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10470 SW CLYDESDALE PLACE M L y f1 - H N Q (lJ Li t t F M 1-4 r t ' y - r1 _ i h7 tit � F T 43 �' � 13 �� .D H h{ E4 H F Cr C- � o 10470 SW CLYDESDALE PLACE SOFl7d 37tIQS3QA'I0 MS OLf7OT rry I a� G I: r. r'1 t � El I rn �! ^ tC, n� r , w (1) H V U rfl I r c{ '�;,,�/��xr✓n' gN '�,� /,t�'�#�Ih�'o ��u� +!!a h�'y'�ry� ♦rytl/t1 ,�1 r� `(�yyy ddd �. N �I�GJ IF � I q'V \p I S4W1� ��/�`• f I� (1 i STI"''^ ' ��� OF OC, ' N , Wi. CITY OF TIGARD c Robert...Thompson ----• . "- Permit No..-...73-266.... Owner: Building Address....104'1`..S..W. Clydesdale Place ............ . ...................................................... 01 Certificate is hereby given this.... 26thday of.....December 19 that said building may be occupied and that i+ con-,plies with all requirements of the Building Code for theCity of Tigard, " as approved by the Tigard City Council. I � A ' I' ZGa�......e0�5,f. .k t,. .................... Building Inspector i 4. w10y11R� EXHIBIT „B„ 121.16 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard bereby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy wits, on 12-5 , 1973) recorded in Book 955 , Page 433 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY! Tax Map 2S1 3AA, lot 14, Clydesdale OWNER: Robert B.,_Thomnsou BUILDING PERMIT NUMBER: 73-266 i BUILDING ADDRESS: _10470 S.W. Sydesdala Plarn 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 WILEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this �G day of ��,, �.Q, _, 197 . Title: _ C14 ki�ORDERI STATE OF ORDGON )ss County of Washington ) �"1 Cn this day of 1�e,, ��_, 19 , personally appeared before me the above named I �� 4u _, whose signature appears hereon and who acknowledged t he executed the some in his offleal capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: AZ M t *Mt1k TNUMUCN,Ofte�rm'A A.0"45 ti tu1i,, 1 ppnn i4-............................... aUO►,iCO�i PACE989 STATE OF OREGON p� County of Woshl;gton a IW I, ""' Thomseen binetor of Records and Elections and Ex-Of��cio Recadn of Con- veyances for sold county, do hereby certify 'hot the within Instrument of wrltlnp was received and recorded in book of records k� No. of sold Cow ty Witness my hand and seal affixed. ROGER TWOMSSEN, Director of Records & ENrtk" awd' City of Tigard INSPECTION REQUEST for INSPECTION TIME : ,�-1:2::;1 PERMIT NO. : DATE : 1-14 J1' 4 DATE ISSUED:__L_1_ OWNERS NAME * 1?vk3G�2T ADDRESS : 101e7-0 '4 1 �L CONTRACTOR :-- TEST: ONTRACTOR :TEST: Air 0 , Water [] , Visual 0 , Laboratory 0 RESULT: Approved Disapproved 0 , Pending SKETCH: INSN.CTOR DATE CNOTE Attoch supplemenfol test data hereto I City of Tigard INSPECTION I !V REQUEST for I INSPECTION TIME: Z' t `�� PERMIT DATE: •'-'/ DATE ISSUED :-- Z OWNERS NAME : ADDRESS. � �'y' --- --T�„�•_ _[_ / _—:.. ' I CONTRACTOR ' .-.– TE ST ' Air ONTRACTOR ' ._._TEST ' Air Water El, Visual ( Laboratory p I RESULT. Approved f isapproved ❑ Pending p SKETCH. I I I I INSPECTOR DATE CN07E: Attach supplemental teef data beret] City of Tigard I NSPECTRA RFQUES T for INSPECTION TIME: PERMIT NO. :- DAT E 0. : __DATE: C�,t'///% Y DATE ISSUED :.- OWNERS SSUED :._OWNERS NAME ;h01: ADDRESS: -ko-r .�y CONTRACTOR : !Z.