9635 SW BRENTWOOD PLACE-1 i
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9635 SW BRENTWOOD PLACE
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i •�. CITY OF 1 'l( AKIN
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Owner:...... . .D.D..............................-................. ... ....Permit No.....4AP......... ;
Building Address.....9635 SW Brentwood Place Lot #521 ' ) A
Certificate is hereby given thisA�,.-. .day of.Nnyember...........1 1877....... ,
t
that said building may be occupied and
y that it complies with all requirements of G: 3
the Builo'ing Code for the City of Tigard,
.is approved by the Tigard City Council.
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i ftuildir.i- Insprrtov
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Addrerb Permit No.
Permit charge
Owner .,j 4-Q C Connection fee .;5fY-2.5—
Paid byr.'
Type of building r �, , _, Date connected
Service rate ` Inspection fee
Contractor Paid by data
Size of connection Assessment Paid
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EiUFA I
ILDING DLPAKTMENT. TIGARD
ICJNiI f. i{E61N1R(1� Pl'�PIi9i«a, ItiC. N0.
N. 0. 01ox 119 PLUMBiiVG PERMIT —
'IDIF" __ holder of a valid plumbing contractors license �s hereby
Nitl� �, �,�. >.��:t 91137
authorized to cause plumbing work as herein noted to be installed in accorc+ance with the plumbing code of
Tigarra„ Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hc,urs priar to the time the installations are ready for inspection. City of Tigard Business License required
for ail contractors and sub-contractors.
C ' __
IJQ 3 r Sec) /oo; �/J Date
wne�' :�ddi'. " '1' _''' -- -_ Address
T"NUM13Cri OF TOTAL y PERMIT Nt1:ri l
TYPE: OF PFFMIT ITEMS FEE ON EACH AMOUNT' IOftice Use Only)
25.00
5inght FnmiIY--1 beth-each _ -
Du lex-Each t bath Mi_ _ _ _ — 25500 _ ----•--
-- ------ __ 10.00
Additional bethrooms_each
Moblie Heme SE+tce-each
INDIVIDUAL FI TURF FEF§ _L_r- --- --' ' ��
1 to 50 Fixtures in 1 bui'din ;*.arh —E41.50
- -`
�51 to 100 Fi.tures in 1 buiia -each I
iny 2.50
101 to 200 Fixtures in 1 building-each
re2'00 _
201 cr ixtora Fjwus m 1 building-each -
MISCELLANEOUS
Bulldln Sewer-1st 50 ft. 10.0 �_�.--�.�_ —_.-•_--
Sewer-each edditional 100 ft. �— I"90 -- -"
Water Service to buib;n£ ___. 5.00 - —__-
Private Water Systems-each 100 t!-- _—- 10.00
Other S Pcify): ` ----
PERMIT -' j for Plumbing Inspection Phone 63.7.4191 ��
77
l'
91Plumbing, Contractor By__... � Y
', State �
eOTAL — RECEIPT NO. Issue E.y
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TfIM�'VTMM�wIr!w/�L i��^^+�YMow..i+w.lrnr+.....-...wr...wM�l�'w1.fn�+Yn'w-................r...
BUILDING PERMIT APPLICATION �FY TIGARDI DATF �-77 __--_. ,s.
THC. UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON
OR AS SHOWN AND APPROVED IN IW: ACCOMPINYING PLANS AND SPECIFICATIONS. OWNER PHONFE_"S3« .
LOT NO.--_ _
OWNER ! ► JOB ADDRMi _I lrWO00; HDME ADDRESS_
ARCHITECT--
_
BUILDER 4iiE' FI----�1 ADDRESSENGINEER
DE,5IGNER _
STRUCTURE UNEW L_JREMODEL— ❑ADDITION QREPAIR ❑RENEWAL ❑FIREDAMAGE ❑DEMOLITION
D RESIDENCti QC--OMM ❑EDUCATIONAL -❑GOVT ❑REI,;(A0US OPAT10 ❑CAR PORT ❑GARAGE ❑_STORAGE 03LAB ❑FENCE
QBCiNU I,.wMOVING ❑CONDITIONAL,JSE _-_ ❑DESIGN REVIEW DCOUNCIL APPROVED i_ISIGNS
OCt IIP�MCr _��LANU USE ZONE—__BLDG. rYPE--" _FIRE ZONE=PLAN CHECK Br HEAT__e_�
r;21 vw–i esus same as IU275 SW Greenleaf Ter-re, --
at'LuJi ! p rpmv &Alinc4 w /altbached gave(jb 2 bedroom 2 beth "- —
2 279947,
_ AA BE — NO BE_I2H99� ---VALUE_ __—
_i_ILDIN; FPA 41-MENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
'- `- -- THIS PfRMI` IS ISSUED SUBJFCT TO THE HFG0 ATIONS CONTAINED IN THE BUILDING CODE, ZONING
Flan Check, 10900 REGULATIONS AND At I- APPL.ICAdUE CODES ANO ORDINANCES, AND IT IS HEREBY AGREED THAT THF
WORK 'O'11 L;.BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES ANO ORDINANCES. THE ISSUANCE OF THIS PFRMIT DOES NOT WAIVE
�`— RESIRICTIVF COVENANTS. CONTRAIIIOP AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State I'L)K 3.9 I.IGFNSF. SEPARATE PERMI-rS REOUILiED AOR SEWER, PLUMBING AND HEATING.
114 a 14^,
By
A.PPL_ICAN"T OR AGENT
Approved — - � .,� ._..--- Rri:��ilii Nn
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:i'.VN'24Y'x:.M4AA411dY�++1u.Y�►1iiTMM's,�xi..�✓1�1'�'.eY.il\nli.�....::r..:...w.-..x._... u�.''' .
UATI! INSP TYPE INSPECTION REMARKS
PLUMBING DATE
Contractor
6T
Permit No. 3-.2-
FIG or
Rough-in
Fixture
L-20- Final
/1)vo 7 HEATING
Contractor
Permit No. AL2
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage——
(Rain Drain) Final
Sidewalk
—
Curb
&St
re
e
_t Final
fro'ch
FFLDG DEPT FINAL TEMPORARY IERTIFICATE OCCUPANCY7CERTIFICATE OCCUPANCY Final
Idldscaping
i( ing Final
1 1
1
is
biL'WHl PERMIT
N Y,-/ I;;,.fg
Unified 5awerage Agency Tigard of Washington County C ITY OF 9 DATE _ 4--7-73'.___-__
OWNER : _T.D.C. PHONE :-639-3101 _.__
OWNER ' S ADDRESS: _
TYPE OF INSTALLATION:
1�I BUILDING SEWER FjBUIt_DING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑NEW ❑ SINGLE FAMILY ❑ COMMF_RCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS. DWELLING UNITS ___
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 TWFNTY ( 120 ) DAYS. THE AMOUNT PAID WILL
HE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE s _. 25�
CONNECTION CHARGE 775•
i
SIDE SEWER I t!S T A L L A T I f)N '�--
ISSUcD gly
OTHER
TOTAL s _6001
PL I CANT DATE
11WER PERMIT NY 12119
ADDRESS OF STRUCTURE—____ 9635 SW Brentwood
TAX MAP—______ TAX LP7 � SYSTEMFanno Creek
L OT _ 521 K.O=K _ ____. OF
APPROVED BY DATE IssuEb BY DATE
REM"RKS E1dg.`r1385