12905 SW 107TH COURT _ 12905 SW 107TH COURT
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ADDRESS I a`l05 107u" PERMIT NO.
PERMIT CHARGE none
OWNER CONNECTION FEE -::),o C)
PAID BY
TYPE OF BUILDING �2� abc�a DATE CONNECTED _ 11(Q 7,s--
SERVICE
)SERVICE RATE INSPECTION FEE
CONTRACTOR PAID�i�'„� ��.t� �� _ PAID BY n �_ DATE
SIZE OF CONNECTION �� ASSESSMENT PAID
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OF
CITY 1 Y CSF TIGARD �
{ I ,
'n'; f Jerr Cahen Permit No.194...
r� 12905 S W 107th
Building Address...
Certificate is hereby given this.... ...day of.......pctobe_r........ tg75
J1
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.
nuii(ijng inspector
1
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rr4� Yti.. �..•. �d
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Y
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :—
DATE: 16)
O. :_DATE: 16) /�s/T1'r DATE ISSUED
OWNERS NAME :
LYr�,7 IL.4 �
ADDRESS: °-r`
CONTRAC`i 0 R : VPr- ---
TE ST : Air 0 , voter ❑ , Visual ❑ , La boratory ❑
RESULT: Approved , Disapproved ® Pending ❑
SKETCH: fr., (rrly'/,c. 7''.
7
�o,.>'�, r
/7
i
IN EC t'OR DATE
[NOTF, ' Attach supplemental test data bn
City of i igard
INSPECTION REQUEST
for
INSPEMON TIME : PERMIT NO. :
DATE: 6 Z1017S DATE ISSUED'..�L_�
OWNERS NAME : _.i,� ^r��--
ADDRESS : ".
DDRESS : S— Su' ADZ'-i C
CONTRACTOR
i
i TEST. Air0, Water ❑�, Vitloal Laborato,ri ❑
IK'
RESULT: Approved * , Disapproved 0 Pending ❑
I SKETCH:
1
I
I
I
I _
I INSPECTOR DATE
ILNoU Attach supplementul test data h+ret]
I
City of Tigard
INSPECTION REQUEST
for
NEW
INSPECTION TIME: PERMIT NO. : _
DATE: _ ZfYZ DATE ISSUED !_...L_
OWNERS NAME :
ADDRESS:
CONTRACTOR :
TEST : Air p, Watery , Visua Ix, Laboratory p
RESULT: Approved 91 Disapproved ❑ , Pending I]
S KETCH.
9
INSPECTOR DATE I
[OTE: Attach •upp�emental feet data heret] I
I
City of Tigard
INSPECTION REOUE `'T
for
INSPECTION I TIME : /,�L PERMIT NO. :
DATE: �? DATE ISSUED'—�
OWNERS NAME :
i
ADDRESS : OS" >�
I CONTRACTOR
TEST: Air O, Water Ej , visual, LaboratoryC]
RESULT.. Approved , Disci proved O , Penr�wg Cj
I SKETCH:
I
I
I
I
I LNiTE Attoc;i
INSPECTOR DATE
oeet
dolo heref]
1
jw
I
City of 1 1gal-U
INSPECTION REG
for
INSPECTION TIME : PERN!:T V'- ..�,
DATE: ...YLY-12. 'DATE
OWNERS NAME ' fir
ADDRESS : f w' /cr7`O'41 -qC
C 0I'I >i R A C T O R
TEST: Air L7, Wnter p,, Visual , Lahnrmf'
RESULT.* Approved Disapproved Ll
r i
10
INSPECTOR 4AIT f:.
FOTF' Attach tupplesnnntcl lost dfi'e tfs•c."
