15615 SW ALDERBROOK DRIVE Pin"
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15615 5W ALDERBNOOK DRIVE W�
ADDRESS PERMIT
PERMIT CHARGE none
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OWNER '.. ,( % . _ CONNECTION FCE -5-
PAID
PAID BY
TYPE OF BUILDING I/i DATE CONNECTED
SERVICE RATE �� INSPECTION '-EE
CONTRACTOR Y � PAID BY � DATE
SIZE OF CONNECTION _ ASSESSMENT _ PAID
Y-it -7 7 o - 90
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CITY OF TIGARD CY
G OREGON
Owner:.....' ......T,0...fin...................................................Permit No.....1l.3.. I4t
7 ` <`
Building Address.15.61.5...SW ..Alderbrook...Dr.............. .. ....Lot..,358 ....
Certificate is hereby given this.....28.......day of...Mar.ch. ............... 19..7 ... lot
that said building may be occupied and
that it complies with all requirements of
a (} the Building Code for the City of Tigard,
as approved by the 'Tigard City Council.
71
........... ....
�. Building InspL� for
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City of -Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. : _—_..
DATE:/,;2- DATE ISSUED . I Z I
0WNERS NAME '. L _.
ADDRESS* 09�strsK --
CONTRACTOR : 15B
TEST'. Air ❑, Water[] , VIsuol Laboratory ❑
RESULT* Approved , Disapproved C Pending [q
SKETCH.
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INSPECTOR DATE i
NOTE : Attach supplemental test data bar kltc]
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City of Tigard
I NSPECTiOfV REQUEST
for
INSPECTION TIME ' - PERMIT NO. :--
DATE .'
O. :DATE .' ' ZZ;?J� DATE ISSUED — I Z I
OWNERS NAME .' —T-- !2tz
ADDRESS:
CONTRACTOR : l M'1"""�"JL
TEST : Air [], Water❑ , Visual ❑ , L abprotory 0 i
c?ESUL.T: Approved , Disapproved C Pending ❑ I
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INSPECTOR DATE I
NOTE: Attach supplemental lest data hereto?
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City of Tigard
INSPECTION �
N �?�QIJIE� T
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for
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INSPECTION TIME: w' PERMIT NO. : _ I
D� ; E: if DATE ISSUED .`I—Z— I
OWNERS NAME .
ADDRESS: _.-5-3 S �: _---
CONTRACTOR : = C I
rE ST '. Air 0, Woterrj , Visual &, Lcborotory O
RESULT. Approved 0 Disapproved C Pending (]
SKETCH: � I
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INSPECTOR DATE
NOTE. Attach supplemental tett data beret fl I
IJ IN 11' I F. 0 SE-VV RAGE AGENCY NO. _. 10683WASHINGTON COUNTY DATE _ IC-14-76
CI fY
APPLICATION FOR SBNLR CONNECTION PERMIT
OWNER: . T. D.C.
OWNER'S ADDRFSS: .
STREET
GI ry STATE ZIP
BUILDING SITE: I. OT BLOCK ADDITIC J
TAX LOT NO. __...___.__.`____ TYPE OF OCCUPANCY
ADDRESS __. _1_`?5:15 2W ALd.ert mak_ Dr.
nWELLING UNITS _1 __�� FIXTURE UNITS
SURCHARGE IF APPL!CABLE _.____
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` • 00
PERMIT FEE .._�.._ . __ INSPECTION FEE 25_' OC TOTAL DEPOSITED 600. 00
(NEAL (EXISTING) BUILDING SEWER SYSTFM r:nno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT t.t,
SEWER PERMIT
-THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SY51 EM.
LINE SIZE INSTALLER
R - - -
RFCEIVFD BY
(AGENCY OF ITS AGFNT)
i
COMMENTS: 1 ( • 1 1 j j
This Application and permit ex Aires in one hundred and tvvent 170days.
The amount paid will he forfeited should expiration occur.
BUILDING PERMIT APPL�U"ATION 1OFY TIGARD DATE__� -14r7E 19 1 s 37
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER
•U•C• 1571 .1 SW Alderbruak LOT NO. _
_
JOB ADDRESS HOME ADDRIESS �
sflmfE ARCHITECT —
BUIL.DER ADDRESS ENGINEER
DESIGNER
STRUCTURE ONEW ❑REMODEL ❑ADDITION ❑REPAIR _❑RENEWAL ❑FIREDAM,IGE' ❑DEMOLITION
❑RESIDENCE [:]COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
_ ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY L USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK �-
r7 ;� 0 t u;-j fwbt.Y}, t?'' Ill# ulw'; J '. .1 Jlu &IJCriC7!i3l T — HEA7_
rlt,+
O&Q,LOAD ELQ4R.LQA� _ HEIGHT1�5?SISIRI�,S 1 1270
ARE �i ?•
A NO.BEDHOQfn VALUE
WILDING DEPARTMENT
WILDINGi
--���--� -_ SET BACKS FRONT ��? REAR LEFT SIDE
Permit RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE RECJLATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check [��00 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 All. APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE.
State Tax
1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.. SEPARATE PERMITS RF..GUIRED FOR SEWER, PLUMBING AND HEATING.
Total — 12
—
BV
---- APr ',ANI OR AGENT
Approved I � Receipt No. � �---- —
A1551116s
DATE INSP, TYPE INSPECTION REMARKSVFixture
MBING DATE
�� #�/,Oy46 J zz
ATING —
__ Contractor
v -- -- -- _— Permit No.
_--
_ _---- ------- Gas or Oil -
-�— __--
Rough-in
Final
SEWER
DRIVEWAY
-- — - --— ------------- Final —_�— — ----
- `----- -- Storm Drainage
_ (Rain Drain) Final
—_ _ _ — ------ --- -� Sidewalk —
__ Curb&Street Final
Aroach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANT,'!
CERTIFICATE OCCUPANCY r7oning
al
dscaping ( )
U Final "