15975 SW CENTURY OAK CIRCLE � '�►•-r.� 1�. s �o� 3S
Lv
0 C T 1 1973
- �----�------•- -____...�. CITY OF .
TIGARD
Ec DORSED
ALL SPACES t'�.r.KS
410 PRIOR O APREO`f
A) 44
1GZ �'"""'"^-w•..... pLMLIG war'ks
7UNTY —
� J y :t'��f s'��f�i�' lsrt�F .. •ti +w -y� .4 `� G _ -
• I i Ffi -•, ` . � � .( .try;:,l 1, S _ t ., .�_.��
/ V' '• - t' �. _ .' r ..
Jt
ZN=RAL 1 LL.- ti0\E E Y
r`' r
I I uY ---
! / ,
W. i1JlTURJ►L GAS 8Y_—_`_ OATS —•^-�"'�
/ .. 1 "11 +�.� ' - ''`Q1'
/ / • _. ^Sw�,' 7-�yl f ..- t �,.,. �k T. R.
1 ' �,: �� ► ., VE '�yyyj' moi'
} 111111/// r � '14.' '�,• � Tt_�'`��� ` � r;
�' APPROVED FOR carNt: nulla
� r.vl,
i <
CITY Oi�
lTi(�;',r;_)
{ r '
o f i. PER'�IT fvG..7 S11E AD3rE'-S !_,�_
k n ! BY E- ---TITLE 9v- -DA i E_ /D-i/ 3
-SUR M
e • `..` •• r y♦ • . . *� F„�. !, r ,`r, aI - r,•r.� (� ;: (�j ,J `J�.. ��1•TJe
'
44
Building mu--. ! .I
V 'J
GENERAL CR;
s ,
:.` according to c.ty c.- ld
MZ
X 'E t 10 final inspection made ):Jo Y111u1�
rzgT- �„ t occupancy. �.
3 f E.S
.,. ��''t" `Y,��!. ,,�•t � ' ' ; ( �► - �i CITY OF _TIGAR[� �p pER,�fiRi�Nv S�.R�1C .
' � / .� : : ` � ,� 1 ( . • � I � � '� ��y MAX. GRADE. 1n�"'
14
% .,.,, - •. r ` >MMILL M[LT N[Es•MOLES CUM A$ PRO, I 1
`•.,ti,� ..tom, } ,
�2 0
MALDEN lei c'._1Y A ' l 'oma 4
JOW 404
U6 47
-•4
r Q '11Iif 'IllllIh Il'IIIIIiIIIII'fI.I.IIITIlI111IIIIIIIIIIIrI11TI1111�ILII (I�'1(III�IIIIII��IIII11 IIIIIIIIIIIIflII111I111III11111�IIlIIIIIIIlI111IIIlIIIIIIIlI111IT111r11III11111III1I111I1t11111 �. _ 4 j
NOTE: IF THIS MICROFILMED f ( ---- 2 3 4 5 6 7 8 9 12
DRAWING IS LESS CLEAR THAN
THIS NOTICE, IT IS DUE TO
THF QUALITY OF THE ORIGINAL
DRAWING. OE 6Z 82 LZ 92 SZ b2 EZ 2Z 1 02 61 dl LII 91 91 $I EI al I I 01 6 9 L 9 SI.-J�► IF EI--. 2 1I'"■��"
►!IIIIIIInI1IIIf1lunlnulunlnUl1111�111111111II!!!l!�ulllulull,uulun�►IuIIIII�II11I1111I111)IIIIIIIIIIIIi�lllll•,1Ill 1 �I Ill IIINI1Ill 1111111111I11111111t)IIIIIIIIIIIIIII111111111IIW�IIIIIIIIIIIIIIIiIIIIIIIIIIIIIIlllllllWlUlllllllilllllllllllllh111I111111WI1111 1
APRIL. 201 19 92
ALM
Ln
Ul
U)
tu r17 Uj Ul 12J ot
OF,
ti)
V.4 0
c)
kn rl
or,
12J (ij
tA
rl
rl I
15975 SW (.ENTURY OAK CIRCLE
SIOUID YVO REOINSO MS 9L6ST
u
Li
41
CPIn ro Cn 041� P4
ry.
