13250 SW BURNHAM COURT it '
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13250 SW BURNHAM COURT
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INSPECTION NOTICE
City of Tigard Building Department I
12420 S.W. Main St.
Tigard,Ore:jon 97229
Phppe: 6399.4171
Type of Inspection 7t�6— 1
._
Date Requested_— ' — Time M.- P.M.
Address �__ �1 sL�_U.—_._�_-�.—Permit
Owner_ — _^_ __ _.�_ Lot #�—
Builder
The following Building Code deficiencies are required to be corrected:
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Presented to ___ / ' 11 Approved
Inspector � � Disapproved
Date
(,BALL FOR REINSPECTION ' j
C-1 YE8 f-�NO
5884 EXHIBIT T' RECE IVErj
CITY OF TIGARD MAY
CERTIFICA_'E OF OCCUPANCY AND RELEASE OF RESTRICTION `ITY OF TIGARD
The City of Tigard he:tby certifies that the occupancy of
ttte following described structure or premise: with respect to which
a restriction of occupancy was, on Q_ctohar '1 _, 19-2A,
recorded in Book 998 , page 580 , Deed Record of Washington
County, Oregon, is hereby authorized and approved.
DESCRIFTION OF FROPERTY,
lot 1.5, and part of lot 16 Burnham Park Subdivision
OWNER: Roger Gratin
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BUILDLIG PERMIT "U3ER: 0084
RUILDING ADDRK;S! 13250 S.W. Buinham Court
This is to certify the said structure i,,eets with the require-
menu of the Building; Code of the City of Tigard and the above
referenced restriction is hereby released and terminated.
IN WITNES. WIlEREUF, the undersigned authorized officer of the
City of Tigard has cauoed this certifi]ate and releabe of restriction
to be executed this 23rd day of Aprit
Title:
STATE OF OREGON
County of Washington )
on this 23rd day of April _, L.')75, personally
me the ,..,ove named nnrio unr
appeared before , whore
:;lgneture appears c}
hereon and who acknowledged to me IE wt—he executed
the same in his offical capacity on behalf of the City of Tigard.
Notary Public of Oregon
A L1, My Coimission expires:
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STATE OF OREGON
ss
County of Woshimjton
I, Roger Thom.sten, Director of Records
and Elections and EH Offirio Retarder of Con-
veyances for soil county, do hereby certify
that the within instrument of writing was
received old recorded in book of records
No. ----...�__
of sold Courty
Witness my hand and seal offbced,
ROGER TNOMSSEN, Director of
Recor& S Elections
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TIGARD
CITY OF
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OREXION �
~' 0«•ncr..-Ro.go.r....Gr�.h�.
?1� ` ..............................................Permit No...008a...........
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Building Address.....1.32.5.0...5.,,W...-Burnham Court i w
....................
Certificate is hereby given this....13th A ril
day of....P........ 19:75
z that said building may be occupied and '-
that it complies with all requirements of
' the Building Code for the City of 'ri and
g {�^.,
as approved by the Tigard City Council.
1, ... .t� mil(! ^F�! (.r-.r.....!........
!�r ... ?
' t� `I `� building Inspector "'
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City of Tigard
INSPECTION REQUEST
for
IVA
INSPECTION TIME : Am , PERMIT NO.'_..
DATE: DATE ISSUED:. Z__L_
OWNERS NAME :
ADDRESS : /.' Z 5'0 -. lG'Aj �ffi
CONTRACTOR :
TEST: Air 0, Wafer , Visual, Laboratory []
RESULT. Approval , Disapproved ❑ , Pending Q
~SKETCH: —
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INSPECTOR DATE
[NOTE Attach supplemental tort data herst:01
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ADDRESS PEKMIT N0.
PERMIT CHARGE
OWNER _�� CONNECTION FEE
PAID BY
TYPE OF BUILDING _ DATE CONNECTED
SERVICE RATE s-'I�rn INSPECTION FEE _ _..
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CONTRACTOR _ 1�, .�5.� , Jts Qi+� _ PAID BY _'� DATE
SIZE OF CONNECTION µ'' �_ ASSESSMENT ����_ PAID _
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City of Tigard
INS E TION EQ(,IE1+t �1
for _ A
M. 00iTIUMI '1"IMf Mt). .
Off':NPr :?S '4AVE4414 A)_•
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City of Tigard
0
INSPECTION REQUEST
for
INSPECTION TIME: � -� � PERMIT NO. '.--
DAT E:
U,DATE: / /Z71,7 DATE ISSUED : Z
OWNERS NAME : -40
ADDRESS:
CONTRACTOR :
TEST : Air p, Water[] , Visual D , Laboratory p !
RESULT: Approved Cl , Diedpproved4 , Pending p f
SKETCH:
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To
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2.C-
INSPECTOR DATE
EN07E: Attach supplemental test data bereto]
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City of Tigard
INSPECTION RE® JEST
for
II-biz)u��►4
INSPECTION TIME : `� – ,r-PERMI T No.:
I DATE: 1 Zad 7S- DATE ISSUED:--Z--L
OWNERS NAME: ' a ' f -cJ�� • -----
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ADDRESS :
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CONTRACTOR : � �' C—V cCI C TZ-
ITEST: Air C7, Wolter p , VisualJ (, Laboratory []
RESULT. Approved, Disapproved O , Pending p
SKETCH:
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INSPECTOR DATE
[NOTE : Attach supplaman,al t*st data herstj
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City of Tigard
INSPECTION REQUEST
for
IINSPECTION TIME : �O'` PERMIT NO. : ..
