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ZZ IZ OZ 61 91 11 91 SI b1 EI ZI 11 01 6 a 1. 9 S b E 1111111fill IIIIll IIll IIIIIIIeIIIIIIIIIIlII1j111111II1If111111fill I �I���i1�i��li���Ir�IIl11lIl1Ii111111111�,111111111111+IIIIIIl11111114111111111111441111111111111111ilii;IIIIII�011111111�1111�11111111111 1 I 1 II�IIIilllll�llllllll I '"""� ,�,I I � 111�l1l�U 1111111-1111�D,��Iit1111�1�tl�l�lltT111111111�1�1�1�ir11 16 .30 SW HIGHLAND DRIVE I R iso► � � ��� � I l 1 �-1 R'; Vi C;� f4' F•4 H GC t� R. . ,`Z Orr r IN�-91 J,JN KJ j 1 Cys hl N r•. �— • 1 , r U cv oC+ W Z I w V1 2 rt ry U F Z W. � .w LL w -4 I�r rr ❑ Ch cvu U in ►QQ- a W V (f 1 Z W`7 0 ❑ x "v p zr vW u 0." 0. =- a Q I W R C c: d p u OL oZz N o U)i a } �� � m o o r� LL r Z w W - CS U¢Q r] Q w 4 cJ 1 W www IE z 90 ¢zw 3 f l t1 Z Q QW❑ Z fL U �! l^ 2 _ Q O.� [l_ P � Z IL a ¢ Q c� , 7 �C 4J w W N 11 Q tfS cV U1 X11 m Q w a I I Y o ❑ o p i., 0 w a w ?' 1C W Z 'y ¢ p c7 U Z — �` Z •n n Z � w u � � i 2 �� n w CL ¢ Q r, t.i F ¢ � N w a - o CL a O Wa ❑ Z ¢ v w m r,. (� L Q n¢ r `0 w W w ❑' 0 Q w o I I J' 1 w U a z Q Q 1 C' • e Ja o m O z Q ui C ¢ U N . w 5 J _J `� ~ w a �� n n T u _ cn cr ° 0 r ' °; "N I lC,I x 3 W Z QczQ o 5 u .4 a _. u Z J r Z W 0 c; C� VO 1 ►' , Q er H 1 i� r Ir p z cn o w , r. Wa .M W Z n ¢ w m 0 Q w o CL < z - 2 ¢ V Om (n p BUILDING PERMIT APPLICATION TIGARD DATE_ 30110 9. ,19 03 4468 11 IF UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 643-0 , OH AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE 6^"i-90' LOTNO._167W, Lit I R& OWNER 't0ti1 , .� .� t. JOB ADDRESS 10130 SW tiinbland or, _— ARCHITECT `�ion ENGINEER 'tlst. BUILDER or.rentc► C.+rmmat. Inc. ADDRESS 12550 9U 2nd BewYwrtDESIGNER Sorr*nto Co STRUCTURE ❑ NEW ❑ REMODEL [*ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION MRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS 0 PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY R-,l LAND USE ZONE -SP1) BLDG.TYPE FIRE ZONE — PLAN CHECK BY tl HEAT_ l;aSa Construct Den addition to single a family dvellinw 4@p carreetion sheet attached.- pl!arts. or r�erlt. —.�. ---. -----�� SEWER PERMIT M OCC.LOAD FLOOR LOAD 0) HEIGHT i NO.STORIES _ I AREA 119 NO.BEDROOMS_ VALUE BUILDING DEPARTMENT SETBACKS FRONT _ A,"REAR LEFT SIDE RIGHT SIDE Permit 50=50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING X2.83 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 133.55 W11H ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax .IJ7 LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HE 85.35 SDC- Total - - ! Ti64 t= PDCN APPLICANT Ol` AGENT By Approved dW1t Receipt No. ADRESS _--.— _ --------.- _. ------- – PHONE i DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. Rough in Fixture Final HEATING Contractor Contractor l Irrm it No Gas or 0,1 I'llnugh in Fin-; FWER DRIVEWAY Final Storm raitiage lRain Drain)Final Sidewalk Curb&Street Final T Approach BLDG. DEPT. FINAL _TT64P6R_j�R­Y CERTIFICATE OCCUPANCY Final Crp'rip-CATE OCCUPA14CY , Landscaping Toning Final 4054 EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RhELH:ASE OF RESTRICTION The City of Tignrd hereby certifies thAt the occulvtncy of the following described structure or premises with respect to which a restriction of occupancy was, on May 15 1974 recorded in Book 975 , page 195 f, Decd Record of Washington County, Oregon, is hereby authorized and approved. DESCRI WION OF PRGPERTYt Summerfield - lot 21.8 As recorded in Book 34, Page 5, Plat records of Washington County, Oregon. OWNER: Ernaat_A_haring BUILDING 1'Ei i,r NUMBER: 74-78 BUILDING ADDRL.9S11013Q_a�W• Highland Drive 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. TN WITNESS WHEREOF, the undersigned authorized officer of the' City of Tlgnrd has cau;;ed this certificate and release of restriction to be executed this gay of 'ritl- ' C! CQ ZDER 4, STATE OF ORNOON tom' i County of Washington )ss. On this _� ^y day ofr , 19�, personally appeared before me the above named __�/AR whose signature appears hereon and who acknow edge-----d to roe that he executed the same in his offical capacity on behal-f of the City of Tigard. Z1i 1P otr�ry ub f Oregon MY ,,Css_ issp�ion expires: nn e� poets rHOMbMK ft*@W d&womb a ramiw,, BOOK J94 rnlEll45h:...`................ `f�cccAcQ�' ,....awh trnt j,3 o p ASS i t at t �� � City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. : DATE: 1 DATE ISSUED :- Z OWNERS NAME : T I ADDRESS: i0,13 o ";5 ��. �'.1 �yl�✓�,.- ��'. CONTRACTOR : - eL.-r �2,4v _ TEST : Air ❑, Water❑ , Visual ❑ , Laboratory ❑ RESULT: Approved , Disapproved ❑ Pending p SKETCH. I IFfOKEItTOR DAT E 5077: Attach supplemental tett data beret] 9 ALL SPACES MUST BE ENDORSED PRIOR TO ISSUANCE OF BUILDING PERMIT PLANNING DEPT. PUBLIC WORKS DEPT. � _ �jbi. 7� By - Dato BUILDING DEPT. TUALATIN RURAL FIRE DEPT. APPRO VFD FlO-' CITY C.-' PERMIT I,DL} :: c S 9 I I I City of Tigard INSPECTION REQUEST I for O d -- s� INSPECTION TIME: 21,. 04) PERMIT NO. : DATE: Z Z ZtDATE ISSUED : I Z OWNERS NAME : -;E -42 c - - -- ADDRESS: CONTRACTOR . TEST : Air ❑, Water , visual iK, Laboratory p RESULT: Approved Disapproved 0 , Pending p SKETCH. I qevrt) 4mu� -71 2f i I I I INSPECTOR DATE [OTE: Attach supplemental flet data beret] i I I City of Tigard INSPECTION REQUEST I for INSPECTION TIME : PERMIT NO. : I DATE: 12Y121! DATE ISSUED:. 1. I OWNERS NAME : I ADDRESS : CONTRACTOR : �rL%� �� '" _ �• }. TEST:Air O, Water X, visuab< , Laboratory [] RESULT. Approved , Disapproved O , Pending ❑ I SKETCH: I I II INSPECTOR DATE I [OTE: Attach supplemental test date beret-10 1 r i r r s r PLIMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. 4 -ti Permit fee V SIuA,, 4uae�at, Water Closets (Toilets) Permit Issue -� Bath Tubs Approved by Lavato Wash Basin �: Building Perm Shower _ Receipt No. loa j q in s Dishwashing Sinks Kitchen Sinks Ordin_ar Location. of Building ,yin s Bar_ .W-ZA&'q --- Sinks Slop _ cciwr �Ert �1 Automatic Dishwas / Disposal �-�- Laundry Tra s _. �" Name & Address of Owner sr� _Drains, floor _ �✓ Com' Drains Area /A'� // Drains. Re rieratordM42 ___ _ Rain Drains ll Automatic Washer N e & Address o' Plumbe ���'' Z ftFountai.ns, oun tains rin in Soda .Oa �c-� /ot Water Tank ater Service Size rinals B Sold or/ (Alter Re air or aiGf�=L�asins - arm nsteawn Sprinklerystemwimming PoolOtD�ier rinkler 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 cowamenced. All plumhl,:.a 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 sam to be true and correct.. A11 provisions of laws and ordinances governing this t 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. %r 3 0 ignature of Applicant City of Tigard t INSPECTION REQUEST for INtPECTION TIME: Am PERMIT NO. : DATE: J- 1;7ZZ,V DATE ISSUED :-- OWNERS SSUED :_OWNERS NAME : ' ADDRESS: -7 CONTRACTOR .' , TEST Air O, Water[] , Visual O , Laboratory O RESULT: Approved O Disapproved O Pending O SKETCH: 5 �� 7y INSPECTOR DATE 507E. Attach supplementei tN# fff• 1fret] Cit J Tigard Y g d INSPECTION REQUEST for INSPECTION TIME: /I PERMIT NO. : DATE: GATE ISSUED :— OWNERS NAME : ADDRESS: -_�1, CONTRACTOR : TEST : Air ❑, Water❑ , vieuol�, Laboratory ❑ RESULT: Approved�, Dioepprovsd ❑ , Pending ❑ SKETCH: I - INSPECTOR DATE [NOTE: Attach SUPPlemental tett data beret] City of Tigard INSPECTION REQUEST for r INSPECTION TIME. PERMIT NO. : —.— DATE: O. . .—.DATE: :�4,/-2J DATE ISSUED : OWNERS NAME : — A D D R E S S: --�----- CONTRACTOR : ��— ��r TEST : A:( u, Water El V-,sual Laboratory ❑ RESULT: Apnroved Disapproved C] Pending ❑ SKETCH: INSPECTOR DATE (NOTE. Attach supplemental test data beret] F,XRIBIT "Bo CITY OF TICARD CERTIFICATE OF OCUoVANCY AND RELFASF, OF RESTRICTION The City of Tigard huleby certifies that the occupancy of the following described structure or premises with respect to which a restriction of occupancy was, on -May 15 1974, reconled in Book _q7e�, Page 195____ _ `____, Dced Record of Washington County, Oregon, is hereby authorized and approved. DE5CH111MON OF PROFERTY1 Summerfield - lot 218 As rocorded in Book 34, Page 5, Plat records of Washington County, Oregon. ..Ernaat_A hering- BUILDING PERMIT NUMBER: 74-78 BUILDING nDDtF.sst 1013QHighland Drive This is to certify the .said structure meets with the regnire. ioer.ts of the Building Code of the City of Tigard and the above referenced restriction is*hereby released and terminated. IN WITNESS MIMOF, the undersigned authorized officer of the' City of Tigard has caused this certificate and release of restriction to be executed this day of 19— Title: 5TATF OF ORPMN ss. County of Washington On this _ day of __, 19—, personally appeared before me the above named __ _ , whose signature appears hereon and who acknowledged to me that he executed the same in his offical capacity on behalf of the City of Tigard. Notary Fublic of Oregon_._._ �_�__ My Commission expires: EXHIBIT "A" CITY OF TIGARD Residential Structure Occuixincy Restriction KNOW ALL MLN BY MESE PRESENTS, That occupancy of residential structure (s) on the following described lands prior to the recording of an occupancy pe n it releasing the restriction in the Deec. Records of Washington County, Oregon, is prohibited by the ordinance of the City of Turd, Oregon: DESCRIPTION OF PROPERTY: uwn,,rfield - Lot As recorded ir. Rook , Page , Plat records of lJashin(ton County, Orn^on. ADDRESS OF PROPLIi'PY: WE OF OWN::R: .ADDRESS OF OW:1ER: -,-== IN WITNESS MILREOF, the undersigned. has caused this restriction to be executes this '7 day of p2-116 197 T OWNER. � APPROVED: B�- Name By= 1 ing Official City of TiGard STATE OF OREGON County of Washington ) _ _ CA , 19zz ersonally appca.red before me the above named , % and acknowledged the foregoing instrument be voluntary act and deed, r k c 'f� tot, Public for eon I� Nov COmm'tiaion Exp res: ' EXHIBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction KNOW ALL MLN BY TID:SE 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 Dee. Records of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: ;ummerfield - Lot Z_Ja As recor Teri ir. ?'ooh1'nge _, Plat records of Washington County, OT"j;on. ADDRESS OF PkOPERTY: 1 �ZV��• '"IIJ(�VIA �r iy e OF OW11FR: 'P--- r��dr:'A =c.�In A ADDRESS OF OVNER: 1 Z U."O IN WITNESS WHEREOF, the undersigned has caused this restriction }I. to be executed this '7 day of N/ 19'7L/. OWNER: :ualetin Jr v eat C nnv. 'rc. Name APPROVED: B T: le ;ilding Official City of Tigard STATE OF OREGON ) se. County of Washington ) )Personally appeared before me the above named o, and acknowledged the forer 4.13 instrument t4Y be �oluntr,ry act and deed. o ,ry Fublic f r rcgun My Commtssion Expires: ROGER TIMMR.4EN. Drf*.xor of Rr.'.. N ro�e 975 Pu 195 74 73i C g�•�n � .CD a z I 0 0 m x m o 0ND W CITY OF TIGARD 12420 S. W, M&In SOW TIGARD, OREGON 97227 APPLICATION FOR BUILDING PERMIT New Construction Demolish El Addition 11 Remodel El Move 11 ZONING _ _ _ DATE ISSUED --7- _ BUILDING PERMIT DATE RECEIVED BUILDING FEE $ /.;Z I• 5 y No. BY -- PLAN CHECK $ (,,D. ?S -7 y� -- -- OTHER $-_L 1 L ���o s�j9�VALUATION $ 37, 1111 'fi`lYtt $ RECEIPT No. l- -1 - TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT N__yAjF5_ MAP fly CENSUS TRACT _ _ J013 IN Architect or Engineer,c•.�� ��y�� .,� I _- s,-�� �' �, _�_ Add ress_j_5 3L__ �� c�X7L_ 116.}�` / �"_��.�'-1�`� ____ ___Phone._( �-31S2L__ Owner L�:c..-�. - __�1 � �L117_r7_ —� _ --------�c Address \_ ��.�C� S \Jtl. ��-�f�l?I I�C'-1= l� Phone - __q Builder Address BUILDING USE Single Res. �- _ Multi Res. Comm.- Industrial OCCUPANCY GROUP -T: No. of Stories------. Total He.ight`1 Area of Type of Construction I II III IV G� Floor Area B` I)3_f j Set Backs: FrontBack L.Side Private Sewer Pipe Size _�-- Sewer X;s-,_c C;1} Septic Tar.k El Water Service Pipe Size �&" Storm Sewer`-® Ditch C] Drywell❑ Street and Curb Requirements__C,_�,_ I-elti I I _ Driveway Width IF) No. of Parking Spaces Z_ SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMHING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK PERMIT APPROVED HY/, It is understood that all work will conform with applicable codes and ordinances of the State of Oregon and the City of Tigard, Oregon, and that the building will not be occupied until a Certificate of Occupancy has been issued by the City of Tigard Building Inspector. ��� Signatuie of Applicant