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12725 SW KATHERINE STREET l� w i2725 SW KATHERINE STREET ti v a, w +1 4J m m m c, Q W N Q .G L+ (D S I 4-) a} n. w 4J C: 6-4 cur 4, Y ui Ln N N N .-1 Y'w"m''Vpyr` �I p i"it4 rti P'1N'•:•'fir''r y+•rarSt -{�jh I 1 ��g'� +^�ry�1 "it (11' v �'M tv.. (� �� a,S ,iy1R'•� hd'ti rrii'1�(.• /11:1(1, ^• 1 t f Y 1� .rf'.,",�/•1�a4, '�V` } tS{tV " f!s*'��•`:.:4 �`1ry i'il�`�"��/` • \ IN tt iNl IN' L N' )I f73 V1,# 411, .4U tr< 4 lfjj rr•{� ,NI oy.. d�.�1r�4'�' + t !`:• "4 ' ^\ ''"�+.'.,�iIM' �hU►��p`''NHA IIII'.'''T/lg4ttit'_..'1111a "� '"•.illy' yl}t,��• 1� •,•;Nlll,r�•?/,�f/+ti'�?.•.> �IIIP'. '�`yk�, 'Nll�r�•'" •'`A111P ti1j''�j �!!IF y. r t•`ti} + }� i j"ry••<'1►ilk ^ jll ti,�1.+��j11 , $ 11f ITS co Ln in i - f Aj It 0 41 10, CJ -4L Efr�, � � � � ,� b N � F• O � l Is l O fit..,.• � � O V 11� ttt��- :�„ ^ Mil q v� t� C � V U Or r�R• rr •, i, ,I ra 1 y tc ;, �"""� n N •� w al :r u •ri by F: i.+ : 4? (tl;t, 3 a br.>~ U o1 e 0 W4tIn C4. tic CA yr �kIIf� G °A-1 cl 1 Il�iik''rl 1 t +t14 t�' (t� � � .�.,u :::'E..'.�L1r.4'i� �'tyy,'":i GdE i.. .,.. •�.�•i i•T.t ij. ..��. .'__I,�'T,�'_ T T, a �111-4,. } qy� � + ,Itju` a, ref► W yam.• 1 .•• k 11 1r ti Irv+'- jAM � �'i:, t �„,,1K •`,,1 ,M �It �p+w ',.�T.^��. tl�#"' '4i ',`l7t i �a���c� '+ 'II r�, t AP "�i j•�t .1' flf ' �'`+y �VIt1 '-'r�7'\�fin'Q' 4 1'+.4, .N�v^1�l";v" ,P i ,.. r�" a �� q i14ir ,�� ..,R'1Y "•. yam �+•"• rrf,,,�y, - i t - :l=.h.b'6 .�`-•��.,i�'' a'" �'ya. kn y.. y .M' yr "" yr"�. Mr --4k^ nl�l rar � a: ■w � �w. r� INSPECTION NOTICE City of Tigard Building Departmerc 12420 S.W.Main St. Tigard,Oregon 97223 Phone: 639.4171 Ty;,9 of Inspection - _ Date E:equested ' &' - Time c_* A.M.--P.M. Address.�-c���'f�___—�� 5 Permit 0 Lot # Owner _ — Builder The following Building Code defici-,ncies are required to be corrected: Presented to _._._ — VU Approved Inspector __ 's.� __� _ [_J Disapproved Gate ---._ 7 CALL FOR REINSPECTION El YES [A NO t3JILDING PERMIT APPLICATION TIGA,iD DATE_ _ ,19 _-.__ 4250 i_ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THF WORK HEREIN INDICATED BUILDER PHONE __ f OR AS SHOWN AND APPRDVED IN THE ACCOMPANYING PI.ANS AND SPECIFICATIONS. OWNER PHONE LOT NO._ 7_A'i- AA 1"Y. r ,.a'.11 '�1' r ' crq~` i t . OWNER _ JOBADDRE 'a ARCH GT -- ENGINEER BUILDER o n pr ADDRESS A?1ClV^ DESIGNER STRUCTURE ❑ NEW REMODEL LQ ADDITION El REPAIR ❑ RENEWAL C FIRE DAMAGE ❑ DEMOLITIO1 Cl RESIDENCE U COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PC AT El GARAGE E STORAGE ❑ SLAB❑ FENCE OCCUPANCY _-_ 4 LAND USE ZONE _ter BLDG.TYPE _ ~'' FIRE ZONE`_._PLAN CHECK BY HEAT t-niCt. TA-vin- ''C) t ix i;?l � i.t::lon to .`�1D 7l," r?'eI! iTu- 'correct:ion t nttacheti. t"! T;h�t�yfl SEWER PERMIT M — --_--_--- —�-- —,--- --^ — — OCC.LOAD FLOOR LOAD HEIGHT _ NO.STORIES _ 1 AREA 1 N0.BEDROOMS t---VALUE BUILDING DEPARTMENT GET BACKS FRONT REAR t LEFT SIDE v RIGHT SIDE it — - -- A – -- Permit 1. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH 7- vLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPL;C;Z:'-�; CODES AND ORDINI,NCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Sub-total 1 n RESTRo-I TIVE COVENANTS. CONTRACTOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS • 3 LICENSE.SEPARATE PERMITS REQUIRFj FOR SEWER,PLUMBINP AND HEATING. SI ate Tax 1 Tot(.; d' ,, 1 t..+`'<✓'�.,.i --""'..""" _ - —,-- PDCM APPLIbANT OR AGENT By ` f Receipt No. Approved '" ADDRESS _ PHONE I a k I DATE INSP. TYPE INSPECTION REMARKS PLUM3ING DATE Contractor Permit N 4LI — Rough-in 1-1-11 p -_ i - �. —____ Fixture Final HEATING Contractor - Permit No. Gab or Oil Cinal -- ---- � SEWER final `--- r � DRIVEWAY ---- —----. I is Final y I IiSrorm Drainage ---. —_--` --- (Rein Drain)Final Sidewalk Curb&Street Finol Approach BLDG. DEPT.FINAL —�-- TEMPORARYCERTIFICATE OCCUPANCY CFRTWICATE OCCUPAtJCY Final Landscaping Toning Finrl i r �i i I 41� LLt F, l 1 1 BUILDING PERMIT APPLICATION "'y TIGARD DATEIN OF THE UNDERSIGNED F•IEREBY APPLIES FOR A^ERMIT FOR THE vVORK HEREIN INDICATED E)UILDERPHUN: OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. Ovmr%r'PvDr1 � ':?-9 LOT No7 00 p 7sINEP• ..0 y�i� d�'3.r i+�Jf>� ADDRESS �.�r. -_ f4 /1 cHI �r - ` ARCHITECT q ENGINEER AOOR 5 -_- `C DESIGNER - STRUCTURE ONEW 0 F MnO EI, ADOITION ❑REP:'IR 08E14L';IAL OFIREDAMAGE 0Dr'.IOLITI. riESIhE^It:E I-1CnrrA1 E]EDUCA 10NAL OGOV'I' ORELIGICUSLUPATIO UCARPORT ❑GARAGE E]STORAGEE]SLAi. OFEN CCCL P.�L1"Y� -S�_;.ANO USE ZONE— OLD �r G.TYPE � .FIRE ZON _ PLAN CHECK BY. - 0 0 ____ _��e—���'�Ct�°mcSr�.�.gP� _ .- .�____ I_l�e�(•l"DbY>t,s .y _L_OA 0AD._ FI I TAA I -- 51)lLr,I-:-1 DEPARr'.ICNT__ SET BACKS —FRONT 27 _—REAR 31 — LEFT SIDE��— ' - �F- -lt L3.SC 1 --- - THIS PERMIT IS ISSUED SUBJECT TO THE ;IEGULATIONS CONTAINcD IN THE BUILDING CODE, ZONI, REGULATIONS AND ALL APPLICABLE CODES ..ND ORDINANCES, AND IT IS HEREBY AGREED THAT T ----- 6ORK WILL BE DONE IN ACCORDANCE LNI rH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Wl; S--) t0laI ALL. APPLICABLE CODES AND ORDINANCES. THE ISSUANCF OF THIS PERMIT DOES NOT WAI +' L RESTRICTIVE COVENANTS. CONTRACTOR ANO SUB CONTRACTORS TO HAVE CUPRFIJT CITY E usmF C%at? Tax ' 6� LICENSE. SEPARATE PERMITS PEOUIRED FOR SEWER, PLUMBING AND HEATING. SDC - - I _ --- APPLICANT OR AG-4r +I appro�Er; _ — _ Receipt No. - An�FlF55 LHON ^ SDC — SEWER CONNECTION S . SEWER INSPECTION S SEWER SURCHARGE S Cnrnments . .___..C7_,fG 7a 6- g`N ICa�a�;tee. ;+• TL 7xvo, 2s( - 4• AA (3 o.�4 IGK tz I z I( x I& 2yro 6x 2(Ao IJ-G CD C) (3A 3�i. .2, � �o(a. 2Z, La l� w w w s ■w s iw � /1 CITY OF TIGARD: 12420 S.W.MAIN•—•TIGARD,OREGON 97223 RECEIPT DATE. AMOUNT: AMOUNT: 000, DOLLARS NAME: �C�.