10580 SW HIGHLAND DRIVE-1 4o
i
nO
14
foil
NNW
l �
I
I
I '
y �
I
r t►►
I
J
N, a. � � �•;, � r `� � � ��L , art �
r
r
r
1 ._•• �I
- -. :.,....r.
r
,,,E � II �� 111IIi� • III � 1 � t tir ritrtI I r ,,IIII I � rlillII 1 � 1 Iltll r� III 1 � 1 1 � 1 1 � 1 III Ilr III III tll tlt III III 111 X11 111 Ilt : II rir 1 elt ' R� � � I I I I I I I I I I I I f I � I
•
NOTE : IF 'T'HIS IS MICROFILMED
I - - 2, 3 4 _ .- - 5 7 8 10 1 I 12
DRAWING IS LESS CLEAR THAN
THIS NOT IQIi i—`IT I S DUE TO
r� THF QUALITY OF THE ORIGINAL
_. DRAWING.
OE 6c' BZ LZ 9Z 5Z bZ ea ZZ Iz 0Z 61 BI LI 91 51 bl EI ZI 11 01 6 6 L 9 S b E 2 1 �"'•'"
�►!111IIIItttllttlt�tttt�Itailttltlttttlttt�JIII�1111111111111Jltottlialst�aaaalaaailE�ttltttl�tli111llllil(�11!!�lili�tl!Ilttlf�llli�li�lltllllllll�11�1111fllltlillif ttI1�IIIIII1tI�II1L�lllllillilllll�lill��lll�!!!!�lIIIIt1111111IIIII111111�11111),W�#1�11�1ll�ltl�l�IIIl11l�II! 1111
=A W R'. [ti
10580 SPS NTC;HLAND DRZVF
h
r
G
W �
CT E [n
J
C m •1� �'
" W r1 J.) r�
s �T W C (A N x
�+- O W N N s
•rl C O 7 OC tll a
` u O -I N O ` '1•1 N
�� •1 •r•1 N L� i i-1 R, N
T, V F— -0 J) tll O L, N U
O 1 tt1 C-1 O N
o -Y N U a c
W 4-3 '.1 J tD ro > O1 N `C U ro
a d N C N N t N ? O N c C
W 'rl a (n •.1 ro N Ql 41 rtJ• n) •rt
IT �� 'n t� (a u to (n Cl L,_ L-
`r Lam; r V W
Z \ H I r�
r.
C. 2 s
F— W
F—
ti4 J I �
~ I
J
n
+� m rt
r-1 (o m rll
.,A C CT N
L,._ 1 Ln r L (a N
CL -Li
aIT n INIv to ro
Ee Ii. •,i to U NIC (� .--1 w •`
(- Ct N _J C -Aco
ro [ T JA
I IF"� -, ..� to � c� n .n a •�� t.� Z
ro ••-
N l to -1 N o a ro a) (U 4-3
x O O .-1 LL -N . O N ro N ro "
o cra LJ LL � mcr ;n1l . L._ � �
�. Cl-
Li
F- _m a
OO _JW Q � I t I•
;{ C. to p
I
I
I
City of Tigard
� I
INSPECT,ON REQUEST
for
INSPECTION TIME. PERMIT NO. : I I
DATE'. A 164/7-C DATE ISSUED : I Z
OWNERS NAME : C
CONTRACTOR : _
TEST : Air p, Water[] , Visual D , Laboratory 0 1
RESULT: Approved C?_ Disapproved [] Pending [] F
SKETCH:
ad d iJ �/� •r mit R.,.. G. 8 r r, ,c ¢ i
I
I
I
I
INSPECTOR DATE
i<
[NOTE: Attach supplemental tet' ,lot" beret I C
J
EXHIBIT "B"
4055 CITY Or PICARD
CMI'IFICATE OF OCCUPANCY AND RELEASE OF RFSTRICPION
The City of Tlf�ard hereby certifies that the occupancy of
the following described structure or premises with respect to which
a restriction of occupancy was, on _.lLJnp .7 , 19—UP
recorded in Book 978 -, Page 686 , rx:Ad Record of Washington
County, Oregon, is herei.y ;,uthorized and approved.
DESCRIPTION OF PROPERTY:
Summerfield — lot 153
As recorded in Book 34, Page 5, Plat records of
Washington County, Oregon
OWNER! Mr. d Mrs. R. M. Brown
BUILDING PERMIT MMF,.F: 74-86
BUILDING ADDRESS:This is to certify the said structure meets with the rcqulre-
merts of the Building Code of the City of Tigard and the above
referenced restriction is'hereby released and 'erminated.
IN WITNESS 14]TEREOF, t*.c undersigned authorized officer o: the,
City of Tigard has caused this certificate and release of restriction
to be executed this � ii_ day of , ,,� , 19 7✓.
Title:
STATE OF OREGON )ss
County of Wnshington )
On this _ /�� day of r , 191 personally
appeared before me the above nnmedi" �� , 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.
otary blir, of egon
Comm tion expires:
ru.A log r.eetd... i .�v......iY�ti'W.�....J►.M-i'JR-
POQLII THOMBSEM 91 Mew"
s0M 994 ��tLw qv:...........��. :{.��:._..: :.............µD....►
jYrbwr
Ole
wCn�fN dJt1^M8N1'61-p,'.c�+xt q w.,.rn..p��t•+.�rone
f' M ..,
i
o o h
City of Tigard
INSPECTION REQUEST
for
0
L
INSPECTION TIME: PERMIT NO. :
DATE: LI:�-.LL9 DATE ISSUED : I Z I
OWNERS NAME : 7-. 42- 1-C . ,I
ADDRESS: LUT 4111tFS
CONTRACTOR : C2 590
c, .��__�L•�f�l.��
TEST : Air O, WcterO , Visual O , Laboratory O
RESULT: Approved K Disapproved O , Pending []
;KETCH:
INSPECTOR DATE
[:N01 E : Attach supplemental test data bereto7
8E ENDORSED PRIOR TO
�AI,I, gPACES V OF TST BUILDING PERMIT
ISSUAN
Dat%ry � ,f
PLANNING LEFT. BYa,. --
Da.to
PUBLIC FORKS DEPT. By
BUILDING DEPT . -
_._---- Dago
TUALATTN RURAL By
FIRE DTJ'PT -'
At),ROV'r D
CITY
--'---�D'itESS
PERMiT - DATE.._.-_ �---
TITLE
i�i 27 7 2
7
3
r
i
{
y�
7 i ,
I
City of Tigard
i
INSPECTION REQUEST
for
0
INSPECTION TIME: ' PERMIT NO. :
DATE: 9 LO "G% DATE ISSUED : I Z
OWNERS NAME : 7 L'�t=
ADDRESS: _ I
CONTRACTOR : —7-
TEST : Air ❑, Water[] , Visual O , laboratory ❑
RESULT: Approved �9 , Disapproved O , Pending 0
SKETCH; I
I
INSPECTOR DATE
[OTE: Attach supplemental test data beret]
i l
City of Tigard
INSPECTION REQUEST
for
"e .
INSPECTION TIME : PERMIT NO.:
DATE: DATE ISSUED:_,"
OWNERS NAME : - : :1-2- C°
ADDRESS : 12--5-2 Z7
CONTRACTOR : -Z-jQ2 /S 73
7
TEST' Air❑, Water ❑ Visual, Laboratory ❑
RESULT: Approved pp , Disapproved ❑ , Pending ❑
SKETCH:
I
I
I
I IOSPECTOR DATE
IOTE: Attach supplemental test .tete hetet]
PLUMBING PERMIT APPLICATION
Jurisdiction of
No. IType of Fixture Fee Pei-nit No.
Permit .fee _ � �
Water C_loseetts Toilets) .l` '
Permit Issued
__�___ -• Approved by
Bath Tubs _ - Building Permit
Wash Basin -"'
--Y--�-- Receipt No. �C
Shower -- ----- .I`-
�T
_Sin sl Uishwarhir_iB___SinksrKitcYi _� _ � Location of Buildings
SinksL_Crd .na _. ._____ ---- v
JSinks� Rai;---
Si
ar __ --_-- --------1f
_ -S.inks Slop_ --__ -----------v- �-!2 :--- _
bUTwasher__
dress of Owner --
G��' Name & A
_�'�
D,ain_s_ Ftoor- Tee
_..-
Sra�nsA�Refrigerator _ — -- ------ = =i - �----------- -
Rsin Pra�%ns— _._____ ?� Name & Address of Plu` ber
Au to„lat c —
_ � tn t1.ng
auri��ins _ �-
1,ouril an SodaHot Wal or Tank
�!G
Water SF^i`vice Size- -_—_ Old or p1 Alte �Repa`_r_or_
-�- --f" Bui ldin _i_ ----•--���(-------
Ur_inals Inst _
- -T-"J7E7Rassins _Yaa^i c- ______-
hawn fpi'inkl'er _System _ --__._-- Other ___----------_____.__--.--
�`Swmmin��Poal
-------------------
is
This permit becomes null and if construd if ction ornworkcis�suspended7or abandtned
commenced within 60 day. , or if c
for a period of 120 days at any time of ter work i.s c,:,mmenced.
All plumbing f;_rms must be licensed by the City of Tigard and post a $l,000 bor
is
and know the
I hereby certify that I have '" 'ovisionsexamined
lawstand oprdinancesllgoverning this
to be true and. cot rect. A11 prthe of or
of work will be complied with hether specifiey to d hereinr camel the provisions
permit does not presume „o give
of any other state or local law regulating; construction or tho performance o
construction.
c`� fir. � ll�_u..�.�'�-�...._ ---
+Signature ,bf Applicant
f
City of Tigard
I
INSPECTION REQUEST
for
V I
INSPECTION TIME: - ��� _ PERMIT NO. :_
DATE: _ � � DATE ISSUED :`.LL. 14
OWNERS NAME :
ADDRESS: �� .)._���lt�f�'-�"��
CONTRACTOR :
TES's : Air ❑, Water❑, Visual Laboratory ❑
RESULT: Approved ',isa roved ❑
PP PP Pending []
SKETCH:
I
I
. = I
INSPECTOR DATE
IN019: Attach supplemental test data hereto,
i
I
I
City of Tigard
INSPECTION REQUEST
for
0
INSPECTION TIME: -2 PERMIT NO. : i
DATE: /-71L- DATE ISSUED :
OWNERS NAME : C.
ADDRESS: /s. -5'a."
CONTRACTOR :
TEST : Air ❑, Water[] , Visual 8 , Laboratory ❑ I
RESULT: Approved 64 Disapproved ❑ Pending 0
I
SKETCH. I
I
Ic
I
I
I
I
I
INSPECTOR DATE
NOTE: Attach supplemental tett data berei]
i
City of Tigard
INSPECTION REQUEST
for
INSPECTION TI : �t PERMIT NO. :
DATE: ; DATE ISSUED :-
OWNERS NAME : C
ADDRESS:
CONTRACTOR :
TEST : Air ❑, Water❑ , Visual [] , Laboratory ❑
RESULT: Approved 0 , Disapproved ❑ , Pending ❑
SKETCH. co
w
INSPECTOR DATE
Ct)1B: Attach Supplemental telt data hereto]
s8si
EXHIBIT "A"
CITY OF TICAR.D
Residential Structure Occupancy Rer;triction
KNOW ALL 1C:N BY T'iL:SE PRESENTS, That occupancy of residential
structure (s) on t,e following described hands 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: Nunrnerfield - Lot 1 S
As recorded in Book ,'3_, PtA e <;- , Plat records of Waahin�;ton
County, Oregon.
ADDRESS OF PROPERTYt 1
N/o'% OF OWNER. C'I.r T
ADDRESS OF OWNER:
IN WITNESS WHEREOF, the undersigned has caused this restriction
•�cl
to be executed this , day of t1� - 19-L�,
OW7M
APPROVED: ._.,_ r
`
By:
Building Official
City of Tigard
STATE OF OREGON )
say
County of Washi:'a„0ton 192Y.
Personally appeared before me the ebove named _
s and acknowledged the foreGoing instrume oto be
<<, vol:^-tary act and deed
Nov ry Public r Oregon
n)rce r"o i,Dim~el.s..M4A Ll.&W. ay amm!salon Expires: _
97S
a
V-4 ,Y'
r
(�
STATE OF OREGON
Cotmty of Washirgtoo ss
and ElecRlamrand Fv Ofl c nl Reeci o/ f Records
Vey, es for said county, da conkr n/ Can-
rhat the within Instrument of certify
received rand reeardedIn b0ukwriting wns
No of records
of sold ._.._....,.--•._..._.
Witness mY hand and seal o/flied.
ROGER THOMSSEN, Director of
Records 6 Electlane
.� i Q M Elm"74
EXHIBIT "A"
CITY OF TIGARD
Residential Structure Occupancy Restriction
KNOW ALL ICN BY ZM'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 Deeo Records
of Washington County, Oregon, is prohibited by the ordinance of the
City of Ti„ard, Oregon:
DESCRIP'T'ION OF PROPERTY: Swnmerfield - Lot J-5
As recorcied in Book iTpage <; Plat records of Washington
County, Oregon.
ADDRESS OF PROPERTY;
MME OF OWNER: Nl r t M t 1 1 1 Fri n
ADDRESS OF OWNER: C,;7
IN WITNE.riS WiMREOF, the undersigned hos caused this restriction
to be executed this
L L day Of Mr� l9T�i,
GWYERt
APPROVED: �'y 1cWe'v
i
T:tle
By:
Building Official ^�
City of Tigard
STATE. OF ORYGON ) ss
County of Washington ) r a 19 7,/
Personally ai.Nared before me the above nu,med ,�
t _ and acknowledgud the fore�,oing instrume t o bo
t.�
voluntary act and dee
Public io 0• ;; n
`Y Camm'ssion Expires;
CITY OF TIGARD
12420 S. W. Main Sfrwf
TIGARD, OREGON 97223
APPLICATION FOR BUILDING PERMIT
New Construction ® Demolish Addition Remodel Move
'O`iING DATE TSSUr'1-�-�3 f L BUILDING PERMIT
BUILDING FEL $ No.
')ATE RECEIVED
BY PLAN CHECK
-- OT' VALUATION $ )'
TOTAL/ Jl,�. yy RECEIPT No.�p2/s
TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICAT ON
LOT N �J513 MAP N _ CENSUS TRACT _ JOB M
Architect or Engineer
Owner
Phone
Builder
A, dress- —� Phone
BUILDING USE Single Res. Multi Res. Comm. Industria.l�
OCCUPANCY CROUP- No, of Stories_" dotal Height------- Area of Lot
Type of Construction I II III IV V Floor Area
Set Bacl s: Front- -„ Back
JL L.Side�-t1 1 _ R.Side� '_nn
Private Sewer Pipe Size__ ( ° �- Sewer__k,,,, Septic Tank l�
Water Service Pipe Size " Storm Sewer Ditch ❑ UrywellE]
1�
Street and Curb Requirements�� -
Driveway WidthI No. of Parkin
���._-------- _--------- 9 Spaces Z,
SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING
SPECIAL INFnRMATION
ADDRESS ASSIGNED_,�"�]E2
FIELD CHECK BYi_--� DATE J `v�� - 7Y
PFRMIT APPROVED By//�- tl,•s��L T<� --
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 occupicJ until a Certificate of Occupancy has been issued by the City of
Tigard Building Inspector.
4,at.ure of Applicant `-