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12665 SW KATHERINE STREET 12665 SW KATHERINE STREET ar CD 4 (1) ul M —4 Li 41 47 LO a) r. cri DI $4 4-) ro 4 lCl 1 /,:y�•_ / :;:`! / ..:"�,/ _ I `• ti � l'�r;' �. �q N1,142W. � n '�� na:�► n % 6¢:Dn41;11; i H `✓ UpIf r 4 . � CITY OF rTIGlARD � c OREGON r\ Herbert E Morissette 81rire N�,O1[��, 5, Owne.r... . . Per ,•it 12665 S. .. 1 building Address....... W ............................Katherin ................ .9 Street.... .. ..a. .Y....................., 19. 75 Certificate Ia hereby given this...e ......da of..... i that said buikling may be occupied and �,. that it complies Nvith :ail requirements of }!' the Building Code for the City of 'Tigard, _ �.. as approved by the Tigard City Council. T -�" i , { I3u !ding Inspector U • I 1 �•fy'` �� f,� awry h 4:. ..�' �r ('.-+�.L°. (`h cM � �('�1 /` .►. �, � �.�e, 'AYE /,���/,.�.,� �����►� {`...�,y�1 A.�. /�.'�i.� ` ' ♦ //p^,,�r I•'. ��_4 .5��� (rf �i'd�• ay'r' _� ^'°y ��Y +'�l7sw`aV/r �wN� 1jAY�� ��aii �+yf`S`. '�v i`•I ^� ,��`'�`�?.�._._..�y'�-�Y,_� �''�'�h''/'��,_4S0• '� t+. x� '�j- $+�.,:���FF�"RNltr �- P:lU"_NIT "B" CITY Ui VGARD `�'►� ("�:RTIFjCATP. OF OW1PAI4CY AND 1*3,P 39 OF IiWl'HUTIOM ;'he City of TigArd hereby certifies that the occupancy of tint following described structure or premises with respect to whlcb a restriction of occupancy was, on Octobe, 31.__ , i9_.T.9p recor__"ed in Book 998 , Paige �M 58� , Deed Record of Washington County, Orrevn, is hereby authorized e„rd approved. D&SCR I YT IOR (IF 11HOI'UMI Tax Map 131 4a4, Tax lot 8000, lot 105, Bullwood 11 OWNER: Nerbsrt E. Morissette BUIiD'1113 I'VOILT MiIMHl Ri t ► 12665 I.W. Kethr.rlrre atteet 1�U31�t tq AiDRE.'39 t._..._. _......__....__....Y.-... .... 1'hts is to certify the wnid etrueture meats with the require- mems of .he PAlding Gyle of the City of Tipprd and the above referenced rea•riet.ton .s hereby relenned and terminated. 14 WITM113 i.4th:R", the unlersigned authorised offic^r of the City cf T! and has rsuacd this certificate and relear,e of restriction to be exec rted this th day of Moy,__�________� 1915_• Title:.___ '`�`•�QZ�'f """ /14 STATE OF ORiMff County of Wnshington on this 8th _ day of May � _ _► 19Q5 per anally appea-ed befove ere the_above nav*d __[)prim Nmrk►n , whose sigr►m-ure aplaars hereon and who mr.knowledged to me that he executed the aftme in hi,. offical capacity on behalf of the City of Tigard. Ritary Public of Orr--m ,.,t T My Commission expirest _ r r �. if JjkMser V`.4 10»....a g OEXk:t$ r.(1(Jf 1X123 'r .avis Tvxt** N. t*.w .. MreaAs (r • ,. . r ,ra.r ql Cc —L cl to CZ) el tr vw t;,xH IBiT •"b" CITY GW TI(3A)tD (%;,tTtY.rATX CW OCCt)P'ANCY AND )t 3YA:3B or wao4wrlof1 11%a City of T1&&rd hereby certifies that the occupanny of the following de-scribed structure or premises with respect to whicb a restriction of a::cupsncy vas, on fnatobsr 31 _._.., 19_U* 7"1:rip• '. 'n t►ur.)k r98__, NytA _. .a8. ....,..,..__ �, Dead Rcr.ard of iiarhtny,tcm Cow .y, ', ;on, is hereby suthorixed and approved. DYSCRT 1110" OF PRONYMTS r Tax Map 251 4ee, Tex lot Hnon, lot 105, ©elluuod II ObNF'.A: Nyrtrert E. Morissotta�_.._Ol�dr._ null>> ,r; l*.WUT NUMBKRs 12665 S.U. Kethorina itreat h{s in t,3 .,-rttry the .a td ,tructure twets with the require- trer.ts of the 'ruilding Code of the City of Ttt ntd next tta above i referenced restriction 1s hereby relenned and terminated. ili M1inn-ig ulfm",O the undersigned authorized officer of thrl City of ;'igard hes caused this certificate and release of restriotion to be executed this 8th day of lg1s.