9420 SW BRENTWOOD PLACE N
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9420 SW BRENTWOOD PLACE
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CITY OF TIGARD C' :
` 3REGON 's
T.D.C...._
Owner: ........... _ Permit No.... .2?.9.......
Y
T 9420 SW Brentwood P1. Lot.. .49.
�. Building Address............................. ... ... ........ .... ........ # ........... r,
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Certificate is hereby giver, this.....24.......day of...A�4.9!j-s.t. .......... ... lu .7.7
tYat said building may be occupied and y
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v that it complies with all requirements of
the Building; Code ft,r the City of Tigard,
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as approved by the Tigard Citi Cotmeil.
building Inspector `f •�;
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G�tESS ) u _ t< t G PERMIT NO. / / � 33
AD
PERMIT CHARGE none
OWNER c CONNECiION FEE S �5
--
PAID B Y
TYPE OF BUILDING DATE CONNECTED
Sf:RVICE RATE INSPECTION FEE e _,
CCNTRACTOR PAID BY — - DATE _
SIZE OF CONNECTION _� ASSESSMENI PAID __
BUILDING PERMIT APPLICATION 11 Y TIGARD DATE -2-77
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WOHK HEREIN INDICATED BUILDER FFdONP
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE�—
LOT NO.
OWNER ' JOB ADDRESS 9420 Sl: Brunt.000d P1.140ME ADDRESS _—
ARCHITECT
ENGINEER
BUILDERADDRESS DESIGNER _
STRUCTUREt�--77 Ci,I^NEW _❑REMODEL ❑ADDITION DREPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION
QPIESIDENCE ❑COMM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO ❑CARPORT ❑GARAGE ❑STORAGEOSLAB []FENCE
OBOND OMOVING [:]CONDITIONAL LOSE ODESIGN REVIEW OCOUNrIL APPROVED OSIGNS
OCCUPANCY_i _LAND USE ZONE ,___BLDG, TYPE.__ FIRE ZONE;._ PLAN CHECK BY H[AT
Lot ,,493 Montclair pw-jesue, kwrric� oti 1027E :3W Gruenlea," Twrracu
int achad gams+ duelling W/attac iud para a 2 bodroom 2 Guth
OCC LOAD _._FI_QOR LOAD HEIGHT jyQ��TQ$IES l _AREA �Ua NO..@.EDRO M1$_._2.�YALUE 27p947.
BUILDING DEPARTMENT SET BACKS FRONT 1(.7 REAR 46 LEFT SIDE 0 RIGHT SIDE
Permit ,L21,00
TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZnNING
Plan Check 10.UU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IR HEREBY AGREED THAT THE
--- WORK WILL RE DONE IN ACCORDANCE .41TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 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
3.9 RESTRICTIVE
LICENSE. SEPARATE PERMITS REQUIRED FOR SFWER, i LUMBING AND HEATING.
Total 134.5-3
BY _.- -..... APP' 'CANT OR AGF r4l
Approved Receq,t No i I
_
A05191S --.— PHONE
DATE INSP. TYPE INSPECTION REMARKS PLUMBING ~ DATE
.� .�. cc.T Ac i , G, �.,,1 r� -� Contractor
Permit No. 7 /` b " e"77
,
� ) YL L( � Ckken .r — Rough-in
Fixture
21 ,.,cam c . Final
0-3 G rt HEATING
Contractor _
Permit No. ? � Z Z
Gas or Oil
Rough-in
Final
�— SEWER
-- — Final
DRIVEWAY
Final
---- —_. _� Storm Drainage
Main Drain) Final
Sidewalk
--- -• ___ _ Curb&Street Final
— _ AjtEroach
BLDG DEPT f-INAL TEMPORARY V CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
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UNIFIED SEWERAGE AGENCY 1140. 11633_____,- _ -- -
WASI-IINGTON COUNTY DATE 2-2-77 ____---
CITY" OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: T . Q.C .
OWNER'S ADDRESS: - -- - -- -
STREET
_
._----- ZIP
- _ STATE
CITY
BUILDING SITE: LOT 493 _ BLOCK —__.__ — ADDITION
TAX LOT NO. — ----- TYPE OF OCCUPANCY __-_.rPsidanc'-- ---
ADDRESS __.--9420 SW Brentwood
DWELLING USVITS .____ 1___ -_--_-- __--- FIXTURE
SURCHARGE IF
600.
PERMIT FEE 575.�------- INSPECTION FEE _25' TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM ______Fenno Creek_ _ -
The Applicant agrees to comply with all rules Pnd regulations of the Unified Sewerage Agency.
APPLICANT
'E=�`-���.1.`t-r�-
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINEr r 2 E - INSTAL LER .--� ------ __`
- --
RECEIVED B Y — ^�'_- _ _ �-24
(AGENCY OR ITS GENT)
COMMENTS
This Application and permit expires in c re hia lred -•r,6 twenty (120) days.
The amount paid will be forfeit ,,l Chou( ' Pxpiration occur.