�� TEST : Air p, Water[] , VleualA, Laboratory p RESULT: Approved , Di:japproved ❑ Pending O SKETCH: INSPECTOR DATE COTE ' Attach tupplomental test data hereto] ADDRESS ,-te ac PERMIT N0. 7�21. t; PERMIT CHARGE OWNER _� �f CONNECTION FEE S G� u PAID BY TYPE OF BUILDING / , s� DATE CONNECTED S > SERVICE RATE ,f.,e- INSPECTION FEE �_,22 CONTRACTOR PAID BY DATE SIZE OF CONNECTION __ ASSESSMENT ____ PAID 11101 LWALM M- i City of Tigard INSPECTION REQUEST f INSPECTION TIME : h5,0o' PERMIT NO. : -- DATE : O. : —_DATE : __L=iZ,-,0" DATE ISSUED'.— OWN E RS SSUED:_OWNERS NAME : -- ADDRESS : '-4w ^..— ADDRESS : `-4w CONTRACTOR -___c5J.---- ---_—__------__.__ TEST. Air CJ, Water ❑ , Visual Laboratory [] RESULT: Approved , Disapproved ❑ , Pending ❑ I SKETCH: C,L -7y I I I I I I INSPECTOR DATE I [NOTE : Attach supplemental t*et date heret] w WML�-JLN I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE : YIP2 -?V DATE ISSUED:.!—L_ OWNERS NAME : - Zicld - ADDRESS . -/G,1-12Y CONTRACTOR :— TEST' ONTRACTOR :— TEST; AirC , Water p , Visual ❑ , Laboratory 0 RESULT: Approvedj;� Disapproved ❑ , Pending [3 SKETCH: v C i SPECTOR DATE rNOTE : Attach supplemental test data hotel] i v City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :--- DAT E: O. :—_—DATE: JAL? DATE ISSUED : _1 Z OWNERS NAME . - ADDRESS: AME . _ADDRESS: CONTRACTOR .* -- ------ --- - -- - �..���. TEST : Air Ej, Woter❑ , visual ❑ , Laboratory p I RESULT: Approved '�� , Disapproved U Pending SKETCH.' I I I i I I IN PECTOR DATE I NOTE : Attach supplemental test dote beretq] I I r i i i City of Tigard INSPECTION REQUEST I for INSPECTION Ti ME :_ PERMIT NO.: DATE 1412L DATE ISSUED:__L_I OWNERS NAME : �r J ADCDRES:a : /C! 1/70 5 ��� CONTRACTOR :.-- TEST' ONTRACTOR :.__TEST: Air D, Water p , Visual O , Laboratory ❑ RESULT*. Approved , Disapproved p Pending p SKETCH: j1 x I` NSPECTOR DATE [NOTE ' Attach supplemental test data hereto] i I City Tigard of Ti I INSPECTION REQUEST for a eouni p wore K _ �� ori c' I INSPECTION TIME: PERMIT NO. :—. DATE: ��_L? DATE ISSUED :___L.._L__ OWNERS NAME : .� �»� s!1• % ADDRESS: CONTRACTOR : TEST ' Air p, Water[] , Visual ❑ , Laboratory ❑ RESULT: Approved Dieapproved O , Pending p I SKETCH, I I I I I x 7 . I ' NSPECTOR DATE OTE: Attach suppllimentol test data beret] 1 r m *r, 7q ' City of Tigard I NSPECT!ON REQUEST for SPECTION TIME: ��' _ PERMIT NO. :—. DATE : � DATE ISSUED :_.11_ JNERS NAME : � A D D R E S S: �''7` aNTRACTOR S T : Air U, Water El , Visual x, Laboratory p =SULT . Apnroved ( Disapproved O , Pending [] :ETCH: �( INSPECTOR DATE TE Attach supplemental test data hereto] .,ity of Tigard INSPECTION REQUEST for NSPECTION TIME . PERM-1- NC, DATE: / , )ATE iSSUED D W N E R S Aj A M E 64e, Z , AI)DRFSS 141 �),j -,NrPA " r0R . , E S T A- iar[j , RESUL ;uppl qtd F Ll SKETrH , INSPECTOR DATE FNOTE. Attach suppiementai test uu,u j,pv i i I City of Tigard INSPECTION REQUEST for f NSPECTION TIME ^ PERMI r NO. DATE . _1_..�' �� )ATE I SSUED'_ i OWNERS I4D DRESS 'X(VZf -a__c.