15740 SW SERENA COURT 15740 SW SERENA COURT
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INSPECTION NOTICE 't'
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6"49-4175
Type of Inspection _—
Date Requested `S Tlme A.M. _._- P.M.
Address S 75/'a 5-6Lj Permit
Ov nar 22"t/77 �'7�Pn of ri/'j —.-- Lot #--- —
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ W rop ved
Inspector )1 _ ElDisapproved
Dots
CALL FOR REINSPECTION
❑ YES EJ NO
CITY
OF TIVA
RDMECHANICAL PERMIT
PERMIT' NO. . ME892414
cm � iro
COMMUNITY DEVELOPMENT DEPARTMENT °1MO°N D E ISSUED: 11/ 8/89
i 3125 SAV Hall Blvd.,P O.Box 23397.Tigard,Oregon 97223.(503)639 AIM I M.PMT.N0.
701, ADDRESS: 15740 SW SERLNA CT
TAX MAP/LOT SUBS LT: PK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ADDITION FURNACE (100K AIR HANDLR (10
USE TYPES SINGLE FAMILY FURNACE 100K+ AIR HANDLR 10K
CONST.TYPE: VN FLOOR FURNACE EVAP.000LER
OCCUP.GRP. : R3 HEATER VENT FAN
VENT VENT.SYSTEM
BLR/COMP (3HP HOOD
NO.STORIES: BLR/COMP 3-15HP INCINERATOR(DOM
DWELL.UNITS: BLR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE WOOD BLR/COMP 30-50HP REPAIR UNITS
MAX. INPUT BLR/COMP 50+HP OTHER 1
FIRE DMPRS? GAS PIPING OUTLETS
HIGH PRESS?
LOW PRESS?
REMARKSS
Wood-burninq stove installation
FEES:
0 Grennan Pat PERMIT $10.00
N 15740 SW Serena Ct PLAN REVIEW
E Tigard OR 97224 FIXTURES $4.50
R PHONE (503) 639- 4656 STATE TAX $. 73
OTHER
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0
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0 TOTALS $15.23
R
RECEIPT N0. -
This permit is issued subject to the regulations contained in Title 14 ——————————- --`----
of the TMC. State of Ofegon Specialty Codes,zoning regulehons REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and It is hereby MECHANCL.SYSTEM
agreed that the work will be done in accordance with the plans and FINAL
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have c,3rrent city
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
IL Wu
Perrnittae Slgn tire
Issued t3y CALL FOR INSPECTION 639-4175
h
SEPARATE: PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Receipt# _
13125 SW HALL BLVD. Permit#
P. O. BOX 23397
Description
T I GARD, OR 97223 Table yA Mechanical Code — CITY PRICE AMT
(503)639-4175 1) Permit Fee -0- -0- 10.00
Name or Development 2) SupYlemental Permit 3.00
-
Job Address i 1) Furnace to 100,000 BTU 6.00
Address incl.ducts&vents
Tax Lot Map No. 2) Furnace 100,000 BTU 4- 7.50
incl.ducts&vents
Lot Block Subdivision — ---
Name(or name or business) 3) Floor Furnace 6.00
incl.vent _
Mailing Address Phone 4) Suspended heater,wall heater 6.00
Owner - or floor mounted heater
City/State zip I 5) Vent not incl.in 3.00
appliance permit
Name(or name of business) 6) Repair of heating,refr ig., l 6.00
cooling,absorption unit
Mailing Address ��- Pt me 7) Boiler or comp to 3 HP 1.00
Occupant absorp.unit to 100,000 BTU
City/State zip 8) Boiler or comp to 3 HP-15 HP 11.00
absorp.unit to 500,000 BTU
Name 9) Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1 -1.75 million
Contractor City/Stale – Zip t 1) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
