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CITY OF 'T ' A
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Ow ner: T.D.C. —Perm it No._, 1619 r y
►j9 Building Address_ 15355 SW Alderbrook CI z'cle Lot #489
Certificate is hrrehy g,Tiven this --_ 17.,--__ day of q M-.Ir(,h78
that said bt!ilding may bo occur,iud and that
it complies with all requirements of the
Building Code for the City of Tigard, as
approved by the Tigard City Council.
Building Inspoclar
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C;vn`,^��►r,t:r r _..____...____ E )..ri by
SEWER PERMIT 13483
Unified Sewerage Agency
of Washington County CITY Of= - Ti as rd DATE 7L25 77 _
OWNER , TDC_ _ PHONE : 639-3101_
OWNER ' S ADDRESS: — 15355 SW Alderb000k Circle
TYPE OF INSTALLATION:
[E BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY :
❑NEW ® SINGLE FAMILY ❑ COMMERCIAL
❑EXI ,T . (PRIOR TO 7- 1-70 ) ❑ MULT . RES . ❑ INDUSTRIAL
FIXTURE UNITS _ DWEL.LING UNITS _ 4
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 I-WENTY ( 120 ) DAYS . -SHE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE nrl
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CONNECTION CHARC-E jr nn nn
SIDE SEWER INSTAL _.ATION
I S"*UED BY
OTHER —
TOTAL _ 625. 00
';APPLICANT DATE
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SEINER PERMIT M 13483
APDRFSS OF STRUCTURE_ 15355 W S.W. Alderbrook Circle
TAX MAP _, TAX LOT SYSTEM F anno Creek
LOT _ 489 _ BLOCK _ OF�--- — -
APPROVED BY DALE ISSUED B�/ � DATE '
REMARKS
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CITY TIGAI�p DATE 7/2.5/77— _..__, 19
BUILDING PERMIT APPLICATION of r
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BU,LDERPHONE__ ---
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
LOT NO. T
I:,jIbL► 'jU Ajt.;ur•aruuk
OWNER _• JOB ADDRESS HOME ADDRESS
•— ----- ARCHITECT
ENGINEER
BUILDER ADDRESS _ _ _ DESIGNER r—t
STRUCTURE []NEW ❑REMODEL _❑ADDITION _ ❑REPAIR ❑_RENEWAL ❑FIR-1EDAMAGE []DEMOLITION
❑ RESIDENCE []COMM ❑EDUCATIONAL_CIGOV'T uRELIGIOUSLJF_ATIO ❑CARPORT OGARAGE`❑STORAGE❑SLAM 0FENCE
0-BOND ❑MOV ING ❑CONDITIONAL USE CIP'-SIGN REVIEW ❑COUNCIL.APPROVED
❑SIC"JS
OCCU_PANT.___��,LA_ND USE ZONE.— BLDG.TYPE FIRE ZaNE_ PLAN CHECK BY _ HEAT
i .1 3 r off ..7 J i .l Es .a i.f t;t i^
.__ 36
rFO
40 20 149AREA --YAIUE
QCC L AU HEIGHI._ NQ. OST, , s
V91 1ar
BUILDING DEPART J 9,, SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
— � THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONINr'
Plan Check REGULATIONS AND ALL APPLICABLE CODES %ND ORDINANCES, AND IT IS HEREBY AGREED THAT TF
-- WORK WILL BE DONE IN ACCORDANCE W1TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALI APPLICABLE CODES AND ORDINANCFS THE ISSUANCE OF THIS PERMIT DIES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS 10 HAVE CUrRENT CITY BUSINESS
State Tax LICENSE, SEPARATE PERMITS RECIUIREO FOR SEWER, PLUMBING AND HEATING.
Total •
By
-- --— E lJ
AGENT
7 AP t NT OR �. --
Approved Receipt Nqk'"' ; ADDPEIC
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
j b � Contractor
Permit No.
I
o'2Stf. ,-4.f _ Fixture
Final
HEATING
_ PP/10V - ) P Contractor
t, yh Permit No.
Gas or Oil
17
Uvt Rough in
V
Final _
SEWER
.i OI ��-- — Final
DRIVEINAY
Final
Storm Drainage
Hain Drain Final
Sidewalk
Curb &Street Final
Approach _
BLDG DEPT, FINAL — TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final w