10265 SW SERENA WAY � w � rw 1-
10265 SW SERENA WAY
}
3
c
IBJ
W
U7
:3
U7
1.f7
l(l
.I
L=
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 2,3397
Tigard, Oregon 97223 .� � -
Phone: 639-4175
Type of Ins!,:,tion 5-Init'lee -_
Date Flaluested Time ----- A.M. P.M.
Addres,. �Z,45�. ;57eaew q .....---- Permit #
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
.17
-oz -
Presented to ?�_Approved
Inspector
[-1 Disapproved
Date 40�42
CALL FOR REINSPECTION
❑ YEI 0 NO
���; �� �✓ �' ���" "Sd�^� �� ,y .t� � .r �s-. - y'+«e .,� +i � -�.�. .moo`' 4 �� 1 +.�� .%*`_:
`/'� •..'-� Cy�.�,... -.�..av �b .*"';ty-�-t"Yi �'�`' f�: .'1� 7 3n"'�_ .Fw. .. •� �Y;��`'.'F�^.," '.t{� 'Ci,--s" o""+r
�s.�; r. 3 Cy' `!+"�;Lt ..•....i•, •fi�sr� r.R� r y r+a'ys -+[ 8 .a- t fir.•.. _ = w••::r�y.+NxY-r�c
a" *jss'
• CT Or OCC (J-[,
{. C FI tt'�C,Y
= : CITY OF TIG.UU)
OREGON
` Owner: Sam Gotter Construction Permit No. 3580
Address: 12635 SW Beef Bend Road
Building Address: 10265 SW Serena Way �?
Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type 5N
Comments: ' "'
[
_ Certificate is hereby given this 3rd day of September lg 81
that said building may be occupied and that it con..3lies with all
requirements of the Building Code for the City of Tigard, as approved
`(. _ by the Tigard City Council.
Fire Dept. , L jldi g Inspector ;n ;
Building Official art ,
Post Certificate in Conspicuous Pluce
jk-� — --- - -
(�
Z V -147
,
a.• r} \�. i-`ys'' �- */, -'tY,Is;'" :y ..- �"'S' s is ',*.y�`{i� / �" •�,�
_✓^ .'.'.. .. •.l /i 'yM!/, .., `. -
, • .rte at ..
\.�+ �' ,•-•�3=..'t`i� �.� r i-`cb .J .+1�`.a 4�,. f�� ws �.rS. -ts,.tC �tiw....` -T -.:.♦ 'a'.•r. `y�
p' rr:-'may:. ':�y�'.v w ,.- `u. r ,; :�"�:+s'."�„a- ' ' �}�,.S.s'�4..�� ••�._ ..d�--r.-�i+,,x �':
�. - \
- M I
Cpty= ®f T igara mecnanical Permit NO.
New Installation �� Replace ❑ Relocation❑ Addition ❑ Alteration ❑ DATE:
HEATI fir•
Zaa
CONTR CTOR(4�►S441- .!t1�J�MC.t. fn ^'f _ OWNER _moi+ ua/_.�� TC.Y�- ''�'�^�
�:'-IL.& iiArS JOB ADDRESS
ADDRESSJ�,, 'tlnn fl �Gk:
PHONEAPPLICANTr dawn
Heat Input Rating(BTU per Hour) e- — Vent Size 14� _ Flue Size
FUEL OIL❑ GAS 2 ELECT ❑ OiHER _
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE BELOW Each_Air HandlinaUnit or Duct System 7.50
i w-up to & inrl. 100,000 BTU 6.00 Commercial Hood System 7.50 _
New 100.000 BUT's & ov r 7.50 Other Equipment - Each 4.50
Woodburning Stove 4.50 1 1 Tri Inspection _ 4.50
Wall-Floor. Suspended_ y� 6.00 Air Condition Compressor - up to& incl. 3 H.P. 6.00
Vent System w/Fan i 4.50 Air Condition Compressor-3.1 to 15. H.P.incl. 11.00
Repair -Heat Cooling _ _ 6.00_ --
CITY-BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS! ! `
PERIWT ISSUANCE _ 10.00 Comments: ---
FEES
§1la-TOTAL1.
_
% STLkTE�:d (/ Issued By-----.'
2_X6 PLAN CHECK J `�
TOTAL _ REC. 0
INSPECTION NOTICE
City of Tigard Building Department
12420 S-W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Permit 1�_
Address --
Type of Inspection r-_The following Building Code deficiencies are required to be corrected: -----
Preeented to _ ----_---- -----.
