The URL can be used to link to this page

15860-15910 SW GREENS WAY A yl � aa In 41 %rya IV4 C4 r I � � n ` r U t " NI r w H-1�d �� 1� tib, t' ��_ ► f C O U., 5-1 " 4 3> O .- � rn cloor U, � i N 15860 — 15910 5W Gr.emms Way h A'13M FuaaaD MS 0169T 092ST N N N CL 04 4 -1 LO. rn Li F4 N�S �N4 P mwm 1 I 1 I City of Tigard Ire SPECTION REQUEST for I SPECTION TIME: PERMIT NO. : DAT E: Z DATE I S S U E G, :-1__/_-_. VNERS NAME : 7�- t>. C , ADDRESS. /G 2...— N T R A C TO .NTRACTO R : 1 ,�•L�i__ �'� d _u_��YY` :ST : Air (7, Woter❑ , Visual 0 , Laboratory ❑ :SULT: Approved , Disapproved U Pending [] :ETCH: I 1 � L I I INSPECTOR DATE Z: Att%,..h supp4mintol test doto beret] I City of Tigard INSPECTION REQUEST for t INSPECTION TIME : PFLRMIT NO. : DATE: 'L _ DATE ISSUED:—_1_._1 OWNERS NAME : ------- ADDRESS : ----- CONTRACTOR :/-5��5_ �� TEST* Air 0, Water ❑ , Visual ❑ , Laboratory ❑ I RESULT: Apprcved ❑ , Disapproved W" Pending LJ SKETCH: INSPECTOR DATE OTEAtiach supplemental test haft, nerstol A EXH?BIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hezeby certifies that the occr.pancy of the following described structure or premise,; with respect to which a restriction of cccupancy was, on _ry j 19 , recorded its Boac Page Deed Record of Washing*_.r County, Oregon, is hereby authorized and approved. DESCRIITION OF PROPERTY: Summeifipld - lot 1C2 Af, recnrdoe in Dacd< 33, Peyu 39, Plni Records of �Jashington County, Oregon OWNER: I _j j , r ,t., ,r" r BUILDING PERMIT NUMBER: 3- 90 _ BUILDING ADDRESS: Crc, This i,s to certify the said structure meets with the require- mur.ts of the Building Code of the! City of Tigard and the above referenced restriction is iereby rsleaced and terminated. IN WITNESS WIH;REOF, the undersigned authorized officer of the City of Tigard has caused thi , certificate and relea:;e of restriction to be executed thin; —2 th day of June 19A. s Title:---PTY NECORpig STATE OF UArJGON ) � �a rw..Mrd ...�.'....�� r (1 S/ 9s, ta7Vat aM ►er County of Washington ) R ¢MAeCN. p,,..r�p�It,,, 'Is41 tr�pon� �!I] .. ....... ... ....Deputy on this 25th day of June _, 1974 , personally appear%mi before me the above named _nares Har in , whose signature appears hereon and who acKtowlCuged to me that he executed the same in his offical capacity on behalf of the City of Tigard. Notaryub a Oregon My Rt= on expires: MCI BOOK �81 native . 1..a STATE OF OREGON ". M County of Noshlmoon A/ Of I, Roper °^'gr}�Ic o"IR Ig r ,at,1.x and Elections and do hereby certify veyances for Bald i,ount4n, of writing was that the srith� Imtrur in book of records received and reeorded Na of sold Coun►► Witnne my hand and seal of}Ixrd. ROGER TNOMSSEN, Otrector of Reco:ds 6 Elections Lq V Jua l6 10 sl ti!�'7ll SXHIPIT "B" :.1: 26 '11Y OF TIGARD CF RTIF. ,,TE OF OCCUP".NCY AND RELEASE OF RESTRICTION The City of Tig;.rd hereby certifies that the occupancy of the fol-lowing described structure or premises with respect to which a restriction of occupaecy was, on January :3 _ 19-.L4, recorded in Bookg� , Page W1 , Deed Rocord of Washington County, Oregon, Is hereby authorized and alaroved. DESCRUTION OF PROPERTY: Summ6.-field - lot 136 As recorded in Book 33, Page 39, Plat Records of Washington County, Oregon OWNER: Tualatin Development Co., Inc. _ "73-291 PUILUING PERM NU1vMM-. BUIL)ING UDREdJ: S.W. Greens Way Thin lq to certif- the said structure meets with the require- ment, of the Building Code of the City of Tigard and the above referenced restriction in hereby released and terminated. IN WITNESS W11ERE0F, the undersigned authorized officer of the City of Tigard has cau,>ed tnis certificate and release of restriction to be executed this 25th day of 'XIC , 1974 . i i. Title; lonlrb �./ STATE OF OREGON ) County of Wash r:gton }� AM . NANCN.17u�nnr nl IIrnM,A�k Claenoo� of..�................... ......_..... .........Hour~ on ants 25th _ day of .Tung , 1974 , personally appearsf before me the above named Doris Hartig , who,;e cigwr.ture appears hereon and who acknowledged to me that he executed thr same i., his offtca� rapacity on behalf of the pity of Tigard. Kbtt.ry Fu^ is of Or 11 boy Jomis e:- s: 77 800% STATE OF OREGON �� County of Washington � IYte I, Ropy ThomuM JI-mtor of Records and Elecuom and E,041r10 Recorder of Can- veyonces for sold county, do hereby certify rhos the within Insburnent of writing was received and recorded in back of records No ..__.._._.. ..---- - u1 sold County Witness my hand and seat affixed. ROGER THOMSSEN, Director of Records & Eleicttmn DepAti JUN Z6 10 51 AM '711 EXHIBIT "B" 11; 2'7 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELECL OF 1U;6TR.I1,`TION The City of Tigard hereby certifies that the occupancy o: the following described structure or premises with respect to which a restriction of occupancy was, on January 3 , lg_� recorded in Book 918 , PaV 492 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - lot 1:31 As recorded in Book 330 Page 39, Plat Records of Washington County, Oregon OWPlF:R• Tiia 1 a h j n f1aynnmon+ f n Tn— BUILD114G PE1,101IT LAMER: 73-291 BUILDING AUDRES : S.W. Greane 'Ja7 This is t1- certify the vaid structure meets with the require- ments of the Building; Code of the City (if Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigan1. has caused this certificate ana relea:,e of restriction to be executed tLls 25th day of June , 1924 f/ Title:—f 4 STATE OF OREGON ) County of Was1,'ngton ) AV, ^� ^^,d ..G...�n��._:9Zy.a,.,......A.M.w Nnc p {aM.vvf.N, nim""t M Ila,et1��I, Blwctleet L�JJ , n.. 14:. 8 ,...ac„; on thio 25th day of June _ 197, personally appeared before the the above named Dor z_Harty,_, who.%e signature appears hereon and who acknowledged to roe that he executed the same in hts offical capacity on behalf of the City of Tigard. /t Notary ubli,c o regon Aly C siun xpires: BOOK aol I'AA-10 STME OF OREGON 1�ss County of Washing-aa C Cu' I, Roger Thamssen Director of Records and Elrctiurn and Ex-0fficloRcertify e order o - Co veyonces for said county, do berobv ,hot the withm Instrurnent Of writing was recei—d and recorded in book of records of told County Witness my :,arid and seal affixed, ROGER TNOMSSEN, Director of Records S. F.lecstonl r(!I' Deouty All 16 10 hXHIFIT "B" .1928 CITY OF TIGARD ,,anTIFICATE OF OCCUPANCY AND REIA ASE OF RESTRI(VION The City of Tigard hereby certifies that the occ.parey of the following described ctructure or premises with respect to which a restriction of occupancy was, on J©iivary 3 , l9_74 recorded in Book 950 , Page 41 , Deed Record of Wa,;hington County, Oregon, is uereby authorized end approved. DESCRIPTION OF PROPERTY: Summerfield - lot 140 As Recorded in Book 33, Page 39, Plat Records of Washington Couhty, Oregon OWNER; Tualatin Development Co, Inc. BUILDING FE:HMIT NUMBER: 73-291 BUILDING AUDRE.j: g,i,l, Greens Way This ig to certify the said structure meets with the require- ments of the Building Code of the City <+f Tigard and the above reference-d restriction if; hereby released and ter%linated. IN WITNESS W11£REOF, the undersigned authorized officer of the City of Tigard has caused th1-, certificate and release of restriction to be executed thiE 25th day of June 1974, Title: Qly gE:1RI11 x STATE OF OREGON ) p County of Washington )sr. " _.._......_............ 1a.......a+.........AM.Pn 1111.MNSEN. Mer nr ni n00--do& 1'Iraehon• On this 25th day of June ly 74, personally ............. appeared before me the above mined Doris Hartig —, who e signature appears hereon and who aeknowledgPd 'o me that he executed the same lin his offical capacity on behalf of the City of Tigard. Notary 1EtIic of egos My Commis:: ex i-es: BOOK PALE371 r STATE OF OREGON County of Woshlrgtnn / and Elc Roger and F.Oisl!nl Ui sch"lo dOf rIt eecords tvheyanc: For said county, do hereby eaNfy within Instrument n/ wrlflno wag feCelved and recorded In book of retards No. Of sold Caunfy •-••"•--. .—.._...._.... Witness my hand one weal afllaed. llecartS &Ele tions, Director of Irl C-P D Jun Z6 ;O 51 PI I�'711 J - r EXHIBIT "B" CITt OF 11—ARD 11934 C%RTTFICATv 7F OCCi1i'ANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies chat the occults%cv of tL,e following described structure or premises with respect to which a restriction of occupbnc•/ was, on Jonuar, 3 , 19_, recorciPd in Book, _► Page Aar, , Deed Record of Washington County, Oregon, is hereoy authorized and approved. DESCRIPTION OF PROM Zi Summerfield •- lot 99 As recorded in Ejok 33, Page 39, Plat records of taasF,ington County, Oregon OWNER. � Inln�mc�nt G n Inc BUILDING PERMIT NUMBER: 73-29n BUILDING ADDRESS: 1r-071' 5.J. Green9 Wa _ This i, to certify the said structure :mete with the require. meats of the Building Code of the City of Tigard and the above referenced restriction in hereby released and terminated. IN WITNESS WEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to rd executed this „- ,3 day of c , 1 2;a ro i STATE OF ORE'r I s e ti 0 L...l..m.j.....A.M.t P" County cf 'w:ashington ) A laMesrN, thtw44m of e."rdl ti Ei IMS$ '! �vjC Uopur� On this day of personally appeared before me the above name � whone signature appear ; hereon and wh nwledged to me tba he executed the same in his offical capacity ca behalf of the City or Tigard. otary ublic riT gon igyJCw: an xp 13772 rnoa �b1 Pa,r37? STATE OF OREGON Canny o1 Wnshinpton f� and Ii Rosbyon�llo" Di R dor of R ledo'rds wYor cgs for said county, � ' o/ Con- that he within InstrurrKntd ofwrifina t'ak+v certify receive2J and neordad In book of raco.ds was No. Of Id.c .........__.._.. wsrMr'. Witness my hard and seal affixed. ROGFR TNOMSSEN, Dir.,mr of Records d Ek",OM H1 C or J."26 10 51 AN'T� 1FMIBIT "P" CITY OF TIGARD 11935 (:EMIFICATE OF OCCUi'ANCY AND F,ELEASF OF RESTRIMUN The Ctty of Tigard hezeby certifies that the o.eupancy of the following described structure or premises with respect to which a restriction of occupancy was, on recorded in Book Page , Deed Record of Washington County, Oregon, is hereby authorized and approved. DL;JCRIITION 01' YRUI'ERTY: Summerfield - lot .101 As recorded in Book 33, Nage 39, Plat Records of Washington county, Oregon oWNiR: 7 .4 i n..,, l ,rr.,nni- rn Tnr BUILDING PERMIT NUMBER: ;3- `)0 AIJILDLIG ADDRESS: !. Greens Uay This f-, to certify the said structure meets with the require- ments of the Builci.ng Code of the City of Tigard and the above eeferenced restriction Is hereby released and terminated. .'N WITNE:3;- WHEREOF, the undersitned authorized officer of the City of Tignrd has caused this :ertifioate and release of restriction to be executed this day of <,.._L lye .•',-3� � �:.L-may /'a � 's., Title; 3TATE OF OREGON County of Washington � R07{A 71u,M r.N. [f, J1•ill.k#. ti^N+r of 014,M141 4 t1*01 01 'v on this - day of r ly' , personally appeared before me the abovename ..,.�. , whose signature appears hereon and who. knowledged to a "cbet executed the same In his ofPical. capacity'on behalf of thR City,6f Tigard. 47 otary l +c gen hey Com i one ires• STATE OF OREGON o County of Washington „(v Q I Roper TbsertomsDI r of Rscords and Elections and Ea-Officlo ' of Con yeyonces for said county, do'hereby certify that the within Irntrument of writing was received and recorded in book of records No. of said County Witness my hand and seal olflvrd. ROGER TFIOivissm Duertot of Records b Elections 1 JDeputy Juu 16 10 si !aH'lq EXHIBIT "B" CITY OF TIGARD 11936 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigaru hereby certifies that the occupar;^v of the following described structure or premiser; with respect to which a restriction of occupancy was, on -Jar.uary 3, ) ly recorded in Book page , Deed Record of Washington County, Uregon, is hereby authorized and approved. DGSCRIMON OF PROPERTY: ;ummerfield - Lot 1C)b An racorded in Book 33, Page 39, Plat nacords of Washington County, Orngon OWIPIil: 1 1�w ne BUILDING PE)'MIT NUMBER:_ __'73-29Q BUILDING ADDRESS: This is to certify the said structure meets; with the require- ment5 of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNES:, WIIEIJEOF, the undersigned authorized officer of the City of Tigard has caused thi•, certificate Lno release of restriction to be executed this - , day (if Title: STATE OF OREGON /Ct ? hl . La.:.z.frt.....14.l.....m.•.......AM.►M County of We.,hington M............((.JJ........................T Orr this day of 19,2Z, personally appeared before me the above name , who^e signature appears hereon and who cknowledged to me t t he executed the same in his offica.t capacity on behalf of the Qyty of Tigard. lo�ri eo�nt NotaryP� lie My leaden expires: ��'�-- B110h �v� FALE379 �b 4� STATE OF OREGON Its ��pv C."nty of Washi'W"n I, Riper Tiwmssen, (-)IrWVr a1 Records and ncps ,a said Fc untiy,adoRecord"vaf Can- certify ve , tt t hin received ardrecorldedr it' book f writing was s No. of said County Witness my hand ord seal affixed. ROGFR THOMSSEN, Director of Records & El Wk)'J JulDMxft i 26 10 51 AN'Z� b:74fIBIT "B" 11937 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RE.LF.A.SE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or promisor, with respect to which a restriction of occupancy was, on fat unry 3 , 19_, recopied in Book , Page ,,r» , Deed Record of Washington County, Oregon, 1s hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - lot gB As recorded in Book 33, Pagf. 390 Plat Recorde of Washington County, Oregon OWNER: Tualatin umsnt �_•._Inc. BUILDING PERMIT NUMBER: ^n,� rUILDINO ADDRE33: This iq to certify the said structure meets with t.te require- ments of the Bui.iding Caie of the City of Tigard and t}k` above referenced restriction is hereby released and terminated. IN WITNESS WNEREOF, the unaersigned authorized officer of the City of Tigard has cauaed thiq certifioate and release of restriction to be executed this day of , 1y1. Title; CITY RLCORDLII f r STATE OF OREGON County of Washington ) ..., a........aM Kin. �U/y:LA TIIOMA5CN, Du..+nr n1 QbMhh ti t]"llons Mputy On this �_'� _ day of 9," personally appeared before me the above named' a ysi , whose signature appears hereon and who acknowledgedto roe that he executed the same in his offical capacity on behalf of the Pity of Tigard. c, ry blit d egon My la on expires: FZ7 f,ASU STATE OF OREGON County of Woshington as and Ele A l0M% and oElxxnsin r ? sen, DireLlor of Records wryances fnr sold County, dRecords, ne'��of Con- ify Ihn' the "ithen Instrument of writ rerened and as ,recorded In book of Nn of sold Counity ..__ _.—_..._._. _..._...... Witness my hond and seal affixed. ROGER THOMSSEN, Dvertrn of Record- & Elecliona r PW 'Im 76 10 siArM EXHIBIr "B" CITY OF TI:iARD 11938 CERTIFICATE OF OCCUPANCY AND RELEASE, OF RFSTRICPION The City of Tigard hereby certificr, that the occupancy of the following described structure or premises, with respect to which a restriction of occupancy was, on January ' , 19_0 recorded in Book f"IX , Page /'r" , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPEWs ,iimmnrfiald — lot 139 ;s rccurded in Book 33, Page 39, plat Records ,r 1a9hington County$ Oregon OWNER; Tualatin D.?velopment Co.. Inc. BIFILDING PERMIT NUMBERt 73-291 BUILDING ADDRESS: 15900 S.". Crrr•nn 'Jay This is to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above referenced restrintion is hereby released and terminated. IN WITMMS W11EREOF, the undersigned aut;:orized officer of the City of Tigard has cauaed thin certificate ani release of restriction to be executed this 1 .5 day of Title: �-� --f'Hi` KeeRBER L/' STATE OF OREGON ea County of Washington ) Q�.�y . ................ ...... w „ AM 4"Nf �. �•,/Ifs. ,. N The.,+.•r .d *.,.,i,�e� RLc4nM )n this day of 19r y, personally app snred before me the above named 1, whore signature appears hereon and who �W.knowledged to .ahe executed the same in his offieal capacity on behalf of the City of Tigard. Notary 11,,1,1-1cpr6regon My lon expires; aaoh X81 en�F 381 STATE (rS OREGON �� X County of Washington 4 �fA� 1' RoCer �'lsomeeen, DI and Elections and txr reefor of Records V*ythat es for county Recerder, of Co' that rhe Withinldiro�ument A etihy w fy reCNved and recordea In w/lflnp was No. book n! records Of laid County - Witnep my hand and Beal affixed. R(X;ER THOM$5EN Records Director of d c } D-v('I JUN 16 10 51 Aft T+� EXHIBIT "B" CITY OF TIGARD 11939 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with respect to which n restriction of occupancy was, on 1 �,=y , 19-, recorded in Boox , Page ,92 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: -r'-i,ir rf ield - Loi; 137 "rr;nrded in Book 33, Page 39, Plat Records a: unyton Counti; r Oregon OWNER: Tii.,' .in fJevalnpment Co. ,Inc. BUILDING PERMIT NUMBER: 73-291 BUILDING ADDRESS: i:iAGII :;.'A. Greans Wag This in to certify the said structure meets with the require- ments cf the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the Citv of TJgard has caused this certificate and relear,e of restriction to be executed this aa, of Title.- PITX W, RUP -f ...- STATE OF OREGON County of Washington ) �x -1.�4•... 19;y„/6 a M fes, Ir'+J R On this � ; slay of )Z/ ly , personally appeared before me the above named777”" , whon0 siwiat.ure appears hereon and who acknowledged t0 me thdt he executed the same In hi- offlral cApacity on behalf of the City of Tigard. Notary ut;l ip 'gon Mypy®iup:on exT,ires: ".7. F4_----- ►'iiU! 981 f'AA82 STATE OF OItEC30N County of W�thlrgton !4 ERoper Tlu—sten, l�I�ttpr of Records and ectiom and E.Officio Rom r of Con- wyances for sold county, do'hweby certify that the within InstrunwrM of writing was received and recardtl/ In book of records No. of sold County Witness env hand and seal affixed, ROGER THOMSSEN, Director of Records 6 Elections -Pc,vt .IUNZ6 10 5�°W6414 r. u n - E7(HIBIT A us4o CITY OF TIGARD Cl:tTIFICATE OF OCCUPANCY AND RLIAA6Z OF RESTRICTION The City of Tigard hereby certifies that the occupancy �. the 1.oliowing described structure or premises with respect to which n restriction of occupancy was, on 7an„nr 7 , ly_, ecoruc.'. +n Book , Page ring , Deed Record of Washington county, o:rgon, „ hereby authorized and approved. DE,1;CR111IUN UF' PRr1PLM., i-rield - lot 138 )rried in Book 33, page 39, Plat Records nnington County, Oregon OWrrER: lir-1 -- i n novelopment Co. , Inr. NUILUING PER14IT NUMBER: _?�— .k hUILJIiIG ,UD?+' �: ❑ S _ C.: na idav i - Lo certify the said structure meets with the require- menu of the Building Code of the City of Tigard and the above referenced restr'etion is hereby released and terminated. IN WITN&9S WHEREOF, the undersigned authorized officptr of the City of Tigard has mused this certificate and release of restriction to be executed this _ day of , lye. 1 0211" Title:- s/ STATE OF OREGON County of Washington )eB 1 �o-•._..a�.wa.M.M�. ��r�l'�,�IUMA:rIJ. b•�,�,v nl b�nrA�S��lom On this = day of , 191 , personally appeared before me the above named/ ' , whose signature appears hereon and who �a owledged to me tbAt he executed the same in his offical capacity on behalf of the City of Tigard. V- Z otar Public Oregon my C igmion 04¢ res: fi [AA383 i STATE Of OREC O faWmtv of washlnph,n- u / I, Roper Thomsen, Dinctpr of Records and Elactlgls and Es-Officio Recorder of Con- •eyances fw sold county, do"hereby ce'ti fy thot rhe Within Instru"c"t of writing was received and raeardW In back of Words No of sold County Wltnys my hand and seal offl>ed. ROGER TtIOMSSEN, Mr rtor of RPcads & Elwlong rr eller Jill 26 10 1 AH '7q i City of Tigard INSPECTION REQUEST for INSPECTION TIME: 'z' PERMIT NO. : DATE: DATE ISSUED :--L Z ! OWNERS NAME : 7-,ID � ADDRESS:, -r CONTRACTOR TEST : Air ❑, Water❑ , Visual Laboratory ❑ i RESULT' Approved �\, Disapproved C Pending ❑ SKETCH. 1 i I INSPECTOR DATE C01E: Attach supplemental tent djta beret] City of Tigard INSPECTION REQUEST for INSPECTION TIME. : PERMIT NO.: — DAT E: O.: _DATE: DATE ISSUED:__L_1__ OWNERS NAME : ADDRESS : I CONTRACTOR : TEST: Air D, Water p , Visual p , Laboratory p RESULT. Approved O Diaanproved p Pending p SKETCH: I YJ I I rr INSPECTOR DATE INOTE: Attach supplemental test date heret-10 1 of Tigard and � City g INSPECTION REQUEST _ for INSPECTION TIME : A5HP PERWT NO.: . L DATE: DATE ISSUED:- --L-OWNERS NAME : 1 ADDRESS : CONTRACTOR : 11`-' -� ------ --- I Water ❑ Visual N_ laboratory ❑ 1 EST. ❑, ; RESULT: Approved Disapproved ❑ , Pending ❑ I SKETCH: I I i I I INSPECTOR DATE CNOTE : Attach %upplomental t&et data here'- i City of Tigard INSPECTION REQUEST for "�)3 1 � INSPECTION TIME' 11YY.I1.— PERMIT NO. : DATE: , //(6/7!Y DATE ISSUED '__L Z OWNERS NAME iy� ADDRESS:�d _ CONTRACTOR 'i EST : A!, Woter❑ VisualA Laboratory ❑ RESULT : Apnrcved/K-, Disapproved ❑ Pendiog p SKETCH. INSPECTOR DATE TOTE: Attach supplemental test data beret] �!h - Job.W iela CITY OF TIGARD MECHANICAL PERMIT PERMIT NO. .fy,. r17 �1 RECEIPT NO.DATE — 1 F'EFBY of .Ation. 1 , permit shall be obtained prior allappliances oappliewhich are ttolbecome 2. Permit shall. b.. obtained a fixture to the building. ' lterations, or changes to burners and 3. Relocation, replacements, a duct work require permits. 11. All work to be concealed must be inspected before cover up. sta].lation U� Replace ❑ Relocation ❑ Addition Alteration - N ., I n OWNER WORK ADDRESS ADDRESS APPLICANT* ei TELEPHONE N0. _4j1d TELEPHONE NO.. FURNACE - p1ANUF ACZURF.R F� Flue Size HEAT Input rating (Btu Per Hour•) � �1( nr� _ Vent Size __3 -- FUEL OIL � GAS Il-� ELECT ❑ OTHER c Basement ^--^-- ' - TOTAL SQ. FT. Top Floor -"� Main Floor _--�� r - -- --- ----- GENERAL - - -- ITEM ITEM NO. FE NO. FEE f For ;mance of Permit .UO Boilers Over 50 .�: - `�` __�_ �- Air^Handlin 10 000 (',AM __ -3. New -- Under 100,000 Btu 4.00 Aix' I3andlin Ove l0 000 CFM r New Over 1001000 Btu - —g- -.-- --� - 00_ Eva_porative Cooler ' Floor Furnace — Fcin oor -- � ~- 2 hall - - Sus e� n ed �_ Vent Fl Z n s to 1 TV'en s _.'V_en _.- Re air - Heat & Coo11n� _• 4.00 __--Hood- 4.00 4 �Dome�lc Inc�nera r�_._.�... bo. ers Under 3 _N_L 7 50 Comm.�'Inc1nerator_ 0' Boilers 3 10 1_5_-N�, -� 10 00- Ot�ier No�I.3:sted_ ��.'� j• B o i 1 e r s -1 t0_30 Hp—-- 5-�- - _ -------------y-- T' __ bo i.l e rs 36--o 50Y�H��_ INSPECTOR' S COMMENTS I`SUED BY DATE A.F'1'ROV),D BY DATE 5=-11�7y 0 __- Signature of Applicant CITY OF TIGARD MECHANICAL PERMIT PERMIT NO. _ -�S�gG ill RECEIPT N0. DATE a-�-- FEE BY -- ___ 1. Permit shall be obtained prior to commencement of installation. 2, Permit ,shall be obtained for all appliances which are to become a' fixture to the building. ' replacements, a� +,_rations, or changes to burners and 3. Relocation, replace duct work require permits. 4. A11 work to be concealed must be inspected before cover up. New Installation (hJ-� Replace [j Relocation � Addition Alteration LlOWNER--�iss.�---------_- WORK. ADDRESS 1ADDRESS � -��L,c! ?1 lL. APPLICANT `I'EI.EPHONE NO. FURNACE - MANUFACTURER /�c4 = 1i � TELEPHONE NO.. MEAT Input rating (Btu Per Hour) . �L��r c�_ Vent Size � Flue Size FUF,L OIL GAS C ELECT �� OTHER _-- •-_�_. ._ _.__ TOTAL SQ. IPT, To }3asement Floor Main Floor i _ -- E� -T GENERAL ' 'ITEM NO. FE ITEM NO. p0 Boilers Over �- IR _ For zssuance of Permit -- Handl ng 1.0 000 CFM - New - -- er 1-b0 000 B�,u 4.00- _ _�,—.1=- --�-- ----- Air Hand].1n2 Over 10 00 CkM New Over_100.000 Btu - — 00orative Cooler - • F105r Furnace __ -- x+.00 ^ Vent Fan -- 00 1Fa11 - �'� nor - Sus cn ed -�7-'UU� �~-�- In fiif Verus _ --- Vint-mss cm s 4.00 Hood Rerair - Heat_& Coolini -- 1,o�lers Under 3 H� __ 4.00 JDomes . c Inc�'neral;or� r0• 1 H -'7.50 Comm: Ir:c�r Boil eiTs`3—to 5 �� - - 10.00 'Other P7oL�steel - ' Boilers l to 30 Hp _ 5.00 ,_-�- Bollers 30 5 Hn_ _ INSPECTOR I S COMMENTS • APPROVED BY .- -�-----_-- -�_ DATE 5�.�._� ISSUED BY PATE Signature of Applicant CITY OF _rIGARD MECHANICAL PERMIT DATE -� /y 7 PERMIT NO. _��_�_., RECEIPT NO. --LAI 7 13Y _ /./J�1/�� L�. � _ _ FEE _--Z----• 1. Permit shall be obtained prig to commencement of installation.' 2. Permit shall be obtained for all appliances which are to become afixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Tnstal.lat.i.on 1J 'Replace ❑- Relocation ❑ Addition ❑ Alteration ❑ CONTR. ADDRESS �5�� ili >� 14ORK ADDRESS APPLICANT TELEPHONE NO. FURNACE - MANUFACTURER /, ��i12TELEPHONE NO.. - HEAT Input rating (Btu Per Hour) Vent Size _ �' Flue Size ��-- FUF,L OIL ❑ GAS �/l.l R1,ECT ❑ OTHER TOTAL SQ. FT. Top Floor ��- _ Main Floor 1,:26-F !� Basement GENERAL T_ Irk N0, FEE ^ITEM N0. FEE For Issuance 5 of Permit x,00 Boilers OverO }tp__ New - tinder 100,000_Btu �_ _4.00 Air Handling 1.0,000 CFM New - Over 100,000 Btu ._ _ 0 Air-Hand ming Over 10,000 CFM F Floor Furnace .00 �E�nrative Cooler .0 Wall - Floor - Suspended - .00 Vent_ Fr�i1�� M_ Tnstoll �V'eii�-s� �00� Vent .S~Uee _. 3 .0 R pair - Heat &_Coolj__n _4.00 Hood Boilers Under__ 3,__�� 4.00 �Domes�c Incinerator— �" 0 Boilers 3 -to 15 NQ _ 7.5C T omm. IncFnereto'r 20.0 Ni_ l e r s 1-5 to 30 H,p _ 10.00 6TH e r o-f L .s t e d � x.15 i3 o i]tee r s 30 0 50 Hp .00 - -.^ - '"-' �' INSPECTOR' S COMMENTS A1'1'RUVED BY .: DATE _�� ED BY _ DATE _ --}�--- -- --- ISSUED Signature of Applicant CITY OF TI CARD MECHANICAL PERMIT DATE - PERMIT NO. RECEIPT NO* )ol9 7 NY FEE 1. Permit shall be obtained prior to commencement of installation: 2. Pe71, mit .shall be obtainca for all appliances which are to become a' fixture to the bl,i I ding. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Tnstallati.on Replace ❑- Relocation ❑ Addition ❑ Alteration U CONTR. _ �y�___�-� ' �� _ OWNER •J,�_ ADDRESS �15 3C� ' r�i l // . >� WORK ADDRESS APPLICANT TELEPHONE NO. '�T Q FURNACE - MANUFACTURER _ .l ' Lf',t I _ TELEPHONE NO. " Flue Size HEAT Tnput ra.lAng (Btu Per Hour ) _ 1.y &n�) Vent Size _�// FUEL OIL � CAS 10 ELECT U OTHER TOTAL SQ. FT. Top Floor Main Floor / �� Basement �`-�-^-- r GENERAL ITEM N0. FEE ' ITEM NO. FEE For Issuance *of Permit � _x.00 _ Boilers Over 0 Hp � p New - Under 100,000 Btu _ 4.00^ Air Handling 10,000 CFM _ New - Over 1.O0,000Bt_u �_ �p Air Iiandl Over 10,000 CFM �'O H`l.00r Furnace _ .00 -Evaporative Cooler •Q Wall - Floor - Sed 4.00 Vent Fan Tnsta5.1 Vent-s�� s Re�ai.r - Heat & Coolin.g _ _ -4.00 —Hood Boilers Under 4:00 Domestic In-cTnera_r w, C Boilers 3 to-!5- N� -- Ommm,^In`-cin`era or �3oilers l to 30 1 p 10.00^ Other No Lls-ted�� Boilers 30 to50 HR�� INSPECTOR' S COMMENTS APPROVED BY nATE S -�` I113`;UED BY �_.. ,TE Signature of Applicant CITY OF TIGARD MECHANICAL PERMIT T)ATE �5 � PERMIT N0. _ 7�/� 93'/yl RECEIPT NO. /01e?2 By 1. Permit shall be obtained prior to commencement of installatio-i; 2. Pei,mit shall be obtained for all appliances which are to become a: fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be :,,aspected before cover up. New InstallationReplace �- Relocation Addition Alteration C'ONTR.-. � ,. A])])RES3 �� sr1�14� /1� ��'__ -____ WORK ADDRESS J,50 ;PC, 1 APPLICANT ��/... TELEPHONE NO. FURNACE - MANUFACTUBWR 3¢�LL!t��1tL TELEPHONE NO.. HEAT Input rating (Btu Per Hour) �� OfC Vent Size Flue Size FUEL OIL GAS k] ELECT U OTHER TOTAL SQ. FT. Top Floor Main Floor k2c,3 Basement �---- GENERAL ITEM N0. FEE ITEM NO. FEE For :Issuance 'of Permit___,Y._, 3.00Boilers Over 50 Iii New - Under 100000 Btu _____ 4.00 Air_Handling 1.0,000 CFM New - Over 100 000 Btu _ _5,o _Air Handling Over 10�000_C'FM Floor Furnace _ _ .000 Ey.�jpo_rative Cooler r -0) V all - Floor �- Suspen`�r ed �+.�0 Vent Fane' installen Vts - •� 'Ven ,System _ 0 Repair Heat & Cooling 4.00 Hoed _ Boilers Under 3 H -_ - 4.00 _Y"Doe�c -in cTner^-a or _ 0 Boilers 3�0 ,.tip Y �7. �0�� Comm.Inc neva or � 1.U.0 Boilers 1 _to T30 Hp 10.00 Oder No i s e _5 F3oiilers 30 to-50 HP __ Y `� ��On� _.. ' _ ;_ _ _ ..._.. -.. . INSPECTOR'S COMMENTS _.-__.�__ ______ __ ----.__--�_�_. -•_� .. ._._._. -_._ APPROVED BY __ T)ATE ISSUED BY _ _-_ _ DATE Y Signature of Applicant r • 1 CITY OF TIGARD MECHANICAL PERMIT DATE_ 5 PERMIT NO. _ _ 2f/r� _�� RECEIPT N0. BY __--� �t �.�a� _ __ FEE 1. Permit shall be obtained foroalloappliances which arettolbecome� 2. Permit , . a fixture to the building. 3. Relocation, replacements, alterations, or cY:anges to burners and duct work require permits. 4. A1.1 work to be concealed must be Inspected before cover up. IVI New Installation t/-Ii - Relocation Replace LJ Relocaon Addition- Alteration ❑ � OWNER CONTR. ...__..._.__ ADDRESS 7 �rL`�,_- �t� 1// "41 WORK ADDRESS APPLICANT TELEPHONE NO. FURNACE - MANUFACTURER ---1�� 2 __.__, TELEPHONE NO.. _ . Flue Size HEAT Input raging (Btu Per Hour) _ �' Vent Size FUEL OIL ❑ GAS bi ELECT OTHER --- iyq4. TOTAL SQ. FT, Top Floor Main Floor Basement GENERAL IIF• ,M N0. FEE ITEM _ -` N0. FEE For Issuance "of Permit _ X _J.00 Boilers Over 50 Hp New - Under 1.0_�000!_B u 4.00 _ Air Han_ !Dg 10 000 CFM -3dL New - Over 100 OUO Btu Air _Handling Over 10,000 CFM - -'�--��-`- p0 TEv_orative Cooler Floor Furnace _ --- ----- C ball - Floor - Sus en ed 4.00 Vent Fan C Ins a 1 Vents _ �;OU- 'Vent�'ys em _____,._.,�,- . - C _4.00 Hood --�=- Rei air - Heat & Cooling __- _ DomPs�a I--Tnera r �rC Noilers Under_ 3 Hp _ _ 4�OU -"- �'U.0 }3�lera 3 to 1_5 Hp _ 7. 50 Comm. • Inc era o: Boilers 1�� to 30 _-_ 10.00 �Oh'er Boilers 3-0 o 50 H__. _r 5.0 .. -- -- ----------- • IIJSPECTORIS COMMENTS _`____._____. _ - ---- -------- ---------------- APPROVED BY _ _- _-� DATE ISSUED BY _ - -,_--_ _ DATE Signature of Applicant I I City of Tigard I INSPECTION REQUEST for I 7F' INSPECTION TIME: PERMIT NO. :--- DATE: O. :__DATE: DATE ISSUED : i Z I OWNERS NAME : 71, P ADDRESS: " CONTRACTOR : 4-.1-"k1,'.)6 _ TEST : Air El, Water p , Visual, Laboratory p RESULT: Approved Disapproved U Pending p SKETCH. L' NSPECTOR SATE I NOTE : Attach supplemental test data beret a] i I I City of Tigard I INSPECTION REQUEST I for INSPECTION TIME: - PERMIT NO. : DATE: S DATE ISSUED :,_L1- OWNERS NAME :--;t-l. AME : ADDRESS - C% /�c � I t : ��.�_ �.7/N,1 --- CONTRACTOR : I4'6��ti", - --- TEST : Air p, Woter p , Visual Laboratos y p RESULT' Approved Disapproved ❑ Pending p I SKETCH. INSPECTOR KETCH: INSPECTOR DATE I NOTE Attach supplemental test data beret] LC'O rl /�FaY CITY OF TIGARD MECHANICAL PERMIT ;v,TE_ s/ 17V PERMIT NO. _ 7y_7a -Al _ RECEIPT NO. BY _ fit' 1 ___ -- FEF. -- 1. Permit shall be obtained prior to commencement of installation. 7. Permit shall be obtained for all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to bl? concealed must be inspected before cover up. New Installation Replace ❑ Relo^-t+on ❑ Addition [I Alteration ❑ CONTR. ADDRESS �.s.�r�i •.f'GU. _([f�'�ti— ___.-...._..___ WORK ADDRESS ------.---- APPLICANT TELEPHONE NO. FURNACE - MANUFACTURER _� + 1�'"_'k.ZTELEPHONE NO. HEAT Input rating (Btu Per Hour) _ firVent Size _ Flus Size FUEL OIL ❑ GAS® ELECT ❑ OTHER --- TOTAL S0. FT. Top Floor Main Floor _/g.L!3 _ Basement CENEPAI, ITEM NO. FEE ITEM NO. FEF. For Issuance of Permit _ _ — 00 Boilers Over New - Undo 100 U00 Btu _�— 4.00 Air Aandli�_10.000 CFM _ ew - 01 0, 0 Bu ^Air�iendling_Uver_hi�)00 CFM_ oor urnace Evapooratave Cooler_ -- Wall - Floor Suspen e ant man --_--------_ nsa vents e r - Heat S'CPo—o1_1�n .UO —Hood 4100o era Under 3s�ic lnclneralor �U Boilers �o`Ih_��_ - -- 7.50 --_Comm-�ricinera�—or_______.�_ - ?U_0 foi ars o 30 HH —_� _ 1-10-.00- B .00 _b�Tier Tfo�-L_i_s�e3�------ BcMrs o 50 Hp __ .___.- •�5 � __.__-------- --------- �— TNSPECTOR'S COMMENTS APPROVED BY DATE /3 7 ISSUED BY DATE Signature of Applicant IR Jot Gio! Gvo # <i;34 CITY OF TIGARD MECHANICAL PERMIT DATE_I ( PERMIT NO. -_ '7V- ?3--M -- Rr CEIPT N0. _ f BY �� -IL2 1�4_ �� ------- FEE 1. Permit shall be obtained prior to ct�mmencement of installation. 2. Permit shall be obtaii,ed for all appliances which are to jecome a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work req,ilrP pennits. 4. All work to be concealed must be inspected before cover up. NPw Installation ()o Replace ❑ Relocation ❑ Addition ❑ Alteration L7 C�IdTR ,7i rr!i �.;.� �•----�- OWNER—__ Qz�C-_ —�/ _ A 10RF',SS /6200 „(�(.!, _ ///, '�S WORK ADDRESS SSS ,��_ `'YJ, , l{;y APPLICANT _ ,(�� TELEPHONE NO. F',IPNACE - MANUFACTURER ,�p2�1_�L't 11JLL__ - TELEPHONE NO. HEAT Input rating (Btu Per flour) _��S� - VPnt Size S Flue Size F11FL OIL [-] GAS O ELECT ❑ OTHER — - -- -- TnTAI, 5O. FT. Top Flour Main FloorBasement GENERAL - r ITEM Nn. FFE - ITEM NO. FEE For issuance of Permit .00 Boilers Over _�_-- ^Ie.w - Under 1C0 000 R u -A— 4.00 Air Handling 10,000 CFM— _ Flew - Over (�-#�J�u__ _ _ it Hand ing_Over 10.000 C_F_ Floor Furnace Eva Fve Cooler _ 3.0 dall - Floor - Suspended _ T. �fenf `aoratin -V__ _ ----- - Iris a 1 vents — e_XU_ Vent_Ssjm0 RepairHea c Cooling _00 Hood - -- noilers n er 3 A— 4 00 — mes�ic 7ncinera or------- _ 0 Ro lera ��n 3� _ 7_ 0 --•7omm_-Sric_inere�or-------` 20.0 Ro ers f5 to 10.00 -�.6 Roi era 0 to 50 Hp T .�- --...------_ ------------ I N,;'IFCTOR I S COMMENTS Al 11PoVED BY DATE 513-7V ISSUED BY _ DATE Signature of Applicant 10 /ism CITY OF TIGARD MECHANICAL PERMIT DA's E__�-Z-V PERMIT NO. '7q- '76 mRECEIPT NO. BY . ! &1 �7 U'��—��__ FEE _r._Z 1. Pe.-nit shall be obtained prior to ccramencement of installation. 2. fermiL ohall be obtained for all appliances iiich are to become a fixture to the building. 3. Relocation., replacements, alterations, or changes to burners and cluct work require permits. 4. All workto be concealed must be inspected before cover up. New Installetion 1X1s Replace [IRelocation ❑ AdditionAlteration ❑ CONTR. OWNER ,,1 _ v ADDRFS3 _ /3 3LP—A17 Al. WORK ADDRESS APPLICANT le k ) : d TELEPHONE NO. FURNACE - MANUFACTURER _ 6A0 - C(),14 �l TELEPHONE NO. }1RA'P Input rating (Btu Per Hour) L�10 Vent Size _SFlue Size j1 FUEL 011, LJ GAS® ELECT ❑ OTHER TOTAL SO. FT. Top Floor —_ Main Floor _,/y9G Basement � --- --- GENERAL TTFM NO. ' FEE ITEM 110. FEE For Issuance of Permit X_ 3.00 Boilers Over 50_Ii� _ New - Under 100,000 Btu X 400 Air Handling 10,200 CFM _ r epi v(er. 00,0 u _ _ _ Air Handl.ing_(Jver 10,000 CFM oo3r F mace a. Evaporative Coffer � .0 Wa - ooeSuspended �+'. -Vent n rn ------------- IrisiaZTVenis ei� '-�_:e_m 0 Repair - Heat & Cooling- 0 Iiood Boilers Under — 4,00 _--�es�_ic fnc�neraaTor_-'-- 5,U Boilers_ o SWV _ ,0 -- mm. Irir ne-i rater_- 20.0 Boilers to 10.0)0 8iher�lot Lis�eo- --- —w� Boilers o _- �ro0t5' --- �_ — - i NSPECTOR'S COMMENTS Al DROVED BY DATE S' - ISSUED BY _ �, nATE 'i l 3-7y Signature of Applicant ' �6'y Dido CITY OF TIGARD MECHANICAL PERMIT DATE—f11;'1-"q _ PERMIT N0. — 7`/ 7y'�?� RECEIPT N0. ---- AY ZLL[�__ Al'4 LIA �I1J.L—-------- N h E 1. Permit shall be obtained prior to commencement of insts.ilatiori. 2. Permit shall be obtained for all appliances which are to, become a fixture to the building. 3. Relocation, replacer—its, alterations, or changes to burners and duct work require per t.s. 4. All work to be conc ealed :rust be insp cted before cover up. New Installation 14 Replace L. Relocatlon Addition ❑ Alteration Ll CONTR. ' OWNER.--._s� n[ - --- --- ADDRESS _ �'�j1InWORK ADDRESS Zjcs�' ..Y i.r APPLICANT TEI,EPIIONE N0. FURNACE - MANU aC'TURER �j02c�_-_LC L7_1.1 TELEPHONE. NO. --�—_ -- HEAT Tnput reting (Btu PerI�HTur) G�/,ins Vent Size Flue Size -�-- FUEL OIL [j GAS 0— ELECT ❑ OTHER TOTAL SO. FT. Top Flo,)r __--- Main Fluor —l_[i L; Basement GENERAL ITEM NO. FEE iTL:M NO. FEE For Issuance of Permit _ .00 Boilers Over _ p— �0H _ New - Under 100.000 Btu 4.00_ Air Handling_1.0,000 CFM _ -J New - Over-100 000 Btu_ _Air Handling_Over�0_i(J00 C_FM _ Floor Furnace _ - _ +.00 Evaporetive_C_ooler__ W - F-oor=�uapennP —- �00 Vent F an -------—-- Install er+ ;s—_ � —Ven _ s�Ee_m_ —__— U Re air - Heat & Cooling 4.J0_ Hood BoilersUn—der �— _ ;.FOU —�o-mes£ic-finclnera or ---- 0 Ters -- -- 7.5 - ---Zomm:'-In-ETT'ralo-r_.__�___—� _ ?U.O B+� 10.00 -" erNot-Lisi7(:- --_-----_--- _ 3- Boi Ie_rEs 30 to—C HP__}�__ -�_7F INSIECTOR'S COMMENTS APPROVED BY _ L+ DATE 6 -18-7y ISSUED flY DATE I3-�,L_ Signature of Applicant `0; CITY OF TIGARD MECHANICAL PERMIT DATE �8L7_� PERMIT NO. '7� 73 iYl -- RECEIPT N0. FEE BY 1. Permit shall be obtained prior to commencement installation. 2. Permit shall be obtained fur all appliances which are to become a fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to to be concealed must be inspected before �1 cover up. New Tnstallat�on LXl Replace L_! Relocation u Addition Alteration Ij CONTR. UWNER_ 1est__—_____---- ADDRESL Or. �G(' __ill-�` ----••------- WORK ADDRESS --- r — --_--- APPLICANT TELEP'iONE NO. FURNACE - MAN1JFACTURER ✓3020 ' 'TELEPHONE NO, HEAT Input rating (Btu Per Hour) (. Vent Size _S Flue Size — FIIEL OIL IJ C►.S El ELECT F OTHER - TOTAL SO. FT. Top Floor ___ Main Floor —�ys�G Ba—ment _-- GENRRAL --- ITEM NO. FEE ITEM NO. FEE For Issuance of Permit X x.00 Boilers Over O-Hp New - Under 100 U00 Btu 4.00 Air Handling 10,000 CFM _ New-fiver - __.__ Air an ling_Overt000�CF_1� 3.0 ooh urnace a. Evaporative_Coo�er __--_— _ Wall --loch - us en e ent-`anQ _ 7:UII -Snl O Tn.-31—all Ven to v m __ ` air - ffe—a—t—&70olin i.00 mood _ __ _ -'�`om�s�3.c- �nera+.or O o ers n —� 4 OC?�_ ----- --_ 20.0 --- --- 7�0 —i.omm.-Tric�_nera�—or_ Boilers to 17 H uq — o ers C3'to _ 10.00 er-Ro' Lis ed�_=IT3o—=e s ��_---------? tS- - -- TNSPECTOR IS COMMENTS __ --- _____-- -__ __._-- --••-------•--- — - APPROVED BY DATES/3-7y ISSUED BY DATE Signature of Applicant I i CITY OF TIGARD 1:420 S. W. Main Street TIGARD, OREGON 97212 APPLICATION FOR BUILDING PERMIT New Conitructi.on ® Demolish Addition Remodel Move ZONING / U DATE ISSUED BUILDING PERMIT DATE RECEIVED BUILDING FEE $ No. PLAN CHECK $ /S�, BY `"- VALUATION $//3; OTHER $- --- — �tl p0 -- �o/m RECEIPT No.- TOT L $ � TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N \3v1,�\'��\�o•dAP Nom:,\ \\C CENSUS TRACT _1-& _, JOB N_ _ Architect or Engineer. ;i# a J. �? �r-'K j--N-- Address --1 Address Phone owner Addressy`Sy_e,c, :..� » _ �L S � Pho:ve \..4 Builder ,.,.�� Address -_V_________'hone BUILDING USE Single Rea. Multi Res. �- Comm. L-I IndustriFlFl OCCUPANCY GROUP_y_ No. of Stories _ Total Height�'2Area of Lot r V Floor Area B W 1 7 YW�!"'�' Type of. Constru-Lion --- - Set Backs: Front��gBack �S L.Side_ Vii_ R.Side- Private Sewer Pipe Size_y" -_ Sewerc\�*,_ I, ,��Septic Tank U ((�'� Water Service Pipe Size �- storm Sewer � Ditch ❑ DryweI! 0j Street and Curb Requirements Driveway Width ��1 ^- rNo. or Parking Spaces_--y_- SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATTON ADDRESS ASSIGNED __-_- ------.--.-- --- FIELD CHECK BY -._- ----.__-_._ - --DATE--.---- PERMIT --DATE__.--PERMIT APPROVED BY It is urierstood t17a: all work will conform with applicable codes a. ordinances of the State of Urr.gon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of ()ocupancy has been issued by the City of Tigard Building inspector. Sig:iatur-e oT Applicant rd 3 7 vas lee �� 6v 9I y i 11 z u ;? /to D Y % T v CITY OF TIGARD 12420 S. W, Main Suint TIGARD, ORIGON 97227 APPLICATION FOR BUILDING PERMIT New Construction © Demolish Addition Remodel Move L IONI.,, DATE ISSUED BUILDING PERMIT DATE RECEIVED — BUILDING FEE S�a0'. SD No. BY PLAN CHECK. $ - --- OTHER $ - i •OJ RKY/414 VALUATION $ -�pArrAi, $ •e7/ I1/c 57AAr RECEIPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N \p _ - i MAP N_ y`�\ �\�� CENSUS TRACT W - ? JOB N Architect or Engineer Address \\ _�- a.w_,_ �_�.�. ]c�<r ., -,._ �. :77:,sl LPhone Owner- Address �>?,c,r �v�_1\.�,__ A..