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12240 SW 106TH DRIVE AN ! 12240 SW 106TH URVIE .r t CDN ►y� - .-1 � 7 U \ f0 v I ` _ J r � L4 E4 O �{ n V] a [*r C I It. I C4 — ` I e � i� � O _ cn -; 0 C ry N A EXHIBIT "B" ��8 y CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE; OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structuae or premiseL. with respect to which a reetriction of occupancy was, on nQrQ,;,,, , 19yo recorded in Book , Page ` 1 Deed Record of Washington County, Oregon, is herety authorized and approved. DESCRIPTION OF PROPERTY: Lot 2 - Clydesdale 1224(1 S.id. inr)th DRIVE OWNER: nu i Ela rrhtil 7 _ BUILDING PERMIT NUMBER.- 73-"! BUILDING ADDRESS, 1.22/in . . , , i ,, This is to certify the said utrueture meets with the require- ments of the Building Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has cau<<ed this certificate and release of restriction to be executed this 91.11 dly of May , ly 70 Title: _-rcr'� --. STATE OF OREGON ,de County of Washington ) On this day of �, 19-,,, personally rppeared before me the above named _, whose signature appears hereon and who acknowledged to me tta t he executed the same in his offical capacity on behalf of the City of Tigard. Z Nntary lic o e60u M/ cc= #ion hest �a ! PUN Is Yr. Roata THo""I J�� "f1.193 41................... . G XG 0 1 :- >Y y � O kL V� T 111 rn V Of •O r LM. s--7->y EXHIBIT "B" CITY OF TIGARD CERTIiICATE OE' OCCUPANCY ,.ND RELEASE OF RESTPICTION 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 nornmllinr r , 19_13P recorded in Book 955 , Page 435 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIITION OF PROPERTY: Lot 2 Clydesdale 12240 S.W. 106th DRIVE OWNEh; flayir1i-i Srhri1 :BUILDING PERMIT NUMBER: 73-260 BUILDING ADDRESS: 12240 5.1j. 10rth Drive This is to cc -,.ify the said structure meets with the require- ments of the Building Coae cf the City of Tigard and the above referenced revtriction in hereby released and terminated. IN WITNESS WHEREOF, tho undcrsigned authorized officer of th9 City of Tigard has caused this certificate and release of restriction to be executed this day of , 19i STATE OF OREGON County of Washington )se on this day of 19i, personally appeared before me the above named ' whose signature appears hereon and vino acknowledged to me that he executed the same in his offical capacity on behalf of thn City of Tigard. Notary Public of Oregon My Commission expires: i The attached Release of Mortgage cannot be released in our records for reasons) checked below: Incorrect Paboody"I'mPago� Y3y .�9ua C Gt n< /Lt . e�Zly `:. 0 1 Incorrect Nacre of Ci.r/ / �I Cl'. C e tit,/t U y /11 Cr�C� /t.G..( nr.iginal Book and PflR,e only released, not corrections. Other reasons Departmert of Records and Elections Washington rr)u;Ity, Oregon °oPer Thomssen, Director Dep,lty t 44M EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RF.I.EA:3E OF IMTRICTION The City of Tigard hereby certifies t1Yit the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on December 5 , 1973 , recorded in Book M5 , Page •135 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: iq Owrfui: '4 JL BUILD1313 PERMIT NUMBER: BUILDING ,DDI*—;j: :a- leC Thi:; in to oertify the said structure meets with the require- ments of the bul.LdinL Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNESS WIMMOF, the undersigned authorized officer of the City of Tigard has cauwed this certificate and rclea:.e of rebtr?ction to be executed this, 'lay of 'Title: STATE OF uRMON ) County of Wa::hington ) On this 22nd day of mil , 19 74 per3onally appeered before me the above named , whone signature appearia hereem and who acktsow Z ',Irft that.he executed the same in his offical capacity on behalf of the City cf Tigard. \` �v N.tery f a c of OregonU r e My Cumtgi , ion ext f rer. KIN 972 4.