15945 SW CENTURY OAK CIRCLE 11,t� I
N
Ul
1D
1�
Y- ►
�f
a)
C
h
� ,.,� 1 rn ►a c.., � •c
Ia •' �� i-' h�1 C) � C�
aim
�7 ►
mob m � �� vH
M f
I 1 1 l
(J1 k j !� �i (7 1/• Y
ob
1-4
r
6. 1 p
„�°•1 r
fi � �9•
1
a
W I
15945 SW CENTURY OAK CIRCLE
WAMN
i
mum xdo xmim 3 Ms s66sT
V
.0c
ff r,
cp �kms,�H �r� r,.• U � �n' � .. F..
10, aU'.
� � 1
1
1 ra
Q Ll
4- ' I a
3
1 ,rtiJ- Ca � � a l
F4
i
M � I
C
CJ
C)
14
Ln
4
0)
to
BUILDING PERMIT APPLICATION TIGARD DATE 1,' ,s'_A 4766
THE UNQERSIGNEF)HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN !NDIGA IED BUILDER PHONE .09-0250
0�3 AS SHOWN AND APPROVFD IN THE ACGOMPANti ING PLANS AND SPECIFICATIONS. OWNER PHONE_09-3756
OWNEP (.:, b'eilenberAex JOEADDRE°S 15,)45 _ i:en0uxv_ fleck Ci•. LOI NO -_-�y11LL_
- 2 S l
ARCHITECT
BUILDER John A. Lcll ADDRESS I562t, 5W til l rbroOk ENGINEER
Circ EaD 'GNER
STRUCTURE ❑ NEW ❑ REMODEL ® ADDITION ❑ _REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEW)LITION
11 RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARFORT_❑ GARAGE C7 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY K-3 _LAND USE ZONE -J&=Lll)BLDG.TYPE SIL_FIRE ZONE_—PLAN CHECK BY —1Q—HEAT
__-- Cocutr»ct fa?g—i-b_r0rain addiLi,au ccr._g l�ti�s:_� 111�I,-ti�.f�t lY�Jw��lilny _ —
SEWER PERMIT#
OCC.LOAD FLOOR LOAD h() _HEIGHT 9r`6" NO.STORIES I_ ^AREA
2,16 N_0.BEDROOMS VALUE Up
BUILDING DEPARTMENT SETBACKS FRONI _ REAR LEFT SIDE ' RIGHT SIDE
Permit 56 51aTHIS PERMI'i IS ISSUED SUBJECT TO THE REGULATIONS CONTAJNFD IN THE BUILDING CODE, ZONING
REGULATIONb ^k'D ALL APPLICAE'.E CODES AND ORDINANCES, AND IT IS HEREBY AGREED TIIAT THE
Plan Check :3t,.73 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL AP.'LICABLE CODFS AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES, NOT WAIVE
Subtotal 93.13 RESTRICTIVE COVENANTS. C NTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
LICENSE.SEPARATE PERMI i S FIEQUIRED FOR SEWER,PLUMBING AND HEATING.
Tax '1..2t, --":
Total _ 95.4) SDC—
PDC# APPLICANTORAGEN7
BY 1;t1
-- -- Receipt No.
8(;h — -
Approved ADDRESS— PHONE
;J
DATE INFP. TYPE INSPECTION REMARKS PLUMBING DATE
5--1
-P
4t on-rector
Permit No.
RouQh IN
HEATING
Contractor
Permit Nn.
G's or Oil
SEWER
fris
DR'VEWAY
—' r— ------ — -- --'--
Final
Storm prsinagr
(Rain Drain)Final
'.urb&Street Firiel
Approach
BLDG "T.
FINAL. TE?4PORARY CIERT1111"IrATC OCCUPANCY
CERTIF1CArEoccuF,4w.y Final
i nc,Final
Al-
6'
BUILDING PERMiT APPLIGAI-ION T'IGAaJ DATE
THE LINO ERSIGNED HEREBY APPLIES FOR A PERIAIT FOR THE WORK HEHLIN INDICATED BUILDER PIICNE
OR AS SHOWN ANL APPROVED IN THE ACCOII,PANYING PLANS ANG SPECIFICATIONS. OVYNER 1,11or:151432 ly-2-4Sy.
