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9540 SW BRENTWOOD PLACE
I_I I_I II L.I 11 LI l i t s 1 I I . 1 . t • 4• SW BRENIUMD PLACE City of Tigard Mechanical Permit 116 Femit_��,�_. New installation L1 Replace 1-1 Relocation [_1 Andition Ll Alteration ❑ 3%State TOTAL--.------- CONTRACTOR - OTAL _._—_.____CONTRACTOR _ OWNER ADDRESS_,_ WORK ADDRESS- PHONE APPLICANT Heat Input Rating (BTU Per Hour) _ Vent Size �.� Flue Size FUEL OIL G GA'-' '� El LECT 0 OTHER STEM NO. FEE ITEM NO. FEE For Issuance of Permit 3.00Air Condition Compressor 15 to 30 HP 10.00 New- Under 100,000 BTU 4.00 Air Hanaling 10,000 CFM 3.00 New- 100,000 BTU&over 5.00 Air Handling Over 10,000 CFM _ 5.00 Floor Furnace 4.00 Evaporative Cooler _3.00 Wall - Floor ;nanr!nd _ �--+ 4.00Range Vent Fan ^ W 2.00 Install Vents Only _ 2.00 _ Vent System_ _ _ 3.00 _Repair-Heat&Cooling 4.00 Hood Commercial_ s 3.00. Air Con. +ri :n Compressor Under 3 HP 4.00 _Commercial Duct Systern w_ 10.00 Air Condition Compressor 3.,o 15 HP 7.50 INSPECTOR'S COMMENTS CITY BUSINESS LICFN^E REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED BY __ DATE — ISSUED BY DATE RECEIPT NO. Signature of A.pplice it ; i I G -y of 1100- JJ Fre n;s�•; Ins:yCalion q':)!ace ❑ neloca'.i;)n i'ion h!t-ration State TOTAL fig __.. CCNTFACTOP.fa7 - �.112.�. L __�e� T� (_tea=;��,,ua�'i WORK ADDRESS9Sdv zyf..�.1. t� Ex no PHONE ___�2 — APPLICANT r Heat Input Rating (BTU Per Hour) _ Vent Size _ �. Flue Size__ FUEL O,L rl GC,S ❑ ELECT V- OTHER ITEM NO. FEE ITEM NO. FE j For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HPLl _1 I New • lin,,er 100,000 BTU —�-- 5.00 Air Handling 10,000 CFM --I--J—.0 _ 1 __ ( �_r.�.----- New•. 10U,000 BTU & over 5.00 ''Air Handling Over 10,000 CFM 5.1 -�__- 4.00 Evaporative Cooler J y 3.0 Floor Furnace - -- 4.00 Range Vent Fan 2.0 will .• Floor -Suspended - --- It-stall Vena Only _ _ 2.00_- _Vent System i rY 3 C Repair • Heat & Cooling~ - 4.00 _Hood Commercial 1 3 C ---- 4,00 Commercial Duc: System 10•( Air Condition Compressor Under 3 HP^� _ _ -air Condition Comss preor 3 to 15 HP 2.50 INSPECTOR'S COMMENTS -.- - - ----- CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS APPROVED B't' �__ _. DATE __. IS:.UED BY y _ _ � _ DATE _ KO RECEIPT' NO.-, 774 Signature of App ' ant 1 1'M `r: , w+., g., ✓! 'v'�.r/ r,.,7 M''Y+w'. y .,c96 i CITY OF TIGARn . OREGON . i. T.O.C. ..Permit No.....1.374. . ..... Building Address....9540...SW..,ar.en.twq.gA .P1........Lo.t..i 5A.4......................... Certificate is hereby given this......4........(lay of... RP.tgb-Q ............... 19..27.... r that said building may be occupied and that it complies with all requirements of . 1 .. the Building Code for the City of Tigard, ,tr C Ti and ,it Council. as approved by the g y 42. Budding Inspector wF Y'�J,J,rp�S � 1r� '^' �1T °�' ,a aA� - .q ltd `'`�r` e.N R!