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10105 SW HIGHLAND DRIVE 10105 SW HIGHLAND DRIVE 0 u -.' i Is �, 0 o� o o • � 41 -1 1 m w 7 w Y F- I O E U) r C- m 1 C (r) U) X li O al al N � C .S (, � c U) :3 o $ c a� a � • � c, I- ur-, (U o a J m n L. (-4 U ,-� C (0 r 1 O ro C] G1 O r-1 .Y C4 "O (1)13 C M v .,AC: c CL �, c , (f) (, c I .,1 0 k C 3 c W ) .I a) 0 ro .r{ ro to lll JJ I(TJ N •H CC w u LLJ _3 �: rx� O %� 1• Cj Li ¢ C] CL 3: u t r L- w r� ra Cl.LLJ v J Li Ne w •� L� L ' 1 O a-) a •-1 ro al m •, A c (n -u Ls L` --I u1 C (U La a 1� C1 Cl •.H u (D 0 ¢ o ra m G) J n E 11= •,I U) u N LT m �+ as (7 {-i , C r-1 (11 Cr _C CO .J F- roC n -P •.1 1� -1 C ri U .-r > .-4 U) U) 4- OI.L] (1) •r� L1 \ N •L) E- -D C 7 Ec. C L4j Cil o � L, o �1 •ra s•, �a I c� r1 m a4-Jw x c1 n m 4-) f ro (v ro U M CC Cl 1,1 1. I,_ (n rr(n CL 1__1 _L c H w CT LAJ C mmni 1- D CT 0 C-3 _j L,l � ,� = � na (n . X 3 u� 0 City of Tigard INSPECTION REOUEs-r t , for INSPECTION TIME PERMIT MU. ' ..__ j ,�.....+...... DATE: Si :�I7G. DATE ISSUED..... __.ir_ O W N E rJ S NAME : ! CONTRACTOR . TEST' Air 0, Water [-j , visual 0 , Laboratory L; RESULT. Approved , Disapproved ❑ , Pending SKETCH' 10 � / I INS13ECT DATE LNOTL . Attach su n,W p mentoi test data hsrnt,� I 1 I� OF CITY OF TIGARD �C OREGON i Owner:...Tu-asat -n. pev-el-opment...�9-�..............._.Permit No. .....7.4-141 � . Building Address.......1.01.05---S.,IJ.---Highland give .... ........................ Certificate is herein given this.......26t-- y �' FYlay of...... ecem-ber........ 19.7�E.... , `= that said building may be occupied and ' that it complies with all requirements of the Building I � g Code for the City of Tigard, as approved by the Tigard City Council, le� ` ,f Building 1-ispertor .t h i.�two in u.a EXHIIi '1` "H" 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 3„� �� 19_2A recorded in Rook 984 , Page 280 , Deed Record of Wa�;hington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY! Summerfielu - lot 202 As recorded in Book 34, page 5, [)let records of Waehinr c ^aunty, Oregon OWNER: Mr. & Mrs. u.n. W.,od BUILDING PERMIT NUMBER: 7e-141 BUILDING ADDRESS: 10 50 S.W. Highland mac.}ye. Tipard This is to certify the said structure meets with the require- ments of the Building Code of the City of Tigard and the atovk3 referenced restticiion is hereby released and terminated. IN WITNESS WHEREOF, the undersigned authorized officer of the City of Tigarc has cauaed this certificate and release of restriction to be executea this day of Ti-tie: STATE OF OREGON 56. County of Washington ) On this day of _ �, f19 7Wpersonally appeared before me the above named. yts_ -Y��d11,�_ ' whose signature appears hereon and who acknowledged to me the executed the same in his offical capacity on behalf of the City of Tigard- Notary Pc lic of Oregon My Commission expires: EX}DUT "B" CITY OF TICARD 1 119 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION the City of Tigard hereby certifies that the occupunc,� of the following described structure or premises vita respect to which a restriction of occupancy uss, on t ,1 y_j 7 , 19...E recorded in Book 984 , raga 2©O , Deed Record of Washington County, OmCon, is hereby authorized a.ld epproved. DESCRIPTION OF PROPERTY! Summerfield - lot 202 As recorded in Book 34, 'gage S, Plat records of ,Issnington County, Oregon OWNER: P_r. 4 M r 4 W.O. UW;U BUI DING PERMIT ULMER: 74-141--- BUILDING 4_:niBUILDING ADDRESS: 10'50 S.W. _a_njJ QrriVe_ Ti�a,SL� _ 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 WITNESS WHEREOF, the undersigned authorized officer of the City of Tigard has caused this certificate and release of restriction to be executed this day of � c�c ais,�7P�_ __, 19? • Title: STATE OF OREGON )58. County of Washington ) On this day of ^ILLe�t-) 1 .L9�personally appeared bafore me the above named _ , whose signature appears hereon and who acknowledged t.o 777—the executed the same in his offical capacity on behalf of the City of Tigard. Not.xrY 6 P lic of on Ore My Commission expires: //-G fid' P M o v • IIOR THUMARCN. DI»re, GE °I R•""M�q El.rh.n• nnqq e�... (,,/tom BOOK10o5 P1�6E��J�G ,`�%`' a.p,,,Y� �7 STAFF OF OREGON u e Caurty of WassJnptnn i, Roger Th mssen Director of Records and EI ctlom and a -Offlclo Recorder of Con- wryun,,S for sold county, do hereby certify + that he within Instrumn rit of writing was rererved and recorded In book of rkords �r No. of said C unty Witness my hand and seat affixed. ROGFR TNC.MSSEN, Director of Retards & Elactlons DFr 30, 10 oa gH 'lqD"u'y II I City of Tigard I INSPECTION REOUEST for s INSPECTION TIME * PERMIT NO. : _.._. . __ ! DATE: ,9ZILL7 _ DATE ISSUED:—./_ _L OWNERS NAME : Z. 1-2 _ ADDRESS . W-LO1_—? L CONTRACTOR :—SAC6k ____----__ —_.__.___ TEST. Air p, Water p , Vieua; p , laboratory p RESULT.' Approved Disapproved 0 Pending [] SKETCH' tit S tN ECTOR DATE ENQTE : Attach lupplamental test data Aeret1 � r SPACES MUST PLANNING DEPT.. r Il PUBL .0 MRM iDN T.. BUILDIAT-. TUALAT IN RAAL FIRE DEPT. P PROVED �JCITY RMIT-# -- 4,XJ, ���i5�_�.Y- -- PYBY ---- -3_� -TITIDE I i P 'All City of Tigard I INSPECTION REQUEST f o r I INSPECTION TIME : /i5/- _ PERMIT NO. : _ IDATE: I ALL751. DATE ISSUED'.---,'-- .L OWNERS NAME .' . T- k2C IADDRESS : .c`o f &v CONTRACTOR :. 11yeo-2-L`� TEST: Air [_!, water / ❑ , Visual (� , Laboratory ❑ RESULT: Approved , Disapproved C] Pending L) �SKE C T H: rf� �o q y-3o 71 S / � 1 4 ,.4, , as r 6 / ,0,00, CdA.0114(lL 57f INSPECTOR DATE E�_OTr :.t'acl) supplemental Met db Aeref] es sX w w = WE ■. ssst m sew City of Tigard INSPECTION REQUEST for INSPECTION TIME: �ji PERMIT NO. : DATE: 'AL/ZY DATE ISSUED :—I-.,/— OWNERS SSUED :-1_.lyOWNERS NAME —I. , ADDRESS: c-� CONTRACTOR -742C- TEST : 7 -7C-- TEST : Air p, Water[] , VisuaLaboratory p RESULT: Approved Disapproved p Pending p SKETCH: I INSPECTOR DATE I ENC tE: Attach supplemental telt data hereto' I 14069 EXHIBIT "A" CITY OF TIOARD Residential Structure Occupancy Restriction KNOW ALL MLN BY THESE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the restriction in the Deet Records of Washington County, Oregon, is prohibited by the ordinance of 1-he City of Tigard, Oregon: DESCRIPTION OF PROPERTY: 6unmerfield - Lot _ An recorded in Book 3<! Page _5 , Plat records of Washington County, Oregon. ADDRESS OF PROPERTYrJ NAME OF OWNER: W.cam, ADDRESS OF OWNER: gal G A 41 L- kc- IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this A day of 19 . OWNER. "n-)),tin P"vel. ment C _n•.. Inn. APPROVED: By: Title BlaI �J ilding Official F11rad for r000rd..,.�•-(,•�...._..� " � F.IRrhoM City of Turd 1lon � �'trl THUMM04-[Hr.+�r STATE OF OREGON soPT. County of Washington ) , 19Zy/ orsonally eppeared before me the above named s and acknowledged the foregoing instrument o be voluntary act and deed. J 74 �yj Notr y ,'ublic : regen i•.r �.Guiui:nniu.i Vnuai�.o. bov 984 PAU28 1 ty r+* V bit STATE OF OREGON County of Washington I, Ragar Plontssen, 01 wig# of Records and Elections and F.ONldo Reelllder of Con - veyonces f w said county, do hdkeby certify that the within Instrun"M of 04firng was received and recorded In book of ripcords No. - --._.`-�--- of said C"y Witness my ha— and seal affixed, ROCFR THOMSSEN, Director of Records & Eleetioro 14069 EXHIBIT "A" 1 CITY OF TICARA Residential Structure Occ`nancy Rcstrictioa KNOW ALL IrM BY TiMSE PRESENTS, T•:.at occupancy of residential i ' structure (s) on the following described lands prior to the recording i of an occupancy, permit relea in3 the rectrictioa in thu Dee` Records i of Washingtun County, Oregon, is prohibited by the ordinance of the City of Ti ard, Oregon: 1 AESCRIPTION OF PROPERTY: owrmerfield - Lot An recorded in Bcok 3`1 , Page �� , Plat records of Washington � County, Oragon- 1 l ( � I / ADDREOS OF PROPERTY i ADD1izss OF OW1 I. -/,N7 _.__L.a k c- m x+ IN WITNESS MEMO.-, the undersigned has caused thio restriction �•m to be executed thin ,: �1, day of ro � a. O'AI`IER i ! Cx 7 w! 6 TunlD^vrl nrent Crnn., ;,,,?„r.y. �e Name CL APPROVED: Byl '°!. i,rsr• �i!`' ► !JL uildin(; Oaf ictal rv.e ,e..- 7_ is 7.. to•.._..r�ai City of TiCArd µetPo TwraMesctN Dte«� ai .4,Ki.n„w. GTATE OF OnFZON County of Washington ) `r �� , a9f✓ craonally appeared before me tho above lusted OV,,,�� and acknosrledgad t;�9 fareE,aina inFtrumentGto b....©.....,. + t �luntary net and decd, No y 3'ubzia an 1 984 o_c2 0 EYMBIT "A" CITY OF TICAND Residential 1Lructura Oc.upancy Rustrictioa KNOW ALL MCN BY `7I sE FRESENTS, That occupancy of residential :structure (s) on the follaaing described lands prior to the recording of an occupancy permit releasinG the restriction in the Does. Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPE:R:Y: Summerfield - Lot As recorded in Book Page •t;- Plat records of Wa,hii.,;.on' County, Oregon. ADDRESS OF PROPERTY NAME OF OWNER: }'', Z MJ'S V1.CO. Vi.ti,P ADDRESS OF OWNERt 921 C7 TN WITNESS WHEREO , the undersigned hau cauucd this restriction to be executed this day of J ,,,e 19z. OWNER: TunIntin DFvel- .rent Cnm`,nl. T"C. • � Ncme n APPROVED! Byt tom.,,, ./�•' Title Building Official �— City of Tigard STATE OF OREGON County of Washington ) sn• Ka_ � �r -19Z.1. Personally appeared before me the above named / e, �1^ and acknowlt: ,,3d the foregoing instrum n t„ be voluntary nct and dcc4 Nothry Public toO.apon Lir - ov CITY mf BUILDING PERMIT APPLICATION TIGARD DATE -� —, ,s THE UNDERSIGNED HEREGY APPLIE,, FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWN ER PHONE / Lo T2-- OWNER1"�t-2!� f " / UILDER PHONE — ADDRESS �U�t- I �', ENGINEER flSlILDER _ --- AR. CHITEQ — _ DESIGNER STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION (AUSIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE ❑BOND ❑MOVING ❑CONDITIONAL L1SE CI DESIGN REVIEW ❑COUNCIL APPROVED ElSIGNS OCCUPANCY_Ar_ ..._�LAND USE ZONE t _ BLDG.TYPE FIREZONE__=l PLAN CHECK BY */ f'•r�• P HEAT _ i OC LOAD _FLOOR LOAD— — HEIGHT — _ NO.STORIES --_-AREA VAVALUE —� --- —-- — - BUILDING DEPARTMENT SET BACK'S FRONT REAR LEFT SIDE RIGHT SIDE Permit -- — -- - INIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check FIEGULAI IONS AND AL1. APPLICABLE CODES AND DRDINANCES, AND IT IS HEREBY AGREED THAT THE _--` WORK WILL BE DONE IN ACCORDANCE WITH THE PLAOS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF 141S PERMIT DOES NOT WAIVE '— - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total By C L APPLICANT OR AGENT ---7--- `--- Approved Recpip, No. AOOP FSS ----------.__-__--- PRONE DATE INSP. TYPE 'NSPECTION 1EMARKS PLUMBING DATE Contractor ss rP u Permit No. (t' 4 1 '7 `� ►�k'�'7h l'ooR Rough-in -- - Fixture _ Final _ i4 HEATING Contractor —_ Permit No. r�__�_ �J !r Gas or Oil -- - --"- - Rou9h-in— ----- Final SEWER Final _ DRIVEWAY '— Final St'1Drainage.. ___ (Rain Drain) Final - -- - _ Sidewalk Curb & Street Final Approach BLDG.DEPT. FINAL TEMPORARY CER FIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final CITY OF TIGARD 12420 S. W Main SfrnN TIGARD, OREGON 97227 APPLICATTON FOR I3UTLDING PERMIT New Construction Q( Demolish U Addition lJ Remodel 1:1 Vove C, ZONING_ DATE ISSUED__f BUILDING PERMIT BUILDING FEE $ /�./ ,f ti' No. DATE RECEIVED 7� PLAN CHECK $ BY_ -L----- OTHER/I i...Cl,..j $ r� �.,t� VALUATION $ TOTAL/%,rr,t. $ 1,y_ L RECEIPT No.,/1tf/03 TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT — _---� MAP NCENSUS TRACT _ ------- JOB A _ Q - Architect����o^^rz�Engineer t_��nL4,'r �1�.�i Cn.T`1z�, Addresa1�y 1�J�11L,Ta A,,c;��.7' + I�r,,�� Phone �'� p� Owner. Address9'ayC_j_ i.L � � Phone C 4.9 3 Z- Builder�T -- Address_ - _ Phone-- BUILDING hone _BUILDING USE Single Hes. Fa Multi Res. ❑ Comm. ❑ Industrial❑ oCCUFANCY GROUP_ No. of Stories. __ Total Height_____„ Area of Lot`— Type of Construction I II III IV (9 Floor Area B_-_` l_flo 2=_ Set Backs: Front1 Back_L7_.._ L.Side r� R.Side _.s�__ -1.7_-_ _1_y � 11'�r u Private Sewer Pipe Size _u II _� Sewer j , 9 (I;{. Septic Tark L� Water Service Pipe Size_ Jl_�_ ___ Storm Sewer Ditch ❑ Drywell❑ Street and Curb Requirements-r ��� Driveway Width_-_IejI_� _ —No. of Parking Spaces_��__ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION .___.✓._—._.. l_/L-,..-�/r t4 �.�..C�Gt1��—J- --t1.�.°_l�ra�iL! 'G.'—_---__—. _.____'_____._ _-__._ ADDRESS ASSIGNED__/L 14, FIELD CHEF.: BYi---------- DATS_ PERMIT ,tPPROVED BY✓ r .r., t• �r .tet`_ It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oreyonr and that the building will not be occupied until a Certificate of occupancy has been issued by the City of Tigard Building Inspector. k /*SgEa6" 414