�C-�-2'� � �,-� � �J ---- CASH: _ ADDRESS: CCHECK * OF M.O.: AL:T. ,r PERMITS SURCNAROi AMOUNT SEWER BILLINGS 40-364 I BUSINESS LK;ENSE 05-331 PLUMBING PERMIT 05-332 --- MECHANICAL PERMIT 05-332 BUILDING PERMIT 05-333 SEWER CONNECTION 40-363 _ SEWER INSPECTION 40-365 — SYSTEM DEV,CHA.'GE 25-366 PARK DEV.CHARGE#1 30-367 — PARK DEQ',CHARGE#2 30-368 -- ZONING ADJUSTMENTS 05-362Ale TOTALS S RECEIVED BY: _ -- —__----�--- — 1 PERMIT NUMBERS ASSIGNED: Number Amount Number Amount _ Numbw Amount $ S - - — RECEIPT OT1 9 9 3 •,Li i.t:w'. 4.y .. CITYOFTIFARD WASHINGTON COUNTY,OREGON BUILDING DEPARTMENT PLAN CHECK APPLICATION Date 0j, is`,ii-j;" This is to certify that the following plans have been subm' ft;ed for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, 1979 Edition. Owner 9dbot* �row(er-- ;lob Address 17-72J" 36,) RAR"e- S� T&A Lot No. 7-5 oo 1 29 1 - -( AA Owner/Applicant Address 1<0-'-JTIDKe ,e 3�- Tp /tw C,?', q rL23_Phone No.631- ?007 .000 j Description: F-- i 4.9 O City j 1Sard, Building Dept. — 12420 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639-4171 ----- wr �r a.s wR +wr eat nrar arir City of Tigard Mechanical Permit Permit-___U0­-- Fee- New ermit-___x.00 •_•_Fee-New Installation ❑ Replace ❑ Relocation I-] Addition ❑ Alteration C7 3%State —M TOTAL.-_ CON'rRACTOR _ OWNER _ �Y ADDRESS WORK ADDRESS — PHONE_ — -,a _— APPLICANT _ �_-i�� Heat Input Rating (BTI) Par Flour) Vent Size �_ _ _ Flue SizE_� FUEL OIL (—] GAS L ) ELECT ❑ OTHER �— ITEM NO. FEE ITEM NO. FEE For Issuance of 6'nrmit � — 3.00_ Air Condition Compressor 15 to 30 HP —� — 10.00 Ne�v- Under 100,000 BTU New !— __ 4.00 _Air Handling 10,000 CFM _ 3.00 - 1_OO,OOU BTU &over _ 5.00 ,'fir Handling Over 10,000 CFM Floor Furnace 4.00 Evaporative Cooler -3.00 Wall - Floor-Suspended 4.00 Range Nen_t Fan _2.00 Install Vents Only _ 2.00 Vint System _ 3.00 Repair• Heat&Caoliny _ _ _4.00 _ Hood Commercial___ 3.00 _Air Condition Compressor Unr,er 3 HP _ 4.00 —Commercial Duct System —�— 10.00 Air Condition Compressor 3 to �5 H? 7,g -- --- INSPECTOR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY DATE ISSUED BY RECEIPT NO. AT--�_- ---- 774 Signature; of Applicant . � t:XIiIRIT "H" :x7403 CITY OF TIGARD CERTIFICATE of OCLWANCY AILD RU.Fk;X OF ftFS7ttl(•I'IUM The Cit) of Tigard 1Mreby certifies th^t the occupancy of the following described structure or premijes with respect to which a res,.riction of occupancy was, an 19_., J� recorded in Aook 998_, paw � _^ � Dead Record of Washingtor. C unty, Oregon, is hereby authorized and niiproved. Dizati PION or I'PUF'P�iTYz Tex Map 251 4AA, Tex last 7500, lot 110, Bollwood H. OWW: FI r b e r t L. .Mu r j fl68.L Lfi.