect to which a restriction of occupancy was, 011 �"c„t . 1_7_, 1922, recorded in Book 0)gy_, Page _5'J2 —, Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRJU7ION OF PROPERTY: OWNER: BUILDING PEhMIT IUW. is I BUILDLNO ADDRESS: /o _i,F Mis is to certify the said structure meets with the require- ments of the Building rcde of the City of Tigard and the above referenced restriction is tereby 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 I__ day of t e 6.µ4,!o Title: CTi UcC"I QLR(?'-- STATE OF OREGON )as. County of Washington ) On this kJA- day of s , l9`la , personally appeared before me the above named �, . -3 -, whose signature a.pears hereon and who acknowledged to s4 that he executed the same in his officel. capacity on behalf of the City of Tigard. Notary Pu is of Oregon My Commiscion expires: 15 HOCER THOMMM, Mare Of a.,do 6 tw000" �� � . a j°2 I� M. E, , , §§ � f }■■�� ! } � � 1�i 4 JSY M C .��y' CITY OF TIGA �/V !I 0i. Owner:. . .^`l�I. .� . /�i..ci:......<<'.:....................Permit No.- .3-- _3s ... .r � . Building Address..f e' id's:...J., A—'!�:,;Z74-le D ,F .t �2.-...... f •ti ; ;} Certificate is hereby given this....... ..."..day ...... that said building may be occupied and that it complies with all requirements of r the Building Code for the City of Tigard, as approved by the Tigard City Council. ` Z t 9II .Y•. j Building Inspector 1 PEW—111- 92 I �f rr � R ':. . 4 �,�y�..V .A'1' ' 1, J .E a4 ,.'+Y e,f-� F/•�t+pKc ,-ydyW�. ___�._�� �Jl�. ` F LINDnv 4.a.A. �y x.1, Z CITY OF TIGARD HEATING PERM: _ DATE _ 7 P RMIT NO. � � RECEIPT NO. BY -_ C="`��--�' C' ' --l!-• �.�,1..��.� FEE _ ��n __• to Perm' shall to kbtained prior to co-mencement af' i sfr tallatfon. 2. Permit shall be obtained for all appliances which are to become a fixture to the building 3. Relocation, replacement: r changes to k� .rne.-s and Tact. .cork require l.srmit:t. 4. All work ,':o be concealed must be before cover un. New Installation eplac r Pelocation ❑ Addition E:].-. Alteration ❑ CONTR. !/ " E% OWNER ADDRESS 5:� 4 ?C- ,y� CC%j�/`,`e� _ WOPK ADDRESS _/4nZY9.S� l�. �r�itT.�C� Cfirr-� _ C _ - �, ; i TELEPHONE NO. _ ".Z- e- :*I FURNACE - MANUFAC'TURERAir _ HCl�r/!LZL� TEiEFHCNE NO. --�^--'�--^-_ HEAT Irput rating (Btu Per Hour- ) ��,�, Fent Size _ -_� Flue Size --� FUEL UI L GAS ELECT ❑ OTHER TOTAL SQ. F.'. Top Floor -^--^f Main Floor �,t .;�_ Pase:nent -- GENERAL ITEM NO, FEE AM'T ITEM NO. FEE AM'7 For Issuance_ of Permit 3k Boilers over 5U Hu ;15.00 New •- Under 100,000 Btu 4Air Handlinq 10.000 CFM _ 3.00 _ New - Over 100,000 Btu _ :-4.0 Air Handling_Ower 10000 CFM 5.00 Floor Furnace Ev�rati��e Cooler v 3.00 ____.,.- Wall - Floor - Sus ended 4Vent Tari 2.00^ Install Vents _ 2.001 Vent_System 3.0_0_ Repair - Heat & Coolin CO Hood 3.09 Boilers Under 3 Hp 4.00 DomesticV3ncinerator 5.00 Boilers 3 +-o15 Hp 7. 