�X�1gN� 41 j o •^Wy i mlhOw EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEASE OF UliTRICTION The City of Tigard hereby certifle!; that the occupancy of the following described structure or premiset, with respect to which a restriction of occupancy was, on peter 6 , 1)-n I recorded in Book 9SS . Page &2!& , Deeo Necoru ofWr. cii;,Et.w, County, Oregon, is hereLy authorized and approved. DESCRIPTION OF PROPERTY: /L> ��1 iQ�✓ / OWNER: ` BUILDIV PERMIT NUMBER: BUILDING ADDRF.;5*��. _ _ tin <<� This 1s to certify the said structure meets with the require. meds of the Building Curie of the City (•f Tirprd and the above referenced restrictlun .i:: hereby released and terminated. IN WITNWG WHENEUF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this _ ftftrA, day of API; — , 1)—`)1 j Title; STATE OF OREGON County of Wash: tgton ) " On this Z2a1 _ day of _A pr, 0 j4per,onally appeared before we the above named , whore signature appear!, hereon and who that be executed the same in his offical capacity on behalf of the City of Tigard. � L Notary 1'•.l is of Oregon T' ^ My :umml .•ic.>n expires; City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : DATE: DATE ISSUED- OWNERS NAME : ... VC g C �� L ADDRESS :L.T CONTRACTOR : __ TEST: Air ❑ , Water ❑ , Visual ❑ , Laboratory ❑ RESULT: Approv^_d , Disapproved r] , Pending ❑ SKETCH: 10; INSPECTOR DATE COTE : Attach supplementol fast da a hsret] r` I City of Tigard INSPECTION REQUEST far I INCPECTION TIME: 4,00 PERMIT NO. : DATE: r' Lkl DATE ISSUED : Z I OWNERS NAME — ADDRESS: CONTRACTOR TEST : Air p, Wnterp , Visual* Laboratory El RESULT: Approved f$ , Disapproved L Fending p S Kt'TC H. �� ,� <<.. ,�y moi✓<- , I INSPECTOR DATE CNOtE: Attach supplemental test dota he►f-t] I 1 Address / •;7,yD �`> /0& -G4- ` ti Permit No. Permit charge _— Owner _ Connection fee Paid by cxc Type of building . Date connected Service rate Inspection fee Contractor Paid by dote Size of connection Assessment Paid "/tea k(-L I S 7 y -� i I City of Tigard INSPECTION REQUEST for al`s SPECTION TIME: 4 Li, PERMIT NO. : . DATE .' 2 / 'i/ '_/ DATE ISSUED :_.!_.. ,z- 7V INERS NAME ____ ADDRESS: WrRACTOR ' �� /c�T" � Vic) Roe,FLL 'ST : Air p, WoterO , Visual Laboratory p _SULT'. Approved Lw-, disapproved O , Pending p :ETCH: INSPECTOR DATE TE: Attaun supplemental test dote beret] I # # # # # # # # # # # City of I-igord INSPECTION REQUEST for SPECTION TIME: PERMIT PERMIT NO. : DATE: ---' IJ-Ly� DATE ISSUED : L-L- INF_RS NAME : 4 ADDRESS: kcT )N ' PACTOR . .5-C 1,V 7 z_ =ST : Air ❑, \'voter❑ , Visuall)<Laboratory ❑ i _SULT: Approved, Disapproved ❑ , PanAinp " ,ETCH.' INSPECTOR OATS TE ' Attach supplemental test data beret 11P City of Tigard INSPECTION REQUEST for- INSPECTION or-INSPECTION TIME . PERMIT NO. : DATE : DATE ISSUED : OWNERS NAME : DIVE4 -�;`'.'" L- ADDRESS: cz Vcspr�l� CONTRACTOR : — -- TEST : Air LJ, Water El , Visual ❑ , Laboratory ❑ RESULT: Apnroved`Cr , Disapproved ❑ Pending ❑ SKETCH.' INSPECTOR DATE [OTE: Attach supplemental test data beret] w w w w w w w w w w T : fgard INSPECTION REQUEST for- ^' G ;NSPECTION TIME . PERMIl- NC DATE . .