, i
DoT zL CITY OF'
BUILDING PERMIT APPLICATION TIGARD DATE _- No- 019 4
THE UNDERSIGNED HEREBY APPLIES Fug' APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
_7WNER .I:' .�--_---�.�_.—_ ADDRESS 12905 3*14. 107th Lt. BUILDER PHONE
ENGINEER
BUILDER_- -- _ ARCHITECT — _DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR "RENEWAL ❑FIRE DAMAGE ❑OEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GUV'T ❑RELIGIOUS❑PATIO JCAR PORT ❑GAIIAGE ❑ 'TORA GE r❑--IISLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED �_1SIGNS
OCCUPANCY--LAUD USE ZONE � —BLDG. TYPE--* FIRE ZONE= PLAN CHECK BY _ HEFT
construct 1532 Islae ft, split isveel frsms, dwelling with —
--------- ,--- gsrrgs in basement according to approved 04 plans
bedrooms,
OCC. LOAD FLOOR LOAD 40 lb HEIGHT NO.STORIES l AREA 2 VALUE G'
BUILDING DEPARTMENT SET BACKS FRONT 2`'t REAR 15 LEFT SIDE 25 RIGHT SIDE I
Permit 39.50
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check I + '0 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HERFBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL.IAN�E WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONT.IACTORS TO HAVE CURRENT CITY RUSINESS
19GState .40 LICENS:,ffiPAAATE All r�i AU1REO FOR SEWER, �LUMBIN^ AND HEATING.
Total 115 40 11111 51J1U 11c�;66riitteddd.� tt�� ft'0M Pei M.L
By P!7 otmitionai ree
— -------------- APPI ICANT nP AGENT
Approved Receipt No.
AUOpl=SS Pi i�uii
DATE INSP. TYPE INSPECTION HEMARKS PLUMBING DAI F
Con tractorz4le"'&'-0
t)4' Permit No. 60.f*s-
S 1, Rough-in
11 otr ('-.= Fixture
Final
HEATING
Contractor,
Permit No.
Gas or Oil
Rough-in
Final
SEWER Le
Final
DRIVEWAY
Final
Drainage
----_____________T_— (Rain Drain) Final
Sidewalk
6-/p--/!S-
Curb&Street Final
Approach
BLDG.DEPT,FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Finbl
Landscaping
Zoning Final
FEWXW
IWAMW
J. JERRY COHEN
Builder • Remodeling
10620 S. E. Lexington
• IERRY COHEN, Inc.
nc. Portland, Oregon 97266
775.5423
13 1 1ILD FR
PHONE
AREA CODE 503 PURTLAND, OREGON
RECEIVED SOMEW
1974 November 29tt,, 197.1
Building Division
City of Tigard CITY OF, TIGARD
Tigard , Oregon
Gentlemen:
This letter is written concerning building permit
#74-153 issued on June 28, 1974 and building permit /#74-151 issued
• on the same date .
Purpose of this letter is to request an extension of
time for beginning of construction on these two single family dwellings.
As ,you know, at the present time I have completed two single family
dwelling in the same area and these two as of tris date are not sold.
The main reason for the extension request is due to the
present market condition and the non—availability of coistruction
money from lending institutions. I respectivly request an extension
until such time as funds may be secured and the market ^onditions
improve.
Thanking ,you kindly, I remain
T 9 y ru1N
46s s
I
rw
i
14078
EXHIBIT "Alt
CITY OF TIGARD
Residential Structure Occupancy Restriction
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 Seed
ReLords of Washington County, Oregon, is pt,ohibited 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 22, Pathfinder Subdivision , Tax Map 251 3AD
ADDRESS OF PROPERTY , 12905 S.W. 107th Ct.
NAME OF OWNER : _ Jeri Cohen Bldr_L_
ADDRESS OF OWNER • 530 N.E. 118th Ave.
IN WITNESS WHEREOF , the undersigned has causod thi3 res=triction
to be executed the __ - day of 197
OWNF R .
Name
Tit. n
APPROVED: ?v
B y : �.�L t•/l d L C.d L - P1l�e) lot rwer+tA... .. (.....«..«.1Y 7l.a ........Jt-M 1'M.
j i ding Official `A *ddra THOMRRCM. Director d Romtd. & elw<<ir,n.
City of Tigard
St..-.........`/��y .................... ........................ nw�,,rr
STATE OF OREGON
County of Washington ss 1 - �' 7r( 19w
Personally appeared before me the above named_
and acknowledged the Foregoing instrument
to be voluntary act and dead.