LOT r 10._- �4«'t7
in'PJNER E_•C C E/I/flri�u ' OB ADDRESS,'
- ARCHITECT
ENGINEER
L L ADORES S �!' , <a fJ�1�dk' %_� UESIGNER —�--
STRUCTLIRE ❑ NEW ❑ REMODEL tAODITION ❑ REPAIR 0 RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITI:..
RESIDENCE ❑ COMM ❑ EDUCATIONAL Cl GOWT ❑ RELIGIOUS ❑ PATIO Cl CARPORT Cl GARAGE L STORAGE Cl SLA80 FENCE
0-l-"GiiBANCY .,� 3 LANG USEZON6h BLOG.TYPE ' FIRE ZONE -" PLAN CHECK BY HEAT---
SEWER PERMIT k
CK'C.LOADFLOOR LOAD A10 HEIGHT',' NO.STORIES AREA NO.BEDROOMS VALUrS,�-
IIUILDING-DE PA fN'ENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
PerrnH fC, THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWN,
3 NEGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Ir IS HERc3Y AGREED T+AT TP..;
�Planr,;heck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIANC'
�1 7 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV'
I SV5401121 !� �7 'S RF-STRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE rURRENT CITY BUSINES'
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUM8ING AND HEATING.
,late Tax
Total
POCK APPLICANT OH AGENT
By
Approved , Recelpt No. ADORE SS ?HONE
PDC -'1�' ---71-1
r-71-1 --
SEWER CONNECTION
SEWER INSPECTION
SEWER SURCHA S
i —
1 ,
ARCHITECTURAL CHANGE REQUEST
Per section. 1-11 of conditions and restrictions
SUMMERFIELD ARCHITECTURAL COMMITTEE will meet on the FIRST AND THIRD FRIDAY
of each month to review the plans, inspect the site and discuss the proposed
project with the applicant (if deemed necessary) .
PREPARE INDUPLICATE
NAME DATE
ADDRESS -6-5 .-T 7�
PHONE
T:rL t•: CHANGE: Building, including structural and color
Premises - hedges, tree removal, fences, etcint ) charges, etc.
r
PLAN - Dimensions and Detail (TO SCALE) (Show house locat on b property line)
(Attach drawings or other exhibits as required to ful)s" explain the
proposed changes)
NOTE:
(1) Adjacent property owners may be intervie-ed regarding the requested
change and will be given a chance to voice objections, if any. ;You
may want to interview them yourself and attach a copy of their
signed approval and/or comments)
(2) A building permit must be obtained from the City of Tigard for any
improvement of ever. $100.00, excluding fences.
The plans as submitted have bee nl�(--approvee. disapproved, subject to:
Date Approved
7/12/83
By c L
B / I
y��.
i
City of Tigard
INSPECTION REQUEST
for
INSVECT!ON TIME : ' (4 � PERMIT NO. :
DATE: DATE ISSUED: _L1
OWNERS NAME : _
ADDRESS : 4107 �c�.�,` �► �.�� , �
CONTRACTCk :_.--a,C✓
TEST: Air 0, Water [] , visual la'�, Laboratory U
RESULT.* Approved X"r Disapproved ❑ Pending ❑
SKETCH:
INSPECTOR DATE
r—NnTE ' Attach supplen•a it test data hereto
City of Tigard
INS PEC TIO 14 REO U F ST
for
INSPECTION TIME : _ PERMIT NO. :
DATE: -4e Z,-VJ2'Z LVATE ISSUED: L1_.
OWNERS NAME "
ADDRESS .
C 0 N'r R A C T O R :_.-------
TEST. Air ❑, Water p , Visual ❑ , Laboratory p
RESULT.' Approved-g , Disapproved ❑ Pending CJ
SKETCH:
mX w fwoe-
lVi 7W 1*-tfia- f 41
44 jo,
ECTOR DATE
[NOTE : Attach supptemental test onto hereto
PLUMBING PERMIT APPLICATIC
Jurisdiction of
No. T,-pe of Fixture Fee Permit No.
cPermit fee 30._
Water Closets Toilets .S� Permit Issued
Bath Tubs cz Approved by
Lavatory ash-Basin _ _ Building Perini
Shower _ � Receipt No.