__&W11.._._____ IIM IDINO PERM T NUMBER: BUILDING ADDRESS: _12h25 S.W. Ka herine r t__ This is to certify the said structure meets with the reyuirr- went$ of the Building C<*fe of the City of Tipard nr,d the above referenced restriction is hereby i leased and terminwted. IN WITHMI 41FRF4r, the undernlgned authorized officer of the' City of Tigard has caused this cert.ificcate and release or-14etrietion to be executed this 19th ,jay of -- ___11LgLLa.L_. Title: :STATE OF OREGON Cutuity of Washington on this 19th_ day of Auquet 19%5 , personally appeared before roe the above named _ rinr i■ , whose signature appears hereon and who ec nowledged to mt Chat he executed the seers in his offic8l .apecity on behalf of the City of Tigard. Notary bis ofOre.p IV Carssission expires: ir•:p�,KEp M/"AN$a r 1113iJ lE1 "'°"aM'q EN...e d Il-&% \ \ \ } . � � ! ; \ - \j%®� \ % | F:1(H18aT "B" CITY OF TICARD C.F:N'rl}'ICATE OF OCCUPANCY AND W.31:ASE OF 10:T114ICrION The City of Tigard hereby certifies ttwit the occupancy of the fol owing described structure or premises with respect to which \ a restriction of occupancy wme, on _Qctot=v_aL _► 19 ?rl, recorded in Book ygg , Talp gg-k Deed Recon' of Wast&rgtcn County, C,regonp is hereby authorized and approved. DE`,CR11'1'lUN OF PROPERTY1 Tax Map 251 4AA, Tex Lot ")�.00, lot 110, Bellwood II• 929t _HerbsjLL„Lx..,Mar isaitta- Rldr_ BUILDI110 PERMIT Nl1MBERt _f1A.49. 6II� 1DIN0 ADDRESS: l�12725 S.W. Kather.in.o Street This is to certify the said structure meets with the requf.re• marts of the Building Cade of the City of Tipprd nrid the above referenced restriction is hereby released and terminated. IN MITNF.9S WWRYoF, the undersigned authorized officer of the' City of Tigard has cau6ed this certificate and release of restric.ion to be executed this 19th..._ _ 'lay ofA"4 , _._, 19_7--v ti'rA'1'B UY ORFMN .n County of HashingUnA ) on this 19VA day of Au ust ,., 1975 , personally appeared before era the above rAaircd 11ar�a JlA►til ._► vhr e sslgnnture npl-ars hereon and who acknowledged to we : at he executed the :.awe in his offical capacity on behalf of the City of Tigard. llotat�Arblie of Ote®oe ��_.,____. 1b cooission expirist _ r faa\� ,� a•� �/,G`�\�h` yir��h�L•�` .��"1c''•'�piw''r�'± �i.�t�1R y�F� �t}•`�'�y�.. � �"�.-�till Ln: w ^ ttS bli y Y -� � � 0m cu 1 C3: ? r o41 I� C� 4, (D: w cd v o >> ro41 4j ul -� i a (D;' M: pq v r O C O O •; 4, +, cel N: cd of a, Ip 7) .Cw rn 43: In. _ m' (I-: JE 14: cn e.A v 4-3 s � ` 9 City of Tigard ' INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : _ DATE: —2L sr V .DATE ISSUED . OWNERS NAME :- ADDRESS: -� —�2.�.�_-�s�s1- mss...._ CONTRACTOR : TEST : Air [], Water❑ , Visuof ❑ , Lu bo story n RESULT: Approved ❑ Disapprove w Pending ❑ SKETCH. (f% — 4 POO C'/j l *...F,tip.ra t �J t�dl f? !d-ll 't,i y R t•i.l. '�a t;..( /'t.��'m� &I"Z94: : INSPECT0R DATE [NOtF. : Attacheupplementat test data hereto a� w w w w =--m w City of Tigard INSPECTION REQUEST for SPECTION TIME: PERMIT NO. : DATE: ��'��� DATE ISSUED : LINERS NAME : 'f' - J1 rrt ADDRESS: )NTRACTO R : _ST : Air ❑, Water Visual O , Laboratory ❑ ESULT: Approved Disapproved O Pendin f ` (ETCH: ... f r .. OA (a IN PECTOR DATE TE: Attach supplemental test data bercta� ,441 0 ADDRESS PERMIT N0. PERMIT CHARGE OWNER _ CONNE:CIION FEE PAID BY TYPE OF BUILDING ��,t,� .