Notary Public fo regon
My Commission Ez/- P.9:
eooK 984 f,l,fr 289
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P •O
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W �, �_� Yt� !•Q
YW QI
� 311 � I®` ilE' � � � ►� �'
14M
EXHIBIT "A"
CITY OF TIr.ARD i
Residential Structure Occupancy Restriction
KNOW ALL MEN BY THESE PRESENT, that occupancy of residential
I
structure (9) on the folloui.ng described lands crior to the re:urd-
m y of an occupancy permit releasing the restriction in tt.e Deed j
Rncords of Washington County, Oregon, is prohibitpd by the ordinance
of the City of Tigard, Cregon: (The City u.11 issue a release as
I
Hoon as a final inspersion de.tcrminnn that the co,istruction is
satisfactorily completid)
DESCRIPTION Of PROPERTY:
lot 22, Pathfinder Subdivision , Tax Map 251 3A0
ADnRESS OF PRnPFRTY; 12905 S.W. 107th Ct. i
O o NAME OF OWNER: Jnrry Cohen Bldr
ADDRESS of OWNER: 530 N.E. 110th Ave. I I
� fC
IN WITNES.'3 WHEREOF , the undnrsiraned has rauind thi3 re3triction
1
�' Vo to be executed thisday or 19 .
OUNI R.
Name
t !�t CL _. title
S_
APPROVED .
By: r ", �` ✓1-.._ rltwrNrrweeN6...1...{.L»-.....iPL�'"•..JCUIPM.
BUildi n g v i c i a l �7wt11 THUM956N.b1weW+r M P"'m+40 Ct.crwY
City of Tioard U ._......_..... ..._. O+wM
STATE OF OREGON
County of Washington ; ss � 7y , lg----�
I
I
Personally appeared before me tho Above named��ry,�...t..,r-,,_, I '
and arknouledged the foregoing instrument
to bn �l�;i voluntary act and dried.
Notary u ir: o -. rorori
IMy Commission Explrant.—."
Y--
BOOK
BOOK 9$4. w289 1
t i
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
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 Washington County, Oregon, is prohibited by the ordinanc,
of the City of Tigard, Oregon: (The City will issue a release as
soon as a final inspection detormines that the construction is
satisfactorily completed)
DESCRIPTION OF PROPERTY :
lot 22, Pathfinder Subdivision , Tax Map 2S1 3AD
ADDRESS OF PROPERTY : 12905 S.W. 107th Ct.
NAME OF OWNER : 2(g.Ey Cohen Bldr
ADDRESS OF OWNER : 530 N.E. 118th Ave.
IN WITNESS WHEREOF , the undersigned has caused this restriction
to be executed this _day of– / , 197
OWNER:
Name
-------------- T i tie -__---
APPROVED,
By
Building Official
City of Tigard
STATE OF OREGON ss
County of Washington – - 5–
Personally appeared before me the above named��(oy� _
Mand acknowledged the foregoing instrument
to be__b_ 5—__ _ voluntary act and deed.
NotaryPublic fc, re on
� reg
on
Cam iasion E ares:
e
CIT ';_ OF
BUILDING PERMIT APPLICATION TIGARD DATESr__. �s7y--
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_- '—
�j/r� �ox rr ADDRESS j� �L��J �� BUILDER PHONE
OWNER - -
ENGINEER
ARCHITECT DESIGNER
fxRUCTURE IINEW Cl REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
fdESIDENCE�OCOMM ❑EDUCATIONAL_ OGOV'T ORELIGIOUSOPATIO ❑CAR PORT ❑GARAGE [:]STORAGE OSLAB [:]FENCE
MOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED �+OSIGNS
CCUPANCY _LAND USE ZONE r BLDG. TYPE__Lj_FIRE ZCINE-=2' PLAN CHECK BY " _ HEAT--_--
L
:C LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUEtJ�l
BUILDING DEPARTMEW SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
ermit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
len Check REGULAI IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
'ecording ALL APPLICABLE CODES AND ORDINANCES, TME ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
%State LICENSE, SEPARATE PERMITS REOUIRZD FOR SEWER, PI-UMBING AND HEATING.
otel
— -- - - -
YAf'PI_tCANt ON At:t Ni
pproved Receipt No. r_
777 U)R I - -SHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor_•_
Permit No.