Sinks. Dishwashin
Sinks Kitchen
Sinks. OrdinaELocation of Building • ys_� _, �✓ Y_
Sinks Bar __---_�
Sinks, Slop S_c�r� 1►;rr Fi 6.��
_Automatic DishwasFer 4Z --
_/ Disposal ----• -- i� .�-�--- ------------ .____...
Laundry Trays_ +��_ _ Name &� AddrF^ ,.of, Ownez 1 CC!�L!���-.✓ __—
Drains, Floor _-6-r _
_Drains, Area ��-�I �'
llrainuRe�r�ig�rator
Rain Drains —
Automatic WasherName & Addr�� f 9 P umber •
ounta1nsL r In —
Fountans, Soda '' 7
Hot Water Tank - -
Water Service 1S]i:ze� T -- ----� `_—�-�
ilri mals _ _ _ Builds Gld- _ sew 'Alters R.ep _ i r or
Ca-t7c -Basins -_Z arHns al _ - V---
_-- -Lawn Sprinkler System �-
__
Swimming Pool
_--sprinkler
This permit; becomes null and void if work or construction authorized is not
commenced within 60 days, or if c :nstruction or work is suspended or abandoned
for a period of 120 days at any t,ii. e after work is commenced
All plumbing firms must be licensed by the City of Tigard and post a $l,OC,O 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 t
of work will be complied with 1%hether specified herein or not, the granting of a
permit dces not presume to give authority to violate or cancel the provisions
of any other state or local law regulating construction or the performazu:e of
construction.
3
j-Bigna u e of Applicant
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME :_ Lrn PER41T rj0. :
DATE: g-171/_ DATE ISSUED:--l--j
OWNERS NAME : `f���-�
ADDRESS : _ 7
CONTRACTOR :_fit LL)S A.,,&L _
TES i: Air Q, 'Water p , Visual O , laboratory [.J
RESULT: Approved O Disapproved ❑ , Pending (]
SKETCM:
J I
INSPECTOR DATE
NOTE Attach su� plementol test data heret]
City of Tigard
INSPECTION REQUEST
fOr
-_
(40-
��o�
INSPECTION TIME : PERMIT NO. : —
nAT EX--�L__�'DATE I SS U E J:_._.l___L_.
OWNERS NAME . _=__,__�.
ADDRESS : _ T ` 7
CONTRACTOR :----.- --
TEST'
ONTRACTOR :----TEST: Air [3, Water [] , Visual [] , Laboratory ❑
RESULT: Approved, Disapproved ❑ , Pending [-j
SKETCH:
i
i
�SpCTOR DATE
Cole Attach supplemental feet data hereto]
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: w—�
PERMIT NO. :—
DATE: /��. D,AT!-- ISSUED :_�_ I
OWNERS NAME :
ADDRESS: (" 7
CONTRACTOR ' -
TEST :
ONTRACTOR _TEST : Air ❑, Water[] , Visual p , Labarat-
IRESULT: Approved Disapproved [Dr ❑Pending CJ
SKETCH:
I
I
I
I
2233L--
_
NSPEC -_TOR DATE I
40TE Attach supplemental telt data bereto] 0
e27/8y EMIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MIEN BY IEEE. PRESEN'T'S, That occupancy of residential
structure (e) on the following described lanes prior to the recording
of an occupancy p.rmit releasing the restriction in the Deec Records
of Washington County, Oregon, is prohibited by the ordinance of the
Oity of Tigard, Oregon;
DESCRIPTION OF PROPERTYi Summerfield - Lot
As recorded in Book ��, Page , Plat- records of Washin,ton
County, Oregon.
ADDRESS OF PROPERTYi �i y5r tel, w! , Irl,�Lc_�T s ,
NAME OF 0WNSRJ-4 /71-V-A.AQ 121 W!
ADDRESS OF OWNS R i .` _ 'Az u4 t�`f• TQ G gat"
IN WIMMS WHEREOF, the undersigned has caused this restriction
to be executed this 2 U, __ day of
OWNERS
Ti,:,l::0 i r.
