9575 SW BRENTWOOD PLACE r
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9575 SW BRENIWDDD PLACE
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CITY OF TIGARD
OREGON '' ,
0,A-ner:.........T.D.C......................... �.
...Permit No..-..1.40.2.........
Building Address..9575 SW Brentwood Place,.. .,1,ot...#b 2.6..............
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Certificate is hereby given this.0th .. .day of.ftvemtez............ 19.....7.7. ;�, ���•
r^ � X that said building ma be occupied and Iii.
that it complies Nvith all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council. :
Builnin, Inspector { '
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.,� .�"'++�E �.� ...y �,,.� AM ,,,,. I.!\ ' tea' �;•-� �... .a. ♦ r
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ADDRE �,� ,7=�i� PERMIT N 0. ,�/�? 9
SS„��a �� a moi% ---J-
PERMIT CHARGE none
OWNER � � �. '` CONNECTION FEE
PAID BY _/.- g
TYPE OF allILDING DATE CONNECTED
SERVICE RATE '� ___ INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION _ __ ASSESSMENT PAID
W-2 �7
CITY OF TICARD
ORDINANCE -"77-26
Ir
STREET SYSTEM DEVELOPMENT CHARGE /&'Pf V11771,
DATE :_ y— 1. 4 — 77 ESTIMATED SALES PRICE S
APPLICANT NAME T' be- TELEPHONE _ 3
JOB ADDRESS
BLDG. PERMiIT
AMC1U11T OF FEE FOR S. D. C./, �►t__ _fie o�3.0� i c/41
DESCRIPTION OF IMPROVEMENT
EXEMPTI NS -PER ORDINANCE r�-'77-26
FEE RATES:
A. Single family duelling unit under $60, 000.--------- x300. 00
B. Single family duelling unit over $60, 000. ---------- $400. 00
C . Mobile Home Court Space (Neu Development)---------- $150. 00
D. Multi-Family Deullings--per unit----•--------------- $240.00
E . Commercial, Industrial & Institutionel (Park. Space) $ 50. 00 Each
F. Single family unit under $40, 000. ------------ --- $25O. O0
BUILDING PERMIT APPLICATION Co Y TIGARD DATE_— ���' ��7_. 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED IN 'THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO
OWNER T*D*C o IOD ADDRESS 9575 sl,-, ele n tWnud r L14OME ADDRESS
-- - ARCHITECT
ENGINEER
BUILDER $;,1(eA ADDRESS DESIGNER
STRUCTURE EW ❑REMODEL ❑ADDITION _—_ ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
1lJ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
BOND [I MOVING ❑CONDITIONAL USE ❑DESIGN REV-EW — ❑COUNCIL APPROVED_ ❑SIGNS
OCCUPANCY.— LAND USE ZONE_—_'7 BLDG.TYPErJ�1 FIREZONE_'a PLAN CHECK BY, ®r L'__— —HEAT_ tjtT t
L.ut 0526 Manchester rel-issue some as 1025 SLI uroanlsaf Terr.
att+echsd d frame duallino
k bedroom 2 bath
SLGg J OAD -.__— FLOOR LOAD .`!___H_ELQHJ rl.Q STQRLU_1-._Plfa 974 NO,a.ED.BDOMS 2 YAl UE..39,46
BUILDING DEPARTMENT SET_ BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 17,00
� — — -�-- .� ---_
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COLYI, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CC-OES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT 13OFS NOT WAIVE
RESTTIICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax ".1001 LICENSE SEPARATE PERMI IS REGUIRFD FOR SEWER, PLUMBING AND HEATING,
Total 172.01
BY ns nl it p IT OR AGF NT
Approved tW He(v pl No r
....._......... ..zrn,... ...........,e.... ..:ur..-......_ .wuiLutAM.K.w:lY:+,i,a:..ay..w..,.,eY.iMw+F'- . .o-w,..w»..M:..�,N....:a.:Wer.+W.Ot1e1Nu».Nt.iW..NwfMIIN ..•...•.•,AJMaiu.r�n,:��YUL.i.. n.a....J,....rr+....J.'W,uu.M.:i 4aix.d
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
'ontractor r
Permit
J i ^i4l! ' I.Pr' 1 ROU h-in _
2-2-99 7 7 4 Fixture
Final
- � I
"2S' 5 t3 -vim HEATING
_r J Contractor
Permit No.� /
Gas or Oil
Rou h In
-- —� SEWER
Final _
DRIVEWAY
T Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Ap roach
BLDG DEPT. FINAL TEMPORARY i CERTIFICATE OCCUPANCY Final
CERTIFICA'E OCCUPANCY
Landscaping
Zoning Final
-Uf SEWER PERMIT M 12129
Unified Sewerage Agency
of Washington County CITY Oi Tigard DATE 4-14-77
OWNER : T.D.C. PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
U BUILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
nNEW SINGLE FAMILY COMMERCIAL
❑EXIST . (PRIOR TO 7-- 1-70 ) ❑ MULT . RES. U INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLINC FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN UNE—HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25• _
CONNECTION CHARGE 575•
SIDE SEWER INSTALLATION
ISSUF_7 BY
OTHER
TOTAL $ 600.
APPLICANT DATE
SEWER PERMIT N`. 12129
ADDRESS OF STRUCTURE 9575 SW Brentwood P1.
TAX MAP_. TAX LOT_ SYSTEM _Eannn CraRk
LUT 526 BLOCK OF
APPROVED BY T� DATE ISSUED BY DATE
REMARKS
Bldg. #1402