15970 SW BRENTWOOD COURT « ,
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CITY OF , IGARD
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T.D.C. ............Permit No.......1.Q82........
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Building Address.....1§97O....SW Qre_n.twao�. C.t.,.. ......l..at..X5.05.. ..........
�; `-• �`�, Certificate is hereby given this....3Q........day of..D.ac.am.biar..........., 19...7.7.
that said building may be occupied and
that it complies with all requirements of
the Builcing Code for the City of Tigard, +'
as approved by the Tigard City Council. ;.
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rI�I Building Inspector
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AODRE35 /� _lir _L PERMIT NO. .._/z,k_
PERMIT CHARGE nrinn
f1UNE_R _._...r__.. ...__ Cf1NNECTIDN f u c
PAID BY
TYPE OF OUILOING �,;�� , _ DATE CONNECTED
Sf RVICE RATE INSPECTION FEE: 5-
CO
CO N f R ii('T U R ......_.�....._.._ PAID BY DATE
SIZE OF CONNECTION � ASSESSMENT PAID
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City of Tigard
INSPECTION REQUEST
for I
INSPECTION TIME: PERMIT NO. :_� I
DAVE: Z //11:h DATE ISSUED '. 1. O
OWNERS NAME : -—Z. f-l'
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ADDRESS:
CONTRACTOR :
TEST : Air [], Woier❑ , Visual 0 , Laboratory [] I
RESULT: Approved 3 Disapproved C fending p
SKETCH.
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INS CTOR DATE i
LOTF : Attach supplemental telt data beret] f
d
WILDING PERMIT APPLICATION coF °iC ARDS DATE ::-�- ��.-, 19 t02
4\ THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ?Sim 3.10
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER __. s 7 JOBAODRESSIJ'97Q Sw brO1"QQIj � tdOMEADMESS -�
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE UAW 0 REMODEL ❑ADDITION ❑REPAIR- � ORENEWAL_ ❑FIRE DAMAGE ❑DEMOL'TION
0 061DENCE []COMM DEDUCATIONAL DGOV'T DRELIGIOUSCPATIO ❑CAR PORT ❑GARAGE 0 STORAGE[]SLAB ❑FENCE
DBOND DMOVING []CONDITIONAL USE DDESIGN REVIEW []COUNCIL APPROVED []SIGNS
OCCUPANCY, 11_LAND USE ZONE_. BLDG TYPE '! FIRE ZONE PLAN CHECK BY___` t,� HEAT
:ILI-i -5Lli11ia as 11111_ .fit sUWM&rClmald
_ 1 t c;had frame dwallinu W/attached 4arap® 2 bedrnnm
HEIGHT ____ NO.$LQRld 1 AREAVALUE 2�:#773•
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permi� 127,00
THIS PERMIT 1r ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7r1NING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T141S PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CI fY BUSINESS
State Tax LICENSE. (SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total idt.l.11 system 10Luclop'llo11t; ;.hcj.-,'.de 00"Ou
By K
-- ---- APP CANT OH.. GENT I
App,ovecl 13 1,! Receipt No r/
l
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. is
Rou h 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
Approach _
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SEWER PERMIT' ,
�
N . 1218
0010 jr�
nfiedSewerageAgency CITY OF TYdS�4 Tigard DATE _ 6-1-'77
of Washington County -- - —
OWNER : r g _ PHONE : 639-3101
OWNER ' S ADDRESS: --
TYPE
DDRESS: -TYPE OF INSTALLATION:
U BUJLDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
ANEW SINGLE FAMILY COMMERCIAL
❑EXIST . (PRIOR TO 7- 1 -70 ) ❑ MULT . RES. [:] INDUSTRIAL
FIXTURE UNITS DWELLING UNITS ----L
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES lig ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILl
BE FORFEITED SHOULD EXPIRATION OCC=UR .
FEES:
PERMIT Fr.E $ 25•
CONNECTION CHARGE 575•
SIDE SEWER INSTALLATION — _--
ISSUED BY
OTHER —___
TOTAL $ 600.__--
APPLICANT ATE
i
SEWER PERS i"r NV 12188
ADDRESS OF STRUCTURE 15970 SW ErentWond Ct.
TAX MAP TAX LOT --- SYSTEM fanno creek
LOT 505 ___ BLOCK -- OF
^� APPROVED BY CATE Y ISSUED BY DATE
REMARKS bldn. ,- 492