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15840 SW ALDERBROOK CIRCLE U1 Q1 O U7 E p O_ (D H O• H O O 77 F) N• H n N O i t, 15840 SW ALUERBROOK CIRCLE Iity of Tigard Mechanical Permit Feerit____ $3.00 _ New Installation Ll Replace D Relocation 0 Additiun (i Alteration (-J 1 3%State TOTAL____—�_... CONinACTOR OWNER ADDRESS_ WORK ADDRESS PHONE APPLICANT Heat Input Rating (RTU Per Hour)—� Vent Size _ _ Flue Size _-- FUEL OIL ❑ GAS O ELECT 10 OTHER ITEM NO. FEE ITEM NO. FF.E For Issuance of Permit _ 3.00 Air Condition Compressor 15 to 30 HP 10.00 New-Under 100,000 BTU 4.00 Air Handling 10,000 CFM ^— 3.00 fTiv - 100,000 BTU&over _^ 5.00 Air Handling Over 10,000 C_FM _ 5.00 Floor Furnace 4_.00 Evaporative Cooler v 3.00 Wall - Floor-Suspended _ 4.00 Range Vent Fan_ 2.00_ Install Vents Only 2.00 Vent System _ _ 3.00_ Rgpair - Heat&Cooling _ 4.00_ Hood Commercial Air Condition Compressor Under 3 HP _ 4.00 Commercial Duct System _ 10.00 hir Condition Compressor 3 to 15 HP �— 7.5u —�, _ INSPEC-OR'S COMMENTS CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS APPROVED BYDATE _ ISSUED BY _ DATE RECEIPT NO. ° "' Signature of Applicant I� I [ ..': 4 •.�: •. .'P�.: u.r...,......:.....�M:u.+1+,sruW's.r.,.v/ia.erLYn.W+f�K7.Y�.L:..f-.u.e.� Y .:'yM.. ....-a-:.i t.«-_ ..-�L..t ... .� ... .....5...}aYtk �x.ar•Mal-..M.... �..Ru.a�.� r;�Yw.n.waY..soh•. ' OF CITY OF Tl -. IARD t. }� (: s OREGON 1613 Owner: - T.O C. ........Permit No._ _.. _.. Building Address...-15840 SW Alderbrook. Circle Lut #457 • I ................. . ...........__.. .... __.. ......... Certificate is hereby giver this: 20........day of....[1e-Qnbar.......... 19 .._7.7.. that said building may be occupied and _ that it complies with all requirements of 1. ! the Building Code for the Cit;- of Tigard, as approved by- the Tigard City Council. ...... ............... Building Inspector . W.* unIa w u!s. Ar1c(r' �is i u n P Paid by 'i ypil or ;mi.ld..n,-) ._.-....�2*-i/_ _ ._.__...�.. Data r,onnorEnd ';:r r u i r,c c t•'? ._ ....___....w��,L.�?..»__...._._.._........._. 7 n�(.�ca c l:i a n t`�,n --_....d.s °." ._ .»... Paid by ._ _. daises or crimirrr-.ti'tir la :��r,:. :rrarti: __ Paid �, t, .-^w�v.r�.n ra.nen.�...._.n.T.........•�.w..�...^ir+wn..+.rw.ws�.NARx^.....w.Y1�.Wq'4�Mx'- v•at. ..... n-n.,,....:x++MJrx...x..+.+.�wx......q.,.......e^-WWIr.^n.-�_....__..y....�._....x. Mn�r+�iYns.N•-•1w..s.. [A; BUILDING PERMIT APPLICATION " TIGARD DATE 7-21-71, THE UNDEKAGNED HEREBY APPLIES FOR APERMIT FC . I-HE WORK HEREIN INDICATED BUIL.DERPHONR 639-3101 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNLRPHON97 ]� LOT NO.__�_ — OWNER n a JOB ADDRESS [ �W AI $kl t�fC�. MC7Iy1E ADDRESS ARCHITECT ENGINEER BUILDER L' _ADDRESS _ DESIGNER _ STRUCTURE 04EW ❑RFMODEL ElADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION (3 AESIDENCE ❑COMM ❑EDUCATION,AL ❑GOV'T ORELIGIOUS❑PATIO [:]CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE QBC.iu ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APFROVED ❑SIGNS OCCUPANCY--L—LAND!,SE ZONE—''-7 BLDG.TYPE—.LN—.—F IRE ZONE___ PLAN CHECK BY�—.-- HEAT—`j� .I L 4', 1 m 15 ii-- _ioesuo sora } ab 15613 1i Sumtvw-&c is ld Lane ''rnmf- dt,leliing w/attachrtiad yernt -o 3 b®droom 3 both 's 3 O rifl. OCC- LOAD ____HEIQHT _ N0,31ORIU-2— AREA20LONO.BEDROOeQ$_-,3-(ALU-15_� _.— ! BUILDING DEPARTMENT _ — SET BACKS FRON, REAR LEFT SIDE RIGHT SIDE Permit I66*00 TMS PERMIT IS ISSUED S�QJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check ,10160 REGULA/IONS AND ALL APPL"IAOLF. CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE WORK WILL RE DONE IN ACCORDnVCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE.WITH Sllh-t0l-�! ALL APPLICABLE CODES AND CgUINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE --- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BIJSINFSS Stall!Tax 7.04 LIC;N©E.aSEPIIRAT&V6,ADMp�onr. (E'�tOR SEwEFj�P+U�A61NG AND HEATING Total 183. t m/ 1 1 C 1 tl J'J By 1 —— -- — — APr;NT OR AGENT Approved Receipt No 1 UATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. yo e-e-v-tl Rough. n P,xture Final HEATING "A j Contractor_ j r) �k A/(/-- L')Z�xtt Permit No. z- A Gas or Oil O::L 1I-final SEWER Final DRIVEWAY Final Slorm Drainage (Rain Drain) Final Sidewalk Curb &Street Final SLOG DEPT FINAL TEMPORARY CERTIFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zor.ing Final .... , SEINER PERMIT N° 13480 Unified Sewerage Agency6-21-77 of Washing!un County CITY OF T1 oe rd DATE OWNER : T_ n_ r _ PHONE ; 639---ILD- OWNER ' S ADDRESS: TYPE OF INSTALLATION: rr�� BUILDING SEWER BUILDING SEWER AND SIDE SEWER OF OCCUPANCY: -, EW SINGLE FAMILY ❑ COMMERCIAL ❑EXIST . (PRICR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIA:_ FIXTURE UNITS DWELLING UNITS 1 PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . TH? S APPLicATION EXPIRES IN ONE-HUNDRED AND TWENTY ( 120 ) DAYS . THE AMOUNT PAID WILL BE FORFEITED SHOULD EXPIRATION OCCUR . FEES: PERMIT FEE $ 25. CONNECTION CHARGE — rnn SIDE SEWER INSTALLATION _._--_ ISSUED BY OTHER ---- �'� AP t'IC T DATE SEWER PERMIT M 13480 ADDRESS OF STRUCTURE 1.5840 SW Alderbrook Circle _ TAX MAP TAX LOT SYSTEM fanno crsek — t LOT _ 457 BLOCK OF ISSU D BY DATE APPROVED BY DATE REMARKS bldg. =J613 -