--_--- Inspeotur
Date —_-- ----_ ___----CALL FOR RH USPECTI UN
❑ VES L7 NO
BU!t_DING PERMIT APP_ICATION TIGARD DATE 19-._._61 35$0
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK HEREIN ADICATED BUILDER PHONE .1539-4869
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER Pij,4 INE TV
LOT N0. C7 Pic $ __.----
OWNER- Sam Gutter Lens t 9913 ADDRESS 10261) SLI Surena Joy-___ _ _ Lan— n_q �---
_
ARCHITECT
BUILDER 300', ADDRESS 12635 SW beef Send RoADWICNER totter
STRUCTURE ® NEW ❑ REMODEL _❑ AUDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE CJ DEMOLITION
U RESIDENCE ❑ COMM E] EDUCATIONAL ❑ GOWT I i RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY H" LAND USE ZONE_R.1-7PE BLDG;.TYPE _4 FIRE ZONE "- PLAN CHECK BY _dW_h HEAT_�! _F'
coautruct single family dwelling w attached garage. 3 Bedrooms 2 Baths.
+ Ps-Issues of Pt;=rmit Jf3579 (10085 5IJ Kent Place)
SCE CORRICT IOM SHEET ATTACHED.
SEWERPERMIT# 22263 - 2,750100 _-- ------__.__—�aray8 395 dq.frt. _--
OCC.LOAD FLOOR LOAD 40 HEIGHT I NO.STORIES 1 AREA 1181 NO.BEDROOMS .i VAL.L4'-`l 0 1)(10•
BUILDING DEPARTMENT SETBACKS FRONT 30 REAR 24 LEFT SIDE 6 RIGHT SIDE 6
Permit 1')i.QEJ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10000 REGULAIIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WIYH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
?()1.•f)0 WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub totalRESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 41 7,64 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING-
SDC.- U ll.U IJ
Total x106.64
PDC# I 1 $100.00APPUCANTORABy
QENT
dL111 Rerelpt Nc. 7 1/.4
Approved_— - ------- � � AbbRE89 ------- ------- ------------PHONE—.
DATE INSK TYPE INSPECTION REMARKS PLBING DATE
2-174' Contracto Me;f
Permit No. d4l,
1 —YJ Q
Hough-in
Fixture
ZA Final
Contractor
T. 00 M HSATING
YAO
vWiv e4,-0 19:2914,2 eza o__e 6 3�
q,(J)
♦ Permit No,. 4-1,
G.e or ail
Rough-in
'final
SEWER
Final
DRIVEWAY
rinal
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE Approach
CERTIFICATE OCCtJPqNCY 0CCLIrNCy Final
Landscaping
Zoning Final
�w
BUILDING PERMIT APPLICATION TIGh?0 DATE��""____.r
THE UNDERSIGNED HEREBY APPLIES FOR A PERPAI r FOR ThiE WORK HEREIN INDICATED BUILDER PHONE w'e39-��IyQ
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER.PHOI4F
del A LOT No.28_._ ..
sts1- JOBADDRESS .
_. _-�
A
AJAII rECT
g _ _ _ r.JE"'!_ ._._ ENGINEER
BUILDER A�'✓� �. ADDRESS/•� � �� ntcSIGNFR �OpPrf`
STRUCTURE NFW` ❑ REMODEL ❑ ADDITION u REPAIR Cl RENEWAL ❑ FIRE DAMAGE L t clAOLITION
gESIDENCE C COMM C; EDUCATIONAL ❑ GOV'T C RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE Ci STORAGE Cl SLAB❑ FENCE
OCCUPANCY LAND USEZONE R rPr BLDG.TYPE -.E_FIRE TONE — -PLAN CHECK BY kEAT�
Re•�slNQ, po„N°� 71 toPlop-
$
SEWER PERMIT M �*
OCC.LOAD _ FLOOR LOAD HEIG, NO.STORIES AREA NO.BEDROOMS ,j VALUE.QfOO
BUILDINr DEPARTMENT SET BACKS FRONT 30� REAR .Z� —LEFT SIDE (p RIGHT SIDE G
pBnnit __��•GQ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZOWNIG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TY,AT TME
Plan Check to 'WORK WILL BE DONE IN ACCORDANCE WITFI THE PI ANS AND SPECIFICATIONS AND IN COMPLIANCE
T WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
I Sub-total D �. O U RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURP,FNT CI'rf BUSINESS
~ I r LICENSE.SEPARATE PERMITS REQUIREO FOR SEWER,PLUMBING AND HEATING.
i State Tax • rO•�� 3DC--
Total
POCJt APPLICANT OR AGENT
ily
Approved Receipt No. Af?DRE39 PkONE
.O C
0C -
EWER CONNECTION 9251
'EWER INSPECTILILl $
EWER SURCHARGE-
S 0--
2,, 1
¢ oNy�►T web. $ /
4mrA. Go-sf Clap. .
Wo
19- x 2& 610
lx8 ( a
C;i P )r
/9 3 �
, � 809