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15395 SW ALUERBRCX)K CINCC.E i
'"tom*'.^.tom-�r*vv�w----��---r�'�, •.-__,,.-,.....,,r,..,,......._.
BUILDING PERMIT APPLICATION 1 FY TIC ARD DATE._- !)�' 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE---
OWNER
L07 NO.
�`fl JOB ADDRESS
HOME ADDRESS
- ---
ARCHITECT
BUILDER '"7395 S"! A;�,f'rLslL'1;',ro1S! ADDRESS ENGINEER
_ DESIGNER
STRUCTURE ❑NEVI, ORIMODEL ❑ADDITION ❑REPAIR ❑RENEWAL_ ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE CJr,OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND LI MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY ...._LAND USE ZONE_.-_ _BLDG.TYPE_ _FIRE ZONE_. PLAN CHECK BY_.._..-_-_-_- HEAT.------
I tjurnArfr , At1Q4►
OCC LOAU _ _.F_LQ4 J.SZ9A, HEIGHT �{.4�&IQDl S _AREP__ -----
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
-J"` -- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COUE, ZONING
Plan Check RFGULATIONS AND ALL APPLICABLE COOFS AND ORDINANCFS, AND IT IS HEREBY AGREED THAT THE
-- ----_- WORK W1LL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Snb-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 Tag LICENSE. SFPARATF. PERMITS RFOUIRF_D FOR SEWER, PLUMBING AND HEATING.
Total --
BY
---------- --- ---- AI�p1..ICANT OF AGFNt -
Approved — -- Rec-l,t No
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Convr,ctor
-- J -- — - ----- Permit No. _
Rough-In
— Fixture
Fine
HEATING
_.-- ------- -- IL [Fion,
tractormit No.
-_^— __—_ — ------------- --�..-__._. Gas or Oil
^- — -- Final —�-
---- SEWER _-- -
- — �! -----^ Final -- -
- DRIVEWAY
----- final ----•
Storm Drolnnpa
(Rale Drain) Final
Sidewalk
Curti o Street Final
Approach
9LDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final — �—
CERTIFICATE OCCUPANCY �—
Landscaping
-� Zoning Final ���
_
�
�
/
�
'
�ddrnnn� P mz� No.
Parmit ohirgo
�
Ounpr C�nnmotion oo
r
Paid by
Typo A build.ing ll��� ()mta uon/mctrd
Snrvion rato � S �' inspection ro�.
Contractor Paid fly
Cizp np �o/��/��.��i�nn 0naeaamnntppir|
'7 67
C. - ..
SEVVF PERRAIT N? 13
487
Unified Sr,werage Agency
Of Washington County CITY OF Ti Mrd DATE July 27, 1977
OH,NER : Tualatin Dcvelocment Co u_ Inc _ PHONE :—fi34_�In1
OWNER ' S ADDRESS: I33gQ c',,' I I eth : .r= rurc , Ti arri� n- rnn 47i��
TYPE OF INSTALLATION :
BUILDING SEWER LIBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
FINEW , SINGLE FAMI!_Y
❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1 - 70 ) MULT . 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 AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE g�_ LS. 00
ZONNECTION CHARGE 6n0. OL__ ,
SIDE SEWER INSTALLATION
OTHER
ISSUED B'i'
TOTAL 625. 9p
15i7
APPLICANT DATE
SEINER PERMIT N`' 1348'
ADDRESS OF STRUCTURF 15395 CLI Ilderbruck Circls, Ticiard
TAX MAP TAX LOT SYSTEM Fanno :reek
LOT __/AE7BLCCK _ OF mmerField T _
ETiJ 7-27-77 4 LLA.)_a!Lc,-.j 7-27-77
APPROVED BY DATE ISSUED BY DATE
REMARKS
t,k` 'BUILDING PERMIT APPLICATION Co Y TIGARD DATE JULY 27� 19= 1613
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_._...�.�r,lt.—,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE--
C I C
HONE—_CIC LOT NO.
OWNER JOB ADDRESS 1539b SSW Ald*rbrook HbME ADDRESS _
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE UNEW _0REM_ODEL _–� ❑ADDITION ❑REPAIR ❑RENEWAL.--- _0_FIrr ��
R--EDAMA [:]DEMOLITION
_DEMOLITION
0 RAIDENCE`DCOMM ❑EDUCATIONAL DGOV'T DRL
ELIGIOUSDPATIO OCAR PORT DGARAGE ' I STORAGE DSL-AB ❑FENCE
❑BOND DMOV NG CCONDITIONAL USE C1 DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY X--_-.LAND USE ZONE BLDG.TYPE U t0 FIRE ZONE PLAN CHECK BY, `rU HEAT..
LLL 467 r a- is®ua amine 80 15618 SU Summa. rfiilld Laiie Fromm dwelliriW w/attechrad
_Garage. 2 bwiroulln 2 both. -- --- — — M
i
OCC. LOAD F1,QQ(3 QQAP _ _ HEIGHT_, — N0.570RIE5 �' AHEA 1366 LVQ_BEDHOOMS 1 YAL�SIF�99 1170.
BUILDING DEPARTMENT ��0 611 199 59 Fj 1 ()If
SET BACKS FRON i REAR LEFT SIDE RIGHT SIDE
Permit 121100
--•—__ - _�__—_.�—_
THIS PERMIT IF ISSUVO SUBJECT TO THE REGULATIONS CONTAINED IN THF BUILDING CODE, ZONING
Plan Check 10100 REGULATION; AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL dE DONE IN ACCORDANCE WITH THE PLANS AND SPFCIFICAT IONS AND IN COMPLIANCE WITH
Sub-total ALI. 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 — — !iGENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
Total 141*48
By FTW
-------------
---- --- APPL
Approved Receipt No. J
ADDRESS
DATE INSP, TYPE INSPECTION REMARKS PLUMR!NG DATE
FPermit
No. _ 5� rU /0-3-77
Rough-in —
lo_r`l_�^ `! 4 �1 Fixture
10-0-171-P GI
W41y £ f,,,a,7 If _ Final
rr
V , G�,�t-9— THEATING
(L s Contractor
Permit Na. �n .�—
Gas or Oil r
Rough-in
_ Final
SEWER
_ Final
— ---. — `— DRIVEWAY
Final
Storm Drainage _
(Rain Drain) Final _
Sidewalk
Curb&Street Final
Approach
BLDG DEFT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _
-� Landscaping
Zoning Final
i