12270 SW 106TH DRIVE 12270 SW 106TH DRlVC
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Add�Ce�• /tea'-`70 ,��� &I-e- VSs permit No,
-�.— ,....,....._.._.. Permit charge
Owner Connection fee
,.... ».r...,.... ...w_.. ......._..
Paid b y
Type of building � � Date connected -
service rate Inspection fee �. "
Cant rector �� paid by date
Size of connec�ion
Assessment_. . .�� ..�,�.. ...�.. paid
EXHIBIT "B"
CITY OF TIGARD
CrirrIFICATE OF 00-JAANCY AICD 1WXA3E OF viziRICPION
The City of TIgArd hezeby certifies that the occupancy of
the folloving described :structure or premises vith respect to which
a restriction of occupancy vas, on April 15 , 1974,
recorded in Bcok 9'70_, Pa IP 61 , Deed Hecurd or War.hington
County, Oregon, in hereby authorized and approved.
DESCKlj-j IUN OF F'ROIFJM:
lot 5 , Clydesdale
UWNER: ---
BUILDING PERMIT TJMBi:R: _74-48,.__--
PUIWVIG AuDRl iS_1227_Q 5.U. 1j1fiL.�LIIII� _ —_
This is to certify the said structure rweta wi•-h the rea.iire-
mer.ts of the BiAlding Cude of the City of Tigard and the above
referenced restriction in hereby releaeed Find terrinrted.
IN WITNESS 1.,11ERE0F, the undersigned authorized officer of the
City of Tigard has mueed this certificate and release of restriction
to be executed this day Of r 19—
r
Title: ,
STATS OF OREGON
County of Washington )
on this _ day of 19_, Personally
aiieared before ee the above na^ed jI vhose
signature appearn hereon and w,,w acknovledged to me that he executed
the some in his a:'fical capacity on behalf of the City of Tigard.
�tfotary -bl of regon
Ky Colmi%kion .expires:
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ALL SPACES MUST BE ENDORSED
PRIOR TO APPROVAL OF THESE PLANS
DATE
PUBLIC WORKS DEPT. BY.-4 '�— —
PLANNING DEPT. BY. _ ---._.----- DATE—,---
BUILDING
ATE —BUILDING DEPT. BY. __ DATE __.—�—• t
COUNTY HF.A LTH DEPT. BY._ DATE.---r—.-- -- I
CITY , DwAINMTRATOR [I's -- DAYE—"-- ---- I
TIGARD WATER GI5T. BY ._ -_---.— _ DATE_..__.—_-_._---
I
GENERAL TCLL:PIICNE BY. . . - ------ DAA'i._�. ---
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City of Tigard
INSPECTION REQW,', 'ST
for
INSPECTION TIME: �"/ /!/� PERMIT NO. :
DATE: -5--11,71 7—lc�l DATE ISSUED : I .--
OWNERS NAME : ��L/ �C A�'V. `
ADDRESS: I
CONTRACTOR :
TEST ' Air ❑, Water Cl Visual,:, Laboratory ❑ I
RESULT: Approved ', Disapproved O Pending ❑
SKETCH: I
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INSPECTOR DATE I
COTE: Attach supplsmental test data here tQj
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �All PERMIT NO. .
DATE: f-/1Y/,221 DATE ISSUED :—/ Z
OWNERS NAME : (2.,�_'4 akc .
ADDRESS: 12210 /0& n
CONTRACTOR :
TEST '. Air 0, Woter❑ , visual ❑ , Laboratory p
RESULT: Approved , Disapproved 0 Pending p
SKETCH.
LQr �
�f
i PECTOR DATE
COTE ' Affoch supplemental teat data bereto]
City of Tigard
INSPECTION PEQUEST
for
14SPECTION TIME: PERMIT NO. : .�_.___._._
DATE: _ 11,U7DATE ISSUED :_--'__/__
JWNERS NAME : (!&AA—e -
.-ONTRACTOR :
TEST : Air ❑, Wates, Visual D , Laboratory p
RESULT: Approve�t Disapproved O Pending []
SKETCH: /3` 7S�
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101PECT OR DATE
NOTE ' Attach supptementnl test data bereto,
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City of Tigard
INSPECTION RE f
QUEST
for
IINSPECTION TIME: PERMIT NO. :_-
DATE: DATE ISSUED :-- Z I
OWNERS NAME : ,
ADDRESS:
CONTRACTOR : -
TEST :
ONTRACTOR :TEST . Air p, Water[] , Visual Laboratory p
RESULT: Approved' , Disapproved O Pending U I
SKETCH.
