9530 SW BRENTWOOD PLACE-1 m
m
w
v
m
m
C
A
G
v
1
9530 SW BRENTWOOD PLACE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
P --_�
Time A.M. P.M.
Date Requested —
Address (NC�C%n )/ Permit
Lot
Owner —
Builder
The fr,:iowing Building Code deficie:icies are required to be corrected:
— V
Pr••sented to ._ �-
KjApproved
Inspector — Disapproved
Date
CALL OR REINSPECTION
i-1 YES El NO
ME.-.X,1--lANJ'(:'Al F"EJ4`11"I
F
CIT
CITY OF TIGA RD (Y OF TWARD PERMIT NO . ME'.890957
COMMUNITY DEVF:.OPMENT DEPARTMENT DATE— 1:55L)F.A.) 411;,:'E, 89
-4115 �n
13125 S.W.Hall Blvd..P.O Box 23397.Tigard.Oregon 97223.(503)639 1:)1:)'1'?4 OKI* NI'l
9".),-50 15W bl:','F.NTWOOD F)1... LT : EW :
6AP/i M
NC : NO
14A 111:11N < 1•IAN1:)L-14 <:1.0
AIR AANDI R :1, K
1 N(A t;'. F MIT 1. Y F UPNAII 1:11, 1.00K.1-
FLOM 1"UP,14AGF. EVAP . CUOU-J-4
VI::1141, FAN
Vl::'N I VF.N*l . lays'I'LKM
11001)
NO K0('.)P'1U5
NG
DILAE-A.A... lJNTT!5 '
P WF.'PA:I'J1 1.1NTM5
0 OAF:1:4
y F
W.1 11.1 1;1,1")
01
W
Nr, I.1 I;I..E:.N'TWrl(:)1:) II"�L_AN PE-:V:IA:-W
E
R OF, 3PF 5
iliilL VAX "'0
C
0
N
T l•1'a, I I N C6
R
10 0 1 i T(1N
C Or 97POP
QA700� I(I f of *10 190
R � 1,41 1 110 10 6
I"VA'L I P I i-10
This permit is issued subject to the regulations contained in Title 14
of the TIVIC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby
I(INCi
agreed that the work will be d3oe in accordance with the plans and
specifications and Ir compliance with all applicable codes and C'(:1!:; f h FSI:AM
ordinances. The isst,anc. of this permit does not waive restrictive It,I(Il I...1.14
covenants. Contractor ani subcontractors shall have currant city 1*1401.
business tax permits This--rmit will expire and become null an
void if work is not started within 180 days.or if work Is suspe-elf1d or
abandoned for a period of 180 days any time after worl has
commenced It shall be(he responsibility of the permittee to as.iiire
all required inspections are requested and approved
'�A
"4 k4t�
o
Gli
Verm,-tep Signature
Issued By 1. 1 01-4 .1 W-11PF t 1 17 IF
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
i■r w ff WMAINIFEMW
fi^+nr�nn
City of Tigard Mechanical Permit ,r
New installation U Replace ❑ Relocation❑ Addition �� Alteration DATE:
HEATING I
CONTRACTOR " _�. 0WNi:R
ADDRESSJOB ADDRESS
PHONE APPLICANT--
Heat
PPLICANT Heat Input gat,ng(BTU per Hour) Vent Size Flue Size
FUEL OIL GAS 0 ELECT E] OTHER
ITEM NO. FEE Y ITEM NO. FIFE
For Issuance of Permit SEF. BELOW Each Air Handling Unit or Duct System
N_ew up to & incl_10q 000 BTU 8.0'] Commercial Hood stem -- 7.50
New 100,000 BUT's& over _ 7.50 Other F_ uIyN ent_Each_ 4.50
Woodburning Stove– 4.50 1 Trip Inspection 4.50 _
Wall-Floor- Suspended 8.00 Air Coni on Compressor - up to& incl. 3 H.P. -r- 8.00
Vent System w/Fan _ 4.50 _ Air Conr ition Compressor-3.1 to 15.H.P.Incl. y 11.00
Re Ll -Heat Cooling _ 6.00--.—
CITY
.00-_.CITY BUSINESS LICENSE REQUIRED BY ALL CONTPACTORS OR SUB—CONTRACTORS!
PERMIT ISSUANCE 10.00 Comments. _
FEES
SUB-
FEETOTAL
%STATE lasued By
_A% _
TOTAL �_—_—L REC. * _ _.
�ignatura of Applicant
XC, �� OF
.. � , �� CITY OF TI -
}� G� CARD ��' ►'� � ��.
y OREGON
Owner.......r. D...C................................. ............ ...............Permit No......1373... ....
t� T ;'. Building Address...9UR.. S1J..b.r.o.ntw.a.ad...Pl......L.nt...#503..... ................._
Certificate is herebj given this....1-9...... -day of.....Septembel;......, 19.....7.7.
r that said building may be occupied and ,
that i i `"*
t t comp? es with all requirements of
4.
