9520 SW BRENTWOOD PLACE-1 a
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9520 SW BREN[UWD PLACE
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CITY OF TIGARD C . ,� , .
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r.- O�c-ner:................................. ... ........................_ ..... . Permit No..1.372. ......... ? ,
9520 SW Drertwo Jz
Building Atldr;:zs........................................od. Pl.......�,ot..-�r.5p.�...........
Certificate -s hereby given this of...0.c.t.a'�.ex............. 19..7.7.....
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that said buildhirr may be occupied and
per thnt it complies with all requirements of
3 the Building Code for the City of Tigard,
as approved by the Tigard City Council. p
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Building Inspector
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'�,/M '�'�rA y "FJ�/ i�e'g �"ru.- �+1T,� :.,C" �M�Y y� ����r ^ "$��� '� Al�q r �•
urwo 14 Uu 3 e A,
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1 ADDR ESS� SdQ '(Pi' PERMIT NO.
PERMIT CHNRCE _ none
OWNER �'� kc , �' !_ CONNECTION FEE -L,-
PAID BY
TYPE OF EUILDING z.� _ DATE CONNECTED
SERVICE RATE j;� INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
7/7Al7
I'v
BUILDING . _Rn� CITY TIGARD DATEr_ _ �'
r� PF IT APPLICATION OF f 37 2
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE 6-19-1 ❑1
OR .AS SHOW'S AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
h LOT NO.----.---
OWNFR T.D.C. JOB ADDRF-SS A520 SW erentWood HbMIEADDRESS
ARCHITECT
SEIRIM ENGINEER
BUILDER _ ADDRESS _ DESIGNERr� _
STRUCTURE QI EIN 0 REMODEL ❑ADDITION ❑REPAIR ❑RENEWr—AL OFIPE DAM.GE ODFMOLITION
0 AESIUEIdCE COMM ❑EDUCATIONAL OGOV'T ORELIGIOUSOPATIO Eli-AR PORT OGARAGE O STORAGE OSLAB ❑FENCE
DBOND ❑MOVING OCONDITIONAL USE ODESIGN REVIEW OCOUNCIL APPRU"ED OSIGNS
OCCUPANCY _LAND USE ZONE _ _.BLDG. TYPE— —.FIRE ZONE PLAN CHECK BY_ �''_' — HEAT.
—f.vit , ,il. I+l richmat-a 1.1'"guiLu;af Tarr: _ __—
�- `tart.nc d frame duelling W,/atterhau garage 2 badroom 2 bath
L �QNO = y1QaO(CC, LQAQ_— FI.QQi� 0U ; 2L_ •
_BUILDING DEPARTMENT SET HACKS FRONT 1— REAR 3Q♦ LEFT SIDE RIGHT SIDE
Permit 15'�*UO ---- -=- —
TF"IS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONIN(;
Plan Check 10600 REGULATIONS AND ALI 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 CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax .01 LICENSE. SEPARATE PERMITS RFk'UIRFD FOR SEWER, PLUMBING AND HEATING.
Total ;, pl --By — -------- -- --
APPIICANT OR AGENT
Approved �I Receipt No }
u -std€s --
.,
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE.
cowractor
Permii No.
Rough n'......_--_ — --- --
6 --
�� ti� ;'pVfT1 Final- --
-'o ' -C7ra(` __ �_—__NEATIN(i
r Contractor
F_-- Permit No. (C �.�/ �/ - a 7• � �
Gas or Oil - — -
-� � fl
Rou fi in
Final �.._._ --•— --
SEWER
F mai
DRIVEWAY
Final
Storm Dramae
(Rain Drain) Final
FFinal
walk L.0
i a Street Final
_ roach
BLDG DEPT FINAL TEMPOFIARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCvdscapmg
r
Ir./ 20nu•g Final
� . SEWER PERMIT
-�►' N" 121 t 1
Unified Se Nerage Agency Tigard of Washington County CITY OF g_ DATE __3-31-77 _
OWNER :
T .D.C. PHONE : 639-3101
OWNER ' S ADDRESS.,
TYPE OF INSTALLATION:
BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑NEW ❑ SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ 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 LINE -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 600.
APPLICANT DATE
SEWER PERMIT N° 12111
ADDRESS OF STRUCTURE-----.—.--. �4520.__SW Brentwood P1.
TAX MAP _ TAX LOT -- SYSTEM Fanno Creek
L O T 502 B l_O C K 0 F_
APPROVED BY DATE ISSUED 9' ELATE
Bldg. 1+1372
REMARKS _--