`_ S Phonesa ., Builder Address _ -.,---Phone________ BUILDING USE Single Rea. ❑ Multi Res. � Comm. R Industr.i.al❑ OCCUPANCY GROUPS No. of. Stories_— Total Height, ` Area of Lot Type of Constructici 1111111111111M V Floor Area B2—_i Set Backs: Front_�5� Backe L.Side R.Side_-, Private Sewer Pipe Size—� _— Sewer-- ' _",,\Septic Tank U Water Service Pipe Size--' __ Storm Sewer ® Ditch ❑ DryweI! Street and Curb Requirements —�_, ._ - _`_-__- Driveway Width \ \--I --_-_----_No. of Parlting Spaces \,r,_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIi.L INFORMATION ADDRESS ASSIGNED`__----- -- l---_—FIELD CHECK CHECK BY�� PFPRIT APPROVED BY It is understood that all work will conform with applicable nodes and ordinances of the State of Oregon and the City of. Tigard, Oregon, and that the building will not be oc,zupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. Siy an ture 0f. Applicant City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: DATE: SI DAZE ISSUED:__Z L OWNERS NAM-. ADDRA CONTRACTOR :.fir /�J >`1_�� "`' TEST: Air D, Water Q , Visual ( Laboratory ❑ RESULT: Approved , Disapproved ❑ , Pending [] SKETCH: INSPECTOR DATE NOTE ' Attach supplemental toe, data heretJ I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO.: . DATE: �f17X DATE I,�SUED:..._" OWNERS NAME : ADDRESS : iSlo aj CONTRACTOR ' TEST: Airp, Water [I , Visual ❑ , Laborofo►YC1 RESULT: ApprovedX,, Disapproved [] , Pending SKETCH: 1 l � I SPECTOR DATE NOTE: Attach supplamanfal t*et data hereto] City of Tigard INSPECTION REOUEST for L-4-4 LwINSPECTION TIMI : .� , M . PERMIT NO.: DATI : —5LL DATE ISSUED:_Ll_ OWNERS NAME .' ?-� ADDRESS : . CONTRACTOR :-1Z)C- TEST. Air O, Water ❑ , Visual ❑ , Laboratory [] r RESULT: Approved Disapproved ❑ Pending p _ I SKETCH: -71V f9 INSPECTOR DATE [NOTE: Attach supplemental toot data keret!] _r City of Tigard INSPECTION REQUEST f for INSPECTION TIPERMIT NO.: DATE: DATE ISSUED: (_1_ OWNERS NAME : ADDRESS : . =r _ CONTRACTOR : r D TEST: Air 0 , Water ❑ , Visual ❑ , Loboratory� RESULT: Approved , Disapproved ❑ , Pending ❑ SKETCH: I SPECTOR DATE NOTE : Attach supplemental taet data herit- I I City Tigard of Ti I I NSPECT1oN REQUEST for INSPECTION TIME: PFRMIT NO. : DATE: --A�� DATE ISSUED :--L Z I OWNERS NAME :-- ADDRESS: AME :__ADDRESS: � - CONTkACTOR TEST : Air ❑, Water❑ , Visual ❑ , I..aboratory p RESULT: ApprovedDisapproved C1Pendina r-1 I - --A --- — — SKETCH; p IM � -�-e . c - _ � 1'� ��7 I I I i I SPECTOIR DATE I NOTE: Attach supplemental test data hereto] I �+r i I City of Tigard INSPECTION REQUEST for 4 NSPECTION TIME: PERMIT NO. : DATE: , VI -)/2y DATE ISSUED :—" __ DWNERS NAME �—s.. j.A — ADDRESS:CONTRACTOR : TEST : Air [], Water❑ Visual ❑ , Laboratory �1 RESULT. Approved Disapproved O , Pending U SKETCH; C.-�� .� , ,� 77 INSPECTOR DATE NOTE Attach supplemental fast data beret] i I City of Tigard INSPECTION REQUEST for L� INSPECTION TIME : PERMIT NO.: DATE: -i{-�" -`�- DATE ISSUED:_.LL_ OWNERS NAME : . L ADDRESS : - I C O N T R A C T O R :_-- ITEST . Air ❑, Water L , ViSUal ❑ , Laboratory ❑ RESULT. Approved ❑ , Disapproved ❑ , Fending [] SKETCH. I I I ( /' INSPECTOR DATE INOTE : Attach supplemental test 40e he►et] I r I O City of Tigard INSPECTION REQUEST i for IMPECTI ON TIME' PERMIT NO. :— DATE DATE ISSUED : Z _ e OWNERS NAME : . �, '�`� � /�A CONTRACT4 R : ��-' , �t'7 �— — TEST * Air B, Voter 11 oter11 Visual , Laboratory ❑ I RESULT: Approved ISS Disapproves! D Pending ❑ SKETCH. I I I I L �� I INSPECTOR DATE I 5NOTE: Attach supplemental test data hereto] I 1 City of Tigard INSPECTION REQUEST for INSPECTION TIME :..1 PLRMIT NO. : DATE: 1,5LDATE I SSUED:_.LL_ OWNERS NAME : — L� L— � c,-7 � ADDRESS : _ y ��a c�r► a r.� "`•w CONTRACTOR :-----i '-c i_r_:_}; 5 ___--_---- i TEST7. Air 0, Water;K:., Visual,j , Laboratory [I RESULT: Approved , Disapproved ❑ , Pending p SKETCH: NSI SPECTOR DATE LNOTE Attach supplemental test doto hereto i I i City of Tigard I iNSPEC'►l'ON REQUEST I for INSPECTION TIME. - -Z) • �� r PERMIT N0. DATE. DATE ISSUED :-!-1__. f OWNERS NAME :- -- I ADDRESS. ` �_7`_ �Sk M /► i, ( . Vis" r CONTRACTOR : '_L ----- - - I TEST : Air ❑, Water❑ , Visual ER', Laboratory ❑ I RESULT: Approved Disapproved ❑ , Pending p SKETCH: I COO f INSPECTOR DATE [NOTEAttach sapplsmenta test data beret] t , City of Tigard INSPECTION REQUEST f to r • J INSPECTION TIME : __ PERMIT NO. : �..____ DATE: --Y,4 � DA'iE ISSUED:- / L OWNERS NAME : --, CONTRACTOR :__..__Zia . TEST' Air C, Water ❑ , Visuals , Laboratory ❑ RESULT' Approved Disapproved C] Pending L] SKETCH: C_� INSPECTOR DATE [NOTE : Attach supplemental test a to herst:01 i I City of Tigc-d I INc'PECT10N REQUEST I for I INSPECTION TIME: P'�l PERMIT NO. : DATE: 3 DATE ISSUED : I OWNERS NAME : a ry ADDRESS: CONTRACTOR : - TEST : ONTRACTOR : _TEST : Air J, Water[] , visual 0 , Leboratory p I RESULT: Approved , i,isapproved ❑ Pending, [� I SKETCH: I I I I I I IN pECTOR DAl E ¢ I rNOTI1: Attach supplemental trst data hereto] , I i City of Tiqard INSPECTION REQUES T I for 10PECTION TIME'. '- " y' NtRMIT NO. :r DATE: _ DATE ISSUED :-_.LL OWNERS NAME : -,r4- 7, j)- t ADDRESS: ._ 3 ��- c CONTRACTOR : - --- TEST : Air [I, Water[] visual I L-abop-Wcury p RE3UL.T: Approved, Disarproved 001 SKETCH: I I I I I INSPECTOR DATE I—NOTE Attach suppiememw test data bereta� City of Tigard I INSPECTION REQUEST for I INSPECTION TIME* PERMIT NO. DATE: _V DATE I S SUED :_._L1.._ OWNERS NAME : _ 1? Cl _�^ ADDRESS: CONTRACTOR : TEST : Air C), Wotet Q , visual' Laboratory L7 RESULT: Approved Disapproved D Fending p SKETCH. Com- I t I I � I INSPECTOR DATE I NOTE Attach supplemental test data beret] M. �I 1 I I City of Tigard Il INSPECTION BEQUEST I � for I ' SPECTION TIME: _ PERMIT NO. : DATE:' DATE ISSUED : I Z INERS NAME : — T—,/'-1 C ADDRESS: - 13S N T R A C T Q R : --- ----------- - ..---- ------ I `ST '. Air Cj, Wotor❑ , Visual ❑ , Laboratory ❑ rSULT. Aporov9 Disapproved ❑ Pending ❑ (ETCH. I I I I I INSPECTOR DATE I TF : Attoch suppiementai test dita hereta I 1 City of Tigard INSPECTION REQUEST for ;NSPECTION TIME :_ �� PERMIT NO. : -. -_ DATE; DATE ISSUED:__1-L OWNERS NAME : r nC_ -- C O N T R A C T O R :___..___-_.___.____-T._- J)C'-_.- - TE ST' Air O, Water p , Visual O , Laboratory Q RESULT: Approved O Disapproved ❑ Pending p SKETCH: 17, INSPECTOR DATE NOTE At tech supplemental fast data heretil I City of Tigvrd INSPECTION REQUEST I for / I INSPECTION TIME . _ _ PERMIT NO. :------- DATE: O. :_.._.___..-__DATE: JL4 DATE ISSUED '. _L1._ OWNERS NAME ' ADDRESS: C O A T R A C T O R ; _.__ ------- _-- --------- TE1 T * Air ❑, Wuter[] , Visual ❑ , Lnbarulory ❑ RESULT; Approved fd' , nisapptaved ❑ Fending L7 SKETCH. I I I I I INSPECTOR DATE NOTE . Attach suppiernentni test data be►el] I I I City of Tigard INSPECTION REQUEST for NSPECTION TIME: PERMIT NO. :---- DATE: O. : _-_DATE: 11.241-1,V DATE ISSUED : )WNERS NAME :ADDRESS: _ :OyTRACTOR : / rE ST : Air 0, Water❑ , Visual D , Laboratory ❑ RESULT: Approve Disapproved [7 Pending p KETCH: I I I I i SPECTOR DATE I UtF Attoeh Iupp'smertal test doto bertt0] City of Tigard INSPECTION REQUEST for INSPECTION TIME: LIZd,-, PERMIT NO. :_P DATE: .,3 Z,2- Z? GATE ISSUED : 1_ 2 OWNERS NAME : �____,L�- ADDRESS' CONTRACTOR TEST : Air 0, Water 0 ,,/ Visual J , Laboratory p RESULT: Approved Disapproved 0 Pending p r SKETCH. a INSPECTOR DATE [NOTE: Attach supplemental test data bsreta] City of Tigard INSPECTION REQUEST for INSPECTION TIME :��2� PERMIT NO. : DATE: /41 7(l DATE ISSUED:_-L_L_ OWNERS NAME TEST: Air 0, Water El, visual Labor atory RESULT: A,�proved Disapproved 0 , Pending L] - --_ SKETCH: INSPECTOR _ DATE I0TE : Attach supplemental fart data hvrato 1�ff` ' City of Tigard INSPECTION REQUEST for INSPECTION TIME '. PERMIT NO. : , DATE: -17,4113C_ DATE ISSUED'.__LL_ OWNERS NAME * 1(;'_! A D D R E S S : -._/ C, / CONTRACTOR ' r-- - ° TEST. Air C3 Water p , visual Laboratory p RESULT. Approved A , Disapproved rJ , Pending L7 SKETCH: INSPECTOR DATE IOTE : Attach supplemental test d0tO he►et] I I City of Tigard INSPECTION REQUEST for I t Lt-L L--r. t/ V Cc � r.yl-7t C�1 VrINSPECTION TIME :__ _ PERMIT NO. : DATE : �-� DATE ISSUED:—.1_l_ OWNERS NAME : _�,,r�• � _ _ -- -- __ ADDRESS . -ff--/L�t' _�z_,� o p e CONTRACTOR :_ _=s��:>c �lL •iia z TEST. Air ❑, Water ❑ , Visual,, Laboratory [] RESULT: Approvec,D( , Disapproved ❑ i-t1dln, L7 SKETCH' I XY I I I INSPECTOR DATE CCtTE . Attach supplemental teat data hereto I City of Tigard INSPECTION REQUEST for INSPECTION TIME: 1-'e714— PERMIT NO. :---.— DATE: O. :DATE: DATE ISSUED :__L_L_. OWNERS NAME .- ADDRESS: AME :ADDRESS:CON" "ACTOR : TEST : Air p, Water Q;, Visual Laboratory p RESULT: Approved , Disapproved ❑ , Pending F] SKETCH. INSPECTOR DATE COTE: Attach supplemental tett data beret] City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : DATE: 3 DATE ISSUED :__L1.--_. OWNERS NAME : I--L�. 0" — A D D R E S S: 35u:�12,17- � � C O N T F A C T^ 4 : _—_.______ -__-- / TEST Air C], Wotar❑ , Vie ial ❑ , Laboratory ❑ f RE.SW Approved Disapproved D , Pending p SKETCH: I I I II INSPECTOR DATE DATE - � I 140TE : A1fach supplemental test data Aereto� 1 City of Tigard i NSPECTI O14 REQUEST for INSPECTION TIME: _. PERMIT NO. DATE: 1_L 9,12 r DATE ISSUED :_ /_.Z_OWNERS NAME : ' ADDRESS: Zh4 2 CONTRHC TUR TEST ' Ah C;, WaterEl , Visual L] , Laboratory a RESULT' Approved Cl Disapproved J Pending U SKETCN.`._._._._____.�.`.....�.__�-----�_._........�... C6 y , c� ,tet (0 0 i INSPECTOR DATE VMF: Attach •upplementrl test data heret2 1 „i City of Ticiard .. INSPECTION REOU ST for r, INSPECTION TIME PERW_i NO. : !_- -- DATE: � � -DATE ISSUED:_.L—L-- OWNEPS NAME '. ADDRESS ' r CONTRACTOR : - -- --- TEST: Air Cl, Water p , vieuol CI , Laboratory ra RESULT: Approved oiscipproved CJ , Petiding i7� SKETCH: llsk�CTOR DATE NOTE . Attach supplemental t0l' dutu heret:01 C l y of Tigard INSPECTION REOUEST for INSPECTION TIME '.__ PERMIT DATE--�� _12 DATE IED 1__ [_ OWNERS N A Mt-! � ,SS '�� _. I ADDRESS : r-E: f I C C N T R A C T O R :.-..- TEST: Air O, Water o , Visual, K Laboratory [7 1 RESULT. Approvad�, Disapprrov,ed Q , Pending U i m SKETCH: I I I I i INSPECTOR DATE COT!: Attar,h vupp'e,nenfol tett data horst] 1 i I City of Tigard I INSPECTION REQUEST for NSPECTION TIME: . P' 114' PERMIT NO. : . DATE: X311 DATE ISSUED : Z,,,. OWNERS NAME ' 4. -t.,��— ..�_�_�.�.1 " ADDRESS' � ��.�-. oL_e : I City of Tigard INSPECTION REQUEST for I INSPECTION TIME: A1:: J PERMIT NO. :_ ' DATE:- DATE ISSUED :_ OWNERS NAME '. 1:2 C ADDRESS: 61 6,1•c)--z lr (.! v y CONTRACTOR . `BEST ' Air ❑. ','dot®r❑ Visual ❑ , Laboratory C3 RESULT: Approved D , Disapproved ❑ ; Pendinax, SKETCH. _ I C.G'v'=1C1� l L-3 /(D t ,�fez I I I INSF'FCTO R DATE COtH: Attach supplemental tett datc bereto� City of Tigard INSPECTION REQUEST for iMSPECTION TIME: p' M PERMIT NO. :- DATE: O. :_DATE: 3/,L/7. DATE ISSUED : OWNERS NAME .' ADDRESS: CONTRACTOR : — TEST * ONTRACTOR :TEST ' Air C7, Wote. O , Visual O , Laboratory 0 RESULT* Approved, Disapproved O Pending p SKETCH. I ~_��.. �ILL WVECTOR DATE NOTE: Attach suppiementaI test data hereto, City of Tigard INSPECTION REQUEST for INSPECTION TIME * PERMIT NO. ' D A T IF DATE I S S U E D OWNERS NAME : ADDRESS : "-T / oZ CONI R A C T 0 R opt TEST* Air 0, Water tj Visual 11 Laboratory ci RESULT.' Approved Disapproved [I Pending [j SKETCH' —t P E�CT 0 R DATE UNOTE Attach supplemental test date h*rat I City of Tigard I INSPECTION REQU E � ST e for 11 INSPECTION TIME' �� PERMiT NO. : _ DATE: 3 DA—E ISSUED :__1_L_ OWNERS NAME : -- (_ I ZIK, ADDRESS: CONTRACTOR : _ 1 ¢ f. TEST ' e,ir Cl, Water[] , Visual ❑ , Laboratory 0 RESULT. Approved ❑ Disapproved ❑ Pending p SKETCH. I I SPECTOR DATE tNOTE Attach supplementul tett data beret City of Tigard INSPECTION REQUEST for INSPECTION TIME ' PERMIT NO. : DATE: 3 /Y/2�' DATE ISSUED'__.L_L O'WNERS NAME : _T z2- d • _ A D D R E S`..: : /lvl` /a ! C0NTRACT0P —104n Ai f TEST: Air O, Water ❑ , uituat' 0 , Laboratory ❑ RESULT. Approved �, Disapproved ❑ , Pending [] SKETCH: ✓INSPECTOR DATE T 001E Attach suppleme0tol test doto he►et01 I II Cit of Tigard City g d INSPECTION REQUEST � fog 4PECTION TIME: 10.'6- 6, PERMIT DATE: DATE ISSUED :— Z OWNERS NAME : __ %• V._ ADDRESS. f �,,- / - - r,.r;EK� T-; I CONTRACTOR TEST : Air p, Wafer[] Vie„ai Laboratory I] RESULT. Approved Gieapp►•oved n- Pending p I S.ETCH: I INSPECTOR DATE I COTE. Attach supplemental tejt data bereflo I 1 i I city of Tigard � INSPECTION REQUEST I for I/ASPECT+CIN TIME; PERMI,r DATE: DATE ISSUED : L_L__ OWNERS NAME : ADDRESS: /n f CONTRACTOR : �� I TEST : Air ❑, Wate, 0 visual ❑ , Laboratory [a I RESULT: Approved ❑ Disapproved ❑ Pending ❑ SKETCH: I I I I W'SPECTOR DATE CCtB: Attach supplemental test data beret] MINOR MWINSFAN City of Tigard INSPECTION REQUEST I for INSPECTION TIME: PERMIT NO. :-- D AT E O. :DATE: _ J2 -� DATE IS,^,::E0 :.._LZ _ ` OWNERS NAME ADDRESS: y C 0 N T R A C TOR : -------------.___Z�_�—. I TEST : Air ❑, Water❑ , Visual ❑ , Laboratory [] RESULT: ApproveQx, Disapproved ❑ Pending L1 SKETCH: NSPECTOR DATE [—NOTE: Attoch s.j;piernental test data beret] I I City �of Tigard INSPECTION REQUEST � for 0 I148RECTION TIME: PERMIT DATE: . DATE ISSUED :— OWNERS SSUED :— OWNERS NAME :— ADDRESS' AME :ADDRESS: _X-G' _-, e . CONTRACTOR : i`, 2) TEST * Air ❑, Wofero , visual Laboratory RESULT: Approved , Disapproved ❑ Perdinq SKETCH, I I I I I INSPECTOR DATE I [NOTE: Aftor I�T�ntal too! doto beretp� rr�� i i i City of Tigard � INSPECTION REQUEST for INSPECTION TIME: s�L(/ ' P' PERMIT 10- :-- DATE: 0- : __DATE: _ 'j DATE ISSUED :__.LL ! OWN ERS NAME : , ,5-=-_---- ---- - -_- I ADDRESS: . C 0 N T Q A C TO R : TEST ' Air O, Water 0 , Visual 0 , Laborotory [3 RESULT. Approved 0 Disapproved C] , Pending F� SKETCH: I I I I I INSPECTOR DATE CG*E: Attach supplemental test data beret] 00001 +�� City of Tigard INSPEC"nON REQUEST for IINSPECTION TIME: PERMIT FSG. DATE: c2A7527L DATE ISSUED :—J--I-- OWNERS SSUED :—.J_L_OWNERS NAME : —. 1 / ei LV 1�7 ADDRESS: rQ� Y CONTRACTOR : _. ) C TEST : Air 0, Wot6r Q , Visual Ei, Laboratory p RESULT: Approved Dieepproved O Feeding p S KE rcH.