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INSPECTOR DATE / I
FNOTF Attach supplemental test data beret I
CITY OF T GA MECHANICAL PERMIT
7 6o �g
DATE_l -a _ PERMIT NO. te r" _-� RECEIPT NO. c5-�S�
BY FEE
1. Permit shall be obtained prior to commencement of installation.
2. Permit shall be obtained for all appliances which are to become
afixture to the building.
3. Relocation, replacements, alterations, or changes to burners and
duct work requii•e permits.
4. All work to be concealed must be inspected before cover up.
New Installation FT Replace ❑ Relocation ❑ Addition ❑ Alteration ❑
CONTR. CLAKRE INDUSTRIES OWNER—_ SAhAF___
ADDRESS X 8830 SW BECKER DRIVE WORK ADDRESS —12270 SW- 106th Qr i ye
Pcrtland,Oregon APPLICANT Imperial Pblq d Htf , Inc
GENERAL ELECTRIC TELEPHONE NO. 777 3801
FURNACE - MANUFACTURER _ — _— TELEPHONE NO. _646 1161
HEAT Input rating (Btu Per Hour) — 80.0000 Vent Size w4"0 Flue Size 5-0
FUEL OIL ❑ GAS [9X ELECT ❑ OTHER v
TOTAL S0. FT. Top Floor _ Main Floor 1395 xloX Basement
GENERAL
ITEM NO. FEE ITEM NO. FEE
For Issuance of PermitX X00 Boilers Over .20_Hp__�
New - Under 100,000 B-Lu X 4.00 Air-Handling _10,000 CFM _
New -Over 100,000 Btu_ __ r; nn� _ AirHandlingOver 10,_020 C_FM
Cooler
_n
Moon Furnace Evaporative Ce� r -
Wall - Foor - uspena a -4-.7d�- —7e�—nt7ari��-
ns a ents _ �/en�rSysem r 0
Repair - Heat & Cooling _ _ _ .00 _ Hood
Boller 3-H�?_ 4,Qg ~f5omes71c Tnc1ner`aEor5.00
Boilers 3 to.15 HE _ X50 —_ m.ZomTncFTeraator _ _ 20_0
3FT ers I � 0 H _ 10.00 bU-er-RotL3.sted—�" r 7
Boilers 0 to75-flp .5-
INSPECTOR'S
:INSPECTOR'S COMMENTS
4PPROVED BY DATE ISSUED BY.-' PATE _
Imperial PIumbInq,& (c, II
LC C L
Signature of Applicant
PLUMBING PERMIT APPLICATION
Jurisdiction of T I(;ARD—
No. Type of Fixture Fee Permit No. -r)u I
Permit fee _ SIT=
2 Water Closets Toilets 5.00 Permit Issued —U
-Oath Ibbs - Approved by
Lavatory (Wash Basin4- on - Building Perm
_ Shower -_--- ? no Receipt No. I o0 35:;
_Sinks, s11washing__
Sinks, Kitchen -__ Z.00
Sinks, Crdinarv_ Location of Building
_
Sinks. Barr------- - ---- - ------�.-_12270 SVrIE TH PP I VE _----_.___--------
_ Automatic Disiwasher_ _?_00 .------- ------------------
T)i§2osal 2.00
�aundrvTraYs__-_____ Name & Address of Owner
Floor ---CLARKE INDUSTRIES
_ Drains, Area _ - 8830 SW PC
_Drains, Refriig ator __� � Nuc F ��
Rain Drains
Automatic Washerr-" 2,00 Name & Address of Plumber
ountalns, DrIHing _ IMAFRIAI Pl-UMPINr,
_Fountains, Soda P n Pox #nh327 --
Hot _Water Tank _ �..0� PnRTi n _-op Lm 477E _._--
L Water Service Size3 _ 1�
Urinals _ _ Buildin1yor New) (Ac1't_ X�'xR�pjrr_or____
�ns�a,LT�-_ - --- - ---
_ Lawn Sprinkler _astern- _-- -- --_.-_--- --- --_-- --- -._--
Swirruning PooS- -�_ 'Oh_er_^___ ---___..------•-- --
1_4Nrinkler System___-__�___-__
This permit becomes null and void 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 time after work is commenced.
All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond.
I hereby certify that I have read and examined this application and know the same
to be true and correct. All provisions of laws and ordinances governing this type
of work will be complied with whether specified herein or not, the granting of a
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.
Imperial Plumbing & Heating, lnc.
_Signature of Applicant Pbla Supv.
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City of Tigard
INSPECTION REQUEST
for
P.44.P.44.' � . _
INSPECTION TIME :. Q— PERMIT NO. :
DATE: iS DATE ISSUED:_.L.L.
OWNERS NAME : __ F'��^ -� --�_
ADDRESS : w, �0(0� �.
CONTRACTOR :
TEST
ONTRACTOR .TEST. Air ❑, Water O , Visual ❑ , Laboratory ❑
RESULT: Approved , Disapproved ❑ Pending p
i SKETCH: Com- -A
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I 'I PECTGR DATE
ICOTE: Attach supplemental test data hs►st-
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City of Tigard
INSPECTION REQUEST
for —
INSPECTION TIME : 5 PERMIT NO. :
DATE: ` 1' 7V DATE ISSUED:__L_l.._
OWNERS NAME . Ce�-I-L -- I
ADDRESS : ,-►�`xzFS�
CONTRACTOR :
.'- ,-) 7 es
TEST. Air ❑, WWer ❑ , Visual ❑ , Laboratory []
RESULT: Approved 0 Disapproved ❑ , Pendir,9 ❑
INSPECTOR DATE
NOTE '. Attach supplemental fest dato heret]
. 3'750
EXHIBIT "A"
CIT♦ OF T I G A R D
Ctt� t`,4
Residential Structure Occupony Restriction
KNOW ALL REN BY THESE PRESENT', that occupancy of residential
structure (s) 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 will issue a release
as soon as a final inspection determines that the construction
is satisfactorily completed)
DESCRIPTION OF PROPERTY:
Lot #5 Clydesdale
ADDRESS OF PROPERTY: 12270 S.W. 106th Drive
NAVE UE OWNERI Llarke Ind. Inc.
ADDRESS OF OWNERI 8830 S.W. Backer Drivo
IN WITNESS WHEREOF, the undersigned ties caused this
restriction to be executed this `I_ day of Lir 1_ i 19
OWNER:
Name
APPROVED: Ie
By t [ L
nqtial
!ty of Tigard
STATE OF OREGON r
County of Washington so. �, 19I'i
Personally appeared before me the above maned �.
c ('�•.o u ,,.n.. and acknowledged the foregoing
Instrument to be _`� .. voluntary act and dead.
r—�
Notary ars_ `q C l C�
rr bI�c for Mf
my Camjlaefon EKpirest
"AR TI/umiq R•mar si Ib q.N • hr•...
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EXHIBIT "A"
CITY Of' TIGARO
Residential Structure Ocr.upany Restriction
KNOW ALL MEft BY THESE PRESENTS, that occupancy of residential
structure (a) on the following described lands prior to the recording
of an occupancy permit releasing the restriction In the Dead Records
of Washington County, Oregon, is prohibited by the ordinance of
tns City of Tigard, Oregon: (The City will issue a release
as soon as a fuel inspection detaraines that the construction
Is satisfactorily completed)
3CRIPTI001 Of PROPERTY:
Lot -;05 flyrloedalr
ADDRESS Of PROPERTY: =:2'0 S.W. 106ti, i,rive
NAME OF OWNERt In ..
ADDRESS OF OWNER: BeL.Ker urivao
IN WITNESS WHERED(, the undersigned has caused this
restriction to be executed this _ . day of
OWNER;
APPROvEn: Title
Byt
City of Tigard
STATE OF OREGON )
County of Washington ) es' 19
Personally appeared before as the above nand
and acknowledged the foregoing
instrument to be voluntary act and dead.
My .mrteeton fxpira`I �_
CITY OF TIGARD
I 420 S Yl. M.rn 5#...1
11GARD. ORL60N 91223
• APPLICATION FOR BUILDING prRMIT (l
El
El
l.J
Demolish ❑ Addition -
New Construction ----
_ —----- `�--_ �� BUILDING PERMIT
DATE ISSUED___- _._ No.
(�
20N1NG__(_ ?_ BUILDING FEE $ : 9�---
DATE RECEIVED—— PLAN CHECK $ _-IAi C VALUATION
BY _._ ---'-' OTHERn'ut,•-r.rc $___/_�- RF.CF.IPT No._!H% 3 —
TtID_- ETS OF PIANS AND Pl 'T PLANS MUST BE FURNISHED WITH APPPLICATION
CENSUS TRACT
LOT 1
�'/'��►l1/►P�1 .X`�J
Architect or ----�-'`---�---�-�- ---~.
