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15475 SW ALDERBROOK CIRCLE 0 F' (s LO r a m H O- r� O O f-1 F` H n N (D f ti r 15475 SW ALUERBROOK CIRCLE :I BUILDING PERMIT APPLICATION TIGARD DATE_ Jer• 6 Ig 4 7 THE UNDE7S161`1ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDIGATED BUILDER PHONE OR AS SHOWN AND r)PROVED IN The ACCOMPANYING PLANZ;AND SPECIFICATICNS OWNER PHONE OWNER JOE ADDRESS '5475 St' ,Alborbrook. Qrrl�� LOT NO. ARCHITECT ENGINEER 3UILDER 'a,irt ADDRESS _ DESIGNER STRUCTURE ❑ NEW ❑ REMr,UEL �O ADDITION _CJ REPAIR ❑ RENEWAL ❑ FIRE DAMAC_ ❑ DEMOLITION C] RESIDENCE ❑ COMM ❑ EDU( ATICGNAL ❑ GOWT CJ RELIGIOUS ❑ PATIO ❑ ;ARPORT ❑ GARAGE ❑ STORAGE ❑ SLA6❑ FCNCF, OCCUPANCY -- LAND USE ZONE _ __BLDG.TYPE FIRE ZONE .PLAN CHECK BY HEAT i.- 1 >: 10 f;oa— —_!:a �xa.�ti_ bl_dl,. All work to by_per carie rn uirw ?cruct:urel BAfrt%r. .Add 12 SEWER PERMITM .,5e:! OCC.LOAD FLOOR LOAD HEIGHT NO.STORI S AREA NO.BEDROOMS VALUE INQ DEPARTMENT_ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _ -- - -- --- ---- — Permit jam+ I.— THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF. BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check ,13 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS N'1RMIT DOES NOT WAIVE Sub-total �— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS M I J StatA Tax LICENSE,SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING. Total - SDC By - r PDtat APP'..ICANT OR AGEN i Receipt No. Approved F• T �ntds�r' ADDRESS PHONE I DATE 11"SP. TYPE INSPECTION REMARKS PLUMBING DATE Contracto- Pnrmh Nn Rough-in Fixture Final HEATING Contractor Permit No. Gas or Off Rough-in Final SEWER Final DRIVEWAY Final Storm rjralnere (Rain Dreir,,Final ISIdewolk @at Final Approach 111111L DEPT.FINAL TEMPORARY CERTIrICA E OCCUPNNCY _-- CERTIFICATE OCCUPANCY Q 7 1 Final I II Lsr•dscaping 2oning Final OF OCC Alt CITY OF TIGARD OREGON Owner:—L_!__- _ Permi Building Address_ Certificate is hereby given this day of that said building may be occupied and that `. •. a. it complies with all requirements of the 1 Building Code for the City of 'Tigard, as approved by the Tigard City Council. 4. Building Inspector , i Address ("Ilt- permit filo. Permit charge1 Owners Connection fee Paid by Typa of building Date connected Service rate Zn9pection fee } Contractor _ -, Paid by date Size of connection Assessment Paid •++..+...wi...�.....+.mow.. - .�`.-..,.. wY.►rwa.:,..Lu.-+a.ww......ti...�.ww..aws.u,w...«.........+......r.,.+.•.-...-..+,.hr..r...aewl..........+..,w.......r.....,r r«..... W.�..... ..