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15660 SW ALDERBROOK DRIVE
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RUI,_DING PERMIT APNLIi,ATION 1OF
1T TIG ARD DATE ._:_ _�. --- 19 ---
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOE? THE W DRK. HEREIN II!DIC:ATED BUILDER PHONE
OR AS SHOWN AND APPROVED ;": 7 HE ACCOMPANYINI: PLANS AND SPECIFICATIONS. OWNER PHONE _.
LOT NO
.r". Phili 6 ,•Ij Alu rui� �ONFADONESS
OWr'ER � JOBADDRESS� vl� 1._r- _
-- _ ARCHITECT'
FiNGINEE.R
BUILDER ADDREADDRESS DESIGNER
STRUCTURE _ C]PIEW C3 REMODEL �MbDITION [REPAIR ORENEWALOFIRE DAMAGE ❑DEMOLITION
Q MESIDENCE JCOMM OEDUCATIONAL ❑GOV'T LJRELIUIOUS❑PATIO CICAR PORT ❑GARAGF _C.1 STORAGE OSLAB [FENCE
QBOND _ ❑MOVING —_`[:]CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
U�GUPnNCY__y___LAND USE ZONE—BLDG,TYPE__' FIRE ZONE A' PLAN CHECK BY, .._ HEAT
bIUYJt7 j: at i.l.i lel/seats Pur plijns
BGG LOAD _�LQ4fl_LOAAD —_HEIQ NS?_T RI -� --- AREA _.____..N.Q_aEQROOMS_
BUILDING DEPARTMENT SET BACKS FRONT PEAR LEFT SIDE RIGHT SIDE _
Permit • : is —s - i ..�-- _____—___ — ---- �.
�-''---' THIS PERMIT 18 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND OR IINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN .ACCORDANCE WITH THE Pt AP S AND SPECIFICATIONS AND IN COPAPLIANCF WIT 11
Sub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
— — RESTRICTIVE COVENANTS CONTRACTOR AND SUB i3ONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICEN,,E SEPARATE PERMITS REQUIRED FOR ' EWER, PLUMBING AND HEATING.
Total
BY –
___ _._....�,1......�—.— APPLICANT OR AGENT
Approved 4W Receipt No.
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CITY OF I IG ARDORE
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Owner:ICI ..................... 1255 t'
r. �. _. . . ......................... ... ..........Permit No...................... .
Building Address....15660SW Alderbronk30 . . . ...
Dr. Lot..
............ ....3.82
3
.. . .. . . ....... ...
I: Certificate is hereby given this.............. .day of......June................., 1.' .. 7�
t� that said building may be occupied and
that it complies with all requirements of �`T
. Z+, the Building Code for the City of Tigard,
t ,
; x as approved by the Tigard City Council.
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Building Inspector
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f City of Tigard
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INSPECTION REQUEST
for
� I INSPECTION TIME :
PERMIT
O DATE: DATE ISSUED:__LL_
OWNERS NAME:
I
ADDRESS : rE z--
CONTRACTOR
TEST: Air 0, Water p , Visual El , Laboratory []
RESULT. Approved , Disapproved O Pending J
I SKETCH:
1
I
I
NSPECTOR DATE
CN07E Attach supplemental fast data hereto
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l _ _.
UNIFIED SEdf UERAGE AGENCY N O.
VM'31, 1NC TON COUNTY DATE
CITY OF-Tigard _ -- --- --
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: . - T-D.
OWNER'S ADDRESS: ----- - - - -- -
STREET
- cl TY STATE ZIP
BUILDING SITE: LOT 382 _ BLOCK -- -_ ADDITION
residence
TAX LOT NO __ TYPE OF OCCUPANCY
ADDRESS 15660 V Aldei brook Dr.
DWFLLING UNITS 1 . FIXTURE UNITS -
SURCHARGE IF APPLICABLE - - -
PERMIT FEE ..75' INSPECT ION FEE 25' - - TOTAL DEPOSITED _.600. -
(NEW) (FXISTING) BUILDING SEWER SYSTEM Fanno Creek - -
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT��Al''uj'-e�'
SEWER PERMIT
THIS PERMIT AUTHOPIZES CONNECTION TO THE SEWER SYSTEM.
I_INF SIZE
RECEIVED B Y
(AGENCY OR IT$ AGENT)
COMMENTS: Bldg, #'L255
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
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BUILDING PERMIT APPLICATION 1oF TIGA,RD DATE l �7-�� 19
THE ''JNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APP90VED IN SHE ACCOMPAN'rING PLANS AND SPFCIFICATICNS. OWNER PHONE-
LO r
HONE_Lor NO.
OWNER -- _ JOGS ADDRESS �tOl -T Ald >rtrcuok Lt .HOME ADDRESS
— ARCHITECT
ENGINEER
BUILDER ��ffqq ADDRESS DESIGNER _
STRUCTURE MNEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL _ UFIREOAM1LAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑FLAB OFENCE
❑BOND ❑MOVING ❑CONOITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY—_—..LAND USE BLDG.TYPE —FIRE ZONE; PLAN CHECK BY LW HEAT p8-'-�
Lot 1.,382 tin XV Ae•ri>Ewues, ,ame as 1.5581 ,,Imtmurtiebl La. fram dwelliug w/attJschad garage
2 Utdroom 2 bath
OCC. t_OAS— FLOQfI LOAD _._ HEIyHT_ NO.STORIES AREA149t)_�0.BEp�QQMS_� __VAE U � '3Q•
BUILD;NG DEPARTMENT _ SET BACKS FRONT 10 REAR iJ LEFT SIDE + R1,3HT SIDE S�✓b01
Permit
•`J` - THIS PERMIT IS ISSUED SU9JECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan C:Ieck REGULATIONS AND At L APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ANO IN COMPLIANCE Willi
SUb•total ALL .APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACIORS TO HAVE CURRENT CITY BUSINESS
State Tax 4•y!y LICENSE. SEPARATE PERMITS REJUIRED FOR SEWER, PLUMBING AND HEATING.
Total 15013N
By
----- -- nr If ANT OR AOENt
Approved �_ Receipt No
AF)OHESS P14f)NE
i
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
2ntractor
L.1 Permit No,
Rough-in
-t_ Fixture
Final
eta sB '1 5'3 2 HEATING
-2 Contractor
y° r. Permit No. a��_�
Gas or Oil _
Rough-in — _-_ -
��'7 Final
SEWER
Final _
DRIVEWAY
Final
Storm Drainage
(Rain Drain Final
Sidewalk
Curb&Stree!Final
A roach _
BLDG DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
ADDRESS !.�� (�; c� �L t, l�- �_ (� ���� ��. PERMIT NO. '
PERMIT CHARGE none
OWNER ��! Lti CONNECTION FEE
PAID BY
TYPE OF BUILDING DATE CONNECTED
SERVICE RATE INSPECTION FEE
r
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID