15285 SW ALDERBROOK COURT I
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15285 SW ALDERBROOK COURT /�
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C1 yy c TIGARD
OREGON Z>
>C ��p ..Permit 11,40...
Owner:....T-�-PAqp�................. .. ...... ................. .. .......
Building Address..1.52.8.5...SW....A.1.d.e.r b.r.o o.k..C.t... 3.9`;... ...... _. ..... . .
Certificate is hereby given this......9th....day of..... . un.e ................ 19. 7.7..
that said building may be occupied and
that it eomplies with all requirements of
the Building Code for the City of Tigard,
Urr
Tigard City Co --il.
as approved by the
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Building Inspector
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I City of Tigard
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INSPECTION BEQUEST
for
INSPECTION T;ME ��t' �, PERMIT i+10.:
CONTRA
ITEST: A.- ,, ��er i; ViPaA� abornfO'YL`
RESULT. ..; : 01" Disapt: -•r,•sd rPan"my Lj
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SKETCi+•
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I INSPECTOR DATE
COTE. Attach supplemental test date Aeret�
City of ogard
INSPECTION REQUEST
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f o r
INSPECTION TIME: _1, �r�' _ PERMIT NO. :---
DAT E.'
O. :..r____—DATE: _ L2_l ? DATE ISSUED : 11_._
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OWNERS NAME : ---
ADDRESS
AME : _—_ADDRESSF -- -
C O N TRACTOR
f E ST : Air 0, Water D-,"V ual 0 , L obo.atory p
RSULT.' Approved a', Disapproved C i
p , Pending rj
SKETCH.
INSPECTOR DATE
FNOTE : Attach supplemental tett data hereto
UNIFIED SEWERAGE AGENCY NO.WASHINGTON COUNTY DATE 8=77
CITY OF---Tigard-,--- - - -
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: . T.O.C.
OWNER'S ADDRESS:
STREET
C1 TY STATE --------- - -- ---
ZIP
BUILDING SITE: LOT 395 BLOCK —._—_____ ADDITION
TAX I_.OT NO. TYPE OF OCCUPANCY _ residence
ADDRESS 1528 --SLt-, Ldsibivok. Ct._
DWELLING UNITS _1 FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT ► EE 575• INSPE=CTION FEE __.25. TOTAL. DEPOSITED _ 600.
(NEIN) (EXISTING) BUILDING SEWER SYST' M Fanno CReek
I he Applicant agrees to comply with ?II rules and regulailons of the Unified Sewerage Agency.
APPLICANT�'1 �1�
SEWER PERMIT
THIS PLnMIT AUTHORIZES CONNECTION TO 'T'HE SEWER SYSTEM.
LINF S17F INSTALLER
RECEIVED BY. �_ _
/ (AGENCY OR S AGENT) ----
COMMENTS:
Bldg. #1311
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited sho�jld expiration occur.
BUILDING PERMIT APPLICATION cOF TIGAFtD DATE _ —16w'7 7 _. 19___ 1311
THE UNDERSIGNED HEREBY APPLIES FOR APE RM IT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPF:"IFICATIONS. OWNER PHONE_
LOT NO.
2u� jW rilUorouruk -- --
OWNER JOB ADDRESS HOME ADDRE58 _
�— ARCHITCC'r
ENGINEER
BUILDER ADDRESS DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION t]REPAIR ❑RENEWAL ❑FIRE DAMAGE' ❑DEMOLIT'ION
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RE,.IGIOIJS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE ❑SLAB []FENCE
❑BOND ❑MOV ING ❑CO-:DITIONAL USE ODE-SIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—1__.LAND USE ZONE R--7 BLDG. TYPE _—FIRE ZONE— PLAN CHECK BY, Qtw HEAT______
3..1�,. +3—i>gstJrc1Il_ —_. 18 ! alfrr;r,, c' it�. 1 I.FIYI.a — _
�AMG c:L,Lllxt)I;, w/�►tt®chcsd yK�r:�llt , 1.QQM 2 a tifitta
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QSX, LOAD—----_ FL9DTI1.QAP---._._____----_HEIGHT----- NO.5TQRIE5_.__,..__AfLE.A____ NQ BE-QR-Q-QW VALW
BUILDING DEPARTMENT' SET BACKS FRONT REAR c.'..: LEFT SIDE RIGHT SIDE
Permit 127.00 ---
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check moo REGULATIONS AND ALL APPLICABLE CnDES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PL ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINAACES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY BUSINESS
State Tax 4..11 LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total 141.11
BY --
APPLICANT OR AGENT
Approved tW Receipt No. i
AD .SITRf'S .--
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING _ DA7 E
Contractor o
'S Permit No.
F1ough-in
Fixture
Final/7 CAXJ
_.—
z HEATING
55 Contractor
Contractor `]�t�
� Permit No.-7o _
7C Gas or Oil
k� V Rou h-in _
Final _—
SEWER
Final
DRIVEWAY ct
Final
_ Storm Drainage _
_ (Rain Drain) Final _
Sidewalk .4G
_ Curb&Street Final _
Approach
BLDG.DEPT.FINAL TEMPORARt CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCU°ANCV
Landscaping
CZoning Final
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ADDRESS „���j�• /,( _ � (��-. PERMIT NO.--
PERMIT CHARGE none
r _
OWNER -� _ '/. CONNECTION FEE
PAID BY
TYPE OF BUILDING /1.Co DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE uF CONNECTION ASSESSMENT PAID