15460 SW ALDERBROOK DRIVE i
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15460 SW ALDERBROOK DRIVE
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Address
Y,X, _ �?. /�' Permit No. /CSG ---
Permit charge
0�n e r�,���(���� � � •i<<tl�.�s.tt Connection fee 'r q S`CIC,
r Paid by --
Type of huilding ,� �t". _,sDate connected
ep
Service rate _5 Inspection fee �S
Contractor _ Paid by dato
Size of connection Assessment Paid
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City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: ``'T+*' f"'
PERMIT NO. :
DATE:/ ! Ll� DATE ISSUED '.
OWNERS NAME : . 7-
ADDRESS: ()
� —ST —IGL, y
CONTRACTOR : — &71"'
TEST : Air pw Water p r Visual Laboratory p
RESULT: Approved Disapproved C Pending p
SKETCH:
INSPECTOR /!DATE
F�10If.. Attach supnlernenfal tett data heret�
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City of i
y Tigard
INSPECTION REQUEST �
for I
INSPECTION TIME: PERMIT NO. :_
DATE: - %i /_ /: _ DATE ISSUED :.__Z_�_
OWNERS NAME : tdG
ADDRESS:
CON TRACTOI.,
rE ST ; Air Il, WateroVte��al a !
� boratory p !
9ESULT' Mpproued 0 Disapproved C Pending p
SKETCH.
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/ "VW, I
INSPECTOR DATE
,-NOTE : Attach surmlemental test dots bereto� I
A
82
UN IED SLWERAGE AGENCY NO. 106 ------—
VJI, "MINGTON COUNTY DATE
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: T.D.C.
—
OWNER'S ADDRESS:
STREET
21PCiTY
BUILDING SITE: BLOCK ADDITION
n
TAX LOT NO. TYPE OF OCCUPANCY .. reridence
ADDRESS
DWELLING UNITS FIXTURE UNITS
SURCHARGE IF APPLICABLE-----.---
TOTAL DEPOSITED . 600, 00
PERMIT FEE -- INSPECTION VFF
(NEW) (EXISTING) BUILDING SEWER SYSTEM Fanno Creek
T'he Applicant agrees to comply ,vith all rules and regulations of the Unified Sewerage Agency.
APPLICANT
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION 10 THE SEWER SYSTEM.
LINE SIZE INSTALLER
RECEIVED BY-
(AGFNCY OR 'S AGENT)
COMMENTS- P 113
This Application and permit expires in one h,indred and twenty (17O) (,,iys,
The amount paid will be forfeited should expiration occur.
. ..•..�z*r.r.r'aoi4vviMv.e MYwr+s .�..n...... s"+Tw'-•�Yar+... .Y 1 "vrx•pau
BUILDING PERMIT APPLICATION r FY TIGARD bArE "-14-76 19 1 136
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE:--
OR
HONEOR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONF
LOT NO.—_
OWNER •U�f~b JOB ADDRESS �I 4I lr1 A1dF�rb�Alc *)MF ADDRESS _
ARCHITECT y-Y
BUILDER Ospr tt% ENGINEER
ADDRESS DESIGNER
STNUCTURE :MEW ❑REMODEL — ❑ADDITION C1 REPAIR ❑RENEWAL _❑FIRE DAMAGE ❑OLMOLITION_
In RESIDENCE_UCOM_M ❑EDUCATIONAL_ ❑GOV'T ❑RELIGIOUS❑FATIO ❑CAR POni ❑GARAGE_ ❑STORAGE❑SLAB ❑FENGf
❑BOND OMOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
13 3 1 TU
OCCUPANCY LAND USE ZONE,_ -BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT
Lot .,:_390 MK X11 Rrr-issue same am 15610 SLI SurattlerPi cId L®r49
_ f r'sms dueling W *,t.a�clicd s,;sr&ge 3 bodrua 7bath ----
Q� L9A�_ L44FLLQBf� --- HEIG I--�� zTS2B1€� —_ARkA _-W-R€laR00 5 VALlZE—
BUILDING DEPARTMENT SET BACKS FRONT 10_ REAR 18 LEFT SIDE ��► R{GHT 61 DE I'
Permit �b •.(�� _— -- -_ _ --- _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING r'ODE, ZONING
Plan Check 10,UU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11' IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMnI IANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS CONTRACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State rax �'JC7 LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
By
Approved ICANI OR AGENT
Recnlpt No.
(�1
UATE JINSP TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No, c2
L-e lRough-in ———
?- Fixture
Final
-j
if 7lk
..nhVJ;7 HEATINGCon'ractor
A
Permit No. j
Gas or Oil
Rough-in
Final
SEWER/1-576
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk /7.-7•'70
LQ
Curb &Street Final
roach
�t,
rAcz-3--I�
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY r I
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning F final