10085 SW SERENA WAY 10085 SW SERENA WAY
INSPECTION NOTICE
City of Tigard Building Department
12420 SYV. Main S+.
Tigard, Oregon 97 223
Phone 639-4171
Address ..._ Permit
Type of Inspection
The following Building Code deficiencies are required to be sorracted:
Presented to —__— —_--- — Inspector
Date --- -- - —--— ------ — -- ---
CALL FOR '?F-IWE(TION
❑ r ONO
r
I
city O fr T l oar"d Mechanical perwit ? _---
V Fee--
Naw Installation ❑ Replace ❑ Relocation [3 Addition ❑ Alteration ❑ 41.State
i TOTAL—__ �Z&?/
H:'ATING
CONTrRACTOR I AIf W OoniEQj L OWNER eglu�lt�,
dar-t/1ii.[._ WORK ADORE--— `�,r ;�Lc�).�� t (<./ta
PHONE APPLICANT_ __•�'iI1Of1) _q_a I tlOdu hL
Heat Input Rating (BTU Per Hour)_-„_,)1LrUL�(l _• Vent Size Flue Size
EL OIL ❑ GAS G� ELECT ❑ OTHER___.,
i
ITEM NO. FEt ITEM NO. FEE
or Issuance of Permit SEE KBOVE _ _Air Condition Compressor 15 to 30 HP ^� 10.00
1Jew-up to & incl. 00,000 BT'U ,Ac1N4.00 Air.Handling 10,000 CFM_~ 3.00
Ne-N-100,001 BTU'3 & over _ 5.00_ Air Handling Over 10,000 CFM Y -� 5.00
'ricer Furnace 4,00 'Evaporative Coo.er 3.6
tall - Floor - Suspended 4.00 Range Vent Fan 2.00
Install Vents Only _ 2.00 _ Vent System _ _ 3.00
r eoair .Heat& Cooling 4.00_ Hood Commercial _ 3.00
Air Condition Compre,sor Under 3 HP Commercial Cuct Sv�tem 10,00
Air Condition CornprNssor 3 to i 5 HP _ 7.50 _
PzCTOR'S COiNIMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
r.NPROVED BY^ DATE_ ISSUED BY� _ DATE___
RECEIPT NO. Z-II
Signature of Applicant
I
g,if ZI-AvtBUILDING DEPARTMENT, Y iGARD
NQ
19115 E McLOUTHE rIBLVD. PLUMBING PERMIT lr
t97t5 S E.McIOUpNLIN BLVD.
_—GLADSTONE.Ot1EGON p7giy holder of a valid plumbing contractors 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 four
(4) hours prior to the time the installations are ready for inspection. City Or Tig& ;Business License require)
for all cAntractors and sub-contractors. Job
Address _
NUMSER OF TOTAL
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
R E�ISE'i�T1A L ---
Sin}!e F31`nilt: 1 bath—each 25.00
a
Du lax_Eich 1 bath unit _ 25.00
Additional bathrooms—each 10.00
Mobile Home Space—each 16.00
INDIVIDUAL FIXTURea COMMERCIA
Ito 50 Fixtures In 1 building each _ _ 3.00
_ 51 to 100 Fixtures in 1 building—each — 2.50
101 to 201) Fixtures in 1 buildinU each 2.00
_ 201 or more Fixtures in 1 building—each 1.50 �----
M A N E O U S
Ss,it —each additional 100 ft. _ 10.00
_'N, er Service to building, — -_�—_ 6.00�—
_Other ISp_•ui I _
PERMIT For Plumbing Inspection Phone F'9.4171 I
�4�!State ` Plumbing Contractor By _--_
rnTAI Pr-rrIPT NA IsaioA Ru r--�
BUILDING PERMIT APPLICATION TIGARD DATE 19_3 3284
THE UNDERSIGNED H' REBY APPLIES I-OR A PERMIT FOR THE V ORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
EOTMG. :•-t 1C�GE3 Baan (-
OWNER .lilt G.tWaymire JOBADDRESS 11.1000 5t,; .1jerena Way.
ARCHITECT
ENGINEER
BUILDER Arista C Stetfas, YnC. ADDRESS 15359 Ouckey Lane,Mi1WOESIGNER - ---�� —_
STRUCTURE LS NEW ❑ REMODEL U ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
FY RESIDENCE ❑ COMM ❑ EDUCATIONAL Ll GOV'T '-� RELIGIOUS F1 PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLABD FENCE
OCCUPANCY LAND USE ZONE R-7t'I'_BLOG.TYPE FIREZONE__ 3 PLANCHECKBY b r^ HEAT�aR —
ons ruct single feFnilY d,>>elling w/attached garage. 3 Bedrooms 2 Ueths.�--
SEE CORHLUTION SHEET ATTACHED.
