10305 SW SERENA WAY 10305 SW SERENA WAY
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INSPECT!ON NOTICE
City of Tiga-d Building Department
124^_L S.W. Main St.
T:gard, Oregon 97223
Phone 639-4171
Address-----------__---- _-—_ -- - e Permit # -�
Type of Inspection
The following Building Code deficiencies are required to be corrected:
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- - -- -- ---- A
irewritnd to --___ Inspector
Date --
C,4L.L FOR REI/1ISPEC77ON
El YES ❑ NO
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INSPECTION NOTICE
City of T'gard Building Delavrtment
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
R`Jdress Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected:.
.�.__. `�G.�.cL"`�`d^� �..�..G- � `•G.�e•��.�y (�?"?'i..t'.r' G.C',.� war'_.. ''�'^.'',}7 �•,^ .r "`-7C�..•� �___ .�
Presented to-_-- —.---__--- Inspector
Date ---_---__
GALL FOR REI11r;SPECTIOAI
n YES LJ No
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Permit t� _
Address_
Type of Inspection --- - --------- —
The following Building Code deficiencies are required to be corrected!
Prese-ii,rl to- Inspector _.._-------..-------.----._-- __
Date. -----------....---
(ALL FOR REWSPECTION
❑ VES ❑ NO
BUILDING PERMIT APPLICATION TIGARD DATE._...___ -'�- 19 + U 3328
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 246-4730
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE .__._.- —_ —
OWNER CICJ SF. MUF11S JOBADDRESS r' `,rte, SW Serena lJoy LOTNO.30 ik ck5 L6Lr�g
BUILDER Da11I13 ADDRESS r' 34 ilt! I.NhRii71r
._ _f1 toptldOESIGNER Piercy & Oarcllp.y
STRUCTURE ® NEW El REMODEL 7 ADDITION C1 REPAIR C RENEWAL _❑ FIRE DAMAGE _❑ DEMOLI' ON
U RESIDENCE ❑ COMM L] EDUCATIONAL ❑ GOWT ❑ RELIGIOUS 0 PATIO ❑ CARPORT El GARAGE Cl STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE R'"7PBLDG.TYPE _ .5n FIREZONEPLAN CHECK BY-- dd—H_EAT
(:cjnst ruct single Fcatni.iy dwelliI) w/attached gareQe. _ 4 Bar',room*-3 baths.
_ SEE CORRECTION SHEET ATTACHED.
SEWERPERMITM :'(3Z�X
OCC.LOAD FLOOR LOAD 41) HEIGHT 22 NO.STORIES AREA 42997 NO.BEDROOMS--
4 VALUE'J4 r 400•
BUILDINCI DEPARTMENT -
--- ---- SET RA KS FRONT 47 REAR 31 I•EFT SILff . r RIGHT SIDE • '
= —;_—-- -
Permit .��'%'l.001 --- -- - -- _
----- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE
Pie s Check I s1i• JU_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT' DOES NOT WAIVE
Sub iota! 41^�• �� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �'•
l Z•�� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total $4Z6.58� SDC __ �1JO. lit
PDC# .l I SICID.l7f� APPLICAN?dR-AQENt
By }.t
— ril,�r; Receipt No. -
Approved ADDRESS `—` -
---- --- - -- -- ---- PHONE
DATE INSP. TYPE INSPECTION ` REMARKS � PLUMBING: DATE
etT\4l Ac�g Gr�A�io�.. W\��ee•L. - Contractor
ZA6 qli%Am _ Permit No
Rough-in
Fixture
Final__ --
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Contrac:ar
�G�13-� RsorQ•�mM, 41NM�a 0y�tillfl it No.
