15415 SW ALDERBROOK DRIVE 1
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15415 SW ALDERBRCX-k: DRIVE
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CITY CSF TIG ARIA
C OREGON
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Owner:....Tualinet. Developm,ent.,.Co... Permit No...1190
Building Address...1541.5 S.W,-Alderbrook..Dr. ._.Lct...#327.......
Certificate Is hereby given this......5:0day of.....M!3y......... lu.... 1.7
that said building may be occupied and
that it complies .%•ith al] requirements of
i the Building Code for the City of Tigard, t
as approved by the Tigard City Council. ;
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Building Inspector
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City of Tigard
INSPECTION REQUEST
I for
INSPECTION TIME : 'z �� PERMIT NO. :
DATE: /3 /77 DATE ISSUED'.-
-Z1-OWNERS NAME '. TrL)e-
IADDRESS :zuT
CONTRACTOR : 416--?Z7-/
TEST . Air ❑, Water [] , Visual/, ?_abaratory ❑
RESULT. Approved , C Diecpproved 11 , Pending
SKETCH'.
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INSPECTOR DATE
I [NOTE Attach supplemental tett data here1100
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City of Tigard
INSPECTION REOUEST
for
INSPECTION TIME: PERMIT
NQ.:
C%TE:-L-8ZLI'-�L DATE ISSUED: L
(OWNERS NAIVE
ADDAt
CONTRACTTEST'.Air L+,
�r (j , VisUO; , LaborotorY C
RF-S�jLT: Appro-Ir � Disapproved 0 Pending fl
SKETCH.'
INSPECTOR DATE
r._
EN OTE Attach supplementol toe, doto hereto
City of Tigard
INSPECTION REQUEST
or
2�
INSPECTION TIME ' PERMIT No . :
DATE :Z- iLL4 DATE ISSUED:__�_L
OWNERS NAME .' —
ADDRESS :
AME : _ADDRESS : <v'7- 3-i' Z -- _-- --_
CONTRACTOR :_._—_. ._. .--__u_- __. _ _-_— -
TEST: Air ❑, Water Df,._ Visual (�, Laboratory p
RESULT: Approved Disapproved C' , Pending [—j
SKETCW:
I!N PECTOR DATE
NOTE Attach !upplamental tett data herato,
i
t_a N I F I t.- I-) SE-W C R A G E AGENCY N0. ..— 11014:_.
WA` 'H i NG 1 ON COUNTY DATE 12-7-76 -__._—___-_
C1 i Y OF.--_ Tigard
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APPLICATION FOR 'EVVE:R CONNECTION PERMIT
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OWNER: — - _ T. D.C.
OWNER'S ADDRESS:
STREET
-- -- ---.. - 7{R
STATE_-- -----------_ .__ -------- .._..---
crry 1
BUILDING SITE: LOT. BLOCK
residence _ _
TAX L07 N0. __- _ TYPE OF OCCUPANCY
15415 SW 11derbrook Dr.
ADDRESS — — ----- — --- --- — —
DWELLING UNITS .-_--- - ---- FIXTURE UNITS ---__-_-- -------- 1
SURCHARGE IF APPLICABLE—
PERMIT FEE 57 ' ))0 -- INSPECTION FEE _25.00 TOTAL DEPOSITED
(N�W) (EXISTING) BUILDING SEWER SYSTEM - Fanno Cr9P* ._-_.
The Applicant agrees to comply with all rules arid regulations of the Unified Sewerage Agency.
pp 9
APPLICANT
SEVVER PFRMIT
THIS PERMIT AUTHORI'ES CONNECTION TO THE SEWER SYSTEM.
Llncv SIZE -.- ---...__. . - INSTALLER - _
RECEIVED BY.` � �'�
r (.AGENCY OR ITS AGENT)
COMMENTS: Fl 'c i190
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
i♦:: ..t ^rR t. yg�•p:..,'�,'!roe9ftwlV'b'�''!��"`s:afww'a".,, s^c�
BUILDING PERMIT APPLICATIONCITY
0F YIGARQ DATE 11-7-7" ,,g—__ t 490
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
T.D.C. 15415 `'iW Rldsrbrar,k h r. LOT NO._
OWNER JOB ADDRESS HOME ADDRESS _
ARCHITECT —•-
BUILDER semis ENGINEER
��ff�**77 _ ADDRESS _ DESIGNER _
STRUCTURE UNEW ❑REMODEL ❑ADDITION C1 REPAIR ❑RENEWAL []FIRE DAMAGE _ []DEMOLITION
' RrE
I1SIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ORELIGIOUSIJPATIO ❑CARPORT 0GARAGE USTORAGEL_JSLAB []FENCELIBOND0MOVING — YDCONDITIONAL USE ❑DESIGN REVIEW--_CICOUNCIL APPROVED ❑SIGNS
OCCUPANCY LAND USE ZONE----BLDG TYNE—_ _.,__._FIRE ZONE__ PLAN CHECK BY- JL HEAT
dark h.0 iia—iffssuLs Seine U4 1:Ai 51, :iu1711iRwi f , olo lana
f'i timu duelling u/sttechad garage 2 bedroGm 2 bath
9Q lOAD r FLOOEi LtOAD_ HEI
NO.STORIES L AREA 149th NO.BEQ QQms ' VALUE'' s'F IB 27
BUILDING DEPARTMENT SET BACKS FRONT 10 REAR '. LEFT SIDE RIGHT SIDE b
Permit 121.00 --- -- --_`-
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDIN@ CODE, ZONING
Plan Check 10.nf" REGULATIONS AND ALL APPLICABLE CODES AND ORDIN/WCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICA71ONS AND IN COMPLIANCE W'TH
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 ;}�V3 LICENSE. SEPARATE PERMITS REOUIRF.D FOR SF.WEN, PLUMBING AND HEATING.
Total 134.93
8y -
----- _._ _--- --- .-- APPi ICAN7 OR AGENT
Approved Receipt No
AIIDHESS -P1IONF
LIATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
ntri
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No, <f`1 7-fib ��/�7/7�
1Z Ro
Fixture
Final
` HEATING
_ Contractor
Permit No. Cid -
----------- --� - Gas or 0il
___-- ----- Rough-in
- — —_—------------- —_—
Final
—_ --- _—�_ --------- —_ - SEWER %/,76
—- — - — _—----- — —
Fina
I --�-�- -
--_ DRIVEWAY
— ---------- Final
Storm Drainage
(Rain Drain) Final
_ Sidewalk G-
Curb&Street Final _
_ Approach _ [ G -�%�77
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscapir g
`/ Zoning Fi,+al
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Address /� / p
/r=�_ ',�.����.c�,�-2�--�E G�2 Permit N o.
Permit charge � -
a
7�uner _ / L� (� ", � _ Connection fee
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Paid by
Type of building Date connected
Service rate - fell Inspection fee �S
Contractor
�p /. Paid by Date
Size of connection _ Assessment paid