15245 SW ALDERBROOK COURT 1
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15145 SW ALDERBROOK COURT
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L11 � OF TIGARD �C
G ORESON �t
Owner:............................... .. .....Yermit No. 12.91. �
• 15245 SW Alderbrook Ct. Lot -
Bidlding Address...
20......
Certificate is hereby ti.lti•�n tlils....... . day of...June,.•_,.....,,...•.,,, lii..7..?..
thrt said building may be occupied and
that it complies with all requirements of
a+� the Building Code for the City of Tigard,
as approved by the Tigard City Council.
CBill ding Inspector ►d• _•
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City of Tigard �
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INSPECTION REQUEST i
for
INSPECTION TIME '. PERMIT NO
DATE: L� DATE ISSUED - I Z
OWNERS NAME :
ADDRESS:
CONTRACTOR : -
—
TEST : Air ❑, Water[J , Visual [j , Laboratory ❑
RESULT: Approved 0 Dis& pproved C Pendin ❑
SKETCH.
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INSPECTOR DATE
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[—NOTE Attach supplemental teat 1010 beret
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City of Tigard
INSPECTION REQUEST
for
I148PLCTION T11i1E: _._.Q —'?'1- PERMIT NO. : _
DATE . DATE: ISSUED ....._._L.1._.
OWNFRS NAME ' L
ADDRESS
rE ST : Air [], Water[] , Vi at p , l.aborotory o
4ESULT: Approved _ , Disapproved 17 Pending
SKETCH:
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ECT0R DATE
NOTE Attach juppiemental test data beret]
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UNIFIED SEWERAGE AGENCY NO. _ 11646
WASHINGTON COUNTY DATE _—____- 2-8-77
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CITY O ___ 7 i
___aa r d - ----____------ -- ----- _----- i
APPLICATION FOR SEWER CONNECTION PERMIT �
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OWNER: ----
OWNER'S WNER: ----OWNER`S
STREET
-_ CITY
---... ----- - _ - --- — STATE------ _ ------- _ - ZIP ------
BUILDING SITE: LCT_ y7 _-_-- BLOCK . __._ ADDITION
TAX LOT NO. __ TYPE OF OCCUPANCY_. residence
ADDRESS --- 15245 SW Ct..
... ------
DWELLING UNITS.------!--- __ FIXTURE UNITS —
SURCHARGE IF APPLICABLE. —_____. __-- _ --- ----_
PERMIT FEE-__ _-5-75,_ _ INSPECTION h'EE __ .._- TOTAL DEPOSITED
ANEWL (EXISTING) BUILDING SEWER SYS T EIM __..___.__. F_a_nno-lresk
The Applicant agrees to comply v i h all rules and regulations of the Unified Sewerage Agency.
APPI_ICANT�111JDkQ —ir l t_�_N - _
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZL -_-- -----_ _ _ INSTALLER -- - r— - -
(t "44
RECEIVED B Y_ --���'`t -�°'-�Cr-,----- ��-.,z - ------
(AG=ENCY oR It GENT) t�
COMMENTS: _ Bldg, #1291 ---_-----_-__--
This Application and permit expires in one hundred and twenty (120) days.
"The amount paid will be forfeited should expiration occur.
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-�4'7 BUILDING PERMIT APPLICATION 11TY TIGAPO' DATE 2-8-7.1OF
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK Hf_REIN INDICATED BUILCEIPHONE
___
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPAONF___
T .U.C. 25245 54! Alderbruuk F
_OWNER � — JOB ADDRESS HdqE ADORF:SS LOT NO.
ARCHITECT
g8f(1C. ENGINEER
BUILDER —_ ADDRESS DESIGNERrr--.J�1 O
_ ^^
STTRUCTURF ❑NEW ❑REMODEL ❑ADDITION r❑��REPAIR _❑_RENEWAL` LFIRE DAMAGE UEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS E1PAT10 ❑CAR PORT ❑GARAGE O STORAGE GSLAB L„IFENCE
_013ONn _OMOVING _ECONDITIONAL USE ❑DESIGN REVIEW — ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY._sL._.LAND USE ZONE —. —j BLDG.TYPE '' _FIRE ZONE__,. PLAN CHECK BY�}�►`_- HEAT 3Li
LoL '19'1 mti XIV re-issus samu as 15618 ,W s,;LJmmerf'isld Lane frame dwelling
u/stt, bbed yet,age tbedroam 2 hath
Q!;�_L4AU __fJ.QQR_LOAD_—___ __kLEjGHT —__ -- NO.STORIE1S1—AREA 13L Ne.a DBD_QmS ? V&lUE '� �O•
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
117.U0
—— — THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check �«(j(j REGULATIONS P.ND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
—�--'� WORK WILL BE DONE IN ACCORDANCE WITH PIE PLANS AND SPECIFICA(IONS AND IN COMPLIANCE WITH
St111 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 ��12 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 241.11
BY
„Ni r>u At:t H-
Approved —� Pecelpt N, (("
--- `J ---— A O MP4 F
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DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
/S i -- - --- Permit No.
JI Rough-in
Fixture -- -,
-Z-77 Final_
HEATING
15 PEn.I Contractor
Permit No./
Gas or Oil
Rough-in _ — --
__ Final _
—� _ -- SEWER
— { Final
DRIVEWAY -�
Final
Storm Drainage_
(Rain Drain) Final —_
^� Sidewalk
_ CFFi,
b&street Final
- _-------- - _ oachBLDG DEPT. FINAI CERTIFIE.^1TE OCCUPANCY OCCUPANCYl
Landscaping
`_. Zoning Final
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Address , ;^�/,. �, �, , ; Permit No.
Permit charge — 2707'?
Owner Connection fee '
Paid by J�) (r
Type of building Date connected
Service rate ` Inspection fee Y ,2 "
Contractor _ _ Paid by date
Size of connection _�� Assessment Paid