15225 SW ALDERBROOK COURT E
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15225 SW ALDERBROOK COURT �_
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BUILDING PERMIT APPLICATION 1;o Y TIGARD OArC- 'Illy L4THE UNDERSIGNED HEREBY APPLIES FC" APE RM I i FOR THE WORK HERE;".' INDICATED BUILDER PHONE-__�
OR AS SHOWN AND APPROVED IN THE ACCOfv1r,,,.' ING PLANS AND SPECIFICATIONS OWNERPHONE
LOT NO._
OWNER YgITIIOtA Rt#:hfIC43 J013 ADDRESS 1522-5 Lderbrook Ct. HOME ADDRESS
ARCHI-r"CT
ENG'NEER
BUILDER11 _ ADDRESS �1--J11 uLSIGNER
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STRUCTJRE +F..JNEW ❑REMODE L ❑ADDITION LREPAIR _❑RENEWAL [JF IRE DAMAGE�CLDEMOLITION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV"r ❑RELIGIOUS PATIO ❑CAR PORT_❑GARAGE ❑STORAGE QSLAF ❑FENCE
❑BOND ❑MOVING OCOND11tONAL USE ❑DESIGV REVIEW 9— COUNCIL/,PPROVED ❑SIGNS
OCCUPANCY2 3__LAND USE ZONE—__� ____BLDG.TYPE !" — FIRE ZONE} PLAY CHECK BY
Cc+nekxurt iv'>i. JOI peticr cover e• SUl�l bar Semis & �totbuck W. 3(3* line icer ri.
Tu be anchorsid to with it&tltl 20 mile hOuT wind Luau.
MC-1-CAU._ , _r1.44D_LQgQ_. _ HEI FiY__--.—___NQ_6TQ.R U_________ABEA YA.LJ ------- - _
BUILDING DEPAATMENT SEI BACKS FROI I' REAR LEFT SIDE RIGHT SIDE
Permit LU.W
— -- THIS PERMIT IS ISSUED SUBJECT TG THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI THF.
--- -- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub total A'L APPLICABLE CODES AND ORDINANCE':. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- RESTRICTIVE COVENANTS CONTRACTOR AN) SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Ta)(4% .41l LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
TotalBV tU<4l1
APPLICANT OR AGENT
Approved R�cpipl No
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CITY OF TIGARD }� t
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OREGON 4- )
• T.D.C. Permit No.. l, ap
0,A-ner:. ... .. . . . .
f� 15225 SW Alderbrook Ct. Lot i98........................
BngBuilding
Address.................................I......I.............. .
June
Certificate is hereby given this.....20..... .....day of...._. .......... I
:7
that said building may be occupied and
/ I that it complies with all requirements of )
the Building Code for the City of Tigard, (j <;
isapproved by the Tigard City Council. (
DuildinR Inspector
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City of Tigard
INSPECTION REQUEST
for
—
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INSPECTION TIME : PERMIT NO. :
DATE: L I DATE ISSUED:
—L-
OWNERS NAME !
CONTRACTOR :
TEST' Air ❑, Water Li , Visual ❑ , Laborutory ❑
RESULT'. Approved 0 Disapproved C] , perdinp j
SKETCH:
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INSPECTOR DATE
I [OTE Aftaeh supplemental test data hereto]
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C *ty of T i gai '4
INSPECTION REOUEST
for
INSPECTION ME 1r�.--- PERMIT W0. :
DATE: . ln?.__ 'DATE ISSUED:.-OWNERS NAME *. ---.-,
ADDRESS '.
TEST: Air 0 , YNuter C� , Vieuai Cl , L.aboratorY ❑
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Dila r , d '.]
RESULT . Approved , ppaved d Pending
ding..
SKETCH:
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NgpECTOR DATE
[NOTE: Attach •upplemenfol fort dofo heref�
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City of Tigard
INSPECTION REQUEST
for-
INSPECTION TIME : PF9MIT NO. : —.
DATE . ___Z. _ DA.'E ISSUED: / L.
OWNERS NAME .