L-�- Rough in
ts- .
- G -- -- --- - Fixture ------- - -
41A Final -- - -
� HEATING
Contractor
Permit No. _
— -__- =--- ----- Gas or Oil - I
Rough-in _ I(
Final
-- SEWER L 'oe./-j-�
-�- Final -
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final _
_ Sidewalk
Curb &Street Final
Approach
BLDG.DEPT. FINAL f —TEMPORARY CERTIFICATE OCCUPANCY Find
Z r ? CERTIFICATE OCCUPANCY - ---
�Q L Landscaping
Zoning Final
r �
JZvvr7
UNIFIED SEWERAGE AGENCY NO. _ 4990
- ----
WASH I NGTON COUNTY DATE
CITY OF-.-----
APPLICATION
F-.----APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: —
OWNER'S ADDRESS: — -'17�'-__.IL�r__.__�� %1't"
STREET
CITY STATE•' ZIP
BUILDING SITE: LOT.—.-;--2"" BLOCK ----- -. _ ADDITION
TAX LOT NO. _-_ TYPE OF OCCUPANCY ---
ADDRESS
CCUPANCY —ADDRESS ----
DWELLING UNITS—_- FIXTURE UNITS
SURCHARGE IF APPLICA13LE .—�24_ �
PERMIT FEE __` Q _ _ .-_ INSPECTION FEE __r-?S TOTAL DEPOSITED
((NEW)) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
A11111 1C
SI--W1-- R PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE Sl IFR SYSTEM.
LINE SIZE - - qll - INSTALLER ----
RECEIVED BY- �5 .( -tr+�
( EN Y OR ITS GENT)
COMMENTS-, .-
This
OMMENTS: .This Application and permit expires in ninety (90) days. The amount paid will be forfeited
should expiration occur.
TTY OF' TIGARD
11430 S. W MO-M Srf.d
TIGARD. 0I'1- UH '.1713
APPLICATION FOR BUILDING PERMIT
Now Construction
Q Demolish Addition Remodel 13 Move 0
—DATE ISSUED f�/ BUILDING PERMIT
ZONING_ .'.e J —.Z No.
BUILDING FEE $ / _ .'t%
DATE RECEIVED . ' 1 1 -I �i --- ✓- "� ��--- __
PLAN CHECK S � 1. ��� VALUATION $. 1
OTIfER/I%•.. I S_,1. •--
f _ .fJD —P?. _.
iJ+�[ RECEIPT No.�� Z.�
TOTAL J it $ �-
TWO SETS Or PLANS AND PIoT PLANS MUST BE FURNISHED WITH APPLICATION
CENSUS TRACT�R1-H_- NQU-R JOB
t1AP 1
LUT 1 7
Architect or
Phone_�.__
Add re
owner
Address ------
6 30
Builder - ----•—N-1\tz
-•-_��.---• Phone—.-
Address_
BUILDING USE Single Res. ® Multi Rea. CJ Comm. U Industrial...
Total flet ht_�- Area of I.otjSop
OCCUPANCY GROUP No. of Stories__ y
Type of Construction I tI III, IV V Floor Area
S
et Backst Front ZO Back-ICJ
�-_ L.Side--2a-.._ R.Side -1.5 _ �
_ Septic Tank LJ
Private Sewer Pipe Size Sewer___ - __-
Gator service Pipe Size_ Storm Sewer Hitch C� grywel l
Street and Curb Requirements__..
Driveway width_ p �-_ Z —No. of Parking Spaces_
F: __.
SF.PAPATPERMITS RF;UUIRF.D FOR SEWER AND PLUMHING
SPECIAL INFORMATION
ADDRESS ASS IGNFDNI_)-jfLj____..___J_�1�
DATE
FIELD C1JECK BY __._.---•--._-.__..__._ __.___._� _- __ _---- __-
JOEIII41T APPROVED BY
�a
all
lnmwith
yiciCenbordinance
It is understuodttlattile uildinywi
of the .tate ,r yonandthe Citofriycd, Orevnan
not be occupied
until a Cartlflcat.c of Ocrupancy has been Issued by the City of
Tigard Building Inspector. r
1 a G r oT App cant _