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CITY OF TIGARDOREGON
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y ' Owner: T.D.C. Permit No.
Buildin Address 15955 SW Brentwoud Ct. Lot 511 )
Certificate is hereby given this —1-6—.-- day of h?rch1978
that said building may be occupied and that 1
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it compl►-!s with all requirements of the
• Building (;ode for she City of Tigard, as
( . approved by the Tigard City Council.
13uiiding Inspector
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A rl d r.ea s 7 �._.._.�.�`_...,Z(�'_�.�2�eat..�.�� F'F'r m i t No. / -2� ...._._
P o r to i t c h a r g H
Owner _ _ __-- ronnectiun i'vr:. �' S
Typv of building L" Dnte ronnnctrd
9orvico ratF3 � _ ._. inspection fl7n
Cu n t r.a c t u r ___._.. _.. _._ W;:t i d I j y ._... .___..__._...�_. Dat .__...._.
:-,iza of connnr.ti.nit
/v// 6 7
.......... .
BUILDING PERMIT APPLICAT!ON SOF a IGARD DATF_
THE UNDERSIGNED HEREBY APPLIES FOR AP,:RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERDHONE—
LOT NO. _
OWNER JOB ADDRESS w 17 S� aYHft>MWOCiC� ZINE ADDRi_SS
i1— _
ARCHITECT
ENGINEER
BUILDER _ ADDRESS _DESIGNER
STRUCTURE REI-❑NEW ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL (:]FIRE DAMAGE ❑DEMOLITION
SIDENCE JCOMM ❑EDUCATIONAL ❑GOV')- ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNC.L APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE L_7_BLDG,TYPE �N _FIRE ZONE. PLAN CHECK BY "t HEAT,__
Leat ":511 Montclair re-issue somas Greenleaf Tarr.
a�Lz�h�d rr>sllma de.�m111_iref��ls �fi.ech�:•d �,1t1�8J1�� 2 b�adrnum 2 beth
4U__LSLAV_ _--_.F_I.,_?S f LOAD -- HEIGHT - NO.STORIES —! AREA 2QQ N_Q_BEDROOM$-b .._ VAL U i •2Q+ i
BUILDING DEPARI"MENT" SET BACKS FRONT REAR LEFT SIDE .;;'^NT SIDE
Permit 121000
— --� -- — —_-----
-- - THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check man REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES AND IT IS HEREBY AGREED THAT TF!r
�"-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPI.CIFICATIONS AND IN CL;MPLIANC# NITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANC` OF THIS PE9MIT DOES NOT NAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSINESS
State Tax 3193 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total --- — 1 'rVA11 ?J+� yetem Development. Charge $300000
By _
------ - — ---- APPL ,(,`ANT OR AGENT --
Approved Rec-Ipt No.
-
P1 1r?"F
r.cwVuYl�:.:�ud�+i.Baa..a.�Yli�mu+.+.ww�uAw.�►..d.....w....,,. ..... ......:.W:wY.k..:... ..+. .... ,cl:iki:i�w4rill6s�Yl;Nnr..;.r1YV►iw..,u.... --;;b.'Wr�.arc.
UATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
Contractor _
Permit No. t ) ILL
' e" — Rough in
)— r;• 1 i S� A A d .(ety,I Fixture
_^"j i „1� --UI< _' ---- Final
2_12 .?� i 2 HEATING
Contractor _
Permit No. Ole
Gas or Oil
--
Rough in ----- —
�. F i n a ---- -- -------
SEWER
_— Final — --- --- -
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
- ---_�— -
Sidewalk—_—____
Curb&Street Final
_
Approach
BLDG DEPT FINAL IEMPORA'1Y CERTIFICATE OCCUPANCY F
inal
J
CERTIFICATE OCCUPANCY
ning F anal
4%�
SEWER PERMIT
N" 12196
Unified Sewerage Agency
of Washington County C I T Y OF— 7_ cerci— —V— DATE —�,-�$— 6�7-77
OWNER: —. T.D.0 __.�_ PHONE : 639-31Q1
OWNER ' S ADDRFSS: ---
TYPE OF INSTALLATION:
BUILDING SEWER ❑BUIt. DING SFWER AND SIDE_ SEWER
TYPE OF OCCUFANCY:
1-NEW ❑ SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1--70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1 —.
PERMIT CONDITIONS: THE APPLICANT AGR _ES TO COMPLY WITH ALL RULES
AND REGULATIONS OF 1HE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEF_ $ 25_
CUNWICTION CHARGE_ 575
SIDE SEWER INSTALLATION
ISSUED �3"f
OTHER ------_--.--
TOTAL
( PPLICANT DATE
SEWER PERMIT NV 12196
ADDRESS OF STRUCTUREI �gfi°1!Pi;�nt.tjunrj r -. —
TAX MAP_...— T^ TAX LLAT SYSTEMfanno creek _
LOT ^511 BLOCK 0F_
APPROVED eY DATE. ISSU BY DATE
bldo. '1496
REMARKS — —