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15640 SW ALDERBROOK CIRCLE
1 in n� - o cn C A N LL m H O' H O U f'7 H• ti n H- tD I 15640 SW ALDERBROOK CIRCLE: C16 � i 4 i W Z Z Z M ❑ r r ^r W p GOOD C CLNa cn ; �© I� 1.4 vul r p�j r 4 I Ilk J i w Ll 1 a BUILDING PERMIT APPLICATION TIGARD DATE-_._L • 19_ � 5638 THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED BUIL DER PHONE �'L4~:2dSJ1— OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE OWNER iWaj- c— "!kvt JOB ADDRESS 15640 SW Alder� LOT NO. tuuk -`--- 5T- ARCHITECT ENGINEER BUILDER Samoa _ ADDRESS _ DESIGNER STRUCTURE ❑ NEW ❑ REMODEL (&ADDITION LJ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION N RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY i.:-1_-LAND USE Z014E R-7 BLDG.TYPE ---AN-FIRE ZONE_ PLAN CHECK BY �-W NEAT ('8g _-. Aad xocml to exi ltin sin.„le-fuAily dwell tux 7' x 9' 8" area. _------- SEWER PERMIT N _OCC.LOAD _FLOOR LOAD 4U HEIGHT NO.STORIES _1 AREA i(P NO.BEDROOMS x VALuE 20,00f) BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Y ' Permit 32.50 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE ?Ian Check 11.13 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 53.t)3 WITH ALI. APPLICABLE CODES AND OPrANANCES. THE ISSUANCE OF THIS PERMIT DOES NUT WAIVESub tote'_ RESTRICTIVE COVENANTS. CONT^_"rOR AND SUB CONTRACTORS TO HAVE CURRENT Ci TY COSINESS 4:. 1 3C LICENSE.SEPARAI E PERMITS REOUIREC FOR SEWER,PL UMBING AND HEATING. State'ex ,�.93 SDC - Total _ PDC# APPLICANT OR AGEN1 By Receipt No. - Approved r PHONE DATE—INSP. TYPE INSPECTiO)N RCMARKS PLUMBING DATE 9,4�r 03C AO lContractor I 71L, Permit Nu.6 Rough-in 00 Fixturin Final HEATING Contractor Permit No. Gas or Oil flough-in SEWER Final DRIVEWAY Final Storm Urainap Main Main)Final 'Sidewalk Curb 1,St,,,"t Final Appronch cm KEPT. FINAL- r Tr-MPORAWi C r R T iFI'6jk:FF OCCUPANCY — — CL.,7rW CATE OCCUPAN, Final Landscaping Zoning Final ADDRESS S( �� Z l;c L[o . PERMIT N0._ PERMIT CHARGE none OWNER ,�r-J , C� CONNECTION FEE PAID BY TYPE GF BUILDING �� _ DATE CONNECTED SEP,UICE RATE I°!SPECTION FEE v2.� C CONTRACTOR _ Prl TD BY _ DATE SIZE OF CONNECTION _ ASSESS,IENT PAID l co V. A BUILDING PERMIT APPLICATION 1OF 1T TIGARD DATE`__ THE UNDERSIGNED HEREBY APPLIES FOR APFRMIT FOR THE %YORK HEREIN INDICATED ©ALDER PHONE OR AS SHOWN AND APPROVED IV THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE__----_-- LOT NO. _ -- OWNER ' i .LP p in L.'r s1d Hl• _16EI ADDRESS-19!'n SLI 141 1IJ i• ,i r KOME+ADDRESS _ ARCHITECT ENGINEER R;Q1LDER ADDRESS - DESIGNER -� 51RUCTURE ❑NEW ORI MODE L. ❑ADDITION ❑-�REPAIR�--II ORENEWAL, [-]FIRE DAMAGE ❑DEMOLITION Li RESIDENCE El comm [-]EDUCATIONAL ❑GOV'T ❑RELIGIOUSCPATIO OCAR PORT ❑GARAGE ❑STOHAGE❑SLAB []FENCE ❑BONS_ ❑MOV INC, ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY-_---__.LAND USE ZONE_ —_BLDG.TYPE FIRE ZONE PLAN CHECK By HEAT J--1$0Ub iIISM* AS .1 ..' :jld. 1d 5UMC1141 t ;I ulU LMIL: rArow f3wolling a/attra4had c,a►ra+ js — 4 i edr�lEHItA� i� lkhl — '-,ewer permit o)L 173133 S62'31100 4n ;�'fl � 1 l�;•�n�yam° Qom,LOAD F1,QQR LOAD H IGHT �f Q_aT•QAIES_ AREA NQ•BEDROOMS VALUC ? BUILDING DEPARTMENT i ',i 1 _ SET SACKS FRONT �� REAR LEFT SIDE J RIGHT GIDE Permit PHIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan C .lck 1� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WI'-L BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE VOITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --�— RESTRICTIVE COVENANTS, CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State TAXlt LICENSE. SEPARAT PERMITS REQUIRED FCR SEWER, PLUMBING AND HEATING Total -0L of — 6100. By ncPl WANT Op AGFNr Approved E Receipt No DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE —_ ^/L. Contractor C Permit No. /5-3 3(,� Fixture // Final — ^—� HEATING Contractor Permit No. r ^~ Gas or Oil Rough-in -- - -- Final I SEWER_— Final DRIVEWAY ----_ � --Y Final i — — Storm Drainage — (Rein Drain) Final Sidewalk Curb&Street Final Approach SLOG, DEPT. FINAL TFi1tPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final 1 I J I SEWER PER ''y 9��a� IT ;�� , Unified Sewerage Agency of Washington County CITY OF Tigard DATE 6-28-78 OtVNER : T . C,. C . • -- PHONE : OWNER 'S ADDRESS: TYPE OF INSTALLATION tJ' BUILDING SEWER ❑ BUILDTNG SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ET tj NEW CT SINGLE FAMILY ❑ COMMERCIAL � �] FXIST. (PRIOR TO 7- 1 - 70 ) ❑ MOLT. RES. ❑ INDU;TRIAL FIXTURE UNITS DWELLING UNITS ADDRESS OF STRUCTURE : 15640 SW Alderbrook Circke PFRhlli 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 ( 12o ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD ' EXPIRA7ION OCCUR. FEES: PERMIT FEE $ 25. CONNECTION CHARGE 600. SIDE SEWER INSTALLATION B. Greene OTHER ISSUED BY TOTAL $ 625. �\ 7rPLIUANr - -- c� v DATE SEWER PERMIT N" 15968; ADDRESS OF STRUCTURE 15640 SW Aliirirbrook Circle TAX MAP TAX LOT LOT 600 _ SYSTEM _Fanno creek BLOCK _______` OF L . Wdild(m 6-29-70 APPROVE-05 Y-- DATE -- t c: tc -'j!`ee;"e / f� ISSUED L Y (f`DATE D. U. ' S 1 REMARKS DATE bldg. #2165