15207 SW ALDERBROOK PLACE W
Ln
.N
t7
N
E
a
W
CL
m
ti
c
H
O
O
X,
W
n
r
i
{
15207 SW ALDERBROOK PLACE
RARE 11 1 F
/ /� ~ /� �y ,� ? ":VT�o�,r;� +�� x'•4,4.v.,/,,���"�r)'G'+�lac,. }T J'ija N/�1 •hr�C
n.
OF
f\k.__ rim
CITY OF TIGARD
> OREGON
Owner:....T t C,C.
.............................. .. ............Permit No.._1343
............... ,.F .
g 15707 SW Alderbrook P1. Lot 411
Certificate is hereby this......e........day of....--...9...................... 19.- 77
that said building may be occupied and
that it complies with all requirements of i t
the Building Code for the City of Tigard,
as approved by the Tigard City Council. •° `
i.;
�c►^ .u'F.....,...Buildin /Inspector -
....................
g l
a ..a.,�e '�`���i ..a r �✓r� v' �kR �r !fT�•
� )���yj •~w•'/�r •i � J y ) t— � �ill� r� ��'y �.�`y`�nW ..
�8�
City g of Tigard
INSPECTION REQUEST
for E
INSPEC?'iON TIME: vv�
--_ l PERMIT NO. .
DATE. �7/ DATE ISSUED .
OWNERS NAME : ►C, - c-
ADDRESS: LADDRESS: - -
CON TRACTOR.",_
"IEST : Air L1, Water❑ , visual , l._abr,ratnr
Y LJ
9F-SULT: Approved Di
Pending roved
� + " C rending C7
S KETCH:
t
I
INSPECTOR _ DATE
COTE Attach suPP1@mentn1 test data beret
City 9 of Tigard
INSPECTION REOUEST
for
INSPECT10i, TIME .._... j '' PERMIT' NG. :
DATE: tL`1_'L_I . DATE ISSUED-.___J_
OWNERS NAME :
AD DR E S S :
CONTRACTOR ' .._ _._____ _
TES's': Air ❑, Water ❑ ,, Visual D , Laboratory ❑
RESULT: Approved Lel , Disapproved ❑ , Pending i,
SKETCH.
i
IN i ToR DATE
I
EOTE '. Attach aupplomentol foot date here,-
`7
UNIFIED SEWERAGE AGENCY NO. 11694
WASHINGTON COUNTY DATE _ 3-- G- 77 _--
CITY
APPLICATION FOR SEWER CONNECTION PERMIT
OWNE9: Z.Il.L•— — - _ _ _
OWNER'S ADDRESS: ._.---------____-- --
STREET
CITY STATE ZIP
BUILDING SITE: LOT 411__— BLOCK --_ ADDITION
TAX LOT NO. -_ -_ — TYPE OF OCCUPANCY
ADDRESS -- __-15207 SW Alderbraok P1.
DWELLING UNITS--_ .--1 -_ FIXTURE UNITS
SURCHARGE IF APPLiCABLE _._
PERMIT FFF 575.}__-_--- INSPECTION FEE -2-5,_ -- TOTAL DEPOSITED -6-GO.
(N W) (EXISTING) BUILDING SEWER SYSTEM Fanno Creek
The Armlicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT � l ------ ---,—
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
INSTAL-LER
RECEIVED B Y�, _ -- - '
(AGENCY OR I AGENT)
COMMENTS- Bldg.# 1343
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
i
�I' BUILDING PERMIT APPLICATION 1OF
1T TIGARD DATE 11143
THE UNDERSIGNED HEREBY APPLIES FOR A"ERM IT FOR THE WORK HEREIN INDICATED BUILDER PHONIE—U-9=11fl I
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._
OWNER__ JOB ADDRESS. :i! JVXL�!JOI< 'HOME A_DDI!ESS
ARCHITECT
ENGINEER
BUILDER ADDRESS _ D�;IGNER _
STRUCTURE IINEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE_ ❑DEMOLITION
❑RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOVT ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COIJN'11L APPROVED ❑SIGNS
OCCUPANCY—.—LAND USE ZONE- — —BLDG.TYPE__._ FIRE ZONE- PLAN CHECK BY HE.AT _
.ut , 411 MK I'd i A "!)M .� std Highland tery
f f•mms duelling w/astached g araye i vedroom 1 bath -----
("CCAD F1OOELLAA_— HEWHL__--- -_� Ag A 122t NO.Q_EpROQM$— VALUE
_I !I
BUILDING DEPARTMENT r 'J
. — SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit
—" THIS PERMIT IS ISSUEO SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00REGULATIONS AND ALL "PPLICABLE CODES AND ORDINANZES, AND It IS HEREBY Ar,REED THAT THE I,
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPFCI FICA LIONS AND IN COMPLIANCE WITH
Sub total ALL APPLICABLE CODES AND ORDINANCE;. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS !
State Tax 3.9:3 LICENSE.. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING. 1115
TOt.l 134* 9'7
13V
_ APPLICANT OR AGER"r
Approved Receipt No. ----- - -
AnDn�ss
.......-..,r........«.,.,..,.........,ut�rrMuilA i+irW�+dw:u.w.r ,..-. ...,a,.��:wdW-w.rtd6.NYw..+..w«.a...«..�..w,,..u.....,,,,.-...............w_.,...�.�....,�,..,..,..,.�....,.�.. .w...w,.y.+........+N..:,....a.........�...
i;
j
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.
h-in
Fixture
J —
/7� - <' Final
aS-h �U G�,,,�� Q ��� vk _ --HEATING —
Contractor
iut-t _ -- Permit Na. '7J/
ItA-1--(-�UsA e R ° � d BAR Gas or Oil — —
_ — ®
STEP Fad^ 0OUSE Tv GnQAbe._ ?Oo N�o-�r_ Rough-in
�Q .err, Final
SEWER
��-- - -- - - -- Final ---
_�__ -- ------ -- ---- DRIVEWAY
Final
Storm Drainage—
(Rain Drain) Final
Sidewalk
Curb&Street Final
— — — --- ---=— -------- A roach
—lic-E DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CEFITIFICATE OCCUPANCY Final
( landscaping
CZoning Final
ii
"t
,IJ
Address I Permit No.
Permit charge 72 vii
Owner Connection fee vUC,
Paid by Z'tL,�,ti`
Type of building Date connected
Service rate I '� Inspection fee &�13 �
Contractor Paid by Date
Size of connection Assessment paid