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15995 SW BRENTWOOD COURT
1 N L(1 �D �O Ul U) F= 4"i H f0 7 C+ E O O Q C-7 I 15995 SP] BRENTWOOD COURT v AW J --�, F p, OF OCCU . CCITY OF TIGARD OREGON J f ' Owner. , �,}, C , G -- Permit No. w l 3 +orf BuildingAddresc F=yTwvop ' Certificate is hereby given this -2-2 =day ofR c. 14 _ lg ' { ' h ,r that s.,id building may be occupied and that �•�, f ' it complies with all reo- `rements of the 1i�''y r Building Code for the Cit} of 'Tigard, as ' approved by the Tigard City Council. �k • , Building Inspector ------ '" L - I i pil ...--._:bra.._....-j.t 101 -4 Y F T9J'er `�,,, Ay 5 +i •4. ;rr� ,0. 1 w, W T- yr-_ P .0 `�,. l'�1 k�•i�/ ` tie 1 � i 1 �' moi/ / \� '"'"4�„ '.w' '�;.,�y.""� y• ADDRESS > >%5 nERMIT Nt). C' PERMIT CHARGE nuns � f OWNERCONNE CT I0N FE"E__ .l PAID BY 1*"IF- Of PUII.DING DATE CONNECTFID 5F IIVICE RATE /5 INSPE:CfION FI.F CONTRACTOR Pnin l3Y DATE SIZE OF CONrJE"Cr (ON _ ASSESSMENT PAID /d/i �1110 BUILDING PERMIT APPLICATION 11 Y TIG ARIDDATE -7_77 T, THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE__ r �t�1 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NO. _ OWNER a JC B A(�DRESS1K3gSIJ hjW gr�O = HOME ADDRESS ARCHITECT BUILDER ADDRESS ENGINEER RESIGNER STRUCTURE „ANEW ❑REMODEL ❑ADDITION ❑REPAIR_ ❑RENEWAL ❑FIRREDAMAGE [--]DEMOLITION RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE `„USTORAGF❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL. USE ❑DESIGi. ITEVIEW ❑COUNCIL APPROVED�s ❑SIGNS OCCUPANCY—±L_LAND USE ZONE -BLDG. TYPE--9t FIRE;_'ONE PLAN CHECK BY—l”" HEAT Lot 'Joe ;aa�1S 11 1 l u3 issue tisWu as 10111 5W 5ummurf1ald fir. `- --attached fre-e u/aht>?ached garage 2 bedroom C bath nSSe._.LQ9j2_____.____ 1._'.99L_IQAQ _ _IGHT ___—_L�L4.STORIFS�---- AR�A +{� �j �f;QS4S2M ___YAl.� _. r ( fJ• BUILI)ING DEPARTMENT SET BAG�KS FRONT REAR LEFT SICE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIIrG CODE, ZONING Plan Check _ lf�,(?O REGULA(IONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Subtotal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE -- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax _ 1+.1.1 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUNKING AND HEATING. Total 141.11 E3;.6p( i_ +.•VL-1.;, an�. By APPWCANT OR AGENT - ----- —'—' Approved — Receipt No. D +'S pH _ DATE INSP. -YPE INSPECTION REMARKS PLUMBING DATE Contractor -- -77 Permit No. iff .'.UJM t, mz4,-^A Fixture -- 2 a. — 01< Final i - HEATING py, Z0 VEo t Contractor J T"—'T, .� -- Permit No. �� C���� 9 Z Q - I -K' �.C� 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 W? 12199 Unified Sewerage Agency of Washington County CITY OF— Ti ,a rd DATE 6-7-77 OWNER: _ T.D.C. PHONE :, 639-3101 OWNER ' S ADDRESS: TYPE OF INSTALLATION: [X]BUILDING SEWER []BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY, X❑NEW © SINGLE FAMILY ❑ COMMERCIAL 1__.JEXIST . (PRIOR TO 7- 1--70 ) ❑ MULT. RES. ❑ INDUSTRIAL FIXTURE UNITS DWE'.LING UNITS 1 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 IN ONE-HUNDRED ANS TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES: PERMIT FEE E 25. CONNECTION CHARGE 575. SIDE SEWER INSTALLATION f -Z C! 'Z-f4!✓,�c�— ISSUED 8Y OTHER TOTAL $ 600 _ APP ICANT DATE SEWER PERMIT N`.' 12199 1095 SW ir,.intwood Ct, ADDRESS OF STRUCTURE —__� TAX MAP TAX LOT SYSTEM fanno creek LOT 508 _ BLOCK OF �-f.S��:S Com'-- ;J�►j APPROVED BY DATE ISSUED BY DATE REMARKS bldg. ' 1443