15805 SW ALDERBROOK CIRCLE-1 1
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15805 SW ALDERBROOK CIRCLE
I A M12
OF
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OREGON
I 1574
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Owner:_.._'..._.... . .---.......................... .................Permit Na ...._..
158015 SW Alderbrouk Cirlce Lot 469
BuildingAddress.........................._......................... ...... . ..._..........................
Certjf tate -is hereby given this....��'.......day of..gec�mber , lq _77 r
that said building- may be occupied -.anti
I�I that it complieswith all,requirements of
�`�• I the Building Code for the City of Tigard,
-is approved by the'Tigard City Council_
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.......... ........
/ HuilriinR inspector
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SEWER PERP411T N° 13456
Unified Sewerage Agency Ti cap rd
of Washington County CITY OF --- _---.--------------- ----_—.___.__-- --
UWNEty : _ _ T .D.C . __-- - PHONE : _--
OWNER ' S ADDRESS: -- --
TYPE OF INSTALLATION:
Fx7iBJILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑NEW ® SINGLE F=AMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO -7-1-'0 ) ❑ MULT . RES. ❑ :NDUSTRIAL
FIXTURE UNITS DWELLING UNITS
PEFMIT CONDI7JONS: THE APPLICANT AGREES TO COMPLY WITH ALL .1ULES
AND kEGULATTONS OF THE UNIFIED SEWERAGE AGENC" . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
- DAYS . THE AMOUNT PAID
WILL
EXPIRES IN ONE--HUNDRED AND TWENTY ( 120 )
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEF_ $ 25.
CONNECTION CHARGE 575.
51DE SEWER INSTALLATION
ISSUED BY
OTHER -
IOTAL $ 600.
APPLICANT DATE
SEWER
PERMIT N`' 13456
15805 SW Alderbrook Circle
AuDP,ESS OF STRUCTURE - --
TAX MAP----- — -TAX LOT SYSTEM fanno creek _
LOT 469 BLOCK OF --- -� 1
APPROIED BY DATE ISSUED BY DATE
REMARKS _ bldg. X1574
BUILDING PERMIT APPLICATION of TIGARD DATE___ y , 1574
1HE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED SUILUERPHO'IE..-.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNEF'rHONE'
l LOT NO. _-.
OWNER ����E.• JOB ADDRESSI:380J SU kldyr�rogk Q>iC1*ADDRESS
-` ARCHITECT
ENG INEER
BUILDER i �+my1y=�1 ADDRESS — — DESIGNER
�STpRUCTURE MEW ^^_❑_REMODEL _❑ADDITION ❑REPAIR ❑RENFOIAL — OFI��R--IE DAI'AtkGE — ODEMOLITION
:_.J 4SIDENCE ❑COMM QEDUCATIONAL _❑GOV'T ❑RELIGIOUS❑PATIO ❑CAH PORT f3GARAGE LJ STORAGE❑SLAB �:1FEPJ^E
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVED ❑SIGNS
OCCUPANCY--.. LAND USE ZONE a IV
BLDG. TYPE ZONE----? PLAN CHECK By —
Lut i. 469 mk 14 re-iisaum i4amiti- ,;as L-.691 -U_ ujimmerf4a d i atju ----------
t. rem + dwelllnu wZatteighcrid uarage _ �a.��t1;> tum 7 bath
OCScAA.)v&jsk►d N_Q_@EDROOMS 2 __y11.LSl.Fd t-�-----.-
- FUILDING DEPARTMENT SET BACKS FRONT 10 REAP 27 LEFT SIDE RIGHT SIDE _
Permit 127000
PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINFD IN THE BUILDING .ADE, ZONING
'Ian Check 10000 REGULATIONS AND ALL APPLICA81_E CODE'S AND ORDINANCES. AND IT IS HEREBY AGREFD THAT THE I
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFiCATIGNS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RFSTRICI'IVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CUr;9ENT CITY BUSINESS
State Tax —_ 4.11 1_ICENSE"SEP�RA1� PEWITS REOVIRFQ FOR SEW�t�,p�UMs�NG AND HEATING.
E� .►+f k�Ve� p HllNll .. �.,ttlr�a,''Iyl� U •UU
Total 1 +1.11
By
APS+ (CANT OR AGENt----------,--- --
Approved �V Receipt No.
i
i
-� � �.,r �; •.�caw'.., �;MA,t� ,,e. ���-`" iiti�_. ,.
V 1
DATE INSP. TYPE INSPE:TION REMARKS PLUMBING DATE
Contractor
P17ermit No.
Rough-in
Fixture
Final _ --
HEATING
j .rctk Contractor
Permit No. ✓ � 6
Gas or Oil
��_ ------ —
Rough-in
---A -- -- Final _.--
SEWER
Final
DRIVEWAY
— ---- ---------- -- Final
Storm Orainage _
(Rain grain) Final _
---- — Sidewalk
Curb &St•eet Final
__ A proach
BLDG DEPT. FINAL _TTEMPORARY _ CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
`J Zoning Final `/