15240 SW ALDERBROOK COURT 1
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15240 SW ALDERflROOK COURT
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CIT OF TIGARD C }� <✓,
OREGON �' ��07.�1
) ' ) .. 1306
Orner:........T.D.C. .......................... .Permit No...
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15240 SLI Alderbrook Ct. Lot #402
tsu�,dln� Address.................... ........................................... .............. ... T
Certificate is hereby given this...ls ........day of .A!'.9U9.t............... 19. ?�... �` •'j
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that said building may be occupied and �
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�. that it complies with all requirements of
the
BuildingCode for the City of Tigard,
,. as approved by the Tigard City Council.
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Building inspecto,
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%ity of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ___ _ PERMIT NO. :
DATE: / / DATE ISSUED .--Ll--
OWNERS
SSUED .-_/L_OWNERS NAME :
ADDRESS:
CONTRACTOR ". . �� __,-----.----------______
I
TEST : Air ❑, Water[] , Visual 0 , Laboratory ❑ I
9ESULT: Approved L Disapproved C Pending U
SKETCH:
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INSPECTOR DATE
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COTE Attach supplemental test data herelal
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City of Tigard
INSPECTION RFQUEST
N!wF' ,TION TIME , '3ERMIT N(.�
GATE OATE
OWNERS NAME
ADORESS
�i.,",N rRACTOR
ST ' A if U, , Wo I a r El , s'of i (I
0�,T Av r,mv e d T4-' PenJing j
5 KETCH
IWE(P,%TOR DATE
FYOTE.' Attach supplemental test data Beret]
UNIFIED SEWERAGE AGENCY N0.
WASHINGTON COUNTY DATE ___,_2-16-77___
CITY OF _Tigar0 ____
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: - - - -- T.D.C.
OWNER'S ADDRESS: ---
STREET
CITY STATE ZIP
BUILDING SITE: LOT._--- -402— BLOCK __ ADDITION
TAX LOT NO. ___. TYPE OF OCCUPANCY --. residence
ADDRESS 15240 SW Alderbrook Ct.
DWELLING UNITS - 1-_—_— FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE ___575* _ INSPECTION FEE 25• TOTAL DEPOSITED 600.
(NEW) (EXISTING) BUILDIN, SEWER SYSTEM . Fsnno Creek
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
l_INF g17F _ INSTALLER
RECEIVED BY 7:2 `"" � __.._. tz eL�t'A:_.
(AGENCY GR XtS AGENT)
COMMENTS:_.-ldo.X1306
his Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
BUILDING PERMIT APPL.'.�i;ATION 11TTIGARD DATE- 2-16-77 -_ 1336
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN 1i.iDICATED BUILDER PH0NE_1�12� i"� Ili
OR AS SHOWN AND APPROVED IN TH.- ACCOMPANYING PLANS AND SPECIFICATIONS, OWNERPHONF
LOT NO.��
OWNER * « -. _ JOB ADDP.ESS4.J24O 56 Algarbrouk 44*mE ADDRESS
ARCHITECT —
LNGINEER
BUILDER !! ADCRESSDESIGNER
STRUCTURE ❑AEW ❑_ REMODEL ❑ADDITION OREPAIR ❑RENEWAL ❑FIRE DAMAGE _❑_DEMOLITION
ORFSIDENCE ❑CJMM ❑EDUCAT!O--NAL ❑ S ❑ [:]STORAGE
GOV'T ❑RELIC:OI1 ❑PATIO CARPORT ❑GARAGE ❑SLAB ❑FENCE
GBOND ❑MOVING LJCONDITION?.:. USE ❑DESIGN REVIEW
-]COUNCIL APPROVED ❑SIGNS
OCCUPANCY L LAND USE ZOl!JE_ BLDG.TYPE ""'---FIRE ZONE_ PLAN CHECK BY__ Lr HEAT �kei`J
tKllii_ 6115 :� � ,�amrr �� 1_ t� "� �,t, 1�l .i114:±t.t.__�. ;�..:rne LlWj'*111 i nit
r be[ rcrnm s ► nth
Qc-r, J�QPN FLOOR LOAp ^ HEIGHT_- NO•STOf_IES _.__-AREA Y r a'.i NO,&EDROOMS __,[AJ,UE4�7
_ BUILDING DEPARTMENT SET BACKS FRONT Z:S REAR y LEFT SIDE RIGHT SIDE _
Permit -
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 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. CURRENT CITY BUSINESS
State Tax 3. 93 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 134,93
By —
APPI-ICANT OR AGENt --- -
Approved—_ /�-; s?t,.s Receipt No. t
-- -- - -- _
A 7 SS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
T7 T 1-1 OilContractor
S 77 Permit No,
77
IF
-r— Rough-in
V14.717-7--�Fn Fixture
Final
HEATING
C,2 0 ?7 "FINAL S 0) Contractor
LOI , l(K
U F j-
Permit No, 2o V ;11
7 F—
(--:is or Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Dram) Final
Sidewalk
Curb& Street Finan
Approach
BLDG DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
A0URE5S PERMIT N0._
�. ERMIT CHARGE none
OWNER CONNECTION FEE
_ PAID BY
TYPE OF BUILDING _ DATE CONNECTED
SERVICE RATE �_ INSPECTION FEE p7S`Ld
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION _ ASSESSMENT PAID
I
1QNN E. REli�l!1i1111 Y`o, i.,i BUILDING OLI'ARTMENT, TIGARD NO.
PLUMBING PERMIT
P Q. GQ� lY9 --.--
NEIYLTE1 , ?[c�;l X1132 holder of a valid plumbing contractors license is hereby
authorized to wuse plumbing work
1las ectifan by the City Ilnspellud ctor Iwhoc�ltall be nordance ltiiiedenolt less than ng odo or
Tigard. Such installations require I
(4) hours p,for to the time the installations are ready for inspection. City of Tigard Business License require
for all contractors and sub-contractors. Al D � '�Ze)
��IZL�Q >l t`is'l _ Addres
Own ^�r TOTAL PERMIT NO.'S
NUMBER OF AMOUNT
(Office use Only)
TYPE OF PEimir ITEMS FEE ON EACH -
�
ach 7.5.00
ily-1 bath
Sinpla Fam -e _ ----
25.0q_.- -
Du lax-Ench 1 bath uni: 10.00
✓,
Additlonel hathroorn -each -
15.00
Mobile Home Space_-each _ - -
INDIVIDUAL FIXTURE_FEES-- -"
_ 1 t3 50 Fixtures in 1 building-each 3.00 �—2.50
--
51 to 100 Fixtures in 1 building-each -
_
101 to 200 Fixtures in 1 buildin8•-eech __
- 1 1.E n0 �
201 or more Fixtures In i buildina-each ----
M ISCELLANEOUS _
Buildln Sower-•1st 50 ft.-_ _ y 10.00
Sewer-each additional 100 It. -•_10.00
Water Se.vice to building 5.G0 ----- --
_Private Water Systems-each 100 It. 10.00 1 --- -------
Other S n if _ -
PERMIT . t ` for Plum&vg Inshectiun Phone 63:1-4191 I
1
Plumbing Contractor ayj,� 1 —
% State >
OTAL �> ? } RECEIPT NO. Issued By — __ _