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15340 SW ALDEFtBROOK CIRCLE
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Uwner:... 1636
(> �T-.a..�.... ...................... Permit No..............--- ---
5340 5W Al.derbrook Circle
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Building Address ................ !-�?.t..#43h.. ::.._...
/ Certificate is hereby given this....3.0........day of..pecemher
that. said boding may. be occupied and
-
' that it complies with all r quirements of
the- Building.Code for the City of'Tigard,
--as approved by the Tigard City Council.
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...... ................. �!'r�i...................
_= Building Inspector
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Address /� s%� �/lCk w, ellzzi- Permit �!o.
Permit charge 2-2 0 77 r±
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Owner 7 �_ Connection Pee �'(jd—c—
Paid by �C
Typ3 oP b1ii.1ding Date connnctnd
Service rate �/� Inspection foe
Contractor Paid by data
Sizo of connection Ansessment Paid
f.��--
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SEWER PERMITUf �o
1'3496
Unified Sewerage Agency
of Washington County C i Y OF _T turd, _� DATE _-8-0-77
OWNER: T p C PHONE : 639-3101
OWNER 'S ADDRESS: ^_
TYPE OF INSTALLATION,
U BUILDING SEWER ❑BUILDJNG SEWER AND SIDE SEWEP
TYPE OF OCCUPANCY:
Lj$,JEW SINGLE FAMILY COMMERCIAL
F]EXIST . (PRIOR TO —1-70 ) ❑ MUL7 . RES. ❑ INDUSTRIAL
FIXTURE UNITS_ DWELLING UNITS 1
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 AMOCNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE E 2
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL s
APPLICANT DATE
SEWER PERMIT M 13496
ADDRESS OF STRUCTURE 15340 5W blderbrook Eir,
"TAX MAP 1AX 1.07 - SYSTEM fannn__jrPHk
L 0 T 436 BLOCK OF > �
APPROVED BY DATE I SSU516 BY DATE
RLMARKS bldg. 41636 _
BUILDING PERMIT APPLICATION cOFY TIC ARD DATE__—
THE UNDERSIGNED HEREBY APPLIFS FOR APERMIT FOR THE WORK HEREIN iNDICATED BUILDER PHONE Q_ I fl I
OR AS SHOWN AND APPROVED 1N THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE—
LOT NO._.._
OWNERy ----- TJOB ADDRESS—11A41-1 `",'J AA derbraoii HOMII ADDRESS
ARCHITECT
ENGINEER
BUILDER _ rr•�� _ADI;RESS _ DESIGNER
STRUCTURE ❑NEW 12 REMODELrr11 ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE []DEMOLITION❑ RESIDENCE OCOMM ❑EDUCATIONAL !JGOb T ❑RELIGIOUSL]PATIO ❑CAR PORI ❑GARAGE ❑STIJRAGE❑SLAB []FENCE
❑BOND ❑MOV ING ❑CONDITIONAL USE C19ESIGN REVIEW ❑COI_INCIL APPROVED DSIGNS
OCCUPANCY ___LAND USE ZONE BLDG.TYPE ,!J —__FIRE ZONE— PLAN CHECK BY_ f t! HEAT
Loi 4 ',. a mk 1.'s r(E —issuiu shine Fie 1561u ,,;. jummorfiuld Lane —
rami dwelling w/ettgched ;. Eerage 2 b6dLuum�2 beth T --- --
OCC_I:QAV F S?�LOALL L�ElSaF1L— O�fSIQH!F„&,—.___ VALUE
BUILDING DEPARTMENT SET BACKS FRONT f�—REAR fin LEFT SIDE_ r RIGHT SIDE
Permit 12'7.OU—'1
-- _ — , S PF^.S:'T IS ISSUED SUBJFCT Tr THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10•UG REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`pub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITV BUSINESS
State Tax `)`40 LICEpIy f;SfP1AR�TE PE RII�IT$I'RECulli{EDFOIR SS'EWER �+JMBING AND HEATING.
TOldl 142.48 II l t�lL ii4 t fl ti 6�
BV
---- ------ APP CANT OR Ar3ENI ,rte
Approved Receipt No 1
t
DATE INSP. TYPES INSPECTION REMARKS PLUMBING DATE
Dir --�--- Contractor _//
Permit No.
` () b~ 31v, k -2 S-�
� G'll ftnl�- / --- Rough in - - —
l-t,0 —�,t—Ce-er Fixture
e _ Final
I
HEATING
Contractor
V��`` 2S'�
- ?rCa a �lt3,cd� Permit No. 9 �- �
tLt I Gas or Oil
_
Rough-in
Final... ---- - -
- 'tA _ SEWER_
fwd _ Final
DRIVEWAY
16,2 p �'z—'L-- - __� �_ Final -
__ Storm Drainage _
rFlaiDrain) Final
n
idewalk __ _ _ ---�
tLLandscapi,ig
& Street Final
ach
BLDG DEPT. TINA:! TEMPORARY CERTtFICAI E OCCUPANCYFinal
CERTIFICATE OCCUPANCY _
Final