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15865 SW ALDER-BROOK CIRCLE
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"ACITY OF TIGARD C {
OREGON
Owner:...... DC ................... ...................... ...............Pert':it Nu...1459 i
''� Building Address..a:5865 SW Alderbrook Circle Lot .��4G .
............
. ' �•► Certificate is hereby given thi8. ......4......day oi. .October 1St....�Z �` ' �.{"•�
that said building may be occupier' and
a, that it complies with all requirements of �`�'� "
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the Building Code for the City of Tigard,
as approved i,- the Tigard City Council. O"' ` "
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Building Inspector
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,l'yp,; (.1f 11ui 1 l inn /? D ite connotAr �
r'�'V!.[:[' T' t:O ....�._.__/✓ _... inspection I r?r'•
Pr3id by ._ _.— ... rint;e
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City of Tigard �
INSPECTION RE-QUEST
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SPECTION TIMI_: PERMIT NO. : —
DATE :
O. : —DATE : 1Z DATE ISSUED
;MNERS NAME : . -- 7 ,0 . C., I
ADDRESS: ,14-1 _-__ . - --
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'- ST : Air [j, Water r> , viral O , l_rjh .-s,,fvY CJ
FSULT: Approved Disapproved C Pending p
s FETCH: I
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99 CTOkl — DATE
NATE : Attach surp'smental test data heretta
f SEWER PERMIT
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Nl? 12169
Unified Sewerage Agency
of Washington County C I1 Y OF Tigard _ DATE 5-17--77
OWN[R : T.D.G. PHONE : 639-3101
OWNL- R ' S ADD:RESS :
TYPE OF INSTALLATION:
Q BUILDING SEWER ❑BUIL''ING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
ANEW L^J SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- .1-70 ) ❑ WILT . NES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION nCCUR.
FEES:
PERMIT FEE E 25.
CONNECTION CHARGE ,575. _
SIDE SEWER INSTALLATION __ _•.- ` �Ztr ��!_�Fi
ISSUED PS'Y
OTHER
TOTAL' $ 600.
PLICANT DATE
SEWER PERMIT N° 12169
ADDRESS OF STRUCTURE 15865 SW Alderbrook Circle
TAX MAP TAX LOT c 'STEM Fenno Creek
LOT G67 BLOCK OF
APPROVED BY DATE ISS Loeb BY DATE
REMARKS_.._ Aldo. X1.9.59
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BUILDING PERMIT APPLICATION C FY TIGARD Ci
DATE .__.I,i-^ ♦—i 7 —.19 ---- `d
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE__j+
OR AS SHOWN AN4, APPROVED IN THE ACCOMPANYING PLANS ANn SPECIFICATIONS. OWNERPFIONF ----
1«i r C,1,4 LOT NO.
OWNER r_R!-ISI• t JOB ADDREWi�1.3S °jiw AldfiXt,rcifsk HOME ADDRESS ARCHITECT
ENGINEER
BUILDER _�h1 ---t--t ADDRESS DESIGNER
STRUC—TU R_E__ONEW_1�t,JR_EMODEL _ ❑ADDITION ❑REPAIR-- ❑RENEWAL ❑FIRE DAMAGE QDEMOLITION
❑ RESIDENCE ❑COMM DEDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO L CAR PORT ❑GARAGE ❑STORAGF OSLAB ❑FENr,F
❑-BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN F EVIEW OCOUNCIL APPROVE4 — ❑SIGNS _—
OCCUPANCY -.-LAND USE ZONE_.__ BLDG.TYPE— - _FIRE ZONES PLAN CHECK BY____.�--- F_ HEAT` --m-
11,j
EAT`^�_
1:,j r4—i8fsLle e8MV aB l.IJUI ;Ji,! 5UM1tsr-f1tAd La.
i'rame duelling u/ettached garage 2 bad,ranm 2 bath W
QN LQAQ.--.-- FLOOH LOAD __ __ HEIGHT ._d4 STORIE;z_� BEAA Z `Qin NQ EE '�—.t:—_VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE _
Permit i� .Qc
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 100 00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 'EHE
WORK WILL BE DONE IN ACCORD INCE WITH THE PLANS AND SPECIFICATIONS AIVD IN COMPLIANCE WITH
Soli total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LI.EN3E. SEPACATE PERMITS RF.AUIRFO FOR SEWER,PLUMBING AND HEATING.
1 IJ8VLt. 98pFI
Total 11 '_isn,7.8_
BV -
-. _ APPLICANT OR AGENT
Approved li Receipt No
-------
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
TR :Lam_ / ,t ./irn +_. Contractor
r Permit No,.
TD PC uM 13/NF Bough-in
Fixture
OvEfz _ Final _ —_
-/(� '7;) , NaL ��iN1aD/Ly (i_--L��C�s /2•�—__ _ HEATING
Contractor
��sVS'7�)�•1�1� _ Permit No.
�z - -� Gas or Oil
Rou h•in
-- —_-- _— Final
SEWER
_ Final _
DRIVEWAY
Final —_
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb &Street Final
_ _y Approach --
BLDG DEPT, FINAL TEMPORANY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping ` 1
Zoning Final
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