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r .D. C. 15.15 i
. O��nler. .. ........... .............................. ....................... ..Permit No.... ... ..............
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Lot #418
15315 SW Alderbrook Dr.
Building Address...
6January 19..7.8..
r Certificate is hereby given this.. y
. .-� that said building may be occupied and y
that it complies with all requirements of
lo. _' the Building Code for the City of Tigard,
as approved by the Tigard City Council. a ,
ty;IWA. ...... . 1t .�='.......................
A ° Duildinri Inspector I <
tip �� �✓ L �% ~r• ° ti „,A `v �I�"ins. .' +�'��I ,' A, � y.
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fir:+cJ'.r13 _ i.�`,jSIS CCt `� ! � permit No. ._._�� J_ - -
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cunnectirin Cup,
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SEWER PERMIT N° 13409
u
'Unified Sewerage AgencyDATE _6_1 ''-77___
of 'yashington County CITY OF Ti oa rd - — -
T.O.C ____ PHONE :.__ 639-3101
OWNER ' S ADDRESS: -
TYPE OF INSTALLATION:
Q BUILDING SEWER [—]BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
SINGLE FAMILY ❑ COMMERCIAL.
NEW
MULT . RES.
I NDUSTR I Al_
❑EXIST . (PRIGR TO 7- 1-70 )
FIXTURE UNITS_
DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXFIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR .
FEES:
25.
PERMIT FEE
575.
CONNECTION CHARGE
SIDE SEWER INSTALLATION ISSU BY
OTHER Y
TOTAL s 6 0 •------.-
111 4 �,`� c�tom. -
� L DATE :
PPLICANT
SEWER PERMIT M 13409
ADDRESS OF STRUCTURE ____ 15345 SW Alderbrook Dr.
TAX LOT ,_______,. _ SYSTEM fanno r_reek
TAX MAP — —
41B BLOCK OF ----- —
L 0 T - --
't
APPROVED BY DATE
I£SU BY DATE
REMARKS bldg. ;1515
BUILDING PERMIT APPLICATION �o' TIGARD "ATE 6-14-77 __-, Ind
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 6UILDERPHONE_r a.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER I'HONE _
LOT NO. __--
OWNER t r y JOn ADDRESS 153C :A. AlGurbrroak F40M&ADDRESS
ARCHITECT _ — —
ENGINEER
BUILDER ADDRESS DESIGNER_
STRUCTURE xxIf ❑REMODEL ❑ADDITION ❑REPAIR_ ❑RENEWAL ❑FIRE Di MAGE ❑DEMOLITION
❑ RESIDLACE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑Fr VCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE___L-1_BLDG.TYPE—. FIRE ZONE_' PIAN CHECK BY— _ HF AT___.
Lam;. 418 til, CA' I-e—issue sd'mo as 941- ielu ;_Ir, _-
4'_mae dwelling w/at.teched garege 2 bedroom 2 baba
QCC�QAD_—�FLQ9R LOAD _ HE,�,lLT. --_NO.STORIES 2_AREA l4aCi NO BEpEtQQ�I� `VALUE ..�I JU •
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 127,30
— -- ---- –"""-- -_-- ---"---
-- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10.0 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 WAIVF
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CIT': BUSINESS
Stale Tax 4.11 LICENSE. SEPAR.ITE PERMITS REQUIRED FFR(SEWER, PLUM13ING ANG,HEATING.
Total 141.11
BY —
- APPLICANT OR A FNT
--- -- - -
Approved 4.,tt Receipt No
_..----
DATE FNS TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No.rwE✓z _ _ _ Rough-in
—
10- T�� 1-11Fixture_
Final
- 7T \ 61,4j HEATING
_ r
TDA Contr,ctor _
Permit No. � � 7 _zY
-A A !'e— -------
Gas or Oil
Rou h-i n ---
Final
SEWER
Final
----- --------- DRIVEWAY 817.77 9-17-
Final
.16rFinal
Storm Drainage _
(Rain Drain) Final
Sidewalk
Curb a Street Final _
A proach_
BLDG DEPT, FINAL a TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
` , Zoning Final