15660 SW ALDERBROOK CIRCLE T
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�1566C. SW ALDE;RBROOK CIRCLE
ADDRESS 6 L�.�s Y�F PERMIT
PERMIT CHARGE none _
OWNER � ,�L�c J lj , CONNECTION FEE 4t
PAID BY
TYPE of BUILDING _ DATE CONNECTED
SERVICE RATE /� , INSPECTION FEE _�sl ,
CONTRACTOR _ PAID BY DATE
5IZE OF CONNECT10N ASSESSMENT PAID
BUILDING PERMIT APPLICATION 11T,y TIGARD DAT.—
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SVOWN AND APPROVED IN THE ACCOMPANYINr, PLANS AND SPECIFICAI IONS OWNER PHONV
LO NO.—
OWNER! Ul? .0" 1 '1 ADDREG5J1L60 51-' .4.Ldarbrnjj 1-4-amEAR Rt..,Sc-;
ARCHITECT
LNGINFER
Pl,iLDER "j"A 4 3 4� ADDRESS DESIGNLR
STRUCTURE 0�I E W Fit MODEL El ADDITION El REPAI R CIRENEWAL L—IFIRE DAMAGE EIDEMOLI 1-1 ON
0 RESIDENCE CICOMM DEDUCATIONAL [JG30V'T EIRELIGious EIPATIO OCAR PORT EIGARAGF C]ST0HAGF 0SLAB [3FEN'_
0BOND 0 MOVING OCONDITIONAL USE ODESIGN REVIEW EICOUNCIL AP"ROVEC EISIGNS
OCCUPANCY___ - I AND USE ZONE 8LDG.1N'PE-- ------FIRFZONE PLAN CHECK BY HEAT.
PIK I')—y lie—ibsuv samra as UJ'Al SLI )uMM0rfjL%1d Long 2 2edruom, sett.
Fromw dwallinW with attischad jsrsqe.
',uo.ir Permit. #17382 - $625,00
OCC .QAU A AU01_2.01 _ __Nv lAL9UO '11*
2ROOMS Z YALO" E,,42,1
BUILDING DEPARTMENT SET BACKS FRONT 22 REAR 20+ LEFT SIDE 0 RIGHT SIDE
Permit k THIS PERMIT 19 ISSUED SUBJF.Ct TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 'L
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED T".AT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATION' AND IN COMPLIANCE WITH
Subtotal MIN ALL APPLICABLE CODE' AND ORDINANCES THE ISSUANCE OF T1,;iS tlPMIT DOES NOT WAIVE
RESTRICTIVE COVi-NPNTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CLIFIFIENT CITY BUSINESS
State 1-44 6,64 LICENSE. SEPAnA FE PERMITS REQUIRED FOR SEWER, PLUMBING AND HFAT;fy0.
Total 1182.64
By --P1 APPI ICANI OR AGr N I
Approved E IReceipt No.
r
DATE INSP. TYPE INSPECTION —_-- REMARKS PLUMBING — DATE
Contractor
Permit No.
Fixture -�
L�-A1� � -------- -- �Final — -
1A HEATING
Contractor
Permit No.
�2�
Gey or UII
Rough-in —
J Final
M � SEWI'R `-
-
Final — v
DRIVEWAY
--- - -- Finnl - �— --^
— -�----- ,Stone Drainage
— (nain Drain) Final
Sidewalk
Curb&Street Final
A--)roach
BLDG. DEPT, FINAL TEMPCiRARY T CERTIFICATE OCCUPANCY Flnnl �,—
CRRTIFICA•'C'OCCUPANCY -- --
Lendecapinp
Zonlnp Final
i
`�'7
J?
SEWE-11 PERMIT
Uf4 N . 1596
Uni'ied Sewerage Agency
of Washington County CITY OF Tigard DATE 6-28-70
OWNER : T.D. C . -- --, _-- PHONE :
OWNER 'S ADDRESS:
TYPF OF INSTAL-LATJ.ON:
QA31JILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
>D>NEW xQ' kINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7-- 1-70 ) ❑ MULT. PES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE : .15660 SW Alderbrook Circ.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN C.ALLiNG FOR INSPECTInN.
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEIi'ED SHOULD
EXPIRATION OCCUR .
FEES:
PLRMIT FEE $ 25.
CONNECTION CHARGE- 600.
SIDE SEWER INSTALLATJON _ B. Greene
.__. ISSUED BY
OTHER
TOTAL $ 6��.
PPLICANT DATE
1�0
* hT° 15967
'
',��' ER PER <.
ADDRESS OF STRUCTURE
_- 15660 5W Aldarbrook Circle
TAX MAF' "TAX LOT SYSTEM Fenno creek
LOT 601 BLOCK OF
E. Walden 6-28-.7H `
APPROVED BY DATE ISSUED �`Y F
DATE
D . U• ' S 1 — REMARKS bldg. #2164