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14365 SW 93RD AVENUE 19365 SW 93RD AVENUE a Ln a Li y� cu w u� 1 C: 0: w 2 P14 � Q � � A�I, tvr� . :� rr, �r, a, F� �i 1 ' .tir W Ctir k • Cis C) 44W cr3 t2 r� cr: •' Ic 1 Y./ V µ. BUILDING PERMIT APPLICATION TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE t @ X LOT NO.. 9100 OWNER +gfl [3UrE:_ _s JOB ADDRESS ta,,.If-------- --- -Cd t erlue 1ot 36 •- pE3f13 `— ARCHITECT H H York ENGINEER BUILDER 61iM6 ADDRESS 1 1 Ua 5W 93rd AV60UU DESIGNER STRUCTURE QUI NEW I REMODEL ❑ ADDITION ❑ REPAIR El RENEWAL ❑ FIRE DAMAGE C7 DEMOLITION [3 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT CJ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABLI FENCE OCCUPANCY R—;i LAND USE ZONER'�_BLDG.TYPE 5N FIRE ZONE__.-PLAN CHECK BY _ dwh HEAT- - Cpnstruc} k[! le femil r!wellin w attached garage.� 6 8edrUE_ D;i{t SEE CORRECTION SHEET ATTACHFr. SEWER PERMIT# 2231.9.9 — 175C*00 geragjq_ 41_ ma,f t OCC.LOAD FLOO_f LOAD _ 40 HEIGHT 14_N_O.STORIES l AREA 7'-}40 NO.BEDROOMS V _VALL489, BUILDING DEPARTMENT SET BACKS FRONT [.1 REAR ;31 LEFT SIDE 1 RIGHT SIDE Permit $20,00 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 133. ESU _ WORK. WILL LIE DONE IN ACCORDANCV_ WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal 400.a0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY EUSINESS LICENSE.SEPARA I E PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. ,',tate Tax 4 10.68 - SDC— ' , Total $411.1b _ ___ PDC#11 %100.00 APFLICANT OR AGENT By p1 Approved duh R9Celpt No. ADDRESS PHONE PON DATE INSP. TYPE INSPECTION REMARKS PLUMBING 'DATE Contractor Permit No. Rough-in c - -^` --- - - - Fixture ---- - �� Final Y-2 d LSV S G �A '�r� my HEATING `�- , ,�� / -�� _ #J� Contractor G G�w/Z AjAk' G Qh - Permit No. Ger or 011 Final 2- SEWER SEWER -- --—�� _� -- — Final -- - f DRIVEWAY ---- - ---- Final -- Storm Drainage (Rnin Drain)Final -�' ---�—� Sidewalk Curb&Street Final -- � — Approach - - _ - - BLDG.DEPT.FINAL TEM-OPRARY CERTIFICATE OCCUP Y Final CERTIFICATE OCCUPANCY !" Landscaping Zoning Final Addo�� 1S(�r� _�� « � Permit No. y Y Permit charge Owner _ Connection fe• ,� ���� ��� Paid by Type of building Date connected ?/ 4 Service rat e� L1.2d�... ._.�...r� . ....- - - Inspection fees. - - -- Contractor ` ...... � L ..r �s�. _ .- Paid by ,.wj .:.....r,.r date .�.�._..,....�...�,,.�.. Size of connection `` � Assaeement paid EXHIBIT "B" 4064 CITY OF TIGARD CERT'IF'ICATE 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 r 17_-5 ! —, 19-M) recorded in Book _955 , page 441 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY! Tax Map 2S1 11AC, lot 37, Penrose Terrace i' OWNER: Penrose Realty BUILDING PERMIT NUMBER: 73-270 BUILDING ADDRESS: 14365 S.W. 93rd Ave. This is to certify the said structure meets with the require. meets of the Building Cade of the City of Tigard and the above referenced restriction it; hereby released and terminated. IN WITNE.46 14TEREOF, the undersigned authorized officer of the' City of Tigard has caused this certificate and release of restriction to be executed this gn day of Title: rity BTATE OF uMGON County of Washington Ss. On this day of �---, 19 , personally appeared before me the above namedT//, , whose signature appears hereon and who ack—no'wletTg`e`d to me