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CITYOF T'GARDElUlAAHNPERMIT C',F-.:PM'I-Y' NO . : B0801.212.
TWARD
COMMUNITY DEVELOPMENT DEPARTMENT COCOON
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639AI75 DATE ISSUED: 6/2A/00
12QTM- 1aM-r NO - 816113ZILI
JOB ACIDPUSS : 9960 SW CENTURY OAK DR
TAX MAP/1-07 i?G1 I.I.CC, 6000 SUB : 5UMMEPFI1-'*:1.-D PH 2 LT :B3 BK :
LAND
LOT S.TZF.-.,. : VAI..UATION: $ 1-P,300 S F.--:T BACK S
1:;,PON T, : REAP:
WORK CLASS : ADDITION DWEI L .UNTTS : I.AIT-r . RIGHT :
USE TYPE: 1-)1N(.-,L1. FAMILY NO MDACIIUMS : 1:.AT .WALL. CONST :
C,ONST . TYPE : VN NO . PA T+45 : N: 5 : E7 tj
OCCUP .GAP . : P3 PPOT .OPE,'4:1N(.,S :
(A CUP.LOAD a N: E* : W:
TO T•AL. APE:A 1300
NO . STOPIES : I t 11 T : 300 ROOF CONS-T : C FIPE PEA"?
HEIGHt : 3.2 2ND: AREA SEPAP? RATED :
BASILEMENT? 3PD: OCCUP. SEPAPI? PATED.
MEZZANINE'? BASE M'
FLOOR LOAD: AO GARAGE : F1*F4V, SPIPIKI.A.47 ALARM'?
FLOW(GPM) DK
Aj,(-k:
PLAN CHECK BY: rit
QEMARKS :
REISSUE OF NO .
I AST REISSUE
0 FEES :
W bob gl"Lliggeri F)r---PMIT $9a. Z40
N 9960111W 0.101-hurl,: tiiak dr, PLAN PEVIEW $64 . 03
E
tigard or, 9*1r?..M FTrlr-.: DEPI
STATE TAX $1(4. 93
urHEP
C DEVEA.-OPMENT C'1-V4P('.,ES:
0 AN'T'IS MIPY SDC(STOPM)
N
T ROPY ANTICii SDC:( STRE F.1
R
A PDC,I*
C nel4be.11g or 97 132 PREPAID 6,14. 0 15
T
P
0 HONE (303) 538-01.4e,
R REGISTRATION NO. Aritim TOTAL : tM1.03. Aa
This permit is Issued subject to the regulations contained in Title 14 RE(.EIPT NO.
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinp-,ces, and it Is hereby f-1EQUTPED INSPECTIONS
agreed that the work will be done In accordance with the plans and FOOTING SEWER
specifications and in compliance with all applicable codes and POST• & vtr r)m PAIN DRAINS
ordinances The issuance of this permit does not waive restrictive FRAMING WATER I I NE
covenants Contractor and subcontractors shalt have current city
business tax permits. This permit will expire and become null and CITY APPRCH/SW
void if work is not started within 180 days,or if work is suspended or GYP . BOAPI', F1 NAI...
abandonedfor d period of 180 days any time after work has r I NAI...
commenced It shalt be the responsibility of the permittee to assure FRAMING
all require spections are requested and approved. FIQFPLA(;E
GAS LINE:
TNSULA i ZON
-zt:� GYP . FJOAP0
��,,I,',tee Signature
Issued By- f-AT T—L I -,f
ION 639—A175
jiff W
r;ECj7
SEPARATES ERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
Exii1131r „B" • •.
x;922 RECEIVE,D
CITY OF TIGARD IJO� j�/ 197}
CERTIFICATE OF OCCUPANCY AND Rh'144tSS OF RESTRICTION CITY OF _TIGARD
The City of Tigard hereby certifies that the occupancy of
the following described structure or premises with respect to which
a restriction of occupancy was, on July 1T 191A-,
recorded in Book 984 , Page 281 Deed Record of Washington
County, Oregon, is hereby authorized and approved.
DESCRIITION OF PROPF.RTYI
Summerfield - lot 83
As recorded in Book 32, Page 50, Plat records of Washington
County, Oregon.
014MR:
BUILDI140 PE MIT NUMMA: 74-83
BUILDING ADDRESS: --!lWS.S.W.
