13025 SW 107TH COURT-1 !�f
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13025 SW 10iiT COURT --
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P:IIIIBIT "B" h
CITY OF TIGARD
Ck7TrIFIC.ATt: uF iil;'CUI'ANCY AND fjaxASF OF th:iThICTION
The City of Tigaru hereby certifies that the occupancy of
the fol.loving ae,criberd stricture or premi,;eu t(ith nrspect to wh.ch
a restriction of occupancy wan, on August 21, , 1)
recorded 1n Buoi+ °)30 , Pa& 54r , Deed Record of waf,hington
County, Uivfon, i•i beret; autnurized anu api.raved.
UL:jCI4.11,'ION UF' JIUIFRTY:
Tac Man 2S1 3AD, Tax lot 24
OWNER:
BUILDING ]'kr"QGT Vl1Mf ri: 73-168 —.—_
AUILUIHC
Thin i- to ^crtli', tree min structure meet^ w'.h the require-
meets of the Ba,iiding C(xle of the City r,f Tigard arid the above �
referenced restriction ir� hereby relearned and terminated
IN wITNCI." 'wj(K1tFUF, the „naernigned authorized officer of the
City of T.gard ha cau,,ed this certltleate ano relea-.e of restriction
to be executed thin day of ___ , _�. 11J•
Title:
VATS OF URWON )nn.
County of wauhing,ton )
Un this � , UAY of 1y_, personally
appeareu befor i me the above eared ._ , who-ie
t;ignature appear;. hereon aryl who acknowledged to me that he execute'a
the gave in his offical m a,:Ity♦on behalf of the City of Tigard.
"" Notary i .•t;is of Ur,.g4n
CA„r„ r W„hNN,. q Jfp /.
`tlw Cummisr.ion ex}Lre^,;
01rer.14P mo Not+.1,
y' V�1p'a1'(N I,.r xf.d (,'. rap, do 10 mbp tf,lIry
n
'�:! rfiW M, •n,..n ,wprv.,,,M A rtN,„p oat
r � �'' NMtM.+wd a.d rN'dtcfYd ,•• btxrk � r«JOI� '+
A said cm, 7
iu,d end".r 9#11sed. 9, 55 -A20
RRcot+M A lMMNotM
UHIBIT "B"
CITY OF 'rIGARD
COTIFICATL OF OCt,JI'ANCY AM RELkilaJi OF RESTRICTION
The City of Tigard hezeby certifieu that the occupancy of
,.be follrwing described :structure or premiaei with respect to which
a restriction of occupancy var., on - UM&ML . ,
recordeet in Book 91a , Palp R16 _ Ueed NecorU of W&Ail::t
County, Uregor�, 15 hrereLy authorized and apprured.
DL,;CitlhTiON OF FRCUIXTY:
Tax Map 251 3AU, Tax lot 24
OW*NLH: illncant --leison
BUILDING FF.R141i 3 MBEii: 73-168
BUIWIX A11IA4.t-i:1: 1302_�_s-ld_ ln7th Lmirt r�
This l,t to certify the said structure mee+. with uie requlre-
mert^ of the bulldi% ;,'ode of the City � f TdLmni and the above
refsreneed rr ition ir. hereby released and tt-rmimted.
IN WIVALS wliUEUF, the undersigned authorized officer of ttu:
City of Tigard has eauued this certlricate and rnlea,e J m.tri,,t,�n
to be executed this day of
Title:_ i ,M 11 94
JTAT8 or URWuN
County of wa:thingLon
on thio day of _41 ".i". 1,� personally
aypeared before ra! the above rrorsKi
. r , whose
signature appear:i hereon and w.ho acknowledged to m* that he executed
the sage 1n his orriral aaloscity on behalf (,f yr City of Tigard.
n Notary Public of Urelon
My Coaerission expires:
i
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A
Address__ i n7+h rnajX_t Permit No. 4Q77
Permit charge
i
Owner Connection fee 421'
Paid by 11 i nrant.-Na son
Type of building Rna; rlonro Date connected 8-2n-73
Service rate _ .fin por mnnth Inspection fee 2!,
Contractor Vincent & Nelson Paid by _ 4,M f' date
Size of connection 411 Assessment paid
sr aw � ■i w' ri■r � � t
C ,� CITY QFTIC.>< a 44"Air�
OREGON
I
Owner:-.... �!:�-n.c.an.t...�. Ne.l.r�17n..
............ .... ..._.... Permit No..7.37!.10.0 ......
Building At;aress.....
.5.. ..-• ..C.alla;t.
Certificate is hereby given this. ............................................
��........day of Oc.tota�r............. 19....73.
that said building may be occupied and
that it complies with all requir^ments of
the Building Code for the City of 'Tigard,
ala approved by the 'Tigard City Council.
Au11ding Inpretor
i
-, ity of Tigard
INSPECTION REQUEST
for
iINSPECTION TIME : eicyv —_ PERMIT NO. : _—_
DATE: DATE ISSUED'--- L_
I OWNERS NAME : ( '�`� � _'AjL ADDRESS f3c�a � ��,�, 1Q � � < � - -
I CONTRA;TO R '.-
TEST .
TEST. A'r J, Water Ll , Visual O , La!* .ratory [1
RESULT. Approved 9.--, Disapproved J , Pending p
I —
I SKETCH:
I
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INSPECTOR DATE
ICN:dTE : Attach suppler ental feet data heret-10
1
rw
City of Tigard
INSPECTION REQUEST
f o r
vsPECTION TIME :. PERMIT NO. . .
DATE ' x_73 `BATF lSSUED----,,---i—'
OWNERS NAME ' --� req e
ADDRESS ' /0
C-)NI RA CT'.,R
TFS I J ,
RESik:T'
SKETCH:
07'---4
-T ale'?L
eel
#,00"ew
1- 21
INSPECTOR DATE
COTE: Attach supplemental 'r;1 iu*r; reret-
01
i
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : PERMIT NO. : .
i DATE: L !L/2 DATE ISSUED--,1 I
OWNERS NAME
f ADDRESS : -7/
C1)NTRACTOR : -----
TEST � i Lj , Waterer', Visf-alld , La .rator� r.1
RESUL-T . ApprovedAl , Disepproverl 1 :ndmg
I
SKETCH'
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�'•Z
I SPECTOR DATE
(NOTEAttach supplementol first Jato heret]
1
Ell
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City of T ; g
a ria
KSPECTICIU RECLIEST
I for
i
tv --- --
I INSPECTION TIME : PERMIT NO .
I
DATE .' ' tl/)3 _ DATE ISSUED'-_-.:__.r
OWNERS NAME ' ,_V,- S-ALL�-
WDREM
CONI RACTOR :—._ N "�i NEt•s
I
I-ES-1 Ln
RESULT ji.,rjjprov0 1
SKETCH:
I
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INSPECTOR DATE
LNOTE: Attoch supplem9ntol toot iu�r neret
. ]
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FN
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and'
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : _ PERMIT NO. ' .�_
IDATE: ZZLI - DATE ISSUED' Z-- / -
OWNERS NAME . �r{� '��"
ADDRESS '
CONTRACTOR : �- - --
TEST A r D, Water 9, `/iei-ul Lo'* rotor,, 1:1
RESULT. Approved 54 , Disepproved 1 `j
I SKETCH:
l
I
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I I SPECTOR DATE
ICOTE : Attach supplemental teat ja'c keret]
1
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City of i igard
INSPECTION PEOUES i
for
lINSPECTION TIME : , NERMrr N(/.
I D4TE: .2 _ DATE ISSUED'—,: 1
OWNERS NAME :
40DRESS : �� `
I C,)N1 RACTUR :. .__— _—__ _--
I1 ES1 � . _J . 'boter Li , I';- ,,;$e, Ln
RESULT Appro ed :�i xpprovO 1 rd,,-'I ,]
i
Qt_
INSPECTOR DATE
i
LITE: Attach supplemental !v,o .; or: npret]
� Af11 � fffff f� �' Alf# ff� iiffffA
I
City of Tigard
INSPECTION REQUEST
l
' for
CA
INSPECTION TIME :. 11•00 PERMIT NO . . _
DATE . ')ATF ISSUED'_
OWNERS NAME . iLMCu._9
IA D D R E S S : ice-
IC0N1RQCT0R :.--- -- - -__ - ----- --
ITESl , r 'b"i C.r
RESULT
I SKETCH.
