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12225 SW 127TH AVENUE I 1 12225 SW 127TH AVENUE r_ O O R1 H r n m c N H 3 N U7 N N .4 -1 i✓XRIBIT „B„ 854 CITY OF TIGARD CERTIFICATE 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 July 17 __, 197,/4, recorded in. Book qpjL , Page ;nr , Deed Record of Washington County, Oregon, is hereby authorized And approved. DESCRIPTI(;N OF PROPERTY: Tax Map 251 4AA, ' nt 75, Bellwood II OWNER: J.W. Brayson Bldr. , Inc. BUILDING PERMIT NIn."?RR: 74-139 BUILDING Ai)DRE3S: 12225 S.W. 127th Ave. This is to certify the said structure 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 WITNPOS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate ani releaie of restriction to be executed this I day of �, %, , , 19 Pitle: sTATE OF UREGON County of Washington se. On thisday of �, a„ , 19%', personally appeared before me the above named _, who„e signature appears hereon and who acknorledged to me tfiat he executed the same In his offical capacity on be -s1f of the City of Tigard. Notary P li o O>!re n My iss ' irea: _ pW Nlw4lelhued ....��.:.�R..„.-:�� «lp ►M ter aOole tMOM11atN.Ou�e�s M Mw�d��n..n... O.Pol .r� Pt .. .,. ...._............. DOOr, 001 fn��134 'Mor ., ,�V' ., i i 0 C � "amu q rz-1 co r, o m x I m m 0 N m cn cA z z 7 v ❑ z Vi M v A m D 0ch rn I --+4. 00 a N I � C vp a � V 4 � ---0•► Mf r ❑ � ' - - O � > m MUD v `J a. 4 M C z �!1 " o m 1 • , C a Cn r, ALL SPATES MUST BE*MOlASFD PRIOR TO J`'jtJANCE OF BUILDING PERMIT i�LANN ING DEPT. _ Bate r�, ' { PUBLIC WORKS DEPT . P1 0` Date ^-- BUILDING DEPT. TUALATTN RURAL - D,- FIRE DLP 1'. �h. �,:.,•,, APPRVL' D • CITY L'- aDHESS BY TITLE,_ _ ___.._ DATE f City of Tigard INSPECTION REQUEST for INSPECTION TIME : ��� j PERMIT NO. : DATE : --L,;kOZ.7 DATE ISSUED:—.l---Y. OWNERS NAME ' n ADDRESS : CONTRACTOR :-----.-- TEST: ONTRACTOR :___T.__TEST: Air CJ, Water ❑ , Visuai,Q , Laboratory [] RESULT: Approved, Disapproved ❑ Pending ❑ SKETCH: I INSPECTOR DATE Attach oupplementol toot data heret] r i i E �' - _ 11Jl. � ��..�11:1•.'..��_� ) ..a l.� a,aa l 1 .:' � '~`n (ll �. �' I� � .�,4..,1 1 MY- -w;xr,.--'anv r•.craws .-tzs;. ,� 1C �- c�� CITY OU TIGARD Ck 0«�ner:... .Wa...Brayson._.... . 74-139 ti .Permit No. _ ; rr. r; Building Address.......�-�2.2�---5-:{ r---��7-th...q.y.e.,...............•-----....._.._.................. Certificate is hereby given this..e t h day of A u q u s t 19 74 that said building may be occupied and that it complies with all requirements of f the Building Code for the City of Tigard, as approved by the Tigard City Council. I 16 Z Building Inspector rt�pwl 1 i' _- ��°�. W-1.U!A. City of Tigard INSPECTION REOUEST for INSPECTION TIME : PERMIT NO. : _ DATE: DATE ISSUED:. Z OWNERS NAME : ADDRESS : 5 , /-2 7 � CONTRACTOR : 64 ' TEST' Air p, Water �?', Visuale, Laboratory p RESULT. Approved Disapproved ❑ , Pending ❑ SKETCH: INSPECTOR DATE LN0TF Attach supptementaI test data here City of Tigard INSPECTION REQUEST far INSPECTION TIME: PERMIT NO. :---- DATE: . �''% DATE ISSUED :__L/ OWNERS NAME .' , ADDRESS: CONTRACTOR TEST '. Air p, Watery , Visual p , Laboratory p RESULT: Approved Disapproved p Pending p SKETCH. INSPECTOR OM Cn?F' Attach NMPPlamantai tart data 6w 'te1 PLUMBING PERMIT APPLICATION Jurisdiction of I Type of Fixture Fee Permit No. Permit fee1G� Water ClosetsToilets .S O h Permit Issued is-2 / Bath Tub ---! ._._ y--�- Approved by ,� F _- _ I.avato�_ Wash�Basin �� Building Permiii _ -Shower 7v_ Receipt No. ,gyp�/�_-__ _ Sinks,,Dishwaslii_ng�_ _91nks,_Kitchen Sinks Ordinary __ Location of Building SinkCss Par --_ ' Sinks,_Slop - Automatic Dis was er l- /L -- - Disposal Laundry,_Trays _ rNa & Address of O Drains g - ('1i ^ -�n�e�rt�^_ , Draias. Area _ )/. (I ✓ _.