9475 SW BRENTWOOD PLACE-1 u�
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9475 SW BRENTWOOD PLACE
WIN
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up
CITY OF TIGARD ,
OREGON i
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Owner:. .. ...... ......................................................... .....Permit No...........1449.............
9475 SW Brentwood P1. Lut #534 h,
B1::1d;ng A ldress......................................................... .......... . ........ ...................... 1
Certificate is hereby given this.3.0..........day of....D.ec.emb.er... ...... 19 .7.7
�} that laic] building may be occupied and '
that it complies Nvith all requirements of
the Building Code for the City of Tigard,
Ufr'!''
as approved by the Tigard City Council.
Tluildhiq Inspector t
i � � fN � , '*.mak I t� �," ... /, '"''1 /►./1 X
ncrl�RCss.. �5�7�_,•,��?-�'-n—��.���._�. ...._ F�r.r�i��IT rau.__..._�.2 /� �' .�._.._
PERMIT CHARGE _ none_. .._.._._
OWN F I _..�L� a _.N _ _._.. C O N N F_C T I O N F L F -5 7
_ ._.. ._ .._....__._..., ..._._._.. ,.._ ....._...._.._,. _. __... ». PAID BY
YYPF (IF BU11_01 dG � ......._._ .....___ OATF. COWt4V VO
"J;[IV IC[ RAIE INSPECTION FEE
CFI N'fRACT013 PAID BY DATE
SIZE OF CONNECTION ASSF_SSMEM17 PAID
A A
SEWER PERMIT
Uf 4 M 12161
Unified Sewerage Agency
of Washington County CITY OF Til tri DATE =1 1 -77
OWNER : T.tl_C_ PHONE : 639 _,31Q1
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
Q,9UILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPA^!CY:
a4EW SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1 -70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS __
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH A _L RULES
AND REGULATIC:NS 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 AMOU14T PAID WILL
3E F')RFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE ¢ 2,O
_—
CONNECTION CHARGE R7S-
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
C TOTAL. $ 600.
APPi., CANT DATC
SEINER PERMIT M 121,61
ADDRESS OF STRUCTURE 9475 SW Brentwood P1.
TAX MAP` _ -- TAX l_OT SYSTEM i'annn sr_epk_
1.OT _ 5_14 BLOCK _ _ OF __ — ---
APPROVED BY DATE ISSUED BY DATE
REMARKS-- Bldg. yr14A9
_
M!
hha UILDING PERMIT APPLICATION 11 Y TIGARD DATE �y 1449
HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF 6311-3.101
t OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER eij-I' JOB ADDRESS`!47E TentLJLa.ad ► ,HOME ADDRESS
ARCHITECT
!i!3(f1f'9
ENG INEER
BUILDER ADDRESS DESIGNER
STRUCTURE _ ONEW ��--II❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAM!•G( ' ❑DEMOLITION
O RESIDENCE ❑COMM LJEDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATIG [:)CARPORT ❑GARAGE ❑STORAGE❑SLAB I——IFF
❑BOND^ QMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—_1_LAND USE ZONE H-7 BLDG.TY{'E 'fit _FIRE ZONE-3 PLAN CHECK BY 13`' _ HEAT. _
=534 Fontaine :.e-issue "Me 8e IW-3:j 5WyGyeenlwa Tgrrace — --
€Ateched frame dwol.ling w/attached garage 2 hadreom 4 Usti'
QQQ_y,QAD ____FA&QBLOA ^__ HEIGHT NO-STORIES-_ I AREA 191UNO.,DEDRQOMS 2 VALUE 3t3lb is
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1,,,4 Q0
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check IDS Q() 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 ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB O NTRACTORS TO HAVE CURRENT CITY BUS-NESS
State Tax 4, + LICENSE. SSi�EPAR TE PEii��NNITS REOUuIRgp FppR SEWER LUMBIN3 AND HEATING.
�..J9VI►all.t�ltABT1C t..71t31itE:'
Total l ;?
By
—�. APPyIL:ANT OR AGENT
Approved — — Receipt No
AITD :55 --•-- 4—ii}rrir
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ilk
( Irrr3tj !33r }i!>ri;3t ;
DATE INSP. TYPE INSPECTION REMARKS. !ILUMBING DATE
Contractor
/ Z _ Permit Nu. G S-97
0��fi Rough-in
Fixture
30 1 �� ,vQrt,,, �c1 2 p1 t.t�c,•-p_ Final _
0-5-11 -�Lt�C vHEATING
r-0 Contractor
Permit No. (Wel
_ v Gas or Oil
Rough-in
Final _
SEWER
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
--- -- —..,-- — --- —— _ Sidewalk — —
Curb&Street Final —
_ _ tFinal
ach
BLDG DEPT. FINAL — TEMPORARY CERTIFICATE OCCUP:iNCV
CERTIFICATE OCCUPANCY I caping
g Final `.
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