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15925 SW ALDERBROOK CIRCLE 1 cn w N {J� U') F-- 0- 0 _O'O O n r' n n' A } I 1.5925 SW ALUERBROOK CIRCLE G a p 61 ,��,,T� an OF TIGkT h OREGONrp } � Owner T.D. Permit N 0.....1.4.1.6. • ,,ti q.. • ].5925 SW Alderbrook Circle .....,�ot... .465...... ..— � Building Address-.. ..... ( Certificate is hereby given this........17....day of....Au.guet...- 19..7.7... that said building may be occupied and i Y�. that it complies with all requirements o the Building Code for t'ie City of Tigard, . �•{ ' 1 > as approved by the Tigard City Council. 14 c ' rs Bu.idi g Inspector �•YT n �, � i "tir g' � �F `r �f�_k._!r�r"d' 'v' +k• .✓ '4r '� it�g. Y ° � b .. ��i'�j �'�(,� . 4 C. +r + .M `w a �.?,Q•: fj,n.••nn. ti up iw Il.. City 9 of Tigard INSPECTION REQUEST I for cr-'A I SPECTION TIME: s� PERMIT NO. : f DATE.* DATE ISSUED :_1___L_. B WNERS NAME ADDRESS. — ---- I )NrRACTOR . ._._.499.25, /r S T : Air 11, WoterVisual � , Labnrctory iJ ESULT: Approved is Disapproved C Psndinq I r KETCH: I I INSPECTOR DATE [_NOTE Attach st,ppiemsntal test doto bereto� City of Tigard INSPECTION REQUEST for !NSPECTION TIME'. PERMIT NO. : I DATE : DATE ISSUED OWNERS NAME : I ', A DD R E S S: _-.— CONTRACTOR . TEST : Air ❑, Water© Vieval __--- - ------- __._ I 0 , Laboratory p RESULT: Approved IZ' , Disapproved C , Pending S KETrN: t 1 I i I I I INS ECT0R DATE 1 [OTE: Attach fupp!C"Intal tact data bereta� t I SEWER PERMIT uW? 12139 of( Unified Sewerage Agency C IT,( 4-21—'77 of Washington County OF_ Ti and _ OWNER : T.D.C. PHONEt OWNER 'S ADDRESSt TYPE OF INSTALLATION: ®BUILDING SEWER []BUILDING SEWER AND SIDE SEWER TYPE OF OCCUPANCY: ❑NEW ❑ SINGLE FAMILY ❑ COMMER;IAL ❑EXIST . (r'RIOR TO 7- 1 -70 ) ❑ MULT . RES. ❑ INDUSTRIAL FIXTURE UNITS DWELLING UNITS l PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL 41ULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION , PLEASE REFER TO THE PERMIT NUMBER . THI` APPLICATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEESt PERMIT FEE E_ 25. CONNECTION CHARGE 575• SIDE SEWER INSTALLATION ISSUED BY OTHER TOTAL- b_ 600. Q__ ,�) ~A,PL I CANT DATE SEWER PERMIT NV 12139 ADDRESS OF STRUCTURE 15925 SW Alderbrook Ct. TAX MAP TAX LOT SYSTEM Fanno Creek_— LOT 465 — BLOCK . OF o _ APPROVED BY DATE ISSUED BY'/ DATE REMARKS Bld P1416 .._..,.a.r-�rr++waw.�- +n+Y.-.Mw'�T.' •,ear.�rrrMMYreI9r.:;9wYYAM99.994wF�.'9w Mn.w1.w!Iv!rAwe7w'+.'wMrw'e +w.�.'+�.w�ww.wnw�..+�w�MwT�s..... j BUILDING PERMIT APPLICATION coF TIGARD DATE a-21-77 , ,s__-- THE UNDERSIGNED HEREBY APPLIES FOR APERM IT FOR THE WORK HEREIN INDICATED BUIL.DERPHONF OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE� T �y n I'' /u.e c_ LOT NO_ OWNER 1 SJR C• JOB ADDRESS V A25 SU A1dl�tbrac�k��11�.lr ADDRESS _ ARCHITECT $1411116 ENGINEER BUILDER ADDRESS _ DESIGNER _ STRUCTURE xQNEW_ ,❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL — OF IRE IIAMA.GE— ❑DEMOLITION Q FWSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SL.AB ❑FENCE ❑BOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS (OI,CUPANCY__a_LAND USE ZONE BLDG.TYPE_. FIRE ZONE PLAN CHECK BY HEAT_ Lot �ytl'.� irlk 2:t �Ld"� n1�1ue� s,e#e;t 1, as1{�3�� `� h MiI�nul Lis'* -' — framu da1++11in�. w/attacnod Uarego 2 bedroom 2 but.h L9_A.LL—_��L4S?R_LS1Ap— ---HEIGHT NO.STORIES _1 AREA 1122 NO.BEDROQJyI$—� VALUE 270351j, _- BUILDI_NG DEPARTMENT SE" BACKS FRONT 10 REAR 1; LEFT SIDE 7't,to RIGHT SIDE 7, Permit .}.i 1.DO -- -- ------- -- - -- — —�__-- -�- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check IO*OO REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THF WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Sub-total ALL APPLICABLE CODES AND ORDINANCES. TF.E ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CJNTRACTORS TO HAVE CURRENT C.TY BUSINESS State Tax 3,93 LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING. Total 1:34.93 By -— — -- - _� APPLE( ANT-,)Fl AC7FN1- _ Approved Receipt No. DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE 15? _i Contractor _ a lPerryiitNo. Rough-in Fixture Final _ r �- �,.? _ HEATING Contractor I Permit No. _ Gat or Oil _ Rouitin -- - __ - --- Final ---- -- ---- SEWER Final — _ `- --- - DRIVEWAY — L,C C L-7 j Final Storm Drainage ___ — (Rain Drain) Final _ Sidewalk Curb &Street Final — AD roach 91-DG DEPT. FINAL —T TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY Landscaping l `/ Zoning Final `�./ i �I l Addressrmit No. 3 Permit charge 2G77'2- e— OwnerConnection fee Aa ?r ;_ �c�C Paid by Type of building Date connected Service rate / 5/ � Inspection fee a�5 -s Contractoi Paid by date Size of connection Assessment Paid —