�/,^� DrainsL_R aeTrigera�r _ .77) �Rin Drainst"T 1 f.nmaTf Jas er �• t1-11 Name & Address of Plumber -Fountains, rikin � Fountains, Soda _ _ . 1*. 224 1 l-ns--- --- ----- _ Hot Water Tank v. -------- ------_---- -------- _ Water Service Size —17. � Urinals -^- Buildin �01 d_or (Ne�Alter, Repair or _ CatFFi S-asi"ns --far 3ns a -_. Lawn_Sprinkler System ' —prj.nnk er 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 crimmeneed, 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. ___.____---- Signat ro of Applicant d I Y i I I City of Tigard INSPECTION REOUEST for INSPECTION TIME :. PERMIT NO. : DATE: 2 1&2,y DATE ISSUED:�LL. OWNERS NAME ;� _vflf'd*4,1. . ADDRESS : Gl/ %1-_ CONTRACTOR : .' T TEST: Air ❑, Water ❑ , Visual r] , Laboratory [] RESULT: Approved )Q , Disapproved ❑ Pending O SKETCH' ex v n-nvt IN PECTOR DATE [NOTE Attach eupplemOntal test date hest] City of Tigard INSPECTION REQUEST � for INSPECTION TIME: '3c' PERMIT DATE: 71 DATE ISSUED : lam_ OWNERS NAME . ADDRESS: CONTRACTOR : _ TES1 : Air p, Water❑ RESULT: Approved Visual ❑ , Laboratory I x , Disapproved ❑ SKETCH. I I I I I I I 7 � I �PECTOR DATE I OTE' Attach supplemental tett data beret] INr 1 14©94 EXHIBIT "A" CITY OF TICARD Residential Structure Occupancy Restriction i KNOW ALL HIEN BY THESE PRESENT , that occupancy of residential structure (s) on the following described lands prior to the record- r ing of an occupancy permit releasing the restriction in the Deed Records of Washington Countv, Oregon, is prohibited by the ordinance I 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 : Tax Map 2S1 4AA, lot 75, Bellwood II ADDRESS OF PROPERTY 12225 S.W. 127th - NAME OF OWNER : J.W. Brayson Bldr; , Inc. ADDRESS OF OWNER : 7603 S. E. Powell, Portland IN WITNESS WHEREOF , the undersigned has caused this restriction to be executed this 28 day of June + 19�• OWNER : Name �- Title 74, y� B y c]i ding Officialt,., p, r...,,• City of Tigard d �X�u�'► ..... STATE OF OREGON County of Washington `s _ 1un• 29 19_„_ A_ Personally appeared before me the above named J.W. Brayean. Us and acknowledged the foregoing instrument to be voluntary act and deed. `` o ar or Oregon ' ray i:� on Expire:: is BOOK 984 pAcE 305 I rbc-� Vg T'r 1 �m N F-.a t� ru w EXHIBIT "All CITY OF TIGARn 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 ordinance ` of .i-le 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 : Tax Map 251 4AA, lot 75, Bellwood II i j ADDRESS OF PROPERTY : 12225 S.W. 127th NAME OF OWNER: J.W. BraysonBldr. . Inc. ADDRESS OF OWNER : 7603 S. E.Powell . Portland IN WITNESS WHEREOF , the undersigned has caused this ra_::__`_ to be executed this 28 da of_ 19-19. OWNER : c .LL ...� APPROVED;� BY < < Buil�ng Official City of Tigard STATE OF OREGON County of Washington � ss _—r.luna.29___ Personally appeared before me the above named J.W. Bre. n, Jr. --and acknowledged the foregoing to I voluntary act and deed. y � ,i /. otar�e7ld f - - ' /QG 30 ray armnZis, on E• mr j f A , 1 U094 EXHIOTT "A" CITY OF TICARC Residential Structure Occupancy Restriction KNOW ALL MEN BY THESE PRESENT, that occupancy of residential structure (s) on the follauing described lands prior to the re ord— ' ing of an occupancy permit releasing the restriction in the Deed Rfacocds of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City uill issue a releae,e as soon as a final inspection determines that the construction is satisfactorily comPleted) DESCRIPTION OF PROPERTY: Tax Map 251 4AA, lot 75, Oelluood II ADDRESS OF PROPERTY: 12125 `'i.W 127th tIAME OF nWNER: J.IJ. Bray,^,on Oldr. , Inc ADDRE55 OF OWNER: 7603 S.F. Pouell, Port:,,-- C IN WITNESS WHEREOF , the undersigned has caused this restriction 3 to be executed this 20 day of lung lg • N � j 0 c OWNER: 0 M b A I -714 erea o U l t e NI se civ k b1', C APPROVE DI , I.11•7�r�� �q B y: t s ! ••s r� pLxlt%TIOU-4 1 N. l9UtI ir�nr �I}rr.