15700 SW ALDERBROOK CIRCLE Ul
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'15700 SW ALDERBROOK CIRCLE 4
At' E55 a"'] Op `i(q� (�Q�on.Ah�-s ,PER
MIT NC.
PERMIT CHARGE none
01,,1'1ER D CONNECTION FEE OGS,
PA 0 BY
TYPE OF BUILDING _� =�__— DATE CONNECTED
SF_RVICE RNTE ! ��� INSPECTION F"EE
CONTRACTOR � PAID BY DATE
SIZE OF CONNECTION _ ASSESSMENT PAID
r�
P/7
SEWER PERMIT NY
15883
U iUnified Sewerage Agency
of Washington County CITY OF � Tiog� _ DATE 4-28-78 _ —
OWNER: _, T_f)_f . _ PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
L^_ >SUILDING SEWER L] BUILDING SEWER AND SIDE. SEWER
TYPE OF OCCUPANCY:
NEW SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOH TO 7- 1--70 ) [� MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE : 15700 SW A].derbrcok Cir.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGr AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWFNTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
1
PERMIT FET" 25. _ Y
CONNECTIG,N CHARGE 600. si
SIDE: SEWER INSTALLATION B. Ireene
T�)S U E D BY
OTHER YOTHER
TOTAL $ 625.
1 �U l APPLICANT DAIS
SEWER PERMIT
M 15883
ADDRESS OF STRUCTURE 1570[.) SW Alderbrook Cir.
TAX MAP __ TAX LOT _ SYSTEM fanno creek
LOT 450 -BLOCK _ _r OF
A PROVED BY DATE ISSIIED BYE DATE
D. U. ' S 1 REMARKS bldg. #2053
7.
2053
BUILDING PERMIT APPLICATION 11TY TIGARD DATE—!'_�; ,y OF _
THE UNDFRSIGNFD HEREBY APPLIES FOR APERMIT rOR THE WORK HEREIN INDICATED BUILDER FHC)NF
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF V'ATIONS. OWNER PHONE____
C
(� L,01NCS.
OWNER T.Ll.4• JOB ADDRESa r�yl� ?I M,�H`tTtJTt7l3�"; 1. L,01
— V
-- ARC'MTELT---- --
BUILDER _ !181110 _ADDRESS ENGINF.'F.F?
DESIGNER___
STPUCTURE AU111W ❑RL'MnDEL ❑ADDITION GREPAIR _❑_RENEWAL _❑FIRE DAMAGE_ []DEMOLITION
04IFSIDENCE ❑ '(MM ❑EDUCATIONAL_❑GOV'T ❑RLLIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
DBOND 0MOV ING ❑CONDITIONAL USE [:]DESIGN REVIEW ❑LOUNCIL_APPriOVED ❑SIGNS_
CCUPANCY ~`�LAND USE ZONE �~l BLDG TYPE= FIRE Zr1NF_5 PLAN CHECK By Hf Al fJ F.;
Jt #C10 nik:?? raissus Ka>!me a8 10365 SW Highlunu Or. f rHlne dw®1X.ilI:,, W/st.i,:Actjp
Warage 2 bedroom 2 bath — --__-- —
-6ew9T P*:mi t: � 1584:3
o��1SZ9L� _ �J.9S2P l Qll� _
HH E I,QH_.I_. 2-7j I°s n
--�-�NQ.�IORIES � � luU.BEDROgM�_�YALUE _____
BUIL 1111. 'f NG DEPARTMLN �� 1�1
SET BACKS FRONT , REAR LEFT SIDE RIGHT SIDE
Permit 1�1.oraTHIS PERMIT IS ISSUED SURJFCT TO TH- REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check - A.fic REGULATIONS AND ALL APPLICABLE COVES ANL~ ORDINANCES, AND IT IS HEREBY AGREED THAT THF
r�[� WORK'WILL BE DONE IN ACCORDAN_f- WITH TAE FLANS AND SPECIFICATIONS AND IN CUMPL.IAVCE WITH
Subtotal 131. ALL APPLICABLE CODES AND OR"INANCES. THE !SSU:%NCE OF THIS PER "I DOES NOT WAIVE
—" h-STRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY RUSIN@.;.
State lax 4.64 — UC:5SE�, SEPWTj" RMITS RF.OUIRF0 FOR SEWER, PLUMBING AND HEATING.
Total 135*1A 0.0.,f.. }2 S10''.
By
'-- APPL ICANT (`R AGUNT ------- ---
ApprovedY Recei^t No.
C.,
i
DATE INSP. TYPE INSPECTION — REMARKS PLUMPING DATE ^
!� _1 — —� Contractor
n Permit No
w�.? 7cS Q I"Clot an,1 beat t. —_--- ——-- --- Rough-in —_
Fixture
Final
HEATING
Contractor
-- -- —-- - Permit No. 115
Gas or Oil J
---- -----
Rough-in —'— --
Final
SEWER
�__ —_—._ ----- -- Final
DRIVEWAY
Final ----
------ _-- ----._._ Stom Dralnege
)Rain Drain)Final
Sidewalk
Curb&Street Final
A PPr anti i —^---`
BLDG. DEPT. FINAL TEMPORARY—�� CERTt' ',:ATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
/� Zon'ng Final