15680 SW ALDERBROOK DRIVE i
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15680 SW ALDERBROOK DRIVE
BUILDING DEPARTMENT, TIGARD til
PLUMBING PERMIT
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holder of a valid plumbing cont•actirs license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than fotir �
(4) hours prior to the time the installations are ready for inspection. City of _igard Business License required
for all contractors and sub-contractors.
.caner < +i
t� -- Address_ ,r ��' ;.�i, � 1�J/'" 3i1:Dat k`. —_
TYPE OF PERMIT fITEMS
R OF TOTAL. PERMIT NO'S
FEt ON k..CH AMOUNT
R�_1D_I_WJ IA_L --_`-� ---- (Office Use Only)
Single Family-1 beth-each — _.___._---.-- ---- ----
_ 25.00
Duelex--Each 1 bath unit_______ _ 25.00
Additionei bathrooms-Poch �� --'
Mobile Florae S acP-_each - - ---
.00
INDIVIDUAL FIXTURE FEES 15.00 --
-, 1 to 50 Fixturen in 1 buildingeach
3.000
51 to 100 Fixtures in 1 bufldins� each -- - ---
- _ 2.50
101 to 200 Fixtures in 1 building--each _ -- —
_ 2.00
201 or more Fixtures int build Dj-each
MISCELLANEOUS - '- -- 1.50
Buildim5es_�er-lot 5o ft 10.00 -- _ -_---^
sewer-each additional 100 ft_ ---•-
10.00 -
-Warer
Privatr Wat 5.00
.,rams_-each 100 ft. -
ether 5at:c,fv1� r — 10.00 � -- _---'
PERMIT For Plum
—_ hing Inspection Phone 6,394171
30%State _ --_ Plumbing Contractor By
TUT�>_,L RECEIPT NO. I.SSURd By --- ------
I
1. - �_.., - ._....- a:.....-... ._.-. �....r..__.......__. �_..........�.,......,,wW:•...1
1. .. r 1:'/�~•.n •ice. 1.I �w:.� �1 q'.��„1' �!1 �a� .4.'.°•1 M1`�~t 4p �+ �-e +�► � /\ //+�Jy .+,�i�
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OF p ., � : Pyr
OREGON
0«71e1 ....T. .....��................. ................... .......................Permit No..1. 53.._ ;
Building Address156...8..0.....S..W.....Alderbraok Dr. Lot 381
) .,.
Certificate is hereby given this........?9Q ...day of. June.................... ?y.•7.7...
that said building Y occupied may be d and id:
p
that it complies with all requirements of
!' b the Building Code for the City of Tigard, �.
Yrs as approved by the Tigard City Council.
..............�� �►^ r,�':., :�-f.t--,,.._.....
! I Building Inspector
u Nb iM u R•
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :
DATE: --�L0777 DATE ISSUED :.__LL
OWNERS NAME : _
ADDRESS: ZC1 '7 l �,►,r _ c- ___
CONTRACTOR
TEST : Air 0, Water[] , Visual Laboratory p -
RESULT' Approved Jk Disapproved C Pending p
SKETCH:
INSPECTOR DATE
[NOTE: Attach supplemental tef, data hereto
City Of Tigard
INSPECTION REQUEST
for
...........
INSPECTION TIME : PERMIT
DATE : 7 DATE ISSUED ._..LL_.
OWNERS
ADDRESS:
CON TRACTOR : ----__._
''E ST : Air D,, V.-Mer 0 , Visual [1 , Laboratory p
9ESULT: Appv,ved 4;-;--tr—isappruved C , Pending E]
SKETCH.
;PNSPECTOR DATE
NOTE: Attach supplit"wo test data beret a]
Cit of Ti or
City g d
INSPECTION REQUEST
for
INSPECTION TIME: A PERMIT NO. :
i
DATE: _2/k// DATE ISSUED :._.1..L '
OWNERS NAME
ADDRESS:
CONTRACTOR :
f E ST : Air C), Woter D , Visual O tabor I
story (] I
'RESULT: Approved ice,_-msapprovmd L Pending p
SKETCH.