I
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I a} r 23
NSPECTOR DATE
IEN'JTE: Attach supplementol !cyst : u•!; neret-
i
City of Tigard
INSPECTION RECUEST
I for
INSPECTION TIME : ZLe" ff'YERMIT NO. : .
I
DATE '. 7 6Zi 7.3 DATE ISSUED"
OWNERS NAME : -1,4ni4 rty
ADDRESS : -,-< ''1X
CUNTRACTO R :—_ --
ITEST A r 0, Water �1 , \/isvdA La ratorj (i
RESULT. Approved , Disapproved _1 Pynding
I
SKETCH
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I NSPECT0A DAft
I [OTE Attach supplemental teat Jota heret2j
1
M.
�/.)3 CITY OF TIGARD. OREGON
Pam" taaued 7'� rrrmlf No
City Hall
ApOlration Apprated building Departawt t us' of Installaistm
7
RF � t4�tfMw rte►P•wl, P/uw�Mq�A/ ?"r floor Permit
Applicant shall fill in cost of installation only,
Ifa:e ' - ' J' I above this double line. Street Srwr. Potion.._
rr rr I'•umbing PIP"or rtalurps warding it,plata and apecihratwna and
Appltrobori a M.eht made to a Ire drtarip inn n gltoew balloon,Install
i
Lwation of M.fo. t "umber and Street ad i— �(4_'' /-1
IAM Rlo•1. Addition
%sme and Addrrta of/wnrr [1 ji �l
Name and Aildtes.of !'Iun;Mr .) t `` / r G.' hL I A f/ y� rC .� ', L'/l /`�•/��4 A<<%►l
Building told or Newi A i Height in Stories Ihrupl/'A as
!itMEDULE OF WORK
NIIMal71 %I Mitch
rixT1'1trs Nrw Morr R'pl'to rlr.T lam New Motor R'pl'ee
r r:
N'atrr r'lrnrl+ .� J Ynuntalna. Drinking
+
Rath Showrt -� �� rounlaina. Yard
I t
Rath Tub I rour,taina, Gds
J ,r
Fount 7 ' Ilot Water Tank ."
stnb o►dinarr I ropey hinkt. �Ijtar r
(pnki Ihahwachint -IMS �•r t
Autnmallr (h.ha..hrt (trains. Refrlrerator
(sundry Trot. liralro, Ire los
Main. Platte 1'rinah iI
Malec. Arra 1'atrb Rosins. Pard
Rath Mal". / S f� t'etrbNtttms. Garage
Aulorlialw M a•hrr I l.7 1'alrh 11o•n1s Btlh loll
Nater Frani! Vo Itldg Permit No
..�..a.ru..,,�,....w.�......�..,SSSS .,_, ...,-...�,,..,...,........:....•,..,..........,......�..-,........�,..�,...._,....�.........,......
KRUARKR
#MMOnt AMI• t"u.nbine atoll tee• be installed it ane Willing, (either Mr, aflered,ar rilpoi,od,, utepf an she— or designated
wn tat rte .eapenduq build,"plant at filed wrft4. a'
ra 1 41 by. I%- Ruildinp pepartmorto In auerdsnte with 1M
prer:ttem el the 111,0141-1 Cede and Ordmonte ►7.17 at I Cilto of heard.
►ry^ar Ih, (..:�,n nu.n ._ecr,,,� aii�'rdmg t., sten detrripUon piano and .pnfiu,i,)n and the F'lumhin tbde^f the
1 gore In Intl 11 ' tel 'Iii;atil .1 F 7 R
rlun+bt-g Pit?"
prrvicur `
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TiMF . o?;30 _ PERMIT NO. :
DATE : 7_.YiU4„_ DATE ISSUED :-- /
OWNERS NAME ' f �/�CenL__.
ADDRESS: .
CONTRACTOR .
