10350 SW SERENA WAY 10350 SW SERENA WAY
I
I
/ M999TION NOTICE
City of Tigard Baailding Departeent
13125 RR Hall Blvd. Tigard, Oregon 97223
tan ection Line Rec--O-Phone s 639••4175 Business Phone: 639=4 ?
P ( 1
Inspection,. ___ _ _•_� _�
Footing Plb;. Underalab Mach. Rough-in Appr/Sdwlk
Pound. Fl!g. Top Out Gas Lino FINALS
Post/exam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Piumb.
Plbg. Underfloor Nater Line Gyp. Bd.
Date Requested. ��`/ 3 '-C Timet -m PH
Address:_ Ay,,P �Perm f a-, ZU,
►Ail lders T Q J
THE FOLLOWING CTIONB ARB RLQUIRIDa
('�:lj 'b��IZ. �t✓L%�Ti G'Ti11c�. t�.`�K w ASE' v _
�Il.Vi-fL� � /tiJ�L L�Li�L'CT"L=FL alt=.sem
i
Inspectorste _ Dates
_!APPROVED DISAPPROVED Z- 4.PFROYRD SUBJECT TO ABOVE
Call For WAnsp
11 E C,H 0 N I I
CITE( RD �'F:. . . T
OF TWA . . . . . . NEC90---0 2 13 4
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW t4W1 Blvd. P.O Box 23397,Tiger!,OroWn JJ7M(503)&W-4175 DOT1. ISSUED: 1.0/23/90
10350 S1W SERI PARCEL: 2S.114PP-04500
-
.11 t 1)j. -i- r4 r-.11(.`,KS U)I,I1)1N 101,11FIG: R-4. 5
1.'4 L C3 C K L-01*. . . . . . . . . . . . . .22
GLOSS OF-- WORK. (LIF'LOOR F!'URN. k::v P (1001.F R S
TYPE: OF:' LISE. SF. U N 1.T 1-11- E7-RG) VEN,I' F:(4 N S.
UCCU)PANCY GRP. R 13 VEFITS W10 Ar-*,P1..: 1 VENN' SYST*EVIS.-
JOR I ES. . . .
11171:I.-ERS/('OMPRFSSORS 110C DS.
0-•;3 HP. D011ES. INCIN.-
3--lb 1.11"'» C-0111"I1.., 1'.NC I III'.
,'I 0 X I N P U 1* B I`Ij 15-30 HP. REPOIR UNITS—,
I IRE DAMPERS'?. . . 30-50 1-1P. WOODSIOVES. .. :
O'OS PRESSWRE. 50+ HP. . . . . (,LO DRYERS.
()IR I-IONDLING 1.1N1:1 13 ('JHF.':R
10. CW .......
URN < 100K BI*U:: 1(JJ000 oi')S O1JI'LEI*G.
"URN >r:-1001-1, PT(.k > 1.0000 cfin-,
",e ni a-v k.5;z
0 W)-I e v- ........ FEES
P-)111-.:S K R G I E R ty PC4 'amotillt by (J a.t e -r e c 1:)
103'50 SW SERENA WOY PPY11 $ 15. 75 .FI...H 10/23/90
II(a)RD OR 97224 51"'C:1 41 0. '75
ti c))-I F.-+ It::
o 1-1 t'r A C.t o 71. .................................
A 'ES
."111! SERVIC. INC,
..'1.5 111' 82ND ST
WA 98665 ........... ......
''hone W. ((JR) /5 1*07,1). 1
RE OUIREI' INSPEC"1-ION,13
'his permit is issued sub7oct to the regulations contained in t;ie Final liispcec-tioll ..................
Board Municipal Code. State of Ore. Specialty Codes and all other
applicable laws. All w!rk will be done in accordance with
............ ..................
4oproved plans. This jermit will eypire if wL,.:, it not sta,teu
within 180 days of issuance, or if work is suspen6zd for more
,hp, 180 days.