5C uotmm. Incinerator20.00 Boilers 15 to 30 Hp 0.0c Other Not Listed Boilers 30 to 50 Hp 5.0 INSPECTOR'S COMMEN'T'S APPROVED BY _ DATE _ ISSUED BY DATE �. Av Signaturesof Appl.ica�t t} City of Tigard INSPECTION REQUEST for SPECTION TIME * PERMIT NO. : -- DATE : _�1___.. DATE ISSUED : L_L I N E RS ADDRESS: ZC31-5' )NTRACTOR : — � . =S; : Air U, Water(] , Visual 0 , Laboratory p ESULT: Approved`E , Disapproved O Pending p I I (ETCH: i I I I INSPECTOR DATE TE Attor,h surrinmenfW test data bereta] f FILE CoRyy',l,, City of Tigard INSPECTION REQUEST for INSPECTION TIME: LS PERMIT NO. : DATE: //*2/ZJ DATE ISSUED : I Z OWNERS NAME ' - ADDRESS: AME : _ADDRESS: CONTRACTOR : L/ GYJ C. c'is✓c r� T� EST : Air u, Water[] , Visual, Laboratory p RESULT : Apnroved O , DisapprovedX , Pending p SKETCH; tl�,r �1t /ti 4fRe INSPECTOR DATE [NOTE: Attach supplemental test data heretl I City of Tigard INSPECTION REQUEST" dor INSPECTION TIME' FERMIT NO. -.----- [)AT E .' O. ;,_____[)ATF . /17 73 DATE ISSUED OWNERS NAME : TO.c - ----- ADDRESS CONTRACTOR TEST : Air L], WaterO , Visual Z , Luborciory ❑ RESULT: Apnroved tg' , Disapproved 0 Pending ❑ SicEnH: ' INSPECTOR DATE NOTE Attach .upplementa! Last data hereto] 4• I GIty of Tigard i INSPECTION RE© UEST for IINSPECTION TIME : PERMIT NO. : DATE : ;" DATE ISSUED: OWNERS NAME : I — A D D R E S S : ' CONTRACTOR :-- TEST . ONTRACTORTEST. A r 0, Water 0 , Visugx Lp:' .rotary [:1 RESULT: Approyed Disapproved _1 Pending Cp SKETCH' I I I c INSPECTOR DATE COTE : Attach supplemental teat data heret— J 1 PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. 1jj Permit fee "" :Y Water Closets Toilets LY Permit Issu3yc Bath Tubs Approved by 1 LavatoryWash Basin Building Perms Shower Receipt No. !f ins Dishwa iii Sin s , Itchen Sinks, r inaEy Locati,, of Building le, '��� ocl Sinks, r_ Sinks�...�S o Autumn t1 cs waETTer cd- Di svoa. __ Laundry Tragi! Name & r 's of Ovine; Drdins, Floor � ( Dra:.na Area � ra-;.n refrigerator Rain Drains ` Aut,:;mabc Washer er Nang Address 6W F1' mber Ountain5rin ink Fountains, 5cda Ha Water an Water Servi (Size= iJrinals -�� r Buil Old :..r ew Alter Re air or ns ;wr, :7prink er_ stem -_ Sw`mm i rI Pool Other — --- --_ rinkler System This permit becomes null and void if work or cons+runts-:,n duthLnrized is not commen:ed within 60 days, or if construction or work i ., suspended or abandoned for a period of 120 days at any time after work is c ;mmernred , 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 sam to be true and correct. All provisions of laws and ordinances governing this t of work will be complied with whether specified herein cr nct, the granting of a permit does not presume +,) give authority to violete or cancel the provisions of any other state or local law regulating construction or the performance of construction. ._ �n�ure Of Applican+, ��ii �'4 CITY OF TIGARD 12430 !I. W. MWn sI so TIGARD, ORROON W= APPLICATION FOR BUILDING PERMIT New Cc.:struction ❑ Demolish ❑ Ad4ition ❑ Remodel ❑ gyve❑ ZONING P-D DATE ISSUED 10-10-73 BUILDING PERMIT DATE RECEIVED_ BUILDING FEE $_ gn_nn No. 7� ' BY PLAN CHECK $ _ OTHER $ �ghgrd'¢gBnYALUprION S 21.300 TOTAL $ gd_Rn P RECEIPT No. --- .