15945 SW ALDERBROOK CIRCLE 1
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15945 3W ALDERBROOK CIRCLE
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BUILDING PERMIT APPLICATION T13ARD DATE ")v' ,e_"' 4402
THE UNDFPSIGNED HEREBY AP?LIES FOR A PERMIT FOR THE WORK HEREIN 1NDICATFD BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
OWNER '' JOB ADDRESS
"on 3 Velee. Tlebster 15945 STJ A10erbrook Cfrr_'t � LOTNO, -__- ____
_.�. ARCHITECT
Jobn '41son EN3INEER
BiJILDER ADDRESS 15260 SW Aldesrbroolc PriylDE31GNER
STRUCTURE ❑ NEW ❑ REMODEL LSI ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
❑ RESIDENCE C COMM ❑ CDUCATIONAL ❑ GOV'T ❑ REt.:GIOUS f1 PATIO L CAR POR'.' LJ GARAGE r3 STORAGE ❑ SLAB❑ FENCE
OCCUPANCY `' LANE,USE ZONE " ' BLDG.TYPE `I`I —FIRE ZONE PLAN CHErK.BY x_ HEAT
Conatzurt Paltiu ec►rwr per plan
13 x 26 includes new nlah.
Hold 11ovt, -in%c ors for cool; area ---� —
SEWER PERMIT#
OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AR=A NO.BEDROOMS VALUE 1 .Sllf.1
BUILDING DEPARTMENT dET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
16.25 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 1HAT THE
Flan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
4 ; .25 WITH ALL APPLICABLE CCDES AND ORDINANCES- THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Nub-total _ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB r,ONTRACTORS TO HAVE CURRENT CITY BUSINESS
1.00 - LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
4 2.2 -- SDC--
_
PDC# -APPLICANT OR AGENT
By dAj
--_-, — t'.Ttl Receipt No Approved ADDRESS PHONE
l -
4 '
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
----- — - _
p Contractor
-- ---— _� _ —------— -- --- Permit Nu.
Rough-in
- — _ - - Fixture _ —
_. Final
i � -- -------�_— _...-- ----- HEATING
—._-- —_. .— - Contractor
Permit No.
--� Gat or Oil ---
Rough-in
Final
— SEWER
Final �-
DRIVEWAY
Final
-- __ Storm Drainapn -
��IRair,Drain)Final II
Il9idawpik -
--- - _ _ Curb h Street Final- -
Apprnach
BLDG. DEPT. FINAL — TEMPORARY CERTIFICATE OCCUPANCY --
CERTIFICATE OCCUPANCY Final
4ai dtcepinq i
lon.ngFinal
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APA
V11 7AW_4:_qAR
OF
CI FY OF TIG AR D 'V r: :
OREGON '
Owner:...T.D.C ....................... .............................. . ...._.....Permit No. 1433 °y1
15945 5W Alderbrook Circle Lc 464
Building Address.._........ �....... ..._... ...
20 Se tember c 77
:ry Certificate is hereby given this.... day of.... ......._.. ... .........., 1.)..._... ..
. -........ .tea
,t. that said building may be occupied and w
_. that it complies with all requirements of
the Building Code for the of Tigard,
as aliproN-ed by the Tigard City Council.
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1 Building inspectorWE
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PERMIT N0. -
ADDRESS
PERMIT CHARGE _ none
I
OWN111 CONNECTION FEE _ 5 -
PAID BY -
TYPE OF BUILDING " t DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECIiON _..
ASSESSMENT PAID
�3/'/7,
City of Tigard
INSPECTION REQUEST
for
'SPECTION TIME ' PERMIT NO. :—
DATE
O. :—DATEDATE ISSUED . Z
WNERS NAME ' 7
ADDRESS ' L % 4's" *40 r"�,e o
JN TRACTOR : ._ _"?..- 4/
S ST : Air C], Water C1 , Visual 0 , Laboratory p
FULT : Approved , Disapproved C , Pending [�
SKETCH:
INSPECTOR DATE
EOTF . Attach fupplementel test dots hereto,
City of Tigard
�=
INSPECTION REQUEST
for
I NS RECJ I O N TIME :-- �011 PERMI_* NO.:
DATE : S DATE ISSUED:_ L
OWNERS NAME : __
ADDRESS : T- YGW7
CONTRACTOR : 15 1//
TEST:Air Cl, Water L] , VilUal ❑ , Loborntor y ❑
RESULT: Ap,proved cr , Disapproved p Pend,nq -1
SKETCH:
i
I
I
I IN ECTOR
I DATE
OTE . Attacli Supplemental telt dols hetet l
SEWER PERMIT
Uf N" 12151
Unified Sewerage Agency
of Washington County CITY OF Tigard DA1 E _-552=77
OWNER : _-_- T.D.C. _ PHONE : 639-3101
OWNER ' S ADDRESS:
TYPE OF INSTALLATION:
❑XBUILDING SEWER ❑BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
nNEW SINGLE FAMILY -j NEW
❑EXIST . (PRIOR TO 7- 1- 70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS _ DWELL_ ING UNITS_
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 FORFF_ITED SHOULD EXPIRATION OCCUR .
FEES:
PERMIT FEE 8 25.
CONNECTION CHARGE7�.
SIDE SEWER INSTALLATION — —_ - -
i ISSUED BY
OTHER
TOTAL ' $ 6Q0�.___.__
(A PLICANT DATE
SEWER PERMIT N? 12151
ADDRESS OF STRUCTURE_— 15945 SU—flliie.rluu juk Ci rgle-___
TAX MAP _ Y TAX LOT.. _ SYSTEM Fpnno Creek
LOT 464 BLOCK CF
APPROVED BY DATE ISSUED BY DATE
REMARKS- R1 rig_;1 420 _
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BUILDING PERMIT APPLICATION c FY TIGARD UATE �,-2'77 19-_ 1' 413
1HE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE. _
C LOT NO.
OWNER Z.D C. JOBADDRESS V{ 945 5W 1llderbr304HOMEADDRE'
`'irciIPARCH,f ECT
ENGINEER
BUILDER BaQbbADDRLSS DESIGNER _
STRUCTURE_'SNEW ❑_REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE T ❑DEMOLITION
`RESIDENCE ❑COMM ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑PATIO []CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
4
OCCUPANCY LAND USE ZONE r BLDG.TYPE 5N_FIRE ZONE3 PLAN CHECK BY__ t' r' HEAT___' `
LA '464 Ma; 14 ra-ieeuu same as 15sia 5W Summerfield LaFlw
t'rmae dwelling u/attachad garage 2 bedroom 2 bath
_ 1 1368 2 292970.
Or;4.LQAU .____F1D_QP_L9AA?----------NEIiHT NO._STORIES AREA --NO.BEDROOMS_ VALUE
BUILDING DEPARTMENT SET BACKS FRONT Iri REAR 25 LEFT SIDE ?.Q RIGHT SIDE 10
Permit 127,011
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE ZONING
Plan Check l.IJpCJ 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
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS REOUIRFO FOR SEWER. PLUMBING AND HEATING.
Total 1.41..1.1 .L; � i..ovz l.opmv?A ID.M
By
AP JCANT OR AGENT
Approved , Receipt No. _-.!/]� 1
UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
r
Contracto
PLUMBING
No. -3,
41127 A-1 P e
Tn:�
T
V3 Fixture
9,1 \OK
Final
HEATING
Contractor
Permit No.
Gas or Oil
-Rou2h.in
Final
SEWER
Final DRIVEWAV�5/?
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach
BLDG, DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
71
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final