15244 SW ALDERBROOK PLACE-1 u�
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_15244 SW ALDERBROOK PLACE __
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OF
CITY OF TIGARD
OREGON :� 1
ary �?'« ✓
Owner:...T.. '. .'.............................................................Permit No...1.3.54...........
15244 SW Ald erhrook P1. LCt #47 4.................. `
/ Building Address........................................... ...........I.. ..........
)' Certificate is hereby given this........8......day of.Au945t.................1 1y, .....7. .
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that said building may be occupied and
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that it complies with all requirements of
the Building Code for the City of Tigard,
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as approved by the Tigard City Council. P
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Building Inspector �W
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : L'al PERMIT NO.: �
DATE: "�' DATE ISSUED:....1_1__
OWNERS NAME : �'-
AUORESS : kp 7s411
C 0 N T R A C T 0 R : -ZA-r-nri��T�
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I TEST: Air ❑ , Wafer [� , Visual , Labaratorw
RESULT: Approved�i Disapproved 0 Pending o
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SKETCH:
INSPECTOR DATE
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COTE : Attach tupwomental feet data Dere!]
City of Tigard
INSPECTION REO U ST
for
INSPECTi0,,.4 TIME : PERMIT NO
DATE: DATE ISSUED-.---.L"--Z—
OWNERS NAME :
ADDRFSS :
TEST* A4 E), Water r1
%Jisu(il ID , Laboratory 0
RESULT' Approved ;XvillOpproved Cl Pending !'j
SKETCM.'
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INOrPECTOR 6ATE
ENOTE: Attach supple,nental test data heirst
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UNIFIED SEWERAGE AGENCY '
NO.
WASHUNGT ~ N COUNTY
DATE
CI--Y OF_______Tigard
__________
APPLICATION F O R SEWER CONNECT|ON PERMIT
OVVNER: --_--- TDC T.D.C.
OWNER'S ADDRESS:
ADORESB' �
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BUILDING SITE: LOT______-_ BLOCK ---_'_-__--_ ADDITION __
residence
TAX LOT NO. __--'_.___-_ TYPE OF OCCUPANCY -
15244 SW SW Aldorbrook Pl.
ADDRESS _ _ __- -_--'__ - _� - ------- -----'---------
DWELLING UNITS-. FIXTURE UNITS
� SURCHARGE IF APPL|CABLE _-- _ �--____-_'___-_-
� PERkA|T FEE� 575�" INSPECTION FEE _2-_5-°_ _T_O-T-_A_L_DEPOSITED 6OO°
(NEW) (EX|ST|NG) BUILDING SEWER SYSTEKFanno Creek
The Applicant agrees to comply with all rules and regulations of the Unified SevvnroQn Agency.
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APPL|CAN
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE
RECEIVED BY..
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COMMENTS: Bldg. -#1356 -
This Application endpanni1e'pimsinonehundrndondtwonty (12O) doys.
The amount paid will heforfeited should expiration occur.
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BUILDING PERMIT APPLICATION coy TIGARD DATE _-_ ,24-77 a rk
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN iNCICATED BUILDUP PHON _
OR AS SHOWN AND APPROVED IN THE AccnmPANYING PLANS AND SPECIFICATIONS OWNERPHONE�- 77
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OWNER I y JOB ADDRESS1�-,2441 ILS nJ,f,'�ert;ij I�Uk •HC?MIE ADDRESS _
ARCHITECT _ --
BUILDER :31711'1"r;; ADDRESS ENGINEER
`t-�� DESIGNER
�SyTRUCTUP7 �.JhfEW EIRE-MODEL _ ❑ADDITION_ 0HEPAIR_ ❑ f!
RENEWAL ❑FIRFDAMAGE ❑DEMOLION
LJ RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑S10NAGE❑SLAB ❑FENCE
—❑BOND` ❑MOV ING ❑CONDITIONAL USE ❑DFSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY. _._LAND USE ZONE ---BLDG.T"PE 'y FIRE ZONE PLAN CHECK BY F''tlj HEAT
414- .'1+• 1.:. ro-it)su:A . imE, gis 1st;8I ;W Stimme cNald Lena -- ------
DATE I NSP. TYPE INSPECTION
REMARKSPLUMBING
DATE
ntractor
Permit No.
jpce2,
Fixture
Final
HEATING
Contractor
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Permit No.
j�7 Gas or Oil
Final
SEWER
Final
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Fir al DRIVEWAY
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(Rain Drain) Final
Sidewalk
77
Curb&StreetFinal
DEPT FINAL A toach
TEMPORARY CERTIFICATE OCCUPANCYCERTIFICATE OCCUPANCY Final
Landscaping
Zoninn Final
Address /�; �� ( ;, n �� Permit No.
Permit charge 22 0 ,2-e-
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0wner �.,� . (ti Connection fee �5
- - - Paid by —
Type V building Ova Date connected
Service rate /YInspection Inspection fee
Contractor _ Paid by Date
Size of connection Assessment paid
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