15705 SW ALDERBROOK CIRCLE cn
0
cn
D
a
:D
ti
'S
`i
J
7
1
15705 SW ALDERBROOK CIRCLE
ADDRESS _ L US ,C(� ' PERMIT NO. 13
PERMIT CHARGE none
�NER D ,C_ CONNECTION FEE --
_� PAID BY
TYPE OF BUILDING �, DATE CONNECTED
SERVICE RATE %� �� INSPECTION FEE y`.CONTRACTOR PAID BY DATE
SIZE OF CO(1'!E:CTION ��^ __� _` A5SES5HENT ___ PAID
SEWER PERMIT
of-
Uf
nfied Sewerage Agency
of Washington County CITY OF Tigard DATE _5_19-78 —
OWNER: _ T _n r PHONE :
OWNER 'S ADDRESS:
TYP'c OF INSTAI_L.ATION:
i
)O� BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
"D NEW D tINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS--I__
ADDRESS OF STRUCTURE : 15705 SW Alderbrook Circle
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. 4HEN CALLING FOR INSPCCTION,
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 $
CONNECfiON CHARGE rr7n- r_
SIDE SEWER INSTALLATION �- GT��,ne r-
OTHER
IS`;UED BY
TOTAL- $ 625.
< APPLICANT DATE
15 91.3
e.
SEWER PERMIT
ADDRESS OF STRUCTURE _ _ 15705 SW Alderbrook Circle
TAX MAP TAX LOT SYSTEM fanno creek , 4
LOT 675 BLOCK OF
E. Walden 5-19-7 f4-
APPROVED BY DATE _
ISSUED BY DATE
D. U. 'S _ 1 _ REMARKS _ bldo. �106
'Clk�.,,gy-a..,s,t.:-•I�w,ty,{:'ea�Sd�"''a;) aeWy++�wnsw-vF,.... R-+�w;f Me'"WOfF OWN V ''
1 �
2106
BUiLDING PERMIT- APPLICATION of TIGARD DOTE
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FUR THE WORK HEREIN INDICATFr B'JILDF-R PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. rjWNER PHONE
LOT NO._
T.C►.C. ` 7t�� tJ A1dr�fibr.arN: {{
Fl
OWNER JOB ADORE391": •�_^. 614E ADDRES:;
ARCHITECT
dame ENGINEER
BUILDER ADDRESS
AL
tt'� DESIGNER
STRUCTURE ALNEW ❑R' 1nDEL ❑ADDITION OREPAIR [:]RENEWAL ZIFIRE DAMAGE QDEMOLITION
ST
fly MSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUSLIPATIO ❑CARPORT UGARAGE ❑STORAGEQSLAB ❑FENCE
QBOND _❑MOVING ❑CONDITIONAL U:,c ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY__ LAND USE ZONE ...I __BLDG.TYPE_!Y FIRE ZONE—� PLAN CHECK BY-_.e9.L! 'HEAT_
Imo. ,z7 ;nk 22-H srairlsue satav as 1036zi i> HI h 1 and Cllr. lJaJdroum 2 both
hower permit P. 1, 91-1,
,cc 40 20 A 1 11'.22 .[ . ;
LOAD �.L.QS2ft108P --__. CLfiL_._ NQ,� RIES AREA _�N.SLS._Q�Q_M�—.___YAI.�E_..-----------
BUILDING DEPARTMENT SET BACKS FRONT it^ REAR17 LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCE:,, P.NO IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLA,JS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 131.Of) ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF Tt,IS PERMIT DOES NOT WAIVE
'– RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP.EN1 CITY BUSINESS
State TAXry A LICENSE. SEPARAT; ERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total .i.,...» j4 P.D.C. #2 %100.
By
- PPPt..I(:ANi OR AC3EN1
Approved --- ri)LwT� Receipt No
------
I
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor Y —
Permit No._I (0 7f
Rough in
Fixture
Final —
HEATING v
Contractor
Permit No.
--- -- ---y -- ------ Gas or Oil
Rough-in
Final
---------- —
SEWER -
--- -------------- -- Final
— T— DRIVEWAY
Final
Stor*i Drainage
(Rain Drain)Final
Sidewalk
Curb&°.reet Final
Approach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Lnndvcnring
Zoning Final
L -