* - I ri INSPECTOR DATE �ti�`6: Attach supplemental teff data beret] R I I City of Tigard INSPECTION REQUEST for INSPECTION i I KIE : 2: -0' n,,„ PERMIT NO.: DATE : .Z DATE ISSUED:--LL OWNERS NAME : -1L.C. ADDRESS : CONTRACTOR : C- TEST* Air ❑, Water ❑ , Visual [R , Laboratory ❑ RESULT: Approved 0 , Disapproved ❑ , Pending ❑ SKETCH: 1 I I 2 .?3 INSPECTOR DATE I [OTE: Attach supplemental test data heret:01 1 PLUMBING PERMIT APPLICATION Jurisdiction of No.i Type )f Fixture Fee Permit No. � ? Water Closets To_'ilets) Permit feeFermit Issued -7y Bath Tubs Approved by _ Lavator W...,h Ba_sin cS.� Building .Permit Shower Receipt No. 9, dL� Sin s, D_ishwas Sinks Kitchen �cc Sinks; Ordin_a_ inks_Bar_--- Locatio� of Building /3 S` -- , Sinks, Sl°E_ Automatic Dis was er — - -- - -D15posal "-? Laundry Trays Name & Address of Owner �. �. _Drains, Flour - Drains Area Drains erl ;erator Rain D*•ains - I Automatic Washer I Name-,& Address of Plumber ,' ountains, rin n- i _ Fountains* Soda � Hat Water Tank ��.., Water Service Size- ./ .,_c, `y`-'f- - Urinals Building Old or New Alter•, Repair or 7Cat_c asins --Yarn — Tnns :a --- _ Lawn Sprinkler System ---- Swimming'Pool M- Ot�ier Sprinkler System This permit becomes null and void if work or construction authorized is not commenced within 60 days, cr 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 licensed by the City of Tigard and post a $1,000 bond, I hereby certify that I have read and examined this application and know the san,; to be true and correct. All provisions of laws and ordinances governing this tyl of work will be complied with whether sr-cified herein or not, the granting of a permit does not presume to give authoriLy to violate or cancel the provisions of any other state o:^ local law regulating construction or the performance of construction. 44 14, --''- -~` Signature f Applicant _ PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. cam- 3c/- _P Permit fee -2k, a(V- Water Closets (Toilets `y' vermit IssueeE _ -�� -�y Bath Tubs — ; i Approved by Lavatory Wash Basin �'�' Building Permit Shower _ Receipt 170. min s, Dishwashing Sinks,_. Kitchen Sinks, Ordin_e Location of Building Sinks-, Bar -- Sinks Slop�— . ,�• :N Automatic_ is was ler - Automatic Laundry Trays _ Name & Address of Owner. _trains Floor brains Area ��•3 -,r � i//."y� DrainsA -Refrigerator _—_ .--_ �% �• - _ Rain Drains Automatic Washer Name, & Addr/eis' s, /09 Plum,er-;� oUtalns . — Fountainss oda Hot WaterTank y ' / Water Service Siz Urinals Buildin Old_ or Sew (Alter,_Repair or —_ �at� szns_-�ar7 ns all) - -- Lawn ',. inkler__Svstem_ __ r ' -- _ Swimming, Pool _ 0 +fir Sprinkler System — — - - - -- — This permit becomes ntill. 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 12-0 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond, I hereby certify that I have read and examined this application and know the same to be true and correct. All. provisions of laws and ordinances governing this tyF 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. Signat e of Applicant PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of. Fixture Fee Permit No. '7i4- hO- P „Gc, Permit fee0e .00 / Water Closets (Toilets -� Permit Issued-_-) -.) 5----Iq i Bath Tubs Approved by Lava -oa Wash Basin ^, c,y Building Per•miT — Shower Receipt No. '-) ?C) / - Sin s Dishwashifi �_ - SinksKitchen / Sinks, Ordinary _ Location of Building Sink mar Sinks, Slop Automatic Dis was er - Di�posa --- - _--. _ Laundr ry Trays Name & Address of Owner ___ _Drains, Floor _ arc r• •,' 1 . brains Area ,,_ -- Drains. Refrigerator ff yn Drains 7, -- _ Automatic Washer c, Name &,Address of Pii4mber__�_r',, F' ountaini. - s� rn in / '.; '.� '20 Fountains Soda Hot Water Tank - i Water Service Size'✓ ,�•, —` �� "'`' -- [.Jrinalss Buiidin JUld or ew-i (Alter, Repair or C1oF=Basins - Yar3 — 7nsta3'C — L,awn Sp inkler_.�stem Swimming Poo]. ( her -- Sprinkler System 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 licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have rWad 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 prestune to give authority to violate or cancel the provisions of any other state or local law regulating construction or thF+ performance of construction. t Signature of Appli,,ant PLUMBING PERMIT APPLICATION Jurlsdi.ction of `No. Type of Fixture Fee Permit No. 'Z tL q/- P I Permit fee _-au� Water Closets (Toilets Permit Issue3 _j_=2.�-1`I Bath Tubs Approved by _ Lavatory Wash�Basin Building Perm f Shower _ r Receipt No. -7.7p1—� Sinks-, Dishwashin Sinks,_ Kitchen Sinks, Ordinary_^ Location of Buildi..lg -1 --------- Sinks, Bar_ ______ _ - -- __ Sinks,--Slop _ _ Automatic_Dis wasEer Disposer -Laundry_TTrrays� Name & Address of Owner Drains. Floor -Drains, Area Drains. Refrigerator ---- _}]din Drains Automatic Washer Name & Address of. Plumber L. ountains, r n ng -� Fountains,_ Sada _ _ - �Hot Water Tank -- Water Service size Urinals _ Building,Old or New Alt2r, RfRair or _ C;37F-basins-mrd _ TF—stall) --- Lawn I ririkler_ System Swimming Pool _5p_rink]—eer SystemThis 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 licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have rAad and examined this application and know the sam to be true and correct. All provisions of laws and ordinances governing to of work will be complied with whether specified herein or not, the granting permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction of the performance of construction. I '6• :c Signature of Applicant PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit .fee '(4, 2� _ Water Closets Toilets Permit Issue Bath Tubs Approved by _ Lavato_ Wash Basin Building Permm- Shower Receipt No. 9701 Sinks, Dishwashing Sinks, Kitchen - Sinksj Vrdinarr_ Location of Building Sinks Bar__-__-- Sinks, Slop Automatic Dissiwas iffier Disposal -- _Lau_nd-ry Trays Name & Address of Owner . __Drains, Floor__ ---=----------- Drains Area DrainsLEI erator Rain Drains AutomaticWashher Name & Address of Plumber i- ountains,--D—Fn-7.rin Fountains Soda Hot Water Tank ----Water' Service _size Urinals Building 01- or New-) (Alter, Repair or— aFT assins --Yarc Install) _— --- — --- Lawn Sprinkler_ System — Swimming Pool Other _Sprinkler System 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 licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read 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 riot, the granting of a permit does riot presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of constructiu,,. Signature of Applicant y-L - PLUMBING PERMIT APPLICATION JuriRdiction of No. Type of Fixture Fee Permit No. _j-=q ;3 - � Permit fee a Water Closets Toilets �' Permit IssueH _9-25- 1� Bath Tubs Approved by Lavatory__ Wash Basin = Building Perm t Shower Receipt No. f 20 Sinks, Dishwashing__ Sinks ishwashin — Sinks Kitchen Sinks, Or Location of Building _ _ Sinks„ Bar________--- - ------- Sinks, Slop AuMtomtiiccDs ;;-a-sher .- ----- _` Laundry Trays_ Name & Address of Owner _ ~Dra in s Floor - -------------- _Drains Area -- Drains, e r Aerator ------ Rain DrainsJ Automatic Washer Name, & Address of P' umber ' Fountains - orinKing _ Fountains, Soda Hot Water Tank _ Water Servic�Size '�- Urinals _ Buildin?_jOld or rdew ' Alter4 Repair or_ Ca FE1Bas n—s --4ar� inst-a'�i! `-- — Lawn Sprinkler__.�ystem -- _ Swimming Pool — _�-._—�- r _Sprinkler System —_ --- ------------- 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 licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have read and examined this application and know the sam to be true and correct. All provisions of '.aws and ordinances governing this t. of work will be complied with whether speci:'ied 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 I 1 City of Tigard INSPECTION REQUEST for NSPECt10N T' ME : � FERMI T Nn. - - DATE . � - .)ATF I SSJFD �)W^I E R S "I A M E � `'--- -------------.. ADDRESS I t,• 1 N 1 k 4 l:T'�R r* SKETCH'. I 1 i I INSPFCTOR DATE L )TE ; At tech sip pie men to' 1 City of Tigard INSPECTION REQUEST for NSPECTION TIME '. 40*7 NERMI r NO. — DATE . DATE . I SSUED'__--:-_-_,'-- )WNERS NAME ' � �7• C _— 40 U R E S S LoT 1W - /01 ' /O�- L4vw�y60 I � I C• )N I ft A t;T'i R _.1f''� 4'4Taw i SKETCH. i I I I . I INSPECTOR DATE CUTE : :Atfcch , ipplementa reret] 1 � I City of Tigard . NSPECTION REQUEST for zL ...Y'•� �•L _� I INSPECTION TIME. PERMIT NO. :-- DAT E: O. :__DATE: / 17 I DATEISSUED '. I I OWNERS NAME ADDRESS - ZQ iyr> -/c'/ -- /A_ I CONTRACTOR -- --- - ----------- I TEST : Air LI, Water❑ , Visual ❑ , Laboratory ❑ I RESULT: Apnroved Disapproved ❑ Pending C] 3 KETC'i: I I i I I I INSPECTOR DATE I COTEAttach supplemental test data beret a] I 1 PLUMBIAG PEFLMIT APPLICATION Jurisdiction of _ No. Type of Fixture Fee Permtit No. 7- Pernit fee , Water Closets (Toilets). �60 Permit Issue IBath bsa . Approved. by MManory_(Wash Basin) i Building Perm Shower Receipt No. q - Sinks. Dishwas n Sinks. i c en .� a Ordinary Loce.tionnof Buildings Sinks, Bar sSlop- Automatic s .was er Disposal Name Address of (hone, sins Floor (� a�ns res _ :REa=n era or � a.in Drains u oma c as ier Name- & .dress of 'lumber Founts IiS Drinking ountalns Soda o a e r Tank ale" Water Service Siz _ Urinals B ui 1da4w 0ld or a Alter Repair or Catch-Basins - arc na awn Drinkler System Swimmina Pool Fr- --- Sprinkler a em This permit becomes null. and void if work or construction authorized .is not commenced within 50 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 licensed by the City of Tigard and post a $1,000 bon, I hereby certify that I have read and examined this application and know the as to be true and correct. All provisions cf laws and ordinances governing this t of work will be complied with whether specified herein or not, the granting of 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. ��• (9D �Ql.�-true S.I.gn tur of Ap . icant PLUMBING PERMIT APPLICATION Jurisdiction of Fee Permit No. `-09-P No. Type of Fixture permit fee �o X Water Closets Toilets iS Permit Issue s- i-�� 1 � Bath Tube Approved by vatory M8141as n Building Perm ower Receipt No. Sh SinXs, Dishwaa a Kitchen aSinkr na Location of F�uilding �-- -aBar aSlOD u Fm a s was er 8 osa - Name & Address of Own e L�leI& ti — e- L Win red a _ ne e r era or an rains Name "ddressof P umber u oma c as er _ oun a ns urinj oun a ns oc a_ o a er� — Wet er ervice S12 Bu n Old or ,ew Alter Re air or rina s _ a c - as ns - Yal' a- nr ooer c;tiem - er er Ystem ti This permit becomes nuts andd if work or ornwo kc isosuspendedZor abandoned is not commenced within 60 days, for a period of 120 days at any time after work is commercede All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond, d know the ami I hereby certify that I have ,pad ,rovisionsXofilawsthis and ordinancesngoverning thisstyl to be true and correct. p of work will be complied with whether specified herein or not, the granting of a permit does not poor JoGalglaw regulatingitto violate or construction orcel the the performance ns of any other stateeof construction. • l90 a of Ap icar.t PLIMING PF AMIT APPLICATION Jurisdiction of r No. Type of Fixture .__ Fee Permit No. ' Permit fee Water Closets-,LToilets44 Permit Issue _ thsv, Approved by vetory (Wash Basin) Building Perm Shower Receipt No. ' Sinks. Dishwashihir Sinks. Kitchen inks. r na Location of Building ? inks. Bar a S1.1.o o ma cDishwasher sa rVName &C Address of Owner insIS oor 1. rea Refrigerator Rain Drains Automatic as er Name & Address of �Plr oun a ns. Drinking un ,a ns Soda Hot Water Tank ZIA&' stet Service (Si Urinals Bui n Old or rw Alter Repair or a e i- as ns - ,r n .a awn SDrinklei a s Pm . Swimming Pool er ` Svrinkler System Thib 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 licensed by the City of Tigard and post a $1,000 bond. I hereby certify that I have reed :And examined this application and know the same to be true and. correct. All provisions of la,,;s and ordinaries governing this typr of work will be complies: with whether Specified herein or not, the granting of a permit does not presume to give authority to vi.olote or (:ancel the provisions of any other state or local law regulating construeion or the performance of construction. I AL ---' Siena-e of Aftlicant �1G .2C� PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. -'7</YC-P Permit fee �_�� Water Closets Toilets �' Permit Issued—� Bath bs a to A.Ji Approved by unto as aG_., Buildi.ig Perm _ Shower Receipt No. s Dishv,ashing__ alSiri sKitchen e ) Sinks. Ordinary Locatior if Building _`S,� /& Sin s Barmom i s 70- Automatic utoma c s was er _ s ososal Trays Name dodress of Owner _ sins. Floor ?_ 24uga} ns tirea sera or :D ��,�/ �a,,� -Fountains Drinkin Fountainsl Soda Hot ater an • �� Water aervice (Si Urinate Bui Old or ew Alter, depair or a cch-Z�ns - YarT ns a .