15260 SW ALDERBROOK COURT ------ ---------
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15260 SW ALDERBROOK COURT
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1, env 16� CITY OF TIGARD �
OREGON
ONtirrer:......... 9 ............... ........ ................Permit Nr.. 1310 _..... ..
Building Address... 560...SW....A.ld.e.rbrook Ct.,......LA.t..#!,0.3...................
Certificate is hereby given this.....1.5........day of Flu.gu..3t................. 19.7.7.
\; that said building may be occupied and
that it complies with all requirements of
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the Building Code for the City of Tigard, �•�
as approved by the Tigard City Council.
.... 2..............................
Building Inspector
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :-----
DATE:
O. :__—_—
DATE: Z-2-1 DATE ISSUED '.—/ Z I
OWNERS NAME ' ,
ADDRE,,S:
CONTRACTOR ' _,L r " /L
TEST : Air ❑, Water' 0 , Visual 0 , Labnratory p
RESULT: Approved 0 Disapproved C Pending []
SKETCH: �� I
i
f
INSPECTOR DATE
[NOTE: Attach supplemental tett data berets
1
City of T i gar
INSPECTION REO EST
far
Pending
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iN PECTOR DATE
LNOTE: Attach eupWlemental tett data hereti
UNIFIED SEWERAGE AGENCY No. 11661__
WASHINGTON COUNTY DATE
CI I Y OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: -- T.U.C.
OWNER'S ADDRESS: -
STREET
CITY STATE ZIP --
BUILDING SITE: LOT—._403 BLOCK _ - ADDITION -
I'
TAX LOT N E OF OCCUPANCY rBri
eideca
15260 SW Alderbrook
ADDRESS _ Ct.
DWELLING UNITS__. 1 FIXTURE UNITS
SURCHARGE IF APPLICABLE _
PERMIT FEE - 575. __- INSPECTION FEE - 25. __ TOTAL DEPOSITED 600.
(NEW) (EXISTING) BJILDING SEWER SYSTEM Fanno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT)
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _______._ - _ _ INSTALLER _
RECEIVED BY �_ _mac
dj
(AOENCV OR ITS NT) _
COMMENTS:___Bdo. 131Ct
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited shOLIld expiration occur.
t
BUILDING PERMIT APPLICATION of TIGARD D.. 2-16-77
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HERt_!N INDICATED BUILDER PHONt
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _
LOT NO., _
OWNER * " JOB ADDRESS U.26rt 51,! Alde rbruck MM6I1IE ADDRESS
ARCHITECT
afENGINEER
BUILDER ADDRESS_ DESIGNER
STRUCTURE xONEW ❑REMODFL ❑ADDITION ❑REPAIR ❑RENEWAL. ❑FIRL DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAT!O ❑CAR PORT []GARAGE ❑STORAG. ❑SLAB ❑FENCE
❑BUND El MOVING ❑CONDITIONAL_USE ❑DESIGN REVIEW [:]COUNCIL APPROV-D ❑SIGNS
OCCUPANCY_1—._LAND USE ZONE___13_-2_BLDG.TYPE ,a, FIRE ZONE_ 3PLAN CHECK BY pty MEAT_
Lut i,403 ft 1:) Re-isauas same as 1 81 SW ;iy—ma>�rt'x�la L;��u. t rem cit��illnL,
u/sttached garage 2 budr,,)om R! bath
— -� 1 �,49iJ 7 32l,680.
OCC.LOAfZ —FLQQE2gD _.
HEIGHT NO,STORIES _ AREA NO.BEDROOMS VALUE
BUILDING DEPARTMENT SETBACKS FRONT 13 REAP 11 LEFT SIDE 41 611 RIGHT SIDE �
Permit 136•n0
THIS PERMIT IS ISSUE,) 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
WOR .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 CONTRACTORh TO HAVE CURRENT CITY BUSINESS
State Tax 4.38 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY
-- ---- navt(CANT OR AGENT
ApprovedReceipt No
ADLIRESS
i
IL
�-
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —
3r3 ,aC� Permit No. -3 ?7
'SI
Rough-in
Fixture
' S ) S Final
HEATING
contractor
— -- ----- Permit No.
Gas or Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage —
(Rain Drain) Final _
- ----- - —
Sidewalk
Curb &Street Final_
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
�_ �✓ Zoning Final �'
ADDRESS PERMIT N0._�
PERMIT CHARGE none
OWNER •� - C, _ CONNECTION FEE
L.e. �'F. PAI 0 iL Y
TYPE OF BUILDING ^,2t.� _ DATE CONNECTED
SERVICE RATE ��C�- INSPFCTION FEE _vl
CONTRACTOR _ PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
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