I�
the Building Code for the City of Tigard
as approved by the Tigard City Council.
Building Inspector Ir '
W Oou�N
r .... .. .v w.Lr,�w.,lw,www�..,.......... �. ...._. .,,p.y.�,� ,w.w+.�wr «._...�._.. ... .. -........ . ... . ........... ....,
ADDRESS ,�.J'ee..r ,.rs./('-� PERMIT
PERMIT CHARGE none
OWNER CONNECTION FLEE
PAID BY
TYPE OF BUILDING �� _ DATE CONNECTED _
SERVICE RATE i �/ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
7 h'3
..,..ur,,,n,.w ...,. .... ....,,..... ,,,.....,...,...: , +.. ,^ay...,..«ww.r.-...ra.. ...R.....,.,,..,.�..ww.r..>--�.....,.,..-.._...r„�,r....-�..r...r+.u+•...gra..n--...r-e.,.r-°.�..........•-.
BUILDING PERMIT APPLICATION cOF TI� GARD DATE 3-31-17 -a_, 19 .?
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
07 AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEPPHONL_
LOT NO.
OWNER T*U*L g JOB ADDRESS 9�jU SW dI;aafl twood WAGME ADDRESS
-~- ARCHITECT"
ENGINEER
BUILDER t ADnRES:, DESIGNER 1�--_
STRUCTURE C1.MW _❑REMODEL []ADDITION ❑REPAIRt_.I
_ ❑RENEWAL ❑FIRE DAMAGE DEMOLITION
CI ESIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE Cr SLAB ❑FENCE
_ ❑BOND ❑MOVING ❑CONDITIONAL USE ❑ O
DESIGN REVIEW OCOUNCIL APPROVED SIGNS
OCCUPANCY--LAND USE 7ONE—i4 7 BLDG.TYPE qtr FIRE ZONE PLAN CHECK BY__ 4�t;,L.i� HEAT
d..c�t ,' Q3 t'Iar7tc16 r ire-issue some a010276 SU Greenisaf Tore.
att-lchad frame dwellinc., w/attrichisd garage-2 badman 2 hath
Q,C_C_,.LOAD ___-____F_LOOB_L48P. _ EI T__._... NO.5TQRIES 1 ARFAL20_6 NO.BLUE 27y 947,
BUILDING DEPARTMENT _ SETBACKS FRONT 161611 REAR 27 LEFT SIDE RIGHT SIDE
Permit _ 1: I. .Y � -_---_.—__-- ------ -- -- ---- ---THIS PERMIT IS ISSUED SUBJECT TO 'SHE REGULATfONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, VD IT IS HEREBY AGREED THAT THE
-- �` - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPIEL., CATIONS 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 TaxLICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBIAG AND HEATING.
•
93
Total 13
,93
ByAPP, J(a AN 1 ('u A(J N 1
Approved itw Hecelpt No.
..wY.l.t.`4w.... tt.K.'.l.W.w.wr+wrrw,'.•a.r.. .......:JriilY'�WY..YwJ"rSw►'YraYNr.WrJ..w..YWUW4WIE11liYMY!'au'YWN�N wwxwui.'.wOYYY.`�•"..:, _.._".1'mrlY.�Wwa4+I.u::.w�rr..Iw...rrw,w.W.
mff
,&mw
UATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
Contrwor
7' Permit No. /5
Rou h jn
2 Fixture
Final
HEATING
Contractor
Permit No. :;i 7 57-3-77
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY 4 L —j?
Final
Storm p nalt
(Rain Drain) I'mal
Sidewalk 4,c 7 7
Curb&Street Final
Curb
A roach
SLOG �DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
r
Landscaping
Zoning
omng F ural
SEWER PERMIT NY 12112
Unified Sewerage Agency
of Washington County CITY OF Tigard DAFE .- 3-31-77
OWNER: _ T.O.C. PHONE : 639-3101
OWNER 'S ADDRESS
TYPE OF INSTALLATION:
[X] BUILDING SEWER ❑9UILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
n� NEW SINGLE FAMILY ❑ COMMERCIAL
1:3EXIST . (PRIOR TO 7- 1 -70 ) ❑ MULT . RES. Ej 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 TWENTY ( 120 ) DAYS. THE AMOUNT PAID WIl.,L
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE 25.
575.
CONNECTION CHARGE
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL S 600.
..........
APPLICANT DATE
SEWER PERMIT NV 12112
ADDRESS OF STRUCTURE 9530 SW BrentWaod P1.
TAX MAP - TAX LOT SYSTEM Fanno Creek
LOT 503 BLOCK OF-
APPROVED BY DATE ISSUED BY DATE
REMARKS--Bldg. Tar1373