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9445 SW BRENTWOOD PLACE G cn 1 Ln r 1 ■ ■ r� 9445 PLACE A d d r es Permit No. Permit charge Ouner Connection fen c Paid 1-.,y Type of huildir,r) DHtu Colilloctr'd 9 u t v i c o r,-..i t u Inspection fee Contractor Paid by Da t,,� lAze of connection Ass@ssmant P'l i d City of Tigard INSPECTION REQUEST for INSPECTION TIME : P' PERMIT NO.: .- DATE: O.: _DATE: 6 /1�! DATE ISSUED: _L_ OWNERS NAME : I ADDRESS : CONTRACTOR : C _ ITEST: Air O, Water p , Visual O , '_aboratory p RESULT. Approved Disapproved U Pending p IKE CN: a S T Lo 7"s S 3 s s 3 �� , 1 ie7 Y q s.w. �3��JrwA►'[ I I INS .TOR DATE INOTE : Attach !supplemental feet d ato hereto I BUILDING PERMIT APPLICATION Co F 11GARD DATE 8 6-1-7719 ° THE UNDERSIGNED HEREBY APPLIES FOR APE RM!T FOR THE WORK HEREIN INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF!CATIONS. OWNERPHONE LOT NO. OWNER * JOB ADDRESS -' 41i 9W filMtWood i'I40ME ADDRESS ARCHITECT ENGINEER BUILDER ADDRESS DESIGNER STRUCTURE ;©NEJN ❑HEMODEL� ❑ADDITION ❑--IIREPAIR []RENEWAL - ❑FIRE DAMAGE ❑DEMOLITION ❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS LJPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE ❑BOND ❑MOVING 000NDI'r10NAL USE []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY � I} LAND USE ZONE— BLDG.TYPE FIRE ZONE_ PLAN CHECK BY-_._ HEAT attachatJ f>"nme 0wt:lliny u 6tt80'fb0 94COgO 2 budruum usth Q". LOAD —---FA-QQR.LOAD NO. ORIS � —ARE I 'At -Ng,BE12H94M5_---VAl.UE----Z------=`-- BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 127*00 — - -- —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 W.TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Srlh 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 LICENSE, SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 141.11 v z c. .:_:,Ac�pmen i s he l r'o4m �?300,00 BY --- -- ---- A�.^.ANT OR AGENT ., Approved Receipt No ` `--- ia�i`ef515€s DATE INSP TrPE INSPECTION R,MARKS PLUMBING � DATE 10, rU 1 Contractor Permit No. �, "A .��7 r Rough-in Le —_ Le nth Fixture 10—•� Final _ HEATING Contractor Permit No.Ir Gas or Oil Rough en Final _ -- �_ _ SEWER6 —7/-P — Final DRIVEWAY Final Storm Dra�nar (Rain Drain) Final Sidewalk _ Curb dr Street Final BLDG DEPT FINAL TEMPORARv A roach CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY ` Final Landscaping Zoning Final r�,^y SEWER PERMIT _ u N" 12181 of Unified Sewerage Agency of Washington County CITY OF - Tigard DATE _ 6-1-77 OWNER : T.D.C . — PHONE : 639-3101 OWNER ' S ADDRESS: _ TYPE OF INSTALLATION: N BUILDING SEWER U BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: []NEW SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) MULT . RES. INDUSTRIAL FIXTURE UNITS DWELLING 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 AND TWEN"(Y ( 120 ) DAYS . THE AMOUNT PAID WILL BE FORFEITED SHOULD EXI"IRATION OCCUR. FEES: PERMIT FEE E 25. CONNECTION CHARGE SIDE SEWER INSTALLATION ISSUED Y OTHER TOTAL S 600. , �-. -- PL- I CANT DAA TE SEv'JER PERMIT CNV 12181 ADDRESS OF STRUCTURE 91445 5W br ntwoo d_. Pl. TAX MAP !_ TAX LOT_ SYSTEM Fanno Creek LOT 535 BLOCK OF ^- APPROVED BY �� _ DATE � ISSUED BY DATE REMARKS__ Bldg. 1, 1476