�Ns-PEC
'f OR DATE
CUTE Attach tupplementnl teV data bore,]
L
= - 1
UNIFIED SEWERAGE AGENCY PCO. 116 _ 2
WASHINGTON COUNTY DATE
CITY OF Tigard
APPLICATION FOR SEWER CONNECTION PERMIT
OWNER: — .. — T.D.C.
OWNER'S ADDRESS: --------._-_--
STREET
CITY STATE ZIP
BUILDING SITE: LOT_..-..381—__ BLOCK ADDITION
TAX LOT NO. — ___ _ TYPE OF OCCUPANCY ______ residence
ADDRESS ._ 15680 SW Alderbrook Dr.
DWELLING UNITS __-____1__.__.____._.__ .- __-... _.._.___ _.____ FIXTURE UNITS
SURCHARGE IF APPLICABLE
PERMIT FEE __575�.__ INSPECTION FEE ._-_25'_._ TOTAL DEPOSITED _600.
(NEW) (EXISTING) BUILDING SEWER SYSTEM __ Fmino--Gr-eek_—
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT �..��'�i.y---------
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
INF 917.E _----_..- - INSTALLER .
RECEIVED BY..... _..�-`—��+
(AGENCY OR ITS AGENT)
COAr.MENTS:---- - B1.dg,__#1253
This Application and permit expires in one hundred and twenty (120) days.
The amount paid will be forfeited should expiration occur.
i
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t
BUILDING PERMIT APPLICATION SOF TIT A) DATE 1-17_____' 19_` �
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS, OWNER PHONE___
LOT NO.—
nWPJE ? • JOB ADDRESS 1568(' SW _HOME ADDRESS
ARCHITECT —
a'i1� ENGINEER
BUILDER
ADDRESS DESIGNER__
��S--TttRUCTURE '[]NEW Y LREMOOEL _❑ADDITION ❑REPAIR ❑RENEWAL _❑FIRE CAMAGE _❑DEMOLITION
LJRESIDENCE ❑COIAM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
DBOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY I LAND USE ZONE I�+ _BLDG.TYPE - _FIRE ZONE PLAN CHECK BY j , HEAT
1,.,,Lt fr361 moi, 5-A itq-iblsue, aame +sa 15613 SW SunrMtrfield Low Fran dwellit;6 w/attachad 6araga
Usdream 21 bate,
000.
OAC. LOAD FLUOR LOAQ _.� HELSj, ,L N,�,_;�'URIES Z AREA 2060 3 NO BEDROOMS VALUE 43,00o.
BUILDING DEPARIMFNT SET BALKS FHONT iU REAR 12 LEFT SIDE RIGHT SIDE 06"
[Permit
THIS PcRMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check LOON: REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE 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 TO HAVE CURRENT CITY BUSINESS
State Tax 5.2l1 LICENSE. SEPARATE PERMITS RFOUIRED FOR SFWER, PLUMBING AND HEATING.
Total 181.26
By
-- .o' ""CANT OR AGENT - '— -- _._-----
ApprovedE
Receipt No.
ADDRESS - ---'+--- _-- PHONE --
Y
DATE INSP. TYPE INSPECTION
REMARKS PLUMBING )ATE r
Akzz- — Contractor—
�' % Permit No. 0 21-C) 3S 3 B-7J'
Rough in
j�//
Fixture
z Final
HEATING
�? ACk < , r _ Contractor
Permi.No. J
Gas o,Oil
Rough-in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain) Final
Sidewalk
_ Curb&Street Final
Approach
BLDG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Fina!
Landscaping
CZoning Final
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ADDRESS _ ,i PERMIT N0.
PERMIT CHARGE none
OWNER CONNECTION FEE ��`O-"
PAID BY ---" {( ' c
TYPE OF BUILDINGS DA-f-' CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION A55E5SMENT PAID