-i'' 4$ v` �' '`•i+'4 IN U Y A. A D D R E 55 eel PERMIT PERMIT CHARGE none OWNER ,1 A� C CONNECTION FEE PAID BY -/ TYPE OF BUILDING Z,&_-_ DATE CONNECTED SERVICE RATE �;-y INSPECTION FEE o?r` CONTRACTOR ___ PAID BY _ DATE SIZE OF LONNECTION ASSESSMENT PAID _._ . .. .,»w.,....+nww:...+rw:..r�w+.+•..n«,«...iw.,«....•rv.+ .,.,„,,.y n.M•.�,.v�.a.nn,v,m.r.F.:•,..ar-u..r.,v.wMr.....»....i.,e..r..,rwr�...•�..�•••.-,,.p�s�,ww,w.wnwrwww.o............y.�pu..ow.a...•.. BUILDING PERMIT APPLICATION SOF TIGARD DATE , I9 �374 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-:L1, " OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF' LOT NO. _ OWNER T�©*Cs _ JOB ADDRESS '� 40 SW Brentwood4ME ADDRESS ARCHITECT BUILDER 9-%tj M4. ADDRESS ENGINEER rr,, DESIGNER STRUCTURE ""NEW ❑REMODEL. ❑ADDIITION El REPAIR ORENEWAL ❑FIRE DAMAGE ❑DEMOLITION a5,FSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T 0RELIGIOUS❑PATIO [:]CARPORT ❑GARAGE [:]STORAGE❑SLAB ❑Fc'.NIf ❑BOND ❑rAOVING ❑CONDITIONAL. USE ❑DESIGN REVIEW ❑COUNCIL APPROVFD ❑SIGNS OCCUPANCY .LANr,USE ZONE --BLDG.TYPE N _FIRE ZONE PLAN CHECK BY t:�.L3 _ HEAT_ � Lot #504 Fontaine re—issue some as 10235 SIS Greenleaf Tarr. attached frame dweil.ing uiatteched garage - 2 bedroom 2 . truth � ----- OCC.LOAD _F1QOR LOAD___^_., HEIGHT NO,STORIES 1 AREA 191Q_BQ,_$EDRQoMs2 %,,ALuE 38,fol. BUILDING DEPARTMENT SET BACKS FRONT �` J A�'1� REAR 30♦ LEFT SIDE RIGHT SIDE 10 Permit 154. no THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 10,00 REGL'I-ATIONS 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 09DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.92 LICENSE. SEPARATE PERMITS REQUIRED FOR SEVIER, PLUMBING AND HEATING. Total By �--� APP} LCnNT Op AGENT Approved _d Receipt No _...w...:.,r.M.i«.....a..+w+ww.aaa�r...r.,W:.wu...-.�..................._.:..dr:_:.......»..,,,.r..+:eYw.:w.w..wr•awp�+�..�w+M�uw..xwY. .i:M.s#.dMv...w.. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE -7 P &fpv Contractor ? 5 ) Permit No, 11 �'111 /cc jj 1-fe Rough,in 77 a44,-) - - -Fixture A 7,7 aaFinal HEATING A, , - _c -, , Contractor --3-77 Permit No Gas or Oil s Rough in -Zt, F trial C1 SEWER ASM Final DRIVEWAY Final Storm Drains ge (Rain Drain) Final Sidewalk Curb III Street Finsi Approach BLDG DEPT FINAL TEMPORARY CERTIFICATE EEUPi�NCY CERTIFICATE OCCUPANCY lFinal Landscaping Zoning Final Sl. l R PE11MIT ti 1. 2113 ] ~ (� J Unifi-d Sewerage Agency of Washington County CITY OF Tigard _ DATE _. 3-31-77 O W N E R : �� PHONE : 639-3101 OWNER ' S ADDRESS: TYPE OF INSTALLATION: BUILDING SEWER L__1BUILDING SEWER AND SIDE SEWER 'TYPE OF OCCUPANCY: MNEW L'J SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES ❑ 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_ BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE S 25. CONNECTION CHARGET��_ SIDE SEWER INSTALLATION ISSUED BY' OTHER TOTAL E` 600. evI APPLICANT DATE J SEWER PERMIT N? 12113 ADDRESS OF STRUCTURE 9540 SW Brentwood PL, 7'AX MAP_ _ TAX LOT__ SYSTEM ,_Fanno Creek_ LOT 504 BI OC K OF APPPOVED BY DATE ' ISSUED BY DATE REMARKS_._._ Bldg. X1374