9580 SW BRENTWOOD PLACE �n
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9580 SW BRENTWOOD PLACE:
i
OF Occt
A ,
CIT`7 OF
OREGON
"' +' Owner Permit No.
Building
�+ Certificate is hereby given this_— .17—. flay of .
that . aid l7l';lt�ti'i�; T:i:�r' he �ya7Cl��)if;t] mid, 'i�1itt.
it complies with all requirements of the
Building Code for the City of Tigard, as
approved by the Tigard City Council.
Building InsnectorII- c
T!•M'.F^�. 1��_1v M� ��,
_./
..A.
C
L"z_L PERMIT N O.._ _. O v,....__�._ _..___`
PERMIT CHARGE ,nopF,
OWNER �.:�`_. ___._.._.._ CONNEPTION FEE
PAID BY
TYPE OF BUILDING bA'!E: CONf1Fl:"f10
SERVICE RA i C i�/7 INiPECTION FCL S
CONTRICTOR _ _ __- -- -- _ PAID BY UATL
SIZE OF' CUNNECTION ......... .._....... ASSESSMENT PAID
"'yTIGARD DATE 6-LI-77 ,�_ ��"�3
r BUILDING PERMIT APPLICATION of
THE UNDERSIGNED HEREBY APPLI'-S FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOWN AND APPROVED IN THE ACCOMPPNYING PLANS AND SPFCIFICATIONS. OWNERPHONE
LOT NO.— — _
OWNLR .IDB ADDRESS giau iiw b+Lretwpod( '.IHOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE x `C_JNEW _❑REMODEL _ ❑ADDITION El REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
QAESIDENCE _❑COMM ❑EDUCATIONAL ❑GO'V'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB []FENCE
❑BUND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPR^VED ❑SIGNS
OCCUPANCY LAND USE ZONE ~7 BLDG,TYPE " FIRE ZONE_— ►LAN CHECK BY �t� _— HEAT_
yn islE, frau ter rs-taaw"sas as 101. 3_SIL-GLo6C1lwaTarr„ --- _
;,it .Lechiid fraing dualling jakt8chad gerai;e 2 bmdrano 2 bath
OSS I.QAQ— �LQQR LOAD HEIGHT __ _.�___ys?..jTDajES i _�$F�A� IZRQQMS._ VALUE 3 4
BUILDING DEPARTMENT SET BACKS FRONT REAR L FFT SIDE RIGHT SIDE
Permit 157.00 --- _- - —�--
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL-DING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH T:+' PLANS AND SPECIFICATIONS AND INCOMPLIANCE WITH
Sulo 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 J.p1 LICENSE SEPARATE PERMITRE((]�UIPFID FOR SEWF },.P'•LUMBING AND HFATING.
,�r� '_•<lii � t/Ev.lLtl�.l6,iilll- .,ALs
Total 171,Ill
By
APp.I,ICAN1'OR AGENT
Approved T Receipt No
'Liss -- - t— -- --
I
a
DATE INSP. TYPE INSPECTION REMARKS Fn
LUMBING DATE
r
.to -�I 11 �� nr
Gi. �. _ Fixture
Final
--
HEATING HEATING
Contractor
-- _ — Permit Na.
Gas or Oil
Rou h"rn
---� _ — Final
SEWER
Final
DRIVEWAY
-- -- Final
-- ---- Storm Drainage
--- !_ (Rain Drain) Final
Sidewalk
Cnrb br Street Final
Approach
om(; DEPT FINAL TEMPORARY - CERTIFICATE OCCUP_ANCI v�
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
SEWER PERMIT N? 13400
Ui401--nm
Unified Sewerage Agency CITY OF Tigard DATE 6-8-77
of Washington County -- --
OWNER : ___�
T.D.C. PHONE : 639-3.101
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
X_cBUILDING 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 l
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULAT:iONS 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 WILL
BL FORFEITED SHOU!_D EXPIRATION OCCUR .
FEES:
PERMIT FEE $ 25. —
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION
ISSUED BY
0 i HER —TOTAL S 600.
All PLI_ 'ANT DATE
SEINER PERMIT N`•' 13400
PODRESS OF STRUCTURE 9580 SW Brentwood P1.
TAX MAP TAX LOT SYSTEM fannn ax2 k __
L 0 T ---- 515 — BLOCK OF ----- _
APPROVED BY DATE ISSUED BY DATE
REMARKS bldg. -' 1503 --