.1 P4
j rl
0 F i
S4
4J
a) El
U
Ln
Lr)
-,Ify ()f Tigard
INSPECTION REQUEST
fGr
r..�-- ¢ 5
INSPECTION TIME 2I?°0—A—In PERMS 1" NC
,)ATE . Q '/-S: -)ATE ISSUED
)WNE RS NAME ' L7 C
Ar)1)RESS-
r.Nk A T r)R . � �__1 I�_��
EST v tor , V' . ..,. � '. �h: ct�►.'
R.ESUL. apps ..td G t-idiog L]
S KETr H;
rk
iae4--"V .
.'�i 2)�
INSPECTOR DATE
FNOTE ' Attacr suppiementol test uuru bs1i-t0
�r.
FILE CAW,
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : _
DATE: � I1314 DATE ISSUED'-
-LL-OWNERS NAME : —
ADDRESS :
AME : _ADDRESS :
CONTRACTOR
TEST', A r J, Water [j , Visual ❑ , La'* ,ratory [1
RESULT: Approved ❑ , Disapproved , Fending '
SKETCH:
D��p,PPRO c Ago
YT
i DA
INSPECTOR DATE
COTE : Attach supplemental test data keret]
i
City of Tigard
I
INSPECTION REQUEST
I
for
INSPECTION TIME : PERMIT NO. :
I DATE: l 72 - DATE ISSUED: _ _L1_
0".,NERS NAME :
I ADDRESS : ZJIGb'
CONTRACTOR :--/-/ t -'�
I ---
�i EST: A r O, Water ��isualX LaF ,rotary L,
RE"'!1LT. Approved O , Disapproved _1 Pending p
I
I SKETCH:
I
I
f
�l 10 r
I INSPECTOR DATE
ILNOTE : Attach supplemental feet data heret]
1
as
arty of Tigard
INSPECTION REQUEST
for
NSPECTION TIME . PERMIT NC.
DATE.' 1 L-2.3"Zi DATE ISSUED
:1WNERS "JAME '
ADDRESS . = _ 01, _
E S T tie ter , . ,.. ':,
AESUi �_ i,;�e9 �J uppt ,. d G idi,�c,
L
SKETCH: �¢� ��h y CC;�, -,eA-e c; U
i
INSPECTOR DATE
[NOTE: Attocr, supe ementai test cote herrt�
i
rI
S.
V II
.,-.' Ity of Tigard
INSPECTION REQUEST
f c r
N-SPECTION TIME F ERMI I'
DATE )A-rE ISSUED
)WNERS rYAME ' --- 7.
A r)D R FS S V
EST 4 )orc . V
P�ESUL. 1-over Lj
S KETOH.
INSPECTOR DATE
I-NOTE: Aftoct, suppiementai test uutc 1,erl-t 91
of Tigard
INSPECTION REQUEST
f(-. r
NSPECTION TIME. PERMI-r 4c-
DATE . 42�20-2Z, JATE ISSUED
)WNERS qAME '
Ar)[)RF9, S ,
ON "p Ar r R
E 9 T ❑ V, X j b . ct,)r,
RESUL q,
.jppt ,-;d L
7-
SKETCH.'
Ii
i.
INSPECTOR DATE
1NOTE: Attach surpiemental tact auto hor-t-Di t.
