15785 SW ALDERBROOK CIRCLE-1 OD
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15785 SW AU)P.RBROOK CIRCLE
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Parch charge
Conripc%ion rea
Paid by
of '!ijilding LSDate connected
--r v ir.: _ : fir z Inspection fee
i n t r a r-t. i r Paid by date
ize of c-irnection Assessment Paid
SEWER PERMIT N9
Unified Sewerage Agency Tigard 4-28--78
of Washington County CITY OF g DATE _
OWNLR: _ T.D.C .r- _ PHONE
OWNER 'S ADDRESS:
HYPE OF INSTALLATION:
OX,BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
0_' *I F W Cl�, INGLL FAMILY L] COMMERCIAL
(J '-,XIST. (PRIOR TO 7-1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS_ DW[:LLANG UNITS_._�l
" :,DRESS OF STRUCTURL : _ t �. RS
PERMIT CONDITIONS: 'i HE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
RF.GULATIDNS OF THE UNIFIED SEWERAGE AGENCY. WHEN CAL'._ING FOR INSPECTION,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL Bi: FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 2r,,
CONNEC-f ION CHARGE 600.
SIDE SEWER INSTALLATION B. Greene
ISSUED BY
OTHER _
TOTAL
APPLICANT DATE
1• _
Jnr
� 1-5881
SEWER PERMIT
ADDRESS OF STRICTURE 15785 SW Alderbrook Circle
TAX MAP _ TA'( LOT _ SYSTEM fanilc creek
LOT _BLOCK OF
E . Walden — / -
APPRUVED BY DATES--
is By, DATE
9. #/ '•
O. U. 'S r l REMARKS bld '• 064
4 /d o 1.' +
BUILDING PERMIT APPLICATION 11OF
T TIGARD DATE 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLAT!'i AND SPECIFICATIONS. OWNER I VIONE— _
I LOT
OWNER To IIS ;(JB ADDRESS Vb idb :lid Al.derbruok HCir VADDRESS _
ARCHITECT
ENGINEER
BUILDER :anmt;. ADDRESS DESIGNER
STRUCTURE QNEW '❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
O'RtSIDENCE ❑COMM ❑EDUCATIONAL ❑GOWT ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SL,AH ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE BLDG.TYPE_.- .FIREZONE-- PLAN CHECK BY _ HEAT_._,
,. ' 470 Alk 14—o rei®1suesswe no 1_ ,619 1W :iultm orfiold Lane
t rwiv caue.11tnq w/uttec^hed qs rsi4 s t bedroom 2 bath
QC,V,.LOAD _ FLOOR LOAD 40 --HEIGHT_ 20 �v_Q.STQRIES_1'
AREA-1)t38 .BEDRQQ S 2 VALuJ9r970•_
BUILDING DEPARTMENT - SET BACKS FRONT in REAR 7 LEFT SIDE if)it RIGHT SIDE 0'6tt
Permit 127,01,
-- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— WORK WILL BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
ALL APPLICABLE CODES AND ORCINANCF�,. THE ISSUANCE OF THIS PE14MIT DOES NOT WAIVE
Silbtot l l3j�*(�(�
RPSTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY ROSINESS
Slaty Tax IJJ.uilxiAieff LICENSE:SEPARAT PERMITS RFOIJIRED FOR SSWER, PLUMBING AND HEATING
.
. 6061�3 c
• . .
Total
BY
-- ----- — --- -- APPLICANT OR AGENT
Apptavpd L^�tAtw Receipt No,
._.._.----_
DA7C INSP. TYPE INSPECTION REMARKS I PLUMBING DATE
Contractor
Permit No.
— Rough-in
Fixture ^_
�^ Final
HEATING
Contractor
-- N Permit No. `7S $• 5131179
Gas or Oil
� �-- Rough-in
Final
-- SEWER
Final
DRIVEWAY -
-- Fina' -- --
' Storontyainage
(Rain Drain)Final '—
Sldewalk
M Curb&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
LtBUILDING PERMIT APPLICATION C'TOFY TIGARD D4TE r�-2�i-77 19
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE__
OR AS SHOWN AND APPROVED IN THE N. ::oMPANYING PLANS AND SPrcCIFICATIONS. OWNERPHONE
LOTNO.-
J Hl�jarbrQok
OWNER _-� JOB ADDRESS ADDRESS
_ ARCHI'.'ECl'
ENGINEER
BUILDER _ ADDRESS DESIGNER
�jTRUCTURE_ CINEW ❑REMODEL ❑ADDITION i ❑REPAIR —_CIRENEWAL ❑FIRE DAMAGE ❑DEMOLITION
LJ RESIDENCE ❑COMM ❑EDUCAT'IONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR POr,T ❑GARAGE ❑ST'ORAGE EE.
� SLAB ❑FENC
❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED LJSIGNS
UCCUPANC,�Y_—__4ANQ ySE ZONE BLDG.TYPE FIREzONE, P,.AN CHECK BY-__-____�,____ HEAT---_
,7f
7i1JFr` tj JIsT TF'TIr1valu f31 ur. --__
1;pllilty u attJ chL ;ararjo a' becj. ryom 2 batty — - --
1 122;e
OCC,J„QAQT_ - - - FL�QFt-t�OADN�J�iH_T_-- - NO.STORIES__. _—_A$EA_--N:Q.BEDROOMS VA1,l_IE _
BUILDING DEPAA M N
H• tyl�_l __ SET BACKS FRONT t REAR -'� LEFT SIDE RIGHT SIDE r
Permit +
THIS PERMIT IS ISSUED SUBJECT TO THE REGULAUONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1000117 REGULATIONS AND AI.L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK Wit BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONL,AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRAC-OR AND SUR CONTPACTORS TO HAVE CURRENT CITY BUSINESS
State Tax X093 LICENSE. SEPAI11ATt? PERMITS IitatARED'POR SEWER, PLUMWNG AND HEATING,
Total 13403
BY
Receipt No APr' "ANT OR AGUNT
� Approved �,�
AnnaeY, - -- P— H�7or€---
UATE INSP. TYPE INSPECTION REMARKS PLUMBING _ DATE {
Contractor G II
Per iit No_�nL
Fixture
I�
?y 7� G6 tri 1 —- —
c�_' Final
e HEATING
e- �� �� _ Contractor _
-- Permit No.
r_ Gas or Oil
--
Final _ I
SEWER
— ----_—�-- � __ Final _ _ —
i DRIVEWAY
-- --- —. Final
Stzrm Draina a—_
(Rain Drain) Final
Sidewalk
^ Curb&Street Final
Approach
BLDG DEPT, FINAL r TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
i
J