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15605 SW ALOERBROOK CIRCLE
i
PERMIT
ADDRESS ��6 r? �"' � /'�-�-F_•---`�' - - lne:::::I,PERMIT CHANGE no---
CO^ J;NECTIO FEE ---
OWNER � ( � '-'��- �
PAID By _.�--
r
DATE CONNECTED
_
TYPE OF BUILDING - F- s
SERVICE RATE _ /� �/�' % INSPECTION FEE
PAID BY _ __�„ _ DATE
CONTRACTOR
AS5ESsM NT PAID
SIZE OF CONNECTION
_
SEWER PERMIT �
� • 1537.1
UfUn Sewerage Agency
of Washington('ounty CITY OF Tigard DATE 4-21-78
O';INER : T .D. C . _ PHONE :
OWNER ' S ADDRESS:
TYPE OF INSTALLATION: -
BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
xIJ NEW SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIn TO 7- 1 -70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTUP,E UNITS DWELLING UNITS t
ADDRESS OT STRUCTURE : 15605 SW AlderbrookCir.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PI --ASE REFER TO THE PERMIT M,IMBER . THIS APPLICATION EXPIRES Ili ONE-
HUNDRED AN01 TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION fl. ;,, eerie
ISSUED BY
OTHER
TOTAL $� 625.
1 ;�Lo APPLICANT DATE
SEWER PERMIT M 15371
ADDRESS OF STRUCTURE 15605 SLI-Aldorbrook Cir.
rAX MAP TAX LOT SYSTrM fanno creek
LOT 478 BLOCK OF
E .Walden �G
6' Ci tCC.
APPROVED BY DATE ISSUED BY/ DATE
D. U . ' S ---L-- REMARKS bldct. #2048
BUILDING PERMIT APPLICATION `'o� TIGARD DATE_ �-��
19
THE U;JDEHSI GNED HEREBY APFI_IES FOR APE RM IT FOR THE WORK HFREIN INDICATE i) BUILDER PHONE _
OR AS SHOWN AND APPROVED !N THE ACCOMPANYING PLANS AND '.f'I:CIF;CATIONS. OWNER PHONE
LOT NO.– _
OWNcR a _.y__—lgBADDRESS J.50V; !4-Y , �6'rt:rogk HOIJMADDRESS
ARCHITECT
ENGINEER
BUILDER shli',f- ADDRESS --_ DESIGNER
STRUCTURE w C NEW _ ❑REMODEL ❑ADDITION ❑REPAIR _❑_REN_EWAL ❑FIRE DAMAGE ❑DEMOLITION
_aESIDENCE ❑COMM ❑EDUCATIONAL _ ❑GOV'T ORE LIGIOUS❑PATIO OCAR PORT
-]GARAGE ❑STORAGE QSLAB ❑FENCE
❑BOND — ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPRO'✓ED OSIGNS
OCCUPANCY_. ..__LAND USE ZONE I:lf.'? BLDG.TYPE __FIRE ZONE PLAN CHECK BY ctw `HEAT f1C
ha' : ttltr, 1` rtai �u� s,t�tn r� , l;�a ;1 A :►u�n;�t'Y"��als! Lral�a fram�Y clw�ailinr
Ott tFAQh9d _uallra .id Uwdraum 2 bath - —
Qgc_�OA-D r--1.00R LOAD N_3 .—_BjlGHT 20 NSL_SIQRI _I AREA le a NO.BEDROOMS l VgLUE -�Zy(.iI✓C].
BUILDING DEPARTMENT SET BACKS FRONT .L:) REAR ' 9 LEFT SIDE RIGHT SIDE J a. `
Permit 136.IJO — -_--
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 SUb•total �.+�F2100 ALL APPLICABLE CODES CC ANDAORDINANCESNCE WITI': E PLANS THESSUANCECOFCTHIS NPE MIS AND I'NCOMPLIANCE
DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE �UF nE:NT C111 BUSINCS'
State Tax I44 LICENff, ff fARATE PERMITS REOuinED FOR SEWER. PLUMBING AND HEAT'NG.
Totall�its44 F'`�'•L. aJ,tdG.
BY stw
'---- - APPLICANT OR ANT
Ac'proved Neceipt No.
�_ A)C 55 —__�_ - _ _-
DATE INSP. TYPE INSPECTION — REMARKS _ FLUMBING TATE
aQ ' Past a�cF�eQm ---- Permir No.^
7 - -►1-! -- -` - g
Rough-in ^TL
Fixture O/L Gni
Final Cm c
HEATING Y
Contractor
r ` / 0
w r Permit No.
��t .��=2t1_ C,� Gas or Oil '°—lam
Rough-in aq r
Final
- ----�----- SEWER -- -
-- -----'--- -- Final
DRIVEWAY
Final
LSlo/Mt Drainage
iHaln Droin)rinal
Sidowalk
— Curb&Street Final —
Approach -- —
BLDG. DEPT. FINAL TtMPORARY CERTIFI_..TE OCCUPANCY
CRIITIFICATE OCCUPANCY -- — --
Landeraping
-•\\ Zoning Final
ILI