TEST . Air LI, Watur[] , Visual,4', Laboratory ❑
RESU'Li Approved , Disapproved CJ Pending []
SKETCH,
'INSPECTOR DATE
[OTE . Attach supplemental test data hereto,
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rMlI'IT "A"
CITY OF TIGARD
Residential Structure Occulsnry Restrictlun
KIM AL1. }6:.'I BY TWIE IRLZMS, That occupancy of re:ildential
^.tructure (s) ot, the folloving describea lends prior to the recording
of an occupancy permit relea! lnp, the restriction in the Dee,. Recordn
of War.hington Cuu nt;, UreE;on, Ls prohibited by the ordinance of the
City of T1,7uv, Oregon:
DESCRIPTION OF IRUILRTYi
Ta: Map 2281 AD, Tax Lot 14
ADDKEZ;J OF lhull.HTY: J.W. JUILh 'ourt
11 XL OF UHYF:R: Yin^ent - Hol,or.
AX)A&:wi OF UWN12i: O v: :Jn,
14 WITNIZZ W}iLIW-UP, the undersigned has cauned thi • re Arictlun
W be executeu thl, -'S� day of JUI
OWIM:
;lame
T Ale
By: -
Null l�yt Uxticial
City of Tigard
STATE uF oRWUH ) se.
County of WetihingUm ) „!.: 19 7�.
I'erc orally appeared before me the above nn-«d 'j_E
and a.Rnavledged the foreguing instrument to be
voLs: try act and deed.
Not rmmmm6.' • : per �� K Jh„ ll.11A,-
N0 ^I�two""&fyM,� 40'Ary }'ubllc for Ore Von
91:�-.. _jl.. __._,1•e„q ttr :omn':.talon Expires: �L �t
nx}o► J3 : , 546
CY
ui
)TATE O! OREGON ,
M
C,unry A WoJ,l.pr.�
�y
NO" ThaMww. E?rAe1a nl Rr•.•f�
onA EMr "E,r-0�1Nc+o R&urld�r of Cn
ZrMn ow MNr�, t, Igrrt C W WV
fhN Nrr �R1- �RrM1 — I o1 wrfHnp +m C.:
rKNv�d nrW f�w1� M Mnnl nl r�nrrh
N.
of wid Cowft
W11-M iw, Mrtd d"d too RMlud.
� 1 ��cPll•13
r
EXHII-IT "A"
CITY UF TIGARD
Residential Structure Oeculaney He:ttrictiun
KNOW A1.I, K-N by T1C_it: 1'fIE.;EMvi, That occulancy of re,:1dentlal
:.tructure (e) on trx follovirg dencribed lands prior to the recoiling
of an occupancy lrrmit relea- ing the restriction in the Dee, Recorun
of wunhington Cuunty, OreCon, in lrohlbited by the ordinance of the
City of Uregon:
D$SCRIJITION UF FROPL7TY:
Tex Msp 211 IAD, ilex Lot 24
AX)RI ;.b OF 1BUiElM: :9J17 3,V, JU7th Cuult
,i JF Ol+':1tSi: Vincent 49,1,Q�j
A:I).'I&,i Of UW.44(: I,s!UL , ulYlw.
'.4 WITIO= H1iLRWF, the undersigned :at:; caused thin restriction
to W executed thiday of � Y ll�•
(Name
AU PROVED: by:
T.tie
by:
buildirW ufflcial
City of Tagam
STATS uF oRNOUll ) ss. ..•,
Count) of kanhiugton ) (. •l
Personal., %ppeared before ee the above named _
_ rind a:.rmvledpd the foregoing irlstrum►rit to be
volu, ..Ary *,.t and deed.
N•,tary Public for Oregon
My Canes:nslon Wipires: , ;
EXU[-IT "A"
CITY uF TIGAn
Residential Structure Occu;ency Reatrictiun
h.+)W Ai.L KC 11! by TI ZE YRE;FM15, That occupancy of re3laCtILlal
structure (s) on the folloving described lama prior to the recording
of an uccupancy permit releasing the restriction in the pee,. Record.-,
of 'Aachington CtAinti•, Oregon, is prohibited by the ordinance of Lne
City of Tizmrd, Oregon:
DE3CRIiTION OF !•RUIILRTy:
Tax Irp 2.. ib a .�t 406
ADDRIL.; OF i Hi.,f ENTY: :JU:. 1J, Cuurt
3414r. JF UwNEH: �lut�a.. Iw4 .on
ADD:ieic; OF uHNEA: lj4jt .,.&. Ulvinl..
