10250 SW SERENA WAY I
o
N
v,
0
In
ti
(D
U
,"1
co
w
R
0
ti
l
s
INSPECTION NOTICE
City of Tigard Building Dei artsent:
13125 SW Bali Blvd. Tigard, Oregon 97Aj!y /
Inspection Line (Rec--O-Phone)! 639-4175 Rusin9 F : 639-4171
Inspections
- ---- ��% t1.'_-•• _. �_—
Footing Plbq. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL-
Post/Beam S` �'uct. San. Sewer Framing -Bldg.
Poet/Foam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
�- -
Date Requested s�4� .r —Times :1141 C'C! ` � pM
Address: ! ? �7 �_rc✓_ �� Permit 1s__ _
Builders
THE FULLOWIrG CORRECTIONS ARE REQUIRED,
N
21
_11APP!iOVED DISAPPROVED APPROVED SUBJRCT TO ABOVE
Call For Neinsp.
1
BUILDING PERMIT APPLICATION TIGARD DATE__ `
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE ANS AORK ND HEREIN INDICATED
D OW D RR HONE_ -�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PL LOT No
I C JOB ADDRESS
OWNER - ARCHITECT
Ax>nt Ct. ENGINEER I-,if,"Cc;'j
_ ADORE
SS DESIGNER
BUILDER
STRUCTURE i[ NEW l.] REMODEL [I ADDITION----
❑. REPA ❑ RENEWAL_ C1 FIRE DAMAGE El DEMOLITION
D-RESIDENCE E] COMM [I EDUCATIONAL ❑ GOV'T ❑ RELIQIOUfS C1 PATIO ❑ G-�-_AR PORT ❑ GARAGE ❑ STORAGE J TLAB❑
BLDG. '`FENCE
'' FIRE ZONE PLAN CHECK BY HEA
OCCUPANCY _ LAND USE ZONE _ .TYPE — --
_ _ r.
w? �'�•.ii.l y i•,3�llittcY �� ',�tt.:,�r•;i �r ;� . _�
,rz'ection sk?no tlGt c4tr"i -- --
SEWER PERMIT N •' � � '� � — ^__-- --�--
VALUE
OCC.LOAD FLOOR LOAD 4 fl HEIGHT NO.STORIES_ 1 AREANO,BEDROOMS
_ 1. 3
1 REAR ' LEFT SIDE 1 RIGHT SIDE _
BUILDING DEPARTMENT_� SET BACKS FRONT_ --�
Permit THIS PERMIT IS ISSUEI? SUBJ-CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, AT THE
REGULATIONS AND ALL APPLICABLE_ CODES AND ORDINANCES, AND IT IS HE AGREED THAT THE
Plan Check __ WORK WILL NECODES AND ORDINANCES. THE SSUANCTHE PLANS AND IE OF THIS PERMIT DOES NOT OMPECIFICATIONS AND IN CLWA VE
WITH ALL APPLICABLE
Sub-total `_ __ RESTRICTIVE CGVFNANTS CONTh.�CTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITSEOUIHED FOR SEWER,PLUMBING AND HEATING,
State TRY, SDC, 411!7 '00 / f
Total PDCN < 1 c. APPLICAN70RA0ENT —
l �
. � _
ByReceipt No. — PHONE
Approved _ ��
DATE INSP. TYPE INSPECTION ['MARKS PLUMBING DATE
z �" _ "' S/ –z .«I Contractor/1 –j
Perm:k No.
Rough-in ——�
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-ire
Final
-- SEWER -
-- -- Final
DRIVEWAY
`V Final _ ----
Storm Drainage
(Rain Drain)Final
Sidevwelk
Curt,&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICA7 E OCCUPANCY Final
CERTIFICATE 0CrUPr1Nr'Y
Landscaping
Zoning Final
1-71TY OF TI PARD — RFC:V1rIl Cit' PAYMENT RECEIPT NU.
CHECK AMOUNT
NAME % SUNSET FLJEL C0 CASH PM0',JNT z 0.
ADDRESS g PCI BOX 481;287 f7lqYlvlf-.NT DATE a 04 0$-,
9089 I V I F,I ON
PORTLAND, OR 97242-028-7
PURPOSE or PlAymr:1\1 T V'jt,.JRPO9F. OF* PAYMENT AMOUNT PAID
ST. BUILD PFR 4'5
----------
GW -;U-HFNA
TUTiA.- AMOUNT 1-*,All')
CITY®F I' ARD (c/,Y RD MECHANICAL
COMMUNFTY DEVELOPMENT DEPARTMENT OREGON P E R 14 1 T
13125 SW HWI Blvd. P.O.Box 28397.TigaM,Or*Wn 97223 (6031830.4176 PERMIT #. . . . . . . : MEC 92-0057
H39-41*71 DATE ISSUED: 04/03/92
",ITE ADDRESS. . . 10250 SW SERENA PARCEL: ES114BB--.04700
SUBDIVISION. . . . : PICKS LANDING NO. I ZONING: H 4. 5
BLOCi... . . . . . . . . . . . . . . . . . . . . . . ..2-
LI-W3S OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : ',)ENT r--ANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS:
TORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . .
FUEL TYPES------------- 0-3 HP. . . . VC7MES. INCIN:
:/ELE/ 3-15 HP. . . . COMML. INCTN:
MAX INPUT: BTU 15--30 HE=M. . . . : Ri7PAIR UNITS:
I:I IRE DAMPERS?. . 3 0--S if.) HF,. . . . : 1400r.)SI"OVE5. , '
GAS PRESSURE. . . - 50+ HP. . . . : Ct.0 DRYERS. . "
NO. OF ()IR HANDLING UN I TS OI HER UNITS. :
"URN ( 100K DI U: (= 14,000 rfm: GPS OUTLETS. :
FURN ) =100K BTU- ) 1000 71 (--fM -
Remarks : 2. 5 TON AIR CONDITIONER
Owner: ------------------- FEES
F-RYAN DAIRBAPA STOCKMAN type alnO'Ant by date e C p
100.50 SW SERENA WAY PRM'r s 25. 00 JLH 04/03/92 —
TIGAIRD OR 972'24 15PI-',T $ 1. 25 JLH 04/03/92 -
Phone #i
Contr-actor: ----------------------------------
SUNSET FUEL CO
PO BOX 42,':--.87
PORTI. AND OR 97242
;-*Tionf., #.- 234-0611 26. 25 TOTAL
Rey #. . : 02374
REQUIRED INGPECTIONS
is petvt is issued subject to the qulat,ons contained in the Final Inspection ...
Tigard M.-inicitial Code. State of Ore. Specialty Codes and all other
appliciblp laws. All work will be done in accordance with
approved plans. This oersit will expire if work is not started
within 180 days of issuance. or if work is suspended for more
then 188 days.
e r`m i t t e e S i q n a t;t..t r,e
r d By
rj Call for- inspection 639-4175
Is w M
U1 I Y U - I ILiAHU MECHANICAL PERMIT Permit M -
Pormit N
Table ZA Mechaelcal Cod• O'n PRICE AMT
Cil of Tigard L' •
13125 S.W. Hall Blvd.' f 1) Permit Fee _ -0- -o- 10.00
P.O. Box 23397 6
Tigard, OR 97223 �,� 2) Supplemental Permit — 3.00
639-4175 ' Furnace to 100,000 BTU ti 00
lderth« 1) incl i3 ducts vents
Ain:?er*-Ce -_ '-_- -
a
2
) Furnace 100,000 BTU +
----��---- incl.ducts b vents 7.50
— t n.m.of o.wtoprnemFloor Furnace —
I 3) incl.vent G
Job Ardr•se � - Susprxtded healer,wail heater--- --
Address - .- _. 11� �N' 4) or floor mounted G.00 -�
Tu la Map No. Vent not incl.in
_ Lr, Block Subdivision 5) appliance permit -- - 300 --
�--` wama to narne of buerwes) - 6) Repair of heating,refr ig.,
-cooling,absorption unit r)-OT0
M"V Addron PhorwBoiler or romp to 3 H P 6
-- - _
Owner 7) abs,)rp.unit to 100,000 BTU I
I Ct�rrslata ZIP 8) Boiler W comp to 3 HP-15 HP 11.00
-�L7 QK2 z) QR_ �1-7c�c�.L- absorp.unit to 500.000 BTU - --Boiler or or comp 15-30 HP
! t r I 9) absom.unit 1/2-1 million 1 ,-�
Abd•ig Address phone -` 10) Boiler or comp to 30-50 HP 22 SO
_ absorp.unit 1 -1.75 million
1
Contra _���It-I c J 1 � -tiL C l I -- --- -- --
r r -- re
Boiler or m to 50 HP
I�l� faly Stara nI1� C � �� ._if JP 11) absorf.unit 1,750.000 BTIJ�- 31 --
-61a1�r�NlnMar*fro.
City So.TaxAir handling unit to
�`t Buticie�uS t�yrkrt+l it 12) 10,000crm 4. 0
�'�r I Air handling unit -_-- ------ -� -----
I hereby acknowledge that I have food Ws appl"to.i that the fntormation given is 13) 10,000CFM + 7.50
con•1.that I tun 9Wormer or authorizedgen
agent of er,
the own ,that plans submi led are n -- --- — _—_---
cornpaance wnh State laws,that I am-egrstwed with the State Buildms'Board,that the Non portable
number given is tonna.(It eserrtpt hom State regkstralton please give reason bears) 14) evaporate cooler 4.50
__... L LL 1 f 1 -.) l l _;_' 15) Vent tan connected 3.00 --
to a single duct
Ventilation system not
16) included in appliance permit 4-50
.^ -�..
