15495 SW ALDERBROOK CIRCLE 1
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15495 SW ALUERBROOK CIRCLE _!
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(CITY OF r.C'XG., RD
OREGON
Otrner: ,__._.__!__�___ � ePermitNo.
Building Address._ ISL/!. r-2 8 R 0 0)(.
Certificate is hereby given this _ Z day of ►°R L—, I()-
that
gthat said hnilding may be occupied and that
it complies with al! requirements of the
;j. ,� 1 I,s Building Code for the City of Tigard,
+�
i approved by the Tigard City Council.
6; Building Inspector �y
i y �- r 1pg�rY'�y" y� '�p��jlP }'r b f
Permit No.
Permit c .iargs 22 0 72 >�
4L'nr _ Connection fee G __--
Paid by
Type or' buildinn ' Date connected
Service rate I Inspection fee
Contractor Paid by date
Size of connection _ Assessment Paid
SEWER PERMIT � aim
Uf N? 137JS
Unitised Sewerage Agency Tigard 9-22-77
or Washington�Cowity CITY OF DATE _
OWNER : T.D.C . PHONE 6.3 -31 O1
OWNERS ADDR�-SS:
TYPE OF INSTAI. LATION:
��BUILDING SEWER nBUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
Dfes,
NIEW XJXSINri_E: FAMILY ❑ COMMERCIAL.
❑EXIST . (PRIOR TO 7-1-70 ) L_.1 �UL. I' , RES. ❑ INDUSTRIAL
F i XTURE UN T TS__ DWELLING UNITS 1
PER"IT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
P,ND REGULATIONS OF THE UNIFIED SI=WERAGE AGENCY . WHEN CALLING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HU14DRED AND TWENi'Y ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNEC71ON CHARGE 600,
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTA' • $ 625.
XjFLICANT DATE
uim -E
If. WIL0. AEfi,J,J ft,a TtsIs Is PERMIT M 13798
ADDRESS OF STRUCTURE 15495 SW
TAX MAP .- TAX LOT_ _ SYSTEM fanno
LOT 482 BLOCK OF
9 :__
APPR,_'VED BY DATE ISSU BY DATF
REMARKS_._ bldo• #1726
-.n.Y..�w�+.q�w..�+w�9v._."M�n•.. ....GYM w4 Y'M1.YA.l.11/'1�M1•W MI*MIwo -IV..
BUILDING PERMI f APPLICATION "o" TIGARD DATE-2-22-7 i __ 7
02 f
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WOOK HEREIN INDICATE BUILDER PHONF_ ' !11 „_
OR AS SHOWN AND APPROVED IN THE A"COMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
T .D.C. _..,
OWNER JOB ADDRESS L J49b '�;U •ldarL.-jo k I}vME ADDRESS LOT NO
ARCHITE( T
BUILDERADDRESS ENGINEER
IN
STRUCTURE ❑NEW - ❑REMODE'_— ❑ADDITION El REPAIR _ []RENEWAL. ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIIrO��NAL L�3OWT ❑ J°
RELIGIOUSI ATIO ❑CAH POr1T ❑GARAGE ❑STORAGE❑ [:]FENCE
FENCE
❑BOND ❑MOVING LJCONDITICNAL USE El DESIGN REVIEW ❑COUNCIL APPROVED _[.SIGNS _—
9,CCUPANCY_ LAND USE 7FJNE_ r. 3LDG.TYPE—.----FIRE ZONE! PLAN CHECK BY_v �'L v HEAT_„_'—___
r..Ut. 4L rL.LbOUl, 812IM0 68 1 -'jbl :ju SUtnMt, flcJld lana NIH , --
frame dwelling w/attached garage 2 bedruum 2 bath
9,CC,J.QgV FLOQ LOAD _ HEIGHT .�_ NO.STORIES I ___AREA 1499 NO.eEDROOMS VALUE326LJ0•
BUILDING DEPARTMENT 10 (7 G
SETBACKS FRONT ROAR LEFT SIDE RIGHT SIDE '
Permit 13G.00
�— THIS PERMIT IS ISSUED SUBJECT TO THE RcrULAFIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABL'_ CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPL IANCE WITH
-Sub-total 146.00 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS. CONTRACTOR AND SUe CONTFACTORS TO HAVE CUFRENT CITY BUSINESS
State Tax 'j,04 LICENSE. SEPARATE PERMITS 7iFOUIRED FOR SFWER, PLUR981NG AND HEATING.
Total 151.f!A P.D.C. PV100•
BY
-- � APPLICANT OR AGENT
Approved �u lirrri111 No. �1
---
A ORE55 r'IIr7NE
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DATE INSP. TYPE INSPECTION REQ`IARKS w PLUMPING DATE
Contractor
Permit No. .�,1 3 (2
Z
Iq-21 Rough-in —
�- Svc —� Fixture ---
{ � Final
1'2-79 I AwlR1)vC C)I< x., HEATIAG
Contractor
Permit No.
Gas or Oil
4— _ — Rough-in
Final
2 ,Iy'2L SEWER —
/ ' ��✓- !�11c�— _ _ __ — Final
DRIVEWAY
_ —
-F inal I
_ v Storm Drainage
(Rain Drain) Final
Sidewalk
Curb R Street Final
__ _ A. Broach —
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final