9500 SW BRENTWOOD PLACE-1 1
�o
Ln
0
O
N
E
tt
H
O
ct
E
O
O
Q
I
d
1
r
q
4
a
e
9500 SW BE7EN'rW00D PLACE eNoo
W ,
YI � f til Y
.-... ;r
OF OCC
CITY OF TIGARD C i
i
OREGON
IOwner:.......T...Q...C..............................................._...........Permit No......1370.......... <.
Building Address...950.0.-SW...Brentwood P1. Lot j500 {
... ................ ......I........... {
Certificate i3 hereby gi,,en this..20.........day of__S'3ptomber 1y 77
that said building may be occupied and
_ . that it complies with all requirements of
i
1 the lBuilding Code for the City of Tigard,
} ! as approved by the Tigard City Council.
,
...........................
BuildingInspector
' ----- --— —yam _
UT V1 iMPT
- '� ��t�sr�-aas��u�-- ;.��r�ti�era�••�-veF"i�svrri"+�-._.._
r .o'`
� ^
Atidrr,ss r� :J2��,Ty,i.�/ �� Permit No. Avow /,2/4'9
- -- -- --- Perm-.t charge 22 e5
t11"firr Connection fee
_ — Paid by
Type of building Date connected
Se rice rate !%T Inspection fee �?s
Contractor. Paid by Date
Size of connection Assessment paid
.fig
i
I
I City of Tigard
INSPECTION REQUEST
for
!NSPECTION TIME :'' PERMIT N1.:
IDATE: G1DATE ISSUED:._.LL
OWNERS NAME : 771), (:�V -
IADDRESS : d4Q& Z-5 Z?Pf� )rA1dZ'i:> _
CONTRACTOR : 1e11i4gs--7'v1t !
J ""EST: Air 0, Water ❑ , Visual)4 Laboratory C7
I
RESULT: Approved , Disapproved ❑ , Pending 0
I KETCH'
-e14 Lel
I INSPECTOR DATE
I r-
NOTE : Attach supplemental teet dot* hereto,
I
11
i BUILDING PERMIT APPLICATION c FY TIGARD DATE 3 .11-77 __—_, 19 1370
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK. HEREIN INDICATED BUILDERPHONE 639-3121
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE
t LOT NO.
OWI'!ER r . •'•.• JOB ADDRESS taboo sw 8rentuood i)AHIDME ADDRESS
ARCHITECT
BUILDER #$:?MC ADDRESS ENGINEER
f�1
DESIGNER
��S-•TRUCTURE 813NEW ❑REMODEL - ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE [:]DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FF.NCE
❑BOND_ ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE R-7 BLDG.TYPE a FIRE ZONE_3 PLAN CHECK BY_- Wtu HEAT _ X09_
Lot . 30 flon6erey re—issue glom as 10285 5!-' t:;r eenlela f Tarr.
beer nm 2 beth attuchtid tr!ml,)e due11i_u wisu tac oa a r'rvsr�a ,t
QsiL• LOAD F-L-04R L9AQ1iElGHT NO_$_TQILF �AM-EA 1448 NO._RF.DROOMS 2 VALI,IE 7,
BUILDING DEPARTMENT SET BACKS FRONT I t,: REAR 26 LEFT SIDE bfTI611.RIGHT SIDE
Permit -- 1 ,7.00 - ---_ --- — _-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check its.UGl 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 COOES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Q. I LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEAT'NG
Total 141,11;
By y
- - APP ICANT OP AGENT
Approved 41tLi Receipt No. '
ADDRESS
..._..a._�.+ww..ry.u..........-._........s.r,...�...a..w.„:...3..:,:...rc.re..�.u:ist...w:.line;JleWua.w�i...im6iYBWMIku.o,...d,.. .,i:,..._...:.�.....�....,Ae:.dri:�waru..: - -- i -- i.wuuLu,w-...,. .. .•rwa•.u4..M ......., .......,.s.
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
eyP'Itler �q 6 3,, 's,
ermit No. Ll 5-77
6,L X.55, 2
Hough in
A —
KIM;-s r
F,;�ture
Tb U-/t) G 4—PA a V, Final
HEATING
c
Contractor
Permit No
Gas or Oil
Final
W E R
Final
DRIVEWAY
F mal
Storm Drainage__
(Main Drain) Final
S!dew 31 k
Curb Sr Street Final
Approach - 7
BLDG DEPT FINAL _—TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SEWER PERMIT
N9 12109
Unified Sewerage Agency
of Washington County CITY OF Tigard DATE _ 3-31-77 _
!)WNER : —_T�3_1_..tin Lr--tvPHONE :_ 633-3101 _
OW'NER ' S ADDRr_SS: -------
TYPE OF INSTALLATION:
[XIJBUILDING SEWER []BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
M NEW SINGLE FAMILY COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. �� INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
PERMIT CONDITIONSt THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNCRFD AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULn EXPIRATION OCCUR .
FEESt
PERMIT FEE $ ^ 25!
CONNECTION CHARGE 575•
SIDE SEWER INSTALLATION
ISSUED BY/
OTHER
r TOTAL � 600. .
APPLICANT DATE
SEWER PERMIT NV 12109
ADDRESS OF STRUCTURE 9500 51J BrentWaod
TAX MAP -r TAX LOT _ S1 STEMannQ tis- e_k-
I. OT 500 — --- BLOCK _« OF_
APPROVED BY CATE ISSUES BY DATE
REMARKS 81d 1370 __