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15480 SW ALDERBROOK DRIVE i r, m 0 ut N o_ m H CIJ h d O ti t 15480 SW ALUERBROOK DRIVE �� CUSTOMER RELEASE FOR FEAT PUMP INSTILLATION 1, 4/r2. ,5U6%G!167 14,,144j#Wo1A1 , in specifying a heat pr.i np unit for installation in my home in Summerfield (Lot # am. aware of the "noise pollution" problem involved in the opF!ration of the machinery to be locat-!d on the exterior of my home. Further, T accept the respon- sibility for any additional cost (labor and/or materials) incurred in sound isolati.zg the heat pump unit to conform to noise abateme► t standards of the City of. Tigard and/or the building code of Washington County. 4raserbate ved Tay Date CITY (fit 7 IC ARDCREGON �. Owner:...........Tual,at.in...Deve.lo} pent, Co ....... No........1067 j Building Address.... 1548.0..SW...A1.dez.bAo.Pk...C+r... Certificate is hereby given this......15......day of....1pg.gh ........... 19 77 E � �. . �. � that said, building may be occupied and } that it complies with all requirements of #I the Building Code for the City of Tigard, r! as approved by the Tigard City Council. ) t = � � l i Building Inspector .' } Address Permit No. Permit charge >© Owner c��<<_�. _; ` � Connection fee Paid by sf �Lc. Type of hilding ,�� Date connected _ Servic ; rate _!S��' Inspection fee Contractor Paid by date Size of tonne ;tion Assessment _ Paid ` y -1( - 77 Eo - ys i I City of T � gard INSPECTION REGU EST for INSPECTION TIME ' PERMIT NO. : DAT E: %3 DATE I SSUED:__L_L OWNERS 14AME: � ADDRESS : CONTRACTOR : i TEST. Air ❑, Water p , Visual Laboratory ❑ I RESULT: Approved Disapproved ❑ Pending SKETCH: 1 INSPECTOR DATE OTE : Attach supplemental test data hereto] i i City of Tigard � d INSPECTION REQUEST for INSPECTION TIME: J., 3�..� PERMIT DATE: DATE ISSUED OWNERS NAME ' ADDRESS: — CONTRACTOR .' DDRESS: `CONTRACTOR : TEST : Air p, Water[] , Visual , Laboratory p RESULT: Approved (• Disapproved 17 Pending' e Cl SKETCH. I I INSPECTOR DATE EOTEAttach supplsmsntol test doto bereto� .rte.._....__: ,.r.. i City of Tigard INSPECTION REQUEST � for �-'efiJ y2 i 1 INSPECTION TIME: 7L PERMIT NO. : DATE: / / _ DATE ISSUED .---Z. e OWNERS NAME : , 7-f-c ADDRESS: ZS' 4/ __43ke CONTRACTOR : S _ __ —.——.— I TEST : Air p, Water❑ , Visual C , Labormory o 9ESULT: Approved Q , Disapproved C Fending [) SKETCH. I I I I I INSPECTOR DATE 50TB: Attach supplemerttal teff data berets] I I i -, - � 10642 UNIFIED S1--A'V1-R/",GE AGENuY No. -- WASHINGTON — WASH I NGT ON COUNTY DATE ___--- 9-16-96 CITY OF _- Tigard - - - -- APPL_'CATION FOR SEWER CONNECTION PERMIT OWNER: _.__.__ ZU,_a_tiQ__Q_eaelo-mment Com- _— OWNERS ADDRESS: -- STREET STATE -- - — BUILDING SITE: LOT 389 _ BLOCK — ADDI-ION __— TAX LOT NO. TYPE OF OCCUPANCY re-sidence ADDRESSAlder _Brook Dr. ------ - ----- DWELLING UNITS FIXTURE UNITS ---- SURCHARGE IF APPLICABLE TOTAL DEPOSITED PERMIT FEE -5-�-5-x_40 -- INSPECTION FEE - � IN jW (EXISTING) BUILDING SEWER SYSTEM _Fanoo Creek _-_ Me Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency. APPLICANT SEWF R PF FIMIT THIS PERMIT AUTI-' )RIZES CONNECTION TO THE SEWER SYSTEM. LINE SIZE _ - INSTALLER __- 7 RECEIVED BY_.. __ -•'�•�� ' ____ - (AGFNcy 6.4 COMMENTS: .. _ 614 9-17-76 : 06? �- ffi25. 00 Insp. fee paid This Application and permit expires in one hundred and twenty (120) days. The amount paid will he forfeited should expiration occur. 1TY BUILDING PERMIT APPLICATION cap TIGARD DATE SIh, 0-76 ,g 1167 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATCD BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIF ICATIM. OWNER PHON Y C LOT NO.— OWNL R 1 1 a JOB ADDRESS 15'180 SW Alder Brook HIOAAi_ADDRESS ARCHITE 7.T ENGINEE,t EUILDERnn ADDRESS DESIGNE.FI Z) _-` STRUCTURE NEW ❑REMODEL ❑ADDITION ❑REPAIR (-]RENEWAL ❑FIRE DAMAGE []DEMOLITION RESIDENCE 000MM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT OGARA,_c ❑STORAGE❑SLAB ❑FENCE []BOND L_IMOVING CICONDITIONAL USE El DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS OCCUPANCY I—LAND USE ZONE—_ BLDG.TYPE J A ,FIRE ZONF3 PLAN CHECK AY HEAT Lot ili369 MF XId 1 ,r.'lilc, !IjailLng ugatumched gareVis 3. bedroom bath LQAI2---_fS.00 -LQAD-- ---- HEIGHT_- - NO.5T4.81E�__`_AfiEA __1I`SL 9EAaQ_Q__ s VALw128,000, BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit 12100 - - —=- - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check i(4 DID, 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 Subtotal ALL A9PtICA81_E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE i RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax 3.5.' LICENSE. SEPARATE PERMITS RECUIRED FOR SEWER, PLUMBING AND HEATING, Total 1 4.g3 Seger Insp• 75.6 By _ APPI ICANT OR AGENT — Approved - Rereipt No. ADDRESS I C,S /o%x,/76 cAA-Ok. <.�, or= 9�wed 11-V-76 40- I 0 -r7 =S8 � I r