............
...........
...........
. .._.... ........_.___«
,va-rn14 htep 9j.qviatt.t-re:
................. .....................................I ...........I.............- ------ ......................
(.'e.11 for J.risi.)ec-L-ion 639 4175
RUX I P T
1-1,LCEIPT OF PW�MFNI'
-ITY OF TIr NO
CHECK (AMOUNT CH"i
CAL;I-i AMOUNT 5.75
NAME r KRYWER, JAMV--`-*i PAYMENT DATE
ALIU)RE'SS c SUBD I V I S I ON
1('1350 SW SE RENA W!"' [.
PUPPOSE Of" PAYMI 1\1 T AMOUNT PA 11) V'URF-`Of3E OF PAYMENT AMOUNIT 17'A I L
MECHANICAL F`E Mj--c 171'.),-02,74 1 to. 110 r-ions) r-,Fr;i Q.
I�
i.
I�
TOTAL AMOUNT PAID
/ � � -- �i�� "'* i�- ter.: �' �.'r �� ��`�5,`��- �-... � -.,,s� •�r � � r-.'r�� r
ti
XV
-� " IC�'�` OF OCCUPANCy ' r
CITY OF TIGARD I = s
Owner: I-11er 4271
Permit No. _ I
y C
Address: P.
0. Box 23291 =_
10350 SW Serena Wa Ti and OR v_
Building address: Y, g
Occ.:pancg: R-3 Land t se Zone:R-7PD Bldg. Type 5N
V%
Comments:
17 March 83 I
Certificate is herebv given this day of . 19
that said building may be occupied and that it complies with all
-f
g P P �
l requirements of&.e Building Code for the City of Tigard, as approved
by the Tigard City Council.
? '' = Fire Dept. ii ing Inspector a
x ' kik
Building Official
Post Certificate in Conspicuous Place "�' �"
.. - ¢ 7.
j. - - _
ON
>..
�_ a 'A' }aD�" �"'2�.�':_ 7 _Y+�p�a' "per.` ',' _•" _9�-_
. -,J, .��. '�-"'�dy-� _.�E�' 'yy�F•_,,...aD�4sm,� '�i��r� ��"�� � +' ����"'""'`.`�'`a '��'�wy�4�`.r"'v�'�'" =� s
���'--__1 �'-.✓�_. ..vti+r•+'1�.� ��.'y+r",ay.+"� ..J' .a.�..�: `-.�� +..,,,a:� _ i�` .� -- _ ���i+.mm�. .'-� a.,va..tom ice_
WFl I
W'
INSPECTIOI r (?TIC'E
Cite of Tigard Building Department
12420 S.W. Main`it.
Tigard,Orego,' bt223
Phone o39-4171
Type of Inspection
Date Fleque�t ri ,p Time —. A.M. tP.NI.
Addr'1Ss c.^ —�ii—� ts.. 'l�' c?t•t�'. Permit #�—
Owrer < _ •/� Lot #
4uilde►
The following Building Code deficiencies are req,rired to be corrected:
Presented to _ [] Approved
r
Inspector __-- ��--.— – —•--• B Disapproved
Date -
CALI FOR REINSPECTION
k] YES U NO
i
BUILDING) PLRMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH EWORK HEREIN INDICATED BUILDER PHONE
OR AS SHOVvN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER Pl, (, Nli
-- ___ — --- .—_—_. LUT N0.