17) Hood served by ----
4.50
mechanics l exhaust
Signature(owner or agent) Dale t8) Domestic type 7.50
Describe work U addition alteration Q" repair ❑ incinerator
to be done residential ll0 non-residential ❑ 19) Commercial or industrial Existing use of type incinerator 30.00
- --
t'uilding or properly _^ 20) Other i.e.,woodstove,water
Proposed use of heater,solar,clothes dryers,etc. 4.50
building or property -_— - 21) Gas piping one to four outlets 2.00
Type of luel- oil EI natural gas ❑ LPG O ele( ric
- 22) More t;tan 4-per outlet • --•-- - -�- -•- -
N TI E SUBTOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 5°70 06 SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR tT;A
ABANDONED FJR A PERIODOF 180 DAYS AT ANYTIME AFTFf7WORK IS COMMENCED II
Special Conditions
I Ili,t•;sttttt t.,,
v�
r
UX
As-
Q
zz
tj
v
W
1,
v�
AVREASUVIN
•
CITY OF TICARR OV PAYMENT RECEIN NO, 19 2—•f* 6 1
f", .CK AMMINT a - 110
NAMF s GUNSCT rUEL M CWS'- MOUNT a 0. 00
ADDRESS z PO BOX 42,287 PA"i IIINT DATE, a 04/03/9P
Built. V1,31011
PORTLAND, OR 9 M42-0287
PURPOSE OF PAYMENT AMOUNT PA 111 PURPOSE OF PAYMEN'r AMOUNT PAID
91'. SUILD PER 0. set
JOP50 SW SERF NA WAY
$9. 45 BALANCE DUE CUSTOMER WILL MAZE.
()14 At_ AMOUNT PAID 1.6. 80
.r
taN'71
♦ - a Y� ±^. ,t -� �^ ? .e.� -;,y�`,^e �? ;% .� ;" .��.,� .y-„ c. „""+`
\1r�`�{ n�~ - - - - - --_ •�` _ !SNI __ � tS z
♦ Sin_� �
CERT
'' - CITE' OF TIG11RD a
{
OREGONs
�4V1 M- Owner: Classic Homes Improvement Permit\o._ 4220 f ��
address: 12335 S.W. Ann Ct. Tigard. Ore. 97223
A Building:address: 10250 S.W. Serena Way
.- - Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type 5N = j=
Comments: Construct single family dwelling wjattached garage
a 3 Bedrooms 2 baths - 7
Certificate is hereby given this_ 16 day of March -. 1983
- � that said building may be occupied and that it complies with allt
1 . requirements of the Building Code for the City of Tigard, as approved
Y :-
by the Tigard City Council. �; ,�;
r F.re Dept.
P Ruiiding Inspector
�. Building Official
Post Certificate in Cans cuous Place `
L=\� r`��^'@�'��-^'+'�• ,�4+,'�.,r•'�.a'�4a,.� '�- ry� �-^04 --'�••.�� .+�'^`b-�r���,,,,rzw.sr'4d--�a-' �l��.D�� -��,"♦,e'�' .�•`A �.
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection � L�c r ---- --- ----�C?J
r
Date Requ,)sted_ c Time—._— A.M. P.M.
Address /U'. YV ✓�' - Permit # —
Owner p �_ --_ Lot
BuilderThe Following Building Code deficiencies are required to be corrected:
v -
Presented to _ Approved i
Inspector _ _--_-., _ � [ Disapproved
Date ------ �"�
CALL FOR REINSPECTION
❑ YES Ep NO
z,�
BUILDING PERMIT APPLICA-PION T1GAH7 a,nrE � isjg
THE UNDERSIGN ED'-IE=REBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 63#4791
ORAS SHOWN AND APPROVED IN THF ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHO F _
OWNEP�Q C ��' *08 ADD I���C� k sfLd�M0. L07 NO. _
_ RCNITECI -
� ( � (—
— � /.l ENGINEER d
BUILDER a�tv► ADDRESS b1LH DESIGNER PQyx,Q�
STRUCTURE NEW ❑_REMODEL C] ADDITION _ ❑ REPAIR n RE NEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS L1 PATIO ❑ CAR PORT 0 GARAGE ❑ 5TORA E ❑ SLAB❑ FENCE
OCCUPANCY _�t_?LAND U£E ZCNE BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT _
see Gy m,-ipo►ti
SEINER PERMIT M - //''
OCC.LOAD FLOOR LOAD (,� HEIGHT Lam` NO.STORIES AREA 1374 NO.BEUROOMS 3 VALUE
BUILDING DEPARTMENT SET BACKS _r RONT _ REAR
_ �,'l, LEFT SIDE RIGHT SIDE
Permit �•��_ THIS PERMIT IS ISSUEC SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOWNG
9 REGULATION'S AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlanCheck ,7 . WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
) ��ll _ WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total — L�•7 RESTr11CTIVE COVENANTS. CONTRACTOR AND SUH CONTRACTORS T(1 HAVE CURRENT CITY BUSINESS
!�•^� LICENSE:.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
iota Tax
SDC—
Total -
- PDC# APPLICAN T OR AGENT _By _
Receipt No. —
Approved ADDRESS — PMONE
SDC - U _
PDC -
SEWER CDNNECTICIt4 $
SEWER INSPECTION
SEWER SURCHARGE $
C'.,�,e,�s « (��•c. d�,«c P�wu� �° CpiT� ��ooQ�� �.'z OCJ , ►q t3 Z
ems.. Amex
4:l 20 x It 22o
37x 32 1 ( ,0+
FP 2Cl
x Io
x
g� 5,00
I