--- _ _ - ----------- __ DATE CONNECTED SE-RVICE: RATE , INSPECTIr.IJV FEE i:uNTRAcroR �IYl .ab,mtx__—_ - -- _ _ PAID E3Y DATE SIZE OF CONNECTION _ _ ASSESSMENT __ ___ PAID d City of 'i_ iyarIrl INSPECTION REQ*.� �'.: for INSPECTION TIME :_ PERU—T KO. : ... .__.. DATE: —-A' I DINE OWNERS NAME: t TC;T r' Air C.i- 0,alef [j , visuo V� , f_Obnreif r rl s�frcw: �NOYE: .�!!rch s+�aF!a,ner.e:l !4+►t •eco rr•. ,, � City of Tigard INSPECTION REQUEST for INSPECTION TIME: 2-, 44- PERMIT NO. :— DATE: O. :—DATE: -3011V DATE ISSUED : I Z OWNERS NAME ' Y446PeP .��. ADDRESS: _c gr:/4.,umaD CONTRACTOR : P 104 41Z-6 _ TEST : Air [3, Water 0 , Visual ' , Laboratory p RESULT: Approved O , Disapproved Pending p SKETCH: `tom©cJn U-'�� uT - N5'PEc: 17o Tin /� / , i . INS!SECTOR DATE CNOtti: Attach supplemental tett dote beret] 0 I City of Tigard INSPECTION REQUEST n fr G c,,� t. x , INSPECTION TIME : / ' 3, " moi PERMIT NO. : _, I DATE: Z/ //v/ 7v DATE ISSUED:- Z I OWNERS NAME : ADDRESS : CONTRACTOR : f ` d TEST:Air❑, Water (� , Visual ❑ , Laboratory ❑ RESULT. Approved Disapproved [I , Pending p I SKETCH: I 1 INSPECTOR DATE otol tett data p�v,r"ISTN+^!t^'. ...y..x,.Jn,,.wiw".:f'. 'vW •. CITY O' 0099 BUILDING PERMIT APPLICATION TIGARD DATE - 19 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIC,":TIONS. OWNER PHONE .,r I DER PHONE OWNER ADDRESS 7 J• �z .w J=.— ENGINEER fj,I,JILDER ArruiTcr•T __ _rr1DESIGNER _ STRUCTURE ANEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAI. IJFIRE DAMAGE ❑UEMOI_ITION ❑GOWT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑ RESIDENCE [:]COMM ❑EDUCATIONAL ^j l._IHOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED— []SIGNS HEAT OCCUPANCY�_�._LAND USE ZONE_ BLDG.TYPE_ FIRE ZONE� PLAN CHECK BY — ,jva single faMly reu deme to be cont tructed according tO plans submits fod i"in basement --attalchad georagvi HEIGHT N0.STORIES AREA , VALUE _ QGC•LOAD FLOOR LOAD BUILDING DEPARTMENT _ SET BACKS FRONT REAR a LEFT SIDE RIGHT SIDE -- — — Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGU_ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 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 COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING Total ' By __ APPLICANT OR AGEN1 —� Approved 11 Receipt No. _` ADDRESS PfI ', �wwwsKr.,,«µ > OATE INSP. TYPE INSPECTION REMARKS PLU/M�BING� DATE Contractor 0 %> >'� ✓�{�cr,� Cry Jam' Permit No. oc�'_-- � � �,,cx�/ /tiLS P. Fixture �• `)S OKE C�1t� L __ Final _ CD - p� .vv Oe CO HEATING '�!n•,� N I / Contractor -"u Permit No. / Gas or Oil Rough in Final _ SEWER Final DRIVEWAY Final Storm Drains e (Rain Drain Final Sidewalk Curb&Street Final A roach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY - S L?ndscaping 7 - C n om,.,;Final •/rr� `A/ 14a• Y �i I UNIFIED SEWERAGE AGENCY NO. -_..