• Title: STATR OF ORMA)t Crounty of tiarahinkton ) on this nth _ rihy of MaY ., 1cri5�, per-tanally fore he ntgmy.urenppoars hereonandrYti wlevig d to that h vexes se stgrr►~ 8-' he executed the sratae in his offical capacity on behllf of the City of Turd. PJc,!gry FSfFtfe of Otrgoll _. _. My C+,ml,;elon expires! I I . City of Tigard I INSPECTION REQUEST for l , d INSPECTION TIME :_�� PERMIT NO. . DATE: y�l7J-- DATE ISSUED:—L. I OWNERS NAME : IADDRESS : d ,,i le• -�rx #A10r., CONTRACTOR E-. ITEST' Air ❑, Watr ❑ , Visual 0 , Laboratory ❑ RESULT. Approved' , Disc proved ❑ , Pending 0 I SKETCH: dj I i I INSPECTOR DATE CNOTE Attach supplemental tiiit data heret- 1 a� wrMOM1 City of Tiaiord INSPECTION RtOUEST for X' INSPECTION TIME :-/- ") -` pFRMIT NO.: _— DATE: DATE ISSUED:_2 L,. OWNERS NAME ; ADDRESS : ��� C %r�o ► CONTRACTOR : % -v Lort-� -d'? TEST' Air ❑, Water ❑ , visual,2; `aboratory ❑ RESULT: Approved ,I , Disapproved ❑ , Pending O SKETCH: S �- .S'/D INSPECTOR Dq E ENOTF : Attach supplementul toot data harsh 0 ADDRESS ��(�' ,1~ �•�p�i��,,. _ PERMIT NO. �( PERMIT CHARGE OWNER _ _ CONNECTION FEE PAID BY -411A TYPE OF BUILDING eta. i,►n �, � _ DATE CONNECTED SERVICE RATE _ INSPECTIOP FEE S IV UONTRACTOR -� �.i_-� PAID BY .— .. DATE -.�. SITE OF CONNECTION !/�� ASSESSMENT PAID _ _ City of Tigard � INSPECTION REQUEST for INSPECTION TIME: .2 _ PERMIT NO. : DATE: 1`117 16-LLL DATE ISSUED '.---L-L-- OWNERS SSUED :,_L1___OWNERS NAME : ADDRESS: CONTRACTOR : _�--- TEST : Air U, Water)(, Vfeual,P(, Laboratory ❑ RESULT' Approved !< , Disapproved C' , Pending Ll SKETCH: 2. I I t INSPECTOR DATE 501E: Attach supplemental tett data berets, Fir 111111,111111IR" CITY OF BUILDING PERMIT APPLICATION TIGARD DATE '-"- �_ N° 0100 THE UNDEF,SIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND mPPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ ---_ OWNER Herbert (* Mor'. *set.tq,,,IOD1 jgr 1.2665 SoU, i';a+t.hnrl1'10 Fi4LmLDL9 PHONE ENGINEER BUILDER ARCHITECT � DESIGNER v— STRUCTURE ❑NEW ❑REMODEL El ADDITION ❑REPAIR�-T _❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS (O,CUPAfJCY .__LAUD USE ZONE 'SBLDG.TYPE FIRE ZONE_ PI_AV CHECK BY_,___.-__--- HEAT ftew : 0919 family reei:dnece to be construct6d sc cording to approved_ ------- I submitted _ no hasemenu—.. attschlrad garano OCC' LOAD FLOOR LOAD _ QQ HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTMENT SET br1CKS FRONT REAR LEFT SIDE RIGHT SIDE Permit � owl� -- -- ----- — --------- — ---_.r.— THIS PERMIT IS ISSUED SUBJECT TO TH° REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check "I,Qq REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording , ',� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE i:OVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIur Total WIG i BV ------ ---- APPLICANT OR AGEN' Approved Receipt No — ------.__..__- SS ---H NC- we +•r It s alr .� � ... rw ')ATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor /d 3i 74 �.� ��: rG 1�-, �_. Permit No. �p !gyp " 1�2-3-2U :3 -1ala l.�c�.. %��-- �a � ck51 >> - Rough-in Fixture _- /7i�� Final_ �- HEATING 75 Contractor - - /-OP-74r�S 1e 0,v /s�r1�7 �-TA l9 07 f1 �4�wectPermit No. CIS /- �/•7S - -Lo-764 Lk?00, 0-�V ! ----- Gas or Oil ---- - / Rou h-in Final SEWER _ Final _ - ^^ DRIVEWAY Final Storm Drainage (Rain Drain) Final _ Sidewalk Curb&Street Final A broach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final LandscaF;ng Zoning Final 1 a { UNIFIED SEWERAGE AGENCY N0. --- WASH I NGTON COUNTY DATE ___u1_0-25-74 __-- CITY OF- - Tigard APPLICATION FOR SEWIR CONNECTION PERMIT OWNER: .