� awn rinkler Syslem - Swimm n * Pool er H .oprinkler System This pen.7it becomes null and voit if work or construction authorize i 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 Dlumbing firms must be licensed by the City of Tigard and post a $1,000 bend. I hereby certify that I have read rind examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typf of work will be complied with whether specifleci herein cr not, the granting of t, permit dues not presume to give authority to violate nr cancel the provisions of any other stste or local law regulating construction or the performanc,? of construction. Sigra -ur4 of A licant 'X.1?. PUMILA p'/NQT I LICATION Jur isdiotia m of Type oFixture Fee permit me. -7 -�0'/- Permit tee ter Close 1 To a .fed Per-sit Issue Approved by Building Po r Receipt No c. DishwashIM enen JIM A nLocation of Building _ s a c s was er a Name b ddress of Owner,_ 0 frizeratur 6— rw•-.A a no Automatic as er Name A Address o Plea er ountains, IN-IDUM O 8 I1a. Soda �• 9 r lank ter ry ce tSize DULIMS Old or ew Alter Repair or Basins ate._ .�_ _ ,,, ,, iDr em 0o Other .�� r system This permit becomes null ana void if work or construction authorized is not commenced within 60 days, or if construction or work is su,epended or abandoned for a period of 120 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard. and poet a $I,OW bond, I hereby certify that I have read and examined Chir, application and know the seer tc be true and correct. All provisions of laws t*;d ordinances governing this tyl of work will be complied with whether specified herein or not, the drantind of a permit does not presume to give authority violate or cancel the provisions of any other stato n- local, law regulating construction or the performance of uu f coo;;:tr uction. M ! f --RilhatOre ofpplicant �G1lr 1 1 City I City of Tigard � INSPECTION REQUEST for INSPECTION TIME: _ PFRMIT NO. : _._ I DAT E . ' r rE ISSUED :—.- / Z I OWNERS NAME : 5z_ ADDRESS: CONTRACTOR : ------- TEST : ---TEST : Air LU, Water[J , V'suai [1 , Laboratory r RESULT : Apnroved D , Disapproved III< , F Aiiig p SKETCH.' N4)7 �� . NSPECT0R DATE COTE . Attach supplemental test uata :er "t=.J I 1 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupony Restriction KNOW ALL MEN BY THFSE PRESEP!TS, that occupancy of residential structure (o) on the following described lands prior to the recording of an occupancy pormit releasing the restriction. in the Deed Records of Washington County, Oregon, in prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue s release es soon no a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: P.:. E�.�t.•, ,�.� \.� �,�,c.� '3-a�� ,, ,, =.��, ��\cam ADDRESS OF PROPERTY; c. _ NAME OF 06INER: .-.� ��. _\ _ < c__� =bL_ ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this -\-7N` day of � , 19� OWNER: — amo 114— s APPRGVED: Title By., guilding Official City of Tigard srATE OF OREGON County of Washington P sona.11y appeared before me the above named and a-^knowledgad the foregoing instrument to be ,.�, _ voluntary act and deed. Notary Public for regon ny Commioaion Expires: �__ -i7 7Y FMIBIT "B° CITY OF TIGARD CFIT.r FICATE OF OCCUPANCY AND RELEASE OF ;xr;STRICTION 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 .3rilinT ' 7 , 19 '?i, recorded in Book o-r,_ �-, Page `/07 , Deed Recoru of Washington County, Oregon, is hereby authorized and approved. DESCRI}TION OF PROPERTYI Summerfield - lut 98 As recorded in Pouk 33, Page 39, Plat Records of Washington County, Oregon OWNER; 7ualetin 0,�,ueloament BUILDING PERMIT NUMBER: i3-290 BUILDING ADDRESS: 1' GGA; Green:, '',ay This is to certify the said structure meets with the require- ments of the Building Crxle of the City of Tigard and the above referenced restriction is hereby released and terminated. IN W1TNh9S WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this day of _ 19 Title; STATE OF OREMN )s e County of Washington ) on this day of _ , 19`, personAlly appeared before me the above named , whose signature appears hereon and who acknowledged to me that he executed the Fame in his if"ical capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of r,iaidentiol structure (a) on tho following described lanHs prior tj the recording of an occupancy permit releasing the rzd,riction. in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will iosue a release as soon an a fianl inopection deternines that the construction is satisfactorily ronplotod) DESCRIPTION OF PROPERTY: Nib— \Z+;C.G c\'.� _•Y "VS cl eJ ADDRESS OF PROPERTY: NAME OF OWNER: ADDRESS nF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of OWNER: iGC- L /l f APPROVED: Title By* l guilding official City of Tigard STATE OF OREGON County of Washington r-- Ps nally appaarnd boforP me the above named o and acknowledged the foregoing instrument to be voluntary nct and dead. �11 Not ry Public f e Oregon �!� ny Commiocion Exp roe: EXHIBIT "S" CITY OF TIGARD ERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION 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 January 7j--, 19 'li;, recorded in Book n_ g , Pap III gr, , Deed Record of WashinUton County, Oregon, it hereby authorized and approved. DESCRIPTION OF PROPERTY1 Surnmerfield - lot 99 As recorded in Book 33, Page 39, Plat Records of !Jashington County, Oregon OWNEM Tualatin Development_ Co., Ins, BUILDING PERMIT NUMBER: 73-290 BUILDING ADDRESS: 1587E S.L. Greens L;ay This is to certify the said structure meets with the, require- ments of the Building Code of the City of Tigard and the aboNe referenced restriction in hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and relear;e of restriction to be executed this day of 19 Title: STATE OF OREGON ) County of Washington ) " On this day of , 19_, personally appeared before we the above named , whore signature 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: EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the following deocribod lends Prior to the recording of an occupancy pormit releasing the reotriction. in the Deed Records of Washington County, Orogon, is prohihitod by the ordinance of the City of Tigard, Dragon: (Tho City will issue a rolesao as soon as a fiocl inspection determines that the construction is satisfactorily conplotad) DESCRIPTION OF PROPERTY: W tom.a\•...� `:o•.� C...., '� C�r + . 1 AUDRESS DF PnOPCRTY: NAf1E OF OWNER: ACORESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be oxecuted this day ofd _, 19 •. OWNER: APPROVED: Title By: _ Building Official City of Tigard STATE OF OREGON County of Washington ; as. J�.rcc+.•L:� -PRO 19 P sonally appoarod bofore mo the above nomad ' .,, and acknowledgad the foregoing instrument to be voluntary act and dead. Not ry Public f6r Oregon Fly Commiooion Expiroo: Pa's. i,3 EXHIBIT "B" I CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND HELRASE OF REtiTRIC'rION The City of Tigard hereby certifies that the occupancy of tt.e following described stricture or premises with respect to which a restriction of occupancy was, on Janunry 3, , 19 7/4, recorded in B00% 959 , Page 49S _, Deed Record of Wa:;hington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: aunmr;rfield — Lot 100 As recorded in Book 33, Page 39, Plat Records of Washington County, Oregon OWNER: r„ T L; !1 s 1�y ern Tnn BUIi.DING PERMIT NUMBER: 71n290 BUILDING ADDRESS: IrrF:7 r 11 rrt'K 1,q IJAII This is to certify the said structure eeTmeets with the require. ments of the Building Cvde of the City of Tig,Ard and the above referenced restriction is hereby released and terminated. IN WITNF'iS WHEREUF, the undersigned authorized officer of the City of Tigard has caused this certificate and releFu a of restriction to be executed this day of , 19' Title: STATE OF ORFMN County of Washington ) On this day of lypersonally appeared before v,e the above natned whose signature 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: EXHIJIT "A" CITY OF TIGARD Residential Structure Occupony Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (o) on the Following described lands prior to the recording of an occupancy permit releasing the reotriction. in the Deed Records of Washington County, Orogon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will icaus a release as soon no a fincl inspoction doterminoo that the construction is satisfactorily complotrd) DESCRIPTION OF PROPERTY: 1�-a ��_�,r c\!urx� \ate �::.v<,�-� '3m�1.,�ti�,, �a`\��\c•+.�C ADDRESS OF PROPERTY: NAF1E OF OWNER:— _n\ ADDRESS OF OWNER: , ..` .�,,__ `! �. .. ,,:,_.•,_ IN WITNESS WHEREOF, the undersigned has csuoad this restriction to be executed this -L day of ray_, 19- DWNERt i APPROVED: Title By: Building OfFic a City of Tigard STATE Or OREGON Count of Wnchin ton °s' County g I��r�.„._ .�� , 19 Z Pe onally appeared before me the oLcve named and acu.nowlodged the forogoingo instrument to be 71-71 voluntary act and dood. � J / Notor Public f r Oragnn My Coramiouion Expires: �7 M1.1 � 6 EXHIBIT "B" CITY OF TIGARD CERTU'7CATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises watt respect to which a restriction of occupancy was, on ]sn r ry 3 , 1976, recorded in Book '' 3 , page 491 -�, peed Record of Washington County, Cregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY! Summerfield - lot 101 As recorded in Book 33, Page 39, Plat Records of Washington County, Creon OWNER: l•Hpl.44-1— '.n1f1;jjan+ --r-n. Tar BUILDING PERMIT NUMBER: 71-240 BUILDING ADDRE5S: 15955 5.''. Greens 1,18y This is to certify the said structure meets with the regvire- inerts of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WI NMS WHEREOF, the undersigned authorized officer of the City of Tigard has cauGed this certifinate and release of restriction to be executed this day of , ly Title: STATE OF ORMON r,. County of Washington ) On this day of _ , .ly , personally appeared before me the above named �, whose signature appears t,ereon and who acknowledged to me that he executed the same in his offica.l capacity on behalf of the City of Tigard. Nutary Pub11c of Oregon NV Commission expires: 9 S EXHI3IT "A" CITY OF TIGARD -7 3_ tip Residential Structure Occupony Roatriction KNOW ALL (SEN BY THESE PRESENTS, that occupancy of reoidential structure (a) an the following deacribod lands prior to the recording of an occupancy pormit releasing the reotriction. in the Deed Rocordo of Washington County, Orogon, is prohibited by the ordinance of the City of Tigard, Orogon: (Tho City will ioeue a release sa coon no a final inopoction determinos that the construction is batiefactorily completed) DESCRIPTION OF PROPERTY: Yom•: htitc..�- �� \.� �:_.c...� �� ?a� '` �`-\ `� \c�.� ). 'kk w �.c r cy-a c, Vi'�•_r..��> ¢.�\ L s..`..��F\\� V c a.c„`.�� 1 ADDRESS OF PROPERTY: NAGE OF OWNER: ��.>> `�,__„�\ ..,� C �._ \,'c ADDRESS OF OWNER: IN WITNESS '.,HEREI,F, the undersigned hoo caused this restriction to be executed thio �.��r day of 19�� 061NER: APPROVED: Title BY= . uiding Uffic a City of Tigard STATE OF OREGON County of Woohington ee' _ I�f�;.,,,./,<;, l,J,�', 19 per anally sppoor7d before me the above named and acknnulodgod the foregoing instrument to be voluntary act and deed. r n+r✓ � � �'l'lwn�r'�� Notar Public forj Oregon ny Commiooion Expiros; / �� 9-Zr F-MIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the fol—,wing described structure or premises with respect to which a restriction of occupancy waf,, on Oanuary-i_ _, 19. 7.�, recorded in Boo4 n-, ; , Page 1493 , Deed Record of Washington County, OreCon, is hereby authorized and approved. DESCHIITION OF PROPERTY: Summerfield - lot 1.02 As recorded in kook 33, page 39, olat Records of Usshington County, Oregon OWt7ER: T. -i I }i n r1.j.l nnn -n{• BUILDING FEIIM1T NUMBER: '73-290 BUILDING fDDRE.,S: 5.61. Greens '.lay This is to certify the said structure meets with the require- ments of the Butiding Cede of the City of Tigard and the above reference,' restriction is hereby released and terminated. IN WITNE G MLEREOF, the undersigned authorized officer of the City of Tigard has cau:;ed this certificate ana release of restrict-in to be executed this day of , ly Title; STATE OF OREGON County of Washington .S_ On this day of _ 19—, personally Lppeared before me the above named _, whore signature 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: 11363 EXHIBIT "A" CITY OF TIGARD Residential Structurs Ocr.upany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy pormit releasing the restriction. in the Deed Records of Washington County, Orogoi , is prohibited by the ordinance of the City of Tigord, Orogon: ( rhe City will issue a release as soon as a final inopsction determines that the construction is satisfactorily comploted) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNER: —,r,,, ,,, hac_� ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be sxecutE ; this 4:.\ day of 19� OWNER: Zai < l 7/ e4s- Ie ' APPROVED: 1 Titje By s_ �*' ng f -- City of Tigar STATE OF OREGON County of Washington B0' �tsc < ---; ' 19 7-3 Per nally appoored before me the above named oti and acknowledged the foregoing instrument to be voluntary act and deed. )[r L/10 IA— Notary Public f r Oregon My Commiocion Expires: /> yy a/ f�jru«d for....Id........t*3 1 A 7 t,� q jM Pm �5S „,,.487 ROGER THOMASEN,Dtr.�j,.at R*sold@PC— 6 Elsruun� Deputy 11.363 g IE o 40 n $; 7 iccp w .._ Q"9 1 W dr NOW z � �0�'� gsv �T ro ° ew5 ° ° e d r i 11364 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupony Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (s) on the following described lands prior to the recording Of An occupancy Por-axt releasing the restriction• in the Deed Records of Washington County, Orogon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will Josue a Valance as soon os a fincl inapection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: T> -, \:.. r_�:_•� .