Phone
`, F /� P.•.2� �� �es -, Phone
Addre as
BuilderL._ "I C�• 2-4`� ?L�?
❑
Address c� S _ Comm. Industrial l_F
❑
BUILDING USE Single R09- 50 Multi Res. C'
No. of Stories_ _ Total Height /YArea GOf LO I
OCCUPANCY GROW 1 12tij '- 2`
Of Construction I II III IV (V) Floor Area e______ p_ - '
TY Pe R.Side i_L
Set Rackst Front Back 0 Septic Tank LJ
Siss Sewar�_--
Private Sewer Pipe �- --- Ditch ❑ Drywell
Water Service Pips
Site_
1�___ _ Storm Sewer ❑
Street and Curb Requirements�._.i' g aces_
' No. of Parking P
Driveway Width _ J_ ._---__ _._. _____ __ ---
SEPARATE Pf:RHITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATION
ADDRs Assl ENc oL2��,S c�,.! _�.;...__.______-___--------------.__---
bATE_
FIELD CHECK
PERMIT APP ROWM-��T,
It is understood that all work will conform with sppliceb a codes and ordinance
Oregon, and that the building w
has been issued by the City
of the State of Oregon and the City of Occupancy
Tigard, l
not be occupied until a Certificate of ()ccupa ��r_I ��
Tigard Building Inspector.
gni ure o Appoint
UNIFIED SEWERAGE AGENCY No. 4955__ _-
WASHINGTON COUNTY DATER April 9. 1974 _
CITY OF ___-- Tigard, 4 rego n_—3-7722 3 ----�---
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: Clarke Ind. Ince_ (F�negt L•._--Chapman ----
OWNER'S ADDRESS: S. E,_ Cherr _- 810-gsom._.Drive _.
STREET
CITY T STATE - ZIP -
` BUILDING SITE: LOT` 5 BLOCK -__—__._-_ ADDITION Cesdele_-
TAX LOT NO. TYPE OF OCCUPANCY -.___S Ilale sideacB-
ADDRESS 12270 S.W. 106th-Drive,_-Tiga_rd$--Oregon-_ 97123
DWELLING UNITS__.._--- _--_. .—_-.- _-- FIXTURE UNITS _
SURCHARGE IF APPLICABLE __-_ - __.-_.._---- -- - ----- -----
PERMIT FEE -. $500. _ INSPECTION FEE --$25__- TOTAL DEPOSITED -$675- On
IN (EXISTING) BUILDING SEWER SYSTEM _.
$150. 0
150. 0 0
The Applicant agrees to comply with all rules and regulatio of the Unified Sewerage Agency.
APPLICANT --J�-
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - __- INSTALLER
RECEIVED BY-- --
(AGENCY OR ITS A TI
COMMENTS: - t�/ , -1,-7 ' -7 'i'-
This Application and permit expires in ninety (90) days. The amount paid will be fuifeitcd
should expiration occur.
1 •
Beaverton
Eugene
Missoula
..•.� COMMERCE MORTGAGE COMPANY Portland
=� PO Box 582 Seattle
Spokane
iSC9QDCXXyCXS.'3dRhKR4Pk DLAVLIOON,OREGON 97005 RXK Kli06X aC1oC Vancouver
Walla Wella
Yakima
i
April 9, 1974
Clarke Industries Inc.
1441 S.E. 122nd
Tigard, Oregon
Attention Orville Chapman
Gentlemen:
i
Re: Chapman/Gisi
Lots 3 and 5 Clydesdale
Tigard, Oregon
Please be advised that we have this date approved funds for
the construction loans for residences on Lots 3 and 5 Clydesdale
Subdivision, Tigard, Oregon.
Yours very truly,
I
Norman H. Brown
Vice President
I
Residential Loans•FHA•VA•Conventional I Income Property Loans•Apartments•Commercial•Industrial
i
FORM No. 18 i
.c.'L_D OWNER'S
EARNEST MONEY RECEIPT
Pr�rtlaild.,..�.re.gorl. ...... . . .. .. March .. 1974
RECEIVED OF Ernest.L.. C.ha man ... .. ...................... ....... .
P _.
