Loading...
15200 SW ALDERBROOK COURT i cn N O 0 U) c n a ro "i c7 *-j 0 0 77 I f 15200 SW .ALDERBROOK COURT /^� ^^ n �• ♦♦ ''�►� 4l 'R' �.� �,y~ �.1." .4 { i' (� ..'► 1'.l aS' l.'� `.'.�►� 1.{o� •' �'��a 'r1 l'a�i.►1 t':1 �4 4'1 �.'+J 1:'1 '�i�" � .'. �..• i �< > o I• (� ° Y OF T10��V", 43 �,� r OIRECON .Permit No.. 1.26G U�,ner:......T.D.C. IJ 1 1200 5W Alderbrook Ct.... .Lot X 400 _. ... . $ Building Address........ Ou y ;.. •, given this. ..�.n..... gay of_......!�8.. ... 1. 7 7 ,{n Certificate is h�I eb/ g : that said building may be occupied and that it complies with all requirements of \. ,•� the Building Code for the City of Tigard, <, as approved by the Tigard City Council. rip . fi �. Buihing Insperior i •� ���.J �✓ `v/ ``.� fir' �/ •^ �./ M `./ ,� �.� ��/ ^ �/ `\ '� �,\ � /�� �� ':� � I I Chy oI Tigard INSPECTION REQUEST for I o � INSPECTION TIME: PERMIT NO. : DATE: 1i L: ,L17 DATE ISSUED '.-".__ _ I OWNERS NAME : L J�- - — ADDRESS. f 40e-' (Ld I CONTRACTOR : __ _---- TEST : Air Ll, Water[] , Visual [ Lubora!ory p 4ESUL.T: Approved ❑ , w Disapproved C Pending [1 , - E SKETCH: I 0 i It; INSPECTOR DATE COTE: Attach supp!ementat test data beret�7 I City of Tigard INSPECTION REQUEST ' far INSPECTION TIME: PERMIT NO. : -._—.. DATE: 1.� ?.? DATE ISSUED . OWNERS NAME A D D R E S S. _ I ' EST : Air [J, Woter Cj vieuaI ❑ , I abnrotory ❑ 'RESULT: Approved Disapproved C Pending ❑ SKETCH. i I I I I I(�, PECTOR DATE NOTE. Attor.h .tupplementnl test drtn beoeta' I UNIFIED SEWERAGE AGENCY NO. — 11618 WASHINGTON COUNTY DATE - 1-26-77 C I T Y 0 F___JA_g_q r-d APPLICATION FOR SEINER CONNECTION PERMIT OWNER: ___________Tk_D.-C- OWNER'S ADDRESS: STREET --------- _ -- -------- -- -- — --__.. CITY STATE ZIP BUILDING SITE: LOT_____4..QQ --- BLOCK ADDITION TAX LOT NO. TYPE OF OCCUPANCY res.i.darim— ADDRESS DWELLING UNITS---.---.l FIXTURE UNITS SURCHARGE IF APPLICABLE PERMIT FEE - INSPECTION FEE __2_5,.___ TOTAL DEPOSITED LtJ_LWj_ (EXISTING) BUILDING SEWER SYSTEM The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT_ SEWER PERMIT THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM. LINE SIZE INSTALLER Y4..<.-e �e RECEIVEDI;kGFNCY 0 n/ S AGENT) CONIME NTS: Bldg.- #1266 This Application and permit expires in one hundred and twenty (120) days. The amount p-jid will be forfeited should expiration occur. _..,.. ... . ,...., ._..,........... ...,...r....,.f.....Rwrs•,_v..V.....�...,�._,.._.._...,.,,..�......--.-,,,- ..�-......_.,-•,•,•-^"---,..��.n..�-,a..r--:�-•Rr.•.-----+-►�-,T--r."�6f�?��1R!�.. 4i1' BUILDING PERMIT APPLICATION c0F TIG ARD DATE THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HE9EIN INDICATED BUIL•DERPHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE- n r1.OT NO. OWNER u JOB ADDRESS 15200 .1 Al' a L)ruok HOME ADDRESS RRCHITECT ENGINEER BUILDER ADDRESS — — DESIGNER _ STHUCTLIRE__, EW_ _❑REMODEL ❑ADDITION ❑REPAIR 1JRENEWAL _ [:]FIRE DAMAGE i❑DEMOLITION USESIUENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE DBOND ❑MOVING ❑CONDITIONAL USE C3 DESIGN REVIEW ❑COUNCIL 1,PPROVED ❑SIGNS c — �UPANCY—_—LAND USE ZONE I.� FLOG.TYPE ' ' FIRE ZONE L PLAN CHECK BY E ` HEAT ' Lot n tWO 111 ,tTtorcoy mirrgla family re—iaeua, Hamel as 10J-L't3a :,Wl�rt,�c7 t t b%dr€om, 1 bath Frame dwelling a/atteahed %;srag+e C)C�C _LOAQHEIGHT bO.ST_QRIES AREA 1448 NO BEDROQM5__/'__YALUE Lf_� 7T�• DEPARTMENT jflE.� t„ I, BIIILDING SET BACKS FRONT GEAR LEFT SIDE RIGHT SIDE Permit .�,:'7.L.Qu � -- �.-.---------_ HIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS 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 SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 4,11 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. Total 141.1 . By nNt OR AGENT Approved Receipt No. ^`ti Q _. .µw.kuyaw.,�a:uw.,.m�..,:�.,....�y,........._.. ..,_.;.:a.......»..W...._,.,- ._ ., ..,,., ....,...-....,..-_ .,. I ,I UATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE 77 �xJ 4- A -ya _-- —� Contractor c^ /�� fie✓ _ t- C;eti1 Permit No, 0 / 3LS-/vl-7J Rough-in I J — Fixture _ Final _ 7 — HEATING /// /7 ,-� ,� — Contractor 63-a- Permit No. Gas or Oil - -- - - R ough in Final _ SEWER Final DRIVEWAY - Final Storm Drainage _ (Rain Drain) Final _ — -- .- ---- Sidewalk _ Curb &Sueet Final — ----- — — _ Approach BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY - Landscaping Zoning Final -� I it U Address _4-�� ' Permit No. -- Permit charge Owner -.,�. h ra Connection fee Paid by Type of building Date connected Service rate Inspection fee Contractor _ paid by date Size of connection Assessment paid '