OWNER + t ;i7 7.�'': 7 �613AWRESS 1035() S.W. °ie ena WALY _
Tigard ENGINEER
BUILDER .l"t!' GINEER Wny „*,.i l.ler
ADDRESS P.O.L .O. liox ..3291 DESIGNER
STRUCTURE 244EW 1-1 REMODEL ❑ ADDITION 17 REPAIR ❑ RENEWAL F] FIRE DAMAGE ❑ DEMOLITION
CS RESIDENCE C7 COMM CJ EDUCATIONAL D GOVT ❑ RELIGIOUS 11 PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE [�j SLAB❑ FENCE
OCCUPANCY Vit' LAND USE ZONE ['I7.BLDG.TYPE FIRE ZONE '" PLAN CHECK BY — HEAT
--- -- Construct :3inglc Farlil.y Dwe+llinq w;'attaclzecl Ciaragp- — __-- ----
_ gin.^ corrcttion SX14K "ll?�rt tt+--lCh04. 3 lic+rlx'oorw,
1 1r�t11�z
SEWER PERMITM +"4T'r_ ,Ta 4
OCC.LOAD FLOOR LOAD HEIGHT 2.. NO.STORIES _ AREA 13,?^ N0.BEDROOMS 3 VALUE'S 7 s G n0
_ BUILDING DEPARTMENT SETBACKS FRONT_ — 1. a REAR t LEFT SIDE RIGHT SIDE tri
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 70NING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED 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 PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRECTt,R AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWEF,PLUMBING AND HEATING.
State Tax
--- SDC—
Total
DC—Total _ __ TT 100.00 ..
�! F'DCM APPLICANT ORAGEF -
By
Receipt No.
Approved ADDRESS PHONE.
DATE INSP. TYPE INSPECTION v REMARKS PLUMBING ' DATE
Contractor Cyr
MUI( -64ys
Permit No. 3.271
Rough-in
-
6Fixture
Final
HEATING
Contractor
Permit No.
Rough-in ��
Final _---
SEWER
Final
—_� — DRIVEWAY
so Final
Storm Drainage
Main Drain)Final
Sidewe i A
Curb&Street Final
Approach
�'iLDG. DEPT.1'INAL�� TEMPORARY CE14TIFICATE OCCUPANCY Final
CrRTIFiCATE OCCUPANCY
Landscaping
Zoning Final
� I
t
- y
i
1
Tjuw
jummi
BUILDING PERMIT APPLICATION TIGARD DATC D 27 is 5!t 7.27r
THC UNDERSIGNED HEREBY APPLIES FOn A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR.AS SHOWN AND AND APPPRRO^VVFn IN THE ACCOM.PANYING�P�LtANS AND SPECIFICA.TiONS. OWNER,PHO�NE�tt��_` N
OWNER � IN(1er� 1'^-08 ADDRESS 10.33-0 94a� �� LOT NO.-rS�.lft1�_�a �I
- D �/2 RCHITECT
ENGINEER
HUILhER >� '�9�. ADDRESS PO.�OX-2 1 tl � id
DESIGNER
STRUCTURE NEW Cl REMODEL ❑ ADDITION ❑ Ri:PAIR I❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENGE
OGi vPANCY MT.LAND USE ZONE R-"_."-_ BLDG.TYPE 4V`FIRE ZONE—=PLAN CHECK BY^ HF_AT_ z:�
OF
SEWER PERMIT K i
OCC.LOAD _ FLOOR LOAD HEIGH7 Z1 NO.STORIES AREA 13q fNO.BEDROOMSVALUq�6O0
BUILDING DEPARTMENT SET BACKS FRONT REAR LEFT SIDE 6?.S' RIGHT SIDE
THIS PERMIT IS ISSUED SU3JECT TO THE REGULATIONS CON'AINED IN THE i,Ull_DING CODE, ZON'NG
Plan
�T.fs• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCLS, AND IT IS HEREBY AGREED THAT THE
% T WORK WILL BE DONT' 03 ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
Y-`91"�'�' '• WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
lSut}tetal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO '.iAVE CURRENT CITY BUSINESS
12�� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Stat®Tax
SUC —
Total
_ � �; -- PDCM APPLICANT OR AGENT ------- ---- _.___ --___-By
Receipt No.
