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15600 SW ALUERBROOK DRIVE
INSPECTION NOTICE
City (f Tigard Building Depa-'ment 1
12420 S.W. Main St. i
Tiqard,Or-rgon 9727.3
Phone: 1139-41 71 j
Type of Inspection ----U� -1 d Q-('U L
fDate Requested // Time_ A.M. P.M.
{ Address l �E'�� G t U �� _ Permit # �J
Owner 10-4 Lot #
Luldet
i _
The following Building Code deficiencies are required to bu corrected:
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Presented to _—_-_a,.. _ _ Approved
Inspector Disapproved i
Date - - —
CALL FOR REINSPECTION
YES NO
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City of Tigard
INSPECTION REQUEST
for,
,
INSPECTION TIME : PERMIT NO. :
DATE ��2_U11� DATE ISS►JED:_--J—' L
OWNERS NAME : ____I -- ,6? <27"
ADDRESS : A07—
CONTRACTOR '
TEST: Air 5, Water p , `visual Laboratcry ❑
RESULT: Approved Disapproved 0 fending 0
SKETCH:
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INSPECTOR DATE
CNATE . Attach supplemental test d oto hereto �4
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City of Tigard l
INSPECTION REQUEST
for
IMPECT10N TIME: PERMIT N0. : _
DATE: i124 DATE ISSUED :+/_l
OWNERS NAME :
ADDRESS:
CONTRACTOR :
TEST : Air Cl, Water[] , V;OUal G , Laboratory Cf
RESULT: Approved 0 Disapproved C , Pending p
SKETCH.
INSPECTQR DATE
ENO rE: Attach supplGm/ntol toot data bereto�
UNIFIED SEWERAGE AGENCY N7. _10691
ING TON COUNTY DATE --- 11-1-76
CITY OF___ Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: . T.D.C.
OWNER'S ADDRESS:
STREET
CITY�Ty Sf,4TE ZIP
BUILDING SITE: I-OT--385-- BLOCK ADDII ION
TAX LOT NO. TYPE OF OCCUPANCY
15600 SW Alderbrook Dr.
ADDRESS .-- ----
-
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE ----.------..-- ----
25. 00 600. 00
FEE 575. 00 DEPOSITED
PERIMIT FEI--- INSPECTION FEE TOTAL
(NEW) (EXISTING) BUILDING SEWER SYSTEM ----F-annn-
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
A P P L I C A N
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY
(AGENrY OR ITS'AGENT)
COMMENTS: 1153
This Application and permit expires in one hundred and twenty (120) (lays.
The amount paid will be fo•feiled should expiration occur.
BUILDING PERMIT APPLICATION of 71GA,RID DATE 11-1- ,..
76
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONR _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERNHONE
LOT NC1._
OWNER T*DtC• JOB ADDRESwS 550Q SU Alderbrook iN DDREss
ARCHITECT "-
BUILDER !;t1Mw ENGINEER
ADDRESS _ DESIGNER
STRUCTURL O'NEW �-1❑RF.MODEL _ OADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE DDEMOLITIO_N
❑ RESIDENCE ❑COWIM DEDUCAT.ONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB [7FENCE
❑BOND ❑MOVING - OCONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED _ ❑S16N
OCCPANCY LAND USE ZONE_—_�TBLDG.TYPE FIRE ZONE+' PLAN CHECK —
L t aatma rx .�.at,illj aim Summfirti®ld Lano --
fl-ams dWolltWdUttB�;hvt1_S:nrago 2 bath - ---
OCC LOAD _-_F-LUD LOAD --HEIGHT NO.STORKS � AREe 1204 i—
yD BEDRQ9s1 .__ VALUE: �L=_.I`BUILDING N-
DEPARTMENT SET BACKS FRONT 1CJ REAR
26 LEFT SIDE RIGHT SIDE 1;
Permit1.1. 900
- -- - —_
THIS PERMIT IS I&;LJFO SUBJECT TO THE REGULATIONS CONTAINED IN THE SUILDING CODE, ZONING
Plan Check 10,OQ REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT YAE
WORK 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
State Tax ,°Ija�' AND SUB CONTRACTORS TO HAVE CURRENT CITU BUSINESS
LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER. PLUMBING AND HEATING.
Total 1:25.0
BY
aPPI ICANT OR AGENT ----- -- -- ---..
Approved � Receipt Mu. i
AbORESS
• .•. ••.u-w-+w,,;^.61wI1lu u.•...wr ..,,._....,.,.,.pryMy„�,...+1Y41M�fW JMN'�14':!
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DATE INSP, TYPE INSPECTION REMARKS En
UMBING DATE
[� P Par
oSerfnit No. 0 7-LZ
ti �� _
Fixture
rf Final
�) HEATING
Contractor
-- Permit No.
Gas or Oil
Rou h•in
Final
SEWER
-------------------- -—.._ Final—__—.--_ -
--^-
-DRIVEWAY
Final_
`^ Storm Drainage �•
(Rain Drain) Final
Sidewalk G /-2 •27-7c
Curb&Street Final _
_
Approach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANC! Final
LERTIFICATE OCCUPANCY ---
1 Landscaping
v Zoning Final
i
AD-' ,,E5S PrRMIT NO.�i
PE=RMIT CHARGE none
OWNER "' it CONNECTION FEE
.� P A 10 B Y
TYVLBUIIUING ?� _ DATE CONNECTED
SERVICE RATE G_ � _ INSPECTION FEE
CONTRACTOR 'C �� PA10 BY DATE
SIZE OF CONNECTION ASSESSMENT ^_ PAID _