_.................................. hereinafter mentioned as the Purchaser,
the sum of twenty three hundred and no/100 .............................. ... . ..... . ($2 ,300. 00 ) Dollars
as earnest money and in part payment for the purchase of the following described real estate situated in the
City of Tigard _ , County of Washin.gton..... ...... . _ , State of Oregon
and more particularly described as follows, to-wit:..Lot.5.,. Clydesdale subdivisign.. with single......
dwelling..residence...to..b.e..built..therenn.in..accordance..wiih..the.sine.cific�ations..and..plans....
attached hereto as exhibit A. k
....................... ............................................................................................................................................................................................
. .
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I
.............................................................................................................................................................................................................. r
........................................................................................................................... .............................................................................
......................... .................................I............................ .which we have this day sold to the said Purchaser
for the sum of Thirty. O.n.e..Thousand,...Five..H.undred..and..rin/1.00... ....... _ ($31 , 500. 00 ) Dollars
on the following terms, to-wit: The sum of. .twenty..three.hundredand- na1100 _ ............. .... ...... ... _.
......) Dollars, as hereinabove receipted for; and twenty eight.thousand.,. ......
five,hundred.and no/1.0.0................................................ ...................... . _-......... ............ ($2 8,,50-0. 00.. Dollars
upon acceptance of title and delivery of deed or delivery of contract; balance ofd$ ..$p.ven buRdred........
and..no/100_..._. . ..... .......... .........__.. . .. . .......................................................... ($ .10.0-0.0..... Dollarstcyf�tl!<e t
_.credit .allow.e41..to..p.urc.b.d;3.er..fs�r.zoof.in9...wo.rlG. oJ.)e..P..e1'f.Qrm.ed .b.y pur,.h.a.se.r................. ..............
... ........ .. ........ . . .... .......................................................................................................................................................................... . ..
r
.... .
.....,All cons truction.will..be .completed not.l.ater..than..S.eptember..l,...191A...............................................
.. ......................... .......................... ....................... .................................................................. ............................................................
... ............................................ ........................................................................................................ ..........................................................
....................................................................................................................................................................................................................
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............ ............................... ............................ .. .......................................................................................................................................
... ....................................................... .._.. .. .......................... _ .................................................. ........................................ .........
A title insurance policy from a reliable company insuring marketable title in the seller is to be furnished the purchaser forthwith
at seller's expense; preliminnry to closing, seller may furnish a title insurance company's title report showing its willingness to issue title
insurance, and such report shall be conclusive evidence as to status of s-oller's title; or in lieu of said title insurance policy, seller may
furnish purchaser either (1) an abstract of title prepared by a reliable abstract company or (1) a certified copy of a registered certificate
of title under Torren's Land Registration Act, showing marketable title in the seller at this time.
1. is agreed that if the title to the said premises is not murketable, or cannot be made so within thirty days after notice, with
a wriVen statement of defects, is delivered to owner, the earnest money herein receipted for shall be refunded. But if the title to the
said pr-mites is marketable, and the purchaser neglects or refuses to comply with any of the conditions of this sale within
days and to make payments promptly, as hereinabove set forth, then the earnest money herein receipted for shall be forfeited to the
owner is liquidated damages, and this contract shall thereupon be of no further binding effect.
The property is to be conveyed by good and sufficient deed free and clear of all liens and encumbrances to date except Zoning
ordinances, building restrictions, taxes due and payable for the current fiscal year and no exceptions ............... _.
........ _...
Seller and purchaser agree to pro rate the taxes which become due and payable for the ci:rnent fiscal year on a fiscal year basis. Rents,
interests and premiums for existing insurance shall be pro rated on a calendar year basis. Adjustments are to be made as of the date of
the consummation of the sale herein or delivery of possession, whichever first occurs.
Possession of the above described premises is to be delivered to the purchaser on or about September 1 , 1974
Time is the essence of this contract.
.. ... ..... .... ...... .. ...... . .--_, .. _ ... _._ ..... _ ... _.. _....._..
_..__........... ........... .... ....... ......
... .. ... ..
...Clarke Industries, .Inc...........................__.... ...
BX:. ...................... .... ..............I.......................... Owncrs
I hereby agree to purchase the above property and to pay the price of thirty one thousand., .five ......
hundred and.no�100 . .. ..... .. .. ... ($31 500. 00 ) Dollars as specified above.
......................... A , 50
Address,/(. 1�. .:3� .Ci/<",�: ,;�/-?c,':�.. / ' lPurchaseY."t.! , c.
Ph 73 7.S%6. . ...........