- c•.�c \� taw..:•� ..��, �r..n,`. �`�� P\o.� Nkk 'Z— ADDRESS Of' PfOPERTY: LVE OF OWNERS ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to to oxecuteJ this ._>-�Z day of � y � 19,-\- OWNER: �f YVam PROVED: ` ! Title Y t��ilt�v., B =`— Bu ding Off c a City of Tigard STATE OF OREGON ) County of Washington ) on. 19 Z3 Personp4ly appeared before mo the above named e• . =.„-i _ and acknowlod9od the foregoing instrument to be vol-lntery act and dead. o' Notar Public f r Orogon My .ommiocion Expires: _ i'fled for senotd....,[„-..—�?.. _. .._ IQ/ 01 /4<1,M AoatA THOMBS”,Dir/-1owt Of A.mda 6 61w,tmno IT.... ¥ �uit � j6 a! , i ) � ac ° ) �I 7)ƒ G G 7�!■ !! s .� I I � | ( � 11365 EXHIBIT "A" CITY OF TIGARD Rooidontial Structure Occupany Rastriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of reoidontial structure (a) an tho following deacribod lands prior to the rocording of an occupancy permit releasing the restriction, in the Deed Rocordo of Washington County, Orogon, is proh. ltod by the ordinance of the City of Tigard, Orogen: (Tho City will icaus a relosoo oo soon no a final inapsctlon deterninae that the construction is satisfoctc• ily completed) DESCRIPTION OF PROPERTY: ADDRESS Of PROPERTY: �� .r.• . t - __ t .n NAME OF OWNERS ADDRESS OF OWNER• IN WITNESS WHERLJF, t' e undersigned hoo caused this restriction to be executed this day of OWNLR: amo �- APPROVED: /- Iitlo By S ui ding O ATG City of Tigard / , �f STATE OF OREGON � so. 11 Q , g 3 County of Woahingtan _rL.,Ls.., �--�— Personally appeared before ins the above nnmod o� and acknowlodgod the foregoing instrument to be �*-✓ ! voluntary act and dood. Nr Public for rogon sly Corncniocion Expires: Ir 14 ra*d la rwrr=d...... ... y 5000k T�{01485".1Nrrkanr of Maetd�d Lheunn� ROO + 4 1.r 3 n1 , 489 �xia — � ■)�`! /�$ d e! J • �\£! . )/� � f 11:366 EXHIBIT "A" CITY OF TIGARD I'oeidnntial Structure Occupony Restriction KNOW ALL LIEN BY THESE PRESENTS, that occupancy of residential otructur: (o) on tho following deocribod lands prior to the recording of Rn occupancy pormit releasing the rectriction, in the Deed Records of WRohington County, Oregon, is prohibitod by the ordinance of the City of Tigard, Oregon: (The, City will iaeue a Valerie no noon on a ^incl inopoction determines that the construction In ontinfactorily conplatad) DESCRIPTION OF PROPERTY: t�•.. Cam r_�..-1.�?� �.-. C�a.� L� •33,1 p•�.�� 'i, ti\�� ADDRESS OF P^OPERTY: � � ^ NArlE OF OWNrR: : ADDRESS OF OLIPIER: ��-_�.- �� ~�•, �� = -- __ IN WITNESS WHEREOF, the undersigned]has causod this restriction to bo executed this day of OWNER: � ,-a•,,rr. e APPROVED: Title Ry: ui i n g 0ff'_c o sir City of Tigard STATE OF OREGON ) County of WRahington ) on. / -7 p �t�-rt+lw J r 19 .3 Porro ally appoared bofcre me the above nomad /�,-1 and acknolrlodgad the fnrogoing instrument to bs ;, voluntary a.:t and deed. CL;. ,. �.,. /;/�2 Not ry Publie -f'or77"0Togon ny Commiooion Expiros: ._ hhd for��ord ..1.:� ..IP.7_�o1.� 1iye f M. ( POGEA T110M93EN,Dlt•anr of 14mrds& r1e tions .J5 ■ `f�/% � �/ q k Gf � 2 § � � 11367 EXHIDIT "A" CITY OF TIGARD Rooidontirl Structure Occupony Restriction KNOW ALL MEN dY THESE PRESENTS, that occupancy of rooidontial otructur.e (.•) on the following described landa prior to the recording of on occuponcy pornit releasing the rectriction, in the Dead Records of Washington County, Oregon, in prohibited by the ordinance of the City of Tigord, Oregon: (The City will ioaue a release an coon as a final inopection determines that the construction is ontisfactorily completed) DESCRIPTION OF PROPERTY: \v,.rr-`.tr c- ,�3'+ a �l`�.c'.� '��•�c.��b r� C�u. .�' V , Cl.-r�•.,�r� ADDRESS OF PROPERTY: , NAME OF OWNER: "�_ ��•_ _ `. ' C r \�� ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned lino caused this restriction to bo executed :his day of OWNER: IN N a� APPROVED: Title By: ?a« ui ding Official City of Tigord STATE OF OREGON , County of Washington ; s0' �'c •� � 19 ZA Por pally apponrod bofcre rn tna above named ,, .,,,r.t J _ and acknowlodgod the foregoing instrument to be voluntary act and deed. No iry Public o regon My Commiooion Expires: -�2 Nod lar mcord .`I .IA 7./..ur.� hit PM, Hoorn THOMe6EN.DIrmo;of Records d EIsc,lnn. 491 P V lf�C7� Nr",p U , ce } L5 02, `f ƒk apt k0wi o§ \ems }§�« { 0 !|)`! E Q ° `_\�!! u ) � � � � 11365 EXHIOIT "A" CITY OF TIGARD Rooidontial Structure Occupany Roatriction I'NOW ALL MEN BY THESE PRESENTS, that occupancy of raoidsntio',, otruc ure (o) on tho follo•ring describad lends prior to the recoro.tng of nn cccuponcy pornit releasing tho reotriction. in the Dead Records or Waohiogton County, Oroyon, is prohibited by the ordinance of the City of Tigard, Orogen: (The City will issue a raloaos no soon no a fianl inapactiun determines that the .onstruction is on:isfactorily comploted) DE5CRIPTION OF PROPERTY: ADDRESS OF P^OPERTY: DAME OF OWNER: -� \ � ' =`r_�_:, `•.. r AODRES: DF OLIN EF:�.� � cam`. .-�� G.• �.�c.h c'��'�_'a�?a IN I.'ITNESS WHEREOF, ,the undersigned has cauood this restriction to be executed this day of OWNER: Nnm �E 4-'S APPROVED: T tlo iIding Official City of Tigard STA"E OF 00EGON Coun cy of Washinr ton as. _ _/.1, �,,./„_.,'�-L,,19 Pel•ou lly appoarod before no tho above nr-.god ._` ,,,-, and ocknoulsdgod ttia foru—going Instrument to be _ ,� voluntary act and deod. r-r I e-�' j/ '��g T1 I A Not ry Public tar uragon Cly Commiccion Expiros: F'd�d La .•.,,d...../...-.3.......Iu�Y��....1MR rM. ROGER THOM98EN,Dlrnctm M Rewd■S. Els.,wm 1ALL492 %5� |7�° i§! �6■ , 7 � \ } �°°! ( . / $ �7i)� k} 2 11369 EXHIBIT "A" CITY OF TIGARD Rasidontial Structure Dccupany Restriction KNOW ALL. MEN BY THESE PRESENTS, that occupancy of residential atructure (a) on tho following described lends prior to the recording of an occupancy permit releasing the reatriction. in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will issue a releaue as soon an o final inspection doterminos that the construction is sltisfoctorily completed) DFSCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: S. • NAME Cr nWNER: 10DRE;S OF OWN E? rL f IN WITNE55 WHEREOr, the undersigned hes caused this restriction to be executed 'Chia T" day of OWNER: mo, APPROVEDs �- Title I /Building Official City of Tigard STATE OF OREGON County of Wnnhi.ngto�i as. _ 1 Ji��,, �.4 c.)/, 19 73 Por anally sp000red before me the above named and acknowledged the foregoing instrument to ba voluntary act and deed. l � Notar Pub is for Oregon My Commiooion Expires: y 1110d lot noa,d..,�.�j ...IB]/,.nlj.! pM, ROGER 7HOMBUN,Dlt.vim of Re.ntds 6 Elwrnone 55,S 493 r C•t v o n U N N .L KK o z r .. �y 113'70 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of resirential structure (e) on the following descr.ibud lends prior to the r»cording of an occupancy permit releasing the restrintton. in the Ceed Records of Washington County, Oragon, in pronibitad ••y the ordinance of the City of Tigard, Oragan: (The City will issue a release as soon as a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF ADDRESS OF OI,INER: - '; " "-, a, IN WITNESS WHEREOF, the undersigned has caused this restrictic to be oxecuted this T day of s��3 , 19��,, OWNER: APPROVED: < � Title ui I dying Uff.cisl City of Tigard STATE OF OREGON County of Woohington 0°' s , 19 Z Personally appoornd before me the above named and acknowledged the fc_egoing instrument to bo , _ voluntary act and deed. 1No ar Public Oregon Fly Commiouion L pires: -i7-7y s N04 fat utrnnt /.�..-3 MIER THOM9SGN, Dlro<!nt el A.—We h Clm-�Inne 051 ,._494asxoul4i �� \ i i \�� \ � � � � \ % \ ° �q � ° k � � }f � � � � � � � \ � � %� % � «\ \ � � | �� \ � � \ � t�� }{! � K \ I §\!!7 � { � � ` z��7 $ } � \ % 7tkk7� ! �� % . t 113'71 EXHIBIT "A" CITY OF TICARD Residential Structure Occupany Restriction 1 KNOW ALL MEN 8Y THESE PRESENTS, that occupancy of residential. atructurs (a) on the following deccribod lends prior t the recording of nn nceupnncy permit relsaoing the roatriction, in the Deed Records of Washington County, Oregon, is prohibited by the ordnance of the City of Tigard, Dragon: (The City will issue a Ce1e0O0 an noon as a final inspection determines that the conatructinn is entisfuctorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROpCRTY: NAf1F OF OWNER: -� _•.�,�o� .+�C � ='c ADDRESS OF OWNER: IN WITNESS WHEREOF, the underaigned has caused this restriction to be executed this day of OWNER: %� No 3t—4y12 jtes APPROVED: T „la R yding City of Tigard STATE OF OREGON ea. I County of Waahington ,"L. 19 Z2 APqsonally appnc,red before me the above named and acknowledged the foregoing instrument to be t.... %toluntary act and deed. No ry Public' r`Oregon Fly CommiOoion Expires: Q-;� i 9 �y 10#0 for t•ooed...�.. noa;q THn fY. e ..&a PM, Mr:, N, DIt�olnt el Mcotdo 6 Cbminn� �t ,ty � I !!4% 6 � ° | 113'72 EXHIBIT "A" CITY OF TIGARU Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (s) on t!,o following described lands prior to the recording of en occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the u.dinance 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: IN Va .r tet, r, t�<-. L_v..•-•'�C \1 V r t�o ADDRESS OF PROPERTY: ^_. .N_ c_. .. . NAME OF OWNER: ADDRESS OF OWNER: _ IN WITNESS WHEREOF, the undersigned hes caused this restriction to be executeu this a—�Y'- dly of OWNER: -- ApAPPROVED: it�� Ry: 4.;"- oguilding Of c s-l— City of Tigard STITE OF AEGON County Washington as. --. i" 2.p, 19 ' Pe �Inally appeared before me the above named n• k J4 and acknowledged the foregoing Instrument tj be voluntary act and devd. :1 Vo : ry Public rOregon My Commission Expires: r .., � •N_r;�t, riu F4 tdwd @b<xlene d �o Z�d �$ a G u 11373 EXHIBIT "A" CITY OF TIGARD Rsaidontial 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 find inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: N, �.� �so�� a'j� iel ADDRESS OF PROPERTY: __��. Q.- NAME OF OWNER: - ADDRESS OF IN WITNESS WHEREOF, th3 undersigned has caused this restriction to be executed this day of �,,_` , 19-\.I,„ OWNER: / 'Name IPPROVED: Title By Building Of �_� c e City of Tigard STATE OF OREGON County of Washington as. �) 49.F , 19 J� — P,aly appeared before me the above named r �,tU•� and acknowledged the foregoing T instrument to bn ,.e voluntary act and dead. Q,�, o ary ub c for Grsgon My Commisaian Expires: 95` J� .Piled1.._.cAK.PM. 1 -4 97 `RnCCR THOMRSE,N, NI—M, d �I Nsun d� EbeHon ! �| - � 2 t f�! q! erƒ fi . .� )ƒ � ° �� ■ \ ƒ 7 f }6 2 a i /V EXHIBIT "A" CITY OF TIGARD Revidontial Structure Occupany Restriction KNOW ALL nEN BY THESE PRESENTS, that occupancy of residential. structure (s) on tho following described lends prior to the recording cf an occupancy pormit releauing the restriction. in the Deed Records of Washington County, Orogorr, is r-rohibited by the ordinance of the City of `igard, Oregon: (The City will issue a valence as coon as a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NAME OF OWNE?• _,'_ ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused thi-t restriction to bo orecuted this day of OWNER: Na 1.�E ,e4r APPROVED: Title ' By: 97j"lTd-Tnc 0 f f 1 c i o City of'Tigard STATE Of OREGON CouaLy of Wauhington cc' �u� , 19 Persop lly appoored bafure me the aLove named /1c-I-- and and ecknowledr od ,he fore_go_i'nng—T instrument to be voluntary act a,id deed. //'{/l I Not�.e/ Public f r a igon ��f111 ny remmiooion Expires: e EXHIBIT "B" CITr OF TIGARD CERTIFICATE OF OCCUPANCY MID RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following deucribed structure or premises with respect to which a restriction of occupancy wias, on January 3 19 14 recorded in Book 958 , Page 492 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTYi Summerfield - lot 133 As recorded in Book 33, Page 39, Plat Records of Washington County, Oregon OWNER: Tiin]af.in nmuatn.pnon} f�� i Inn- BUILDING PERMIT NUMBERS 73-291 BUILDING ADDRESS: S.W. Greens Way This is to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNFAS WHEREOF, the undersigned authorize: vZricer of th.; City of Tigard has caused this certificate and release of restriction to be .executed this day of , 19_. Title: j STATE OF OREGON ) � E8. County of Washington ) On this _ day of , 19_, personally appeared before me the above named —, whose signature appears hereon and who acknowledged to mehat he executed the same in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: 1 '— EXHIBIT "A" CI7Y OF TIGARD ,I / 1 Residential Structure nccupany Roctriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (s) an the following described lands pr.►or to the *eeording of an occupancy permit releasing the rectriction, in the Dead Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (Tho City will iaeuu a release as soon as a final inopection determines that the construction is sntlofactccily completed) DESCRIPTION OF PROPERTY: WC ry �.� . .