15249 SW ALDERBROOK PLACE-1 :J1
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15249 SW ALDER9ROOK PLACE
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: CITY OF TIGARD
OREGON -
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Oa-ner:.. ..T-G-C-............. .....Permit No..................... ..
.....................°.. ....409....... ....... ..
}: Building Address....1,524.9..1W...Al.dpl.
erhrook L
' u ust.
Certificate is hereby given this...la........day of....A. � .......-
....... ]9..-7
...
p, y
��+.. • � '� that said building may be occupied and
t that it complies with all requirements of LID. `
the Building Code for the City of Tigard, Iz;
as approved by the Tigard City Council.
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Building Inspector � s
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :—__..—.._.
DATE: 1/ Ll DATE ISSUED '.----"
OWNERS NAME : _ ---
ADDRESS:
CONTRACTOR :
TEST : Air ❑, Woter[l , Vtsual ❑ , Laboratory [I
RESULT approved ❑ Disapproved C , Pending []
SKETCH:
INSPECTOR DATE
[NOTE Attach supplemental test data beret]
L y
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME : _ ______ PERMIT' NO. : _..,�.
DATE ISSUED'.
OWNERS NAME '
I C 0 N T R A Cl 0 R :
ITEST' Air ❑, Woter [] , Visual 0 , Labo
ratory ❑
RE$ULT. Approved sapproved ❑ Pand i!i
fl �
❑
SKETCH:
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i
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I
I 1ECTOR DATE
INOTE: Attooh supplemental fest We herstil
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UNIFIED SEIRERAGE AGENCY NO. l-169 c �17_2 -
WASH I NG 'TON COUNTY DATE
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: _ - T.D.C.
OWNER'S ADDRESS:
STREET
CITY - - ------- -
STA TF -
BUILDING SITE: LOT_409 ZIP
BLOCK _. _-- _ --_,__-- ADDITION
TAX LOT NO. _. TYPE OF OCCUPANCY residence
ADDRESS __15249 SW Alderbrook. P1.
DWELLING UNITS — 1 FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE 575•- INSPECTION FEE 25•_ _-- TOTAL DEPOSITED 600. _
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fenno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
L INF SIZE -- INSTALLER _
RECFIVED BY_ ___�`_ /
COMMENTS:
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited .should expiration occur.
i'
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BUILDING PERMIT APPLICATION Cor TIGARD DATE 3-16-77 _., 19 134
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HC'.REIN INDICATED BUILDERPHONF' +Ag—s
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA7 IONS. OWNER PHONE--
LOT
HONE _LOT NO._
OWNER 3_ _ . - JOB ADDRESS A J�Q a4i l�:iilerb qUk 140Pv1E ADDRESS
ARCHITECT'
ENGINEER
BUILDER
' FILCTURE 00W ❑REMODEL ADDRESS DESIGNER
❑REPAIR ❑RENEWA�IGNER
,� W ❑FIRE DAMAGE ❑DEMI-O�LITION
❑AtSIDENCE _UCOMM ❑EDUCATIONAL ❑GOV'T ❑_RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB 1.1FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED [-]SIGNS
OCCUPANCY .L4ND USE ZONE t BLDG.TYPE ID _FIRE ZONE" PLAN CHECK BY Litt HEAT
Lut jy409 MK li ire-doses, s&j%6 #• 15606 SW Summtarfisl; Lr-ifla � --
frame dwelling wf stfinchud jarege 2 b6drucim 2 bans ----- ----
OCC. LOAQFLOOR LOAD _` HEIGIiT NQ.sToEJ�$ ,9H.fSIS;BGpgQQm;: —&,CALUE�7,_1Q e
BUILDING ENT 13
DEPARTMFRONT
SET BACKS REAR LEFT SIDE RIGHT SIDE
Permit 112•JG
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULATIONS ,AND AL.L. APPLICABLE CODES AND ORDINANCES, 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 .` G6 LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 125*06
BY
--------- APPI If ANT OR AGFNT
Approved AL1 Receipt No.
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DATE INSP. TYPE INSPECTION REMARKS — PLUMBING DATE
_ — Uontractnr
3�_ J Permit No. 6
—�
Rough-in
Fixrum
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
_ Final —
SEWER
---- __. rna
--- -
- IVEWAY
__..
_— —_ n1 Finalreet Final
Approach
BLDG DEPT.FINAL TEMPORARY— CERTI FICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY -- —~-
C Landscaping
Zoning Final `
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Address Permit No.
Permit Aiarge _ j 63 /-2 t'!-
Connection
'–Connection fee
Paid by
Typc of building Date connected
SPrvlce rate — c►' Inspection fee
CV
Contractor laid by Date
Size of connection _ Assessment _ paid
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