-f -- -- — I c Nater I SKETCH'. i p A),07 P404/e i 4 INSPECTOR DATE CJTE: Attach sjr)wemental 'o-C u•r Ter©t] 1 y r January 11l 1974 t Mr, Robert Thc_:npson 11726 J.W. Hideview Terrace Beaverton# Oregon 97005 ^eni Mr. Thompson ,1e per our telephone conversation of January 7, 1974, ragerdny your two building permits and sewer permits (73-2659 73-2669 4926 and 4927) in the Clydesdale subdivision, you are hereby authorised an extension of time to start eonetruction due to the current weather conditions. 1f it becomes necessary for the Cityhto cancel yuur permits you will be notified 30 days prior to cancellation, ' Sincerely, " j Jamas hrien Acting Duilding Official Jb/fs vo UNIFIED SEWERAGE AGENCY NO _.__ 492 WASHINGTON COUNTY [,ATE 11=13-71 1 CITY OF-------- APPLICATION F _- ----APPLICATION FOR SEWER CONNECTION PERMIT i OWNER:N E R: Robert Thom son i ----- ------p-- - - _ _ __ OWNER'S ADDRESS: _ 11725 S.W. Ridgeview Terrace STREET Pa-r t 1 __ - STATE — — ZIP BUILDING SITE: LUT W/q� BLOCK .-, - __ ADDITION . Clydesdale Sub. TAX LOT NO. TYPE OF OCCUPANCY -- ADDRESS _ 10470 S,W. Clydesdale Place --. DWELLING UNITS 1 _ FIXTURE UNITS ---- — SURCHARGE IF APPLICABLE _ PERMIT FEE --4 Q - - INSPECTION FEE - 25 TOTAL DEPOSITED 475 (NEW) (EXISTING) BUILDING SEWER SYSTEM __ _ Tigard -_ 'Th,, Applicant agrees to comply with all rules and regulations of th Unified Sewerage Aqency. APPLICANT J�_ LT -= -- SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE 4„ _ INSTALLER RECEIVED BY 111"t GENCV OR ITS AGENT) I COMMENTS: V This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. CITY OF TIGARD 12420 S. W, Main street TIGARD, OREGON 9M23 APPLICATION FOR BUILDING PERM!T New Construction ❑x Demolish Addition ❑ Remodel ❑ Move❑ ZONING R-7 DATE ISSUED 11-1,3-73 BUILDING PERMIT DATE RECEIVED BUILDING FEE $ 109.00 NO. PLAN CHECK $-- ' 0 71'2AA BY OTHER $---j:ne-recarding VALUATION $ 32,796 _ TOTAL $ 8'5_ RECEIPT No. 9,;270 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N I- MAP M2ct iap CENSUS TRACT _ JOB N Architect or Engineer I d_ Rruinjer -_.�_-- Address 1304 S.W- $ar*ha Alutj P-rtiand __._—Phone Owner. R.Qbart a. ThompAa ._- Address � - - -- --- 11725 S W. Rid eview Terrace z'xTDw -Phone Phc.7,/& X104 _. �� .__ —_--- I Builder same Address _Phone_ BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP_I No. of Stories , Total Height`_,_ Area of Lot Type of Construction X#XX41XXXXXXXYUXxV Floor Area Bl750 1 1287 Z Set Backs: Front 33 Back 30 L.Side 12.-_- R.Side_ at Private Sewer Pipe Size 4"__ Sewer use Ti9ard5eptic Tank ❑ Water Service Pipe Size_ „_ Storm Sewer © Ditch ❑ DryweIl❑ Street and Curb Requirements Existing — Driveway Width 17' —No. of Parking Spaces`2_ _ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 10470 S.W. Clvdniodal.n_plare�--. - - FIELD CHECK BY 79 -_.--DATE__ _._11.1..3-73--_-- ` PERMIT APPROVED BYE _.� _ It is understood that all work will conform with applicable odes and orainances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy been issued by the City of Tigard Building Inspector. -A [� - Signature of Applicant e c EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the raccrding of an occupancy parent 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: Tex Map 251 3AA, lot 14, ClydesLale ADDRESS OF PROPERTY: 1D 74 0 S.W_LClvdeadale Placi NAME OF OWNERS Robert Ii 7o p",i _ ADDRESS OF OWNER: 11'725 S.W. Rideoeview Tarr, Heaver on IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of 19 w. OWNER: Rome— APPROVED: meAPPROVEDs Title ,/Building al City of Tigard STATE OF OREGON County of Washington i ae' 19 Personally appeared before tee the above named and acknowledged the foregoing instrument to be voluntary act and deed. o aR PuNDic-for Oregon my Commission Expires �.i. 4 �'•_............................l G C:r�il - •,J t. QUUk 955 ?33 Cl 0� ;A �x 111 L �1ela- t q I STATE OF OREGON I i6 County of Washington I, Roger Thomsen, Director of Records and Elections and Ex-Officio Recorder of Con- veyancesfor said county, do hereby certify that the within Instrument of writing was received oral recorded In book of records No. of sold County Wuness my hand and seal affixed. ROGER THOMSSEN, 01rectnr of Records & Elections -I' L�/!/4-, lac 5 12 MOM"7 3 EXHIBIT "A ' CITY OF TIGARD Residential Structure Oc_cupany Restriction KNOW ALL MEN BY THESE PRESENTS, that oc_cipancy of residential structure (a) on the following described lance 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, 'regon: (The City will issue a release as soon as a final inspection determines that the construction is satisfactorily completed) DECRIPTION OF PROPERTY: Tax Map 2S1 3AA, lot 14, Clydesdale ADDRESS OF PROPERTY: 10470 S.W. Clydesdale Plsca NAME OF OWNER: _Robert Bz jhompson ADDRESS OF OWNER: 11725 S.W. RideaeylQw Tse, Beaverton IN WITNESS WHEREOF, the undersigned . %4 caused this restriction to be executed this day of 14� OWNER: Norms APPROVED: Title By: _� Building c a City of Tigard STATE OF OREGON County of Washington Be. , 19 Personally appeared before me the above named and acknowledged the foregoing instrument to be voluntary act and dead. Notary Pub4ic f6r nragon Fly Commission Expires: PLUMBING PERMIT APPLiwill-ION Jili'_ sdiu i it of `No.Y Tyne of Fixture Fee Permit No. Penni t fee Water C1.osPts. IToi lets) �' _ Penni t Iss?iEd =/- Bath Tubs-- ------- � �;., Approved by cry _ Was Basi'ni,- aw _ Building Pezmit` T Shower YReceipt No. S�nkst ni shr�a inK t_ Sinks-Kitnc�tn Sint sz Ordinary ._._......_ _ Location of Builds►,- -- e-__- SinVcCsi Slop -r---- A�at.c,cn.�t.ic TSishwE,sf,f�r ����.' — _ �........_._..........._.._._...�...... 31), i Launc ry_Tray ___.. 14 i, Addi , ss ov .,8. .. - Dr'air s L F]oo, 75rai'nsl:`Ares �_. =r7'c ._. -�^�.a�c�^� _--- iSra�ns Rain mains - _ t.o►natic I asl.or --_M--_ . `�='_ Name & Address of Plumbei _ Fountains, Sod8_______ .r 2 �" - ,��r ti�►''� Water Service _j Vi nals s�iilclin :i 11 (Old cew AliTt i p epair or aiGfi--Pasinsyyr ar,1 .. ...._._�_.�.. -- -- - - awn prin�t�er_ ys em _..._.. ....___._.= ?.... . tv-L/ 61-her .1 n _.- 3 This permit becomes null and void if work cr construction duLliorized 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 nnist be licensed by -LI-ie City of Tigard and post a $1 ,000 bond. I hereby certify that I have read and examined this application and know the same to be tnie and correct. All. provisions of :laws and ordinances governing this tyF of work will be complied with whether specified herein or not, the granting of a permit does not prestune to give authority to violate or cancel the provisions of any other state or local law regolating construction or the performance of construction. Signature of Applicant