15500 SW ALDERBROOK CIRCLE N
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15510 SW ALDMUMOK CIPCLS
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CITY OF TIGAR') Plumbing Permit 31 1 r
Building Department N0. ---
Residential
'Residential Commercial ❑
New installation [_] Rep:ace ❑ Addition L_] Alteration rR Date -
Licensed ;�1�� i
Plumber `�t✓ U t: 1- t pt Owner - __- th��'E�►n,� t /
Address � � r
Job Address �% S_U� l .l.�C 1L Crr."; ,
C'.3 ---- -- - Applicant
Phone __. � _ � t —_.._--- -- - 1L``.►�`� -- _ I
CITY BUSINESS LICENSE REQUIRED FO ON" R i ORS AND SUB-CONTRACTORS
ITEM NO. FEE TOTAL I NO. FEE TOTAL_
Fixtures-Traps 7.50 `T w :F'rst 1 ft —— _ 30.00 Y
Dishwasher7.50 Ea_c dd' .1 tt. `— 15.00 �- —
Garbage Disposal — —7.50 _ mp 7.50
Water Heater — 7.50 first 100 ft. Z� 20.00 __,_
Backtlow Preve_nte_r 7.50 ach Addit.200 — 15.00_ _—
m&Ra' Df n:F .t ft. _ 30.00
r r '. �r Each d 0 15.00
— Mobile Spac 25.00 _
Other(Specify):^— r--� R in Drr, - I Dweleliing 15.00 ,!
PERMIT FEE /y !J!� Comments:
Issued By:
.. � ��"----- --- �--4--1-
-
STATE �� % .(,,u
--- l` l,�<� Receipt No. -_—`-- APPlicant _ '_Lfls
TOTALSignature
— l- For Plumbinq Inspection Phone 639-4171
I
INSPECTION NOTICE
City of Tigard Building Department
12.420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection ' -- .. zf,•--
Date Requested.__ /.�� Lam—"— q Time•-- — A.M.—/ P.M.
{ U �/� a/i-i.��r =ot/�.<Ser_,. Permit #—S I 1 —.—. l
{ Address _-_/__ ' - � --
Owner__- �-� Lot #
Builder
Tne foil,.ving Building Code deficiencies are required to be corrected: I
Presented to _ b�- pproved
Inspector Disapproved
Date ___--
CALL FOR REINSPECTION
1
❑ Yr%V ❑ NO
Sam --
i
t. 00C
u ARD
s
CITY
i t TIG AIC i
OREGON
Owner: _ T.D.C. _ Permit No._ 1759
15500�SW Alder.brook Circle Lot 444
Building Address �
Certificate is hereby given this 16__. day of _ March 19 70 '
that said building may he occupied and that
1 I it complies with all requirements of the
'
��r =1 s�.►;+ Building Code for the City of Tigard, as >� {
• �w � ll. If�� - �ry
1 approved by the Tigard City Council,
Building Inspector Iii+'.
__ .. - ,.n..c.l.T�..:''`O>..LII e C --"-. "' t'dtrs�.�_ 1r-- `,- - - r.. ;� �'• .
' �4Y 1 +r.:' 1 _ -� l-•J w"����w�w'� pis lJ .e'.v T� �►V�'{a'�!1if w►!���K U �y�� ��`T�'► �`� �' '
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uron:h u]a
;Address ;'_S s'; �, 6`Weoe browk C ►2 Permit No. 3.� S�
Permit charge 22 t—o� e �
1Wner —1,.> e Connection fee 6,
Paid by T�_
Type of building Re. 5 Date connected
';orvice rata � Inspection fnrA � � a
't,ntractor Paid by date
size of connection Assessment; Paid _
_ /a /a xA7 136--
SEWER PERMIT
SEW N9 13826
Uf
Unified Sewerage Agency T i c a r.d 10-4-7 7
CITY OF
of Washington County -- ['ATE —
O'i1NEli : _ T— .�--- PHONE__,__ _
OWNER 'S ADDRESS: --
TYPE OF INSTALLATION:
X�'� BUILDING SEWER ❑BUILOING SEWER AND SIDE SEWER
TYPE OF OCC''OANCY:
Xt�EW FjXSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1 - 70 ) ❑ MUL.I . RES. LJ INDUSTRIAL_
FIXTURE UNITS DWELLING UNIT) .
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAI-LING FOR
INSPECTION , PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION
EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL
BE FORFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25-
CONNECTION CHARGE 600'
SIDE SEWER INSTALLATION —
ISSUED BY
OTHER
TOTAL $ 625._____
7
APPLICANT DAZE
SEWER PERMIT '? i8 2s
ALDRESS OF STRUCTURE 15500 SW Alderbrook Circle
TAX MAP - TAX LnT SYSTEM fenno creek
LOT 444 BLOCK OF.—
APPROVED
F.APPROVED BY DATE ISSUEP/BY DATE
REMARKS bldg. #.1759
.�. ...,,.T10. ..lei"a'
BUILDING PERMIT APPLICATION 1o1F TIGARD DATE_ 17S9
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHO14
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE' --.—
ii LOA NO.__
OWNER JOB ADDRESS Alderbroal, I40MEAODRE'SS
ARCHITECT
ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION C3 REPAIR ❑RENEWAL ❑FINF. DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM ❑E.DUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO (:]CAR PORT ❑GARAGE ❑STORAGE r❑SLAB [:]FENCE
❑BOND — ❑MOVING — ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ELSIGNS
OCCUPANCY---LAND USE ZONE BLDG.TYPE _FIRE TONE__ PLAN CHECK BYJ__ HEAT
i"k I.LlISBLlb 81ftQ CBH i ub 5j Mi nisCit.,
raInE_ d1.++.1.1.tng w/E►tter.tltid y0' tTedroulrT � taath
Q LOAQ _FLOOR LOAD HEIGHT NO.STORIES AREA ._'NO.BEDR00 ;i,_ VALI:E
BUILDING FIEPARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit �..::.1.Qty _
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BOILDING CODE, ZONING
Plan Check Z�) i I!� REGULATIONS AND ALL APPLICABLE CODES AND ORDINAVOES, AND IT IS HEREBY AGREED THAT THE
--'- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total l ALL APDL CABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax J LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total
BY - -- ------
-- -- APPLICANI UR AGFNI
Approved X1..—_�J Receipt No.
.1 -_- — ------
4BDFtESS -�'W6NE
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I
DATE INSSPI. TYP INSPECTION REMARKS PLUMBING DATE
10-11-17 JI
ontry
_ Permit No.
i .Clift' Rough-in
/0 —/y 7777�� Fixture
Final
HEATING
Contractor
t� (4 Permit No. �Sb ��" 12-
D3
Loot Gas or Oil _
ox Rough-in ----
�2—�' E _ Final _ ^
1� -11- y SEWER
/0-9 p �� _ Final — —
DRIVEWAY
_ Fina!
Storm Drainage
(Rain Drain) Final
Sidewalk
Curb&Street Final
A roach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERT'CICATE OCCUPANCY Final
Landscaping
Zoning Final
I