____5019 WASHINGTON COUNTY DATE 10-25-74 CITY O F ^-----.___--------- -Li9ard_ APPLICATION FOR SEWER CONNECTION PERMIT OWNER: _Herbert E. Morissette OWNER'S ADDRESS: _ 8905 S.I]. Dolph SIHEET ---- CITY STATE ZIP BUILDING SITE: LOT _ -__ BLOCK ADDITION TAX LOT NO. - TYPE OF OCCUPANCY ADDRESS 12725 S.W. Katherine DWELLING UNITS _ FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE 525 INSPECTION FEE 25 __ _ TOTAL DEPOSITED 550 (NEW) (EXISTING) BUILDING SEWER SYSTEM -- _ _- Fanno Creek The Applicant agrees to comply with all rules and regLJIdtiOnS of the Unified Sewerage Agency. APPLICANT SEWER PERMIT THIS r'ERMIT AUTHORI7ES Cl.ANFCTION TO THE SEWER SYSTEM. LINE SIZE -- INSTALLER RECEIVED BY __--_- _-- ___ __. GENl'V OR ITS A(;F-NT) COMMENTS: I his Application imd permit expires in ninety (90) days. The amount paid will he forfeited should expiration occur. RECEIVED 1WV 12 19711 6917 CITY OF TIGARD EXHIBIT "A" CITY OF TIGARD Regis"^ iil Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT, that occupancy of residential structure (a) on the following described .lands prior to the record- ing of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon; (The City will issue a release as soon as a final Inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROP[RrY: Tax Map 231 4AA, Tax Lot 7500, lot 110, Bellwood II ADDRESS OF PRnprPTY 12725 S.W. Katherine Street NAME OF OWNCk: Herhprt £. rlori>leatt�� 81 dr v _ ADDRESS OF OWNER; E39p, S_I.I_ £ � Apttland IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this day of , 19 OWNF R Name APPROVE Bye ��f. . 1 u ins iC.ie City of Tigard STATE Of OREGON County of Washington as; 19 11reonally apossred before me the above named 1 and acknowledged the foregoing instrument voluntary act and deed. S?A NiI ary pU�.11IC� "Lr O qon Ca"ty of WartMRlen 1} f��]�y lny,)C;umm;aaIan Expirnss 1995 0 83 1, Raper D1fR1W d Recn.ds /�i?t!� �'��'�7 ad E4cttotq aM E.Of+cro ot*(W ►r of con i .rya¢" fcv oold county, do Iwrby LVOV that the MM;n hNitu"W" of MihnR was r«olw!d onl rwwdW In been of rkwds No _ of said Cao" Wttnea my hand and Mol oflhod. ROGER TP4WSS04, f)'rotta, of R«ads 6 Ekct+atr 0r1wd► OCT 31 1013 AN'l�► f City of Tigard INSPECTION REQUEST for INSPECTION TIME : _ PERMIT NO. : I DATE: /__._ DATE ISSUED: LL OWNERS NAME : Ali'CG �lr� Gq'�o1'! A D D R S : �t 7 _A&I &AXOtINC _ IC O N T R A C --« 'PC. 4ZAwo __._____.___-_ ___ ___ e TEST. Air ❑, Water L) , Visual ❑ , Laboratory ❑ RESULT. Approved ❑ , Disapproved ❑ , Pending ❑ �.SKETCH: seri ^y INSPECTOR GATE �N0TE: Attach supplemental test data hereto i 1� �• �, w "1 ��; " a .� r' fir, 1 ..,a V ��h / • ��,M� y I k , y 4,r�.fa.a1 • 4 y `, ' �h• Y ,r ; + * • ` '�� ''� t inti, It " 4 �,wIL