�•.�N f....wM ` ..,�•.....��. �r. ldtng J �icie ... . f"„• caa ._..... .. ..... .. .. city of Tigard Q3� '. STATE OF OREGONsn County or Washington Porsonally appeared before me the above named J.W. Grayson, Jr. and acknowledged the foregoing instrument � to bo voluntary act nod Baud. ., t �.1 a ~ a4 Uregon I My f i s an E y p i t r cl s. 984 riA05I CITY OF c BUILDING PERMIT APPLICATION TIGARD DATE /S! ' - ? Y t9 N° THE UNDERSIGNED HEREBY APPLIES FOR APERMII FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ UWNER } ' ADDRESS BUILDER PHONE ENGINEER BUILDER —__ ARCHITECTDESIGNER STRUCTURE NEW ❑REMODEL El ADDITION ❑REPAIR ❑RENEWAL OF IRE DAMAGE []DEMOLITION RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T 09ELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE QP.OND DMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY_I-AND USE ZONE— __BLDG,TYPE FIRE ZONE_ PLAN CHECK BY -- -HEAT Y— cc-YL���-s OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE /-3iX'v BUILDING DEPARTMENT SET BACKS FRONT REAR LEF T SIDE RIGHT SIDE Permiti- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING Plan Check REGULATIONS AND ALL AP^UCABLE 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 Recording ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RFSTRICTiVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS I%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total c By - -- - - - -- �- _ - - ----------"----- --- APPLICANT OR AGEN—T Approi,ed Receipt No. ADDRESS DATE FISP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor' 7,' —._ Permit No. r/ 1 -2 �L .� ��}/ — y'' Rou h•in _ .,T41 0 11-7-711 ----- Final HEATING Contractor 0. -- -- ---- --- Permit No. — ------ -___---- --- Gas or Oil � --- — Hough-in ----- Final —---- --- - - - --. SE"VE R Final DRIVEWAY -- _ — -- Final — — - - Storm Drainage (Rain Drain) Final Sidewalk mm — Curb&Street Final Approach BLDG.DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY 7- -1y Landscaping Zoning Final aar w w w w w w UNIFIED SEWERAGE AGENCY NO. _ ___ -4982-.- WASHINGTON `82-.WASHINGTON COUNTY DATE -Ju -a-2J-r 19-74 CITY OF---- APPLICATION F APPLICATION FOR SEWER CONNECTION PERMIT J.W. Brayson Bldr. OWNER: ----- -- — - OWNER'S ADDRESS: —.-.7b(3 -�. r-Re�da3 - srReeT - -� ---- -- -- - ----- — Jnr 1and-._ - -- lr$gnn- - --- -- -- - - ----ZIP CITY STAT BUILDING SITE: LOT- 75----- GI-OCK ___ ADDITION Bel-.-uoad-l_ TAX LOT NO. __ TYPE OF OCCUPANCY Rest.danre - --- ADDRESS 12225 S.W. 127th DWELLING UNITS 1 FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE —.- - 500 - INSPECTION FEE 25 TOTAL DEPOSITED 525 (NEW) (EXISTING) BUILDING SEWER SYSTEM T1Qard The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE 4" INSTALLER _. - - - -- •- Q RECEIVED BY. I(Z � .0 ' "C` �IA(VNcy OR ITS AGENT) COMMENTS: 7"- , This Application and permit expires in ninety (90) days. The amount paid will be forfeited should expiration occur. i I i �U - 3n PERMIT NO. Pt.iMIT ClIARUE COfJNECTI0IV FEE OWNER PAID BY nATE CONNECTED ----- -- — TYPE OF HUILDING - INSPECTION FEE .' SERVICE RATE CONTRACTOR PAID 13Y DATE -_- .SL'' ASSFSSIgLNT PAID -- SIZE OF CONNECTION 4' v. , r �V f 1 1 1 � I i E v'1 I I.A. 4 4 'C-A. 4.'a . . 11;4'