DATE: [ ' DATE ISSUED:__1_l.
OWNERS 'SAME .
I ADDRESS :
CONTRACTOR :._% _--
TEST". Air 0, Water VisuaIX; Laboratory
RESULT. Approved , Disapproved 0 , Pavdlnq Q
SKETCH:
41
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INSPECTOR DATC
[NOTE : Atlach supplemental lost 4csta heret'�
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RECEIVED
jjOV 121974
6914 CITY OF TIGARD
EXHIBIT "Alt
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occ.upan,, of residential.
structure (a) on the following described lands prior to the record-
ing 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:
A.oT 15', � IOAfeT o
13c4eA)I44- Pn_4'2 vSur30�✓i,S�OAJ
ADDRESS OF PROPERTY: /32570 4 (.o 1-ACAl rtJFF 14 1_
NAME OF OWNER: Q0C.ir1L
ADDRESS OF OWNER; `JG,5 5 c5 LV C YWree•�-X _IN WITNESS WHEREOF, the undersigned has caused this restriction
to be executed this ,,2y day of C "r _, 1975�,
OWNS
Name
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APPROV
ct
BY
By:
Milding UFFIcial
City of Tigard
STATE OF OREGON ss
County of Washington mac, ;z y - qty , 19
Personally appeared before me the above named
J5,o2".. i .t and acknowledged the foregoing instrument
to be Jt,s voluntary act and deed.
INDEXED
STATE OF OREGON + �� , A1111
feonty of Washlnpton
{ to Notary Public for 0 egos
OD �]('� i, Roper Thomsen Dirrt t of Records M y Commission Expire 3;
BOOK J%7� rll,;t JI�'�'f erd Elec"an and E.-Officlo Roesteder M Con-
eh °at ntz fwith�idlcounty,
h n IOW o/ rhalsby v c was
received ord recorded In book of tMcords
No. __....�...._ .....
of sold Cls""
Witness my hand and oral offlned.
ROM WOMSSEN, Director of
Retards d Elections
-0C°-P
Deputy
Oct 11 10 13 Al'{ N
... .._y,..t+, rt•eyw r-•y?' '�yyyr.,.,rayaur ry.Rww- vww^�• .. r « '^•+MR- —
CITY oF Ns 0084 �
BUILDING PERMIT APPLICATION TIGARD DATE. 19
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT rOK THE WORK HEREIN INDICAI ED
OR AS SHOWN AND APP•90VED�/IN THE ACCOMPANYING PLANS AND SPECIFICATIONS.. OWNER PHONE__
U C1t'►6 ( Af /FNM '
QWNER _ ADDRESS BUILDER PHONE
ENGINEER
BWLi2F.H.- DESIGNER
STRUCTURE _ ftNEW ❑RFMODEL _ ❑ADDITION _❑REPAIR! ❑_RENEWAL ❑FIRE DAMAGE _❑DEMOLITION
RESIDENCE ❑;;OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND OMOVING []CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
QCCUPANCY_-..__-LAND USE ZONE— -.-BLDG.T/PE FIRE ZONE. PLAN CHECK BY HEAT-
2r.&_
EATr C LOAD -_FLOOR LOAD _^ HEIGHT NO.STORIES AREA VALUE df
BUILDING DEPARTMENT ' may`
SET BACKS FRONT � � REAR LEFT SIDE RIGHT SIDE
Permit /t � (') U -- — - -- - - _ - —
i U r! THIS PER,.:IT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREtD THAT THE
WORK WILT. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 1.4 COMPLIANCE WITH
Recording `� �� Lt ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI(Y BUSINFSS
196 State a LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total r! k
By
-- — APPLICANT,OR A L T
Approved Receipt No. I`''�-�i+r' w
- ADDRESSPH-ONK—
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DATE INSP, TYPE INSPECTION REMARKS PLUMBING
_ t)ATE
Contractor —
iv•2,7�yc % ��
1 /` ,7 Permit No,
"�� Rou h•in
bn1v v i�jqlt- �r>-jai Fixture_
1 fJ — _ Final —
- � ' 1��� HEATING
1
=i.�1 lr��GL t 1
_ /nJ_ Contractor �
Permit No. /all
— �) .�tiZ C'Lc+ciyCo 1t�vr sC_,����.�_✓- 6c�— Gas or Oil _
Rough-in — -
-- w wo 09 --o OczK F;n;,l -
- 30, � J✓cj &rLo4Dt; SEWER
tD-62&12 Q 2✓a Lt=- r: _- fCo✓Nj O I A"PSIK)Lr Final --- `itic� 50/0
Fl[by DRIVEWAY
�t10 / !` �R 3!J" Bea'✓d .S7c�1�S Final
Storm Drainage
u ruin Drain) Final
7/! O,t17- Sidewalk _
�L`--��— ,r1r!,'�li✓Aa �ZqI C Curb&Street Final
CN lA-IS/Ot<' sr�tlpwl� , A roach
Bl_OG. DEPT, F —NA TEMPORARY i CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
3 S 7 C Landscaping
j Zoning Final
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