�. JATE iSSUED OWNERS gAME ' ADDRESS - `nN rRA rr)R'F�s► E „ T N, iarE] , et r ' . RESUI. ,. _rovd d U PP! 'J G 9 KETCH 4NSPECTOR DATE [NOTE : Attcct, supp ementol test j:, ei i1,J Vr- • Y MMIM PMWT APPLICATIM •' Jurisdictiosl of Type of Fixture _ Fee PeMit No. C ' Permit fee W ,C.}o; Beta of to '� ` Pewit Issue i- 1l a Approved by e r- +- Building Pena nwer �_ Receipt No. P 4. K. c ell .a Ordinary Location of Building S o oms c wsshW 0 oae rays Name A Address of owner Floor — D��.d t.ns Ar*)8 Fn n .er cr ra a s r,s 7R—STI Z—r Name 6 Address of'Plumber ............. Fn zt ts I n s Z7"r ni r n— j,;[ .�• r.�, rt_ 1 'i,� kr Quntsins. ZOO Qt ater Tank Vite[r Service tSize rinals BBuilldTin•'f�t` (Old or pew) (A. to Revak' or 7 c 1- ae rls - ar lrlplali town r ply) r S•e ev ?Irer em This permit becomes null and void if work or construction authorized is not eomonced within 60 days, or if construction or work is Auspended or abandoned for a period of 120 days at any time after work is commenced. All plumbing fir-me must be licensed by the City of Tigard and poet a =1 ,000 bond, I hereby certify that I have road and examined this application and know the saw to be tn,e and correct. All provisions of lawe and ordinances governing this tyl of work will be complied with whether specified herein or not, the granting of a permit does not presiunP to give authority to violate or cancel thf. provisions of any other state or local law regulating construction or the performance of construction. ,�— 041 Signature of Applicant +� w w w w �► �r la w w I City of Tigard INSPECTION REQUEST for IINSP' :TION TIME : — PERMIT NO. : _ I DATE Aa?/ DATE ISSUED'..r...L� OWNERS NAME . I ADDRESS : -- I CONTRACTOR :-- --------- ---- —--- TEST . A r '], Water ,] , \/is+ cl ❑ , La' ,rotor; n RESULT: approved`�' Disapproved J Ponding Cl SKETCH: I I I I INSPECTOR DATE TE Attach supplemental test data heret:01 I City of Tigard I INSPECTION REQUEST for SPECTION TIME . PERMIT NO. : _� I DATE:,-'/ L�123 DATE ISSUED :--/ IINERS NAME : ADDRESS --- -- -- -- /06 I )NTRACTOR --ST '. Ai( Lj , Wafer❑ , Visual [I , Laboratory [] ESULT'. Apnroved U , Disapproved Q Pending L-] (ETCH: I I SPECTOR DATE TF . Attach supplemental test data herPtJ CITY OF TIGARD '.2110 S w kuln st,eo 11fjAVE) 001"" M13 APPLICATION FOR 11UlLGINc; t'a 1 : a (� Remodel Move 1...� Demolish 0 Addition New Construction —'ATt: IS5UtiG.-" WILDING Pt:RMIT L -1-1--- No. 73-2613 ZONING_.p_p -- FlUILDING FEE 5 �00 - �.■ � DATE: RECFIVEO--- _-___.._._ PLAN CHECK ' ; 20p447--- .W—one VALtAT )N we�z BY ____. - -- pTHCp s RECEIPT No. TOTAL TW()+SF.TS OF PLANS AND PIAT PLANS MUST FlE: FURNISIEEn WITH APPLICATION 013 MAP t 251 3AA CENSUS TRACT _ _._.._ LOT I Knight 6 Piercy Architect or Engineer ___------- Phone Address �_1.235.•t1.L ..ntasd►�it-- ___ c7wrner ,._-_jl;r1. c.-n,t --._..�---------- Phone_ 11605 S.U. 4o do ---- A(1.1 r e s s, Fluiider__-_--- _.----- _ Phone Address— -- Com` 0 Industrial Mult/ Res. k.GILDING USE Single Res. © Area of Lot rx:CUPANCy GROUP_ I _ No. of Stories__-.j.-_ Total tteight�_ Ty`ir of Construction Ax5I1txx)kjkyjxx)kyj V Floor Area ret Flacks: Front - 23 L.Side�_? R•Side�6 I1ack ��_.� ._.. Sew. Septic Tank lrl aPrivate ,ewer Pipe Site -_.s -- � Ditch urywelI Sits Storm Sewer [] nater Service Pipe '-!— Street and Curb Requirements_ No. )f Parking Spaces— Driveway pacesDriveway widthI jL,_ SE.PAPATF PERMITS RF.UUIRED FOR SEWF.P AND PLi'M11ING SPECIAL INFOR`tATtON 12240 g.