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15955 SW BRENTWOOD COURT
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.• Owner: Permit No.__- ------_-_-__- _
15955 SW Brentwood Ct. Lot #512
4 Building Address_
Certificate is hereby given this _ 16 _ day ofa�_ch__
►y tha , said building tanay be occupied and that.
it complies with all requirements of the
lei. I ,
'1
Building Code for the City of Tigard, as 1.4
approved by the Tigard City Council. p
Building Inspector \\
6.
►'o r m+t No.
()twnpr . __.._v 5. ..�.:_.._.. . f7onnnct3.on fr!t'
Paid by ----- _ __
Tt -pt- of biA l d ng � �' �« r Date ronn,,juted
;Ilrvic:n -rat'-? Inspection fee
nCtIir flair:) by sato
inti of conliect.Lon ..�_ .__.».. Jtyk�P�?alllb�lt Pa
�ry BUILDINC rERMIT APPLICATION FY TIC�AD DATE -7-77 19_- 1497
THE UNUERSIGNEU HEREBY APPLES FOR APEyMIT FoF, THE WORK HEREIN INDICATED BUILDERPHONE�
OR AS SHOWN AND APPROVED IN TIF QCC(JMfANr':NG PLANS AAD SPECIFICATIONS OWNERPHONE_
7 LOT NO.
OWNER 1 *D*C• _- JOB ADDRESS 1505b SU OrentwOod 1 46ME ADDRESS
ARCHITECT'
BUILDER seineENGINEER
ADDRESS DESIGNER
STRUCTURE XQgHEW ❑REI0100EL_ _❑ADDITION ❑REPAIR _❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
[a,9I861DENCE 0•1OMM ❑EDUCATIONAL- ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑LJESIGN REVIEW ❑COUNCIL APPROVED DSIGNS
O_CCUPANCV fl LAND USE ZONE- BLDG.TYPE 5N_FIRE ZONE-.� PLAN CHECK BY etw HEAT-----
L0. #512 Montclair re—iesus some as 1().,.75 SU Groanleef Tar. --
attac:had frame sellinu w/attachad gerago ,7-badropm 2 beth
Q�G.l4AQ-- 9QR_LOAQ - -HEIStHI --- NO.-LTORIFE_1_-_L> lEA 12"-N-Q-_@EDROOPASi VALUE !L,:.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit IT 121.00 — --+ _- — -
---- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan CheckREGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY ACRE--D THAT THE
'—���--- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-tot8l ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DJES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TC HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 134*93 5yetum Devlalopmont Charge 100.00
13y
---- -- APP ANT OR AGE!'? ---
Approved �9f Recent No
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DATE INS►. TYPE INSPECTION REMARKS PLUMBING, DATE
Contractor p �y
Permit No. Y �C b y—
v. I&.rt.6h
_— .,Rough-in
Futture
SIC Finol
HEATING
Contractor
Permit No`
Gas or Oil
Rough in ~
Final _
SEWER -
--- Final _
DRIVEWAY
--- Final
Storm Drainage
(Rail Drain) Final
Sidewalk
Curb&Street Final
— Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE n�CUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
G Zoning Final
HR PERMIT NY 12195
>>
Unified Sewerage Agency ,
of Washington County CITY OF Tigard DATE ____ �''7'��!
OWNER : T.D• � PHONE s 63q-mm
OWNER ' S ADDRESS+
TYPE OF INSTALLATIONS
❑BUILDING SEWER ❑BUILDING SEWER AND SIDE_ SEWER
TYPE OF OCCUPANCYe
❑NEW ® SINGLE FAMILY L_J COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT. RES. INDUSTRIAL_
FIXTURE UNITS DWELLING UNI'iS .._L _
PERMIT CONDITIONS! THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER 1.0 THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
3E FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25_
CONNECTION CHARGE 575,
SIDE SEWER INSTALLATION �f
ISSUED ffY
OTHER
TOTAL $ Ann_
', PPLICANT DATE
SEWER PERMIT N? 12195
ADDRESS OF STRUCTURE 15955 SW Brentwood Ct.
TAX MAP TAX LOT --.—. SYSTEM fanno creek
LOT _ 51 BLOCK �0=
APPROVED BY DATE ISSUE LY BY DATE
REMARKS_ bldg. =1497