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9450 SW BRENTWOOD PLACE p ,�yyy .N 4 i i i '+t 1 0 t 9450 SW BRENTWOOD PLACE �� 1'�:+^1 'fin.. ,q 'rY Y^i/ 1V+.� .y Y'✓ ,v.5. Y+� �rI Y1� r ,•a f M ''^I , .1ii1 .�!t.� Sd'.1 `y$1- 4.'.', "7 i!n,+.y.�•� 'ti' OF A� CC CITY OF TIG ARD �C ° I OREGON Owmer:.........•..?. ... .. ................... ...... ............... ................Permit No... 120:) l' Building Addrf,.:.s..945' SW...Br.ent.wood P1. lot x'496 Cc rtif icate is hereby given this......4........(lay of..O c to t,.e r .., 1177. {�, that said building may be occupied and s that it complies with all requirements of the Building Code for the City of Tigard, I, . f as approved by the Tigal•d City Council. :=r. `fin. •, .� � . ( !yx2-t'-� ...��� ................. , Building Inspector (!► A. . ,.. .�_ Address � =�� ��u+ 2�rsi,���i1 Permit No. Permit charge Owner to . Ci Connection fee Paid by Type of building ,Z-" Date connected Sprvice rate �'��Q Inspection fee 11J,S QU Contractor Paid by Date SlZe of connection Assessment paid 9��1'' A t w wxmwlff—L���� I City of Tigard INSPECTION REQUES� for INSPEC' 'ON TIME : . �_V PERMIT No. : _. ' DATE : DATE. ISSUED:—..<__._L._ OWNERS NAME ' ;..`. -- AD )RESS : TEST: Air 0, Water ci , Visual ❑ , Laboratory p RESULT. Approved U[-,`Diaapproveo O Pending J `! SKETCH' I a s—p c�r—of nm DOTE: Atteah suppiementei test dote he►etg] MW sn •� MI•wwrrovl.lµr.•" ...w.. ..... -.. .-.+r^,.r ..,.MvuwrvMMFµ^w'M"Mr•:1Yunrre"1'"'MIAMyrw�4teww a.«•+4urMrMMWrF+W411os.Vx+iM^IIMYMFr � CITY ��-6—�7 »,�..r,.,.......... ,..,...........� BUILDING PERMIT APPLICATION of TIGARD DATE 19 is THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK LIEREIN INDICATED BUI I.DER PHONE .' IOR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE 9h5n C,;.; Brentwood P.I. LOT NO OWNER JOB ADDRESS HOME ADDRESS ARCHITECT BUILDER ENGINEER _ ADDRESS DESIGNER //-�� STRUCTURE LJNEW ❑REMODELADDITION ©REPAIR _- ORENEWAL ❑FIRE DAMAGE —❑DEMOLITION d RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS DPATIO [ICAR PORI ❑GARAGE_ []STORAGE OSLAB []FENCE CZBOND _ ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW CICOUNCIL APPROVED ❑SIGNS,_ OCCUPANCY—_.__�LAND USE ZONE ! BLDG.TYPE FIRE ZONE_` PLAN CHECK BY TlaI HEAT (jSA 6 a.L1)V k�9-0 as L, oulne as 10235 SW Grliunl.eaf Tbrx. Attached frame dwelling w/attachee garaya 2 bwdruum l tz,jtll OCC•LS23Q-.--_ FLOQB L4flIZ_ _lSffHT __N.41_$_T_4.EM- _AR A-:_ NO..VjMWM$_.__YALUE BUILDING DEPARTMENT �'I �:`. • r h 11 SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 1 114.00 Plan Chreck (���� r THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COr)E, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THF.PLANS AND SPECIFICAIIONS AND IN COMPLIf,NCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES ..)T WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CI)V BUSINESS State Tax N�y� LICENSE. SEPARATF PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 168.92 By ADP 'CANT OR AGFNT _..-.-_-- Approved ::,! Receipt No ADDRESS UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _ Permit No. j... ; Rough-in Fixture >! T� Final — 5 ?t c, d a G .t t ttir HEATING Contractor-- Permit ontractor _Permit No. f %(, t _ ?4 4/;/5-77 S' Gas or Oil _ --- Rouen Final SEWER Final DRIVEWAY 2 1- '77 -- Final Storm Drainage (Rain Drain) Final Sidewalk Curb&Street Final _ A roach BLDG DEPT FINAL TEMPORARY— CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final UNIFIED SEWERAGE AGENCY NO. 1.1640 WASLIINGTON COUNTY DATE 2-8-77 - _- CITY O F.__ Tigar d APPLICATION FOR SEWER CONNECTION PERMIT . OWNER: --------��..-- ---T.D----C . OWNER'S ADDRESS: ----..-------.----- _____—_ _-- STREET CITY STATE ZIP BUILDING SITE: LOT 4.9CBLOCK _______--- ADDITION TAX LOT NO. TYPE OF OCCUPANCY _ ADDRESS .. _ 94.`10 ..Shl BrentWood__P_1. DWELLING UNITS- FIXTURE UNITS _..---__ — SURCHARGE IF APPLICAB LE ._______—_.__.____-__________--__ —_--. 575. 600. PERMIT FEE--- --_.— INSPECTION FEE __`_5.' TOTAL DEPOSITED --- Fanno Creek (NEW) (EXISTING) BUILDING SEWER SYSTEM __-- The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT--1' ,F9 _� J'� `i SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE ---- -_ __. _______ -- INSTALLER (AGENCY OR ITS-GENT) - COMMENTS:. DIdg.. #1285This Application and permit expires in one hundred and twenty (120) days. The amount paid will be forfeited should expiration occur.