15280 SW ALDERBROOK COURT r
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15280 SW ALDERBROOK COURT
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OF
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F TIGARD
CITY �
OREGON ®:>
Owner:...T..P.t�.. .......................
. ........ ...Permit No..1.312.._-
Building Address......15.UQ...SCJ...A.ld9TGr. Q.k...C.au.rt..........Lot...#.404........
• � •F � .., occupied and I�
Certificate is hereby given this.... 8... ... day of... Au.gus.t . 19....7..7.
that sa�.i building may be p
,�. that it complies with all requirements of
' the Building Code for the City of Tigard, ,;
.� g ,n
as approved by the Tigard City Council.
.......................
Building InspectorLL U
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME' _. PERMIT NO. :-_.—_�_.
DATE : </ / DATE ISSUED ._--1�
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OWNE!tS NAME .'
ADDRESS:
CONTRACTOR : --
TEST
ONTRACTOR ---TEST : Air O, Water[] , Visual 0 , Laboratory (]
RESULT: Approved O Disapproved C , Pending p
SKETCH.
INSPECTOR DATE
ENO'E . Attach supplemental test doto hereto
City of Tigard
INSPECTION REQUEST
f of-
INSPECTION
f-
INSPECTION TIME :._. PERMIT NO. :
GATE ' =' %,!_ DATE ISSUED. ✓_L
OWNERS N AMc :
CONTRACTOR '——.
TEST: Air G, Water U , Vieuial ❑ , Laboratory
RESULT: A ro% ed t
PP +�� Disapproved ❑ , Fend+na [j
SKETCH' "
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INS ECTOR LATE
COTE . Attach supptementol test doto hereto
UNIFIED SEWERAGE AGENCY NO.
WASHINGTON COUNTY DATE 2-1e-77
CITY OF--- Tyam- - - -- --
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: _ - -_ T.D.C.
OWNER'S ADDRESS: -- --- - --- ------ - --
STREET
- c17Y STATE ZIP
BUILDING SIT.:: LOT- 104 BLOCK ,---------- ADDITION
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TAX LOT N0. - -- TYPE OF OCCUPANCY _ - residence
ADDRESS --- _1.S2.BD__S1J _A. arbrnak_.Gt.
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DWEI. LING UNITS _-____-_1___— - __ FIXTURE UNITS
SURCHARGE IF APPLICABLE -
PERMIT
PPLICABLE -PERMIT FEE -_5'5' 6�10.- _-_-- INSPECTION FEE _25. TOTAL DEPOSITED _�-
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( JEW) (EXISTING) BUILDING SLWER SYSTEM Fanno Creek
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The Applicant 2grees to comp!y with all rules and regulations of the Unified Sewerage Agency.
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APPLICANT C-�L -��F`�� -ac- -
,� V
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
LINE SIZE _ _—___ INSTALL E R 1
RECEIVED BY _ _c
(AGENCY—OR li GENT)
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COMMENTS: Bldg. ,1312
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This Application and permit expires in one hundred and twenty (120) days.
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The amount paid will be forfeited should expiration occur. - ----
BUILDING PERMIT APPLICATION CTI�►ARQ DATE 6W"1�
OFY —7 _, Is
THE 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 P1IONF
t LOT NO._ _
OWNER .Lam_ J06 ADDRESS 1'�,,i O 34,1 X1derbr.1 A 1ANW.ADDRESS —
ARCHITECT
ENGINEER
B_11LDER fii.1�1.+._ ADDRESS DESIGNER
STRUCTURE_ )ONEW ❑REMODEL ❑ADDITION _❑REPAIR ❑RENEWAL _ OF IRE DAMAGE_ ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE n STORAGE❑SLAB OFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPP.OVED ❑SIGNS
OCCUPANCY__L__ `YLAND USE ZONE— '7 BLDG.TYPE "' FIRE ZONE ' PLAN CHECK BY tld _ HEAT
I w o_4Cl4 ly1M: 311 nAjw& as 1,iy ,1f3 u Ir.r,rf Ytl� Itt�. f x m,, id►.,dl�.lii�
c,xtri atttachL-d Werayc,, 2 bedroom 2 beth
0jQC_:Q6P___ELQHEIGHT NO.SToBjEs-_�_._ ABEA1366 NO.EjE,; o_ms
BUILDING DEPARTMENT SEl_BACKS FRONT1, REAR 1 LEFT SIDE RIGHT SIDE
Permit 127. flet
THIS PERMIT IS ISSUED S'IBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALI APPLICABLE CODES .AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
— — WORK. WILL BE DONE IN ACCORDANCE WIT14 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 .. l l LiCLNSE. SEPARATE PERMITS REOUIRrO FOR SEWER, PLUMBING AND HEATING
TntalBy i i l• 1~
APPLICANT On AGENT
Approved Receipt No.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE—•
contractor
Permit No.
Rough-in —
`�� Fixture
>.'Zee Final ---
�/S BEATING
T� a! Contractor
Permit No.
— -- V---- -- Gas or Oil —Rough-in
_ Final
SEWER
_ Final
—..— — --- —_— DRIVEWAY 7- 77
Final a
-- _ Storm Drainage _
(Rain Drain) Final _
--_ -------__--- -- — Sidewalk 1-2-7- 77
Curb&Street Final _
_ _--_— — — —
Approach 1c' �-27-77
BLDG DEPT, FINAL TEMPORARYCEFIT IFICAI F OCCUPANCY Final
CERTIFICATE OCCUPANCY
.Y
Landscaping —
Zoning Final
1
ck , �ya
Address permit No.
-- permit charge
6 c
owner
Connection fee �1S
Paid by
Type of building Date connected
cZ�!
Service rate '�� —
Inspection fee 27�
Paid by Date
Contractor
Size of connection Assessment paid� �
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