15705 SW ALDERBROOK DRIVE t
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15705 SW ALDERBROOK DRIVE
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9-16-76
BUILDING PERMIT APPLICATION �o Y TIGARD DATE_____�_�__
THE UNDERSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-: JQa% ,�jh
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND P,E,PIFICATIONS. OWNERPHONL--
T•I)0 L• ')AJ Y.O�eo�f�Yli'3''a- lf�� ^ G NO
OWNER JOB AC)DRESS t� NIE DDRESS
1611111" ARCHITECT
ENGINEER
BUILDER DES
NEW ❑REMODEL ADDRESS ADDITION ❑REPAIR _❑_RENEWALICNE
STRUCTURE ❑FIR[ DAMAGEOr-;
_ L�DEMUL17InN
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT r:]GARAGE ❑STORAGE❑SLm3 ❑FENCF 4
❑BOND r ❑MOVING ❑CONDITION.AL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
_ CUPANCY__LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY_ HEAT----
Lot
EAT -_Lot - 3'_6 MK XXII Frame dwelling w ottsched garer2 uAdrt�_ � �', —
—�—x127 2 2 -—2;Ot)fi
Q_CQJLQAAQ___ _—_fA.4QH LOAD _�IGH1 NO.57Q-RIES
BUILDING DEPA91XEN LOT _ AREA
_ � �� —
_.�7—• SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
-- '--- 13800 THIS PERMIT IS ISSUEn SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 1HF
WORK WILL BE DONE IN ACCORDANCE Wi TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT VIAIVF
RESTRICTIVE COVENANTS CONTRACTOR AND SUG CONTRACT07S TO HAVE CURRENT CITY BUSINESS
State Tax • LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total � - — 9swo c inop•
By
Ar CANT OR AGENt ____ ----------_ --
Approved — -- Hr�rill No, PHONE
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6
NOTE TO FILE;
THE ADDRESS ON THIS PROPERTY WAS CHANGED FROM 15655 SW ALDERBROOK DR. TO 15705
SW ALDERBROOK DR. THIS CHANGE OCCURRED SOMETIME BEFORE AUGUST OF 1977. PAPErl
DATED PRIOR ro THIS DATE MAY REFLECT ONE OF THE OLD ADDRESSES, NOT NECESSARILY
THE ADDRESS ON THE JACKET.
tf/u� 4�@' f�n�R iw\
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CITY OF TIGARD
IcG OREGON
Owner: T.D.C. ..... Permit No..
1215
.................................. . .............. ...... . t
15705 SW Alderb .00k Dr. Lot #353 b
Building Address.15705
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Certificate is hereby given this...............day of......Y.Q� ............... 19..77...
��• y '. '� that said building may be occupied and
that it complies with all requirements of
the Building Code for the City of Tigard,
as approved by the Tigard City Council. ;)
ty� .7 yj,�.� f 4 f.` ............... .......
.
Building Inspector
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UNIFIED SEWERAGE AGENCY N0. ...____11033 '
WASHINGTON COUNTY DATE __. 12-23-76 _ --
CITY OF---- _Tigard --
APPLICATION FOR SEWER CONNECTION PERMIT
OWN E R: ---------T T.DC-'-- -
OWNER'S ADDRESS: -------- - ----------_- ----._.... -------
STREET
CITYSf it i ZIP
BUILDING SITE: LOT 353__-_ BLOCK __.-_ ____.— ADDITION
TAX LOT NO. ___ _____-_. TYPE OF OCCUPANCY ---___ raefdence---
ADDRESS ___15655 SW Alderbrook Dr.
DWELLING UNITS -- -- ------1 - - - ----- --- FIXTURE UNITS -
SURCHARGE IF APPLICABLE
PERMIT FEE . 575.00 _ INSPECTION FEE - 25.0.0 TO-TAL DEPOSITED _ 600.00- -_
(NEW) (EXISTING) BUIL �)ING SEWER SYSTEM _ Fanno_I-reek-
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - ----------------- INSTALLER
RECEIVED BY~
IAO NCV OR ITS AGENT)
COMMENTS:- Bldg. #12.15
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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1TY
BUILDING PERMIT APPLICATION Coy TIGARD DATE 12-23-76--, 19----
THE UNDERSIGNED HEREBY APPLIES FOR APERMiT FOR THE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE
157405- N LOT NO. _
OWNER • + JOB ADDRESS "JW Alderbrunl! I;CIMC ADDRESS
ARCHITECT
ENG114EER
BUILDER ADDRESS DESIGNER
II
NEW_ NEW ❑REMODEL _ ❑ADDITION _ ❑REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PAI"10 ❑(.AR PORT ❑GARAGE ❑STORAGE❑SLAB- ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL_USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑_SIGNS
OCCUPANCY 1_.LAND LISE ZONE _--BLDG.TYPE ,} —._FIRE ZONE- PLAN CHECK SY ��� ,HEAT-_
`33 11K ',r i;a_Jle>lauop uunuc as 1�)613 S41 Summerfield Lanff
-- ---------
reme +juwlllrag w uttached gurega 3 badlruoao 3 bath
- -– — — 9s x u ge 672
-----
9", LQA __(2 —fLOOR LOAD -..—__...Hf1StH—L_____—._1`IO.STORIES 12_AREA 2070 NO.BEDROOMS VAI.UL`w E u'
BUILDING DEPARTMENT SET RACKS FRONT 1 iT REAR t3 LEFT SIDE 4 RIGHT SIDE t
Permit 154•n(a -
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUIL DING CODE, ZONING
Plan Check 1Q•00 FEG'1LATION^ AND ALL APPLICABLE CCOES AND ORDINANCES, AND IT IS HEREBY AGREED THAI' 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
- RESrRICIIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT`.' BUSINESS
State Tax LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,
Total 4.ye
BY AP,P•.t( 1kNT OR AGE.NI
Approved Receipt No.
ADDRESS - - ---- --- HONE —
GATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor —`
Permit No.
— —.-- -- Rough in
Z/� �—_�.� Fixture
j jr- Final ---
�.���_ HEATING
Contractor _-
®"a�-=- .1dJ y"r Permit No.
Gas or Oil
— ----- �_._ Final --
SEWER
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
__.. Curb&Street Final
- - --- - Approach
81_I)G DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
ADDRESS f" �''<<< PERMIT N0.
PERMIT CHARGE none
OWNER ,sL c r _ _—
CONNECTION FEE %
PAID BY --
TYPE OF BUILDING -..a _ DATE CONNECTED
SERVICE RATE
S�� INSPECTION FEE < r,
�
CONTRACTOR __ PAID BY DATE
SIZE OF CONNECTION ___ __ _ ASSESSMENT PAID