9620 SW BRENTWOOD PLACE,-Irl F -w R-rw 16-1 R --w `9 16-f 4 -IF
Y
C!$y- of Tigara Mechanical Permit
Now Installation L :,' Replace ❑ RelocaJon C] Addition a Alteration D 1-1 DATE.
HEATING
CONTR/ACTOt+�i�+4i t"u(3.•Ja. '_ DWNERLou! CIA—
ADDRESS )�4. ' c �C 5S. C JOB ADDRESS �91-SA-3rt 13600 Tt�—tz
Heat Input Ratinp(BTU per Hour)
FUEL OIL C] GAS 0 ELECT ®
_ Vent Site Flue Siva
OTHER ��j]�_; ,l..is_�T'rf"l Xitt cot -;Q,
_ITEM N0. FEE
ITEM NO.
FEE
FFZ Issuance of Phrmit SEE BELOW
Each Air Handling Unit or Duct System
7"–
Now-up to & irind. 100,000 B'fU
6.00
Commercial Hood System
7.60
New 100,E-000 `dUT'• & ovar_��
7.50
Other E �ipment _Each
4.60 ,
Woodburning Stow _
Wall -Fl E. Sus nd�d
4.50
6.00 i
1 i r -1p Ins ion
AIr Condition Compressor • up to & incl. 3 H.�.
4.60
6.00
:ent Syt�Lern vvjF#.n
4.60
Air Condition Compnssor - 3.1 to 15. H.P. incl.
11.00
Ronsir - Host Cnniinn
a nn�—
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB -CONTRACTORS I!
PEPMIT ISSUANCE 10.00 Comments:
FES
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RA—,W
MTA
RIC. N _ __—
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OREGON
TOD.C. rn i t No.. 1507
............ •....... . .
BlAilding..9620 SW.. . ..Brrmt.wood P1.
... _.Lot.. 519 . ........
Certificate Ls hereby given this... -.(.7 .... ... (1,1y of.Mq;p.qh ..... .. ... 1,-) .78
that said building may he occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
Tigal-(] ('ity C0-,jjjCij
d a, ipproved by
thp
. Addrns-
T
n r v i r-
5izn oF r,Aw-irr1L-.iun
I
BUILDING PERMIT APPLICATION 11TTIGARD DATE 6-13— 77 , 19__.__ 1;5,7
63"'1101
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS .AND SPECIFICATIONS.
BUILDER PHONE
OWNER PHONE _
LOT NO
OWNER ~ JOB ADDRESS 9620 SGf Ure n**oO+d P1 NOME ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STHUtiURE NEW❑REMODEL ❑ADDITION OREPAIR J_ORENEW_AL _UFIFEDAMAGE ❑DEMOOLITION
RESIDENCE OCJMM ❑EDUCATIONAL. OGOV'T ORELIGIOUSOPATIO ❑CARPORT ❑GARAGE OSTORAGEOSLAB []FENCE
OBJND _ OMOVING ❑CONDITIONAL. USE 0DESIGN REVIEW []COUNCIL APPROVED — []SIGNS
t s HEAT—
OCCUPANCY—LAN
EAT.—t _.
OCCUPANCY LAN ) USE ZONE BLDG. TYPE FIRE ZONE PLAN CHECK 8Y__�E'' (�
a.Ot• f:b19 JiyV jjr,� re-issua Bantu as 101LI CLW a"JIUSU6111i-!'Jr. --- —___
atta,i.;hisiJ frame dw*ljingwl ttechad gdrp+ oil 1 hmdrnnn 2 hr"th
QGG. LOAD-----f.14S?F1J.491Z_.— 11=1.Glil.—__ NO. 5IQftaSS-L--Af3E& 1,3 ND,d�4t344M;�-� —YALUE ,: �------
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1HAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIN3.
'ya,Zam Gavelopfni-'rlt :a rex 1300.00
APPI-JCANT OR AGENT
Receipt No.
Permit
127.00
Plan Check
Subtotal
State Tax
a • .11
Total
141. 11
By
Approved
at
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1HAT THF
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATIN3.
'ya,Zam Gavelopfni-'rlt :a rex 1300.00
APPI-JCANT OR AGENT
Receipt No.
DATE
INSP.
TYPE INSPECTION REMARKS
PLUMBING
�
OA E
� -y• � 1
lo y �%
�(�
I .tyt. c ,�
Colitracto_
Permit No � I� 7
I I- I -11
J'J
Hou h in
-_------
Fixture
-
I' mal
HEATING
—
L ;
Contractor
L&4 r -,-k
U11,16
O l�
. __
Permit No.
Gas or Oil
Rough•in
�inal
2
SEWER
Final
_
DRIVEWAY
---
Final
Storm Drainage
(Rain Drain) Final
—
Sidewalk
— —
Curb & Street Final
Approach
Final
BLDG DEPT FINAL
TEMPORO�RY
CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
Uf 4
Unified Sewerage Agency
of Washington County
OWNER: T.D.C.
SEWER PERMIT
CITY OF
OWNER'S ADDRESS,
TYPE OF INSTALLATION:
OX BUILDING SEWER
TYPE OF OCCUPANCY:
ANEW
❑EXIST.(PRIOR TO 7-1-70)
Tic,ard
W 13404
DATE 6-8-77
PHONE: 639-3101
L BUILDING SEWER AND SIDE SEWER
El SINGLE FAMILY ❑ COMMERCIAL
❑ 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 y 25.
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL s 600.
—
1APPLICANT DATE
ADDRESS OF STRUCTURE_
TAX MAP
LOT 519 B!. OC K
SEWER PERMIT
9620 SW Brentwood P1.
TAX LOT-
OF
OT_OF
N° 13404
SYSTEM faano creek
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg. ;;1507