State Registration No. City Bus.Tax No. 12) Air handling unit to 4.50
10,000 CFM
�
I hereby acknowiedge that I have read this application that the information given is 13) Air handling unit 10,000 CFM + 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are In
compliance with State laws,that I am regi3tered with the State Builders'Board,that the 14) Non portable 4.50
number given is coned.(If exempt from State registration please give reason below). evaporate cooler
— — 15) Vent fan connected 3.00
to a single duct
— — ---- 16) Ventilation system not 4.50
included in appliance permit
----------------------- ----
17) Hood served by 4.50
mechanical exhaust
Signature(owner or agent) —_ Date 18) Domestic type 7.50
Describe work Eladdition Ealteraticr LJrepair ❑ incinerator
to be done residential U- non-residential ❑ 1 g) Commercial or industrial 30.00
Existing use of type incinerator
building or properly 20) Other i.e.,woodstove,water 4.50
Proposed use of heater,solar,clothes dryers,etc. -4•S
building or property – 21) Gas piping one to four outlets 2.00
Tvr,i of fuel– oil ❑ natural gas ❑ LPG ❑ electric ❑
22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE 73
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 vii
Date issued by
PERMIT NO. '
ADDRESS 15 1� '-'w 'Jt,...=�c,a.-- _
i
PERMIT CHARGE none
]�
N E R r CONNECTION FEE61
PAID BY 7 fy
TYPE OF BUILDING 4'lei _ DATE CONNECTED
SERVICE RATE --------f _
INSPECTION FEE
CONTRACTOR
PAID BY GATE
ASSESS11ENT PAID
SIZE OF C011NECTI ON — ""
3, 20- 0
G t 0 f I L_31 r d Mechanical Permit N9 Perinit_S3_00–
Fee
_7 Pei-,cation Add i
New lnslal!alion Re:)!ace iton ❑ Alteration
I OT 14 L
G. OWNER
r_C--..'TRACTOR
WORK ADDRESSISIL4
ADr)PESS JA.
PHONE APPLICANT___:P,. �- 7;;�
Peat Input Rating (BTU Per Hour) kg!!= jetj= Vent Size �'* 4 Flue.Size
FUEL OIL 0 GAS V' ELECT 0 OTHER
ITEM NO. FEE ITEM NO. FE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 IJP
TFe_w._Under 100,000 BTU 4.00 Air Handling 10,000 CFM __I 3.
1�ew- I O(TOOO BTU & over —
KOO Air Handling Over 10,000 CFM 5.4.UO Evaporative Cooler 7
-Floor Furnace 2.
Wall - Floor - Suspended 4.00 Range Vent Fan
Install Vents Only 2.00 Vent System
-Rep.�� He�aj& Cooling 4.00 Hood Commercial
Air Condition Compr,-ssor Un�dit:3 HP 4.00 Commercial Duct System
..\ir Condition Compressor 3 HP 750
INSPECTOR'S
CITY BUSIN L REOUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPRO\,
E DATE ISSUED BY DATE
V'
RECEIPT f
2968
BUILDING PERMIT APPLICATION 1IT TIGARD DATE 17wi2"�l.
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDERPHONE fA9--sfj4(-
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWN ERPHONE_._..2 1_222
LOT NO.
OWNER' LJ Y G t"�j JOB ADDRESS rid: ?_YIf1G�1 �.. HOME ADDRESS
— ARCHITECT
ENGINEER
_
BUILDER _ ADDRESS DESIGNER
^ _ _ � —
STRUCTURE -.Y,ONISW _ ❑RI MODEL.-_____❑_ADDITION ❑_REPAIR EJRENEWAL `CIFIRE DAMAGE -11 ❑DEMOLITION
❑RESIDENCE ❑COMM COEDUCATIONAL ❑GOV'T ❑RELIGIOUSOPATlO [:]CAR PORT ❑GARAGE ❑STORAGE OSLA13 ❑FENCE
❑BONDC1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW LJCOUNCIL APPROVED LJSIGNS
QCCUPANCY "'� LAND USE ZONE------Z—.BLDG.TYPE --FIRE ZONE�t— PLAN CHECK BY__&114__ HEAT. ._ter.
