15715 SW ALDERBROOK DRIVE .r .
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15715 SW ALDERBRWK DRIVE
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...............Permit No.. 1 3.5
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Building Address.15.71.5...SW...Alde•rbro.�k Dr......-Lot._ 354.. .......... . . ..... ,
. M Certi"icate is hereby given this.......0.......day ofA.ug.V.s.t. ... ........ .... 19....7.7.. �I
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.
q tii Building Inspector
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City of Tigard
INSPECTION REQUEST
for I
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INSPECTION TIME: -4'2!!22 PERMIT NO. :
DATE: �U2 7 DATE ISSUED :-- / / I
OWNERS NAME : _ --/ . (' - _
A D D R E S S: - _ I
CONTRACTOR : Z - r J
*TEST : Air ❑, Water[] , Visualo laboratory
RESULT. Approved , Disapproved C , P6„dinn p
SKETCH. I
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INSPECTOR DATE
IrTE' Attocb iupplementol twit doto bereta� I
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City of Tigard,
INSPEC'OrION 'REOU E,:.. ;T
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INSPECTION TIME --el-na P-ERMIT NO. .- --
DATE r DATE ISSUED'.
OWNERS
ADDRES1.
C0NTRA(:TC !:' :—-----
TEST.Air 0, '',itAr ri Visual O , LaborOO- YC,
RESULT: Apr, "e', ZY. Dizappro-ed 0 Ponding tj
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SKETCH'.
INSWCTOR DATE
EJUOTE 1 Attach supplemental fast data hsrstjo
fiitll- � $`�
UNIFIf_ D SEWERAGE AGENCY NO. _11698
WASHINGTON CO IJ N TY DA TE 3-74-77
CITY O F------ ---___T i ga rtL -- - - ---
AIRPLICATION FOR SEWER CONNECTION PERMIT
OWNER -- - - ----- - J.D.C. -----
OWNER'S ADDRESS
STREET
CITY STATE Zlp
BUILDING SITE: LOT 354_ -_ BLOCK _ ADDITION
TAX LOT NO. TYPE OF OCCUPANCY residence
ADDRESS _1511-5—SW-Al rierbroak—or._,.
DWELLING UNITS- --.-----.— 1 --_ _ FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE 5?5.------ INSPECTION FEE — �T TOTAL DEPOSITED
(NEW) (EXISTING) BUILDING SEWER SYSTEM _ Fenno Creek
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The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
. I
APPLICAN'Tc'1 I 'n_ I `_1_,�r �_��►?-� _._.
1
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE ::IZE --_ ____ ._-_- -- INSTALLER _
rS
RECEIVED
C �7 1
— - _-- S _• t �Ott _
• IAGENCV Uti� AGENT) (/'
4•
COMMENTS- __.._ Bldg. #1355
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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BUILDING PERMIT APPLICATION �o Y TIG ARD OAT I: S'a'A�'77 t9.`.� 5
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE.__.,._
102
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. o'NNERPHONE-- LVi,
LOT NO.___ _
IS715 SW Aldertirtrik Or.
OWNER JOG ADDRESS _ _ HOME ADDRESS _
-` —� ARCHITECT
ENGINEER
BUILDER _ _ ADDRESS DESIGNER
STRUCTURE ONEW ❑REMO_OEI_ _❑ADDIII ION REPAIR ❑RENEWAL ❑FIRE DAMAGE _ODEMOLITION
❑AcJIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T URELIGIOUS OPATIO ❑CAR PORT ❑GARAGE_ ❑STORAGE QSL_AB ❑FENCE
�OBOND [:]MOVING _ LJCONDITIONAL USE^ ❑DESIGN REVIEW ❑COUNCIL APPROVED FJSIGNS
OCCUPANCY—j LAND USE ZONE_...-.._._..__BLDG TYPE__-_-.____FIRE ZONES PLAN CHECK BY t _ MEAT
Lot 03a4 Monterey rw-..sI u(d ILI Ajraar ;,Iyst'
f risme dwall,ing u,/ettrtohed g arsi,9 1 bedroom both
QC40 HEIGH �oO.SQIES PB A 4' 0QNg_B_um� _ _ NVAIU� ��o7t_�r
_ BUILDING DEPARTMENT _SET BACKS FRONT 20 REAR 1a LEFT SIDE RIGHT SIDE-
Permit 12 .110 -THIS PERMIT IB ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 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
Subtotal ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERM,T DUES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 4.11 LICENSE. SEPARATE PERMITS REQUIRED FOR S'WER, PLUMBING AND HEAIING.
Total
By ------ - - - - -
,_� APP,I ,(;AN7 [)G AGENT
Approved Receipt No
AL)O ESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
c- t-- —_..---- --�—_ Contractor
z,- -r crt- Permit No.
-)' _ - _-- ---
Hough-in _.. --
. _ Fixture_
1 _ _ Final
HEATING
Tb
Contractor
T 5 3 77 Permit No. �0
_ Gas or Oil
Rough-in
Final
SEWER
Final _
DRIVEWAY _ L S- a-77
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
_ Curb & Street Final
— _ A roach
a_c h
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY A roa
CERTIFICATE OCCUPANCY nal
Landscaping
U Zoning Final -J
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rddrass /a�7�.� Vie, ' o„ �'�,,,tiJh ��L� Permit No.
Permit charge
Owner ` � Connection fee
Paid by �CL- snA
Type of building rDate connected
Service rate �%y ?nspection fee S
Contractor. Paid by _ date
Size of connection Assessment Paid