____ __Herhar_t._._.E Morinn etta — OWNER'S ADDRESS: __ 8905 S.I.J. Dolph _ STREET - -.Pu__tland CITY STATE 21P BUILDING SITE. I OF - BLOCK _ ADDITION --_ TAX LOT N0, 1'YPE OF OCCUPANCY ADDRESS - _ IZ69X 12665 S.W. Katherine_ St. _ DWELLING UNITS- __—..._ FIXTURE UNITS SUPCHARGE IF APPLICABLE ___ PERMIT FEE INSPECTION FEE 25-- — TOTA:, DEPOSITED 55-0 (NEW) (EXISTING) BUILDING SEWER SYSTEM ___ Fan-io Creek The Applicant agrees to comply vvith all rules and regulations of the Unified Sewerage Agency. APPLICANT- '� [ t SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE _ -_ _ _ INSTALLER . _ RECEIVEDU" . AGENCY OR ITS AGENT) COMMENTS: This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. RECEIVED 6919 IIU'v } :' 9`37" CITY Of' TIGARO FXMIBIT "A" I:ITY OF TIGARD Residential `structure Occupancy Restriction YNOW ALL MEN BY THESE PRESENT, that, occupancy of residential structure (s) on the folluuiny dearribed lands prior to the rer.urd- ing of nn accupency permit releasing the restriction in the Deed Records of Washington County, 0rogon, in prohibited by the ordloance of the City of Tigard, nrogun; (The City will lesue a releaF3s ey soon ae a final inspec.tior detetm,nnq that the construction is sat)s`actorily comploted) DE VRIPTION Or PROPFRTY� Tex Mao 751 eAA, Tax Lot 8000, lot 101.1, Sollwood II T.; ADORE:j Uw%Lh; 69"—S�j„• n^tptpv..UQjtIan rt. nragnn— IN UlTNESS WHL9COf , the undr;rwir1ned has caused this restriction to be oxec..uted t,hi--a day , 19_. OWN[R. r NA"tPa lr• tt Ia APPROV*17—.1 , TrULIding UffiLial City of Tigard STATC OF OREGON County of Washingtoh ss t i c C .I 3 Pure?-lalIY acin"nrP»d before me the above named and acknowledged the forego invent, voluntety A(-.t and deed. f�dDE ' Cnk"r Wad vole. My Commission E' piteat 998 Mu W I, -t,-- 71..,.p� tw fwv 4 w+d fir.,rr.a owd f.l'Ml•r� Atq%PdP' vo con i•. wki tow" do hoov c«P�h .M! •+v $,0— IrNRrvM1l � atWev oW ,ec." d o"o .l,A" in beth df r/[o-6 W gra n.r Mrd bird w-0 .offload. 1044 TI-OW tN. a.«Wr e1 Arrwd, ♦ [MMMrn� r(4#1r Dept*# EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT, that occupancy of residential structure (s) on the following described lands Prior to the record- ing of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: ( The City will issue a release as soon as a final inspection determ.i-es that the construction is satisfactorily completed) DESCRIPTION OF PROPER_fY : Tax flap 251 4AA, Tax Lot 0000, lot 105, Bellwood II ADDRESS OF PROPERTY NAME OF OWNER :-M_IIyar.bar.t:_L. ------------- ADDRESS OF OWNER :_�.EiS9II5_.S.W._An1{ata,_.P_ar_tlatad_,r_Uz�gaR_______._�_ IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of , 19 OWNER: Name T— Title- ' APPROU _ wilding Official City of Tige.rd STATE OF OREGON / � County of Washington S ss C ,� _ _, 19 -Personally appeared Lefore me the above named_______ z ' _Mand acknowledged the foregoing instrument to be .tx L voluntary act and deed. Notary Public for Oregon My Commission Expires: 4th i too' 711- 71�7 /cjot �.r..ert- Jos � � •( P-WFA) tell mow , l ♦ � °. - � � t'Ply ,f •� + 1 • r . �`1. •Su r r 1 r 1111 w , �• 1..4- /oof / ',y • . ' f `� {y 1 l ..'' 1r r� 4, 1'R • �i[a. Q�/ r }, 1