�. _106th___Q 1►!___.r----------" ADI..tESS ASSIGNED ------ - DATE_11-- FIELD l-FIELD CHECK __---- PERMIT APPPOVEU ZT It is understood that all work will conform with applicatlle odes and or loan of the State of Otegon and the City of Tigard, y has and that the building City not be occupied until a Certificate �! cupaney has bee �ssUe�! by the City Tigard 8uildinq Inspector. qna ute o �i UNIFIED SEWERAGE AGENCY No. _ 4928 WASHINGTON COUNTY DATE 11-13-73 C I T Y O F �Y �� Y T i ga r d APPLICATION FOR SEWER CONNECTION PERMIT OWNER: - Dave_ Schulz OWNER'S ADDRESS 11605 S.W._--Gaarda STREET - -- --- UgAr d CITU - STATE ZIP - BUILDING SITE: LOT 2 _ BLOCK .__ ADDITION Clydesdale TAX LOT NO. TYPE OF OCCUPANCY Residence ADDRESS _-122Q--5 U, -_105th Drive DWELLING UNITS _� FIXTURE UNITS _ SURCHARGE IF APPLICABLE50 to Derry Dell PERMIT FEE 450 INSPECTION FEE 25- TOTAL. DEPOSITED 475 (NE (EXISTING) BUILDING SEWER SYSTEM LC The Applicant agrees to comply with all rul?and regulations of the/Unified Sewerage Agency. APPL IC:ANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE ___4" - INSTALLER RECEIVED BY .�.c-►c_se,/C- �(�'� ���J, _ ���� 171OENCV OR ITS AOENtI "'"��'�` COMMENTS: This Application and permit expires in n;oety (90) days. The amount Laid will be forfeited should expiration occur. i 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 restriction in the Deed Records of Washington County, Oregon, in prohibited by the irdinance of the City of Tigard, Oregon: (The City will issue a release ne soon as a fiaol inspection determines that the construction to ostiafectorily completed) DESCRIPTION Of PROPERTYt Tax flap 251 3AA, lot 2, Clydesdale Subdivision ,ADDRESS 01' PROPERTYi12240 S.W. 106th Urive NAME OF OWNERi David Schulz ADDRESS OF OWNER: 11805 S.W. G•ards, Tigard, Oraoon IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this _ day of OUNERi + t - ams APPROVED: Title ey: �AWIId +.p Official City of Tigard STATE Or OREGON ) ss. County of Washington ) t may; , , 19 Personally appeared before me the above named _ and acknowledged the foregoing Instrument to be voluntary act and deed. T Notary PubIjc for Oregon Ry Coami�aio� Expir••t 955 .4^4 e� Sr�Tr o� oar�ax+ t » �, �cqN fltrwlM'A. IN.Mw 07 ar�d Fw�nrw snd l.Or�r•e A�• =„�.F. H �i.•A•ndinwrurnnM d �+"^o e1p` .ww..d weF ��eadMl r Yeil� d r�co.b .A wrA C+a/+r w1�MM A'7 A�F Oti! W� ylFhM RCX,FFI TrK�S;[N. c EXHIBIT •Ae CITY OF TIGARD Residential Structure Occupony 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 restriction in the Deed Records of Washington County, Oregar. is prohibited by the ordinance of the City of Tigard. Oregon: (The City will issue a roles** as soon as a fi•al inspection determines that the construction is satisfactorily completed) pESCRIPT(ON Of PROPERTY: Tax Map 231 3AA, lot 2, Clydesdale Subdivision ADDRESS Of PROPERTY: iaa4g &gW• io6�A Q NAME OE OWNERt ADDRESS OP nWNER IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed '.hi* day of 19_ OWNER: None APPROVED: e ey: Nuilding c • City of Tigard STATE Of OREGON County of Washington so. . 19 Personally appeared before se the above nosed and acknowledged the foregoing Instrument to be voluntary act and dead. NotaryPubjJc for Oregon My Commission E xpi res: �`_ _�,. �; T__. _.__.__._. -- �-..___..._._._._,__. � , \ �� r �� �� ; .. ;�� � �� l � ';` I �'� a ; {�; .�i � � ti I � i � a _._..._ _ .�'_..._..._....Ml �,,,, 'J 13 � i � � f i � � ' I � '_.._. j r 0 ti i � r� k _.___ _._... rr