� 176,-5-3 -- -� SEXIER PERMIT Ira ' u N+ 13801 Unified Sewerage Agency Tigard 9_22_7 j of Washing*on o:lnty CITY OF 9 DATE _ —_ _ OWNER : iTn r PHONE :, 639-3101 OWNER 'S ADDRESS. TYPE OF INSTALLATION. XE2BUILDING SEWER FIDUILDING SEWER AND `..IDE SEWER E TYPE OF OCCUPANCY: i nNEW XE3 SINGLE FAMILY ❑ COMMERC I/0 ❑EXiST. (PRIOR TO 7--1-70 ) ❑ MUL.T. PES. INDIISTR) PL FIXTURE UNITS DWELLING UNITS 1 �_ PERMIT CONDITIONS- THE APPLICANT AGREES TO COMPLY WJTH ALL. RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE RE" ER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 1.20 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR. FEES- PERMIT FEE $ 25. CONNECTION CHARGE OOn SIDE SEWER INSTALLATION ISSUED BY —w OTHER TOTAL $ 625. APPL CANT [SATE SEWER PERMIT M 13801 ADDRESS OF STRUCTURE 15475 SW Alderbrook Circle TAX MAN TAX LOT _ SYSTEM Fenno creek LOT 483 BLOCK C� to APPROVED BY DATE IS ED BY DATE REMARKS bit. #172© .� _ ...w ....w�../M. . ..'�� rw+«.st^MYY1<41+w�4.4.�M 'WM,ww. �. A.••Y 1TY BUILDING PERMIT APPLICA"FIQN coy TIGARD DATE _ __ t9_____ 172S THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED DUILDERPHONF s-1101 OR AS SHOWN AND APPROVED IN THE ACCOMP,,,N r'ING PLANS AND SPECIFICATIONS. OWNER PHONE_ LOT NO.— OWNER . . . JOB ADDRESS)..Sra7`;i L;, h11clt:US'Ur_K I.HbMEADDRESS ARCHITECT ENGINEER BUILDER ADORE.S _ DESIGNER STRUCTURE_ '0NEW� 0ALMOFEI ❑ADDITION [:]REPAIR 6,..aRENEWAL ©FIRE DAMAGE DEMOLITION RESIDENCE ❑COMM ❑EDUCATIONAL ❑GCV'T ❑RELIGIOUS❑PAT 10 []CARPORT GARAGE ❑STURAGEEISLAB ❑FENCE DBOND ❑MOVING ❑CONDITIONAL U'": ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY–L-- E LANC USE ZONE BLDG.TYPE _FIRE ZONE_L PLAN CHECK BY J�W HEAT i_,:rt ��.� r�.;�H:seJw sror.iL� ati 1LO;�G:� :i�d Hiyt�rwlnet r.%r. . f r+:�m�, t�wlallxrlc, u/�tter.11,:�} c1rxre',�e a bedruum 2 bath S�Cr.S J„QAU FLOOR LOAD I-E QbJ NO aiggiES -__L1_REP _NQ 8EDR00 �_�/ALUEZ7 `� _ BUILDING DEPARTMENT SET BACKS FRONT 10 ( 1' RrAR 1G _ LEFT SID141611 RIGHT SIDE Permit 121.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH T}!E PLANS AND SPECIFICATIONS AND IN COMPLIP.NCE WITH Subtotal 131.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURPENT CITY BUSINESS State Tax �`1.2A LICENSE. SEPARATE PERMITS REQUIRED FOR S'WER, PLUMBING AND HEATING. Total 13u. 24 !*300. By _�-- APPLICANT OR AGENT Approved — 9 Receipt No. UATE INSP. TYP�.INSPECTION REMARKS PLUM6:NG DATE Contractor Permit No. �� 3 S 2 -� 79 -L-2 -''J'1 G(�rid - OIC __ Rougn-in (-2(,—�$ 'd1 DPS O✓E� Fixture _- final —c'k — ---- HEATING Contracto, _ Permit No. D� ' Gas or Oil Rough—in -- �_ �� -- Final#IAI - 2= ��_ — —_—SEWER -- � �'�� `�� Final U DRIVEWAY Findl _ __ _---_- -- -- — Storm Drains e — Rain Drain) Final Sidewalk Curb& Street Final -- -------- ---- _ _ A roan BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY — CERTIFICATE OCCUPANCY Final _— — Landscaping Zoning Final