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ITY OF" 'hIGARD c�- �s >
i s �� OREGON
f )
Owner: T.D. C. Permit No. 12117 tit
r 15635 SW. Al.de,rbrook_. pr, Lot . 357 .....
i B.tilling Address............. . ..
Certificate is hereby given his... ... day of.. .May... .. . ......, 19.. 7.7. i •
that said building may be occupied and
that it complies N%-ith all requirements of
,)
�.> the Building Code for the City of Tigard,
its approved by the Tigard City Cmancil. A
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. . .................
Building Inspector
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO, :--
DATE :
O. :DATE : -?1?2-L7-7 DATE ISSUED .' / /
OWNERS NAME : _.1D )C ,
ADDRESS: ---
CONTRACTOR :
TEST : Air C], Water[] , Visual [4 , Laborotory p
RESULT: Approved I� , Disapproved C` Pending []
SKETCH. -re) djWf 0-
4,(le
INSPECTOR DATE
FATB: .Attach supplemental test data berets]
City of Tigard
INSPECTION REQUEST
for 7:4eive.
INSPECTION TIME: . L P7 - PERMIT
DATE: S DATE ISSUED / /
OWNERS NAME
ADDRESST _3�� 'YI+A► I�i��r� r
CONTP,ACT0R
rE ST : Air ❑, Water ❑ , visual , laboratory 13
RESULT: Approved Disapproved C Pending O
SKETCH.
INSPECTOR DATE
EMOTE: Attach supplemental feet data beret]
1
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: - Z) PERMIT NO. :.
11
DATE: 1_ "Z DATE ISSUED .—
OWNERS
SSUED :—OWNERS NAME : —
ADDRESS:
AME : _ADDRESS: :;jU4
CON TRACTOR : L2
rE ST . Air 0, Water(DI-16sual [4_,, 4borotory
9ESULT: Approved d
PP Q Disapproved C , Pending [)
mS^KI"TCN:��
i
IN ftTOR DATE
ENOTE : Attach supPlemental test data beret]
d
-2 0 -76
UNIFIED SEWERAGE AGENCY NO. - _- 11030
WA, [i 1 NGTON COUNTY DATE 12-20-76 ��
CITY OF______ __Tigard _
APPLICATION ICOR SEWER CONNECTION PERMIT
OWN Eli:
OWNER'S ADDRESS:
STREET
-
ZIP
BUILDING SITE: l_OT357 BLOCK ADDITION
TAX LOT N0. ..___ TYPE OF OCCUPANCY
ADDRESS .-15635---SW- Alderbrook dr.
DWELLING UNITS_.___-. _—_ 1 FIXTURE UNITS
SURC'IARGE IF APPLICABLE _
PERMIT FEE -_575.00_ INSPECTION FEE -25.-09 TOTAL DEPOSITED __ 603.00 _
(NEW) (EXISTING) RUII DING SEWER SYSTEM _ r&npD_ra_gAk__ __ __
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT`"
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
LINE S17F ._ — _
- INSTALLER --
RECEIVED
_RECEIVED BY---
___---- - —
IAGENCV OR ITS AGENT)
COMIv1ENTS: .___ Bldg. J1210
This Application and permit expires in one hundred and twenty (17.0) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPLICATION 1UF TIGARD DATE x19—
THE
s THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE—
OR
HONEOR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEC FICA'FIONS OWNER PHONE !_
Lo NO. _�...
OWNER _ JOB ADDRESS l;;L.,35 SW �1147t.i1;C�- M6ME ADDRESS
ARCHI TECT
ENGINEER
GUILDER ADDRESS
--. DESIGNER
L_J
TRUCTURE NEW 11 REMODEL ❑ADDITION El REPAIR ❑RENEWAL. DFIRE DAMAGE ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL. ❑GOV'T ❑RELIGIOUS❑PATIO [:]CAR PORT ❑GARAGE ❑STO-IAGE❑SLAB- [-]FENCE
MOND _ ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL.APPRGVED ❑SIGNS
Tu
CLLP ANCY T. LAND USE ZONE BLDG.TYPE r� FIRE ZONE— PLAN CHECK SY HEAT
1. 357 ;IKA'V 2Q-i0aew Tema el 155815L! Summer^ iuld Lane
Frame dwelling ar/aLLFJCI'tHd gsraye _1 beriraa, 2 iyaLt7 — —
QC�};_UAQ FLOQ-R LOAD __EIGHT NO.STQR I ES l ARE.41490 NO.BEDR04 Af��
BUILDING DEPARTMENT SET BACKS FRONT O REAR LEF T SIDE I RIGHT SIDE
Permit
��.I �� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THa BUILDING CODE, ZONING
Plan Check • REGULATIONF AND ALL APPLICABLE CODES AND ORDINANCES, ,AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PL ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES 1AF ISSUANCE OF THIS PERMII DOES NOT WAIVE
—
RESTRICTIVE COVENANTS. CONTRACTOR ANf SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax •5.9- LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER PLUMBING AND HL ATING
Total -- -- 134.9
BY
AP— is ANIOR AGCNT
Approved Receipt No.
ADDRESS TPPONE
—
DATE INSP, TYPE INSPECTION REMARKS PU MBING DATE
Cont actorL--10i z12 i* _ Permit No. u — � "�"7,7
Rough-in
�A- t_� Fixture _
Final
HEATING
)LID 0" 6ri, CZ&-Ae-S7 Contractor
CC O 3 Perri t No. � -1 7
G is or Oil
_ tin-al _
__--- _SEWER - �� /-25- 7�
Final _
DRIVEWAY
Final
Sturm Drainage
(Rain Drain Final
_ — Sidewalk
Curb&Streat Final
17F
ApproachSLOG DEPT, FINAL TEMPOnAnY OCCUPANCv
CERTIFICATE OCCUPANCY Final
Landscaping .,
Zoning Final
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 � )
Tigard, Cregon 97223
Phone: 639-4175 �
Type of Inspection � , e-7�t
Date Requested Tim' aA.M. P.M.
Address �'��63 Lam-4;61 Q�I� d7 Permit —
Own3r _ Lot #
Builder
V _.—
Thr, foilowi;tg Building Code deficiencies are required to be corrected:
41
rr
Presented to s
— ---- ❑ Approved
Inspector _ _ ❑ Disa
pproved
Date
CALL FOR REINSPECTION
❑ YES 0 No
, o ��� 3y
Address /� 3� t �c� -�' Permit No.
Permit charge 22e1sA
--
nWnEr � ,
Connection fee
�d1�.�..
Paid by C~ --
Type of building Date connected
Inspection fee
Service rate ��G� -�
Co,,! rentor Paid by _ Date
a
Size of t-onnection Assessment �_ Paid