15400 SW ALDERBROOK CIRCLE-1 I
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1.5400 SW ALDERBROOK CIRLCE
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OREGON
Owner:...T.d.C.a............................................. ..............Permit No................ ] 606
16400 SW- Alderbrook Circle Lot..• Q9
BuildingAddress........ .. . #.'. .......... .
Certificate is hereby given this............ day of December...._....... 19 .7.7
that said building may be occupied and ,
that it complies with all requirements of jet
the Building Code for the City of Tigard, 1 r*{
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as approved by the 'Tigard City CUuncil. ,
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Building Inspector • !;�•(�,,`�`,�' '
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ADDtrF 53. r5 _ 4 &.r.�. �C . �:t PERMI-r N0.__w.___�3. ._
PERMIT CHARGE none
OWNCR CONNECTION FEE
PAID 8Y
TYPE [IF [WILDING DATE CONN;CTEV
S F. 11 U I t:l P A T E I N S P E C T I f1 N F r C
CONTRACTOR PAID BY DATE
►I7_E. Of CONNECTION ASSESSMENT PAID
t`7
SEWER PERMIT N° 13474
Unified Sewerage Agency
ofWa•,hingtonCounty Tirard DATF _ 7-13-77
OWNER : T n C -- PHONE s6; --31gj
OWNEP ' S ADDRESS:__
TYPE OF INSTALLATION :
LE BUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
r]� EW ❑ SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1 -70 ) ❑ MULT . FIES . ❑ INDUSTRIAL
FIXTURE UNITS DWELLIN,, 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
CONNECTION CHARGE
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL E 625.
APPLICANT DATE
SEWER PERMIT M 13474
ADDRESS OF STRUCTURE 15400 SW Alderbrook Cir. _.
TAX MAP_ _ TAX LOT __ SYSTEM fanno creek _
LOT 439 BLOCK OF
APPROVED BY DATE � IISSUED BY TATE
RFMARKS blldg.__�1604
., ... ,.,,. -.,,w�.�.�w,-.«.........�+..........,-+w,....w.�r....+wr+w�,.:. 1.NPYMM�.r „wa,.aw.»...rw,w....,�.w,....�... .....,...,.ten..... .,-.--w-...
BUILDING C-)RMIT APPLICATION of TI{' 4RD DATE 7-11-a? 19 ,/ ` 1 ;;►,�
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK ' _REIN INDICATED SUILD-RPHONE_;i„
OR AS SHOWN AND APPROVED ;Nv THE ACCOMPANYING PI ^'., AND SPECIFICATIONS. OWNER PHONE_,...
LUT NO..
OWNER • r — JOB ADDRESS 15400 oW Aldfrbruak HOME ADL)RESS _
ARCHITECT
ENGINEER
BUILDER AD_n�cSS _
DESIGNER _
STRUCTURE MEW 0RE.MOD'�L ❑ADDITION 0REPAIR ❑RENEWrr--A��L ❑FIRE DAMAGL ❑DEMOLITION
RESIDENCE UCOMM UEDUCATIONAL. ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT 1_1GARAGE [ TORAGE L3SLA(3 ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW IICGUNCIL APPROVED GSIGNS
OCCUPANCY_ LAND USE ZONE BLDG TYPE— FIRE ZONE' PLAN CHECK f Y- NEAT
Ink g.,� ren-f.lmuo jam■ as 1n365
__ fuse duullinu u/m l chard qar®y1. 2 �ad��oa 2 aa�h
QQQ LgAD Fl-Q_Q_RAjQBQ.— --F;E i No.m)BlE-s– �1"A 1Z� ��@�S2R.QQR!LS—�VBLSI 2 _
BUILDING DEPARTMENT SET BACKS FRONT 11 REAR 28 LEFT SIDE RIGHT SIDE j
Perrr.'t 121.06 — --- - -
-- THIS PERMIT IS ISSUED SUBJECT TC' THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10 00 REGULATIONS AND ALL APPLICABLP CODES AND ORDINANCES, AND 11- IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND INCOMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND OREHNANCES. 1HF ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax J♦r. + LICENSE. SEPARATE PERMITS REi2UIRIED FOR SEWER, PLUMBING AND HEATING-
Total ij�tfdAl�.: i.11,�. M1,,;BL.r�'i .I�,�1 .�..; -.:!.air•(:`!..
T 36 h
By
---- --- — APt'IIrANT OR AGENT
Approved l ;W Receipt No.
4.
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
� Contractor Y �
Permit No.
Rough-in --- ---'LL TI3 Fixture—.___
HEATING
- d-,(Q -i L.ontra4tor —
rz�_ Pe•mitNu. 0 200
LQ — Gas or UII — -------
�Gy' Rou h-m�—__� — —�
Final
SEWER
Final _. _------
DRIVEWAY
-- --------- Final ----- -- I'
—�— — ---
___ Storm Drainage
(Rain Dlain) Final
Sidewalk
Curb &Street Final
BLDG
h-
BLDG DEPT FINAL TEV'ORARY CERTIFICATEOCC!.PANCY
CERTIFICATE OCCUPANCY Final
Landsc^ping
---^— — Zoning Final --
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