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9495 SW BRENTWOOD PLACE-1 �w w 0721UA�K�ArAMR 1 �o Ln E m y m M E 0 0 0_ v i i I tl 9495 SW BRENTWOOD 'LACE CC 00 PIS CITY OF TIGAR D C. � OREGON . i Owner:...........T.D.C. ...........Permit No......1447 h �• 9495 SW Brentwood P1. + Budding Address.............. ................................................ ..'t. .�5.��............. ........ ` �i Certificate is hereby given this........ clay of..�.ecemb.er ., 19 77. 30 that said building may be occupied and ( ?. that it complies with all requirements of the Building Code for the City of Tigard, , . r �. _ as approved by the Tigard City Council. ' i � rt 13uildin; ]nspertor �• Perrn:it No. Perrnit charge Connection f v c 57S- Paid 7SPaid by 'T'ypo of building AI&O Ante r..nnnomted !;arvicc- rote ..._ �S �Nr r Ynsportinn ferE ':2 s- Cnntrar-t.nr �. _ Paid by ';i.zu of rui+n�lrtion � — Algnet�srnent �._w�_ pnid BUILDING PERMIT APPLICATION coF 'nGAR© DATE 51•X1-77 _' l9___ 1447 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-3101 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ LOT NO.�__ OWNER ` " JOB ADDRESS 9405 SW E3vsnt:t.tClod P1140ME ADDRESS ARCHITECT ;� fitfl ENGINEER BUILDER ��77 /ADDRESS _ _ DESIGNER _ STRUCTURE )GINEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWr-AL ❑FIRE DAMAGE ❑C'EMOI_I'TION [3-"1iES1UENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STOP.AGEDSLAB ❑FENCE DBOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED CiSIGNS OCCUPANCY____d LAND USE ZONE R"' BLDG.TYFE__.Zi�fIRE ZONE.. PLAN CHECK BY 2��W HEAT,;,;.'. h Grit their re-ismuci same as 10'1275 5W Grout;.eaf Terraac,tg etheched frame dwelling w/nttnr.hed rjoregea 2�bedroant 2 Math —� 4-C-5. 2AD __..f.L4�0$ LUAD HCIGl�T_____ __N(?.STORIES /AREA Y7�-NO,BEDHOOMS —VALUE Z7�SiQ7" BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Pr prmit 121.00 __... _.— _._.�. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 10000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT 13 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 CO:!TRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 3.93 LICENSE. 4EPAPIATE PERNLITS REQUIRED FOR SEWER, PLUM/91NG AND HEATING. Total 134993 System Dev• vpment By APP CANT r1R AOEN1 Approved 'w Receipt No 1 A SSG I n,. A' I V Y DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor _v Permit No. 64=77 �1--�•-Li \) LtI Rough-in q �� Fixture F-:L 77 _ Final _ IL 2j- 11 _ HEATING Contractor Permit No. Ce (I 1� 'If Gas or Oil -- _ Rough-in _ Final SEWER - -- Final -- DRIVEWAY Final Storm Drainage W (Rain Drain) Frnal - — --- -- — - -- Sidewalk — — __ C'� rb&Street Final ____ )proach'PL--- -- CERTIFICATE DEPT FINAL TEMPORARv _ CERTIFICATE OCCUPANCv CERTIFICATE OCCUPANCv Final Landscaping ` Zoning Final SEWER PERMIT M Uf 12159 Unified Sewerage Agency of Washington County C I I Y OF__ Ti Bard DATE 5-11-77 OWNER : _ "T,.D.C. PHONE :-639-3101 OWNER 'S ADDRESS: _ TYPE OF INSTALLATION: ©BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: CDNEW , SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-•70 ) U MUL.T . RES. 0 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 TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL 13E FORFEITED SHOULD EXPIRATION OCCUR. BEES: PERMIT FEE 25. CONNECTION CHARGE 575, SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL S Acn, APML) CANT DATE d SEWER PERMIT N': 12159 ADDRESS OF STRUCTURE 9495 SW Brentwood P1. TAX MAP TAX LOT-- SYSTEM Fanno Creek LOT 532 BLOCK OF APPROVED BY DATE ISSUED BY DATE REMARKS H1 rig_ �1 Qli7