9470 SW BRENTWOOD PLACE I-J ,L-1 LJ LJ' Li Li L-1 L-1 �• �- � f� r�► i
9470 •OD PLACE
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_.� 1 Y OF TIGARD
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OREGON
Owner•......T.D. C .
.... Permit No 1787 I l
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�, .. Building Address.....P�i70-..SW Brentwood P1.-..........Lo.t...#498...................
9; • , -
'.r Certificate is hereby given this...l?........day of....Amgu..9 t............ .. 19---77 1
,> that said building may be occupied and !"
that it complies with all requirements of ii
the Building Code for the City of Tigard, 16,
its approved b the Tigard City Council. '
C.�7( .....<+e 7�✓.................
' Building Inspector
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ADDRESS 9 ��)U cnf�� PERMIT N0.
PERMIT CHARGE none
OWNER .0 CONNECTION FEE 5 75
j, PAID BY C .
Li
TYPE OF BUILDING DATE CONNECTED
SERVILE PATE � S/� INSPECTION FEE S.—j-0
CnNTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
SUll_DING PERMIT AP�'LICATION �o Y TIGARD DATE ?—t��»77 19--
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED 114 THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONE
LOT NO.
OWNER T-)E,- - JOB ADDRESS 0 47n !;Ij [3 r jujf,yd(jjlrl Q] HOME ADDRESS
ARCHITECT
ENGINEER
Bull,DER lq ma ADDRE.;S UESIGNI R
STRUCTURE '❑NEW ❑REMODEL ❑ADDITION C3 REPAIR ❑_RENEWrrA��L. [:]FIRE DAMAGE ❑DEMOLITION
►�/'•f�ESIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑ L J
PAPIO CAR PORT- L-IGAITAGE l]STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN FEVIEW ❑COUNC_II. APPROVED ❑SIGNS
r,CCUPANCY__1i_LAND USE ZONE ji 1 BLDG. TYPE��__—FIRE ZONE---d -PLAN CHECK BV 3 li NEAT
49 l ilarr_he>staL ,a-isf uw delve as 102z: 6U GraefUSSU Twicr. altf.ah,.0LI '.w allltlkl
w/;!atty hed yarai�yL 2 Ledrooplr j bath
U LQeD F�QR I DAQ __._ HEIGHT —_ NQ STORIES .--AB_EA � 74 NO._KGH4QPi&_ Y�LSlI<�� 4�'C1"
BUILDING DEPARTMENT SET BACKS FRONT 14 REAR 63 LEFT SIDE 0 RIGHT SIDE Q
Permit 5'71 00 —THIS PERMIT IS ISSUED SUBJECT TO THE REGULA?"IQI'J!' CON'rAINEG IN THE BUILDING CODE, ZONING
Plan Check 10,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDIIIANCE0 AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEL;rICATIONS 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 CIJRRENTCITY BUSINESS
State Tax J 01 LI'..ENSE, SEPARATE PERMITS !"-OUIRED FOR SEWER, PLUMBING AND HEATING.
Total 172_D1
9v ---- ---- --
_�. APP f;ANT OR AGENT �}
Approved Y TLL_—J lieceipt No.
AD
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I
I
DATE INSP. TYPE INSPECTION REMARKSPLUMBING DAT
--- Contractor
-- Permit No, e("'
Rou h-in
Fixture
! tiV _ Final
'r1 _ HEATING
I IL l Contractor
Permit No.
Gas-or.-Oil
Rough-in
Final - - --
_ SEWER
Final -- -- ---
- — -- DRIVEWAY J J i S',23 -71
r Final
Storm Drainaue —
(Rain Drain! Firal —
Sidewglk
�— Curb&Street Final
BLDG DEPT FINAL TEMPORARY H^n►each
CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping —
Zoning F rnal
UNIFIED SF-ME AGE AGENCY NO. _11642
WASHINGTON C O IJ NT Y DATE
C IT Y O F-_-___�1 L�,(j____ --
APPLICATION FOR SEWER fCONNECTION PERMIT
OWNER: __. .___ T. D.C.---- ------- _- --`_
OWNER'S ADDRESS: ._
STREET
CITY STATE -- --�' ZIP
BUILDING SITE: LOT 4_9R_.____ BLOCK ___.________.� ADDITION
TAX LOT N0. ._ ________. TYPE OF OCCUPANCY .- _- residence
ADDRESS _-----4411]_Sld Hrent:�nnd_-p1.
DWELLING UNITS.___ 1 FIXTURE UNITS
SURCHARGE IF APPLICABI_F --- ---- ---_ - _--
PERMIT FEE.__5 7. _ INSPECTION FEE TOTAL DEPOSITED ..__. 600._T _
(NEW) (EXISTING) BUILDING SEWER SYSTEM __ Fanno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT .�_4^ 1-5: C
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - _._._. .._ _.--- - INSTALLER
RECEIVED BY_
(AGENCY 04TS AGENT)
COMMENTS:.. .__B]dg. 1287
This Application and permit expires in one hundred and twenty (1?0) nays.
The arnount paid will he forfeited should expiration occur.