15515 SW ALDERBROOK DRIVE IL
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15515 SW ALDERBROOK DRIVE
OF o , r.
UlAr OF TIGARD A C
OREGON )
T.D.C. 1186
.. { QN-ner:........._ ........... .... ....... ... . . _ _.......... . ....... ... .Permit N��.
15515 SW Alderbrook Dr. .Lot # 369 A
�I Building Address.................... ........ . .......... ....... ... .. .
Certificate is hereby given this.....' ........day of.�arch. ............ 7.7
y � �
i that said building may he occupied and
that it coriplies with all requirements of
}. 1, the Building Code for the City of Tigard, (fit
as approved by the Tigard City Council.
Building lnspedor '
1 h!w� 1 ; •��'4 I +N� f� �„'�4 .',-�.A �`i f*"y (, r.�s �.1�s�'�+' r'-) eri . .�! I` �f'��+ �I Y�d� U �� �� t.��� �% ��•P t ���'�'
� i .�::�' '�F:: --�.� � ice__/�-��:s � _.;,/ �'''�' a' �;_/ ...-� \•./ �"�/ ��:�� `�^�.% �'ti f e`..'`•
A !dress ,'S S ' a i' r . / ch Permit No.
Permit c h a r o e 22 d/7 f—
Owner J. �, �' , Connection fee
r Paid by
Type of building a Date connected
Service rate _—_ Inspection fee
cI -- --- Paid by Datc _ -----
Size of connection Assessment _^__ paid
i
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: �'`'� PERW t NO. : I
DAT F: _// /� DATE ISSUED : I Z.-
I
0WNERS NAME : -
ADDRESS:
C0NTitACTOR . _L� ,iN�yTzr'
TEST : Air :1, Woter[I Visual, Laboratory p
RIE. :ULTApproved Disa prov�sd C Pending
p p � , P Cl
SKETCH.
r
INSPECTOR DATE
[NOTE: Attach supplemental test data beret] I
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION 'TIME: PERMIT NO.
DATE: 1.2 DATE ISSUED :_.-.LL
OWNERS NAME :ADDRESS:
_
CONTRACTOR : __....___.— -....._.._..
rE ST . Air Cl, Wot Visual Laboratory
RESULT: Approved'3 Disapproved C Pending L]
SKETCH,
C�
I PECTOR DATE
LN07B Attach supplemental test data bereto7
l
UNIFIED SEWERAGE AGENCY NO. 110
WASHINGTON COUNTY DATE
CITY OF ---
APPLICATION FOR SEWER CONNECTION PERMIT
T.D.C .
OWNER: _ -- -._. --- --- -- - - - --
OWNER'S ADDRESS: - ----_---_ -
MEET
--CITY - - --�� STATE ZIP
BUILDING SITE: LOT-353_x. BLOCK -_ ADDITION -
TAX LOT NO. -----
TYPE OF OCCUPANCY -
15515 SU Aldorbrook Dr.
ADDRESS ------------- _ -
DWELLING UNITS---1 FIXTURE UNITS - -
SURCHARGE
NITS - _SURCHARGE IF APPLICABLE--- -------.----
PERMIT FEE
575. 00 DD INSPECTION FEE .. -_— TOTAL DEPOSITED --- -
(NEW) (EXISTING) BUILDING SEWER SYSTEM
The Applicant agrees to comrly with all rules and regulations of the Unified Sewerage Agency.
APPI_ICANT"'' '11Q
SEWER PERMIT
THIS PERMIT AUTHORIZFS CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _ __-__ INSTALLER - -
Rr-CEIVED BY
(AGENCY OR ITS AGENT)
nlrj!-'. I18G
COMMENTS: - -
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
ow oil .` raw.o`wrvNeSY+119'MAF �`�'31Mr!�°.1'"4 .r -.
BUILDING PERMIT APPLICATION SOF TIGAlZC� DATC 12.2.96
THE LINDERSI GNED HEREBY APPLIES FOR A PERMI"T FOR THE WORK HEREIN INDICA T ED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECiF!CATIONS. OWNER PHONE
LOT NO. �.
WNER s r�.• JCr3 ADDRESS L �) ' r JUI hld�rb�°�P 4AE bbbRESS
�——� ARCHITECT
ENGINEER
BUILDER 6$>allli3 ADDRESS r' DESSGNER _
STRUCTURE MNEW ❑REMODEL O0
ADDITION REPAIR ` ❑FENEWaL ❑FIr�R-��1E D,,.%iAGE []DEMOLITION'0RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO nCAFlPORT ❑GARAGE LJSTOHAGEL,SLAB []FENCE
—❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
3 f TW e*
OCCL PANCY LAND USE ZONE---.BLDG.TYPE FIRE ZONE_ PLAN CHECK BY _�-HEA
:
DATE INS . TYPE INSPECTION r.cMARKS rF
MBING _ DATE�
_ __ _
�1
/ 1 4/- r
O HEATING
Contractus
02, 2 �. Oermit No.
—,
�il�/'-' iGas
or Oil —�
/
-Rough-in
Final
SEWER
Final
-- --- — DRIVEWAY
Final
Storm Caine e
(Rain Drain) Final
Sidewalk 4 G )—.5- 7 7 �
_ Curb&Street Final _
A roach s' 1 7
BLDG CEPT FINAL TEMPORARY CERi'rICATE OCCUPANCY Final
CERTIFICATE OCCUf ANCY _
Landscaping
`./ Zoning Find