Loading...
10485 SW CENTURY OAK DRIVE-1 ■ � r 0 ~IEli f I\ V , tntii �it� C F i • C,7 r � x- F-i c� 4� S• rt , 1 (_ I 1 J P � � t r \ � C j �f , , 0 ti �t 0 J N 10485 SW CENTURY OT,!'. DRIVE UENMUM SATHO xdc 2CMnLNR.) MS S8f70T 0 U C 4l E a 0 m C) P I 1�J V� I o ;i � w 1 U .4 �.� � �3 � ILI i��G t-4 r� Ili y I r- C � �a Wwo w [niy cr, w • H UlLn E� rj .7 a t EXHIBIT "B„ IL 7094 CITY OF TIGARD i�ECE�V ED C=ERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION MAR 1 y x°74 'The City of Tigard hereby certifies that the occupancy of rjTV nF T�rpR� the following described structure or premises with respect to which a restriction of occupancy was, on J . 7/V , 19_, recorded in Book �, Page __7/,y , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPF_m kS,0/ OWNER: BUILD--HG PERMIT MMER: 3 sZ v (, �BUILDLNG ADDRESS: /d y(F'S o5 [L'. Ce�c-T N�y �,�,�,� Z)�el (/e- This /EThis is to certify the said structure meets with the require- ments of the Building Code of the City of Tiga•d 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 r ' to be executed this /y _ day of A 1921L. Title: S, STATE OF OREGON County of Washington )ss NVQ "Ont" 11 THO' �"7V On On this ' day of 197K , personally appeared before me the above named , whose ' h signature appears hereon and who acknowledged to me t e executed the same in his offical capacity .n behalf of the City of Tigard. Notary P 11c of Oreg on My Commission expires: 065 L760 7 Cie i c �� F .e in o � W /y« _1!C I/ CITY OF TIGARD MECHANICAL PERMIT t DATE / n _.......��....��..�/_ _ 'PERM I�'1 NO. ,�f�p.�=�'�__ RFCE I PT NO. -•-- I3Y1_.�15M�2//!� FEE 1. Permit shall be ohta:ned prior to c�,rnmfncemEnt :f installation. 2. Permit shall be obtained fcr all appliances which are to become a fixture -to the building. 3. Relocation, replacemen ta, alt c r:� t) cns, or changE!s to burners ar,d duct work require permits. 1+. All work to be conceal.c?d must be inspected b fore cover up. New Installaticurl IXI Rep!acc Itslr.caf,icn ❑ A1,Jit1c,n �- -�✓�� � Aitera�.t.on U CONTR.__' / ..!G.'Z[%�r1�'�X _ _ -_�? OWNER____ _• ,~.r�� .e-----_..._. ADDRES" .�a' _._�5'lL'. /�C! /i�', W(►1?K A[)llRE,':. A1111LU, _/_�Z /n t X4 THLI1.1110111E NO. t 3/ FI1RNAt;E - MANUS A(.'!'l1StFIR ----/r\�C'C _A ['m_Ii'[11101JL NO, - HEAT Input rating (Bt,-, Ver Hour) yr _ Vent _ Flue Size FUEI. OIL U GAS �JlI,,;;� ELECT U OTHER TOTAL SO , FT. Top Floor Floor��,�Main Floor _/��� Basement GENERAL ITEM N0.- FEE _..____.__._._.._....__. ITEM ...__,._. .....__ N .. L . .. 0. FBI, For Zssul3nce of Permit _ _ �,�)0_.(_ Boilers Over 50-HPr��p New - Under 100 000. Btu 4.00 Ai.r-Hand1jnt;-lf),000'CIP�M _ _3i 0 New - Over 100,000 r r l�'loor l�'urn c � - -�',.��pp �ix'_f-i�n31.�ni, Ov�M 1U UOU G _ r-v o e 1�()() lHva ora ti ve Cool n Wall - I�°!oor --,5u�ien-dear _� _�i.UU_ _�-Gcnp_��an "' ..--____------ --- -,�x.()c Install '7T(7C1 -�In�' ,-rin------------- fie ______-__.--_..__ y.Q FRep1 r � rr_o_1 i.n -T.OU - -►I����d_ --- -- ---_____.._._.__._.------- -- (IC ol ers I nder 3lip .L00 t.1_.�D�me;�t.l c Inc 1 rle r.� FP ...._ Oilers 3 to—T5 TI _ Boiler _ _____ 370 S3oiler33irow��__ INSPECTGRcS COMMENTS APPROVED BY DA'!'E _ ISSUED 13Y/_.-- -._ DATE 0�;_ Sign;ltt1T e 7f Applican-t. -'�' City of Tigard INSPECTION REQUEST for INSPECTION TIME : __ PERMIT NC. : DATE:// 6XI, 'L DATE ISSUED-,--./--L- OWNERS SSUED:M1LOWNERS NAME : -----�- ADDRESS : . A U7- 27 CONTPA("'';, ;,9 : - - 1 EST: A ► 'J , Water ❑ , Vict: Lah ,rotary P RESULT: Approve, Disapproved ❑ , Pending Q SKETCH: y 77 INSPECTOR DATE h supplemental test data hereto AM w City of Tigard INSPECTION REQUEST for SPECTION TIME : PERMIT No. DATE . _11 /-2ff7? DATE ISSUED :_4 VNERS NAMF ADDRESS: 1�,��f WrRACTOR : ---- -ST : Air G, Water[] , Visual, Laboratory ❑ =SULT: Aporoved, , Disapproved ❑ Pending ❑ (ETCH; i I I INSPECTOR DATE I TE: Attach supplemental test data bereta� I a � � City of Tigard INSPECTION REQUEST far INSPECTION TIME: � PERMIT NO. :_—.. DATE: _ DATE ISSUED :__s.._Z_. CWNERS NAME : 7111 • ADDRESS: - -- ---- CONTRACTOR : TEST * Air ❑, Water[] , Visual*; Laboratory p RESULT: Apnrovedx, Disapproved ❑ Pending p SKETCH.' INSPECTOR DATE ENOTE . Attoch s;,pplemental test dotcj hereto] r I C lfY of Tigard i INSPECTION REQUEST for 'NSPECTION TIME : PERMIT No. . .__ f DATE .X-o /Jt/ 2s DATE ISSUED'—.,, __� OWNERS NAME : I A D DR E S S : _ TE$ 1 RESULT: Approved` , w5rppr0V8l4 _1 - ing' s I SKETCH: INSPECTOR DATE I 'NOrE : Attach su L_ pplementoi fest ota hetet] w City of Tigard INSPECTION REQUEST for INSPECTION TIME : _:;,'/S _ PERMIT DATE: -V DATE ISrUED Z OWNERS NAME : TQ ,G ADDRESS: kk�r' CONTRACTOR : ` XG �� ---- _— — TEST : Air U, WoterE) , Visual Laboratory p RESULT: Aporoved W, Disapproved U Pending p SKETCH.' INSPECTOR DATE [OTE: Attach supplemental test data beret] i of Tigard INSPECTION REQUEST for NSPF:CTION TIME . -RM P ; f VC DATE: i(n ; +i `73 JATE iSSUE:D i OWNERS NAME ' _ r.n • ADDRESS.' �'tq.�- EST . . N tern UL_': %p rave :uppr).ed9 . eridioc; L] SKETCH. z u'x `0 __. 'roSPECTOR pq TE [OTE: Attach auppiemeotal teat uotc 1 er -to� i J City of Tigard INSPECTION REQUEST for -- w�� _---- -- -- INSPECTION TIME: �� � PERMIT NO. —. DATE: ZO / 8/73 DATE ISSUED :_L1 OWNERS NAME : T D•G. ADDRESS : _" -2%' - �i. �ef-�E4y ---- CONTRACTOR : 770, C • -- - TEST : i%ir u, Water❑ , Visual)i(, I_aborotnr! ❑ RESULT: Apnrovedo_,, Disapproved ❑ , Pending [] SKETCH.' INSPECTOR DATE 50TE: Attach supplemental test data bereta� PLUMBING PERMIT APPLICATION Jurisdiction of No, Type of Fixture Fee Permit No. j,_;� L;,_ Permit fee Water Closets (Tor.1et.s 1= Permit Issues Bath Tubi Approved by Lay.-, i',ory -(Wash Basin ���' Building Permi Shower _— Receipt No. ; w Sink - D_sh-NaN 71 ng S.LnkI K1tcf,7n Sinks Grdir! f �~ __ Loc tion of Bul,lding Sinks, 5131) -------x----- Aut�m,jcsTiwasheY rLa � ux; Namf- & Add)rr-�<� <-•t Owi •-: .:�s: A J_-j D: ii r,_Pi a Aur t c '�ti':j: 1e r, ^ ( _ Name ,Address t'..umber, r uuntain!", 6(3^_� r -ink Buil n C�.d t:pr, Repair or a r. —__ --- — - •—r- i T_ -13 a rl C: _ - - — ---_— ----- :tWI —�2" ;,k.."r_�`a_.':•fil —�y_• �-�- ._..—__..... .�.-.f�.:...LS.�l•�.6.—•___-------- nkier "' Thj s I M,1 c ^rr +� , and v(_..(1 if work or cc.r. crmrlE'n,:ed wi 9i&;-: a J 0'_' if _i ;'nstruction ow : k o.