9425 SW BRENTWOOD PLACE 1
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Owner:..........T.D.C................................. j y.� �� p )
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Building Address....942s SIJ Brentwood P1. . Lot #s3?
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Cel is hereby given this l?....... riav o.farrh 1q,.78
' that said building may be occupied ,i,id
that it complies with all requirement; of �
the Building Code for the City of Ti.I;•ard,
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as
as approved by the Tigard. City Cwmcil. �. g
{ Buildinn Inspector
Alidraas � �r �
....,4. � �.�L P F x mi t M�,. .._..........�;��... _.�._.�.r..
Permit r,h a r y c3
OuI1nL (' ._ .. ti.... ._�.._._. Connection fot3
ter.... ..._..w.��....�......._�___._..._
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Paid by ..`.. r
Type of buildinrj bate r;onnortod
Spr.vica ratty .�.»._ .__. inepoction ree
Con t•rar,tor I'm id by Da t:
i.z e of connection
CITY OF TIGARD
ORDINANCE #77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : 6-1-77 ESTIMATED SALES PRICE
APPLICANT NAME T.D.C. TELEPHONE
JOS ADDRESS 1425 SW Brentwood Pl. _____ _BLDG. PERMIT
-
AMOUNT OF FEE FOR S. D. C . $300.00
DESCRIPTION OF I11PROVEMENT attachud frame dwelling
EXEMPTI NIS -PER ORDINANCE -L77-26
ir
FEE RATES: _
A. Single family dwelling unit un-"ler6
$60, 000.
B. Single family dwellingunit over -- $300. 00
C. Mobile Home Court Space (f�ewDevel �e00. --------.-_-_._- 5400. 00
P )-
D. Multi-Family Dewllings--per unit------------------- $150. 00
E. Commercial , Industrial & Institutional ( Park. SpaceJ240. 00
F. Single family unit under $40, 000. ) $ 50. 00 each
----------------- $250. 00
.0' BUILDING PERMIT APPLICATION �o Y TIGARD DATE 6-1-77
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE,1139131 GI
ti) OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPH3NF
P LOT NO.
OWNER T•D•C• _JOB ADDRESS "� _ I40ME ADDRESS
ARCHITECT
ENGINEER
BUII:DER ��Ih4b ADDRESS DESIGNER
ST'AUCTURE httF��L6EW ❑REMODEL ❑ADDITION_ ❑REPAIR _ ❑RENEWAL_ 13FIREDAMAGE ❑DEMOLITION
Q RESICENCE LJCOMM_❑EDUCA1IONAL ❑GOV'T ❑RELIGIOUS❑PATIO-rjCAR PORT ❑GARAGE G STORAGE❑SLAB _❑FENCE
❑BOND ❑MOVING OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS _
OCCUPANCY H LAND USE ZONE Fi- 7 BLDG.TYPE .)N FIRE ZONE 3 PLAN CHECK BY *tW HEAT_.,
Lig ;:37 Llinstun re–lesue4 5%:!In as 101i-J 5W Greenloai Terr.
atiea hlJd fram0 11ir"i u/attac:h&d ,acirage 7 bedroom 2 beth -
Q"r_L49QH Until_ IE-_ 2 AREA 179 3 NO.awiom� —VALUE 3'•m yam'0•
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit i Af-A-rin
�-- ---�--�_
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS 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
Sub-total ALL. APPLICABLE CODES AND OROINANCFS. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTFACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Q.fir- LICENSE. SFPARATE PERMITS REIIUIRED FOR SEWER, PLUMBING AND HEATING.
ouelcapment Champ $300.00
Total
By - ,
APPI (CANT ORARENT —�
Approved W Receipt No
4'49 AE F
DATE INSP. TYPE INSPECTION REMARKS
PLUMBING DATE
In _ ?x-11 \� ontractor
'L- 4
Permit No.
Fixture
Final
��_. ✓6iL D'T� HEATING
Contractor
1 4 ` �� PermitNo. �� (,� `�` $'/I-77
_ b
Gas or Oil
Rough in
Final
SEWED
Final _
DRIVEWAY
Final —
Storm Drainage_ A
(Rain Drain) Final
Sidewalk
— _— Curb & Street Final
BLDG DEPT FINAL TEMPORARY _ A roach
CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY
Final
�-. Lan iscaping
Zonn.n Final
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SEWER PERMIT el - 77
u NU 12183
Unified Sewerage Agency
of Washington County CITY OF_ Tigard DATE ._ 6-1-77
OWNER : T.D.C. -_ Y PHONE : 539-3101
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
LJ BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
X❑NEW Q SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING U14ITS _ 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 AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES: `
PERMIT FEE S 25•
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER _
TOTAL
L
APPLICANT DATE
SEWER PERMIT12183
ADDRESS OF STRUCTURE 9425 SW Brentwood P1.
TAX MAP _—_ TAX LOT SYSTEM fanoo creek
LOT _ 537BLOCK OF
APPROVED BY DATE ISSUED BY DATE
REMARKS b da. '1476