9615 SW BRENTWOOD PLACE .t.,7... 7r✓, F �ia� 4d '" iMMr-.W� i�lri i{. '.w i±.r:' VA-W �,I►�' ,
'4
"+ 71 �.
c
9615 SW BRERMOOD PLACE
.Y
a
c
i
X
r s..
we-, �r^w/ }.%Ya aY/!� T a•r _ , �F�afT,y" �i�
+�.. tir.✓'i r pSA i b✓ t'nIy,',,�,' ,^I,a',,/���/ `►•' n.t'��
OF 0C'C
CITE OF TIGARD A/c l }
. ... �� � }�
OREGON
I .............Owner:.T.q ....... ......._..................................Permit No. 387 ' /
1
• 9615 Sl�l E3rentWoad P1. Lot #523
. ;
Building Address__ .. ... ......... .....
Certificate is hereby given this.lW .....day of..Na.uHm;aer...........119...?.1..
that said building may be occupied and
i is
that it complies with all requirements of
' the Building Code for the pity of Tigard,
as approved by the Tigard City Council.
.............. .........
Building Inspector
Address �Parmit No.
Perwit charge 22 0
Owner
r Connection fee --2S-
Paid
S
�� � ;
Paid by If
Type of building ,2LDate connected _
a
�prvice rate �! /� Inspection fee
Contractor Paid by .___. Date
:-e of connection Assessment ____ paid
a� BUILDING PERMIT APPLICATION "'y TICARD GATE_ Q-7--1 ,y 7
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEr. IN INDICATED BUILDERPHONE_ 639-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAN-- AND SPECIFICATIONS. OWNERPHONC
LOT NO.
OWNER JOB ADDRESS ren t wiciud P1 t•IOME ADDRESS
ARCHITECT
BUILDER FJ 0 irl v ENGINEER
ADDRESS DESIGNER _
ppSTTRUCTURE 'I'QNEW 0RE-MODEL ❑ADDITION_ ❑REPAIR ❑RENEWAL._ ❑FIRE DAMAGE ❑DEMOLITION
U'I*ESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS OPATIO ❑CAR PORT OGARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑COND1IoONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LJSIGNS
OCCUPANCY h LAND USE ZONE BLDG.TYPE. �-N .FIRE ZONE PLAN CHECK BY._ ! t IJ� HEAT_____•.
---Lot #523 - Mtncheater re-i®auw same as .1.0w.';:AW Greenlwaf
attached from* dwol.ling 10818hx to/attachad yarege w 2 bedroom Z bath
NQ.�14H1. ____AREA 1974 N0,9eQROOMS 7 VALUE9+480.
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 1::;7.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1f)4 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. Ai,11 IT IS HEREBY AGREED THAT THE
--- — WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal 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 'rax ,�01 LICENSE SFPARAIE PER"ITS REOUIRLD FOR SEWER, PLUMBING AND HEATING.
Total 172.®1
By
nr 'I a ANI OR AGENT -- `- --
Appr oved tJ — Hvceipt No I
af'Jr,+Ess -
..n�yil'�7�MLLF1Lww./WwGx.��14:tfs.Nuuwa.wM'.�i.w.uwYSdkfu �`A i...:.r„>kbfA},yLYdiY.G+N4lYW�JIN1'�iiW.LJYALut�'�681Cw'+....,' -
UA tZ JINSP. TYPE INSPECTION REMARKS PLUMBING DATE
-e ontractor
f Permit No. -7
Rough-in
v
;)13 Cettl Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
f2ALh
Final
SEWER
Final
DRIVEWAY
Final
Storm
"(Rain Dr
a
in)
Final
Sidewalk
Curb&Street Fina
l
Aproach
BLUG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY FinaI
CERTIFICATE OCCUPANCY Landscaping
Zoning
F mal
Nu 12121
Unified Sewerage Agency
of Washington County C I i Y OF_ Tx oa rd DATE .._4_-7=7?
OWNER: T �_ _ PHONE a 639-^3_1O1
OWNER ' S ADDRESS,
TYPE OF INSTALLATION,
lY, BUILDING SEWER CI BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
k]NEW 0 SINGE-E FAMILY
COhtME RC I AL
❑EXIST. (PRIOR i0 7-1 -70 ) 0 MULT . RES. � INDUS ('RIAL
FIXTURE UNITS-----.-- DWELLING UNITS 1-
PERMIT CONDITIONSr 7HE APPLICANT AGREES TO CO!APLY WITH ALL RUE =S
A14D REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING F,1R
INSPECTION, PLEASE REFER 'TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE—HUNDRED AND TVIENTY ( 120 ) DAYS,. THE AMOUNT PAID WII.t_
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEE. r
PERMIT FEE
CONNECTION CHARGE _ 575.
SIDE SEWER INSTALLATION
0T IE R I SSUi_D 6Y
TOTAL , s _
�P P L I C A N T
CA-i E
SEWER PERMIT � u 1 z171
ADLRESS OF STRUCTURE_s__ 9615 -SIJ 81,6nturoad ply_
TAX MAD
TAX LUT SYST-tv, Farmr
LOT
_.J,9L_. .3 BLOCK
Or
APPROVED ^BY _ DATE �
ISSUED BY BATE f.
Bldg*
FEMARY.S 1387