Approved ADDRESS -! —r---J—_ — — P40NE
5UC 40Q
PDC - S .L „1 oV
SEWER CONNECTION �� 527_
SEWER INSPECTION
SEWER SURCHARGE
� 3l�0
u'7 3
J&y //l L.LZ rte. L2 n7 S .?.2�er. o�' ►�l
2 Go x ,2�p 7
3 x l0-3 ....1, -
�I,- Lob, ZG x 2(p C��(�►
Z -4 x -7
2?. Oot 3..
►V 23 ?"o
CI'-'Y OF -ZGARD MECHANICAL PERMIT Receipt# _.
1.3125 S�. AALL BLVn, Permit#
P. O. BOX 2339' '`,
/(r/ ��, � t�sufption
T I GARD, OR 97223 I Table 3A MechaNul Code OTY PRICE AMT
(503)639-4175 �)�-� 5�� 1) Permit Fee -0- -0- 10.00
Name of oevelopnhem 2) SLIpplemental Permit 3.00
C - - -
JobAdcitess �..—G� Furnace to 100,000 BT U
i Address L _i 7 Z) Jc 1 r:C i 1) incl.ducts&vents 6.00
iC4,uia
Tax l_ot Map No. Furnace 100,000 BTU I
i La nkx* subdivision 2) incl.ducts&vents — 7.50Name(or names of busitums 3) Floor Furnace 600
�� a �`; Z`t G i.-kl incl.vent
Mailing Address �,o Pla 4) Suspended heater,wall heaterOwner 6
i .00
C.�"v u SNS.r�,.c a k % (x e F�-..17 or floor mounted heater
c;yi gate--�^ gyp Vent not incl.in - ,
�/-?'Z 7-4 5) 3.00
appliance permit -
Name(ot name of btmness) Repair of heating,refr ig..6) .00
cooling,absorption unit _ 6
Mailing Address Plana 7Boiler or comp to 3 HP
Occupant ) absorp.unit to 100,000 BTU 6.00
City/State zipBoiler or romp to 3 HP- 15 HP
e) absorp.unit to 500,000 UTLI 11 00
Nam._ Boiler or comp 15-30 HP
-t'7-t tom- �errc r 9) absorp.unit 1/2-1 million 15.00
Mailing Address n.r aphone � ..j�, , 10) Boiler or comp to 30-50 HP 22.50
r /a, /L y "•'�/ absorp,unit 1-1,75 million
Contractor City/stale Zip 11) Boilee,-ir oomp to 50 HP 31.50
L' ? r; 10 / 1�� 1! _ absorp.unit 1,750,000 BTU -
State Registration No. CRY Gus.Tax No, 12) Air handling unit to �I
�� 10,000 CFM 4.50
1 hereby acknowledge fret I have read flpp/licatir n that nrth
M inforatbn given is 13) Air handling unit -- 750
Ctx -
retY,that I am flee owner agent of the owner,that plans uRxntted aro 10,000 CFM +in --- _
compliance with State laws,that I am registered with the Stain BuiWels'Board,that the Non portable �—
numbet given is m red.((`,exempt fr(xn State registration please give reason below). 14) evaporate cooler '1'50
Vent fan Connected
15 00
to a single dud - 3
Ventilation system not
-` 16) included in appliance permit
Hood served by
17) mechanical exhaust 4'50
signabKa 1°V"1°►IN ap-0 Date Domestic type
Describe work ❑ addition ❑ alteration Elrepair El 18) incinerator 7.50
to be done residential (R non-residential O Commercial or industrial
Fxlsting use of 19) type inclnerator 30.00
building or properly /ice �l c (fi. tti� 20) Other i.e..woodstove,water 4.50
Proposed use of
heater,solar,clothes dryers,etc.
— --
building or property
-- 21) Gas piping one to four outlets 2.00
LType of f•jel- oil ❑ natural gas R' LPG Cl electric I 1 i
22) More than 4-pw outlet
N4 E SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WI THIN 180 5%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ^
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. -__ TOTAL
Special Conditions
--- ----------�_..- - Date issi--d_ by --------