-i•-nded abandoned;f 1 ; ai, . ny time of ter work i:.; c V 1 plumbing firm. :^itst be licensed by the City of is Frq' d and post a $1,000 bond 1 hereby certify that i hsvP r-ad and examined this app'1, i.,at:.,:)n and know the sam to be true and corrkct.. All provisions of law; and .:•rdi.r)ance; g,,v-rning this t of work will be r.otnpl i ed with whether specified herein c r nc t, the granting of a psarmit doer not prem unci to 91.ve authority to violate ( r cancel the provisions n*' any other state or 3 )cal law regulating constructlun (:r the pprfcr'mance of .. :nstructi0n. Sign turf of Tpplicant - _ i � itv of Tigard INSPECTION REQUEST r for INSPECTION TIME : HERMIT N4. . . _ DATE . ' L 'SATE ISSUED'--,Ll— OWNERS SSUED' l—OWNERS NAME '7.- D. C _ AOUREM TES I e r71 LJ RESU:?' SKETCH.' IMSPECTOR DATE LN �TE : Attcch supplemen t(ii "ost ,:00r. r.eret] I v 1813 EXHIP.IT "A" CITY OF TIGARD Residential Structure 6&upancy Restriction KNOW ALL MCN BY THESE PRESENTS, That occupancy of residential tructure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Dee. Records of War,hington Cuunty, Oregon, is prohibited by the ordinance of the City of T:j%rd, Oregon: DESCRIFTION OF PROPERTY: •\ e.�' �Z•r.. .._t.r'e'1'k. O! �`�.w \� .r c•�1TV--, ADDREII;7 Or PROPERTY: 4LME OF OWNER: ADDRE.ici OF OWNER: .N WITH z'S WHEMOF,, the undersigned has caused this restriction to be executed this day of. 19� . Name tle { By: B /f 2 J to......,a�....... PM. Building Official rite d la"°nie"'""" M era.a tl•moni' City of Tigard poctw mos/st�h° ] .. STATE OF OREGON ) sc. County of Washington ) September 6 IT3 Fers')nally appearcd before we the above named Rey Brown. Vics presidw and aak..nowledged the foregoing instrument to be J his voluiaary act and deed. Notaiy Public for Oregon tdy Comm'scion Expires: JsnU Ey 1y1975 i euoti 945 tuE 764 c Q N 49 w y�yy � 3`I Q J F d c t� r r: u � i ter sy CITY OF TIGARD 11120 & W. IUle 0 of TIGARD,ORIOOH "222 APPLICATION FOR. BUILDING PERMIT New Construction Demolish Addition Remodel Move ZONING - - DATE ISSUED_ ��~�3 BUILDING PERMIT $ J DATE RECEIVED '"� No. ,13, 206 _ BY ---- BUILDING FEE PLAN CHECK ;NE �3m�s ---- OTHER 4.r$�Zdco VALUATION $�-- f'e0rAL RECEIPT No. TOTAL $ /4Z,(r t -5-7 TWO SETS OF PLANS AND PLO': PLANS MUST BE FURNISHED WITH APPLICATION I.OT MAP A_C-_aI 10-'[) CENSUS TRACT LV- JOB Architect or Engineer______ Address Phone Owner Address` —_ _ _ Phone , - Builder -------- Address _ _! -_ Phone_ BUILDING USE Single Res, ® Multi Res. Comm. Industria' [-] OCCUPANCY GROUP- No. of stories Z Total Height1 Area of Lot4 &Q- Type of Construction II III IV Floor Area B__ W "l- 460 Set Backs: Front� Back'- L.SideP.Side`4____ Private Sewer Pipe Size Sewer Septic Tank Water Service Pipe Size Storm Sewer © Ditch U Drywc-1111 Street and ^urb Requirements Driveway Width- '/5' No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNEUCJ1J�Z F I ELD CHECK PERMIT APPROVED BY It is unders►cod 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 Fly *h , City of Tigard Building Inspector. Signature of licant _�.+WIraWH