—i�'3SLQ
APPROVEDS Byt \--
Title
By
ilding Official
City of Tigard
STATE OF OREGON ) se.
county of Washington ) , 19 7!:
.Yersone y appeared before we the above named
and acknowledged the foregoing instrumVni to be
voluntary act and deed.
.f'asd for namdOL77�.A....._,t9 lM . Note y Public f Ore,;on
ROMA MOMS 10 MAY Commission Expirest
' Q c mitis�•� pyw7� �� "
N7iP 975 PAGL197
.....-..
jj .. �.' �
M1�, �.7�g � � y�y
` `U� i
U
s � � ��� ' ;
G.4
c
�.:
Fcpi �.�� � erf
C .}}�� u �OC
�5 o a t �� �� E
W _S�
��
N
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy R:striction
KNOW ALL NL;N BY T"IESE PRESENFTS, That occupancy of residential
structure (s) on the following described lands prior to the recoidirg
of ac, occupancy permit re.Leasing the restriction in the Dcec. Records
of Washin, ton Colmty, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRIPTION OF PROPERTY: ummerfield - Lot
As recorded in Book 7L_10 .��� Plat records of Washin;;ton
County, OrApon.
ADDRESS OF PROPUTY:
NA,XE OF OWN:.R: Till l� 1�eVe-AT-.rte
ADDRESS OF 0W:NE;R,. LAI, 1/4
IN WITNESS WHEREOF, the undersiZned hsa caused this restriction
to be executed thio _ Z�ti day of
OWNERi
i'ti I 'to�r. Ii l /
APPROVED: By:
T.tle
By: `�_
ouildir.g Official
City of Tigard
STATE OF OREGON ) se.
County of WashinEton 19 qc/
grsonally appeared before ue the at•ove nared o-
/ se -�/ and acn::owledged the foregoing instrume to b--
/r.e. volurt.ary act and deed /
Yo` ry Public dr Oregon
May Comm!„sion Expires:
CITY OF T'IGARD
12420 S. W. Main SPraof
TIGARD, OREGON 97229
APPLICATION FOR BUILDING PERMIT
New Construction Demolish ❑ Addition ❑ Remodel C_1 Move ❑
1,UNINGR _ DATE ISSUED 'S=�7_)7 BUILDING PERMIT
B
D.,TE RECEIVEDJ_ FEE $ �� No.
f -J l� � -
BY PLAN CHECK $ fc '-� ��.,s • •. _ 7SK- 76
OTHER / 4c $ �/ VALUATION $
TOTAL I $j, )/ RECEIPT NO. Lf 4-z
'I'P'J SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT N-- ,V _ MAP 8 --� CENSUS "'RACT R _ JOB Y
Architect or Engineer, Z�p�ii�-��c-.v-- ��.
Address- (�C�- Phone_&_3� X01
Owner
Address _ — --- - Phone
Builder ir. ,,P_ -- --- - -- -- ------ ---
Address _ ---Phone—
BUILDING
`PhoneBUILDING USE Single Res. Multi nes. ❑ Comm. ❑ Industrial
OCCUPANCY GROUP__ No, of Strries_-_ Total Height`s _- Area of Lot—
Type of Construction I II Iii Iv (V'- Floor Area
Set Backs: Front /O , _ Back L1_ L.Side- 5
Private Sewer Pipe Size y " Sewerc;,,, �14� Septic Tank ❑
Water Service Pine Size_ Storm Sewer [ Ditch ❑ Drywell1-1
Street and Curb
Driveway Width_ JEZ ^_ ---------No. of Parking Spaces- Z -
SEPARATE PF,RMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFOP.I4ATION
---- ------- ----------- ------ -
ADDRESS :S: IGNED /.J~/YJ ,: /C ��•r.� Tip.- C-�? ��l
FIELD CHECK BYi _— _ -- - DATE— -S
PERI4IT APPROVED BY /,h-. --t
It is understood that all work will conform with applicable codes and ordinances
:,f the State of Oregon and the City of Tigard, Oregon, and that the building wil:
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector.
Signatuie of App 'V