that he executed the same in his offical capacity on behalf of the City of Tigard. Notary p Tic o 0 e on My Cotr�yY iu -expires! nooee TIIOMUM.Diewr of U+aae. stwnw 80% 994 1AL655 A�z� � 8 #x c 01 cn cis ��6 �` n J a) $ �� I XXwLwjUw ■ City Of Tigard INSPECTION REOUEST for INSPECTION TIME :-;i PERMIT NO. : ____—.. DATEJ' L DATE ISSUED:._LL OWNERS NAME : A D D R E S S '1423-4, cCONTRA C T O R ------ TEST. Air D, Water ❑ , visual [] , Laboratory ❑ RESULT: Approved ❑ , Disapproved , Pending Q SKETCH: Buz t,, r 4 442-111 4- Ary'✓`d'a'"may►t� `�''''' 1 I INbPECTOR DATE I (NOTE Atto;h 91 pplementoI toot data heret: 1 ALL SPACES MUST BE ENDORSED PRIOR TO ISSUANCE OF }3UI1DIEG PERMITs � PLANNING DEPT. -- — — — D By _gi%-7 _ PUBLIC VORKS 'DEPT ' :h.� ,'. ---� D L _ EUT?.UTIIG DEP i. T A.::A.1 h_ CITY 01 1 I I I City of Tigard INSPECTION REQUEST r for .6 INSPECTION TIMEPE.R IT NO.: DATE: DATE ISSUED: --LJ OWNERS NAME : —,ef ---- /`�3�.g mow, 5,,., �—_ ADDRESS : -- -- CONTRACTORTEST'. Air ❑, Water Ll Visual , Laboratory ❑ RESULT'. Approved , Disapproved U Pending 13 _ SKETCH: I I I I INSPECTOR DATE I [OTE Attach supplementoI test data horst- I I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : - DATE: DATE ISSUED:—.L-1:. OWNERS NAME : ADDRESS : CONTRACTOR ' —.--- --- i TEST: Aix Q, Water Q , Visual rJ , Laboratory Q RESUL►`: Approved Disapproved U , Fending I SKETCH: I I I I I INSPECTOR DATE 1 NOTE Attach supplemental test data heret] Jjw i� City of Tigard INSPECTION REO I_1EST for J INSPECTION TIME : , ��' PERMIT NO.: DATE : - 4'.L1*71 7k. DATE ISSUED:�zL. OWNERS NAME : i ADDRESS : I i'36�-'� !v 93t� CONTRACTOR :_ TEST. Air d, Water [? , Visual C , Lcboratory p RESULT.' Approved � Disapproved [1 , pending p SKETCH: NI SPECTOR DATE ICOTE : Attach supoementol tall data horst] I. �w� : I I e City of Tigard INSPECTION REQUEST I for INSPECTION TIME: �� PERMIT NO. : DATE: X 121- DATE ISSUED :--L-L-- OWNERS SSUED :+.LL_OWNERS NAME : ADDRESS: -- CONTRACTOR : 1C� -���►��s --- — --- TEST : Air C], Water[] , Visual p'; Laboratory (] RESULT: Approved 0"," Disapproved Irl , Fending p SKETCH: INSPECTOR DATE _NOTE : Attach supplemental toff data hereto City of Tigard INSPECTION REQUEST I far iPECTION TIME. _ d ERMIT NO. :- DATE: O. :DATE: : 7'_ DATE ISSUED :--I-L- INERS SSUED :_.LL_INERS NAME : t- `�'�2 - - C ADDRESS: - 1NTRACTOR : E - -- - C i :ST : Air O, WaterQ , Yieualbi Laboratory Q ( T .SUET : Approved Disapproved O , Pending L ' F ETCH: i ! I I I i INSPECTOR DATE E Attach supplemental 'lost doto bereto� ! C CITY OF TIGARD MECHANICAL PERMIT DATE PERMIT NO. _ y�-4RECEIPT N0. BY :_ . =��._ x'-_Y�'`'4'� FEE 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. 3. Relocation, replacements, alterations, or changes to burners and duct work require per7r.its. 4. All work to be concealed ;rust be inspected before cover up. New Installation l._..I Replace ❑ Relocation ❑ Addition ❑ Alteration ❑ CONTR.__M "_c,,,r OWNER--------------- ADDRESS WORK ADDRESS '3� 3 ..