JMUYowWill
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: / 52- /1`J/73 DATE ISSUED
OWNERS NAME : t - D c —
ADDRESS: e-,)7
CONTRACTOR : - -----. -_._-- --- -.--��
TEST : Air U , Water(] , Visual U , Laboratory ❑
RESULT: Apnrovedg , Disapproved ❑ Pending p
SKETCH:
I
l
INSPECTOR DATE
[:NOTE.' Attach supplemental test data beret]
MR
' 111
PLUMBING PERMIT APPLICATION
Jurisdiction of
NO. Type of Fixture Fee Permit No. 73i�vf'
Permit fee •�
Water Closets Toilets Permit Issue
at•h bs Approved by
a at•o as Basin Building Perm
Shower Receipt No.s Dishwashin
ain sKitchen o
n s r nary Loci on of Building 6 9_2 5
n s Bar --
Slop
utomatEr DishwasEer
sPosal
Cdr Tray=-_ Nam;�&� Address of Owner,
Drains. Floor_
Drains. Area
rai411,
ns era or
Rain Drains
u ,oma is WasFer NR �`�?) & Address (--)fumbers_
oun a ns r n ngJe
Fountains. Soda
of ater TanR
Water Service Size _ -
rina s Build Old or XeQ (Al ter_, Repaj r or
Catch-Basins - ar ns -
awn rink erstem -,�—
swimmin oc , er fp-rinkler �s em - -
This permit becomes null and void if work cr constructs-;n authorized is not
commenced within 60 days; or if construction or work is _,uspended or abandoned
for a period of 120 days at any time after work is c„mmenced,
All plumbing firms must be licensed by the City of Tigard and po7t a $1,000 bond,
I hereby certify that I have -pad and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governing this typ6
of work will be complied with whether specified herein cr rot, 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 constTilction or the performance of
construction.
"74 Si tore ' Applicant, —”
MR w
I
I
City of Tigard
INSPECTION REQUEST
for
SPECTION TIME: PERMIT NO. :
DATE: IL-3 /7.3 DATE ISSUED :_ / /
dNEHS NAME : -�_�'
A D U R E S S: —--_ - - ----- - ------ _ !
)NTRA CTO R : ------
I
E-ST . Air U, Woter❑ , Visual ❑ , Laboratory ❑ I
--SULT: AporoveC0 Disapproved ❑ Pending p
(ETCH: I
I
I
I
I
I
I SPECTOR DATE
TE Attach supplemental test data beret] I
1
4538
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 release
as soon as a final inspection determines that the construction
ie satisfactorily completed)
DESCRIPTION OF PROPERTY:
ADDRESS OF PROPERTY:
NAME OF OWNER: �.r.�, . ♦a.� ._ fit. \ . .a^- L _ vJo\ �
ADDRESS OF OWNER:
IN WITNESS WHEREOF, the undersigned has caused this
restriction to be executed this \\ day ofg,,.:li-y , 19
OWNER:
v�\•mac.
aA•
APPROVED: S
By: _
u f HT ng c i a
City of Tigard
STATE OF OREGON
County of Washington et' October 11 , 19 -LL
Personally appeared before me the above named
Roy Brown and acknowledged the foregoing
instrument to be his voluntary act and dead.
Notsfy Public for Oregon
My Commission Expires: 111/75
riled for
ROM!HOf8 N,Dlw dd ROM&f►we'awn,
e.��ti 949 f,M567
\$y NOM
f--
§ s 'C9 ~�
/7§f7
�
( (
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 Dead Records
of Washington County, Oregon, in prohibited by the ordinance of
the City of Tigard, Oregon: (The City will issue a release
sa soon as a final inspection determines that the construction
is satisfactorily completed)
DESCRIPTION O``F`` PROPERTY:
ADDRESS OF PROPERTY:
NAME OF OWNER: M�f,r �. N..\ s\a. ,
ADDRESS OF OWNER:
IN WITNESS WHEREOF, the undersigned has caused this
restriction to be executed this %1�-r—' day of h y-� , 19
OWNER:
Na
APPROVED: Title '
By: _
Building Official
City of Tigard
STATE OF OREGON
Co,inty of Washington °°' octembet 11 19
Personally appeared before an tie above named
Rg Brown and acknowledged the foregoing
instrument to be his voluntary act and dead.
