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15780 SW ALDERBROOK CIRCLE 1 M cn v m 0 LO n v_ m H Q H O O 7 C-1 N• H n N M 1 15780 SW ALDERBROOK CIRCLE I RUILDINGPERMIT APPLIC;ATION TIGARD DATE Aus:ue9t_j _,19 8A__ 4997 THE UN"_rISIGNED HEREBY APPLIFS FOR A PL RMtT FOR I HE WORK HEREIN INDICATED BUILDER PHONE _ OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE&7S2 -'S-„�5'_ LOT N0. ------ OWNER JOB ADDRESS 4004* Sr' A1t3er.E;rnok Circle ARCHITECT BUILD.'R ADDRESS ENGINEERDESIGNER STRUCTURE ❑ NEu`i • L7 REMODEL 11 ADDITION 1 , REPAIR _ ❑ RENEWAL O FIRE DAMAGE ❑ DEMOLITION ❑ RESIDENCE ❑ COMM F2 EDUCATIONAL ❑ GOV'T ❑ RELIU:OUS ❑ PATIO ❑ CARPORT ❑ GARAGE LJ STORAGE ❑ SLAB❑ FENCE OCCUPANCY _ e!h3 LAND USE ZONE _Br1;BLDG.TYPE —FIRE ZONE— PLAN CHECK BY _EV--HEAT. + '.-Int• 10 x 10 addition to ezietirg single family dwrlling SEWER PERMIT# YIC' ,e — OCC.LOAD FLOOR LOAD _ _ HEIGHT NO.STORIES I AREA 1D0 NO.BEDROOMS_ VALUE 11000 BUILDING DEPARTMENT SET BACKS FhONT ' REAR LEFT SIDE RIGHT SIDE _ Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALI APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check I I•%h WORK WILL BE DONT IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE 2d. i WITH ALL. APPLICA'�LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax •7U LICENSE.SEPARATE r'-_RMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. I Total --- �- 29.58 SDC -- _.�—_ — PDC# APPLICANT OR ENT W -� � 6 - --- By � Receipt No. n Approved ASB �._ _._.. PHONE .II DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATR Contracor Permit No. Fixture Final -_-- ._. ------------- HEATING --- - _T_ ---- Contractor �T - - -- _...—_ —--- Permit No. --_ Gas or Cil Final SEWER .._._. Final DRIVEWAY Final Storm Ura,,iepP -- --- r (Rein Drain)Final Sidecar k -- .---•- ____..._ ___ __ .__ —._ - — —_ __--- Curb&Street Final --- -� _ Approach [I1.LX.. DMP 1. FIN L — —. ._.r —� TEMPOt7ARY CER 1'h ICATF OCflt ANCY --- - CERT I1'r 17A•t F.OCCUPANt.Y F I"al I ndscapiny Zonirrl Final i l r OF OC, CITY CSF' Ti C C�ARh OREGON Owner . _.S..D..-C..................;._...................._.............._.....Permit No .. . .... No._..._Building Address...15.7A.Q S.W. A1.d�rbrook_.C.i.rc.l.e.....L.o.t..# 15-._45_.7..6._......•. . ii. certificate is hereby given this.......2........day of. Dbcember............ 19. 77.. that said building Y occupied may be and j P , that it compliee with all requirements of r the Building Code for the City of Tigard, ! , t as approved by the Tigard City Council. NNN 'L .... ............... I iluilding Inspector unwar u.t . .._...___ ..._.......... .._......._..__.... ...�_._...._._.......__.,_.....�._,..._._�.__._ (err.rni t rh:,r��ra .��....c.�.�_(:�.:ryf_t==-.. Cr�t�I,ryctr.nrl l;rf it,rr for ........._..-........•_..._ ...._._........� _....�...�. r',1:1.❑ „Y .. ..._.,.__. _..... ........ r NF1�:rr ._.............. S.Lzn rr° Lj I r Em rl SEWER PERMIT No 13458 " 0 00 ) Unified Sewerage Agency Tigard rd of Washington County CITY OF__ 9 _ DATE 6-28_77__ OWNER : _ L.n-c. __e _i_ PHONE : 639-3.101 _ OWNER ' S ADDRESS: - — — —_--_ --- —._-__M TYPE OF INSTALLATION: ® BUILDING SEWER BUILDING SEWER AND SIDE FrWFR TYPE OF OCCUPANCY: ONEW ® S!NGLE FAMILY L1 COMMERCIAL ❑EXIST , (PRIOR TO 7-1-70 ) MULT . RES. INDUSTRIAL FIXTURE UNITS DWELLING UNITS - PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH AI-L RULES AND REGULATIONS Or THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION , PLEASE RFFER TO THE PERMIT NUMBER . THIS APPLICATION EXPIRES IN ONE--HUNDRED AND TWENTY ( 120 ) DAYS . THE AMO(INT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE S 25. CONNECTION CHARGE 575. - SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL $ 600• APPLICANT - DATE SENDER PERMIT N° 1 ADDRESS OF STRUCTURC 157BO SW Alderbrook Circl© TAX MAP _ _ TAX LOT._ _ SYSTEM fa mnQ.-._r -Lj L-_ LOT 454 BLOCK OF APPROVED BY DATE I S.SUI=D BY DATE REMARKS bldg. ;;1576