�L_-- APPLICANT TELEPHONE NO. _ FURNACE - MANUFACTURER TELEPHONE NO. --� —HEAT Input Input rating (Btu Per Hour) Vent Size _ Flue Size FUEL OIL ❑ GAS 2 ELECT ❑ OTHER — --------____- TOTAL SO. FT. Top Floor Main Floor _ Basement GENERAL ITEM NO. FEE ITEM NO. FEE For Issuance of Permit _ _:X .00 Boileis Over 50 HpFM10 New - Under 100,000 Btu 4.00 _ Air_Hand:l.ing_10,000 CFM� II n New - Nei, 10,000 Btu _ _ per Air Handling—Over 10,_000 CFM Floor urnace _^Ev_a�o_rative Cooler �_�� ._ a - oor - u§Ren e Install Vents G" �_ an3�Sys em33,0 Repair Re arir _- Beat & Coo inig _ .00 Hood � Boilersn er_ 3Ho - �+, c)0 �`0`omesc 3"ric�nera�or - 0 Boilers oto 35 lip 20.0 r om,n. n3��nerator-- 20.0 of ers 35-T0 30 Hp 10.00 --a. ier7oi_LT ST,_ey -- Boilers-3O 0_+ 0__Np_ ____ T��Oar _ --_w__.____ INSPECTOR'S COMMENTS - APPROVED BY DATE ISSUED BY DATE Signature-of Applicant i I I City of Tigard INSPECTION REQUEST Cil EST for I INSPECTION TIME: PERMIT NO. : I DATE: 11LL7 DATE ISSUED :- OWNERS SSUED :_OWNERS NAME ADDRESS CONTRACrOR : p��s, �f �-►..� L I TEST : Air ❑, Water❑ , Visual 0 , Laboratory ❑ I RESULT. Approved ❑ Disapproved 0 , Pending ❑ SKETCH. r 1 INSPECTOR DATE [OTE: Attach supplemental test data beret] EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that'oc'bupancy of residential structure (e) 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 61ll issue a Ce1e860 as soon as a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: ", Penrose Terrace ADDRESS OF PROPERTY: g_IJ_ n;rfl Avr . NAME OF OWNER: virus: tis.1 i ADDRESS OF OWNER: _,'111.^_,_^._L1 Main ';1--t— ; IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this 1� C day of J. 19_. n1JNER: APPROVED: Title RiJilding Official ity of Tigard STATE OF OREGON County of Washington °°' y , 19 Personally appeared before me the above named _- ___ and acknowledged the foregoing instrument to be voluntary act and dead. Notary Public or Oregon My Commieiion Fxpires: VX 1� EXHIBIT "A" CITY OF TIGARD Residential Structure Occupany Restriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of residential structure (e) on the following described lands prior to the recording of an occupancy permit releasing the reotrietion 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 an a final inspection determines that the construction is satisfactorily completed) DESCRIPTION OF PROPERTY: Tax Flap 251 11AC, lot 37, Penrose Terrace ADDRESS OF PROPERTY: 147i,5 S_I,f_ 93rd Ave NAME OF OWNER: Pensee HnatEV ADDRESS Of OWNER: 1263❑_ 5"1.1_ Ma;ntravr* iiga IN WITNESS WHEREOF, the undersigned has caused this restriction to he executed this ) day of OWNER: APPROVED: Title B y: Iding Official. pity of Tigard STATE OF OREGON es. County of Washington I�� o 0 , -'� (L, , 19-1.3— Personally appeared before me the above named _ and acknowledged the foregoing instrument to be voluntary act and deed. r` ?•. Notary pubc for Oregon My Commis iPn =raa: ••'�, f11s.f lar reenr f � ...:,-f.__ i it�•:?o%+�.l� t•M •• ROGER THomant".Dr w of R*Iwde 6 Ueranne ltion� 955 P•1 441 STATE OF OREGON l Y/ County of Washington 1 ss C7 and EleDirector of Rco,cls ctionsra daE,Officin Recorder ofPCon- veyonces for sold county, do hereby certify Con- 7 the within Instrument of writing was received and recorded In book of records No. _...._......_.�_.... of sold County —` Witness my had and seal alfbted, ROGER TNOMSSEN, Director of Records 6 Eleetiorq � 'Irr- Deputy S 12 V3 I 1W 73 UNIFIED SEWERAGE AGENCY NO ____-_4930 WASHINGTON COUNTY OAT CITY O i= —-T i qa r c;. -- - APPLICATION FOR SEWER CONNECTION PERMIT I I OWNER: - Penrose_"AjgKX__Rflalxy - - r OWNER'S ADDRESS: 1243.0_ -S.W.