,�Irrr. �J►r�y].� f'a Ini,;! y LiWi�l.I6�1y w ttk�Gtlttu �rt��,c+ u Lwurajm i UaLh garst�e
Li
LOAD { —._1iES�liT 2 N0.STORIES _—AfiEA? NO.BEDR4QM�_ ._YPLt�F- Af�► "
BUILDING DEPARTMENT SET BACKS_ FRONT 14 REAR LEFT SIDE RIGHT SIDE_
Pelmet 203.Qo
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE• ZONING
Platt Check .01• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- - WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 3041 A ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
? — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State. Tax . LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total (;t�����. 7" 2 $1Qr,•
By
APPLICANI OR AGENT
Apptoved (itw Receipt No
--{ A� .55 -� --- . -
DATE INSP. T PE INSPECTION REMARKS PLUMBING DATE
7 Contractor
Permit No.
S—JZ —
Rough-in
Of
Fixture
�-� Final
-- HEATING
Contractor
_ J Permit No. f Int./7g 3a1 S�/7�7J1
Gas or Oil
Rough-in
--- Final
--_-- ^_ -� SEWER nD
Final ��
DRIVEWAY
-- - Final
Storm Drainage
(Rein Drain)Final.
Sidewalk
Curb a Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
l t'
�JILDlNG PERMIT APPLICATION OF
TlG,^,RD DATE - _S_. ._1-. --. ta-rfl. N° O`
'I HF LINDt RSIGNI D HEREBY APPL IES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDF':PHONE`! J�_T10
C.'P AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIE ICAT IONS. OWNER PHONE
LOT NO.J.Q-a�— --
_108 AL ss�a� (,L SIV
c► - H AUDf�f_S5 ' T _
ARCHITECT
ENGINEER
�� ♦' n__ ADDRESS ,L -----DESIGNER t-1 m —
«E -' -.I W�O REMODEL OADDITICN �CIRLPAIR ORENEWAL� ❑FIRE DAMAGE _ ❑DEMOLITION
F h - ❑EDUCATIONAL ❑GOV'T ORELIGIIOUSOPATIO OCARPORT ❑GARAGE ❑STORAGEOSLAB ❑FENCE
�- 'ND ❑MOV ING - ❑CONDITIONAL USE ODLSIGN REVIEW []COUNCIL APPROVED [:)SIGNS
!CANCY, ND_ USE ?ONE_R::.... --SLOG.TYPE_ ^ _FIRE ZONE-2__PLAAN CHECK BYHEAT
Ste'
NS2._9.ED�OMS VALU .5ru-.►-�
—_
•c,_�.U9I?__.. ._-- P l Q9R 1QP�Q._. ..�1__.__.EJ_G�------
BUILDING DEPARTMENT SEIBACKS FRONT REAR LEFT SIDE- - RIGHT
r rrT)It (JV
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
elan Check _ / �"�f REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
- f WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
`''ub total 2 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
---/- - RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVF CURRENT CITY BUSINESS
'Ralf, Te> �, LICENSE SEPARATE PERMITS REpUIRED FOR SEWER, PLUMBING AND HEATING.
(•1y APPI SCANT C)11 AGENT �._�----- -------__---- ---'-----
Receipt NO. - -- - --
.-----
Lp> -
sf �1
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SEWER PERMIT NY'_U5'g4
Unified Sewerage Agency
of Waxhingto"+ -ounty CITY OF TiqLri DATE 5-2-78
OWNER: Lloyd Mogathan PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
XQ BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
O NEW D tINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MOLT. RES. [] INDUSTRIAL
FIXTURE UNITS _ DWE_.L.LING UNITS_ _ 1
ADDRESS OF STRUCTURE : 15740 SW Sgrena Ct.
PERMIT CONDITIONS: THE APPLICANT AGREES 1'0 COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPL'TION,
PLEA Sr REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 60p_,.__
SIDE SEWER INSTALLATION B. Greene
ISSUED BY
OTHER
TOTAL $ C25.
APPLICANT DATE
12-0 j
. . N`•' '15884
SEWER PERMIT
ADDRESS OF STRUCTURE 15740 5W Serena Ct.
TAX MAP TAX LOT SYSTEM fanno creek
LOT 14 BLOCK OF
F _ WR den 5-2-70 � = 4._Cf__fi�
APPROVED BY DATE ISSUED BY DATE
D. U. ' S 1 REMARKS —bldg•# 2068