Century GIR'Urive
This is to certify the said structure meets with the require-
ments of the Building Ccxie of the City of Tipard 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
to be executed this ,Vv: day of ("i11.4sp.- , 19 L.
Title:,STATE
v - —
STATE OF URFxON
County of Washington .)�s�
On this day of cX.Ap, , 19 2/, personally
appeared before rue the above named ,-,� T—/— _, whose
signature appears hereon and who acknowledged to me t?i he executed
the same in his offical capacity on behalf of the City of Tigard.
Not Publ c of Qn
My =Ires: _
Mr)rIXED A.
''�•. R70tR iNof mm, .. ....
D�+Mot of I10oe.ds
DOOR 998 PAK588
*A
STATE OF OREGON
County of WashlrWon 7
I, Roger T4wrnssen, Dlrxtor of Records
and Elections and Ex-OHkk,�e rY ll ct f fy
,hot he fOfiithin lnstu;ur ft of Milling was
that of rticords
rete ad and raeorded In ItOak
No.
of sold County
/ Witness YnY hand and seal affixed.
ROGER THOMSSEN, Director of
Records A Electloro
,(;�,,-f'
Deputy
Mm 31 H
1
I
' City of Tigard
I
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO. :
I GATE: AQ 1 L4DATE ISSUED:-
OWNERS NAME : T -,D. d,
IADDRESS : 4114,() 1. cy. Eeiv7,isev iz.
I
CONTRACTOR : /Lo7' 23
ITEST' Air 0, Water ❑ , Visual U , Laboratory p
RESULT. Approved Disapproved ❑ , Pending L]
SKET -
I � _
aG.Y
7 -/SSP Ina ck.
I
I
I
I
11VSPECTOR DATE
rNOTEAttach supplemental toot data horut]
ALL SPA", 14 VINST BE El DORSED PRIOR TO
G Jr'',I.T
PTF
LD to
fit
j
La, a
•• :.�. _.0-,,-" r�,-; r:. �' �.1 1..iii ,
G a i OF
..^.!. pL•rt�si�ii }� E:DJRLSS .—
BY_ TITLE
I
i
City of Tigard
INSPECTION REQUEST
for
INPECTION TIME: a"�''PERMIT NO. :
DATE: -2-L-251 741 DATE ISSUED :--L-.Ll—
OWNERS NAME : 77-Z-�',C , _
ADDRESS: 1.._f WJR,ZCONTRACTOR : �` •�,4r '��"°'�.
TEST : Ait [a, WoterQ , Visuoi,$] , Laboratory ❑
RESULT : Approvod . Disapprovsd O , Pending [�
SKETCH.
INSPECTOR DATE
5',)TF : Attach supplemental tent data beret]
:i
t
190'70
URIPIT
CITY Oi TIGAIM)
Residential Structure Occu,ancy Rvstrlctl.oa
YNOW ALL 1.2U BY TiEZE PRESE2,:, That occu,ancy or residen.
etructura (s) on t1w following described lands prior to the recordi%cl, EE
of an occupancy permit raleacin., the rcctrictioa in the Dee. Racores Y
of Washington County, Oration, is pr-)Liblted by the ordircr.ee of the
City of Tigard, Oregon:
DESCRIMIOU 0? PROP: LY: Suumerficld - Lot
As recorded in Book -, Pa,a Plat records of tlnshtngton
County, Oregon.
ADDRL•'SS OF ISOPIMW:
tJ:tE OFOWNrra'.
r
3 :�I ?ti LUTt3ESS WMIME.W, the underoigned has causes this a•astrtction
ro n
V o o to be cyocutcl .his r1f;-__Y dny of �,,j�� ].9,Y,•
a� I
I � OWiYF.Rf
�r'�!R'X6L,4
r�
f
�� • r' T.ro1.r+.ti.n fiver /,,,,nt VIrmv. jne
Building Offfciul
Cit, of Tipprd ��AL0 Tkomsagn v.--d w'" '�• n..+�.
i
STA'T'E Or OREGON
Couni,y of '1'ashir.gton , �� �• 191�.
rsonally appca:cd bu."ore me the Above nearrad
z , and acknorrlcdacd the foregoing iar trunent ba
voluntary act and do J
Ot 14
I.o •►r Fublio for reC n
r
. ._.......L L 2 � _.......
B00' 084 f't-E281 i
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : /X3A PERMIT NO. : ---
DATE: L DATE ISSUED:_.
