15920 SW ALDERBROOK CIRCLE 7Oh�
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15920 SW ALDERBROOK CIRCLE
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7l��gy.AR/ZT1�77
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CITY OF TIGAR.D
OREGON
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i 1531
Owner: f .U.C.............................................................Permit o........................ ,
..................
}' Building Address.....1592.Q..SW...AIds rb.rq.ak. .............
Certificate is hereby given this....&........ .day of A .ua.r.ya.r.y.... 19'18.....
_ that said building may be occupied and
� that it cornp!ies with all requirements of
the Building II for the City of Tigard, .
as approved by the Tigard City Counca.
i
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Building lnspectm
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9„rM, RPM
F)EnnIT CNARCF
OWNER1s� ` � ..... CONNECTION FI IE
P A I o BY
T Y 1)E U F' 0 U I I.D 11`4 G ,�^c' o - -------- DATE C O N f I E C'I F U
SERVIrE RATE :. 5 ._..__.., IN51)CCTTON HE
RA IC) BY ....., nATF
'.iIZF: OF' CONNECTION _ �� ,__� ASSESSMENT „_ nAIIJ
- �� i- 77
ufSEWER PERMIT N° 13418
nfied Sewerage Agency CITY OF Tigard _._ DATE 6-21.77
of Washington County
OWNER : __
T.D.C . PHONE : 639-3101
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
®BUILDING SEWER ❑BUIL_DING SEWER AND SIDE SEWER
T'A'PE OF OCCUPANCY:
ElNEW D SINGLE FAMILY l,j COMMERCIAL.
lEXIST . (PRIOR 1'0 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITSM, DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPl_.Y WITH ALL RULES
AND REGULATIONS 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 y 25.
575.
CONNECTION CHARGE --
SIDE SEWER INSTALLATION ---- ISSUED BY
OTHER --- ---
TOTAL
APPLICANT DATE
SEWER PERMIT N`•" 13418
ADDRESS OF STRUCTURE 15920 SW Alderbrook Cir.
TAX MAP
TAX LOT SYSTEM fanno creek _
LOT __ 461 _ BLOCK __-----OF r —
ISS ._D BY DATE
APPROVED BY —[)ATE
REMARKS bldg. 1531 _ -
J L)I
BUILDING PERM11" APPLICATION MTIC ARD
DATE 6-2 1 77 —_, 19 � !
39-31,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHONF___ 1111
OR AS SHOWN AND APPROVED IN THE ACCOMPAN'rING PLANS AND SPECIFICATIONS. OWNERPHONE ---
LOT NO.—
OWNER JOB ADDRESS 15920 Sig Alderbrock 4DORESS _
ARCHITECT —
ENGINEER
BUILDER l ADDRESS _ DESIGNER _
STRUCTO
URE NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL FIRE DAMAGE ❑DEMOLITION
�l FNE'SIDENCE ❑COMM ❑EDUCATIONAL OGOV'T 1_.IRELICIOUSUPATIO [JCAR PORT ❑GARAGE 0STORAGE 03LAB ❑FENCE
OBOND OMOVING OCONDITIONAL.USE ODESIGN REVIEW OCOUNCIL APPROVED 0SIGNS
OCCUPANCY___,L_LAND USE ZONE_ L�BLDG.TYPE____F I REZONE PLAN CHECK BY L''t"LI HEAT__�_
Lu� 481 ek aA L -iueue' salne as 1bb13 5W 5y: rfisld Lane_ _ ----.._--
;'rslme tiue�lliny w/atta ehed year ,S,F� 2 hadrocis 2 tieth — --
OCC.,-LOAD___.--- FLOOTT_LQ4D __-1j€LG.kLLN_Q_ 1OffL11_s 2 AHJA20
BUILDING DEPARTMENTSET BACKS FRONT .I.a REAR ALEFT SIDE J RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Chec!, 10 0u REGULATIONS AND ALL APPLICABLE CODES AND OROINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax J.2� LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HF++>TING
Total
By - # –------ — _
— ---------------- APPLICANT OR AGENT—
Approved TY _ Recelpi No
AIDDRIESS
mint vim—_
IL
f
1
__. _.
1
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Cont.,ur.tor
T� ac_ _ — -- — Permit No.
J .1c�, ti Rough in
Fixture
g^2 j ' t3 C-vim t --— -- — Final —
C' TO C , 'i —.__- -- HEATING
' _ q Contractor
a 2��•e_ �I rc*Ti Permit No.d
�C e.a _X�.y� ' -t•('� L-;ue. �f�tt �, Gas or Oil
7
/E_/5—' Final -- -- --
SEWER
Final
—` DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
VAroach
treet Final
___BLDG DEPT FINAL TEMPORAFtY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY ing
inal �..1