9440 SW BRENTWOOD PLACE-1 1
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9440 SW BREN'1'WWD PLACE
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CITY OF TIGARD � 4t
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OREGON
Permit No---4Ul
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Owner:......
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�o.t.. 49.5..... -`+Y
r; 9440 SW Brentwood P1..... .
Building Address...............................
24 ...da of.AW-9Pst................. 19..7.7... ,
Certificate is hereby given this...... ...... y
that said building may be occupied and
that it complies with all requirements o
the Building Code for
the City of Tigard,
the Tigard City Council.
as approved by
•'r•/ ' j / •, ,•�y
�' .F�l✓.......................
Building Inspector I
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ADDRESS_','-z"," PERMIT NO._ //6- 3s -
PERMIT CHARGE none
OWNER _ CONNECTION FEE s�s
1. ; PAID BY
TYPE OF BUILDING DATE CONNECTED -
INSPECTION FEE ' >
SERVICE RATE
CONTRACTOR
PAID BY _ DATE
SIZE OF CONNECTION
ASSESSMENT PAID __
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--7 7
UNIFIED SE=WERAGE AGENCY N0. _..__11635
WASHINGTON COUNTY DATE . 2-2-77 _--
CITY OF --- Tigard - - -- -- -- --
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: --- ----
OWNER'S ADDRESS: -__.------ ------ srREEr
-- - - -- ----. --STATE
CITY
BUILDING SITE: LOT 495 BLOCK -_ -- _ ADDITION -- -
Y
TAX LOT NO. TYPE OF OCCUPANCY — residence _�-
ADDRESS - 9440 SW Brentwood P1.
DWELLING UNITS-- 1 -- -- FIXTURE UNITS ----
SURCHARGE
NITS —SURCHARGE IF APPLICABLE
PERMIT FEE575, - ------ INSPECTION FEE 2-5..---- TOl ^.L DEPOSI'r'D ___bOR. —
(NEW) (EXISTING) BUILDING SEWER SYSTEMThe Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
AP P L I C A N T _
SEVVER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTLM.
LINE SIZE __-_-_----__—�_�"�____ INSTALLER
RECEIVED B'/_c `� - f '
(AGENCY OR 145 (GENT)
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COMMENTS:-- Bldg. 12 81 --------- — _— -- -"
This Application and permit expires in one hundred And twenty (120) days.
The amount paid will be forfeited should expiation occur.
qt
BUILDING PERMIT APPLICATION CIT TICARD DATE-2-2-71
OF
,HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK. HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_
T*U*C, c;440 SU Brentwood P1• LOT NO
OWNER JOB ADDRESS HOME ADDRESS
A RCH I TEC•r
ENGINEER
BUILDER +t_ ADDRESS t-1 DESIGNER
STF UCTURE ONEW— _❑_REMODEL ❑ADDITION LJ REPAIR ❑RENEWAL [:]FIRE DAMAGErr�� []DEMOLITIONCY'ASIDENCE []COMM ❑EDUCATIONAL ❑GOV'T L_,1RELIGIOUSOPATIO ❑CAR PORT ❑GARAGE C3 STORAGE DSLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS
_OCCUPANCY-_--LAND USE ZONE BLDG TYPE FIRE ZONE PLAN CHECK BY____�__ _ HEAT. _
L jt 49 1iWntarey r0—it�;�w� at�in - 111010205 :A,-! irC8C last i r ;j� :
#Atex-head 11rams duelling w/v1'.ta(.,0lad garage 2 bed,., scam 2 baths
OCc.LQA,D FLOOR LOA__ HE' N0 STORIES AHEA NO,BEDROOMS VALUE --------
BUILDING
_BUILDING DEPARTMENT SET BACKS FRONT 14 REAR 0 LEFT SIDE a RIGHT SIDE
Permit ` 'ULJ
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BIII-DING CODE, ZONING
Plan Check b REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
WORK WILI 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 4.11 LICENSE. SEPARATE PERMITS REGUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
/1R '-ANT OR AGENT
Approved receipt No
ADDR
----_.—._. _--------- HON
t,
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/�xa Ccntrect,)
n ` Permit No. -7 7
Rough-in
Fixture
i Final
13 _ 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 Final
CERTIFICATE OCCUPANCY
/ Landscaping
1, Zoning Final
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