Gas of Gd
•
Rough-in
Final
----- -- ---- --=---... Final - -
SEWER r
��---_--__- — Final
- ---- .�— DRIVEWAY'-
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL �� TEMPORARY CERTIFICATE CCCUPANCY Final —�
CERTIFICATE OCCUPANCY
Landscauing
Zoning Final —
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BUILDING PERMIT APPLICATION TIGARD DATE-44" 7 t9 $G
THE UNDERSIGN ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEZ%-T/,30
OR AS SHOWN AND APPROVED IN THC ACr,'M PANYIi\,l7l PLA`•!S AMD SPECIFICATIONS, Ow-14'�P,P,.-IO
LorNO. �
_.- -7 G CLM6leiC� J08 ADDRESS
BUIL ER ADDRESS �7:)4 '3 LP" 171f40ESIGNER dl
gTpn ,
rn•IRF �Li NEW Cl REMODEL ❑ ADDITION -_❑ REPAIR ClC7 RENEWAL ❑ FIRE DAMAGE LI DEMOLITION
RESIDENCE I! COMM ❑ EDUCATIONAL 73GOWT ❑ RELIGIOUS C PATIO ❑ CAA PORT ❑ GARAGE Cl STORAGE ❑ SL-ASC FENCE
OCCUPANCY U"3 LANDUSEZONE�' t3LOG.TYPE
�)�.._FIRE ZONE PLAN CHECK BY
sEwPERMIT Ir
OCC.LOAD FLOOR LOAD 'J/ HEIGHT 2z NO.STORIES AREA 4"p.l1jVALUE ypNO.BEDROOMS ('
BUILDING DEPARTMENT ETBACKS FRONT /fZ REA^ ,3 LEFT SICE f,f RIGHT SIDEPermit -Z 7
7 p� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUiLDIING CODE.,ZOPI:NG
Plan Chock ,,s.v REGULATIONS AND ALL APPLICABLE CGIQES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Sut�tatal g WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERfAIT DOES NOT WAIVE
• RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,FLUP.IdltiG AND HEATING.
;itetli Tax vs
Total u 7 y' SDC-
_� PDC# APPLICANT OR AGENT -
ey _
��- Receipt No. -� --
Approved ADDRESS -- - ----
PHONE
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DC — S /CrD
EWER CONNEC'(ION S 716,
'EWER INSPECTION S 2.5,
EWER SURCHARGE 5
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1 c� b g vJ +Ea.�xr� �•,y 3 0 6��^: La IJA
I
!v x zZ 2 2 0
/4 x zti' .�a
F 7 x
'12-1
14- A ZI
7 x 1-9 1
21 -2,x /2 2g�4-
3 x 14--
0 91 S-44
C-A 2zx
21 -Z;< 9b
1 ,19
Cl Permit_.
City of TiLard 1111 Lh(�niral Permit ` • Fee.-- �.Oa
N tion C, Replace h tion 3Relocation ' Addition ❑ AltEra °'
L7 /, State_-
TOTAL---
/
OTAL__—
CQ"1TPA OR MoColli/ter Heating & Alar Cond• OWNER Bob Samlaels
�nRESS 21940 W. Baseline 8d. Beay.— WORK ADDRESS_10305 S. W. Serena Way
PHnNG—__ 649-554 _ l , APPLICANT MOCollieter Heating _ _
Heat Input Rating (BTU Per Hour) 125.000— Vent Size 5"- Flue Size--6"
FUEL OIL ❑ GAS ELECT ❑ OTHER__
ITEM NO. FEE ITEM NO. FEE
For-Issuance of Permit ^� 3.00 _Air Conditio_n_C_c repressor 15 to 30 HP 1U.00
New-Under 100,000 BTU — f 4.00 Air Handling 10,000 CFM 3.00
New. 100,000 BTU &over 1 5.00 ''Air Handling Over 10,000 CFM 5.O0
4.U0 Evaporative Cooler 3.00
Floor Furnace _ —�
i Wall Floor •Suspended 4.00 Range Vent Fan 2.00
Install Vents Only 2.J0 Vent System
Repair - Heat & Cooling 4.00 Hood Commercial3.00'
r° ••-
it Condition Compressor Under 3 HF 4.00_ Commercial butt System — 10.00
Air Conditinn Compressor 3 to 15 HP 7.50 —
,1 Y INSPFCTOR'S COMMENTS -..^—
CITY BUSINESS LICENSE REQUIRED FOR ALL. CONTRACTORS OR SUBCONTRACTORS
x. APP11OVED BY DATE _ ISSUED BY DATE
RECEIPT N0._�_
— - �,t�rc.c_S
. 774 Signa tu plicant