15295 SW ALDERBROOK COURT-1 s ,
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15295 SW ALDERRROOK. COURT
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CITY QF, I IGARD C�
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OREGON
0«-ner:. Permit N............. .. ........
15295 W Alderbrook Ct. Lot �; 394tG
tBuilding Address................... . .......... .. .. ........... ......... . .. ............ ..............
3 i 25 c August 77 �
I:
C : Certificate is hereby given this........ ........(lay o�................................. 19......
that said building may be occupied and
r that it complies with all requirements of � !
` � •'� the Building Code for the City of Tigard, t°t
as approved by the Tigard City Council.
.�
Building Inspector
�k �, ��r ��Iry. '�.� � :• ; ".1 n ,�y °Y•'.....S:At,`VI �� r.n d � ^ ,r
�77
City of Tigard
I IPSP :CTION REQUEST
for
INSPECTION TIME: (im PERMIT NO.
DATE: _//alY DATE ISSUED ._.__.L1_
OWNERS NAME -, -
ArDRESS: ---- - 3 �-- -
-
CONrRACTOR :
'EST ' Air CI, Woter [] , Vi-mal 0 , Laboratory F1
4ESULT: Approved fa Disapproved [7 Pending E]
SKETCH:
r
a
i A
i
SIP CTOR DATE
a
500E ' Attoch supplemental lest doto heretod I►
A
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: . Alo1'1_,. PERMIT NO. :--,--
DATE '. LLLI/ DATE I S S J E D ._ /
OWNERS NAME :
ADDRESS—. .L�.L
CONTRACTOR .' — _- �� ,d C)
'EST : lair p, Water[] , VKXual 0 , Laborutory rt
RESULT: Approved LT'�Disopproved C Pending CJ
SKETCH:
1
INS ETDR DATE
CNOTE : Attach st,pnlementaf "eft data beret
i
fill
LIN11FIED SEWERAGE AGENCY NO.
WA I] I NIC- 1-ON COUNTY DATE .._Decenber 3. 1975 ._--
CITY MJF Tigard
APPI-ICATION FOR SEWER CONNECTION PERMIT
Tualatin Development Co.
OWNER'S ADDRESS: -_-----
STREET
-------- - - ------...��.--------- STAT
cITY E
BUILDINGSITE: ��' ._ BLOCK ADDITION _____Summerfireld_ _
TAX LOT N0. -. -- - TYPE OF OCCUPANCY _ _resid3nce
ADDRESS -
DWELLING UNITS - _- _L___..---- ___- FIXTURE UNITS ----------- ------___-
SURCHARGE IF APPLICABLE..--.—.--- ---
PERMIT FEE _ b7.5____._._-_. INSPECTION FEE - 7.5 _ TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM - ----. . -
The Applicant agrees to comply with all rules and regulations of the Urified Sewerage Agency.
APPLICANT
V
SE-WLI3 PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM,
LINE 311E411_ - .- INSTALLER -._--- ---
RECEIVED BY- . _ �1��' �f T
(AGENCY OR ITS AGENT)
COMMENTS:--4t>1��
This Application and permit expires in aIle h0ndred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION 11 T*ARD DATE.__ . CR 3 76LOF
THE UNDERSIGNED HEREB'/ APPLIES FOR APERMIT FOR THE WORK I4EREIN INDICATED BUILDERPHONfr- ,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.
OWNER i�H4i�¢-i n �/IFW�
JOBADDRESS 16]194 -q-tj- Aldortra -OME P DRESS -
ARCHITECT
ENGINEER
BUILDER _!�^-1 _- ADDRESS DESIGNER
SSIIRUCTURC _11NEV-1 0REMODEL ❑ADDrrITTION _QREPAIRI--� ❑RENEWAL ❑FIRI: DAMAGI: �-t ❑DEMOLITION
ORESIDENCE I_JC01AM IEDUCA-110NAL ❑GOV'T ORELIGI01JSOPATIO ❑CARPORT ❑GARAGE [:]STORAGE[:]SLAB LJFENCF
LBOND _ ❑MOVING _ OCONDITIONAL USE ❑DESIGN REVIEW _ ❑COUNCIL APPROVED —0S!GNS
OCCUPANCY _LAND I ISE ZONE_ RLOG TYPE, FIRE ZONE.--. PLAN CHECK By__ Ir+LI'' HFAi____ _
1. 1t :x.14 nunstruct Sigglle family dwelling with 6uraUt, - ----- -- _-._W._
7 bedroom 3 t,�a th - ------�--------
unfinishod luwmr level.
Q.9C...LQA.0--'. -F1.Q4f_i LUAU 4lt HEIGHT �� NQ. TORIES if AREA 1770 NO UUg.Q0mVALUE 339800
BUILDING DEPARTMENT _ SET BACKS FRONT 21 REAR 71 LEFT SILIE RIGHT SIDE 4
Permit 13Y. 00
---_ _--- --- ---THIS PERMIT IS ISS0F.D SUBJECT TC THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check „� !i�S REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPI IANCE 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 6• it] LICENSE. SEPARATE PERMITS REQUIRED FOR F.WER PLUMBING AND HEAT!NG.
Total - — 214,76
By -- Qw" ----- -- - - -- - -
- — APPLICANT OR AGENT
Approved Receipt No.
• AD17 f 5�5 — _PI IfSlat--
... .. ,...... ...::».......+n...•.,u.�w..wJ.16...,,.w..-o..�.wuwwo..row........ww
DATE INSP. TYPE INSPECTIONS REMARKS PLUMBING DATE
2
I-J-7G-t �-i^ Y_ Contractor
�
r 7� `- �2 Permit No.
-��� Fixture _
_
Final
- HEATING
f n -
3 � v' �- .�.--- .� Contractor
Permit No. G^ :�U _ �-'y`�7
_crGas or Oil Rough-in _ —
�-� Final
SEWER J I3 /-G- �
_
Final
DRIVEWAY
Final
Storm Drainage
Rain Drain) Final
Sidewalk
Curb & Street Final
Al roach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE 0(.CUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping `
Zoning Final �,/
i
Address Permit No.
Permit charge 22077 t::—
Owner �(� _ Connection fee ��'�
i Paid by C`
Type of building ,�1� .� Date connected
Service rate Inspection fee 1
Contractor _ Paid by date
Size of connection Assessment Paid