15560 SW ALDERBROOK CIRCLE 1
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15560 SW ALDERBR00K CIRCLE
ON
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C..IZ Y CSF TIGARD
i OREGON 1
Owner:.........I-..D..i:........ ..........................................Permit No. ....1452....
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Building Address.....155fi0...51J...A).dar.hr.ask..Gir.rle........Lot... .4.Q'l.. . ..- ,
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Certificate is hereby given this...........20.....day of.....Se....p..t.-.. ..ember..........,,., 1.3...ll.....-. , .
r I that said building may be occupied and
that it complies with all requirements of
the I3uileing Corle for the City of Tigard, I
as apPro�ed by the Tigard (;ity (;ouncil.
.�� Building Inspector V� .
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,IDDREE 5,/3.__�'i ('� �i �a u C; PERMIT N9.
PERMIT CHARGE none
UWNER CONNECTION FEE
PAID BY C
TYPE, OF BUILDING _ DATE CON IF CTED
t
SERVICE RATE '�c„' INSPECTI 'N FEE 1) _
CONTRACTOR PAID BY DAVE
SIZE OF CONNECTION ASSESSMENT _ PAID
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City of Tigard
INSPECTION RE4 UES
for
Al�4�li4l, - 2�—�-.���--A4A,,,,--
-
INSPECTION TIME :_ ��� PERMIT NO. : —, ---
DATE: 6; /&J1_ DATE ISSUED:-
-!-J--OWNERS NAME '
A D D R E S :CONTRACTOR '..----
TEST'
O'NTRACT0R :.__--TEST: Air C7, Wcter ❑ , Visual O , Laboroto►y ❑
RESULT: Approved , Disapproved 0 Pending ❑
SKETCH:
IN ECTOR DATE
COTE. Attach supplemental feet data heretol
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Cify of Tigard
INSPECTION REOUES
for
INSPECTION TIME : Li PERMIT NO .
DATE ISSUED. Z
OWNERS NAME ' --
ADDRESS : ----
CONTRA
AME : _ADDRESS : ._.___CONTRA CTO IR
TEST. Air D, Neater p , Visual 0 , Laboratory ❑
RESULT: Approved 9< -Disc pi)roved ❑ , Pending
SKETCH:
1
I
INS CTOR DATE
COTE. Attac'n supp!emenfui teal data hereto
SEWER PERMIT -- „- ry,
U
M 12164
of
Unified Sewerage Agency Tigard DATE `�-11-77
r,; tNashington County CITY OF _. -
OWNER : T.D.C . PhONE : 639-3101
OWNER ' S ADDRESS: _. —
TYPE OF INSTALLATION:
FilBUILDJNG SEWER ❑BUILE,ING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
❑NEW ❑ SINGLE FAMILY u COMMERCIAL
❑EXIST . (PRIOR TO 7- 1•-70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS_ DWELLING UNITS 1 _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CAL'-ING 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 575.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER —_
TOTAL s 600.
A\IPPLICANT DATE
SEWER PERMIT NV 12164
ADDRESS OF STRUCTURE 15560 r1W Alderhrook Circle
TAX MAI' _ TAX LOT SYSTEM Fanno Creek _
LOT _ 447 _ BLOCK OF_ -
APPROVED BY DATE � ISSL9D BY DATE
REMARKS___R-1do. #1452
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-11-7? Is
BUILDINGNG PERMIT AP°! CATION of CITY TIGARD DATE.__ 14,52
_ _ 539- 101
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHorJF
1 LOT NO..
OWNER pw� _ JOB ADDRESS 3.5560 SW Alds.rina k rAboREss _
ARCHITECT
ENGINEER
DIJILDER a ADDRESS DESIGNER ^�
STRUCTURE 'UNEW_ ❑REMODEL �T ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
0 RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS COPATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
R-7 to-3ts.f
OCCUPANCYrA'__—L.AND USE ZONE BLDG.TYPE FIRE ZONE— "'3 PLAN CHECK BY_��__ HEAT_
4Ot ;.,,447 ink. l'i rla-.saue I emtt as 15581 SU Summdrfivle Lat,G
QCC.LOAD —_E-LQQR_LOAD __ HEIGHT _,11 NO,STOf3J�,� 1 � AREA 1'4gr�[IQ�@�Q$QOMS VAL51�_' ��
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE 4 RIGHT SIDE
Permit 136•SIGTHIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CONTAINED IN THE 13UILDING CODE, ZONING
Plan Check 10,,On REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND 11 IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH 1HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS `O HAVE CURRENT CITY BUSINESS
State Tax 4.36 LICENSE.. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total 150*38 SyStGfA 0IPV1 JLUPt(604 hr, r�:f,
By
------- OR AGENT
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Approved � Receipt No. �...( 'c.��-�-�
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DATE INSP. TYPE INSPECTION REMARKS _v— �OLUMMINIG� DATE
Contractor
, 'u _ Permit No.�1 � ✓� ds(v"�]
Rough-in
-a .c-e_t �t vc_- `_ Fixture _
Final
v NEATIN3 i
A S Contractor
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J c, y/118 iMt- mit No. O
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T6 (0U .fcrZ OIC LI' Ch'-, LL-uI.e •e v� rJluee c./ w-„' /��.gj n" Gas or Gil
erns<4. n.'t �v�e�4,� �.�� �— Rough-in _
2-� Cr AS �=--- —�— Final --
_�_ SEWER
Final _
DRIVEWAY
--- -- -
�,--- - Final
Storm Draina-Le _—
(Rain Drain) Final
Sidewalk
Curb&Street Final
Aproach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
(.Et'TIFICATE OCCUPANCY 1rinal _
Landscaping
c Zoning Final