-_►!"ain Street STREET Tigard Oregon - 97223--- CITY - STATE l,p BUILDING SITE: LOT 37 - BLOCK . ADDITION Penrose Terrace TAX LOT N0. ___._._ TYPE OF OCCUPANCY Res ADDRESS __1436 5,61. 93rd Ave. DWELLING UNITS 1 _— FIXTURE UNITS SURCHARGE IF APPLICABLE .-- - I PERMIT FEE - -4!W__--_— INSPECTION FEE -..._25-- TOTAL DEPOSITED (NEW) (EXISTING) BUILDING SEWER SYSTEM _____ Tigard The Applicant agrees to comply with all rules and regulations of the Unifi Sewerage Agency. t -- APF'( ICANT i 1 SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM, 4" LINE SIZE _ -__ INSTALLER _ RECEIVED BY AGE Y"I CAC NTI _ M �1t COMMENTS: 73,- 27 11�s4,� 46M - This Application and permit expires in ninety (90) days. The aniourlt hale( will be forfeited should expiration occur. CITY OF TIGARD 12120 S. W. MainStrwt TIGARD, OREGON 9722:1 APPLICATION FOR BUILDING PN,R'MIT New Construction Demolish ❑ Addition ❑ Remodt,I ❑ Move ZONING R-7 DATE ISSUED 11-13-73 BUILDING PERMIT BUILDING FEE S No. DATE RECEIVED — --- 73-?7n BY PLAN CHECK $ 48.25 VALUATION $ 27,177 OTHER $_ 4.00 � - TOTAL $ 14920 RECEIPT No. 7` j TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N 37 MAP N 251 11AC CENSUS TRACT W-8 - JOB N i Architect or Engineer t _dl_ pr� in;o-r Address— 1..U4_5,WLHcirtha Hlu� D_D�_rttnnd, nggqn., Phone owner Penrogg_Heait.�E_ Address Phone Builder. Pemuae Brpthrara -- Address Phone BUILDING USE Single Res. Multi Res. Comm. ❑ IndustrialE OCCUPANCY GROUP I No. of Stories 1 Total Height 15 ___ Area of Lot 7885 Type of Construction x$xx1*xx11Axx1VXXV Floor Area B 1688 1 2�-__ Set Backs: Front g_i Back I,_ L.SideR.Side 11 Private Sewer Pipe Size 4t1 Sewer uaa_TigsrdSept:c Tank L~J Water Serv:.-,e Pipe Size 3/411— Storm Sewer © Ditch ❑ Drywell ❑ Street an_ •'urb Requirements _e*. Driveway Ilidth ,al _ No. of Parking Spaces SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED_ _ 143ti5 5.1-1.__93-1 Aus——_^ FIELD CHECK BY ` ,Ig _—_! -DATE t PERMIT APPROVED BYJj��� '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 wil not be occupied until a Certificate of Occupancy has4 en issued by the City of Tigard Building Inspector. -- Si —at ure of App I i c)ffi is aw� PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit .fee S'� I- "� Water C1oseJcs Toilets °`-' Permit Issued Bath Tubs Approved by LavatoryWash Basin If Building Perm-442 Shower Receipt No. /o/N-Y in s,L Di shwa sh in_g__ I Sinks Kitchen _ Sinks Ordinaa Location of Building Sinks, Bar __ �'f`f.. � �•, ., ---Sinks. Slop Automatic is wa-sTi-er_ Disposal �_ Dis oral _ _Trays 2-�� Name & Address of Owner �1 _; J):"k! Drains, Flour_ _ -- Drains Area --- Drains, Re rigerator Rain Drains Automatic Washer Name & Address of Plumb,er _ �7 z' , r ountalnsr-1 �n ' ' Fountains Soda I Hot Water Tank - ' �, ,,� r� ' (i , , r Water Service Size Urinals Building -LO-I--d or New) (Alter, Repair or Catch-Basins=7a.r'd Tns_a_ .� Lawn S rinkler --- Swimming Fool Sprinkler System This permit becomes null and vo d. 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 gime 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 exami',ed this application and know the sar to be true and correct. All provisions of 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. Sighature of Applicant