I'1 uITNE;;:, WID;Rl:UF, the undersigned na caused thi!, restriction
1-o be executeu thi , Alar day of July
ow?"i
A,MUVED: byl� !Mase
By: Oil
building official .e
City of Tigard
STATE OF OREGON ) ''
en.
Count) of Wa:;hington ) _ �k > , 19'.{.
1
Feerionsi:; rpq.eareo tvfore me the above lased
_ nn: a lnovleuged the foregoing Instrument to be
vulur. .fir; n:t and .reed.
X)tary I lic for Oregon
KY Coeur -sion Expires:
r•
UNIFIED SEWERAGE AGENCY NO 877
WASHINGTON COUNTY DATE .Tu1jj :oa + ;
CITY OF
APPLICATION FOR SEWER CONNECTION PERMIT
OWNERyLaoarnt • Ilelaon
OWNER'S ADDRESS, 1&37 B.S. DiTuiuom_
"A w
�X art alas JAW, .
CITY yn -
BUILDING SITE LOT 24 .-__ BLOCK .._._. ADDITION - Aatbf1rAer
TAX LOT NO TYPE OF OCCUPANCY
ADDRESS _ LIU-410- 1P7tb Ct.
D'YELLING UNITS__..___._-__. �. _ FIXTURE UNITS
SURCHARGE IF APPLICABLE_.xi_.tabrs* rimal I
' PERMIT FEE _- - ----.__— INSPECTION FEE n TOTAL DEPOSITED
' EWI (EXISTING) BUILDING SEWER SYSTEM _ _211111rd
The Appl.cant agrret to comply with all rulef and rmulat onnt'of thheee unilrr-d Sow-rage Agency.
APPLICAN
Li -
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM
LINE SIZE INSTALLER
RECEIVED
RECEIVED BY 7tli*ic� i �►r Is t
COMMENTS '�� J�1w.�
This Application and twmit expires In n,nety 1901 days fes mount pard will tie forfeited
should expiration tK.cu►
CITY OF TIGARD
1100 sw MNn •r..a
TIGARD. CRIGOM ►7?l�
APPLICATION FUR BUILDING, PERMIT
New Construction Demolish ❑ Addition Remodel Move
ZONING _ n.; DATE ISSUED , EIUILUINC PERMIT
BUILDING FEE—$ No.
DATE RECEIVED r��-'1-; 'OM _ 7`1, 169,PLAN CHECK $ >1.W
BY Y.: - VALUATION i )_`.L
- �-"'- OTHER $
TOTAL $ RECEIPT No. 45J 1
i '';-,y)
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNTSHEU KITH APPLICATION
LOT 1_ ?4 �.._.-_ MAP 1_ s y�y_ CENSUS TRACT w-i -- Jon 1 _
Architect or I:ngineer V.ncel.t 9._Dlel ..)n
Address � tl i t_ �•� ••,•._� �, __Phone--
ow ner
__-- ---
Phone
--- -
Builder---
Address ___ Phone
BUILDING USE Single Res. Multi Req. ❑ Comm. ❑ Enduitrial❑
OCCUPANCY GROUP_-_ No. of Stories__ - Total Height_ Art-a of Lest -k"
Type of Construction *xk44xxx** V Floor Area E1_ 1___�_ � _y►�_..
Set Backs: Front Back _ L.Side�yL__
Private Sewer Pipe Size Sewer u:,e -',&iri Septic Tank ❑
4ater Service Pipe Sizey�i; Storm Sewer ElDitch ❑ 1)rywe11 ❑
Street and Curb Requirements__ __-_-------------
Driveway Width_.__ ___.___,__ ._,____ No. of Parking Spaces�� _�__�
SEPARATE: PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFORMATInN
AUURLSS ASSIG4EU,--__— .__l� ',
FIELD CHECK BY --DATF. 01 o�}—
PERMIT APPROVED BYy. .ys�
It is understood that all work will conform with applicable codes and ordinances
of the State of Oregon and the City of Tigard. Oregon, anti that the building will
not be occupied until a Certificate of !occupancy has been issued by the City of
Tigard Building Inspector.
a
f nature a ApI+ scant
1
i-