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15885 Sod ALDERBROOK CIRCLE
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CITY OF T GARD C�
0REGON,
Owner: _ ...T. ..........................................................Permit No. 1432......_
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'i Building; Address.. G #
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4' Certificate is hereby given this......9........day of.Se tember.....• ... �
that said building may be occupied and �
that it complies with all requirements of p
the Building Code for the City of Tigard,
y` approved as a d by the Tigard City Council.
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Building Inspector
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MAW
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City �of Tigard
'
INSPECTION REQUE�
for
MPECTION TIME: 9� �J PERMIT NO. :
DATE: G 2-;;;' DATE ISSUED .—,/ Z
OWNERS NAME : --.TY0. .C= T
ADDRESS: �L— �6G
CONTRACTOR : /_5Xe
TEST : Air p, Woter[I , Visual p , Laboratory U
RESULT: Approved L Disapproved C Pending p
SKE"0H:
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IN SP TOR DATE
507F Attach tupplementeI test data bereto�
City of Tigard
INSPECTION REQUEST i
for
'SPE"CTION TIME: _ 1. L PERMIT NO. :_..___. I !
DATE : S��G.`'IJ DATE ISSUED .�1L
W N E RS NAME : -_____,.)--,..K.
ADDRESS:
J N r R A C TO Ft
IS T .' Air U, Woter 0 , Vieuo! 11 , t_aborotory I-]
ESULT: Approved Disapproved (� Pending
SKETCH:
I
INS C7 R DATE I
NOTE : Attach supplemental test data bereto�
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SEINER PERMIT Nl? 12150
Unified Sewerage Agency
of Washington County CITY OF_T.:�:.'i'dDATE 5-2-77
OWNER: T.D. C . _ PHONE : 639-3101 _
OWNER ' S ADDRESS: _ --_ —
TYPE OF INSTALLATION:
BUILDING SEWER U BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
LJ NEW D SINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) L_.J MULT . RES. ❑ 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 OCCUR .
FEESt
PERMIT FEE $ 25• _
CONNECTION CHARGE 575.
SIDE SEWER INSTALLATION _ [*- t 6.
ISSUED BY
OTHER
TOTAL �_ 600.
APPLICANT DATE
SEINER PERMIT N? 12150
ADDRESS OF STRUCTURE 15885 SW Alderbrook circle
FAX MAP TAX LOT -- SYSTEM —nn o Q-reelt_
l_O1 466 _, BLOCK _ - OF�
APPROVED BY DATE ISSUED BY DATE
REMARKS -Uldg._21/L32 --
BUILDING PERMIT APPLICATION 11T TIGARD DATE_ 5- 2-77 'Q,12
OF
T'IE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE-
OR
HONEOR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
LOT NO.
OWNER T.U.L. — JOB ADDRESS _i �rJ � AI ;_ 8rU,r00kHOME ADDRESS _
C i r c l ARCHITECT
BUILDER Same ENGINEER
ADDRESS DESIGNER
E
STRUCTURE NEW ❑REMODEL _ ❑A_DDITION ` ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
'RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND El MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY I LAND USE ZONE R-7 BLDG.TYPE a' _FIREZONE--! PLAN CHECK RY. G X41 HEAT___'jB
Lot :'466 MK 22 re•issus some as 1036b ! IW Highland Ur. --- -
fY'alma dW611109 w/Rttached garage 2 beds -tom 2 both
()C�,LOAD --.. I�9R L4ASLNF�-�'f�T__._-------NO _SIQIE� -AF3€A 22 SL4.�I�iQQ _�.AL51E_c'79 3F?0•
BUILDING DEPARTMENT SET BACKS FRONT 1' _ REAR l LEFT SIDE u RIGHT SIDE
Permit 1?l�U0
TRIS PERMIT IS ISSUED SUBJECT TO `HE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 1Q�(�(� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WI TH THE PLANS AND SPECIFICATIONS AND IN COMPL'ANCE Will H
Sub-total ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY BUSINESS
State Tax 3.93 LICENSE, SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total_ 134.g3 `-yetom (7wvri ,umunt Charge
By .�
-- --- APPLWANT OP AGENT ----
Approved (� Recel t Na
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AbDPIF 54 --
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DATF INSP, TYPE INSPECTION REMARKS PLUMBING DATE
_ Con,ractor _
Permit No.
` Rough-in
Fixture
7 — Final
_ HEATING
'! ti 1 .1) G,4f
r?ZAZ- . n
Contractor
C 4 time 1 -
g'I- Permit No.
Gas or Oil
Rough-in
_. Final
- --- — —_ SEWER
Final
DRIVEWAY
--- Final
- ---- __ Storm Drainage
— — (Rain Drain) Final
Sidewalk
Curt)&Street Final
BLDG DEPT FINAL TEMPORARYA roach —
CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCYFinal
t_andscaping
U Zoning Final -- i
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