,r;�7 _
,,4.t. L 4-'-. 'f"
Notary u c For Oregon
My Commission Expirss: 111/7S
CITY TIGARD
12410 L W. Main Show
TIGARD, ORROON 17111
APPLICATION FOR BUILDING PERMIT
New Construction ❑� Demolish ❑ Addition 0 Remodel ❑ Move❑
ZONING U-n DATE ISSUED In-In-73 BUILDING PERMIT
DATE RECEIVED BUILDING FEE $_ 77,00 No. 73- 234
By PLAN CHECK $�'100..�010� Q fifi 99 —,
_ OTHER $ • ' ' g$
TOTAL RtECCIPT No.
c
S�'�-
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
LOT M` 68 MAP A 251 10Q CENSUS TRACT jj_p - JOB 1
Architect or Engineer T.D.C.
Address^ I L✓.-1i6 -{mer- _Phone
Owner Mr. Walden
Address-_v ---Phone
Builder
Address----- --Phone
n<<ILDING USE single Res. EJ Multi Res. Comm. 0 Industrial C
OCCUPANCY GROUP J No. of Stories_L_ Total Haight— LEL_ Area of Lot_
Type of Construction RXX?XXXXXXXXAJ(X V Floor Area B__ 1- 2—,ter
Set Backs: Front 1.01 Back _ L.Side 41 _ R.Side 12'
Private Sewer Pipe Size 4" Sewer_ King L•itySeptir_ Tank ❑
Water Service Pipe Size 3/4" Storm Sewer 9 Ditch ❑ Drvwell LJ
Street and Curb Requirements As reaui_fgd by subdikiiainn_n.riiinea'V ._.__�_
Driveway Width 1.61 ____ _No. of Parking Spaces✓_
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED 15975 .5-ld-Ziantury nsk ntiAse
FIELD CHF_K BY-_ -----DATE-- 10-10-7
1
PERMIT APPROVED BY
it is understood that all work will conform with applicable /cod and 7/J ordinances
of the State of Oregon and the City of Tigard, Oregon, and �I1at a buildin(. wil'
riot be occupied unti. a Certificate of Occupancy has been issued by the City of
Tigard Buildiccg Inspector.
C. -�S3gnature-AaY, Applicant
159-15 Ct a t- rui k
OF TIGARD
I'Rtu-FSSING/TRANSMITIAL
CHECK LIST
i
JOB NAME:
oriYPE: A
LOCATION:
RECEIVED FROM:
RECIPIENT —_` u �'I(__.----------.._��._�+ D-ate
CHECK YTFMS RF(:F'IVF-I) ,/ 1. 1R LE ITEMS NEEDED
Zz
Plot/Site Plan /_�/ �i ldin� Pi in f'� C:im�truttion Plan
Preliminary Plat / lumndation Plan %3 Sanitary Sewer Plan
Final Plat %J-Fioor Flan Sturm Sewer Plan
/ Landscape Plan LYF�►.:rio Plan / / Street Level. Plan
Parking Plan /_7 Mechanical Plan 77 Streetlight Plan
Sign Detail 7-7 Cabinet Di- tall / / Atea Drainage Plan
Aerial Photo 7-7 Stair Dr-tall s'% Water Utility Plan
Lccation, Map / / •rruss DEtail % / Gay Utility Plan
4Topography
Map /-/ F'ireplac.r DEtail /% Phone .14-ility Plan
Land Survey /_//_ B, ding Spfcificatinn / / Elfct, Utility Plan
/ wilding Elevations / / Sttect Sign Detail
Catch Basin Detail
/ 1 C ,st Estimate %-/ Manhole Detail
Specification % / Sidewalk Detail
Material/Quantity List i-_/ Curb DEtail
Report/Legal Documcnts / % DrivEwav Detail
Depo%it/Fee —
/ / Other:
c OMMF.NT
ATTACHMENTS:
Routed To (date
Plantttni, Dcpt
Public Works
Building Dept . 7-7
Oth-r % %
* Insert: L. I .D. Project; Subdv, Iroprv, Prr)jtct; Building Const. PrOlect; Etc,