9515 SW BRENTWOOD PLACE r
' o
■
s �
t
I
r
i
• WD PLACE
C) G OCC
CC
IGARD ry �
�I C: � �r
CITY OF
G OREGON
' 1445 ,
T. C . Permit No..... ... .............
Owner:................................. -
9515 5i►i Crentwood Place Lot #530
Building Address.......... ................... ........................ ....
' Certificate iven this.... 77
30 da of_.....�ecember........ 19........
is hereby g Y
that said building may be occupied and I�r�t�
that it complies with all requirements of
the Building Code for the City of Tigard,
' as approved by the Tigard City Council. ;,
....
Building Inspector i
I
4MY ME
{n
irirfrur,s15_ «� t�-�,,��_�-� Permit No, / .?/ S fl__.._
Permit c h a r.g c _.-
+ Connocttan fpo -45S'
fly
Paid by ..._._. � _.__..
p,! o° 1301din�l , __ . Date connr!r:tnd ___�___. ...__ .__._. ....�.....
rvico r.attl M...._ S�G?_. Inspar;tion fr:L:
Cnritrclr..tnr Paid by
5ixe of connor-tinn Assnssnwnt
'Y I3 0.,
BUILDING PERMIT APPLICATION " TIGARD DATE ` -7 7
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONG
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
r� LOT NO _
OWNER 1"! � a _ JOB ADDRESS q«I`t:'' SU Urentwuod HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS
DESIGNER
STRUCTURE NEW ❑REMODEL ❑AOD!,ION ❑REPAIR ❑RLNEWAL []FIRE DAMAGE ❑DEMOLITION
RESIDENCE CIC
-11Aiv FIEDUCATIONAL ❑GOV"i ❑RELIGIOUS❑PATIO ❑CAR PORT UGARAGE ❑STORAGE❑SLAB ❑FENCE
MONDQMOVING ❑CONDIfiGNAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED iv ❑SIGNS
QCCUPANCY tr LAND USE ZONE — _.BLDG.TYPE FIRE ZONE__3 PLAN CHECK HE AT i:_
j>'a[l__F'Qjjtt►irtl s, ;�».Le; ��t. {3ur�� a,g 1014._ 3,J grenn1wof ^rece .
attachafj framb c whillnu wAttaachad pa aagde 2 badrQom 2 bath
OCC.LOAD �L4SZRI.4AD HEIGHT _ NO.STORIES _ AREA NO.BFL,JO )M$ 4VALUE 360601•
BUILDING DEPARTMENT SET LACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
'HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �i. r-G0LATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WIIHK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINAPICES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR LND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.1312 LICENSE. SEPARATE PERMITS REOU!RED FOR SEWER, PLUMBING AND HEATING
Total iA,92 -- }'(: i Lyf'i Jilw ti3l:I+if3t4 ', ,cif ti l a�•i�,+
By
----r APPI-4,CANT OR AGENT - —
Approval Receipt No. 4
_ ..,...,.,....._.-..... ..�.e...w.�................ .... .....,. . . ..•,,.. ,._..,...+a-.w mrfrn^4rmiYlallW..w Yi m.«.i:Jleariil,..�ar.w :.t..::a.Yrw. - -- +V+L4LYIp�.aa.y,.r/Wnwhw.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
� n
Contractor
Permit No.
\) Rough-in
c. — —
Fixture
_ Final —
ro -3—A hc,trl i HEATING
Contractor
— Permit No.
Gas or Oil
Rough n
Final
SEWER
Final
DRIVEWAY
Final
-- •---- JICAT
m Drama e
(lain Drain) Final
walk
-- b Street Final
Bt t�G DEPT FINAL TEMPORARYroach—�
CERTIFICATE OCCUPANCY CERTIFl
dscapingng Fina!
�--Uf 4 SEWER PERMIT M12157
Unified SewerageAgenl:yTigard DATE 5-11-77
of Washington County C TY OF _
OWNER : T.DC . PHONE : 639-3101
I
OWNER ' S ADDRESSt
TYPE OF INSTALLATION:
4�S)13UILDING SEWER ❑BUILDING SEWER AfID SIDE SEWER
TYPE OF OCCUPANCYt
ON _.W la)rINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . PES. ❑ INDUSTRIP.L.
FIXTURE UNITS DWELLING UNITS Z
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
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE b 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL, $ 600.
lA PLICANT DATE
SEWER PERMIT NV 12157
ADDRESS OF STRUCTURE___. 9515 SW BTei'1f-t ood p1 ___-_
TAX MAP TAX LG7 SYSTEM -,E aaQ LlRPk
LOT 530 _ BLOCK OF --.
APPROVED BY DATE ISSUE? BY DATE
REMARKS 45 _