��. e�e� �� ADDRESS OF PROPE fY: rook OF OWNER: ADDRESS OF OWNFR: IN WITNESS WHEREOF, the undersigned tics caused this restriction to be executed this may__ day of lg-_\-U OWNER: N 44A( APPROVED: T By: BuildIng officinr City of Tigard STATE OF OREGON County of Weohington on. _ _��,� jL , 14 Parnal.ly appeared bo. ore me the above named _ r✓ and a^knowlodgad the foregoing instrument to bs voluntary act and dead. rts�wlr• i Not:dry Pub .ic a rayon My Commiaoion Expi.us: _. i r ;7L EXHIBI'i "B" CITY OF TIGARD cUiTIFICATE OF OCCLTANCI AND RELEA.9E OF RMTRICTION 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 January 3 , 19 71b recorded in Hook gr 8 , Page _491-- , Deed Record of Wanhington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfi.ald - lot 136 As recorded in Book 33, Page 39, Plat Rtrords of Wa9hington County, Or=gun OWNER: Tualatin Development Co. , Inc. '13-291 BUILDING I'ERM NIT�LAER: BUILDING ADDRESS: S.W. Greens Way _ This is to certify th.e said . tructure meets with the requ're- inerts of the BuildinG Code of the City of Tigard and the above referenced restriction in hereby released and terminated.. IN WITNEM WHEREOF, the undersigned authorized officer of the CLt.y of Tigard has cauc,ed thi^ certificate and release of restriction to be executed this -� day of � , 19� STATE OF UREGJN ) ',s Ccunty of Washington ) on this _ day of _ , I'1_, Personally appeared before me the above 'lamed , whore signature appears hereon and who arkeowlee�ged to me Chet he executed the same in `eis offieal. capacity on behalf of til? City of Tigard. Notary Public of Oregon My Commissior expires: 1 EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY 1HESE PRESENTS, that occupancy of residential otructure (a) on the frilouing 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 Tignrd, Oregon: (The City ulll issue a release as noun as a final inspection determines that the construction is satisfactorily completed) DESCRIPTION DF PROPERTY: 47a testis. �� `� �n��' `�'� 14L,?,rz [ 1 ADDRESS OF' PROPERTY: i5.ti[ `3_ vJ. C r \t N A T E O F OWNER: ,, 4,\ tet_- Lam. ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned has caused this restriction to bo executed this \T� day of ,� OWNER: �i N � APPROVEn: Title . By, Building r officialCity of Tigard STATE OF OREGON County of 1 Washington ss. c., 19 Pora.ally appoorod before me the above named and acknowledgad the fnragoing instrument to be , , voluntary act and deed. Not ry Pun is or Oregon fly Commiooion Expires: '4111IT "B" CITY OF TIGARD c1RTIFICATE OF OCCUPANCY AND HEI.EASE OF IM3TRICTION The City of Tigard hereby certifies that the occupancy of the fol..lcwing described structure or premises with re:,pect to which a restri^.tion of occupancy was, on _ atiiii.r, , 19 ^!i, recorded in Book �_, Page vin , Deed /record of Washington CcunLy, Oregon, is hereby authorized and approved. DMCRIMON OIC' PROPERTY! _,.jnvnt�rfiwld - Lot 137 ,Is Recorced in Book 33, Paye 390 Plat Records of 'Jashinytnn County, Oregon OWNER: Tuil.atin Dovel.npmar', Co.,Inc. BUILDING PERMIT NU 3ER: 7' -291 _ BUILDING ADDRESSS I SSna;y 'I. f;rrr 2g 'IaX This is to certify the said structure meets with the reyuire- merts of the Building Code of the City of Tigard and t.'ie above referenced restriction is hereby released and terminated. IN WITNFSS WMAEOF, the undersigned authorized officer of the ctty of Tigard has caused this certificate and release of restrictic,-i to be executed this _ say of — 19` Title: STATE OF OR)GON )Ss. County of Washington ) on this _ da; -if , 19_, rcrsona.11y appeared before me the above rained , whv3e signature appears hereon and who acknowledged to me that he executed the Raine in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: EXHIBIT "A" CITY OF TIGARO Residential Structure Occupa..y Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (a) on the fallowing 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, Dragon: (The City will issue a release as soon as a final inapection determines that the construction in satisfactorily complet. ) DESCRIPTION OF PROPERTY: �a �`ca�-d.�. \.ems �e. :�•.... �" �.� ..,.� _�`\ �;'��'� ADDRESS OF PROPERTYi _1 NAME Of OWNER: =-�-R •••�� t.�` ADDRESS OF OWNER: �•��c �s -,�., ��,`� F".o�_,� IN WITNESS WHEREOF. '! e undersigned hoa caused tnis restriction to be oxscu+rd thio day of N"cic - OWNER: � !m%27 I ADPROVED: Title • By: Building Official City of Tigard STATE OF OREGON County of Washington as. )�.�,..d... X19 Personally appaared )afore me the above nomad o L31._.»-t/ and acknowledged thi foregoing instrument to be Voluntary act end deed. 1 Notarl Public for (Or on My Commiocion Expires: _ i 9 7f 0 IrA. ..- EXHIBIT. "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION The Citi of Tigard hereby certifies that the occuprai,..; of the following described structure or premises with reupect which a restriction of occupancy was, on 1 recorddd in Book 919 , page w 409 Deed Record of Washington County, O.-egon, is herely authurized and approved. DESCRIPTION OF PRui21.:Y! Summerrield — lot 136 As recorded in Book 33, page 39, plat Records of 'Jnshingtnn County, Jregon V', Tual,tin 0,?velopr,ient Co. , Inc. BUILDING FERMIT BUILDING ADDHVIS2n rte :n lav This is to .ertify the said structure meets witn the re;uire- meats of the Building Coca o'; the City of Tivprd anr° the above refe-unced restriction is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer k the City of TlgarJ has caused this certificate and releL.se of restriction to be execnoed this day of Title: STATE OF OREGON P.ounty of Washington ase. On this day of ^_ 19__, personally appea-,ed before me the aL,we named , whose signature appeare hereon and who acTncwledged___to me na-.he executed the save in his offical capacity on behalf of the City of Tigard. Notary ?ublic of nregon My Commission expires; v. FXH131T tA" CI'1V OF TIGARD Residential Structure 0.:oupeny Restrictior KNOW All. MEN hY THESE PRr_ZCNTS, that occupancy of reaidentia! struct,ire (a) on tho following described lands prior to the recording of an occupancy permit releasing the reotriction. in tl.o Deed Records of Vishington ounty, Oregon, is prohLbitod by the ordinance of the l.ity of Tigard, Oregon: (she City Will iouue a relaasv as soon as a fio;l inspoctiwi determines that. the conat:uction is ast'.afnctorily completed) DESrRIPTION OF PROPERTY: F►.a �ti.c_e <- a.�a. \.. �r bbl'` 'y'1s, V�:.��. �`�,� Q\o� �l�C. �,�-c�'a b� vi1 as She.'.e.a�,Cb�� Cab...,a.�...� �j .-q-• c_, ADDRFSS OF PROPEFJY:Lo5-)c, —a- NnrlC OF OWNER: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hos caused this restriction to bo executed this ,_��= day of OWNER: am Grt ,l�S APPROVED: �� \ Title By' -- °ui dinq Off' cia—i� City .it itgard STATE JF ORESON County of Washington 8°' �y,, �., �do 19 Pere on ly appoarnd before me the above namod e+. -r✓ and acknowlsdged the fovagoing instrument to ba voluntary art and deed. NotePub is Pdr 'firF gon MY r ommiacion Expirc s: no ":A1BIT "B" CI".f (F TIGARD CERTIFICATE OF OCCUPAP!CY AND RELEKASL "'y RESTRICTION The City of Tigard hexeby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on January Z , 19 714 recorded in Book 91'© , page _ lr89 , Deed Record .f Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - lot 139 As recorded in Book 3i, Pago 39, Plat Records of Washington County, nregan OWNER: Tualnitin 7,velonment Co. , Inc. BUILDING PERMIT M1MER: 7?-2ml BUILDING ADDRESS., 15906 5.':'. Grer,ne Way This is to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the above referenced restriction in hereby released and terminated. IN WITNESS W11FREOF, the undersigned authorized officer of the City of Tigard has cauaed this ccrtificr.r,: and release of restriction to be exe:uted this day of , 19_ Title: STATE OF OREGON )ss. County of Washington ) On this day of , 19_, per,:cnally appeared before me the above named _, whj❑e signature appears hereun and who acknowledged to me that !ie executed the same in his offical capacity on behalf of the City of Tioard. Nota:•y Public of Oregon My 0mmission expires: ro EXHIBIT "AI' CITY P� T7GARD J Ruoidontial Structure OCCUpony Roatriction KNOW ALL MEN UY THESE PRESENTS, that occupancy of rooidential structure (o) on tho foliowi..g oae,cribod lands p^.ior to the recording of Hn occupancy pormit releasing the restriction% in the Dead Records of Washington Cuunty, Orugon, is prohibited by the ordinance of I the City of Tigcird, Oregon: (The City will iosuo a rolocas as soon as a final inopoction determinou that the con°traction is aatiefcctorily conploted) DESCRIPTION OF PROPERTY: ADDRESS OF PROPERTY: NME OF OWNER: ADDRESS OF OWNER: `c,r, _ ��__�` Vii•, IN WITNESS WHEREOF, the under.isnsd has caused this restriction to be oxacuted this �—L day of OWNER: APPROVED: Title By: Building Uffic� c n� City of Tigard STATE OF OREGON County of Washington °�' ' !9 Porn nally appoorod bofore mo `,tic ztovo namod and ackncwlodgod the foregoing instrument to be vo.lun;ary act and dead. Notary Public f r'Orugon Fly Commiooion Expires: _ EX�iiblT "Bn CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RFI.EASE OF Pi;o-TRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises with reepcct to which a restriction of occupancy was, on JanuarY 3 _, ly 'lq recorded in Book 958 , Page 487 , Dee;' He-')rd of Washington County, Oregon, is hereby authorized and approved. DESCRI11TION OF PROPERTY! Summerfield - lot 140 As Recorded in Book 33, Page 39, Plat Records of Washington Couhty, Oregon OWNER: Tualatin Development Co, Inc. BUILDING PERMIT NUMBER; 73-791 BUILDING ADDRESS: S.W. Graens Way This is to certify the said structure meets with the require- ment: of the %ilding Code of the City of Tigard and the above referenced restriction in nereby released and terminated. IN WITNESS WHEREOF, the under-lgned authorized officer of the City of Tigard has caused. this certificate and release of restriction to be execu',ed this day of 19 Title: STATE OF OREGON County of Washington )g0' On this day of , ly�, personally appeared before me the above named __ , whose signature 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: -Zll 1-4 w IT, uj El) 121 pm ► C) to Ul Pi Fo px 1-3 4� o w L Lu t L�e Jo jn -1 Lo 4r, �j %J lij w o LAJ M N co tsf QN, Ilk LPJ 4C Ilk N-4 15860 - 15910 SW Greens way APM MS OT6ST — 098ST -- tj SQD I � � � � 1 rl cj lip y1 1 a i r � 1 S S '4 JJ �c) a i v n - 0 � � . r4 Ow r1l M l F CITY OF T'IGAIRD 12430 L W. Mtki Oka* TIGARD. OR110011 "M APPLICATION FOR BUILDING PERMIT New Construction r— Demo! I j Addition Remodel Nova ZONIA P-D DATE ISSUED 12-26-73 BUILDING PERMIT a DATE RECEY"ED BUILDING FEE $_-Zj , No. 1 BY PLAN CHECK $ 156.33 .-_ wi-19i._+_ OTHER $ —T6:�JQ'l�acording VALUATION $ 113,817 4"tate TOTAL. $ 423,"?_ RECEIPT No.� j 135,TY96SETS70F PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 138, 179, 140MAP # 2S1 11C CENSUS TRACT W-8 JOB # Architect or Engineer Address__ 11880 S.W. King James Place, TAQsrd - `Phone 620-300 Owner_ Tualatin Development Co. , Inc. Address _ 15300 S.W. 116th Ave. ,VTioard --- -Phone 6?0-267 —! —— _— ------ Builder. same Address BUILDING USE Single Res. ]V Multi Res. f Comm. Industrial[] 6 unite OCCUPANCY GROUP_,---- No. of Stories_, Fotal Height` 181_ Area of Lot Type of Construction IXXUXXJ[JMXVW V Floor Area e—644 1__ 6L99 2`__ -_ Set Backs: Front 20' - Back 25' L.Side---9' -_ R.Side--,_71 Private Sewer Pipe Size- 4" -- SewesKing _f,..i�_ Septic Tank water Service Pipe Size 3/411 Storm Sewer n Ditch � DrywellFJ Street and Curb Rey�rirements-ee re �d by zQ ino and sub�y�_glon nrdi�_� Driveway Width_—` 16' of Parking Spaces-- u1Z-_—_ SEPARATE PERMITS REQUIRED FOR SOWER AND PLUMBING SPEC'AL INFORMATION 2 feet of lot 139 was added to lot 138 ADDRESS ASSIGNED pendiry FIELD CHECK BY�----- J9 —V�- --------DATE-�12-2 - r PERMIT APPROVED BY-11,—LA Ll � It is uncle.-stood that all York will conform with applicable Ides and ordi ances of the State of Oreyon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has been issued cry the City cf Tilerd Buildirg Inspector. _ - r. gna ure o Applicant F' e4, CITY OF TIGARD 12420 IL W. Mole 0 *W TIGARD, OREGON 17217 APPLICATION FOR BUILDING PERMIT New Construction F,I Demolish -1 Addition L__.l Remodel � Move _ _ 1 p-D 12-28-73' _ _— ZONINGDATE ISSUED BUILDING PERMIT DATE RECEIVED BUILDING FEE $- 220.50 No. PLAN CHECK $ 143.33 -.-7'3-CYC ---j BY-- -- OTHER $ ---7"I3VALUATION $-95,062 T')TAL $_� 385.04 RECEIPT No. '9 q& 2-- TWO SETS OF PLANS AND PLO': PLANS MUST BE FURNISHED WITH APPLICATION 98, 99, 100, LOT M 101102 MAP A— 251 11C CENSUS TRACT W-8 JOB t� Architect or Engineer_ Reymond 1. Bartel. Address 11850 S.W. King James place, Tigard _ Phone 620-3003 Owner Tualatin Duvelopment Co. , Inc. — _— Address 15300 S.W. 116th Ave., Tigard —Phone.-620-2.673--- Builder same Address _Phone____ BUILDING USE Single Rea. ❑ Multi Res. 9 5 unitBomm. 11 Industrials OCCUPANCY GROUP 11 No. of stories-1---- Total Height_ 18 Area of Lot_ Type of Construction IXXIIXXIIIXXIAX V Floor Area B- --- 1`6.1133 2_� 20' Set Backs: Front 51 Back-12- L.Side 15' R.Side 150 Private Sewer Pipe Size 4 — Sewer`_King Citteptic Tank Wate•: Servicc Pipe Size— 3/4" _ Storm Sewer Di,ch Cl Drywell El trect_ ?.std Curb Requirements_— AA required zorinc�Qi 1.pubdiyjaj,an Driveway Width 16' —_ No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLTIM-ING SPECIAL, INFORMATION [it DDRESS ASSIGNED IELD CHECK BY—^,—ig _ — —� — -_ DATE. PERMIT APPROVED BY ( � is understood that all work will conform with applicable codes and ordinances f the State of. Oregon and the City of Tigard, Oregon, and I.hat the building wilot he occupied until a Certificate of Occupancy has been issued by the City of tgard Building lnspnctor. dna ure-,1,Applicant x ,