—f 7 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT k 20 MAP A Inn CENSUS TRACT JOB 1 Architect or Engineer_ Tualatin JInvalopmRnf. ro Address_^ r";pp S_I,I._ 176th uuw Phone Owner Nr. L.L. Souther Address Phone Builder_ T ua1a .in IlaunInnmant rn Address name _Phone BUILDING USE Single Res. Multi Res. ❑ Comm ❑ Industrial❑ OCCUPANCY GROUP i No. of Stories 1 _ Total Height 16 Area of Lot Type of Construction IXXXXXXXXXXXXX V Floor Area B 1--U23— 2 Set Backs: Front` 10' Back 81 L.Side 41 R.Side 41 Private Sewer Pipe Si,e 41t Sewerkin r itfeptic Tank ❑ Water Service Pipe Size .3Z,&, - Storm Sewer Ditch ❑ Drywell❑ Street and Curb Re uL emente Q hV 5„F.�i;u pcg — Driveway Width tat �No. of Parking Spaces_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 10385 S.U. Century Oak Dr. FIELD CHECK B;!_ EWC -^� ---------DATE n-11-73' PERMIT APPROVED BY It is understood that all work will conform with applicablecod erf'id ordinances of the State of Oregon and the City of Tigard, Oregon, and (flat a building will not be occupied until a Certificate of Occupancy has been issued by the City of 1 Tigard Building Inspector. ! gsl nAture 9 pplicant 454.0 EXHIBIT "A" CITY OF TIGARD Rs�,idantial Structure Occupany Restriction KNOU ALL MEN BY THESE PRCSENTS, 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 ordinance of the City of Tigard, Oregon: (The City will issue a release as soon as a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: _>., ......�_e-Lc .t\c� – �►off' >G P�a �.R_�to.- ��� \�. �o c del "a�� P o.e,��•.- 5�' � ADDRESS OF PROPERTY: v0— NAME OF OWNER: . ILCr..�.- ADDRESS OF OWNER: \\�'�c �w \ _�� W \� IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this \-�` day of r-,�_� , 19y.+ OWNER: APPROVED: Title 8y: _ Building Ofeicial City of Tigard STATE OF OREGON County of Washington °°' October 11 ,, 19 73 Personally appeared before me the above named Roy Brown and acknowledged the foregoing instrument to be his voluntary act and deed. Notefy Public for Oregon My Commission Expires: - 1/16/75 0 • //� .10.�.3.a�d...A.M.P� P11ed kr nened...!•.Y. ...— �� �a Elec�len� Roots THOIAWT�III— ' �4� x��,& w :c lit; !2 t ' � � EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNULI ALL MEN BY THESE PRESENTS, that occupancy of residential structure (s) on *he following described lands prior to the recording of on occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the Cis , of Tigard, Oregon: (The City will issue a release as soon as a finial .nopection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: SF.```` ' F.e_L o r- a�n. dT ADDRESS OF PAOPERTY: •— N8ME OF OWNER: a Mcb C \y.e� ADDRESS OF OWNER: w IN WITNESS WHEREfF, the undersigned has caused this restriction to be executed this day of OWNER: anis � Y APORDVtD: Title Bys old ng Official City of Tigard STATE OF OREGON County of Washington °°' October 11 19 Personally appeared before me the above named _ Roy Brown and acknowledged the foregoing instrument to be his voluntary act and dead. NoterY Public for Oregon My Commission Excires: 1/16/79