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10235 SW HIGHLAND DRIVE 10235 SW HIGHLAND DRIVE +� V,wf,�*w a . E a , d. U C 1 41 � O O IC '� 1 r W ? w W CN to X - O a, (U F+ C ..-1 C N 7 Q ,,- ro 4+ 1:S t N LIL C) i i ♦— Z7 t Q'\ t7 C�1 Co Q U N I u Co Q ri � 1. � a� 3 U •,A C C nt cli 4 •Y u (U Q rr � •� o m m n1 h Li + {-� l� N !n C N •-i Q S CL rt Gl m •rl ro { (1) a� (n Cl n (n (n o- t- W cr ( i r CD 1A a C) l r-1kv _ - E- ` w +L �a ,-J ro °7 -Tj C CJ la O 1 w ro +� \e ¢ �, gyp ( m no roc m •,� c-+ f4 ! , to ro n Cl m - to + E _O G 7`E �+ C -C + L - C -- ft1 rY 1 0 iz Q. CEJ tr. L_ t!1 (7" tr1 �4 r-+ w C17 CL rn 7� w ( I a1 :3 i- 2 r:.j O —1 w Q U7 Cl 3 En U) to N O ri iisPECTIoN.NOTICE ' City of Tigard Building Department 13125 sw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec•O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- . Poet/Beam Struct. San. Sewer Framing / -Bldg. Post/Beam Mech. Rain Drain Insulatiun -Plumb. Plbq. Underfloor Water Line Uyp. Bd. -Hoch. '7 Date Requested:__ L - T s AN PH Addren a: / � AV Builder.-: -2 <' 'Jh THE FOLiDWING CORRECTIONS ARE RRQUI M: xmye-f IAS" ---------- �-- / Inspecto Data: APPROVED --W DISAPPROVED APPROVED SUBJECT To ABOVE �Ca1i For Reinsp. INSPECTION NOT]CE: %ity of Tigard Building Depari.aent 13125 SM Hall Blvd. Tit4ard, Oregon 97723 Inspection Line (Rec-,no-Phone): 639-4175 Business Phone: 639-4171 Inspect ion: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINALt -Bld Post/Beam Struet. San. Sewer Framing g• Post/Beam llech. Rain Drain Insulation .-Plumb. Plbg. Underfloor Neter Lina aYP• Bd. --Mech. / Tithe: _—P14 at Date R��questedt�-_L_� - `—` G Address: �f 6 Builder:— T—,� ='t/� /� � ,AZ FOLWVING CORRECTIONS ARE REQUIREDt inspectors Dater-,A fY. APPROVED _.— DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. Ixspa�r.��Narzc�e �� City of Tigard Building Depurifterat J� 13125 SW Ball Blvd. Tigard, Oregon 17223 Inspection Line (Rec-O-inone): 639-417 Business Phone: 639-4171 Inspectiont 1,noting Plbg. Under4lab Mech. Rough-in Appr./Sdwlk ouidJ Plbg. Top Out Gas Line FINAL: Poet/Beam struct. San. Bower Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Regnested: Times AM Address: rm is Bulie _ �.- THE _WIND CORRECTIONS ARE MUIRTD: C i i Inspector: Date: V— APPROVED DISAPPROVED APPROVED SUWRcT TO ABOVE `—Calt For Rei.nsp. CRY OF TIG&RD Cli"e*TWARD BUILDING PERMTT COMMUNITY DEVELOPMENT DEPARTMENT �oRmocw+ . . . . . . . 13126 SW HWI Blvd. P.O.ow 23SO7,Tj"M,Orogon 97.0(603)&104175 53ITE ADDRESS. 10235 SW HIGHLAND DR PARCEL: L-S1 I 1CC-- l"800 SUBDIVISION. . . . : GUMMERFIELD NO. 4 ZONING: R-12 BLOCK— . . . . . . . LO1.. . . . . . . . . . . . . : 189 RE I SSUE: FLOOR AREAS—---- EXTERIOR WAI,..I-- CONS,rRucTION - U'LASS OF WORK. -ADD FIRST. . . . :7P sf N: S: E: W. TYPE OF USE. . . ,SF SECOND- - SF PROTECT TYI"'E OF CONST. :5N THIRD. . . . : sf 114. S: E: W. 1CCU1:1ANCY GRP. :R3 T 0 TAL--------- 72 s f ROOF CONST: FIRE REIT? - LJLL,.(.IP'ANCY LOAD- BASEMENT. s AREA SEP. RATED: S)TOR. : I HT. : ft GARAGE. . . f OCCU SEP. RATED: 69)11T?- MEZZ?: REQD SETBACKS-- REUL)I FI-OOR LOAD. . . . -40 psf I_EFT: ft RGHT : ft FIR SPKL: SMOK DE'j . . : Y DWELLING UNI-F5: 1 FRNTi ft REAR: ft FIR ALRM. HNDICP ACC: BLORMS BATHC: TIYIP SURFACE: PRO CORR: PARKING: VALUE. 12000 t Remat -ks-. Adc!itiori to e)(isitrig family room. Encloses existing roofed patio. Owner: FEES ��TLPHEN RAINOLDI type amount by date recrit 10235 SW HIGHLAND DR PRMT $ 92". 50 BCP 09/J:'.0/i1 217721 PLCK $ 60. 13 BCH 09/20/91 :?A 1721 TIGARD OR 9*7221, 5PCT $ 4. 63 BCH 09120191 .1 7'721 Phone A Cont ract or: OWNE R Phone $ 1`57. 26 TOTAL Req REQUIRED INSPECTIONC This permit is issued subject o the regulations contained in the Foot/foLtnd Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Post/Beam Insp applicable laws. All work will be done in accordance with Framing Insp approvel plans. This pet-sit will expire if work is not started ITIS1.0ation Insp within '.80 days of issuance, or if work is suspended for more Oyu BoAt,-d Insp than 186 days. Final Inspection P'ermi.ttee S i q A t I-Ar e f aed Lay Call for inspection 639-4175 n , .. �.lr C2 RAAIRr �dr' oflk10 1p U,, ;GAF` a• �. �• [r' ., �F \ tl � o P „��:, i:L, l7CC?d'._ '• r� ,/� �10 • �,� cam,` 1�� � � �,, AL -3 "'Af 7 � 40 � V I 1 U rt 41 r h 1. 0 ['��• :�� ._._amu r - - ''�- er+l " ' W LYc�, r �- � I I l w !o bi � I �+ r • ' 1 + ! lieI.ji JA Cy 1 l 1 a. Z'rr r �. 7,.._ 1 .s .. Illi ■. � ., ,icy .r.+.r � •%11I,� ',n+ Ly# .. 1 ��.,. Y� '1 ''t•. ,{' ,1 ,.�"A 1 l ,''� { a 7}y ,�q A�,ff� � (• .i•� 1 �r� yw! °, ,� 1 r'. F r'f� J6T•,. At dw . .+kF'l4SA�=�'.. ` : � . +r+..!r��N�ih�.,• t '"{, � t �t ;� � , -1J � +iV. ,' •� �JJ Isr, �+� , - r i'I.,t. Q fid,,,' (� _ , Ito I I L) �� .r, • IW. k. 1 � n, � r• 1 1►Y` � ?. +t1� yet. WL 4+N1 l IWh k� if ij ' ., 1 �� ��•� as �. �t' �; 1 it 'r•�r � i o it } y o U f 11 ( I '�_.....;.._ .•, —_..r �«. L._._• •mow..-wa is�w�.► - ...1 ......�1 _'',,,, 1 .. j' u ) � n z E.. 1 �„ • nX � 3 � on La t4 u If 0 lj AMC- 47 } W' r cl R � k . ILMI, CITY Or TTGAPD — RECEIPT OF PAYMENT RECEIPT NO. 1-217721 CHECA. AMOUNT s 157. ?6 NAME t STEPHEN C. RAINOLDI CASH AMOUNT 0.00 ADDRESS a JOY RAINOLDI PAYMENT DATE s 04/20/91 10235 SW HIGHLAND DRIVE SUBDIVISION lIGAkV, OR 97224— PURPOSC OP PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 92.So ST. BUILD PER 4.63 PLAN CHECK Fr-. 60. 13 TOTAL AMOUNT PAID 157.C^16 BUILDING DEPARTMENT, TIGARD vo PLUMBING PERMIT i holder of a valid plumbing contractors license is hereby authorized to cause plumbing work as erein noted to be installed in acc.)rdance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four (4) hours prior to the time the installations are ready for Inspection. City of Tigard Business License required for all contrac5ors and sub-contractors. Job Owner-14,41f ,.L.a,^c!L Address -_• ' t t. ,_ , Date�w NUW5JER OF TOTAL TYPE OF PERMIT ITEMS FEE ON EP,CH AMOUNT Single Famlly-1 bath--each _y _ 26,00 Duplex-Each 1 bath unit _ 25,00 Additional bathrooms--each .__.._— ___-- __ 10.Q0 Mobile Horne Space-each 16.00 INDIVIDUAL FIXTURES(co 1 to 50 Fixtures in 1 building--each 300 _R 51 to 100Fixturesin 1 building each _`_- —� 2,50 ,�- 101 to 700 Fixtures In 1 building--each _ -� 2,00 _ 201 or more Fixtures in 1 bulidiny_each _, 1,60 MISCELLANEOUS _Sewer--each additional 100 ft. 10,00 Water Service to bullding 5.00 r �" Other (Specify): PERMIT For Phrmhing Inspection Phone 639-4171 4 State C. Plumbing Contractor By `le TOTAL > , RECEIPT NO. Issued By + BUILDING DrPARTMENT, TIGARD r _�_ . holder of a valid plumbing contractos license is hereby 1 autt,o ized'to cause plumbing work erein noted to be installed in t ccordanre v.-ith the Plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be, notified not less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all cop,ctcr, an -F411,-contractors. .� Dat lJtl!.13c"q OF TOTAL TYPE OF P M%lIT r ITEMS FFE ONEACH AhlourJT p_ES1i1 F tTJ�_t, Sinaln FamilYtbath—each 25,00 �. Quplex—Each 1 b-ith unit — 25,00 Additional bathrooms—each _ ~ 1000 AtcbH9 Nome SgaCs—vach 15.00 INDIVIDUAL FIXTURES Corir'it`r�CT ___ 1 to 50 Fixtures In 1 building—each A � 3.00 51 to 100 Fixtures In 1 building-each 101 to 200 Fixtu•es in 1 buildingeach - 201 or more Fixtures in 1 building—each J 1.50 —� b11SCELLANEOU5 Sewar—each additional_100 1t. Water Service to building `S,uJ V— Other ligecityl: _-- PERMIT For Phimbing impection Phone 633.4 1/1V _Stat_ e`_—, Plumbing Contractor [.y TOTAL—._. ;77,2� Pr-r.CIPT i11!r) fc•„>rl t1,r _� r ■ ■� .. ...,.. .,i._-...,,..+r••-+� ..R'�r...,...r.wrrwM6xl�rw�^�"..+,rs�wa(�,v�w.wp.�r.w w,.a...,.......n,,. CITY Ole BUILDING PERMIT APPLICATION TIGARD DAT E °—x _.. 1975 N° 0 2 2 7 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ NER -tua 't 8« KirkwoodADDRESS ��3L3J �I+ + r+�Gtrl�ttil� Dr• BUILDER PHONE ENGINEER 13llILDER .IBrtC)>CJrC1f1 f'OTTAt• co, ARCHITECT DESIGNER _ STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCA'TIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT ❑GARAGE [ISTORAGE❑SLAB ❑FENCE DBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY —LAND USE ZONE BLDU.TYPE___ FInE ZONE— PLAN CHECK BY HEAT QCC_LOAD FLOOR LOAD HEIGHT __ NO,STORIES AREA VALUE _ BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit xpso , —__ --------=- -w�----- _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS 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 Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS 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 — '• TIT— By _ APPLICANT OR AGENT __.— — Approved Receipt No ADDRESS PHt�NE DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE / 7� 1 [Permit ntractor — No. Rough—in Fixture Final HEATING Contractor Permit No. — — Gas or Oil Rough-in Final SEWER Final DRIVEWAY -- -- Final Storm Drainage - Rain Drain Final Sidewalk Curb&Street Final A&pproach _ Bt.OG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final EXHIBIT "B" . �92u CITY OF TIGAItD RECc-:jV:D �w�✓ 1:i 1971 CERTIFICATE OF OCCUPANCY AND RELEASE OF RESTRICTION CITY OF TIGARD 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 19 74, recorded in Book _ 984, Page 284 , Deed Record of Washington County, Oregon, is hereby authorized and approved. DE5CRIin'ION OF PROPERTY: Summerfield - lot 169 As recorded in Book 34, Page 5, Plat records of Washington County, Oregon OWNER: BUIID114G PERMIT NUMBER: 74-131 BUILDING ADDRESS: 10235 S.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. IN WITIMS WNFRROF, the undersigned authorized officer of the' City of Tigard has cau3ed this certificate and release of restriction to be executed this tom__ day of JQ_t vba , 19�c. Title ClC�I�tts_ STATE OF ORHOON County of Wac;hington )'s On this Al day of ��, , 19�, personally appeared before me 1.he .Love named �..�� , whose signature appears hereon and who acknowledge to me 7the executed the same in his offical capacity on behalf of the City of Tigard. o r bli o on _ Y 14y Cu sio fres: 3 "-140,3 n)k;LA THOM-MLN,:hrem.x of Maerd.A Lima.,q. !oar 99S FAGEW INDEXED Y" STATE OF OREGON County o/ Washington f, Rngor ThamSsen, Director of Records and Electiom and Fr Officio Recorder of Con- veyances fnr sold county, do hereby cert7ty chat the within Instrument o/ wthing was received and recorded In book of records No, _.._. .�..... _....._.. of sold County Wltncss my hood and ,at offl"cl. ROGER TMOMSSEN, Director of Records 6 Election,, Deputy ° OCT 31 10 t All'7tl ' ' . , " ' , I CITY of T i gory ; i INSPECTION REQUEST l for INSPECTION TIME : PERMIT NO.: I DATE: !°11'1J �:l GATE I SSUED:_/ .. OWNERS NAME : -L 42 c _. IADDRESS : ILLI! I L,v , 141GeY04.Iv AD . CONTRACTOR : LT_-._ I ITEST' Air0, Water p , visual 0 , Laboratory [] RESULT. Approved Disapproved O Pendlnq 1 SKETCH: I INSPECTOR DATI: CN OTE: Attach supplemental test data heret� 1 ALL SPACES MUST BE ENDORSED PRIOR TO ISSUANCE OF BUILDIFG PERMIT PLANNING DEPT. By Date PULLIC WOIKS DEPT. Ao By D e BUILDING DEPT. By D T T T11AT.fN RURAL FIiriE i�LPT. By D aye td'PROVrD FOR C 7_'.Tl CITY OF Tt AND PL "ff, -ADDRESS BY a City of Tigard INSPECTION REQUEST for t /,� Pl•'�rr Ott 114SPECTION TIME: PERMIT NO. : _ DATE: . L2PI-7-f DATE ISSUED : I Z._ OWNERS NAME : ADDRESS: / 2- CONTRACTOR : CONTRACTOR : ` f � ' --- TEST : Air ❑, Water C7 , VisuaAll Laboratory p RESULT: ApprovedX Disapproved O , Pending [] S KETC11: INSPECTOR DATE [016: Attach supplemental test data beret] 4 i City of Tigard INSPECTION REQUEST for I INSPECTION TIME : PERMIT NO.: I DATE. DATE ISSUED:—L—L OWNERS NAME : I ADDRESS : Zv7-- 1 2 c�'i*JF CO►' ,'RACTOR : -/ / ,C ' — IPEST: Air Cl, Water [1 , Vieual,�, Laboratory ❑ I RESULT. ApprovedAr", Disapproved ❑ , Pending [3 SKETCH: I I � I I I INSPECTOR DATE ICOTE: Attach supplemental lost date heret] EXHIBIT "B" CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RI;'I.t;ASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following describcd structure or premiues with respect to which a restriction of occupancy was, on July 17 j.974, recorded in Book 9g4 , Page 294 , Deed Record of Washington Coun+.y, Oregon, is hereby authorized and approved. DESCRIP'T'ION OF PROPERTY: Summerfield - lot 189 As recorded in Book 34, page S, Plat records of Washington County, Oregon OWNER: Mr. L Mrs. A-A=Klrkuond BUILDING PERMIT NUMT3t:R: 74-131 BUILDING ADDRESS: 10235 S.W. Highland Drive This i, to certify the said structure meuts with the require- ments of the BuildinG Code of the City of Tigard and the above referenced restriction is hereby released and terminated. IN WITNEOS WHEREOF, the undersigned authorized officer of the City of Tigard has cauued this certificate and release of restriction t to be executed this day of , ly_ T tle: STATE OF OREGON )5H 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 tie executed the same in his offical capacity on behalf of the City of Tigard. Notary Public of Oregon My Commission expires: .o City of Tigard INSPECTION REOUEST for INSPECTION TIME :_ PERMIT NO.: ,. I DATE: _ DATE ISSUED: OWNERS NAME : 7. 4 e- - -- I ADDRESS : — 40= 411 CONTRACTOR : `X*Qjf - I TEST: Air ❑, Water p , Visual C7 , Laboratory p RESULT: Approved ❑ Disapproved p Pending [j SKrTCH: - - i IN PECTOR DATE INOTE: Attach supplemental toot data hereto] CITY OP Sly" N PERMIT APPLICATION! TIGARD DATE_ ' ��, ,s _�`0 ,ILUI G THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OwNERPHONE OWNER �{ZL,T,,� A, (�� ADDRESS L.� �J S �� f—_ fT�a-"� �n BUILOER PHONE �-- ENGINEER 811►LDER _._(j'�p •-•fv AR(;HITECT� DESIGNER _ STRUCTURE ' NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION RESIDENCE CICOMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CA,� e'ORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE _❑BOND EIMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY- ' - -LAND USE ZONES G BLDG TYPE_._ � FIRE ZONE=� PLAN CHECK BY�_���!_ HEAT_._- _ — �_— QCC. LOAD FLOOR LOAD _. HEIGHT _ �NO.STORIESAREA _— VALUE;1 1$)e BUILDING DEPARTMENT — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING Plan Check REGULATIONS 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 Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE. CURRENT CITY BUSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total /r By APPLICANT OR AGE'IT Approved Receipt No. a DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Fixture Final HEATING Contractor (-k) Permit No. 5 /c, i 7-JY Gas or Oil Final SEWER Final DRIVEWAY Final Storm Drainage�_ (Rain Drain) Final Sidewalk Curb&Street Final 8L A DEPT FIN L TEMPORARY— roach— � CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final �c►sivC sd,,..t of W� �`l= CITY OF TIGARD 19440 L W. Main SfrNf TIGARD, OREGON 97447 APPLICATION FOR BUILDING PERMIT New Construction ® Demolish Ll Addition 0 Remodel ❑ Move U 7,ONING DATE ISSUED lc-.g-7-7 L4 BUILDING PERMIT BUILDING ^EE $ r �-V NO. DA'T'E RECEIVED ,- •_ '/ y —,f-L 13Y i ;7l[ PLAN CHECK $ /i"yt .� lir 1'4" r" VALUATION TOTAL/`/r;rir : %J RECEIPT No. 2_ TWO SETS OF PLANS AND PLOT PLANS MAST BE FURNISHED WITH APPLICATION LOT N b!1 MAP A CENSUS TRACT _—L JOB Architect or Engineer`T; Address �'� �r�1_ -�a(a ._.= ��.t t Phore�rjjf[7� Owner ���'�f ,l -. Address__ ��►rJsi-�( 1LLPhone Builder-' 13. C-- Address Address BUTLDING USE Single Res. Multi Res. ❑ Comm. ❑ Industrial❑ OCCUPANCY GROUP No. of Stories-- Total Height Area of Type of Construction i II III IV O Floor Area Set Backs: Front�I) Back j_)� L.5ide�1R.Side_Lo' Private Sewer Pipe Size_ _ Sewer ; _ septic Tank ❑ Water Service Pipe Size�3 Storm Sewer Ditch ❑ Drywell❑ street and Curb Requirements�� ---- Driveway Width Af3I No. of Parking Spaces SI.PARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED­,/G ��)__—.��ly_1� FIELD CHECK 13Y� ._-- ___--- -__– -- DATF,—_Z-2�yjA v J PERMIT APPROVED 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 1,y the City of Tigard Building Inspector. W� � S nature of Ap c nt 14073 MUBIT "A" CITY OF TIGARD Residential Structure Occupancy Restriction K.N)W '..j" BY 71:«S --N'.'J That occupancy of residential A!:- , ., u• �:..J.. P�itF.S ! p y 1 ..tr.:ctura (s) on to following described lr,nds prior to the recording of an occupancy permit releasinG the restriction in the Deec Racords of Washington County, Oregon, is prohibited I the ordinance of the City of Tigard, Oregon: DESCRIPTION OF PROPERTY: Summerfield - Lot _ As recorded in Book 3 _, Para S , flat records of Washington County, Oregon. ADDRESS OF PROPE11TY: L NAME OF O'nNER: C]L_ -li tics_ ADDRESS Or OWIM: 9n I y 5_E•� ?`.�..11Tr_ �1'r�r�' 1-1r41a.J IN WITNESS WHEREOF, the undersigned has cauced this restriction /,!_ h ` to be exacuted this 2 L day of �"" OW,YER: ti �unl.:�tin Uev I rent C r.•'. ?rr,,/ ' Nan© , APPAr)VED: By: T, o building Official r City of Tigard F11ed le ........ .rrvmd................... 10.......m .... R pM!tSCN. �off�panntM A E•, STATE OF OREGON ) sr„ County of Washington ) C'L� , 19Z� rsonully appeared before me the above named __,_ ,L— and acknoiledged the forer;oin4 instrumen bo voluntary act and deed. dotn y Public for :, son ++ 1:1 Vu.iu„b.fiVii y.uli,.n. Pon, 9$41"�'A2284 I' �t^TE OF OREGONkecutda C_nuntV °� WO�i�ton 1 a�xter SF+omSSellicplrR V��r Cons nd Ex O Y certiN and Electiw+s sold county, htinp wos .,. . t.` sj-.t r.:A•i_�..•� veYonces for of records S \ that the within IrsTrTo Of received ark records.l In book - ol soid otr'TY ' ♦\ f4lxtd• \ hand and seal o or of p.r� Witness mY aO�EK TVAC 5EN, Dirac r 4, Records b Elsctloro 1 NIL w t 14073 EXHIBIT 'It" t ! CITY OF TlGiu , I Residenttal Structure Occunancy Restriction KNOW ALL !2.3 :3Y 711EEZE PRrSc:J, That occupancy of residential Structure (a) on tha follout.n4 described lands prior to tM recording of an occupancy permit releas�ng the restriction la the Dc" Racords of Washington County, Oregon, is prohibitcC- by the o.dirarcer of the City of Ti;ard, Oregon: DESCRIlMON 0? PROF&ITY: Swrnerfield - Lot As recorded In Book �!, Pago S , Plat records of Waahington County, OrnPon. a a ADDRFS9 OF PROPERTY: 2U!M 07 OWNIER: r,, s llr m p /IDDRrss or .7�r^iF,c�7: ` '11'� A ,p IN WIMESS WHEREOF, the undaraigned has caused thio rcrtrietion I � � K to be executed this 16- day ofcv C? b --1 , rn ., "�,yinlntin n•>.vrl .r,ent r, .a �� T A NnGs/ AP01OVED1 "� 77 "►'ala I-1 ►M /I [ `„ a+�� Y . pa:llding Official `u.4 eat aqo�.e . =...1... �IQ City of Tigard lr1•s'ItilC1MriSLN.17—"un d�M q t!�'P., STATE OF ORFr011 se. Co:urty of i4ashington .,___.,_.__ :..: �a..+ 19.G.G• rsonally appeared bofore me the above na"Med x. and ercknovledaed the for,faing inatruncr. be r. %olunt.ary net a*!d dr gid. ;ot k y 1':,blic for rsnon tat Vu.W�w Yi4iti VAVirY1• _ � rn 984 ,,-,..284 FMIBIT "A" CITY OF TIGARD Residential Structure Occupancy Rentrictioa KNOW ALL MLN BY TIME PRESENTS, That o-�.:upancy of residential structure (s) on the following described lands prior to the recording of an occupancy permit releasing the r.strictioit in the Daed Racords of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: DESCRIFTION OF PROPERTY: Swnmerfield - Lot As recorded in Book ^, Page SPlat records of Washington County, Oregon. ADDRESS OF PROPERTY: 1 NAME OF OWNER: ADDILESS OF OWNER: 9g 3 y 4 IN WITNESS WfEREOF, the undersigned has caused this restriction J/, to be executed this ( day of ��-,r 19 7 MUM: 5 To;31--ttill I,.:,/ l �Tent roe ?r... l.;,c. Na APPROVED: By: title 1 Building Official City of ,igard STATE OF OREGON County of Washington ) r, 19 X71_. rconally appeared before me the above nnv.d and acknowledged the foregoing instrum^ to ho __ voluntary voluntary net and deed. nti' '6 Vnta y I ubli.c for ogon