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15975 SW BRENTWOOD COURT r' I. ut Ln Y P` BRENTWOOD15975 SW COURT imp3 �� M.M q 7 M`.qti' ti'71' �►`d �.'•5 M M � '.✓ 1 II Y..y. �1�,\lam y Aom© .. k=.. �. OCCIr ArC GIIY OF TIGARD OREGON Owner:.__Ti.__�I Permit No. .. Building Address_—) rwou f) C uL,., r Certificate is hereby ,giver this .ffday of _. ,��3► 11 , 19J that said building may be occupied and that it complus with all requirements of the Building Code for the City of Tigard, as ~> approved by the Tigard City Council. `. Building Inspectoritj Intl'\ I¢q:/ `N9 ./�3 W .1�r4Nt ,.�/ilp 't*Wi,u •�"C+� v/ 'R' i ,'s, +.�`7,yi" A�1"" ,fir,: wJ, iln :^ P�,1W� PERMIT NO. PER111I f CHARGE ..__..__ nr,':.�'.,..._._.�__r_._ 0wNEft �.k.! ._._._..___._ CONNECT ON ELF PAM HY ...._.._.w.. ._ .�. !... f iypr or 1311I1_min OATS. COiJ'0JED I { SERVICE RAIT _. � i _�,....._ �.. INSPECTION FEE CONTRACTOR _... _ _., __.__.. PAID BY _ DATE SIZE O F" C O N N U r I O N �____�^�� _ __.. _ n,SES 5 M E N T ___ PA I l) BUILDING PERMIT APPLICATION CITY TIGARD DATE ___ f,-7-77 , is THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INCICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE LOT NO, OWNER JOB ADDRESS H091E ADDRESS _ ARCHITECT Z? FQENGINEER BUILDER ADDRESS _ DESIGNFR _ STRUCTURE :C' ^ _ .. ❑REMODEL ❑ADDITION _ ❑REPAIR DRENEWAL ❑FIRE DAMAGE ❑DEM^OLITION UaESIDENCECOMM QEDUCATIONAL ❑GOV'T ❑RELIGIOUS PATIO ❑CAR i ORT ❑GARAGE ❑STORAGE Q ❑ SLAB FENCE OBONG QMOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY= LAND USE ZONE .T BLDG.TYPE aN FIRE ZONE PLAN CHECK 6V�7`�' HEAT.___ _- -1 a �sS1L]_ tji,�unn� a An 9Ei' GA ----- attached fammtV: a vellinu w/aetteched gerpAe;n riintodroom 2beth o .t<Q!►�� — �149P I.9AQ---- -..JHEIGHT NO.-aIQA-IE-S- _—A-REA 13�t%Q_O_EOB4oMS- VA.Luj'-9�77."" BUILDING DEPARTMENT SET BACKS FRONT REAR kLEFT SIDE RIGHT SIDE Permit 1 2 7.00 -- — ----- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CIINTAINED IN THE BUILDING COlrf, ZONING Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THE WORK WILL BE DONE IN ACCORDANCE. WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT nOES NOT WAIVE _W RESTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4.11 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFATING Total 141.] ` ''tram Oilivalopmen+ r.hargv 000.00 BY AVP ANT OR AGENT Approved tiL,� Recei;it No —' 1 ADL S7AF S PH — ---- 1 DATE IN3P, TYPE INSPECTION --� REMARKS PLUMBING DATE --- —___ Contractor Permit No. c-, Rough in Fixture_ �2 -fib- t _ ----- Final HEATING 120 —_ Contractor Permit-No. (7 Iy 77� -— — Gas or 00 —,. Rough in, -- Final — - SEWER ---__--._ Final-- DRIVEWAY inatDRIVEWAY — Final Storm Drainage — —�-- --"' (Rain Drain) Final — Sidewalk y� Curb&Street Final BLDG DEPT FINAL TEMPORARY Approach -- CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final CLandscaping Zoning Final i , .. - N . 121. 97 Unified Sewerage Agency 6-7-7 7 of Washington County CITY OF _ Ti ,a r d DA l E OWi4ER : T.D.C . �___--- _— PHONE : 639-3101 OWNER ' S ADDRESS: .------ TYPE DDRESS: . ___—_TYPE OF INSTALLATION: X❑BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ANEW SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRIOR TO 7- 1 -70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS_ DWELLING UNITS _ PERMIT CONDITIONS: THE APPLICANT ACREES 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 .:ND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . BEES: PERM I 1 FEF $ CONNECTION CHARGE 575. SIDE SEWER INSTALLATION r f� ✓ � �� - _� 1 s s u E PB/Y OTHER TOTAL 600. —� APPI_I�A T DATE $EWE'n PERMIT NV 12197 ADDRESS OF S1 RUCTURE 15975 Sial 9renbwood Ct. TAX MAP -_--______ TAX LOT SYSTLM t anno creek LOT 510 BLOCK _ OF __--- APPROVED BY CA1E 1SSUEZ BY DATE bldg. 1495 REMARKS—,------- �� —_�_