9505 SW BRENTWOOD PLACE F
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CITY OF f 1G�ARD C. 1
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OREGON
Owner:_.....T .-fJ.C•....... ........ .._.............................-....Permit No......1<.4.4.6._......
Buildi,Ig .tVddr,,s ...9505-..5.W.-.. ......... ..............
j Cercificate is hereby given this. ..30...... .day of...:D.p4.amh.oz... .,:..
that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council. i
--..
Building Inspector ;t
•• a Ihq,N U l.A.
Permit t)o.
p c r m t c h a r g F3t��
Cr.,nner,tian ft�t� ,�'lS'
paid by
Typo o; building .....L UotEa coniIor.ted
r.,.rvice ratl3 .............�Sl.�..._�_._._.__ Tnr;pecticn fan ,w. _.. ?SSV
Contractor Paid by Dat.n
iy of c annort.i on ...._._.� ..._.._.. A s casfnont �. .... P0.0
BUILDING PERMIT APPLICATION 1OF
1T TIGARD UATE_ '26 1—7
THE UNDERSH NED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE_
LOTNO.
OWNER T,D*C. +OBADDRES_c 9505 SW D1tentwj0d P61VIEADDRESS
ARCHITEC"
8am43 ENGINEER
BUILDER r ADDRESS DESIGNER
STRUCTURE XD%EW [j REMODEL. ❑!'.nDITION ❑REPAIR _❑RENEW��AL ❑FIRE DAMAGE +❑DEMOOLITION
DRESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT OGARAGE ❑STORAGE❑SLAB ❑FENCE
DBOND ❑MOVING ❑CONDITIONAL UoE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_SZ.—LAND USE ZONE—.;'"% BLDG.TYPE__.- FIRE ZONES PLAN CHECK BY WAW ___ HEAT i�1�1
!. ,C ,31 h�_pwprrt re-iasue a ame ab 9425 SU Llrentwoud Pla _
attached fralo r duelliny w/attschod neraye 2 bedroom 2 both —
QC.Q.1<<2� FLQ.QBJ,OAD —_ H.F.l�NT- --- --NQ��I9R1E$- �-_AEt��lw�f1�,_HE.�R_49M$2 VA UE 290773.
BUILDIYG DEPARTMENT SET Bp_.KS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
— — TRIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check JQ (� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, �. jD IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPF CIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT noFS NOT WAIVE
-- ---- RESTRICTIVE. COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CInIRENT CITY BUSINESS
State Tax �11 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
— ayc,tem Clrivolopment Charge
Total
141.11
By ----
APPLICANT UR ACIFNT
Approved w Receipt No. t
AAD E%s
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UATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
CaL77 — Contractor
Permit No. '�-i �04r77
Rough-in
-2-r '1 �� Fixture
Final _
HEATING
2 e�f�-'J O x Contractor
-- _—_ Gas or Oil
_r—
Rough in
Final
SEWER A�-_-
-- Final _
DRIVEWAY -
Final
Storm Drainage_, _
(Rain Drain) Final
-- Sidewalk —
�_ Curb &Street Fina
_ A roach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Lanusreoing
Zoning Final
SEWER PERMIT N? 12158
Ufnified Sewerage Agency Tigard DATE 5-11-77
of Washington County CITY OF —
OWNER : _�..D.0 PHONE : r,'iQ_,um
OWNER 'S ADDRESS: -
TYPE OF INSTALLATIONt
BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
0*4EW 13 SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . ;PRIOR TO 7- 1-70 ) ❑ MULT . RES. L__ 1 NUUSTRIAL
FIXTURE UNITS
DWEI_1 !'Ju UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH 1LL RULES
AND REGULATIONS OF 7HE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE Amnu' 'T PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT F E E $- 25. -----
CONNECTIJN CHARGE 575.
j
SIDE SEWER INSTALLATION -
ISSUED BY
OTHER
TOTAL . 600.
a1P L I CANT t, IE
QEWER PERMIT N? 12158
ADDRESS OF STRUCTURE 9505 SW BrentWoo P1.
TAX LOT SYSTEMFanno Creek
TAX MAP------ LOT ------ '
LOT 531 BLOCK ___-- OF--------
DATE
APPROVED BY
DATE ISSUED BY
REMARKS Bldg. '1446 .M—