15685 SW ALDERBROOK CIRCLE 1
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15685 SW ALDERBROOF CIRCLE
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CITY OF TIGARD C.
OREGON
� 1663
0«ne1•.. ...T.o.C . ......... l C'rintt No. ...... . .... . .
' Buildinrr Address.... ... . . ur. q•ok.. Cir'c.la. .l�o.t,. 7, �
t 15U5 SW Ald �r #4
1 "•' Certificate is hereby givon this......17...._day of.. Mal:.q.h. ....
that said building may he occupied and
y fir.
!;1 that it complies Nv ith all requirements of
the Building Code for the City of Ti.Irard,
pis apprl,:ed by the '}'ic►ar(1 City
ll+til.luik InSDet.'r!r ,d'
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Address _ a�,�'S� C���%,�Q ��r ,�,� C ,R P7rmit Nu.
Permit .charge Z2 v
OC Connection fee 0 �•�
trner
Paid by •i,,. T DC -
Type of hui1,', Gate connGcted __,•_i__�„_,..._.
inspection fee
;arvicA rote f
Contractor
Pair by nate
......_..- --
Size of connection A3sessment / plaid
7 of J
I
ERP Jas / � -,
�- SEW PERMIT N0 13753
Uf
Unified Sewer;-_4e Agency
ofWashingtonCounty CITY DF_. Tigard BATF _ B-25-77
OWNER : . _ T. D. C. PI ONE 639-3101 -
OWNER 'S ADDRESS: . _
TYFE OF INSTALLATION:
8UILDING SEWER BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
�� EW SIN-,LE F4MILY COMMERCIAL
❑EXIST . (PR IOR TO 7-- 1 - 70 ) ❑ MULT . RFS. CJ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERVIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
A(JD REGULfJIONIS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING 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 g 25•
CONNECTION CHARGE 60�',,,
SIDE SEWER INSTALLATION _
ISSUED BY
OTHER
TOTAL- b 625.
`yPLICANT DATE
I
SEWER PERMIT M 1,3753
ADDRESS OF STRUCTURE 15685 SW Alderbrook Cir.
TAX MAP— ^ IfX LOT i _ SYSTEM fanno creek
LOT 476 BLOC';
APPROVED BY DATE ISSUED BY DATE
REMARKS.' bldg. #1663
' .••..sr.,na�••s+aw,..f,...nM,...�:,,_w.newvna,e,.»n,.,,�.,,A+4:.:fWiNtlw0w91
1
BUILDING PERMIT APPLICATION o Y T1(�ARD DAIF 8-25-77q 1663
639-3101
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOEi ;,IE WORK HEREIN INDICATED 13UILD'ERPHONF
OR AS SHOWN AND APPROVED IN THI ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
T [) !' ! ..i.i • LOT k10.
OWNER w e ' 106 ADDRESS "J %W A lderbraok HO�_E ADDRESS
ARCI-IITECT "
BUILDER.laIBe ENGINEER
_ ADORE SS DESIGNER
STRUCTURE ONEW 0 REMODEL_ _-OADDITION r ❑REPAIR ❑RENEWAL _❑FIRE DAMAGE _ ❑DEMOLITION
0 RESIDENCE ❑COh'M ❑EDUCATIONAL ❑GOV'T ❑REL.IGIOUSGPATIO ❑CAR PORT -OGARAGE ❑STORAGF:OSLAB []FENCE
_ G�BOND ❑MOVING GCONDITIONAL LIE ODESIGN REVIEW ❑COUNCIL APPROVED OSIGNS
OCCUPANCY—_____LAND USE ZONE _6LOG.TYPE FIRE ZONE PLAN CHECK BY-- _ NEAT
VI re-.1,5,465 Ei61i1!'] a8 juju lJ .:rtlRll��Ir 9 d ane - -
Tame dwaIling tJ 9 au --
-- - 1-113 --7 ----7�GJ?TT:
QG- LOAD __._ FLOOR LOpV__ _ HkLQaj_ –N.Q 5MRjj5_- �1FlEA _ NO.BE!]ROOMR
BUILDING DEPARTMENT ` 'a _ _1L81 _ –
SETCKS FRONT REAR LEFT SIDERIGHTSIDE
Permit • _ BA — ---
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
PI n Check Y_ REGULATIONS AND ALL APPLICABLE CODES AND OnDINANCES, ANU IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Su total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
---;� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURPENT CITY BUSINESS
State Tax I�
LICE"--4WRAITE,PQFt*t11TfiMf4UIpWjNMEy.Y[✓j4llftUMEINGANL HEATING.
Total —TOT.7—,j EJ,: rk Duueloument Cho.:ge 100.
By —
--- ---
AFproved ,�–,��--- Receil t No. A �4NT Oq AGFNTPHONE
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AftTtF>�— --
.,. .._.-.....
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DATE INSP, TYPE INSPECTION w- REMARKS PLUMBING DATE
Contractor__
Permit No. 2-- y
TD Rough-in
/o -25--72 'f� ? Fixture
�
II-�-� T� .�- Final -----
I-`f- r� Q.�e _ JLr.�Qie�•,'� R �2f1AC� - HEATING
Contractor
Permit No.
I2-:1z- ,, Gas or Oil -
Rough in -- --
Final
SEWER W---- -
Fmal
DRIVEWAY — -
-_�___ Finan ---- -
Storin Drainage
— _ (Rain Drain) Final
Sidewalk
Curb$Street Final
ApLroach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final