ADDRESS . .._ --
CONTRACTOR
TEST: Air O, Water L i Visual O , Laburutory [3
RESULT: Approved Disapproved U Pending
Ii SKETCH:
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#.VICTOR DATE '
I [OTE . At tach supplemental tett data hsret*
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UNIFIED SEWERAGE AGENCY11645
NO. ___
WASHINGTON COUNTY DATE
CI'FY OF__Tigard
APPLICATION FOR SEVVER CONNECTION PERMIT
OWNER: --- TDC .___.______---^ ^ ----
�
OWNER'S ADDRE5S: ___--_'-----------
� mrnesT
�
- ------- ---------------'— ------'------------no�--'-----
�nv y/*.*
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BUILDING SITE: iC)T_ 398'--- BLOCK -____--_- ADDITION
residence
TAX LOT NO. - __- TYPE OF OCCUPANCY ______-
ADDRESS
� l6225' SU Aldnrbrook Ct.
� �� - -------'--------
DVVFLL|NG UNITS FIXTURE UNITS
� SURCHARGE IF APPLICABLE
�
PERMIT FEE - 575--___-_ INSPECTION FEE _25�* -- TOTAL DEPOSITED Fanno Creek
800^ _-__-_
(NEVV) (EXISTING) BUILDING SEWER SYSTEM �
� The Applicant agrees to comply with all rules and regulations of the Unified Sewe,u0E Agency.
^
� APPL|CANT��|..[������
~
SEWER PERMIT
THIS PERMIT AUTHOR|IFSCONNECT|0N |OlHESEWER SyS7EK8.
LINE SIZE - |NSTN-iFR
RECEIVED 8Y' - =.^�
` v' wbsmcv OR ITS Aicm --
819.#1290COMMENTS:
�
� [hiEApplication and permit expiresinonehund/edand twenty (120> days. �
The amount paid will beYorfei|edshould expiration occur. �
� �
,'14 BUILDING PERMIT APPLICATION "OF
TIC AR.D DATE �j� 19
THE UNDERSIGNED HEREBY APPLIES FOR APERMII FOR THE WORK HEREIN INDICATED BUILDERI'HONr
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ _
l LOT NO.
OWNER • JOB ADDRESS ltt22`) t.: Alderbruak HbME ADDRESS _
ARCHITECT
ENGINEER
BUILDER _ _ ADDRESS _ DESIGNER —
STRUCTURE ❑NEW 1:1 REMODEL ❑ADDITION El REPAIR []RENEWAL ❑FIRE DAMAGE ❑DEMOOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RFLIGIOUS❑PATIO ❑CAR PORT ❑GARAGE []STORAGE❑SLAB ❑FENCEE
❑BOND C3 MOVING []CONDITIONAL USE []DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY--A--4 LANE)USE 70NE_t.---7 —BLDG.TYPE 4UFIRE ZONES PLAN CHECK HEAT ..jf_.
39Ls MK XI ru-Masud Game 88 15608 5L1 SUM(A6e-rfield Lane. Ixa _wjlitly u
w/attached tyaia10 2 QJ6Ddruom : baLh -
"C -LQ_A�_---FJ.Q4R LOAD_ _ HEI T ---514.SZQHI�$1�- BEA i.crll� NQ � �QQM$ _-c VAL41E rl��C�•
F
BUILDING DEPARTMENT
-- SET BACKS FRONT 13 REAFi24 LEFT SIDE G RICHT SIDE �
Permit �--- •—
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE., ZONING
Plan Check �Q_ Q(1 REGULAT;ONS AND ALL APPLICABt F CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND.N COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES THF. ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITE BUSINESS
State Tax LICENSE. SEPARATE PERMI fS REQUIRED FOR SEWtR, PLUMBING AND HEATING.
Total
By _
APPI 11 nNT OR AGENT
Approved Receipt No.
n[)-I)6155 _740NEE
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Addrv!ss > - -, J Permit No:
Permit charge22C?y]
Owner �
Connection fee
Paid by — Li
Type of building Date connected
Service rate _ Inspection fee
Contractor Paid by date
Size of connection Assessment Paid
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