9605 SW BRENTWOOD PLACE t
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9605 SW
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BRENTWOOD PLACE
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CITY OF TIGARD vC'
-;, OREGON II
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Owner:.........T.D.C. .Permit No...1.06
----
Building
1
Building Address.-...9605 SW Brentwood Place ..ot
........................................................ ...#�.........-.....-.............
Certificate is hereby given this...... !4 .day of.-..November-......... 19-77..
that said building may be occupied and
}y that it compi;es with all requirements of #,
•`'
the Building Code for the City of Tigard,
as approved by the Tigard City Council.
is
`; ......................
. " Building Inspector N
u wn m u a a.
A
Address Permit PJu. /,2 1
Permit charge 7) vr2��� e—
S0
!�, � r o
� ,<,�'.C' Connection fee +�7.5 _
_. Paid by C
Type of building � ,d Date connected
Sarvice rate �S G, Inspection fee ,-2,c-
Contractor Paid by Date
Size of connection Assessment paid
L �;/-, A" 7
BUILDING PERMIT APPLICATION 11 Y TIGARD DA-.E 6-e-7
EHE UNDERSIGNED HEREBY APPLIES FOR APE RPAIT FOR THE WORK HEREIN INDICATED SUILDERPHONE_ hag 10
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNE".,HONE
t LOT NO._
OWNER • e JOB ADDRESS "610 °3W Brentwood 1y,IIVME ADDRESS
ARCHITECT
M ENGINEER
BUILDERy ADDRESS DESIGNER
STRUCTURE r'L71dkW ❑REMODEL_ ❑ADDITION ❑REPAIR ❑RENEWAL ❑F_IRE_DAMAGE ❑DEMOLITION
0 1IFNIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA 1`10 ❑CAR POR-r ❑GARAGE V ❑.,�ORAGE❑SLAB [:]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE [:]DESIGN REVIEW ❑COUNCII_APPROVED ❑SIGNS
OCC UPANCY. _LAND USE ZONE 13 7 BLDG, TYPE__ _FIRE ZONE? PLAN CHECK BY__ I,t'LI _ HEAT
Lot #518 Newport re-issus Gone as 5625 jW Brentwood wl.
attached frame dualling w/attachad garage 2 bedroom 2 bath —�
9f&-6�QAn---_., _F15?SJ[i-4Q gip__ HEIGHT NQ a IE .,+L AREA 1340 NO
BEDROOMa _Z—VALVj'��.9
a T73.
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 127.00 _—
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES NO ORDINANCES, AND IT IS HEREBY AGREED THAT THF
- WORK WILL BE DONE IN ACCORDANCE WITH THE`LANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. )HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.11 LICENSE. SEPARATE oERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total x,Al.�l "'•v'"tM :J61001OPMent Lh- rge . 300.00
BY
------ —V.- - _-------
^�--'---- APPI-ICAN1 OR AGENT -
Approved \h,l Receipt No
s
DATE INSP. TYPE INSPECTION REMARV. PLUMBING DATE
__ Contractor
Permit No. O' j� ` O 0
��'Y_ " /J &A �yL � n L �C Rough-in � --
e �- Fixture
Final T — --
lI•Z/ 7 D c� ILLS��II�. f.�il� ��G�G` HEATING —
/1-2•t• 71A ' D I Contractor
r / 7
2 •'�?•� Permit No. /!Y
_ Gas or Oil
Rough in
Final
_ SEWER
Final -- — —
DRIVEWAY
Final
Storm Drainage _--
_ (Rain Drain)•Final
Sidewalk
rFinal
8 Street Final
achBLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCv caping
g Final
.._.fir,amara-,...rM..r,.w.-...►...««.a.-...,w.r•var.,�«'•,.,�,.,,+w+.-r-...- ..
BUILDING PERMIT APPLICATIOF
ON CIT TIGARD DATE_ 4-7-77 ___.
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
BUILDER PHONE
(� OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND SPE"IFICAT IONS. OWNERPHONE
LOT NO.
OWNER k w ----- JOD ADDRESS 9605 5W pren:Wt70ti Pl HOME ADDRESS
-- ARCHI TECT
ENGINEER
BUILDER _ _ ADDRESS DESIGNER _
STRUCTURE_ NEW_ C1REMODEL. ❑ADDITION _❑REPAIR []RENEWAL ❑_FIRE DAMAGE ❑DEv10LITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
L180ND ❑MOVING ❑CONDITIONAL —
`" �l FIRE ZONE_� PLAN CHECK BV D HEAT —...
OCCUPANCY LAND USE ZONE -BLDG.TYPE– _ —
i C+i)t ia,lts L'El–issue same a.---I
I. 't1N81� ter, _ --- --
rs�:t�e:cf t;willitt, u,/sttacheld gaarayca 4 bedroom i` bath —
SZr& L4.40 .�195?F_I nAD __._�i�IStHI -1V4._S_I49I��!--_AREAY• � Q NQ�@���84'�MS
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE —
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check lU• � 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 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 499. LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 3.604 91,
-_ APPLICANT OR AGENT
Approved Receipt No. �
Ab" _TH�brl�
W.rrLc�!rtic,lira:+ieWilu6,tiifvla+es�..F:4.�n .- ,.�•w14x w.+Y.Yaa:W�wt+rw...itdu:iiau.itl�earnra:�1�1�[emwdY4+:twarJ.dh+`wtilicit ro.xm;...r.:•....w..e.:,J...;,.
UATE INSP. TYPE INSPECTION REMARK; PLUMBING DATE
0- �.� N r ., (4 Coptractor
GPermit No. 17� . s s -4-77
w
Rou h in
Gcm.(/<r.r Fixture
56 ce C.-L Final__ _
rt of _ —' HEATING
Contractor
+I
Permit No_ i?�� ��� d ��
Gas or Oil
--
Rough-in
-- Final----- _ — ---
��_ SEWER
Final
DRIVEWAY
Final --
�_
I
ainage
in) Final
treet Final
BLDG DEPT FINAL TEMPORARY TCERTIFICATE OCCUPANCCERTIFICATE OCCUPANCY ing
nal
A 121.22
Un:fied Sewerilge Agency
of Washington County CITY OF-T-ig_lrd DATE _-4-7-77
OWNER : T.D.C. PHONE : 639-3101
OWNER 'S
TYPE OF 114STAI-LATION:
[-]BUILDING SEWER 11RUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
NEW SINGLE FAMILY
C014MERC I AL
E]EXIST . (PRIOR TO 7- 1 -70 ) MULT . RES. INDUSTRIA[-
FIXFURE UNITS_____ DWELLING
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAI-LING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE -HUNDRED ANC TWF-*NTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
F E F S:
PERMIT FEE t 25.
CONNECTION CHARGE
SIDE SEWER INSTALLATION 7.j z
issu2b BY
5THER
TOTAL
7
�APPLICANT DATE
SEWER PERMIT NV 12122
9605 SW 6rentW0DdQl.
LIDRFSS OF STRUCTURE
TAX VAP TAX LOT SYST E M
L.0 T 524 BLOCK 0 F
APPROVED BY CATE ISSt.lED BY DATE
R E M A R K S