The URL can be used to link to this page

10485 SW CLYDESDALE PLACE 0 1`l co Ul (n (D co CL Fl I rU w_4 � :TJ 'M 1-4 V p5i C, j tl' L0465 SW CLYDESDALE PLACE slvas3go= ms 99DIOT sz tiE-4 P >4 44 to P-4 tj 4: -0-- cl H4 rl) W tj rr) w t,4 m Lf) a) .�f Cl J I I City of Tigard f INSPECTION REQUEST for INSPECTION TIME: `��o'F0 PERMIT NO. :-- DATE: O. :_DATE: 4 I-Y L� DATE ISSUED :- / Z M OWNERS NAME .- ADDRESS: AME ;_ADDRESS: CONTRACTOR : TF ST : Air p, Water[] , Vir-al Laboratory p RESULT' Approved Disapproved O Pending p SKETCH: I f — INSPECTOR DATE LOTE: Attach s%.oiementel feat data hereto I 1 i:'�r'Mtly^sabrwnw+Yr•r�II�WPlr�rw•,r...q,..,M,r,y,ra, .. NIM�.++►+��«un/^*+airy..-,..,e.+..ir,wrq.N„wm,t�a..,.; ciTr or BUILDING PERMIT APPLICATION TIGARD DATE �� ` V '' r , ,9 N' 0074 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INPICATEII OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _— .. NF.R_ _ ' ADDRESS J BUILDER PHONE ENGINEER BUILDER ,�}�, ARCHITECT _ DESIGNER STRUCTURE ONEW ❑REMODEL r-1 ❑ADDITION _ ❑REPAIR ❑RENEWAL ❑FI,,,R��[[E DAMAGE ❑DEMOLITION C3 RESIDENCE n RESIDENCE COMM ❑EDUCATIONAL GOV'T ❑RELIGIOUS UPATIO ❑CAR PORT ❑GARAGE 6 STORAGE.❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY LAND USE ZONE BLDG. TYPE——FIRE ZONE_ PLAN CHECK BY_- NLA r___--_ L' 0. 4 F l10 OCC, LOAD _ FLOOR LOAD HEIGHT- NO.STORIES _ _a9EA _ VALUE �kL' ` BUILDING DEPARTMENT SE BACKS FRONT `v REAR LEFT SIDE NIGHT SIDE Permit — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINS D IN THE BUILDING ;ODE, ZONING Plan Check I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, ANL IT IS HEREBY AGREED THAT THE '—"— WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICAT IONS AND IN CONIPL IANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE CO'VFNANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 196 State . J LICFNSE. SEPARATE PERMITS REOUIR/D�rSEWER, PLUMBING AND Total S �. BV 'r APPL-ICANt OR AC,E -----�w Approved Receipt No. ADDRESS —'�—PF o --- —'- DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough-in _ Fixture Final _ HEATING Contractor Permit No. Gas or Oil ��_ ---- Rough-in Final SEWER T Final _ - DRIVEWAY Final Storm Drainage (Rain Drain) Final LFinal tG S'13 et Final BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY g al City of Tigard INSPECTION REQUEST for INSPECTION TIME : '•j& -*wv PERMIT NO. : -- DATE: ')1112/— O. :DATE: 1112/— DATE ISSUED:— .1_L-OWNERS NAME ; n'a sc ADDRESS :/� S� CONTRACTOR ' TEST: Air C7, Water p , Visual� Laboratory CJ RESULT: Approved Disapproved El , Pending p SKETiiotI: INSPECTOR DATE NOTE Attach supplementol test data haratol f Address L751�-�" tic � �`� �� , [ . Permit Ib. k - Permit charge Owner 113 LAss k"�� l, Connection fee .3.S c) Paid by - Type of building _ `"Ps4� Dste connected .,�rv-ir_e rate S e ;)�c.�xr _ Inspection fee Contractor Paid. by .�:4sY.•� Date Assessment Paid Sire of connection 1 I City of Tigard INSPECTION REQUEST for I INSPECT!ON TIME: f!!k .._ PERMIT NO. : DATE: 3/-417� DATE ISSUED :—" OWNERS NA:"E : ADDRESS: �kS CONTRACTOR : i TEST : Air D , Water[] , Visual 0 , Laboratory ❑ RESULT. Approved , Disapproved C] Pending _- I 04, �I I INSPECTOR DATE N01 E Attach supplemental test data bertto� I ■ - I I City of Tigard INSPECTION REQUEST I for / SPECTI0 N TIME-- _L.:� -- PERMIT NO. : DATc : # DATE ISSUED :___-L_ Z INERS NAME : �� L KZ74 - A D D R E S S: /0 YL; ,fir YL'��f" )NTRACTO R : �' � � :ST : lair Li, Water El , Visual 2�, Laboratory E] "3ULT : Aporoved ,S Disapproved L7 Pending p CETCH: I I I �liel-ll INSPECTOR DATE 1E . Attach supplemental test data hereta1 City of Tigard INSPECTION REQUEST for X INSPECTION TIME ' Y PERMIT NO. : — — — I DATE : AZA U DATE ISSUED' OWNERS NAME : I ADDRESS : P5 S CONTRACTOR - I TEST .A r `7, Water [I , Visval, ', La'- .ratory n RESULT: Approved ,, Disapproved _1 Pending 0 SKETCH: I I I I i I ' INSPECTOR DATE ICNoTE: Attach supplemental test data heret] 1 (. ! d<' N ) "► r1 i�' JSP `� `"� '1 `� -- Permit cb.rge Owner C ilk 1 0 Connection fee Paid by Type of t al lding , Date connected �;ervlce rate y oU Inspection fee Contrac,-.or _ ,° Paid by .'.late size of c•oruwctlujj Assessment Ya i,. I i f T ' City o Tigard INSPECTION RETEST for IINSPECTION TIME : 'A' Gq PERMIT NO. ' .--- DATE- O. : _— DATE: DATE ISSUED: OWNERS NAME : ADDRESS : CONTRACTOR : — - TEST*. Air O, Water [I , Visual 0 , LaF ,ratory Ul RESULT. Approved IJ , Disapproved _l Pending 11 SKETCH: I I i I I IN PECTOR DATE IENOTF : Attach supplemental test data heret:01 1 i i of Tigard INSPECTION REQUEST far 'NSPECTION rIME . PERMS V NC DATE . .� ` )ATE i S S U E D ;.)INNERS NAME ' -lf� '1169 - -- _ n N r R A 7O R . EST _•�hc►ct �r,. RESUL. ,u ruvdd upp+ d G sidi L. S KETOH: r / INSPECTOR DATE 50TE Attach supplemental feet uatc r rub , avxJr:r.•airw. -1 r PLUMBING T APPLICATICN Jurisdiction of Type of Fixture Fee Permit No. -Y4'3 Permit fee ?j�__ — at Closets "Toilets a� Permit Isau � th Tubs Approved by v -tor asNa-s-1 Building Perm ower Receipt No. *. D.shw'asyin - nks Ri en a.Or Inary Location of Buildin SinkSi Bar '/ w a77 rn ca a -- ix omatic Dishwas er - E o9fl Laundx'bra 4 Name & Address of Owner ` Drains. aor ^191 ti;� `mac (d".( z Drains. as T— ' a nsRefrigeratorer� )rains Rai )re s Automatic as er a_ Name & Address Qf Plumber Fountains, r n . n _ 1�s�t v�-w V- •-1,%&.NQ1. ' oun a ns Soda o ' a er an _ titer..Service Size 1` rina s Buildin 01d or New) Alter�ReQair or ch-Basins - Yard--- awn ren c]Te r� _ in Pool _ e Ti r -+ W 22rinkleraseeM ' 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 li.c*nsed by the City of Tigard and posh, a $1,000 bond. I hereby certify that I have r.+ad and examined this application and Know the same to be true and correct. All provisions of laws and ordinances governing this typ 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 or the performance of construction. Signature of Applicant d, i City of Tigard ' INSPECTION REQUEST f .L;1 SPECTION TIM7*( ,L�' &'r) PERMIT NO. : -- DAT -2-1 j12s' DATE ISSUED : ! -1 iNERS NAME : ADDRESS: )NTRACTOR : _- — =ST : pair U , Water[] , Visual U , Laboratory p ESULT : Apnroved I Disapproved 0 , Pending [] (ETCH: INSPECTOR DATE TE ' Attach supplemental test data hereto] d ! UNIFIED SEWERAGE AGENCY No. _ 4924. _ WASHINGTON COUNTY DATE E � CITY OF Ted ------ ------ _---- i APPLICATION FOR SEWER CONNECTION PERMIT ' OWNER: OWNER'S ADDRESS: . - - 119�s-S.J�._ l�u �se� STRE T - - - -- 1 CITY -- -— --- ----- -- STATE -- f ZIP 1r I BUILDING SITE: l_OT___. 1Q_-. BLOCK _ ADDITION Cj_ydeed TAX LOT N0. ___ —_ TYPE OF OCCUPANCY -- ADDRESS lJ24 5_S.W._ ClyL -adale Place I DWELLING UNITS _l _ _ _ - FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEF -450 INSPECTION FEE 25 TOTAL DEPOSITED 475 lNEW) (EXISTING) BUILDING SEWER SYSTEM Tigard The Applicant agrees to comply with all rules and regulations of tliv Unp4qacl Sewwage Agency. j I APPLICANT ayeZ 41,- SEWER PERMIT I I THIS PERMIT AUTHORIZES CONNECTION TO T14F SEWER SYSTEM. LINE SIZE 4" INSTALLER REC- 1 ,, ED BY (AGENCY OR ITS AGENT) ----- COMMENTS 3' Ztj 3 _ i This Application and permit expires in ninety (90) days. The arn0unt paid will he forfeitnrf 1 CITY OF TIGARD 11410 S. W. AUIn 51 ow TIGARD, ORROON IfM APPLICATION FOR BUILDING PERMIT New Construction a pemolish ❑ Addition ❑ Remodel ❑ Move❑ ZONING R-7 DATE ISSUED 11-13-73 BUILDING PERMIT DATE RECEIVED BUILDING FEE $__94.00 No. BY PLAN CHECK $ 4♦- .UU 73-263 OTHER $ �9A VALUATIOij $ 26,259.00_ TOTAL $ 145.94 RECEIPT No. ?,,Z69 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 10 MAP N 251 3AA CENSUS TRACT JOB N Architect or Engineer I -M- Rruininr A Ann— Address Phone Owner Wave Uh-07 - --�� Address 11975 S.W. Walntu Street. Tigard �_ Phone_ 639-5066 Builder same Address _ _Phone BUILDING USE Single Res. ❑ Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUPNo. of Stories_ Total Height` Area of Lot Type of Construction X1XXX1X1(XX1XMXXN V Floor Area B ---- 1 1631 2---- Set Backs: Front 31 30' Back 70' L.Side 6 R.Side_ 6 Private Sewer Pipe Size 411 SeweruseAtigad Septic Tank ❑ Water Service Pipe Size 3/4" Storm Sewer © Ditch ❑ Drywell❑ i Street and Curb Requirements Existing _ 1 Driveway Width 221 No. of Parking Spares 12 i SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED 10485 9.W. Clydesdale Place FIELD CHECK BY JB _Y_ _ DATE ll-13-73 PERMIT APPROVED BY), I,-%. It is understood that all work will conform with applicable codes and ordilances of the State of Oregon and the City of Tigard, Oregon, and that the building Wil: not be occupied until a Certificate of Occupancy hasn i"ued by the City of Tigard Building Inspector. Z_/ �[ ffignature oA Applicant t 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 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 r610a98 as noon as a firil inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: INX Lot i0, Tax Map 2S1 3AA, Clydesdale Place ADDRESS OF PROPERTY: lnarar, s 1.1 r �y��ndei� olaro NAME OF OWNER: ntn_� srhil -- ADDRESS OF OWNER: 11Q7S g.ij Ilnlrawf S+re f, T+QS*'j - IN WITNESS WHEREOF, the underoigned hes caused this restriction to be executed this 13 day of November OWNER: Naft Z �L� Owner APPROVED: le ng c�T ity of Tigard STATE OF OREGON County of Washington on. November 13, 19 73 Personally appeared before me the above named Aloys _ Schulz and acknowledged the foregoing Instrument to be his _ voluntary act and dead. Notary Puc for Oregon, My Commission Expires: 12/23/75_ '' .. r..•'. - r.,.d Int,�crnd ��/._:-5........ID��aw�,rrp ,. AQw�UCR T110MRSM, N"'"ot o1 8.-140 & KL.•.,,.,. n boos 955 ',,AN L� C � STATE OF OREGON gas County of Washington I Roper Thornesen Director of Records and E�ectlons and Ex•OIElcioRe h r�ebrY certify veyonces for said county, d that the within Instrument of writing was received and recorded In book of records No. ................. of sold County Witness my hood and seal affixed. ROGER THOmSSEN, Director of Recards 6 Elections 14 r,r. On 5 12 EXHIBIT "A" CITY OF TIGARD Residential Structure Oc.cupany Restriction KNOW ALL MEN BY THESE PRESENTS, 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: JUX Lot 10, Tex Map 251 3AA, Clydesdale Place ADDRESS OF PROPERTY: NAME OF OWNER: 10485 S.W. Clydesdale Place ADDRESS or OWNER; Aboy• Schulz 11975 S.W. Walnut Str•• , T Bard-- IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this —14)-- day of –NoIembtrr-, 19 OWNER: Ns • APPROVED: Title By: ; 0f-fffq�"lel a Ci y of Tigard STATE OF OREGON ) County of Washington ) as' 13, 19 Personally appeared before me the above named and acknowledged the foregoing instrumenT o be My _ voluntary act and deed. N o y c r o P 0 re g-6 n MY Commission Commis• on Expires: