Loading...
10100-10140 SW SUMMERFIELD DRIVE 10100, 10110, 10120, 10130, & 10140 —SW SUMMERFIELD DRIVE c ' G G 41 J � Q IQ �. T, lz 0R H H - Uo � oO ( vi zr got 54 �5 �r3rriwc=, � �► a ' r � � - 4l CA 40 O i cr N������ �0LA. Cj i � G � n v 41i1)ls F7GiIBIT "B" CITY OF TIGARD CERTIFICATE C: OCCUPANCY AND RELEASE OF RESTRICTION The City of Tigard hereby certifies that the occupancy of the following described structure or premises vith respect to which a restriction of occupancy was, on _-ii ur.u'St — , 1985, recorded in Book pageDeect Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERTY: Summerfield - Lot 114 As recorded in Bdok 33, Page 39, Plat records of Washington County, Otegon. OWNER: Tualatin Development Compaljt • WILDING PERMIT NUMBER: BUILDING ADDRESS: 101 14R! , „t, fi ],i nrivv This is to certify the Said st.uctnre meets with the require- ments of the Building Ccxle of tae City of Tigard and the above• referenced restriction is hereby relensed and terminated. IN WITNESS 14TTEREOF, the undersigned authorized officer of the' City of Tigard has caused this certificate and release of restriction to be executed this -`_ ' day of STATE. OF ORhMN County of Washington �ss. On this — day of , 19 personally appeared before me the abovenamed __ whoue signature appears hereon and vho ac;noVledged to me that he executed the same In his offical capacity on befall' of the City of Tigard. Notary Public of Oregon i4' Commission expires: W�W ' 7._* I! W 4 BUILDING DEPARTMENT, TIGARD PLUMBING PERMIT ho;der of a valid plumbing contractors license is hereby authorized to cause plumbing work. as herein rioted to be installed in accordance with the plumbing code of Tigard. Such installations require inspQcOon by the City Inspector who shall be notified not less than four P (4) hours prior to the time the installations are ready for inspection. City 0 Tigard Business License required for all contractors and sub-contractors. lob Ownera rt lh...l• _ — Address -- — ----- NUMBER OF r ----- TOTAL TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT. _R SID E Single Family--1 bath.-each -- 26'00------- -----. Duplex--Each 1 bath unit —_ 25,00, --.---- Additional bathrooms- each _ _ —10.00 Mobile Home Space`-e-each __J 15.00 INDIVIDUAL FIXTURES LOMMERCIA --- 1 to 50 Fixtures in 11 Aldin -each 3.00— 51 to 100 Fixtures in 1 building-oach 2.50 101 to 200 Fixtures in 1 building-aRsh _2_00-- 201 or n••rre Fixtures in 1 bulldinit-eech — ^. 1.60 --- - MISCELLANEOUS Sewer-each additional 106 ft._ J_"__. water Service to buildin !l — 6:00— F — Other (specify); -• _PERMIT For Plumbing Inspection Phone 639-4111 Plumbing Contractor By _4 State —__ � TOTAL > U RECEIPT NO. '7 ?(.) Issued By —_— -.__----- i e BUILDING DEPARTMENT. TIGARD ` PLU'IMBING PERMIT • �f holder of a valid plumbing contractors license is hereby a, horized to cause plumbing ork as herein noted to be installed in accordance with the plumbing code of Tigard. Such installations require inspection by the City Inspector who shall be notified ;got less than four (4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required for all cor7q bctors and sub con actors. Job �/ Owner- Address i�3u ! r1a.�i12I / ' Date— i NW-MER OF TOTAL TYPE OF PEIT ITEMS FEE ON EACH AMOUNT Single Farnlly-1 bath—etch _ 25,00 Ou lex—Exch t bath unit _ 25.00 _ Additional bathrooms—eich _ _ 10,00 Mcbi)e Flame SPacyeach _ _ �« 15.00 INDIVIDUAL FIXTUF15CBIYIi'IERCIiII I to 50 Fi.,tures In I building—each 3.00 ~- 51 to 101 Fixtures in 1 buildir.g—each 4_ 2.550 tOt to 200 Fixtu,es in 1 building—each ___ 2,00 201 or more Fixtures in 1 buildin —each 1,50 N11SCELLANEOUS Sewer-each additional 100 it, 10,00 17ater Service to PERMIT PorPlumbirrgInspection Phcne639-4t71 4 4r0 S1ltB _ Plumbing Contractor By TOTAL - C'. '�G' Pr:rr IPT n-r. 1c•„art Phi G w w w Imr w Iw w w w w BUILDING, D"c.PARTMENT TiGARD PLU,"ABING PERMIT � holder of a valid p'umbing cintractors license Is hereby authorized to cause plumbing Ark rein noted to be installed in accordance 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 raquired for all contractors and subcontractors. i' Job � Owner. Address1C1�10__ Date �_; (1.�1' W-18ER OF TOTAL TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT P R0,10ENTIAL Single Family-1 bath-each Duplex-Each 1 bath unit_ _ 2_5,00 _Additional bathrooms-each 10.00 -`-- - ``--- Mobile Home Space-each 15.00 '- INDIVIDUAL FIXTUREV ICOMMERCIAI. - 1 to 50 Fixtures in lin 1 build_, each 3.00 51 to 100 Fixtures In ' 1uitdin _-each 101 to 200 Fixture}'m 1 bullding.-each 2,00 - - — 201 or more Fixtur•i in 1 building-each - MISCELLANEOU;; - -- Sewer-each additional 10,00 _ 19ater Service lo building 5,00 Other (S ecif y}• -' _ - — -- - -- �_ PERMIT for Plumbing lnspection Phone 639.4171 o Stat@ Plumbing Contractor By TOTAL - /G; RFrFIPT i\n \ 1<eno.l n,. f I� O BUILDING, DcPARTMENT, TIGARD PLUMBING PERN11T --=�� holder of a valid plumbing contractors license is hereby authorized to cause plumbing wock as hereiri noted to be installed in accordance with the plumbing code Of I igard. 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 Ti(lard Business License required for all contractors and s:b•contractors. Job Owne_ � Add dress— ,�(� TYPE OF PERMIT �JU`ITEMS OF TOTAL - S FEE ON EACH A�titOUPJT RE51gEf�_ J71AL - S Sin 1e Femme-} beth-eech -- Duplex-Each 1 batli unit 25.00 Addition..)bathrooms-each �—"" '-' •- Mobile Home Space-each ------ 10:00 INDIVIDUAL F1 TT_ COl�1 -1ERCIAI 1 to 50 Fixtures in 1 building-each - - 3.00 --- 51 to 100 F(xturas 1n 1 buildira-each - 10to 200 Fixtures in - -- ?`50 - 1 1 building-each 2.00 201 or more Fixtures in 1 buildin -each 611SCELLA NEOtis Sevier-each additional 100 It. �-"�- IYater Service to building ----- -_ 5.03 Other(S ecit }; -- ---_` --- -j 'PERMIT Staatete tFor PlumbPlumbinglnspection Phone 639.4 i 71 '`'o S TOTAL_ �'--- Plumbing Contractor P -- PFrFIPT Nn. -- ■ , - 'gyres- �G ��� evPermit r:o. _ P_r m i t charge c-) e �wnar Q Connection fee Paid b; Type of h _ I- irg d , Dite connac,ed arvice Inspection F :.. �r�trar. 4' C pg d b, Det ze oc c:7v 1?ction _ �Gcscz:Ie p,9id i ;r:cress /C�/ ��0 r4, � �t�C L Farmit Owner Co . inn fer, Paid by Type of b:: ir'in3 119-4 Gate cannacted =arvice `,.. =. Inspection f s i :nntra_ct r Psie by beta .r :. zr of c.3. -i, tiro scassme. t paid WIN ADDRESS,r�D/per ���/���C 1 ry PERIMIT NO. ------•y�' PERMIT CHARGE none 04NER -�i 1 „ � �� CONNECTION FEE --------»--- PAID By TYPE OF BUILDING , DATE CONNECTED SERVICE RATE � '� ��' INSPECTIW! FEE CONTRACTOR PAID 8Y DATE SIZE OF CONNECTION AaSE55MENT PAID I t I City of Tigard I ` EC Tlo N REQUEST er� ''�� for INSPECTION TI ME PERMIT NO. : _. ! DATE: _ DATE ISSUED'. OWNERS NAME . . ADDRESS : . CONTRACTOR :—'—t—d4w-- °/�D S�I►rlM�r /�/./ moi- TEST. Air ❑, Water Visual , Laboratory ❑ 1 Pending RESULT: Approved �, Disapproved ❑ , 9 SKETCH: 1 ' i f �- INSPECT%. IOTE . A11ce,i supplemental feat data h9ret01 1 I I City of Tigard INSPECTION REOUEST I for INSPECTION TIME :, 1—cj. Ifi PERMIT NO. : I DATE; L.d:L DATE ISSUED. OWNERS NAME : ' r I ADDRESS : _l�`� l/GQ�•✓�fr� CONTRACTOR :- S4Mhie, ,, Dy TEST' Air ❑, Water , Visual Laboratory (] RESULT: Approved �p Disapproved 0 Pending Ci I SKETCH'. I I i I I I - .r INSPECTOR DATE OTE Attach supplementul toot data heret:01 EXHIBIT "B" 15540 CITY OF TIGARD CERTIFICATE OF OCCUPANCY AND RELEABE OF VSTRIF'i'ION The City of Tigard hereby certifies that the occupancy of I the following described structure or premises with respect to which a restriction of occupancy was, on January 31 1974, recorded in Book g6i , Page 215 _, Deed Record of Washington County, Oregon, is hereby authorized and approved. DESCRIPTION OF PROPERM Summerfield - lot 114 As recorded in Book 33, Page 39, Plat Records of Washington County, Oregon OWNER: Tualatin Developm'4nt Co., Inc. 1+UILDING PERMIT NUMBER: 74-11 BUILDING ADDRESS: 10100 S.W. Summerfield Drive This is to certify the said structure meets with th4 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 o, r striction to be executed this _ day of 19_7�Y_'. Title: ,TATE OF OREGON )se. County of Washington ) On thisr day of , 19 49 personally appeared before we the above of 17C. , whose signature appears hereon and who ackn ledged to me that he executed the same in his offical capacity on behalf of the City of Tigard. otary Plic f on My C i i expires: ' - � oY X G 1 5' /... riIwA lot the vd ............... ......_rl......Y9t t, � ' FFa4El1 THOM!/EN,p1NAet N Meads�EF�Iolt� BUOK �JSfi %04 ■ $�� � 7 A. :! ! � . §§� � ) �7!}| / 7 E ) 2 3 af g i I City of Tigard INSPECTION REQUEST for INSPECTION TIME: PERMIT NO. :.- DATE: Z a6 - DATE ISSUED : OWNERS NAME : - A DD R E S S: / /G��l'" CONTRACTOR : -- ------TEST * Air El , Water 0 , Visual 0 , Laboratory rj RESULT: Approved , Disapprowud 0 Pending [] SKETCH: &SPEC,TOR DATE C07 E .' Attach supplemsnt.il tgft data beretaa k,L SPACES MUST DE EYMOPS—ID PRIOR TO IS,,'n-A:i,TCll; OF BIJILDINIG PERUIT !.Cc DE'l-'j. By 174 J. c llvlo-tl'"o D 11*:1 -D an-fe I.Y Date A L Date r.V7'D ri Gp AP.?R%.. CopS KUCTION Gilll OF Tiv''I'dold) TITLF, DA-TA, Yw WA City of Tigard INSPECTION REQUEST far INSPECTION "TIME : PERMIT NO. : DATE: >>�v DATE ISSUED:_.�L1. OWNERS NAME : - — ADDRESS : CONTRACTOR:_---- - - _. --- TEST. Air O, Water p , Visual O , Laboratory 0 RESULT: Approved O , Disapproved U Pending ❑ SKETCH: PALI) , l 1NSPECi6R DATE I [OTE : Attach supplemental toff sato hereto' 1 E � I I City of Tigard INSPECTION REQUEST � EST for s it�J c-Ji-�L INSPECTION TIME: 0,,6 oPERMIT NO. : DDA-7E: _ DATE ISSUED :__L_z_ I OWNERS NAME ; T-z)• cf ADID RESS: TS CONTRACTOR :/-�2c:�/�r4�n�' ri,•,e,e��f�%�� TE ' Air ST . p, Water p , Visual ,�Laborot,ary p RESULT: Approved , Disapproved 0 Pending [] I SKETCH: i I. I INSPECTOR DATE [NOTE: Attach supplemental test data beret] I. City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. " ---- DATE: O. : _--_DATE: DATE ISSUED:--L--J- OWNERS SSUED:—_L--LOWNERS NAME : MID LADDRESS : CONTRACTOR : ---- TEST. Air 0, Water 0 , Visual 0 , Laborntory 0 RESULT: Approved Z, , Disapproved 0 Pending 0 SKETCH: 7SPECT0R DATE IEMOTE ' Attach supplemental toff data heretn� R R R R R A R R s: City of Tigard INSPECTION REQUEST for j `INSPECTION TIME ' PERMIT NO. : -- DATE: _y DATE ISSUED:-L—� I OWNERS NAME : — ---------- ADDRESS : ---_-- + CONTRACTOR :_–� _�' `� ----_ I TEST*. Air D, Water Q , Visual 0 , Laboratory ❑ IRESULT: Approved $4 Disapproved ❑ , Pending p M I SKETCH: I I I I I I I I XPECTOR DATE COTE '. Al"ach supplemental feet data herst:01 I 1 I I City of Tigard I INSPECTION REQUEST for INSPECTION TIME : .. PERMIT NO. : I DATE: _lv_111L.Z._ :?ATE ISSUED:.._ Z—J—. OWNERS NAME : _L 1 ), C ADDRESS : ;w I I �wti VU _ _. ._ CONTRACTOR ITEST' Air ❑, Water p , Visual O , Laboratory ❑ RESULT. Approved Cl Disapproved ❑ , Pending L- SKETCH: I 1rt NSPECTOR DATE [OTE : Attach supplemental feet data hereto] I In I I City of Tigard INSPECTION REQUEST for INSPECTION TIME : PERMIT NO. : I DATE: ?T- DATE ISSUED:--'-/- OWNERS SSUED:._..._'/OWNERS NAME : I ADDRESS : I CONTRACT 0 R :_ _________-__ TEST: Air ❑, Water ❑ , Visual ❑ , laboratory <7 RESULT: Approved ❑ , Disapproved ❑ , Pending p I SKETCH: I 7-0 I I I C I INSPECTOR DATE :NOTE Attach supplemental fest data herstoj 1 Y I I City of Tigard INSPECTION REQUEST I for INSPECTION TIME: __�____ PERMIT NO. :! DATE: DATE ISSUED :--Ll— OWNERS SSUED :..—L —OWNERS NAME : j '11—, ow .-I., r C c.(- ADDRESS: ADDRESS: %l ' i/�" rIOI O -,�x—d— CONTRACTOR : c -- TEST : Air ❑, Water❑ , visual ❑ , Labor%)tory ❑ RESULT: Approved ❑ , Disapproved ❑ , Pending [] SKETCH; I - ^INSPECTOR DATE ~ NOTE ' Attach supplemental test data beret] I City of Tigard INSPECTION REQUEST f o r SPECTION TIME : PERMIT NO. : -- DATE: O. : _DATE: �/.3 DATE ISSUED: VNERS NAME : -T, --- ADDRESS : - 2 ADDRESS : _ ./0 )N T R A C T O R : --- -- ------ :ST: Air ❑, Wafer ❑ , Visual ❑ , Laboratory ❑ :SULT: Approved ❑ Disapproved ❑ Pending (ETCH: INSPECTOR DATE fE : Attach supplemental feet data heret:01 i 1 City► of Tigard INSPECTION REQUEST far INSPECTION TIME' --01— PERMIT NO. : ---. DATE ISSUED :____._L OWNERS NAME : — ADDRESS' TUSO C O N T R A C T O R : TEST : Air U , Water[] , visual�_aboratory p RESULT : Apnroved Pisan roved G Pending [] SKETCH: INSPECTOR DATE [NOTE : Attach supplemental teat data hercta7 • - ,r/7U � J fab •� G//y D?V,,llr )� CITY OF TIGARD MECHANICAL ??,RMIT DATE^_ )._V___ PERMIT NO. 7�,`�3 M RECEIPT NO. (Q 19� BY 1. permit shall be obtained prior to commencement of installati.oii. 2. Perm; t .shall be obtained for al.l appliances which are to becou e a fixture to tr.c building. 3. Relocation, replacements, alterations, or changes to burners ea:d duct work require permits. 4. All work to be concealed must be inspected before cover up. r New Installation Replace Relocatioii Addition' Alteration-11 OWNER`_ � ----- COTvTR. - � (7 * WORK ADDRESS ADDRESS _-_ L)I 'n- _ APPLICANT � ? ' �^ TELEPHONE NO. �Cr MANUFACTURER � - Qh��C'1 . TELEPHONE NO.. �L Rlvh.,u , _...1� HEAT Input ra:Ling (Btu Pyr Hu or �' (�0Vent Sizes __ 5Flue Size _...� FUEL GIL GAS IYJ ELECT I� 0`-CI[ER _ �� - ---- -- TOTAL SQ. FT. Top Floor ��- Main Floor _, O,� Basement- _ - ��" GENERAL TM ITEM ` . NO. FEE ITEM NO. FE For Issu_a'nce of Permit _ ��'� .00_ Boilers Over 50 I4p______..,_ 7 New - Under 100 OGO Btu 4`00 T_ Air�Handling 1.0,x)00 CFM_ '—"V -' Air Nandlj_n Over 10 x`00 CFM t1w - Over 100,_000 Liu _M_� �_�_. ---v.-- -�00 Fva orative Cooler P10or Furnace _ _._ p_._- ----ve ler IVall - Floor -Sus ended .00 Vent nsta 1 Vents Vent_Sem _ - _ �+�.00 Nood Re air - Heat_&_C_o011ng -_V.-bb _ --------------- 370 __ere Nd6�• 3 Hp —4 .00 rbomest c Incinerator U_ 7, 50 C'�mm. Incinerator-� Boilers 3 to 15 I4L - - -Ot er Nof_Listed"_^ Boilers 13 t0 30 Hp _ 1.0.0_0 _ _ _ Bo 114SPECTOR I S COMMENTS APPROVED BY DATE - _ ISSUED BY _ -�- _ - _ DATE _--_ - _1 LSI 44 _ Signature of Applicant Jo6 CITY OF `1'IGARD MECHANICAL PERMIT DATE �fy__ I- RMIT NO. 7 -8"`� 'J _ _ RECEIPT NO. - 13Y �� _— J/LILfL'. }� — __ FEE Permit shall be obtained prior to commencement of installation. Permit shall be obtained for all appliances which are to become a fixture to the building. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. A]_1 work to be concealed must be inspected before cover up. New. Installation �X� ReplaceFl � Relocation ❑ Addition ❑ Alteration CJ COWLR. OWNER AI)D„ESS / S ?fir!---- 7 WORK ADDRESS /�1/(� ��/C/• - „r �� l�� t APPLICANT TELEPHONE NO. FURNACE - KANUFACTUIIER TELEPHONE N0. _ / Flue Size -�--- NEAT Input r a.ting ((Btu Per Hour) Vent Size Ll --- FUEL OIL [] GAS M ELECT 11 OTHER TOTAL SQ. FT. Top Floor ---`—_ Main Floor /,?_4.3 Basement GENERAL ITEM r NO. _ FEE ITEM NO. FEE For Issuance -0 f Permit _ _X x.00 Boilers Over _0 H� New - Under 100 000 Btu � 4.o0 Air Handli_n_g 10,000 CFM New - Over 100,000 Btu ,�`©p� _Aix' Hanc�lin�Over 10,UUO CFM Floor Furnace_ r 00 _ E�orative Cooler _ .0 Fall Floor - S_uspen ed ~� �nst—a TT Venfs_ �:0 ��Vent ystem _-- -- - _3�.0 Re 'air - Heat & Coolin 4.OQ _Hood _ --- _ _ --g ---- - - --_-------- ---- �- 33oilers Under 3 Hp __ 400 Dame�sYfc Inciner,to_r� r�. I3oj lers to 15_ 7.50 Cornm.�Inc nera�or T �U 0 NRM rs 1�5 to 30 Hp r 10.00 -OtFie�T�o L�3 Bailers 30 to 50 Ho T�_ -� •U� _____ _ Y__ 1:14SPECTOR I S COMMENTS _— _ ____ -.-- -----•--- -- ------------_ APPROVED BY DATE — ISSUED BY _ DATE Signature of Applicant E Job 464- G/iL CITY OF TIGARD MECHANICAL PERMIT • ' IIT7IT N0. RECEIPT NO. PE DATE FEE ation 1. Permit ommencement of s" shall be obtained prior toappliances' which are ttolbecome 2, Permit shall be obtained for a• fixture to the building. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. Installation �.� Replace �- Relocation � Addition [:] Alteration CONTR. New Iiz� OWNER r - WORK ADDRESS ZLiJ ADDRESS . - APPLICANT `; TELEPHONE NO. -r :'i, : - FURNACE - MANUFACTURER /=� - I i -v (_. .___._.� TELEPHONE NO.. Flue Size -'--- Vent t Sjze ------- HEAT Input rating (Btu Per. I� ur) -" - ELECT UU Q OTHER f�� ----- ---- - -.-..' --- FUEL OIL �� GAS _- - Main Floor ^/ 0:3Basement 'TOTAL SQ. FT. Top Floor _��_ . �.-----_____---.----------_-- .-'-"" GENERAL ITEM---EM-_______-..-- __ - -- --' � �NO. FEE ITEM NO. FEE t 00 _Ao_ilers Over 50 HD-- For lssuance_of Permit- ._ .__ -4.00 _ - Aj-r-Handling l_-0.000 CFM eW - Uinder_100,000 Btu _ -- -`pi.r Handling Over 10 000 Ck'M thew -Uv_er ].00,000�Btu __- _ Fva orative Cooler 'C k'loor I''ur•riacs _ - �00 V.00OU Vcntn FA 1'all - H'loor -- Sus ended _ - -- _._ C XU - Vcnt,S c3 elm-� _ 4.oo �No o d _ - ---- ------ Re -air - Haat_& Coolies - 4,00 —Domestic Incinerator _ Ijoi lers Uunder 3 Hp_____ - —7 50 C_ornm.MInr, nera�er ' �_ , r0 C Boilers 3 to 15_H�_ _� __. _� 10 000tlier_No��isted� Boilers l�to 3� Ham__.. Deilers 5�0-� 0 IIPECTOR I S COMMENTS _ _ DATE ,�_2'-'' ISSUED BY � _� PATE7- APPROVED BY -1-`�- ISignature of Applicant CITY OF TIGARD MECHANICAL PERMIT �3 I:)ATE� /l� � PERMIT NO. 7s ,t6 -rrl RECEIPT NO. 7 13Y / `. '/1 t�� ���r _ FEE 1. Permit shall be obtained prior to c-oinmencement of installation: 2. Permit shall be obtained for all appliances which are to become a fixture to the buildi-rig. 3. Relocation, replacements, alterations, or changes to burners and duct work require permits. 4. All work to be concealed must be inspected before cover up. New Installation LLt1 Replace [J Relocation ❑ Addition Alteration ❑ OWNER Jr - -_--- ADDRESS , ,_ �_—_� WORK ADDRESS b�.� ;,su a.w APPLICANT !/ l J TELEPHONE NO. J 6.�_._. FURNACE - D).AINUFACTURER . i s ji(A ._. TELEPHONE NO.. HEAT Input .rating (Btu Per. Hour) - ,Ln") Vent Size _� Flue Size _ FUEL OIL GAS� ELECT OTHER TOTAL SQ. FT. Top Floor ''`-' Main Floor /_��� Aasement -�'�-- --~--V ITEM _ NO. FEE ITEM NO. FEE For Issuance of Permit 3.00 Boilers Over 50 HJR _ 2_5 New --Under 100,000 Btu_ _ _ +.00 Air"Hand].ing 1.0,000 CFM 3.,i2 New Over 10051000 �}3tu 0 Air H3ndlin� Over 10-000 Ck'M _, r„ Floor Furnace 00 TEvorative Cooler •0 Floor -_Suspen ed � 4.00 Vent Fine _ 1 Install Vents :UQ _ _-Ven1;,S ahem _ 0 Co00 R epair - Heat & Cooling o ;oilers Under 3 Np__ _ 4.00 Domes H6 Incfnerator _ _ 0 Boilers 3 to 15 H _Y 7.50 Comma Tnc neratorl_U 0 1ioilers ]5 to 30 10.00 Ot-her No ,3s ed Boilers 3-0 -1-6 50 Np�._ x 5.00 INSPECTOR'S COMMENTS - APPROVED BY _T _ DATE _ S�i ��/ ISSUED BY DATE Signature of Applicant JNG/a CITY OF 'PICARD MECHANICAL PERMIT I)A'PE �- PERMIT N0. �51 �? .�__-, RECEIPT N0. 13 Y _ /�/P -- f • —__ �__ �� 1. Permit shall be obtained prior to commencement of installation. 2. permit shall be obtained for all appliances which are to become a' fix-Lure to the building. 3. Relocation, replacements, alterations, or changes 'Lo burners and duct work require permits. 4. A1.1 work to be concealed must be inrrspected before cover up. New Installat on FX/ Replace ��- Re'location 1_] Additi.on �� Alteration U CONTR r�t/-'!1 i -,��3 r-- -___-.______ OWNER__ . _f.11.-- / WORK ADDRESS ADDRESS APPLICANT TELEPHONE NO. ,.?UYJ- _.-- FURNACE - D1ANUFACTURER -- }�.Zv_-L 1 1_.__ TELEPHONE NO. � --- _ 13r'AT Input rating (Btu Per` ,Hour Vent Size Flue Size FUEL OIL [A CAS dELECT U OTHER �� -- -------- - -- - -- TOTAL SQ. FT.. 'Pop Floor ----" Main Floor �� Cd _ Basement - GENERAL - r - ITEM NO. FE) ITEM NO. FEE For Issuance of Permit 3.00 Boilers Over 50 11�w- Under 7.00 000 B1:u ~ Air_Handlirig 10000 C1�'M _ ..3�.1 --�------� Air Handling Ove�rT]�Q�000 CFM _- 1 Ilea —Over 100.000 Btu � _ - .- - - Floor Furnace _ -�00 19a11 - Floor✓- Sus ended x+.00 �� Vent Fan M_ .____ --- -_3 TiistaT1 V_-6 OII-" ~Vent�SrteT,t _ lRepair - Feat_&^ Coolin - 4.J0 nom,F— C Incinerator Boilers under .5Boilers 3 to 15.E 7.50 Comm.-Inc3nera�oi� _ -_ rU-• Boilers 15to 30 Ham_ 10.00-_� '—Other Not Listrd�___ Bo i 1 e r s - 5- •--00- INSPECTOR' S COMMENTS APPROVED BY _ --- DATE ISSUED BY DATE „,�_•`� Signature of Applicant qW W W , m City of Tigard I INSPECTION REQUEST I for INSPECTION TIME'. 11r' - PERMIT NO. :- DATE: O. :_DATE: DATE ISSUED :—.,/-�— f OVMhcRS NAME * z r— - I- �� -S2'✓r1 jY�E _ i,fl-� A D D R E S CONTRACTOR : TEST ' Air 0, Wator[l , visual � , Laboratory [] I i RESULT: Approved Disapproved ❑ Pending p SKETCH: I I I I I I I INSPECTOR DATE [NOTE: Attach supplemental lest data neret] I 1 t City of Tigard INSPECTION REQUEST for I INSPECTION TIME: ,� ` > PERMIT NO. :.— DATE: O. :._DATE: DATE ISSUED :___L-_L___ I OWNERS NAME : ADDRESS: AL1�/ C 0 N T R A C T 0 R : —..1� �-= ------ --- ---- _— TEST ', Air ❑, Woter Q , Visual.C$, Laboratory 0 I RESULT Approved Disapproved U Pmndinq p SKETCH. I I I I INSPECTOR DATE I WOTE * Attach supplemental test data bereto I W W w w w w w �f City of Tigard INSPECTION REQUEST for 10PECTION TIM PERMIT NO. : DATE: DATE ISSUED :_L_,L__ OWNERS NAME :�-�-- — ADDRESS: -,='Z- CONTRACTOR : ='TCONTRACTOR : 7-' D, TEST : Air 0, Water p,, Visual , Laboratory 3 RESULT: Approved, Disapproved 0 Pending p SKETCH: INSPECTOR DATE rNOTE : Attach supplemental tett data heretai w mm xw f I I City of Tigard INSPECTION CT N REQUEST for INSPECTION TIME: ..10<' 2 c' PERMIT'NO. :-- DATE: O ._.__DATE: -5— 1 c DATE ISSUED : % OWNERS NAME : — <_ . ADDRESS: C-r C 0 N T R A C T C R : _ T - � C _.. _...-------- ----- TEST '. Air ❑, Woter❑ t Visual Laboratory ❑ RESULT: Approved Disapproved O , Pending ❑ S 1:ETCH: I I I I I /Ile, _ I INSPECTOR DATE COTE: Attach supplemental test data beret I ( w w w w w w w City of Tigard INSPECTION REQUEST C / for INSPECTION TIM % -20 PERMIT NO. :--- DATE: ' DATE ISSUED :—.LL_ OWNERS NAME : 7- ' --- ADDRESS: .Z—epLZ1 ;7 1Ee lCONTRACTOR : .. Z TEST * Air ❑, Water 9, Visual, Laboratory ❑ RESULT' Approved Disapproved ❑ , Pending ❑ SKETCH: I I I I !NSPECTOR DATE LOTE: Attach supplemental test dva bereta� I U PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. 7V-.I�_P Permit fee _ tv �(��.. �2U Water Closets_ Perm,.t Issued � hath Tubs _ Approved by Lavatorr_JKash Basin �i• - Building Permit _ Shower - _ Receipt No. Irloff Sin s.Dishwashi�___ — _ _ Sinks F_ Kitchen _ e Sinks Ordinary___-�- Location of Building _Sinks Bar_---- - -- -Sinks, Sloes _Autc mm_atic_DisTwas-Her _ Laundry Trays dame & Address of Owner Drains, Floor - -Ura;ns, Area -- — �_ ✓ :,; .3j.� Sr /l �., ___ Drains Refrigerator _--_ __—____��_ T,•f� _�_�__.-_ Rain Drains _ Automatic Washer - Name & Arldress of Plumber _ F ounta-n_ � T-I iki_�- -- Z. r ------ --- Fountain•_, Soda _ ✓ 1 _ __ Hot Water Tani, _ Water Service�Size�_�_ — Urinals� — Building Old or New)' (Alter, Re air or ----_ Catch-Basins-=-Tari—� TnE:51_I Lawn Sprinkler_ System_ Swimming Pool------ Other --- Spr i n k i e r `y s t e m_------- ----- ------- -_-_. ---- --— _-___This permit becomes null and void if work or construction authorized is not commenced within FO days, or if construction or work is suspended or abandoned for a period of 120 days at any time after work is c, mmencede 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 tyI 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 si ate or local law regulating construction or the performance of construction, f 1 Signature of Applicant PLUMBING PENT APPLICATION Jurisdiction of -- _ .—.---- Permit No• �'J'� du4cQ���c� Fee t1n••p of Fixture Permit fee _ = Permit Issued _ Water ClosetsToilets Approved by — permits—_.-- _- Bath Tubs _ Bu.ilding _ Lava.to Wash-Basin _ Receipt No. Shower _-_._._ - ---- " in si Dishwashing-_- --�- uilding .��• Sinks KitcYien_.__--.. Locatign of _.___---- �Ordinary ___ � . � ,� � »• --- --- i_nTs�Bar___ nk� Slo ---- S_ s._ _--- e r - - Automatic I ssEa — of. Qwn Disposal __-__-- Name & Address _ owner -' - -• --Laundry^Trays.-------- — _�-.:-=-�---=-%c" _�==--=.-------_ Drains -F10or _ -Dra 1. s. Area ---- -- era tor ----' �/ Drains Re .ri -� - Rain Drains -_ Name & Address of Plumber Washer Automatic — ounzainss'�rinkin Soda Fountains,. �' -Not Water l' Size 3'J 103d or New,Alter�Rer or Water Serv_lce - Ruildin Urinals ins --- ac sz-L.-aG ins_- ar L wn Sprinkle stem _-____---------- Swimming_P—ool _ _ 3 rinkler Stem w or aban i�r�ec and void if work or const kc isosusnendedZor a no This permit becomes null a commenced. commenced within 60 days, Or if coworkwork isr s at arty OQQ be .for a period of 170 day of T=-gard and port a $19 the City firms must be licensed by application and know the' All plumbing this that I have read and examined this app governing I hereby certify All provisions of laws and ordinances ghe granting o eci� ed herein or not, provisions to be true and correct, with whether sP erfUrmance of of work will be comp ive authority to violate or cancel the p permit does not presume to g regulating construction or the p of any other state or local law construction. ,� iu4c ��y Signature of Applicant IBM PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit fee —26, ���� i� �����'�c_ ' Water Closets (Toilets Permit Issued o Bath 'Pubs _ _ -' Approved by = _Lavat.o_rY (Wash_ Basin_ _ _ :Building Permit Shower Receipt No. /�•�—_ Sinks. Dishwashing _ Sinks,_ Kitchen --_-_-- Sinks, O----- y_�� Location of Building � Sinks. Ba.r----------- -- Sinks, Slop_ ----- Automatic D.i.siwasherD .-.�,, i -sp sal ---- -- - j - - ---- Laund_ry Trans— Name & Address of Owner Drains. Floor _ _ Drains , Area -Drain's Refrigerator Rain Drain_ s Automatic Washer Name & Address of Plumber ountains. r3n_in _Fountains Soda_ _ _ `- Hot Water Tank Water Service Ur_Lnals — _ Build.in JOld or New) (Alter, Repair or Catch-Basins - Tar7 Lswn-Sprinklf"r System _-_ ------ __--�� _---- — Swimming Pool i_ _—__ Other _Sprinkler 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 commenced. All. plumbing firms must be licensed by the City of Tigard and post a $1,000 bund. I hereby certify that I have mad 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. -�"� Signatulre of Applicant - PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit feetea? Water Closets (Toilets)- �� Permit Issued -i Bath Tubs _ Approved by LavatoryWash Basi _ n �y Building Perm t Shower - Receipt No. Sin s, Dlshwashing�_ K — -Sinks Kitchen Sinks Ordinary - _ Location of Building X e f _Sink.s S_lur . ' •1 Automatic DishwashAr -T -Disposal ' -- --- ----_-- _Laundry Trayg__ _ Name & Address of Owner Drains, Floor - -U:,ains.Area Drains, Refrigerator —_— n - 4 iRain Drains _ � / Automatic Washer :� Name & Address of Plumber f;, �untains-;IIrinTt�_n -- � . , ,.,-n.��.� .. ., �-- •, Fountains -Soda _ Hot Water Tank - _ _ ,�^ , _77 Water ServiceSize i%� Urinals _ _ Building �01.d or New), (Alter. Repair or Dsta _ Catc�Fi-Basins -faro- _ ��_ ll _ Lawn_Sprinkler System Swimming Pool —`�_-- _- Other ------------- ___-_.__r �_� Sprinkler System__ This permit becomes null and void if work or constriction authorized is not commenced within 60 days, or if construction or work is suspended or abandoned for a period of 12.0 days at any time after work is commenced. All plumbing firms must be licensed by the City of Tigard and post a $1,000 bond. 1 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 typ 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. IL It Signature of Applicant WWI qR W- s 1 W W iw s U PLUMBING PERMIT APPLICATION Jurisdiction of No. Type of Fixture Fee Permit No. Permit fee ,�`�t�. c�ci Water Closets (Toilets) Permit Issued r'5-- Bath Tubs _ /�� Approved by __ R-FLavatory (Wash Basin_ _ / �. Building Perm Shower _ Receipt No. 'inkss,Dishwashin _Sinks,. Kitchen _ _Sinks Ordinary__ Location of Building 64 Al •� , . /i, �r `�'E _ Sinks, 312p -- _Automatic DisTiwas7ier_ _Disposal 7 Laundry TraysName & Address of Owner - - DrainsL Floor-__—_-- Drains Area _ r �L� i// —� Drains. Refrigerator —__— ��_' Rairi Drains Automatic Washer -"< <- Name & Address of Plumber ountaj.ns grin in g I L Fountains,_ Soda Hot Water 'rank - Water Service Sizes Urinals Building Old or New Alter,Repair, or -- ratc -Basins -Mara-~— Lawn Sprinkler SVstem Y Swimming Pool _ SErinkler 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 commenced. All plumbing firms must be licensed by the City of Tigard and post a 81,000 bone I hereby certify that I have read and t.&dmined this application and know the San to be true and correct. All provisions of laws and ordinances governing this ty of work will be complied with whether specified herein or not, the granting of e 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. ' L4.tirI'1ij Signature of Applicant i City of Tigard i INSPECTION REQUEST for SPECTION TIME. PERMIT N0. DATE: i DAT` ISSUED :__I—L— VNERS NAME :. ADDRESS: s U ' )NTRACTOR : EST * Air O, Water❑ , Visual D , 1_aborotory Ll DisOpproved 11 , Pending ❑ ESULT; Approved � , _ KETCH SPECTOR DATE _.. ...__. _.... .�... �i � test data bereto wwLwJl"wmwwxw f• ■r t I I I City of Tigord INSPECTION REQUEST for NSPECTION TIME: ,4 Sr4 P PERMIT T N0. .DATE : _ VI -2?� DATE ISSUED :r1 -L DINNERS NAME : ADDRESS: 16 — e / ,ONTRACTOR : _____ TEST . Air n- Water[) , Visual Ip , Laboratory I] RESULT. Approved Disapproved n- , Pending p 4 KETCH: I I I SPECTOR DATE NOTE Attach suppiemantal test data hereto, 1 ter � � � � � � I■I R I City of Tigard INSPECTION REQUEST for INSPECTION TIME . .��_ PERMIT NO.. :-_-_ DATE: -;� / , / Zy DATE ISSUED :_/__L_ OWNERS NAM — A D O R E S S. TEST : Air U , Woter[] , Visual, I_ohoratory (] RESULT: Apnroved , Disapproved C] Pending E] SKETCH: INSPECTOR DATE LNUtE : Attach supplemental test data hereto] EXH13AT "All CITY OF TIGARO Rooidontial Structure Gccupcny Root:iction KNOW ALL MEN BY Th',SE PRESENTS, that occupancy of rocidontial otructure (s) on the following deacribod landa prior to the roccrdinS of an occupancy permit reloading the roct:i"tion :n the Dood Rocordo of Washington County, Oregon, is prohibitud by the ordinance o' the City of Tigard, Oregon: (Th,a City will ia0ue a •rolocao as 000n oo a fiaal inopoction dotarainaa that tha conatruct:on 19 ostinfactorily conploted) DESCRIPTION OF W%RTY: IQJ NAME OF OWNER: 103RESS ;'F 01.1NER: N, \��. -[\= 4-"�-a .+ t. IN WI ,:CSS WHEREOF, the undersigned hos cauaod this restriction to be executed this day of OWNER: APPROVEOs ��..� ;i'.ia 9 y t /Guild-mg Jr` ficial City o' Ti4ard STATE Or ONEGON County o ' Wonhinr,ton °D' January 27 19 74 Pers anally appeared before ;au tr,a cbcvu narjad A•,�rPrvwe and ncknou:odgcd tho fo.ugoing instrument to be his voluntary crt and dead. Nota,:,/ Pudic for k1ro,on �Ty C-4;aicalon Expires: 1/16175 EXH1311 "A" CI'Y of TIZARO Rooicont:al Structuro Occupcny Routriction KNOW ALL M.[N 37 THOSE PRESENTS, that occupancy of rouidont:al structure (o) on tho following deucribod lands prior to the roco:c:nc Of on occupancy pornit roleesing the roctriction. in tho ;;r,ed Rocorci Of Washington County, Dragon, io P:ohiLitod by the ordinance of the City of Tincrd, Orogon: (Tho City will locus a :ola.:os co soon no s Plazl inspection dotormincs that the construction io ootisfactori:y conplotod) OESCRIPTICN OF' PROPERTY: s v..."I AWN a%L\.\ - �a\.'t ♦ ,"\ \�a4.C.�..ar i1'a v� w 4•\�. . ��-,\:'a.a--• ��.v•�.��\r C..i a-~ti•�V 5\ AOC3ESS V P^GP',ATY: "Ll 71-C CF oLlN,R; -r ADDRESS GE GL)NER: S IN WI1NESS WHEREOF, the undersigned hoo causod this restriction ;o bo executed thisCay of —�� -•�`� OWNER: L,r / NGI^c 4 PPROVEO: -77 ! � 7itlo `3 1 sing Ut'fir_ia. City of Tigard STATE or GRECIN County of Wazhi•Igton so. January 29 19 74 Porsonally appccrod bofora no tha cbcva nanod , Rey P r ewn -------- and ucknoulodgod the forogoing instrument to be ",' voluntary art and dead. Yat .y Public fcr ur•ryon MY Commiooion Expiros: 1/16/75 £XHIOIT "A" CITY OF TICARD Rosidor,tiul Structuro Occupany Rcatriction KNOW tLL i-iEN 13Y TH,'SE PRESENTS, that occupancy of rooidontial otru,:Lure (a) on tho following deacribor, lands prior to the racordlnc; of an occupancy pormit roloaoing tho roatrictior. in tho Dead Focorc'o of Washington County, Orogen, is prohia.tod by the ordinance of the City of Tigcrd, Orogon: (Tho City will ioouo a rolocoo no soon as a %00:1 inapoction dotorninoo that the construction ie catiarocturily completed) DESCRIPTION OF PRCPCRTY: D,D�zES$ OF Pn0PCRTY: NA,,E CF CL!N R: 'T_ \r>> > Q, ADDRESS OF OLINER: a IN WITNESS WHEREOF, the undersigned hoo caucod this restriction to be oxecu;ad this Cay o 19��� OWNER: Varc APPROVED: Title r By g ut`icJai u..d n City of Tigarc' STATE or ORF„JN County of 'Washington so' January 19 19 74 Poroonelly oppocrod borore mo tho cbova norod ' -Rey 8rovn one acknoulydgor, tho forocoing instrument to on hl� voluntary oct and doou. Notary Puol:.c for Orogon ���6i1S ry Co"iocion Expiros: w EXXI3IT "A" CITY OF TIC.' 10 Rooidontiol structure Occupcny Rcutriction KNOW ALL MEN BY THESE PRESENTS, that occupancy of recidontiul structure (o) on '—ha following daucribod lancr prior to the rcco.c:n,, of an occupancy pornit roieaoing tho roctriction. in tho Dona Roco,~.cu of Waohington County, Orogon, is prohibitod by the ordinance of the City of Tigard, Dragon: (Tho City will iosua a :olonao a3 noon on o final inopoction doterainea that the construction in satisfactorily complotod) GESCRIPTION OF PROPERTY: Rl,t..V ftii t..` �'�,f1'.w\.. �f1'T Ci '1 �rCr v\�v � V�' �4•1,J\\ AODI SS D' P;IP.ftTY; N'i.E OF OWNLR: ADDRESS CF OWNER: IN WITNESS WHEREOF, the undersigned hoo couood this restriction to be axecut .d thisday of _ .�•,�� _, 19�y. OWNER: ^;aro APPROVED: -It"e ey,`- 7�� /ulldir,g :Jff c a City of Tigard STA;E OF GRr-GON on. Jsnuar'yE9 74 County of Washington _, 19 _ Personally oppoarod bofore no tho cbovo norod Roy BroMn — and ocknowlodgod tho foregoing instrument to be hip voluntary act and cood. Notary Public for 6rogor��16l7! Cy Commioaion Expires: EXHIA31T "A" CITY OF TIGARO Rooidcntial Structuro Occupony Rostriction KNGW ALL MEN 3Y THESE PRESENTS, that occupancy of roaidont:r: otrueture (a) on the following cuucribad lands prior to the rsco:c:n, of an occupcney parrait roleaoing tho rontriction. in tho Dood Raco.cu of Washington County, Orogon, is prohibitad oy the ordinance of the City of Tigord, Orogon: (Tho City will lcauo a raluaaa as coon co o %aol inapoction dotorainos that the construction :u ontiafoctorily conploted) DESCRIPiiON Or PROPERTY: y r —a..� .•.'fie.\ G e rt•'.,��'•� ADORES$ OF MOPFRTY: NA,.EOi OWNER: 2� C AOORESS OF Dii?;ER: IN WITNESS WHEREOF, the undersigned has caused this � restriction to bo oxscuted this . , Cay of OWNER: Nam.0 APPROVED: iitlo iui ding Uff c o City of Tigard STA;E OF ORESCN County of Wnahington ca' January t9 lg _ 14 Po:oonally appocred bofore r•.a tha cbuvo naw,.d Rey Brown and acknowladgod tho forodcing instrument to be his voluntary act and dead. Nota :y Pualic for Orogon ll16/7� Fly Cowaloaion Expires: � �A 135W EXHIOIT "A" CITY OF TICARD Residential Structuro Occupcny Restriction KNOW ALL MEN BY THESE PRESENT'S, that occupancy of recidont.a: otructure (s) on the following descri�,od lnndo prior to the racorainc, of an occupancy pornit releasing tno rastriction. in the Deed Records of Washington County, Orogon, is prohibitod by the ordinance of the City of Tigard, Dragon: (Tho City will looua a rol0000 no soon as a flncl inopoction determines that the conotruction Is satisfactorily completed) DESCRIPTION OF PROPERTY: ra "- , t�?� -\ e�[ \\y S ��G_G r c!!.b \w Q!s V l:.�Iti. �-� �.a•-., 1.�� [-\.r,"� ` J 1 •, 1 A00ESS OF PROPERTY: \or cL Q_ N1nE OF OW'4ER ADDRESS CF OL1,:ER: IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed this ��� day of OWNER; 1 p 7/ Namo APPROVED: / Ti'Llo By: . 8Ui.I ding U`P cls City of Tigard STATE OF OPECON County of Wt.chingto i e0' ,Tan nary 2'4 19 74 Personally eppoorad before ns the above named Roy Brown and acknowledged the foregoing instrument to be his voluntary act and dead. NotaryPuol.' c for urogun Cy CommiaziOn Expires: 1/16/74 ,Mx........!-J.I._. 19 "Its TNe Dim,**of 14.ordc b [IMlerc e h._.........._ _..... . 7j Uor IL35W hit tA- 135'713 EXHIOIT "A" CITY OF TIGARD Raoidontial Structuro Occupuny i,outriction KNOW ALL MIN BY THESE PRESENTS, that occupancy of rjaidontial otructur.e (n) on tho following deacribod lands prior to the reccrdinc, Of an occupancy permit releasing tho roctriction in tho Dead Rocordn of Washington County, Orogen, io prohibitod by tte ordinance of the City of Tigcrd, Oregon; (Tho City will ioauo a ralocao an soon as a fincl inapoction doterminoo that the construction is satisfactorily conploted) DESCRIPTION OF PROPERTY: 'A`1. R f:.c.c�� c�a c1. �.•. ®b!�`•� �.a'�, P.��4 fir,,Q\o.'C TS ` t\ `�n 1.`-., n"��h�'� Q--G 1 c.,�v , U ADDIFSS OF PROP;"iTY; 4A�E 0r OWNER• t_,�_-\.�,� ADDRESS GF OWNER; IN WITNESS WHEREOF, the undersigned has caused this restriction to be executed thisday of OWNER: I1AfAa APPROVED; Titre ' By: IF4 ?. ' ul ding Utticlol City of Tigard STATE GF OREVIN County of Waahington 3 aa' Fanuary 19 -4 Personally oppocred bofore no the abovo noriod _ ^� P"V Itr("Atj and ocknow!sdgod tho forogoing instrument to be 115 voluntary act and deed. ! � y •!C n ti Notary Public for Oregon My COMMioaion Expires; 1 16 5 41 ,7V N"rG[II TN(1Mf3Cf/, Mr��rrr dd,,�•...ed.A [7«,ran. Mcrrl� 56; L216 � 13578 1110* � y f dt o O A � a EXHI31T "A" CITY OF TIGARD Residential Structur:, Occupcny Routrictlon KNOW ALL MEN BY TH[SE PREStN rS, that occupancy of reaidsntial atructurs (a) on the following described lands prior to the recording, Of an occupancy porrait rulorioing the roctriction. in the Dead Rocordo of Washington County, Orogao, to prohibitud by the ordinance of the City of Tigard, Orogon: (The City will loaue a rolooao as Hoon as a fincl inopoction determines that the construction is satisfactorily conplotod) DESCRIPTICN OF PROPERTY: !�- RLts a-�i1 �� wA��•.�.��w� �tav ti��\ 1 � r �'��c.r A001E55 Of PPOPERTY: � L �"��. � _r� . \a `, • �ti. r N'Ar'E OF OWNER: ADDRESS OF OL?':ER: .••-�_c r .�`_ ��`'� s IN WITNESS WHEREOF, the undersigned hao caused this restriction to bo executed this T' day of OWNER0.: soma APPROVED: "� l Tits � 6y: r ul d:ng UFfir_la City of Tigard STATE OF OREGON County of Wsahington °a' JanuaryL • , 19 _.-14. Personally appoared before me the above nomad ltny Brown and acknowledged the foregoing instrument to be 1114 voluntary act and dead, Notary Pubic for Orago-n�" ny COtJ:niouion Expires: (/16/75 ROCCO MOKIAEN.ehrw 1— n4 Po 111.18 % u.,.r,,,,,, l�.._... _ - U]Au enaK X61 r �cZ17 1357.9 E n� 1:35SO EXHIDIT "A" CITY OF TIGARD Rocidontial Structuro Occupcny Restriction KNOW ALL MEN OY THESE PRESENTS, that occupancy of recidontial structure (a) on ilio following deacribod lands prior to the rocordinr, of an occupancy permit releasing the rsstriction. in the Dood Rocorda of Washington County, Oregon, is prohibited by the ordinance of the City of Tigard, Oregon: (The City will Inoue a release as soon no o final inopection determinoo that the construction is satisfactorily complotod) DESCRIPTION OF PROPERTY: AOORE55 nF PROPZRTY; NAME OF OWN'R: —C„o�a:�_� ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hon causod this restriction to bo executed this 1�:�._ day of i��A , 19wr OWNER: RIO APPROVED; —r� -�Title By 1 Building Uffic o City of Tigard STATE OF OREGON County of Washington 0°' Januarys , 19 7•I Personally oppocrod before me the above named R,;y 11ro•x•n and acknowledged the foregoing instrument to be his voluntary act and dood. Notary Puglia forDregon C;y Coumlaoion Expirost 1/16/75 u ti t 1335ap 0 w ra 't "XHI3IT "A" CITY OF TIGARD Residential Structura Occupcny Rostriction KNOW ALL MCN BY THOSE PRESENTS, that occupancy of residential structure (a) on the following described lands prior to the recording, of an occupancy pormit releasing the roctriction. in the Deed Records of Washington County, Orogon, is prohibitod by the ordinance of the City of Tigard, Orogen: (Tho City will iosua a ralocas no loan as a final inopection dotsrminoo that the construction ie satisfactorily conploted) DESCRIPTION OF PROPERTY: ADDRESS OF Pn,OP:77Y; ��_, ��c s�i _ ..`\�\ L-. NAME OF OW N;N: ADDRESS OF OWNER: IN WITNESS WHEREOF, the undersigned hoo caused this restriction to bo oxecuted this day of OWNER: Nebo APPROVED: eee Title B y t - /Bui ding Ufficial City of Tigard STATE OF OREGON County of Washington on. January Lir 19 74 Personally sppocred before me the above nomad Ray Rrown and ncknowled�,od tho foregoing instrument to be 1114 voluntary act and dead. 00 ms` 'Public I ota.ys u Public far Oregon fey Commiozion Expires: 1/16/75 tJ a►.,. ., 1 yb ,^ Cf�v n• 961 .�,: 119 1;,581 cn a err► � �'� CITY OF TIGARD 124N R. W, MAIn Woo TIGARD, OR100M WM AP, ICATION FOR BUILDING PFRMrT New Construction 19 Demolish ❑ Addition ❑ Remodel ❑ Move ❑ ZONINGj1:�L__i_ DATE ISSUED_ y BUILDING PERMIT BUILDING FEE $,;01- 00 DATE RECEIVED ., NO BY PLAN CHECK $ /3 tea -- OTHER '�•S $ .7 v o Ah/e:,u+vi oi,VALUATIO14 $ C -- Tew, S na e/o ararr [IECF•.IPT No. TWO SETS OF PLANS AND PLOT PLANS MUST BE FURNISHED WITH APPLICATION LOT a tl¢ Tgry I 1 j-y MAP / CENSUS TRACT r JOB 0 Architect or Engineer �Al(M��IA� J� f�AVTF - Address (� '�'-, J�IA.). ��.� • VIAjMtR, Al f'Z_ Phone(, Owner TUAL,Afi1 e4 LVLT-4.4424170457 Lia. Address — Phone-- Bui lder:tuALAy IA Address _ A-_ _ Phone----.---- BUILDING hone___ _BUILDING USE Sinqle Res. ❑ Multi Res. Comm. ❑ Industrial❑ OCCUPANCY GROUP ti- No. of Stories I Total Height �� 1-1- Area of Lot Type of Construction I 11 III IV OV Floor Area H+ s� i 14ty!* 2 Lot— Set Backs: Front �C� I Back V C.� I L.Side ?A R.Side `j ' _ Private Sewer Pipe Size---_ Sewer �_ Septic Tank ❑ water Service Pipe Size_, Storm Sewer ❑ Ditch ❑ DryweII❑ Street and Curb Requirements Driveway Width No. of Parking SEPARATE PERMITS REQUIRED FOR SEWER AND PLUMBING SPECIAL INFORMATION ADDRESS ASSIGNED FIELD CHECK BY_ PERMIT APPROVED BY _ 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. siynnturr• o� AppT{cant _ — __._ ■ Department Of Ci0IU111]erC9—PLANE REVIEW,Section NOTICE OF PLANS RR"- ROO 37a, 'TATs OrrlcO BUILDING. PORTIAN9_97201 4THI2 10 NOT A■UILO1N0 PURNIT) �'�eti4-` 16�►1� 1�i.�__z�]ntsL�M ��.l VAC_--=11�5.�I�lo. __��� I Building 1QASc-. euu.olNa /� �� "ods° �♦ OrjpQ Plan fee L� �— Const.—_..k1�..1`� Sound Value county oun Occupant Sb-- �` tY /^ Arrhltect New Bldg.ffi Addition ❑ Alteration [J Date Received Owner _ — I— Address _�~__��' - C� -----— Date Reviewed ,�•Z — Stories Area —twC1Q�/_ Attic1 Fire Wotls V!.1L`�lY_Fire Escapes MYT •AIN PLO •A•aMFNT OP• TOT MIOTM Stein —�iL_/--`=— Vert. Shafts __SZJ J '— Sprinklers __Yft_/ /—.-----_. Man. Alarm S.P. - cL0•rD CL o•l0 NO VMS AecA cOVFMFO INT. •Ila all EFt. �L► aZ_� 1. Det. __Lj&A R�,}% — rloor _— -_. Ceiling —_— Roof ________ Sir. Members cLA• No RoTVPa APRA coon Wall CO, ` flua���J,^""�-T a Ht S tem �`"�p`�— Fuel J tr, rm. end. — Typa YP g• Sy. tern submitted plans have been reviewed for conformity wilh fire protection statutes and regulations of Or+gon admin- istered by this office. Items No. l9-11>>-�?-�.----------- — —" checked on the enclosed list are applicable. These items and any specially noted provisions must be incorporated into the project to meet current fire protection regulations. Approval of submitted plans is not on approval of omissions or oversights by this office or of noncompliance with pn apelicable regulations of local government. REMARKS:(Z7V_V_ _(L - �J— 1C1grr,�/'C��!?l__.-_Y ��!! _._�] �v►s�• �B �_v���e+1,S �"�.l_�i.�,L..�C__���--�—l0.-�p$L�_Qs__'�s�__ 1� ��.._��_ c��,��•c.�s�- NP ♦h c C\J_r7�• v NO�v' l _�.�0 V__Gy�a4�^.y�`_sl1 V LS,►A�rt_. — 1 _ � I —_-- �Tg *�N• �--�-��"�^=�r.�-�- �g,_���•�_4 r�__��_.���_lig�t Examined by� ✓� ��!y`^=' PRS-2 Copies to: _l�ut'�td S'�n •�.• _�"�'� c' � 1 STATE ON OREGON DEPARTMENT OF COMMERCE Plans Review NumberZ'� PLANS REVILW SECTION CHECK-MARKED REGULATIONS, IN ADDITION TO ANY REQUIREMENTS APPEARING ON THE ATTACHED REVIEW NOTICE, MUST BE INCORPORATED INTO THIS PROJECT. Approval of submitted plans does not constitute approval of any omissions or oversights nor of noncompliance with any applicable regulations of local government that may exceed State requirements. 1. Structure required to be (D Type I) (❑ Type II) throughout due to (❑ areal (❑ height). 2. One-hour fire resistance rating required for all interior construction. 3. All living units required to be completely separated by one-hour fire resistive construction. 4. Exit corridors require separation from any other area by one-hour fire resistive construction. JAN l '-j Hyl'c 5 Fire resistance of doors of interior openings to corridors required to equal 12/4" solid core doors. T"ll", f1" IPIfARO ridors require wired glass set in fixed (steel) framing. 6. Storage rooms, closets, laboratories, shops and areas of similar hazard require separation from other areas by at least one-hour fire resistive construction. Furnace And boiler rooms require one-hour fire resistive construction. 7. All vertical openings such as stairways, trash chutes, etc., require full enclosure of (❑ 1-hour) (❑ 2-hnur) fire resistance. Access ways to such shafts require self-closing And lntchir.g Class B fire door Assemblies Q-1 1-hour rated) (❑ 1�*-hour rated). R. Attu areas require draft harriers as per See. 3205, not exceeding each 3.000 square feet. (9,000 square feet where sprinkler protection provided.) 9. Voids created by ceiling-floor systems require draft barriers not exceeding each 1.000 square feet. 10. lutlding projections such As balconies, eaves, o-,,erhnngc, etc., require fire protection equal to interior ceilings with ' All openings protected As required for ceilings to prevent. passage of fir into building voids and attics. l I. ire stops, hlockinv or framing members pierced for utility runs require packing to equal fire resistance prior to Such piercing. Wood frame construction requires firestopping of both vertical and horizontal draft openings At max- imum intervals of 10 feet. 12. Corridors require At least 6 feet in cleat width. Drinking fountains or other equipment may not operate In a man- ner which would obstruct the minimum 6-font width. 13. Corridors serving p+tient hedrooms require At least R feet in width. 14. Corridors require smoke harrier partitions with doors At 150-foot intervals. 15. Exit doors from lobbies, corridors and rooms with potential occupancies of 50 or more Are required to swing In the direction of exit travel. 16. Exit doors from lobbies, corridors and Assembly arras require panic hardware. 17. Hardware for all doors is required to be of simple type having no provisions for locking against egress, with obvious method of operation. 18. At least 44" (inches) in clear width, without projections, is required for exits and patient room doors thin+ th which patients mint be transported hi wheelchairs, stretchers or beds. 19. Sleeping rooms require at least one window readily opennble from inside without special tools and providing A clear opening of not less than 720 square inches with the least dimension not less than 92 inches. Maximum per- mitted height to bottom of opening from floor is 48 Inches. (Ref: Sec 1304) 20. Surfnce flnme spread ratts of walls and ceilings, minimum requirement: stairway-25, enrridnrs-75, other rooms ---225. (Sec 4203) 21. Combustible Acoustical material required to he secured with staples or equivalent metallic holders or n heat resist- ant adhesive capable of withstanding 1000" F. for one-half hour. FRS-4 t 22. All curtains, drapes and similar furnishings are required to be noncombustible or rendered and maintained flame- proof. 23. Rows of seats between aisles may not exceed 14. Rows of seats opening onto aisles at one end only may not exceed 7 seats. (See cont'nental spacing, Sec. 3313-33141 24. Seat row spacing, back to back, required to be at least 33 inches, or 27 inches plus thickness of seat back and in clination of back. 25. Posting of capacity (if assembly areas as noted is required by ORS 479.195. 28.✓Heating, cooking, air conditioning and similar service equipment are required to be approved and lister by a na- tionally recognized testing agency, such as U.L., Inc., and to he installed in compliance with agency's specification+s and recognized safe practices. The installation of ventilation systems Is required to be in substantial conformity with the 1970 U.B.C., Volume If. Corridors are not acceptable for use as supply or return air plenums. 27. A dust collection system is required for shop areas for nonportable machines emitting or producing dusts. (Ref: Sec. 1008) Dust collection equipment to be located outside of building or in one-hour separates' room equipped with automatic sprinklers. 28. ressure relief valves are required for all water heaters, Installed either in separate water tank port or in port nor not water line. Shutoff valves may not be located between a water tank and relief valve. 29. A firefighting water supply is required within 500 feet of building that is capable of producing 500 gpm (mini- mum) for 10 minutes for each 5,000 square feet of floor area within building up to a maximum of 500 gpm for 30 minutes or from 5,000 to 15,000 gallons of stored or static water. (Ret: ORS 479.200) 30. Interior wet standpipes at least 2 Inches in diameter located and equipped as per Sec. 3804 are required. Couplings and connections required to be American National Standard Thread. Where standpipes are served by sprinkler piping, a 1-Inch reducing orifice is required at the hose valve connection 31. Ap iroved automatic sprinkler protection throughout occupancy Is required. Piping to be flushed of debris, with certification of flushing submitted to this office. 32. Approved automatic sprinklers are required over and under stage and in all auxiliary areas, including dressing rooms, storerooms and workshops. (Sec. 3802) Sprinkler feed piping required to be flushed of debris, with certifi- cation of flushing submitted to this office. 33. Stage roof ventilators displacing at least. 5% of ;cage floor area, openable by hand from stage floor and by fusible link or other heat activated devic^, are required. (Sec. 3901-08) �. An approved fire alarm system with signals audible '.hroughout building and manual a)arm sending stations adja- cent to exits from each floor or area are required, 35. An unproved electrically supervised combustion detection of the Ionization type is required for all patient rooms. 30. All exit doors and access ways thereto are required to be identified by approved electrically illuminated signs served by two circuits with one separate from all other circuits. (Sec. 3312) 37. At, emergency power system is required for the ( ) gymnasium ( ) auditorium ( ) building to maintain exit illumination for not less than one-half hour in event of public utility failure. 38. Fluorescent light fixtures Installed on combustible surfaces are required to be U.L., Inc_., approved for such mount- ing, or installed to provide at least 1-inch air space between the fixture housing and combustible material. NOTE: Local regulations or insurance standards for most favorable insurance credit may, and often do, exceed these minimum State requirements. Pormit chai-ge lunar Connection fee Paid by Y p-,-, 0 F 03tE connact?d ��ervic-e r:?L =., IrqpL-CL-. intrect�7 ,- P:al-� b\j UaLz � ze or C�31- -1,Ct ion s 6 s e: pAid ADORE 55-,Ie /� ) �.t PERMIT NO. PERMIT CHARGE none OWNER _- -'-, ,��? } �A Qc CONNECTION FEE _ PAID BY _ TYPE OF BUILDINGS DATE CONNECTED SERVICE RATE % / INSPECTION FEE CONTRACTOR PAID BY DATE _ SIZE OF CONNECTION ASSESSMENT PAID h