13450 SW VILLAGE GLENN COURT-1 13450 SW VILLAGE GLENN COURT
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Y CITY OF TIGiARD
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OREGON
Owner: Ri-sherd C,------llb--- Perm;t No...0.Q2Q............ r ,
Building Address---------1....45.. �.
. ...S.W.......i l la.ge...�i�.a! R.......... ......... ...
Certificate is hereby given this...I.Rt.h....day of......Auwu.aii.........—, 19......La.
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council. � {
er wilding Inspector "
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1.7404 EXHIBIT "B"
CITY OF TIGARD
,,ERTIFICATE OF OCCUPANCY AND RELE9SE 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 ` July 17 19 ','4
recorded in Book 904 V, Fuge 296 , Deed Record of Washington
Count,, Oregon, is hereby authorized and approved.
DESCRIPl'ION OF PROPFitTYI
Lot 38, 'Village Glenn, Tax flap 751 2C4
OWNER, Dick Hallberg
BUILDING PERMIT NUMBER: n n 7 n
i
PUILDINU ADDRESS: 13450 S.W. Village Glenn Ct.
This is to certif,; the Paid structure meets with the require-
ments of the Building Code of the City of Tigard and the above
referenced ri—triction is hereby released and terminated.
IN WITNESS WHEREOF, the undersigned authorized officer of the
City cf Tigard has caused this certificate and release of restriction
to be executed this ___Ufh day of _ Auguat , 1j 3�•
Title: ,
STATE OF OREGON
County of Washington
On this 18th day of _Auouet 19 „ personally
appeared before me the above named Doris Ilartig whose
signature appear; hereon and who acknowledge-1 to me that be executed
the same in his offical capacity on behalf of the City of Tigard.
,
Notary Pub is of Oregon
My Commission expires: 11-6-78
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EXHIBIT "B"
CITY OF TIGARD
CpIRTIFICATE OF OCCUPANCY AND RELEASE OF ft&5 'RI^.PION
The City of Tigard hereby certifies that the occupancy of
the following described structure or premises with respect to which
a restriction of occupancy war,, on _ July 17 , 19_74
recorded in Book 984 , Page _2 9 6 , Deed Record of Washington
County-, Oregon, is hereby authorized and approved.
DESCRIPTION OF PROPERTY:
Lot 38, Village Glenn, Tax Map 2.51 2C.A
OWNER: Dick Hallberg
BUILDING PERMIT NUMBER: nn?p
6UILDING ADDRESS: 13450 S.W. Village Glenn Ct.
This is to certify the said structure meets with the require-
ments of the Building Code of the City of Tigard and the ab.,Na
referenced restriction is hereby released and terminated.
IN WITNESS }h[EREOF, the undersigned authorized officer of the'
City of Tigard has caused this certificate and release of restriction
to be executed this I Rthday of _Au.c}u-t 19 .
Title:
STATE OF OREGON
ss.
County of Washington a
On this 18th day of August _, 19_Z- personally
appeared before we the above named Doris Hartig , whose
signature appears hereon and who acknowledged to me that he executed
the same in his offices 1 capacity on behalf of the city of Tigard.
Notary PuOregon
My Commission expires: 11-6-78
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City of Tigard
I
ITJSPECTION IREOUEST
for
IINSPECTION TIME : _PERMIT NO. : --
I DATF�2_,U..�1 i_ DATE ISSUED:
OWNERS NAME' : . %e
ADDRESS : /��{s v .�J�:•/%;c GC�•���
CONTRACTOR :-----------'-'------'
ONTRACTOR :_--_—_-- _._______—__.
TEST: Air ❑, Water p , Visual 0 , Laboratory L7
rRESULT'. Approved Disapproved L7 , Pending I [j-
SKETCH.'
j K E _...�
I S TCH.'
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INSPECTAR DATE
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:NO TF AI!or h supplemental feet data heret]
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City of Tigard !
INSPECTION REQUEST
/ for I
INSPECTION TIME: PERMIT NO. :
DATE: DATE ISSUED :__1___L—
OWNERS NAME '.
ADDRESS:
CONTRACTOR : - ---
TEST : Air ❑, Woterp , Visual;I Laboratory l]
RESULT: Approved )�, Disapproved CD , Pending Li
SKETCH:
r�
INSPECTOR DATE
!
IN OTE AttacP suPPleme"tal tost dnta bereto7
City of Tigard
INSPECTION REO U E S'T
for
INSPECTION TIME : .i,ral PERMIT NO. :
DATE : _ 3/79 DATE ISSUED:....1 L
OWNERS NAME —
IADDRESS : / � �sb
CONTRACTOR : ll - Q, ILIA"1/1 — ---- -
Ci.•..CA,._ ( �4 f 1-1--t" A
TEST. Air ❑, Water El , visual , Laboratory ❑
RESULT. App►eved J , Disappravecl ❑ , Pending L]
SKETCH:
I
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I INSPECTOR DATE
Cp?F : Attach supplemental t*st data horst]
�,ity of Tigard
JSPECTION REQUEST
for
INSPECTION TIME: _i° ' 3u/r+� PERMIT NO. :_.__
DATELLL�14 DATE ISSUED :--I--Z—
OWNERS
SSUED :_ I--Z-
OWNERS NAME :
ADDRESS: -/ 3a --
CONTRACTOR :
TEST : Ait Or WatsrO , visual 0 , Laboratory Q
RESULT: Approved . Disapproved O Pending L
SKETCH:
�l
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INOPECTOR DATE
FrT6: Attack suppleTe"tal tost data beretc�
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME*. PERMIT NO. .` ---
DATE: ,Z--"0 DATE ISSUED :--L Z
OW N E RS N A M E :-12
• __� :� ����-
ADD FIE S S:
C 0 N T R A C T 0 R :
EST : Air ❑, Water[] , visual D , Laboratory p
RESULT. Approve, Disapproved 0 , Pending I;
---
SKETCH,
SECTOR DATE
ErTg: Attoch supplsmnntol test doto beret*]
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CITY OP 7M5 7 NO 0020
BUILDING PERMIT APPLICATION TIGARD DATE — 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN 'NDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPE �ICATIONS OWNER P14ONF_
6, l� llbtir 1.'j tt i.i, A ,14b13E1 Louj ',OWNER ADDRESS OUILDER PHONE
**NIt% owner ENGINEER
141-111QER ARCHITECT DESIGNER
STRUCTURE [:]NEW C3 REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
El RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE L❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE___.__._._---BLDG.TYPE _FIRE ZONE___ _PLAN CHECK 8Y _ HEAT_iv
4�.. .�;titians
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE 640
BUILDING DEPARTMENT Eg T BACKS FP-)NJ REAR LEFT SIDE RIGHT SIDE
Permit XAX h 7 '� --- — - -- __--
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �� REGULATIONS AND ALL APPLICABLE CODES ANO ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS ANG 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 CUFIRENT CITY BUSINESS
1%State rR LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 7-07
,
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------- APPLICANT OR AGENT
Approved Receipt No
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ADDRESS -w7rr)rlE
DATE INSP. TYP: INSPECTIO-N�--- REMARKS PLUMBING DATE
7•,30 7 . < Q _ C'�ic�V ��r � c �.>J �' c�' �r� Contractor _-
7- Permit No.
_?�f1_�r,�tc.�e�f� Fixture
Final _—
HEATING
Contractor
Permit No.
^' Gas or Oil
Rough-in
Final
SEWER
Final
�DRIVEWAY
Final
Storm Drainage �_ _
_._.__ ------------- (Ram Drain) Final
Sidewalk
[Final
urb 8(Street Final
Approach
BLDG.DEPT,FINALr� T FMPORAFY CERTIFICATE OCCUPANCY —
CFRTIFICA TE OCI.II"ANCY
Landscaping
Zoning Final
14085
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL (SEN 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 determines that the construction is
satisfactorily completed)
DESCRIPTION OF PROPERTY -
Lot 38, Village Glanq Tax Map 2S1 2CA
ADDRESS OF PROPERTY : 13450 S.W. Village Glenn Ct.
NAME OF OWNER : Dick Hallberg _
ADDRESS OF OWNER : 16010 S.W. Parker Rd. , Lake Grove
IN WITNESS WHEREOF , the undersigned has paused this restriction
to be executed this j day of
OWNER ;
Mme
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APPROVED: P M.
.19.....�ot�......�.
pJ.A lot ,wcx+td.. ly F:Iw�nonn
B y : ROCta T"UM94EN, D+r+^ta d
BuiTJingOfficial
City of Tigard
STATE OF OREGON
County of Washington ssi --- 7 5-'2 4 . 19
Personally appeared before me the above named
1 "t �/ C R�a//���. �, and acknowlerlged the foregoing insttument
to be �,�, voluntary act and deed.
Notary yPPuh is fd r Oron
Icy Commission� �Expires: _
BOOS( 984 PAGE296
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14085
EXHIEIT ,fa++
CITY OF TIGARD
Rer,idential Structure Occupancy Re3trictijn
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential E '
i
structure (s) on the following described lands prior to the )ecord- '
ing of an occupancy permit releasing the restriction in the Deed
Rec. rds of Washington County, Oregon, is prohibited by the ordinance ■
of the City of Tigard, Oregon: (The City will issue a relea-e as
r soon as a final inspection determines that the construction is
satisfactorily -ompletod) f
DESCRIPTION OF PROPERTY: `
Lot 36, Village Glenrl Tax Map 251 2CA
ADDRESS OF PROPERTY: 13450 S.W. 9iL'age Glenn Ct.
NAME OF OWNER: Dick Hallberg__
ADDRESS OF 0Wtj[.R: 16,0).0 S.W.�Porker Ad., Lake Grove
i
IN WITNESS WHEREOF , thn undersignrd has caused this restriction
o to be exl=r.utrd this -i-- --day of
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OWNER-
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WNER:n 4
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o APPROVED: ! L.x to lLa+�`•�JAM 1�t. i
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Building ding Of icla
City of Tigard
aTTE
A OF OREGON _
ss
I "" County of Washington 7' �,�. + t 9,__._,.
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Personally appeared before no the above named
���'` _,_r, and acknowledged the foregoing i.nstrun,ant
6 V�\ to beY.(,, voluntary act end deed.
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40-Eary Pub is r re on
MY Commission Expires:
eo�,< 084
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EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Re3triction
KNOW ALL MEN BY THF` E PRESENT, that occupancy of residential
structure. (s) on the fallowing described lands prior to the record-
ing of an occupancy permit releasing the restriction in the Deed
Records of Washington County , Orcgon, 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 compIcted)
DESCRIPTION OF PROPERTY :
Lot 36, Village Glenn Tax Map 2S1 2CA
ADDRESS OF PROPERTY : 13450 S.W._Village Glenn Ct.---
NAME OF OWNF..R : Dick Hallber
ADDRESS OF OW ;FR : 16010 S.W. Parker Rd. Lake Grove
IN WITNESS WHEREOF , the undersigned has caused this restriction
to be executed this —day of
nWNF R
; m e
itle
APPROVED:
By:
Building Official —
City of Tigard
STATE OF OREGON
County of Washington Js � 7 �— , 19�
Personally appeared before me the above named
✓ ,- LC"2 L- a//`>r. and acknowledged the foregoing instrument
to be voluntary act and deed.
ZE9
Notary Public' For Ore on
Icy Commission LXpi.res:__
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UNIFIED SEWERAGE AGENCY - --499,9- -
WASHINGTON COUNTY CA-I F -July_ 5, 1-974 _--
CITY OF__ _ Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Richard Hallberg
OWNER'S ADDRFSS: ..--l-010 S.W. Parker Rd.
STREET
Lake Grove____—.___.—_ _
CITY STATE ZIP
BUILDING SITE: I.OT ___ 38 _ BLOCK ___T ADDITION ____ Village Glenn —
FAX LOT NO. ____^ TYPE OF OCCUPANCY residence —�
ADDRESS ______]._3.450__g.W. Village_ Glenn Ct.
DWELLING; UNITS —__ _ _____1____ ___ FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE 525 - - - -- INSPECTION FEE _2.5 _ -TOTAL DEPOSITED 550
NEW) ' (EX IST ING) BUILDING SEWER SYSTEM Tigard
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT\VV-4-
S[---VVI-- R
_SEWF_ R PERMIT
THIS PERMIT AUTHORIZES CONNFCIION TO THE SEWER SYSTEM.
LINE SIZE _____Alt-- INSTALLER
RECEIVED BY __— i_
IAO NCV OR ITS AGENT)
COMMENTS:
This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
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CITY QF TIGARD
12420 S. W. Main Street
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
New Construrtion Demolish ❑ Addition ❑ Remodel ❑ Move❑
ZONING _ DATE ISSUED �. S•7 y_ BUILDING PERMIT
DATE; RECEIVED BUILDING FEE $ L`1",. No. �[
BY PLAN CHECK ? �.{; _
pp VALUATION $ d
— OTHER/Jn..,/,,.� $ y, c'.�
TOTAL/ i;,`r Lj RECEIPT No. 7 014
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION
MAP 4CENSUS TRFkCT -T A-— J013 N
Architect or Engineer_fjA s,1R -?K-,-
AddressA► "�JU"—
-`�a- t4L 11, 1 Phone2sZi!S( -
Owner
Address
Builder-RAINV-b 1 e^C ___
AddressAA - g. j---------- Phone
BUILDING USE Single Res. Multi Res. ❑ Comm. ❑ Industrial
OCCUPANCY GROUP No. of Stories_ Total Height`11o' Area of LotrC *c
Type of Construction ; II III `IV VO Floor Area B��-1 1 j2(:�Q 2-
Set Racks: Front-2__ Back_' 7_ L.Side_A4 _ R.Side.
Fiivate Sewer Pipe Size Sewer C.l�� Septic Tank ❑
i
Water Service Pipe Size_—A Storm Sewer 9 Ditch ❑ Drywell❑
Street and Curb Requirements
Driveway Width_ cf Parking Spaces
SEPARATE PERMITS• REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRESS ASSIGNED,
FIELD CHECK BY DATE
_-.L2____
::,_�-I��=�-
PERMIT APPROVED BY
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard, Oregon, and that the building will
not be occupied until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector. �\ A- _a
9 va r .O�
S na ure of Appl Ant
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PERMIT TO CONNECT
Tigard Sanitary District i�,
PERMIT Nd 1546 DATE
PMMIT IS GIVEN TO
of1,J�"% ' � r e' 7 ti e rJ
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICTAT
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THIS PERMIT MUST BE FOSTED ON THE DESCRIASDD P=R-EM�ISES UNTIL ICON- y
NECTION kS MADE AND INSPECTION OF CONNECTION HAS BEEN COM-
PLETED,
... ........... . ....TIGARD SA
PERMIT FEE PAID $.... ...... NITAItT,
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CONNECTION INSPECTED AND APPROVED.
—-- - Date —---- -- --Saperintendent _ __ -