15260 SW ALDERBROOK DRIVE cn
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152b0 SW ALDERHROOK DRIVE
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ADDRESS �,So2�v0 61d � � PERMIT NU. �Sk /.3
PERMIT CHARGE none
OWNER �` ,�, � CONNECT'IUN FEE _ (a
PAID BY T ��(2-
TYPE
TYPE OF BUILDING _ DATE CONNECTED
SERVICE RATE _�Q INSPECTION FEE - -
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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SEWFIR7 PE N11T
5313
Sewerage)Manny
at ,v.,sh;nqton Coun tY CITY OF Tiqard DATE
OWNF-P PHONE :
OWNER '.3 ADDRESS:
,T -: OF INSTALLATIONS
X0BUILDING SEWER
j BUILDING SLWER AND SIDE SEWER
TYPE OF OCCUPANCY:
N F�l 'DSINGLE FAMILY n COMMERCIAL
EXISF. (PRIOR TO 7-1-70 ) M MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNIT"]
ADDRESS OP STRUCTURE :
PERM T CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGUI-ATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND I'Wi-'NTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
P E R iN IT F L E
CONNECTION CHARGE
SIDE SEWER INSTALLATION
TOTAL $ 625.
APPL I CANT DA TE
00
t Ql 3
Afjnt .r OF SrRUCTURL 15260 Sid Alclorbrook of .
TAX PAP FAX I-Of SYS7LV
/,:j
Lr)'I BLOCK
-- OF
Ile
BY DATE byl/ DA 11
D . REMARKS bl 960
i
t
BUILDING PERMIT APPLICATION 1OF
1T TIGARD DA1'E__ R -��:—__. loco
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE'
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNERPHONE__
t LOT NO.—
OWNER ,_ JOB ADDRE1iS - '71�.)9 SW A660,Jr')O� HOME ADDREiS -
ARCHITECT
ENGINEER
BUILL)FR ADDRESS ____ DESIGNER
,A _
STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
l,RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO OCAR PORT ❑GkHAGE ❑STORAGE❑SLAB ❑FENCE
OBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE_ -BLDG.TYPE_ FIRE ZONET PLAN CHECK RY': HEAT
'L , 432 mk l:i-ll rmaiAAU& ciaeno Ln_ -__-- __---
framL, dwaiiils"i�wZaLtacPtfiid (2L=.;_aury 1 hudLa❑m 21j lialch
. .yaw j permit.. 15t]13 egwer conn. ht500. sewrr Ingg, 925. — -
OCC.LOAD LOAD HEIGHT --, NO.STORIES-_+__ ARE AjNO.BEDROOMS_ -VALUE__�..;.,
BUILDING DEPARTMENT SET BACKS FRONT 110 REAR LEFT SIDE �l, a RIGHT SIDE
Peimit 131:. (`I' - -- —_ - --�
- THIS PERMIT IS ISSUED :.UBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1 fl.(l!I REGUI-ATIONS AND AL1 APPLICABLE CODES AND OR7INANCES, AND IT IS HEREEY AGREED THAT -HF
WORK WILL BE DONE IN ACCORDANCE WITH THE PL ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLiCARLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax q LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total
i1A '.tJ.r' . #2 Ilton
By
A19'1 a INN OP AGf NT
Approved I" I Receipt No.
�� ADDpESSV- ----- --------
-- -- PLUMBING DATE
DATE INSP. TYPE INSPECTION REMARKS
-�'`a- �1 79�u•ti��---
Contractor �L� � Gyp 0-17-79
Permit No.
� ''
�01V�q&j,
,JI-E , C/e r�ir1 Rough-in —
/_ Fixture
r lfl
Final _
HEATING
Contractor
rf�n O L
L, r, lam - Permit No. J- r
� Gas or Oil — -
Rough.i!r
Final
SEWER
—z�— I C' A !Z 1C_ rine aa.(vt — F ina�1;.G
J$
DRIVEWAY
Final -
-` Storm Draina e
(Rain Drain) Final
Sidewalk
— -- Curb &Street Final
_ ALproach
BLDG DEPT. FINAL—T TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
v Zoning F incl