15360 SW ALDERBROOK CIRCLE-1 1
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— L` :i60 SW ALDERBROOK CIRCLE
ADDRE_JS G a c-r�f��� PFRc,IZT 1149
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PERMIT CHARGE none
f►I,INER n CONNECTION FEE r
...� ...............�.. .....__. _.___.
PAID -----
TYPE OF BUILDING ..._._..— .....___.____ DATE CONNFULD
SERVICE RATE: _ � _ .�. M INSPECTMN FEE _..--
CONTRACTOR PAID BY HATE
SIZE nF CONNECTION ASSESSMENT _ PAID
i 1 3 !�
SEWER PERMIT �� � 3- ''
N° 13477
Unified Sewerage Agency
of Washington County CITY OF Tigard — DATE 7-13-77
OWNER : T 0C __ FHONE : 639-3101
OWNER ' S ADDRESS: _
TYPE OF INSTALLATION:
UBUILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
nNEW XCn SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1 --70 ) f-1ULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
PERMIT CONDITIONS: THE APPLICANT AGREES Tn COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAt_LIN� FOR
INSPECTION, 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 E 25•
CONNECTION Ct:ARGE b00•
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
-TOTAL g 625.
APPLICANT DATE
SEWER PERMIT N'�
ADDRESS OF STRUCTURE 15360 SW A1derbrook Cir. -
TAX MAP — TAX LOT —_ SYS 1 LM FaflflU c i eek
LUT 437 BLOCK OF
APPROVED BY DATE ISSUED 'C=IY DATE
_bldg.
REMARKS---. —y B 1607 ___
BUILDING PERMIT APPLICATION 11T TIGARD DATE 7-13-77
y-- q� �
THE UNDERSIGNED HEREBY APPLIES GOR APEHM: - FOR THE WORK HEREIN INDICATED PUILDERPHONF—
OR AS SHOWN AND APPROVED IN THI- ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
c ;" y LOT NO.
OWNER • �J.16.L1 JI, i{f.G1fJTfJT� a�_���, � ,
ADDRESS
ARCHITECT
BUILDER _ _-, ADDRESS ENGINF'ER
- t�--11 DESIGNER—�
STRUCTURE _ DJ EW ❑REMODEL ❑ADDIIIONU
_ REPAIR ORENEWAL DFIRE DAMAGE ❑DEMOLITION
t1f%t"'EIOENCE ❑COMM ❑EDUCATIONAL ❑GOV'T _❑RELIGIO''SOPATIO C]CAR POF ❑GARAGE n STORAGE❑SLAB [FENCE
DBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
UCCUPANCY_jLAND USE ZONE—_. BLDG.TYPE FIRE ZONE=� ''PLAN CHECK BY. 0 t1
-- .' HEAT
Lu L ,AIL-AK-114- -amt as
QCr,LOAD____—__fL90R LOAD
BUILDING DEPARTMENT SET BACKS FRONT 11 REAR 52 LEFT SIDE 6 RIGHT SIDE 6
Permit A.47.00
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATICNS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE. IN ACCORDANCE INI TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub ictal ALL APPLII,:ABLF. CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITYBUSINESS
State Tax 5.48 LICENE!�. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING
Total z)yatwI00 Development, , haipya f30, .
By
AppfoVPd Receipt
(CANT OR AGEN' ---
Receipt No.
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
v Contractor
Permit No. 36 2 -1 -9?
Rough it_jh
Fixture
Ij
Final
HEATiNG
Crntractor
Permit No.
Gas or Oil
Final
SEWER
Final
DRIVEWAY
Fina'
S(orm Drainage
(Rain Main) Final
Sidewalk
inaltCu
rb
&S
t
iee
t F
roach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY FinaI
Landscaping
Zoning r'n'I