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15765 SW ALDERBROOK CIRCLE Ln rn Ln Ln U to r Lr h U O X- '1 l D 1 15765 SW ALDERBRCOIt CIRCLE f , • OREGON ` 0«ner:........ T.D.C . 1679 ....... .......... . I ...... ........ ..........Pern it No. . +, 15765 SW Alder-hrcink Circle Lot #471 Building Afirlt•ess....... ....: . . ............ . . ......... ............ . ... . .. ._ ; j Certificate is herehy p,-iren +1his....17 r Marr h 9 1.0 that said building may be occu it!d and rtt that it coplie with all requirements of the BUfldittg C,0de fur the City of Tigard, as aprroNod by the ']Nitiard City Co, ancil. n a k i its:iN`1il;r 1 ... �r:•y�4�in,^r..,�Ifr�At�R#M'1!.'i [ � r, k .I i�`� •'�r `"k"'+�v.��+�~XK7`.�,.�y,�,.,^R`.,�+"r.�,. AonRESS ' PENMIT N0, PERMIT CHARGE non• U!INER CONNECTION FFE -- PAID FY TYPE OF RUILDING _ DATE CONNECTEU Sr-RVICE RATE INSPECTION FEE CONTRACTOR PAID BY y, DATE 5IZE OF CONNECTION A°;ESSMCNT PAID SEWER PERMIT Uf N° 13763 Unified Sewerage Agency 7.1 of Washington County CITY OF �iA r 9-7-A® OWNER: --- T. D. C . 639-3101 OWNER 'S ADDRESS: TYPE OF INSTALLATION: XZ BUILDING S'cWER BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: XONEW X© SINGLE FAMILY COMMERCIAL. EJEXIST . (PRIOR TO 7- 1-70 ) [:3 MULT . RES. 0 INDUSTRIAL FIXTURE UNITS DWELLING UNITS 1 PERh4' I CrNDITTONS: THE APPLIC/,NT 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 FCRFEITED SHOULD EXPIRATION OCCUR. FEES: P1-RhIIT FEE z5. CONNECTION CHPRGE 6�0 SIDE SEWER INSTALLATION OTHER ISSUED BY TOTAL 625. r - APPLICANT DATE NOTICE: : ��(�__days of the above date, sewer service charges Will beg.i ,i. SEWER PERMIT 13763 ADDRESS OF STRUCTURE__ 1r,76S g(+) A.Ldt�rFirnnk ( i rr.l a TAX MAP TAX LOT ' __ SYSTEM-f'LLr1Q_,reek_ LOT —.-7I BLOCK OF o APPROVED BY DATE IS US ED BY DATE REMARKS bldg. #1679 .,,w+w.w-«•w•.•«,.•...nnn•n»..,wwr...wi+nr�q..+•.. •rr.......,.....,.«.. .�.�p.+n+.w.ar..•.w•,.•.,....... - �....,.•.w....ww.*•rw+....w...... R���. r 7 BLI!_UNG PERMIT APPLICATION 1OF 1T TIGARD DATA —�•- __ THE UNDP PSI GNED HERE 3Y APPLIES FUci APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE OR AS SHOWN AND APPRO\ ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__ LUl"NCti.— � OWNER - ,1OBADDRESSib76b SW Aloarbruok "X11916bRESS --- - - ARCHITECT ENGINEER BUILDER _ _- ADDRESS _ DESIGNE17 STRUCTURE_❑NEW ❑REMODEL. -�❑ADDITION _❑REPAIR _ ❑RENEWAL - [:]FIRE DAMAGE ❑DEMOLITION AESIDENCE ❑COK M GEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PA1:0 C�CAR PORT ❑GARAGE -❑STORAGE❑SLAB [:]FENCE 1-I ❑BUND ❑MOVNG 000NDITIONAL USE GOEJIGN REV.FW ❑COUNCIL APPROVED _❑SIGNS _- - l OCCUPANCY_.----LAND USE ZONE _ -BLDG.TYPE__, —FIRE ZONE PLANCHECK BY )t�f HEAT______- Ink. 1 :- r�—i;��Iu st)mw cul 5LMMLL I lUld Lane 4 b adroQin 2 bath QQQ LOAD FLOHEIGHT I LREA1 e49()._N0,6EQRQ.Qk4E 4 Y©LVE ___BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit Qa THIS PERMIT IS ISSUED SUBJECT TO FHE REGULATIONS CONTAINED IN TI4E BUILDINo CODE, ZONING Plan Check 1',�•nQ I REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HFREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total t46•00 ALJ APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 5,64 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total lS�. + park IjovalcTpivwot ;-heryw ,,lUU. By APP"' ANT OR AGSN I Approved — Receipt No. C 1 AnD--R 4�5 Ir,nNE 41. DATE INSP, TYPE INSPECT ON REMARKS PLUMBING DATE Conuactor �^ -171 �,c�, , — Permit No. � -9,7q J13 /0- 3 fD m�.R_ � __ _ Fixtire _ (f Final --- - _ y_q Sb HEATING r Contractor Permit No. 7 Z 2,(-IL \> 2 f 01�UVE Gas or Oil 2� _ c,X Rou h•in - _- 2 ITL) L S 7 . AT 1�t IGC. C ra r &' Final SEWER r�cl� Q/C _ Final - -- DRIVEWAY - Final Storm Drainage Rain Drain) Final Sidewalk Curb&Street Final A proach -- BLDG C_"T FINAL TEMPORARY CERTIPI(A-rEOCCUPANCY Final CERTIFICATE OCCUPANCY l Landscaping v V Zoning Final J