SEWER PERMIT# 21967 - 050900L:ifi- .1f.._ ---_
OCC.LOAD FLOOR LOAD 40 HEIGHT I NO.STORIES 1 AREA 1646 NO.BEDROOMS3 VALUko4
BUILDING DEPARTMENT SET BACKS FRONT 'O_ REARJJ�+ (_EFT SIDE RIGHT SIDE 9
Permit X17•D0 _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
1Q8. `aU REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGFFED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS ,AND IN; COMPLIANCE
�, WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERIV!IT DOES NOT WAIVE
Subtotal 3i.J. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURFIEN7 CI(Y BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING
°�! f+•t.,c! SDC- t400•00
Total '&33Q.1L1 iI �1DC1.0[i __ _-----__--
1]1 PDCN APPLI- CA JET OR AGENT
By � 7
Approved
bCr Receipt No. ADD E88 - �PHONE
1
- N M
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
7 -&-LI 4) ;2�1e' O� Contractor
Permit No.
le
Rough-in
Ql �q_�U Fixture
Final
jLL i-_j Q,, p d �1T VJh\e�C i �I'[t'r HEATING __-
l�' l( ^ Contr ctor (�
•leyi►(� s _ �. Permit No. /
amiss��Q Gas or Oil `' U
e- Rough4n
Final
__ -- SEWER —— ....-------
' — —
Final
DRIVEWAY �-
--_��---_ Final --
Storm DrelnW
(Rain Drain)Final
Sidewal:<
_ Curb&Street Final
Approach
BLDG. PT. FIN.'! T - TE 700PARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCJPANC'r
Landscaping
Zoning Final
M 1
1
)
Ii
BUILDING PERMITAPPLICATION TIGAFF ID DATE--_
THE UNDERSIGNED HEREBY APPLIES FOR A PE•RNIIT FOP THE WORK HEREIN INUICA'FED BUILDER PHONE
OR AS SHOWN AND APPR(;VED Its THE ACCOMPANYING PLANS AND SPECIFICATIONS. C%NNEP,PHONE �-�_ _
�� 1Ifw1LOT NO. i; A T N
;VINFR � C•_ "RP �tTi J08 ADDRF �rJo�3 Xoe ZX;I—
-s� ARCHITECT
_ ENGINEER
6UII ER ko !r�- ADDRESS I5 * Ly 1. ��1 l• DESIGNER
STFIIJ=FIE NEW CI REMODEL 0 ADDITION REPAIR Cl RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
—RESIDENCE (_ COMM ❑ EDUCA T ION :L ❑ GOV'T ❑ RELIGIOU S CI PATIO C. CARPORT ❑ GARAGE ❑ aTORAGE ❑ SLA9❑ FENCE
OCCUPANCY '-------LAN 0 USE 20NE _� BLDG.TYPE N FIRE ZONE 3__.PLAN CHECK BY • /Z—HEAT
Sam --
L�NErRPERMITx
)CC._.LOAD FLOOR LOAD 1,", HEIGHT Z NO.STORIES AREA le V d NO.BEDROOMS �VHLU�
Bu_EINC DEPARrIVIENT �•
AEI BAC%S FRONT c REAR + LEFTSICE RIGHTSIDE
aeir�il THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE, BUILDING CODE_ ZON:140
50 REGULATIONS AND ALL APPLICABLE CODES AND ORUN NANCE1 AND IT IS HEREBY AGREED TeA.T THE
'I'm Check 1 Q 8 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN Co"4PLIANCE
WITH ALL APPLICABLE CODES AND ORUINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVZ
SuG,rotal� „� S S RESTRICTIVE COVENANTS. CONTRACTOR ANO SUE CONTRACTORS TO HAVE CUPRENT Clly E.;.M'fE5G
g LICENSE.StPARA rE PERMITS REQUIRED FOR SEWER,PLUMBINC AND HEATING-
S tAw Tax
"-" SDC—
"Otal _�
ppm APPLICANT OR AGENT
,y
Receipt Na.
,pprcved ADDRESS PHONE
A
SEWER CONNECTION
r
rrt ico SURCHARGE S _„__,9:::_
i��C-s-ta' -+t'•L����.-Lis-»� __.—.��._------------�---------
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