15460 SW ALDERBROOK CIRCLE-1 1
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15460 SW Al-DERBKOK CIRCLE
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INSPECTION NOTICE
City of Tigard Building Department
124205.W. Main St,
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested._ �'=L�� - �/ Time A.M. 00-2p.M.
Address _/_5 �Ge' 4C�-��`% s�tR8►mit #
Owner—- �� a- �:� _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to - --__-_-- -- -- _--_ _ Approved
'1
Inspector --- i'--- -- -- - -- - Disapproved
Gate rP"/,f'
CALL POR REINSPECTION
❑ YES Z NO
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City of Tigard Mechanical Permit
New Installation ❑ Replace ❑ Relocation r j Addition U AltNration ❑ DATE:-- _
HEATING
CONTRACTOR %.!_ -- --------- OWNER . _...., ----
ADDRESSJOB ADDRESS,.__._ —_.---
PHONf ____ . --�,� APP;ICANT_.---
Heat Inpi,t Rating(BTU per Ho,l Vent Size_ _ _ Flue Size �..
FUVL OIL,❑ GAS 0 Ei_ECT ❑ OTHER
—IT,:M NO. FEE _ ITEM V NO. FEE
For_Issuanve of Permit _ SEE BELOW Each Air Hanu;n9 Unit or Duct System 7.50
Npv-upto &incl. 10_0.000 6TU _ 6.00 _Com_mer:ial Hot d System 7.50
New 1100,000 BUT's & over � � 7.50 Other Equipment _Each _ _4.50
Wcodbu_rnin _Stove _ I 4,50 1 Trip Insoecti_on_ 4.aQ—
Wal! Floor 5t,apen,Jed —_ __ _ _ 6.0_0 Air Condition Compressw up to& incl-3 H.P. _ 6.00
Vent System,v_/Fan 4.50 Air Condition Comp
ressur_3.1 to 15.H.P. incl. _ _11.00 _
TESL-Heet Cooling_— —__— 6.00
— w—CITY BU51NESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! —
PERMIT ISSUANCE 10.00 Comments:
FEES��---- ------
SUB-TOTAL— - _—
_— % STATE^ Issued By_...�—___
25_%PLAN CHECK
TOTAL J REC. —'—'Signature of Applicant
uy ..wn-+ ,...u.,... . .,...-.,.+, ww..w,........u,iw.•.Wwr..... _.......a..... ..�.........w..r.......... .-M_ ..
Address � _.. /C` =1 i Permit No.
Permit charge
Owner Cnnnection fee
Paid by
Type of building Date connected
Service r:ate Inspact..on fee c�-J
Contractor _ Paid by Date
-------ter.
Size of connection _ Assee,sment.
paid
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,, `; TTT��- 1111r���►��^^____ �' � � .�1F'�ry, tin � `A1 EN' :.� ti9n ,r ��Ap
OF OCCr1-C,NtV-6
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CITY OF TIGARD
OREGON
Owner: Permit No. f 1!
", ' , ' Building Address_ �_���__ � .� rtuok ��2�;�___ ayp
s = • ! C r►
i Certificate is hereby given this �� day of Pn i fg_
that: said building may be occupied and that
K it complies with all requirements of the
F Y I •p
jar ! Building Code for the City of Tigard, as
h.�
approved by the Tigard City Council
Building Inspector ,
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� I L y 01 1 1 L-1rcl ,'4'Itchatlical f crillit _\' U F'rr►nit_.. ,.�3S3;OQ
�/ t--7 ;--� ^--7 Fete __—__._s�'►.d?_.___ .
Nev. Irtc;ril;a!ion f�C Rc:)'acc ❑ Relo�olion l_I Aciaition !J �.ItLtdliOn tJ i State__ „J-A-
. TOTAL__
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C.-.N;RACTOR1 lSI�: Or;r;il e. ..�,;��2-0 �..r..
AD�R`SS_ �--- -zvn ��� LAAO- _ WORKADOR 51'-�'�, ,�Q�►' Ptr ,,.,�
APP
PHONE
APPLICANT
---
Heat Input Rating (BTU Per H ur)_ _^ Vent Size ^ e �1 ue Size_
FUEL OIL EDGAS lIELECT ❑ OTHER_
ITFM NO. FEE ITEM NO. FEF
For Issuance of Permit _ _� 3.00 Air Condition Compressor 15 to 30 HP 10.Oi
New- Under 100,O00 BTU 4.00 Air Handling 19,000 CFM .R
New- 100,000 BTU &over _^ — 5.00 'Air Handling Over 10,000 CFM �5.►K
Floor Furnace 4.00 Evaporative Cooler _ 3.00
Wall - Floor -Suspended __ _4.00 Range Vent Fan 2.00
Install Vents Only 2.00 _ Vent System 3.0C
Repair- Heat & Cooling_ _ — 4.00 Hood Commercia_I _ _^ �_— 3.00
Air Condition Compresso- Under 3 HP 4.00 Commercial Duct System - — _ -_-- 10.00
Meir Condition Compressor 3 to 15 HP��� 7.50
IN'SPECTOR'S COr,1t0ENTS_
IN S LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APP "eb BY_ DATE ISSUED BY _ —_ DATE
RE ' PT NO.
