15535 SW ALDERBROOK CIRCLE 1
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—15535 SW ALDER$ROOK CIRCLE
Addraealir-s,� C ,.Y� Permit No. /. �'�'�I►
Permit charge 1Ca72
Owner T j i Connection feta
Paid by
T;ipe of building � �.; Date connected
r-
5: ?rvics rate j Inspecticn fee
Antractor Pa:.I by data
.,i?a of connection A3sessment Paid
SEWER PERMIT 1''
U W 13800
Unified Sewerage Agency
p of Washingtc,i County CITY OF Tigard _ DATE 9-22-77
OWNER: —T•D.C. PHONF . 639_31Tf 1
OWNER 'S ADDRESSt
TYPE OF INSTALLATION:
X[26UILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
0�4EW X SINGLE FAMILY C; CO,MMERCIArL
❑EXIST . (PRIOR TO 7--1~70 ) 0 MUL f . RES. L._F INDUSTRIAL.
FIXTURE UNITS DWF=L.LING UNITS --j_
PERMIT CONDITIONS: THE APPLICANT AGREES I'D COMPLY WITH 4LL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CA-LING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AMID TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILT_
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _
ISSUED
OTHER
TOTAL $ (:!25.
APPLTC NT DATE
i:UTICA: _o,AY$ U. fl-:E
fl8UVE GATE, SEIVER g_,(V;-E
CPAM WILLN[GIN tart f83 `A
FIrQ ?1� SEWER PERMIT M 13800
ADDRESS OF STRUCTURE 15535 SW Alder.broo'k Circle
TAX MAP TAX LOT _ SYSTEM fannQ__Qreg k
LOT Agn _ BLOCK
APPROVED BY DATE ISSUED F Y -- DATE
-
REMARKS bldg. #1730
WN
BUILDING PERMIT APPLICATION CITTTA.°® DATE _ te_ 3
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE--` _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF_
LOT NO.--
OWNER JOB ADDRESS —
TL�7�-T --- _FiOMF_"ADDRESS
ARCHITECT —
BUILDER tG ADDRESS ENGINEER
-- D_`,IGNER
STRUCTURE ❑NEW_ ❑REMODEL ❑ADDITION OREPAIR ❑RENEWAi_ ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑EDUC.ATIONAL ❑GOV'T ❑HELIGIOUS❑PATIO ❑CAR PORT _❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑r h.;N3
OC .UPANCY--_LAND USE ZONE —BLDG.TYPE_ ' FIRE ZONE____ PLAN CHECK BY HEAT
u mtn u x f i v 1 d Lane
- -----
.�.F`�,`'-t�t:r.1-��:i-rt�---�s�.--:.al' ..--.�..►•-�l�r, � r� ,I.• � bil L`kz _..—.
STORIF,S__
BUILDING DEPARTMENT SET BACKS FRONT REAR
-- _ LEFT SIDE r` RIGHT SIDE
Permit
b t,I
Plan Check --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Sub-total x 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND Il IS HEREBY AGREED THAT ING
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC1, E WITH
t �'� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Of THIS PERMIT GOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax L: 46 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total a,. 48
By
--. ___�
Apprrnred _ Rvt elpt Ni)
LID RE.SS
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1
i
77
DATE INSP. TYPE INSPECTION _ Y_REMARKS — PLUMBING I DATE
Contractor —,
Permit 2-
a-7
a— D ( - ---- Rou h•in --- _-
2 ���I Fixture
Final 1
T��� a�u A-r��r�A �-�� �•''' --- HEATING _
n,, — _Contractor
Pl',rmlt No.
0K — ---_ Cas oI Oil
1 ! PPnraVgD-_l) (E A 1�.S — Rough-in
Final
®r,\ ti — -- — -- SEWER —
---------- / Final
Pic—,
DRIVEWAY
_
�.---, Final —
— _ Storm Drainage _— _
--- — — -- ---- (Rain Drain) Final
Sidewalk
--i _ Curb &Street Final
Approach ~�� 3—
SLOG DEPT. FINAL TEMPOS,.RY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY _— —.—
� Landscaping
f Zoning Final
S.
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