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12380-12382 SW WALNUT STREET 12380-82 SW WALNUT.' S rREET w w m v c H w Y H ro I w w ti 41 4J a c ro 3 V 3 �`tn ■a( t 4090 EXHIBI,r "An CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL (MIEN BY THESE PRESCN', , that occupancy of residenti-11 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 i.nspect.ion determines that the construction is satisfactorily completed) DESCRIPTION Of' PROPERTY -, lot 2, Curl Acres, Tax Map 251 38C ADDRESS OF PROPERTY 12410 _�( _�.►n10..t NAME OF OWNER- Clark, jnci►tst ADDRESS O f" OWNER 99 az IN WITNESS WHEREOF , tha undersigned hac caused this restriction to be executed this _day of ( , 19_1 OWNER C'IHk' �'Lr /i�/CJ �b7X, PS b" flame �. Tit; e APPROVEp� «2'� 4 7y �a, + rye. B _ _ icTi n g Official Hl' if.R 1'l1UNStiCN. frw.Not rA A�fet1� � C1�• nn� City of Tigard !3f �C��p Uwputy STATE OF OREGON Cjunty of Washington Pergunally appeared before me the above named end acknowledged tl d foregoing instrument to he / voluntary act and deeJ. i Q-4 Notary u is or Irpton Ply Commission Expires:_ nw, r booK 98 4 PALE 301 STATE OF OREGON County rf Washington t ss and Ele Roger o Th mssEx-e,Dirfetpr of Records Con- veyances for said county, Recorder of that th+ within do hereby certify rheived and Instrument o/ writing was •ecurdad In book of n➢co�ds No. of sold Cow*y� Witness illy hand and seal o/fixed. ROGER TMOMSSEN, Director of F,vi Records d Elections rpt P C'.� ' Do" 'IA w ww m CITY OF N° 0012 BUILDING PERMIT APPLICATION TIGARD DATE 19 THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONSSy3 NER PHONE __—_-- iiSL'�Us�trias ADDRESS s. y �� � BUILDERPHONE_� OWNER _ __-- ---- E_NGINEER 3 Ci,IItY BUILDER ARCHITECT DESIGNER rr--II - STRUCTURE ,NEW_ ❑RF,dODEL ❑ADDITION El REPAIR -_ ❑RENEWAL _ ❑FIRE DAMAGELJ _- DEMOLITION 0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE DBGND ❑MOVING ❑CONDIT:ONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED_ ❑SIGNS OCCUPANCY---LAND USE ZONE_—_—,— BLDG.TYPE —FIRE ZONE___ PLAN CHECK BV__-_..--�_HEAT — OCC, LOAD FLOOR LOAD HEIGHT NO.STORIES —AREA,__ VALUE BUILDING DEPARTMENT _ SET BACKS FkON1 REAR LEFT SIDE RIGHT SIDE Permit _-- --_---__._._�_-_...,--- ------- ----.��—__ ' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, Z014ING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE -- WORK WILI.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 RESTgICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY PIISINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBoNG AND HEATING. Total BY - --- -- ------ - - -- PPI.If_ANT 7)R Af;FNI Approved Receipt No. ADDRr'SS PTI ------------ ---- T Yp E INSPECTION RLMARKS PLUMBING I 1A -P-ermlt-No. -in Rough .,Fixture LIM HEATING 1 Contractor SEWER,6 ?!r Final DRIVEWAY _StwrmArai"a e (Rain )rain) Final ifr Sidewalk Curb&Street Final Approach FICA--- TEMPORARY CERTI TE OCCUPANCY CERTIFICATE OCCUPANCY Landscaping Zoning r-inal U 0 EXHIBIT "A" CITY OF T;GARD pesidential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT, that occupancy of residential i' structure (a) on the following described lands prior to the re.,ord- { ` ing of an occupancy permit releasing the restriction in the Deed Records of Washington County, Oregon, is prohibited by the ordinance f of the City of Tigard, Oregon: (The City will issue a release as f( soon as a final inspection determine? that the conctructicn is satisfactorily completed) DCSCRIPTION Of PROPERTYa lot 2, Curl Acre@, Tex Map 281 30C , ADORESS OF PROPERTY L12JJ s_l1. - NAME OF OWNERo 1 a tndt,a _r—rjq;�.