77111 Signature of Ap cant
ter_..._.. ...__._._...__.,._,,� ._. _ . .. _ ,..... :-tF�•�•�-x. ls+�Fsx-
3-7
SEWER PERMIT
N9 13862
Unif i*d Stw*rage Agoncy
of Washington County CITY OF DATE
OWNERPHONE
OWNE'R 'S ADDRESS
TYPE OF INSTALLATION:
xQjWlL.DING SEWER E]BUIL.DING SEWEF! AND SIDE SEWER
TYPE OF OCCUPANCY-
x0sw-W )Q:XSINGLE FAMILY rl COMMERCIAL
E]FI-1154 , (PRICIR TO 7-1- 70 ) MUL.l_. RES. Ej INDUSTRIAL_
FIX-F-URE UNII-S DWELLING UNITS ..__j-------
PERMIT CONDITIONS,: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGUL.ATIONS OF 'iHE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER, THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AmmINT PAID WTI..L
BE FORFEITED SHOULD EXPIRAIION OCCUR.
FEES:.
PERMIT
EES.-
PERMIT FEE $ 25
CONNECTION CHARGE
SIDE S E W E P INSTALLATION
ISSUED BY
OTHER
TOTAL
,JPPL T CANT DATE
]A'is Jr
sty N 13862
WiLL FIE61.1! FOH T,:;Z' SEWER PERMIT
ADDRESS OF STRUCIURE 1.546n
_.�,W_AlslBx.Llauk Wax Circe
TAX MAP— TAX LOT SYTFM
__La n ng creek
LOT _ 442 BLOCK OF
APPROVED BY DATE ISSUeD BY DXTE
REMARKS bldg. #1821.
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BUILDING PERMIT APPLICATION C"l TIGARD DATE_._
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR TME WORK HEREIN INDICPTED BUIL.DERPHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO.—� _
r
OWNER JCB ADDRESS 154GO J 1 `4i;' li•,.E ADDRESS
ARCHITECT
ENGINEER
BUILDER _ _ ADDRESS SIGNERADDITION ❑REPAIR ❑RENEWAL ❑F-IHE DAMAGE (]DEMOLITIONSTRUCTURE ❑N'cW ❑REMODEL
❑ R—E�S�IDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T JRELIGIOUS❑PATIO ❑CARPOFIT ❑GARAGE ❑STORAGE❑SLAH [:]FENCE
OB
OND� OND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY=_LAND USE ZONE _BLDG,TYPE _-FIRE ZONE— PLAN CHECK BY �'.� HEAT_
i'L11314LIC L•t1; C16 aS J. j juinmra, I Luid i_E3f10 v
`'ramc: rlul Llimj u/attachoe Ljnr&,,s 2 Uadruum 2 bath —
Qom.LOAD F1.4S?B_L0AD HEIGHL _ -_r,j,STORIES ' AHEA l j I ' NO BrDROOMS C VALUE y!�970.
BUILDING DEPARTMENT SET BACKS FRONT 1 t��6"REAR � ' LEFT SIDE RIGHT SIDE
P -mit
THIS PERMIT 15 ISSUED 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
WORK WILL BE. DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total l a 1.U0 ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
rESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSIAESS
State Tax 4i,118 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 142.06 pou.t.• oil tiuij.
By
----- --
_� LICANT OR AGENT
Approved Receipt No
O ESS - PIWNF
DATE INSP, TYPE INSPECTION REMARKS `PLUMBING DATE
v plc 4 — '0 e:-IeGl_1G,`f- / ,'•n Contractor _
Permit No.
Ro! h in
_Fixture
Final
1 .r PRUl/E7 (.-It HEATING
Contractor
Permit No. 102-
Gas or Gil
R,)ugh in
Final
-- --�_ —. — SEWF.R N
Final
DRIVEWAY
Final — -----
�4 Storm Drainage -
_�___ (Rain Drain) Final _--
Sidewalk
Curb & Street Final
_Ap roach`_
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCIir'A^'C'y
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final