9400 SW BRENTWOOD PLACE-1 ■ MWI MWee AL
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_94( SW BRENTVMD PLACE
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OF 0C
A1C <�
CITY OF TIGARD
ORIMON
(• � �'F� � 127.9.
.Permit Nn..........
9400,..$.W. B.rAntWood. P.1.,...... l,o.t.. 497 ...
Building Address.....................
.
3
i en this...24.........day of...Aut�.u .t.......... 19.77
Certificate is hereby g '' .
that said building may be occupied and
_+ that it complies with all requirements of D 1
the Building Cuue for the City of 'Tigard,
as approved by the Tigard City Council.
,r ..........
guildtng Inspector
�\ ( c F` ♦:♦ ) i i�� d,y� � `/ f � `1 i..� `i iiia �) LN.
ADDRESS^ rul PERMIT
PERMIT CHARGE non'.
OWNER �� Wil . c CONNECTION FEE
PAID BY t e
TYPE OF BUILDING DATE CONNECTED --
INSPECTION FEF
SERVICE RATE � � _
PAID BY DATE
CONTRACTOR -
SIZE OF CONNECTION
ASSESSMENT PAID
)BUILDING PERMIT APPLICATION cOF IN
!��,R� DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE. ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHON97
LOT NO.
ONNER a JBADDRESS .'4Ui) AI uritouull � H_bME ADDRESS
ARCHITECT
[I 1n,sa ENGINEER
BUILDER ADDRESS �`— DESIGNER _
STNV_(, URE ❑NEW ❑RFMnDFL _ ❑ADDITION ❑REPAIR — I-,RENEWAL. ❑FIP-�E DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T CREL.IGIOUS❑PATIO ❑CAR PORT ❑GARAGE h STORAGE❑SLAB []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DA';IGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—d--LAND USE ZONE —_—BLDG.TYPE -IRE ZONE PLAN CHECK HEAT___—_—
L a L /,"i : untsir, o—iasus same as 102.s5 SW Greenleaf Terrace
Attachecl frons dwelling w/rattabhed yarAys 2 bedroom 2 berth
191(1
�L�ztl? _�Q SS9�1 __---.- �A _1VS2LBF95SZS2M$_- VALUE _
RUIL[AG DEPARTMENT SET BACKS FRONT 1 REAR j2 LEFT SIDE 96t"" RIGHT SIDE r�
Permit
-' - THIS PERMIT Ii ISSUEL. SUBJECT TO THE REGULATIONS CONTAINED IN THE RUiLDING CODE, ZONING
Plan Check 10.100 REGULATIONS AND ALL APPLICABI-E 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 4.92 t ICENSE. SEPARATE PERMITS RErIUIRF.D FOR SFWE9, PLUMPING AND HEATING
Total 168.92
BY ----
APPWC-ANT OR AGENT -.
Approved E-tzl Receipt No (��)) I �
A'b P NE — -
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
51-w-72 t >_ ,F'�x� Contractor —
Ar C .�. Permit No.
jc -7�
'i'• 0
Rough in —�`
Fixture -- -
'� ' Final _
HEATING —`
Contracior
(3 _—_ Permit No, 112-.3
y`77
Gas or 00
Rough-in
Final
SEWER
Final
DRIVEWAY
_._ Final
I
rm Drainage
ain Drain) Final
ewalk
rb&Street Final
roachBLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCCERTIFICATE OCCUPANCY al
ndscaping
ning Final I
� .2- 7 ���
UNIFIED SEWERAGE AGENCY NO. _. 11632
WASHINGTON COUNTY DATE 2-2-77
CITY O F___Ti.y a r d i
APPLICATION FOR SEWER CONNECTION PERMIT
01NNER: -------- T.D.C . -- - —
OWNER'S ADDRESS: --.---------_ ---- ----
STREET
CITY STATE ZIP
BUILDING SITE: LOT-._491_-_ BLOCK ____________ ADDITION
TAX LOT N0. . ___ __._._.______� TYPE OF OCCUPANCY _ residence
ADDRESS _ 9400 SW Brentwood P1.
DWELLING UNITS_._--1_-- -_—_---_----_-_----- FIXTURE UNITS -----
SURCHARGE IF APPLICABLE ..._.._._---.__ _.___ ___._.- --__ -.--- ---------_--- -------------__
PERMIT FEE 575'— INSPECEION FEE -_25_*-_ TOTAL DEPOSITED __ 600. —
(NEW) (EXISTING) BUILDING SEWER SYSTEM __-.._ Fanno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APP L I CA N T I_-'1"1-�
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE ----- INSTALLER
R E C E I V E U 3Y
(AGENCY o"S AGENT)
COMMENTS: - _Bldg. 1278
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.