OWNERS NAME :
ADDRESS :
CONTRACTOR : --- -
TEST: Air CJ, Water [1 , Visual Laboratory p
RESULT: Approved , Disapproved C1 , Pending (]
SKETCH:
INSPECTOR DATE
507E : Attach sups '*mental test data horst]
EXHIBIT "B"
CITY OF TIGARD
CFJ1TIYICATE OF OCCUPANCY AND RELEASE OF RESTRICTION
The City of Tigard hereby certifies that the occupancy of
the following described stricture or premises with respect to which
a restriction of occupancy was, on 191-4-,
recorded in Pook 984r� Page 281 ^Y� D--ed Record of Washington
County, Orceon, is hereby authorized and approved..
DESCRIPTION OF PROPERTY!
Summerfield - lot 83
As recorded in Book 32, Page 50, Plat records of Washington
County, Oregon.
OWNER` nr-.'k_Mrs- _L3_B1Lra. —- -
BUILDING MWdIT NUI.11MR: 744-83
BUILDING ADDRESS:
9960' S:1J:- vnturyy_ft0-Orme-
This is to certify the said structure meets with the require-
inerts of the Building CWe of the City of Tigard and the above
referenced restriction in hereby released and terminAted.
IN WITNESS 1411EREOFO the under.;igned authorized officer of the'
City of Tigard has caused this certificate and release of restriction
to be executed this ^^ ! _ day of
SPATE OF MDON )ss•
County of Washington .)
On this _ _ _ (lay of V_ _ �, 19__, personally
appeared before me the above navped ___ __ _, whose
_.ignature appears hereon and who acknowledged to me that he executed
the same in his offical capacity on behalf of the City of Tigard.
Notary Public of Oregon ~_ _
My Commission expires: �r
EXHIBIT "A
CITY OF TIGARD
Residential Structure Occupancy Restriction
Yrt�OW ALL 1-N BY THESE pRF.SEVjLS, That occupancy of residential
structure (s) on the following described lands prior to the recording
of an occupancy permit releasins the restriction in the ', a Records
of Washington County, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRIpTI0"! OF PROPERTY: Swnmerfield - Lot ,EL
As recorded in Boo1c "�Zf�, Page + plat records of Washington
County, Oregon.
ADDRESS OF PROPERTY: O�Ln�____5�J ''�fy/`�--a-/��- e-
MW OF OWNER:� S 'M r .
ADOtZ:.ss of owNER r i 1 1 RC1 ".;.,;,� '� tw T��-�---•(�C� —
IN WITNESS WHEREOF, the undersigned has eauaed thin restricUo7
h
to be executed this Ql_ day of ...._ J Z,e 92-Y--
Mum.
2-Y-'
OWNER:
. TTvaInti.t� "meat mr,an.. Inc
Name
y� O1
APMV7Mt _rq tle
B lding Officia
City of Tigard
612ATE OF OREGON ) 600 ` 19
County of Washington )
r6onally appeared before me the aoove named _
_ and acknowledged the foragoing itruwen to be
ns
voluntary nct nrtd deed4N.o'.111lublic
i o Oregonr~'
��Q ._
140"x'0
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PdESMES, That occupancy of r'•aiduntial
structure (s) on the following described lands prior to the recording
of an occupancy permit releasing the restriction in the neer Racords
of Washington County, Oregon, is prohibited by the ordinance of the
City of Tigard, Oregon:
DESCRIPTION OF PROPERTY: Summerfield - Lot
As recorded to Book _, Page , Plat records of Washirgton
County, Oregon.
ADDRESS OF PROPERTY:
NAME OF OWNER:
ADDRuSS OF OWNER: A 1 1-3() S ,J.
IN WITNESS WHEREO., the undersigned has caused this restriction
to be execut d this y" day of 1, _, 194,.
OWNER:
s
Nwme
APM,OVED: By\
—Title
7
By:
B lding Official
F11sd IN mcetd....t...' ..........is ..ar.I.....A M P M.
City of Tigard r11OM882t+.a «�tw..xed. c�«„ �•
...,......
