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15400 SW ALDERBROOK DRIVE
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CITY OF TIGARD 'Vc
OREGON
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,.:.� ......................... . ...............................Permit Ido -
20
15400 SW Alderbrook Dr. _ „Lot...#39.3...... . ...... . .
Building A.ddres�... ._. ................. ... ...... .
Certificate is hereby given this.....-. .......day of...June,_.,.,. 14..?.?... s
that said building may be occupied and
$: that it complies With all requirements of -,
the Building Code for the City of Tigard, : <•
as approved by the Tigard City Council. �
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Building Inspector
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City of Tigard
I NSPE TION REQUEST
for
WSPECTION TIME: '% PERMIT NO. :
DATE: n�E- L - DATE ISSUED :
OWNERS NAME :
TE ST : Air [:,, **for 0 , Visual 0 , Laboratory 3
RESULT: Approved 0 � Disepprovee C , Polvid}ng Fj
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INSPECTOR D iTE
COTE Attnel< supplemeptal test data bertt]
City of Tigard i
INSPECTION REQUEST �
I for
A
INSPECTION TIME : <� PERMIT
DATE: DATE ISSUED: L
---
OWNERS NAME . & (.' —
0,D D R E S S : =�CONTRACTOR :.-----------------
TEST .
ONTRACTOR :.____---_ __TEST. Air ❑ , Water Ll ,, )"ual 0 , Laboratory ❑
RESULT. Approved Disapproved ❑ Pending f-I
SKETCH:
1
I
*ECTOR DATE
CnTk Attach aupplemente, test data hereto]
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i City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME * a n` PERMIT NO. :
DATE: DATE ISSUED.'-
OWNERS NAME : L (-'
I A D D R E S S :Q,-A, 3- -Aft,4L_
ICONTRACTOR : /SCOL' �5c/77 01
TEST* Air [J, Water ❑ ,,Yi'ival [3 , Laboratory ❑
RESULT: Approved Ef Disapproved ❑ , Pending I—,
SKETCH:
1
-11�
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PECTOR DATE
ICNOTE . Attach supplemental feat data hereto]
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/a —a G--7L
UNIFIED SEWERAGE AGENCY No. --- 1102'7 WASHINGTON COUNTY DATE —
CITY OF__ Tigard ---
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: . --
OWNER'S ADDRESS: STREET
-- ----- --- ZIP
- - -- LI TY -_ STATE
BUILDING SITE: LOT.--.393 BLOCK -- ADDITION ---- —
res3idencA
TAX LOT NO. _.__ TYPE OF OCCUPANCY
ADDRESS _____ 540_A__.W ---
DWELLING UNITS___---- 1 ------- FIXTURE UNITS —_ ---
.SURCHARGE IF APPLICABLE _-____ ------- --- --- --- ----- --
PERMIT FEE --57-5-011 INSPECTION FEE --25.D0 TOTAL DEPOSITED ___600.00�
(NEW) (EXISTING) BUILDING SEWER SYSTEM -_ _ Fanno Creek
Thu Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT.� 1^w��•��1 � 1C�� c_�-- -----.- _-
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE - .- -- --___ INSTALLER
RECEIVED B Y- -----..�---- ----------- - ---..
(AGENCY OR ITS AGENT)
COMMENTS: Bldg. #1207
This Application and Kermit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APPLICATION CITOFY TIGARD DATE 12-20-76 207
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE____
LOT NO
OWNER JOB ADDRESS j`-)4�jl 5W' kld®!bT•. HOMIEADDREW _
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER
STR'JCTLIRE ❑NEW ❑REMODEL _ ❑ADC PION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE _❑_ DEM_OLITIO_N
❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOLIS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BUND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
LAND USE ZONE BLDG TYPE _.FIHE ZONES PLAN CHECK BY_-- _- _ _ HEAl��__
_11" I/ J--19suup EiitlE: -s i.:i � :7U r'11wry 1 i@Jld Ls im,
I FraMe duelling u/attached garage 3 hedroolvig ll bath ---
qara6v 546
' 38 Sa,i.
L►CC-12912 LQQR LOAD HEL�F�� �Q ARIES __-AREA 191� NO.BEDROQMS ;—VALUE
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
4 5 . -.TT =_— —--- -
Permit _— - --'—
THIS PERMIT IS ISSUED SUBJECT 10 THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 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
Subtotal ALL APPLICAFLE CODES AND ORD14ANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRA('IOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Qe 94" LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total �,��e y` f
By
Pp^' ICANT OR AGENT
App(oved Psceipt No.
i'TIiiNE
- — ---
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DATE INSP. 'TYPE INSPECTION REMARKS PLUMBING
DATE
Contractor
Permit No. C,2 2
Rough-in
-:5f Fixture
Final
HEATING
Contractor
7
Permit No. -7,7
Gas or Oil
Final
nt
P.r r,
Rough-in
141'sw( Final
72 SEWER
Final
DRIVEWAY
Final
(Rain Drain) Final
Sidewalk if 77'
Cuib&Street Final
Approach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY 1?7- 4-5-77
CERTIFICATE OCCUPANCY Finb,
Landscaping
Zoning Final
Address / ��� � , �� r Permit No. //D� 7
Permit chiorge ;72077
Owner � •( C' Conncction fee l>%''="
Paid by _ �--(�' -r
Type of building i�� Date connected
Service rate / Inspection fee may
Contractor Paid by date
Size of connection Assessment Paid