__.�.�••-•--------- ADDRESS OF OUNER: IN WITNESS WHEREOF, the undersigned ►sae cauGed this restriction to be executed thie_„•2_dgy Of a m OWNER N � C' n ,r ---- ' �(Cf APPROVEW-) / /7. to�yet� �►� -- a e y: City of Tigard STATE OF OREGON, County of Washington as ---� ► y J-,---��, Ig— County appeared before me the above named r Lla wand acknowledged the foregoing instrument to be,/,, voluntary act and deed. o�ublic for Oregon My Commission Expir.ess„�,,_,, EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Rest rirtif)n 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 Was;iinyton County, Oregon, is prohibited by th:- ordinance of the City of Tigard, Oregon: (The City will issue a release as conn as a final in determines that the constructs. -" is satisfactorily completed) DESC131PTION Of_ PROPERTY ,. lot 2, Curl Acres, Tax Map 251 38C ADDRESS_0f ------- NAME OF_OIJNER��,, �kEj._Itldltsf.xic�,_.Ira�T---__._ADDRESS O F_OWN E R IN WITNESS WHEREOF , the undersigned has caused this restrict.io to be executed this �i __day of i1 a .,_r 19�c 7 OWNER -. Name Ti t'L e APPROVEDaJ o :- Building Officiate City of Tigard STATE: OF OREGON 99 p �� —0 19 Coi.inty of Washington ,.. --------- _ -- --" Personally appeared before me the above named___---- and - and acknowledged the foregoing instrument to be �� , �voiuntary act and deed. IVo ary Public' or Oregon Ily Commission Expires T CITY OF TIGARD 12420 S. W. Mdn Str@O TIGARD, OREGON 97143 APPLICATION FOR BUILDING PERMIT N/1 Demolish ❑ Addition ElRemodel ❑ Move�� New Construction Lnj �— DATE ISSUED—i:1--?—(/— BUILDING PERMIT ZONING — No. BUILDING FEE $ L2zj/.Q_____ DATE RECEIVED___,___ PLAN CHIICK $ 12, yJ iiyr� VALUATION RECEIPT NO.��_ Sy�.._.,.. TOTAL/!o, $f-fe- $ ��+� TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION �� MAP CrNSUS TRACT r JOB M _ LOT A Architect or "] O Phone (y J i Owner_ Phone - __--- ----- Builder -- _ Phone Address _ ------- ll ❑ Multi Res. � El Comm. Industrial U BUILDING USE Single Res. OCCUPANCY GROUP — No. of Stories— Total 11eight_12 I� Area of Lot)) 2 Type of Construction I II 111 IV v Floor Area B,_.__ _� Set Flacks: Front 0__._ BackG 1__._ L.51de—_ R.Side _ _ Private Sewer Pipe Size_ Sewer. _-_-__— .—_ ___-- Septic Tank Water Service Pipe Size_ / Storm Sewer ❑ Ditch Lnj DrywelI street and Curb Requirements___ — Driveway Width © No. of Parking Spacer SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ASSIGa !' ADDRESS �_ Cot FIELD CHi. :K FtY� _— '"'""_• •�• _�_...L.__._ pC R1dIT APP ? ±; ►t'�4 r+.•�A1 ,ind Ordinances It is understood that all work will conform wit000V �r=i t'.•at the building will of the State of Oregon and the City of TigardineY iia♦ '�"� lveur•d by the City rf not be occupied until a Certificate of OccuPa Tigard Uuildinq In.:pector. r' •r+� • .___.�� —___.__ s � t jo ADDRESS ZI PERMIT NO.— " -- PERMIT CHARGE none CONNECTION FEE !„ A)i�_c' OWNER _ — e PAID BY a?t4 ,� �? t'� 1 TYPE OF BUILDING _itG"c��Q ; Df'.TE CONNECTED INSPECTION FEE 'FRUICE RATE �• t1)l�.l� - n 0 PAID BY ��ti�C(rc'..c.;adicc�UATE CONTRACTOR — �% ASSESSMENT PAID ------- SIZE OF CONNECTION y __ — ('