STATE OF OREGON
County of Washington L,26 19�YV.
rsonally appeared before me the above named
And acknowledged the foregoing instrument�tbo
voluntary act and decd.
rL a'I.u-o.-r�c��'
h ,1,' Yubli for g n
Row 984 f!.j281
ac
STATE OF OREGON I Q
CO.^W of Wothtnpfn as C�
+. R
and Elheectl ar E O^h Ol�e�der of Cont
reYancet /
that Mthsn
received and r MUrurtynt afh 'Y certify
No.of _
eeordW was
Wltre" hdnd Otd eea+ o/f+ead,
l,,'1 Ci
,19
D"
JuL 17 1174 PH'74
r'
j
CITY OF TIGARD
12420 S. W. Main Street
TIGARD, OREGON 47223
APPLICATION FOR BUILDING PERMIT
New Construction Demolish ❑ Addition ❑ Remodel ❑ Move❑
7,11N I NG DATE ISSUED-_&-PL :7 BUILDING PERMIT
ATE RECEIVED BUILDING FEE $ �(•. . 1 No.
D
PLAN CHECK $ /(�, t'•' 7 =�- --
HY - ----�La �� v VALUATION $ �L 7
OTHER/fr•�..••(•7 $
TOTAL /% S!>ic.$_��L, RECEIPP
TWO SETS OF PLANS AND PLOT PLANS MUST B: FURNISHED WITH APPLICATION
LOT 8 _�j _ _ NAP ACENSUS TRACT JOB N �
Archttect or Engineer--T-,, �_�_�/r��n���1�• T_n,c. _
ess-I.5. C - - �. \(�, _ � �_T+kj�r�L��_�- Phone
Owner--f�C�-i-._M[Z_.- -.5�7��.7=^ - ---
Aldres,s 1\1357 S.S� ]P21—k kye- —:17jr.,a Phone_--_.
Address - ---� -_ V—Phone-----
BUILDING
hone _-_BUILDING USE Single Res. lyj Multi Res. ❑ Comm, n Industrial
OCCUPANCY GROUP .Z• No. of Stories _ Total Height__------ Area of Lot
Type of Construction I II III IV Floor Area B`ry 2
,et Backse Front_AQ1_D�Back_�- L.Side (o,(d, R.Side _L —
Pr.ivate Sewer Pipe Size_,4" Sewer_h;r,q_C Septic Tank ❑
Water Service Pipe Size s/4'$ Storm Sewer Ditch ❑ Drywell❑
I
St poet and Curb Requirements eA!,rrq
rriveway Width� 1 No. of Parking Spaces__-___-
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS
FIELD CHECK BY - --- -- -- DATE
PERMIT APPROVED BY/�!/t.•»r�( !j'•r�'
it is understood that all aork 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 by the City of
Tiydrd Building Inspector.
Signature of Alp cant
CITY OP
BUILDING PcRMIT APPLICATION TIGARD DATE N-
a
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVVNERPHONE
OWNER l< ?LJ r�. nr s ADDRESS �, � !I( -_ _ J ILDER PHONE –
ENGINEER
BUILDER C r� r r�.� — ARCHITECT _ DESIGNER _
STRUCTURE NEW L,REMOD_EL �OADDITION ❑REPAIR_— ORI, WAL_ ❑FIRE DAMAGE _ ❑DEMOLITION
RESIDENCE ❑_COMM _D_ED_UCATIONAL HGOV_T ❑RELIGIOUSOPATIO OCAR PORT LJGAHAGE O STORAGE CISLAB_ FENCE
❑BOND ❑MOVING LICONDITIOYAL USE C1 DESIGN REVIEW ❑COUNCIL APPROVED — ❑SIGNS
OCCUPANCY.-1—LAND USE ZONE/--Z{�BLDG.TYPE f ,FIRE ZONE-_PLAN CHECK BY r'Jl' _ HEAT_-
---_ --- - -.���__�-�--.--- --._-- -
OCC..LOAD FLOOR LOAD HEIGHT __ _ NO.STORIES _-_ AREA - _ VALU 1) 3'�y
BUILDING DEPAPTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit P,/
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RFGULAT;ONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREFO THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
—
PES iRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
1%State LICENSE. SEPARATE PEPMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. f
Total
BY
LA—ppr
APPLICANT OR AGENT
oved Receipt No.
AC-1 M Sb
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor-III ,,—"( 2m
Permit No.7
Rough-in
Fixture
Final
HEATING
Contras,.,.- oo A..AAk
Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage____._
(Rain Drain) Final
Sidewalk
Street Final
Approach
DEPT. FINAL NAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
H LOG 1) Landscaping
Zoning Final