15785 SW SERENA COURT 15785 SW SERENA COURT
A D D R E S S �_`� � ,��` s���S�J�,f.��x t. (� t��,� PERMIT N O.
_ PERMIT CHARGE none
OWNER °c
CONNECTION FEE
PAID BY tL
TYPE OF BUILDING � DATE CONNECTED
SERVICE RATE INSPECTION FEE
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
Address Permit No.
Permit charge L Ca e-
Owner ':)&4 St". Connection fee lc,O0
Paid by
Type of building IL&� Date connected
Service rateInspection fee
Contractor Paid by Date
Size of connection Assessment paid
il '.) -11� -7
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SEWER PERMIT N 13914
Unified Sewerage Agency Tigard 2-21-7 B
of Washington County CITY OFDATE
OWNER : S.A. Hodgson & Son PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
E36UILDING SEWER ❑BUILDING SEWER AND SIDE_ SEWER
TYPE OF OCCUPANCY:
X❑NEW X❑XSINGLE FAMILY ❑ COMMERCIAL
❑EXIST . (PRIOR TO 7- 1-70 ) ❑ MULT . RES. ❑ INDUSTRIAL-
FIXTURE
NDUSTRIALFIXTURE UNITS DWELLING UNITS 1
PERMIT CONDITIONS: THE APPLICANT AGREES TO C'1MPLY WITH .ALL RULES
AND REGULATIONS OF THE UNIFIED SEWERAGE AGEN_'Y . WHEN CALLING FOR
INSPECTION, PLEASE 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 $ 26'
CONNECTION CHARGE 600. _
SIDE SEWER INSTALLATION
ISSUED BY
OTHER
TOTAL $ 625
APPLICANT AlE
SEWER PERMIT �► 13911
ADDRESS OF STRUCTURE 15781-1 SW Serena Ct.
' creep
TAX MAP _" TAX LOT SYSTEM_ fanno
LOT 9 BLOCK - _ OF
' C T co21
-- -�� -
APPROVED BY DATE ISSUED BY _bDATE
REMARKS bldg. #1895
CITY OF TIGARD
ORDINANCE#77-71
PARK SYSTEM DEVELOPMENT CHA ErJ
DATE : ' � / ���, ,_,- ESTIMATED LES PRICE �_C?� Co `=`
APPLICANT NAME t.� � _-� ��,TELEPHONE #
JOB ADDRESS��_ r> ; " �, ,( �_ BLDG. PERMIT # %-
AMOUNT OF FEE FOR P. D. C .
DESCRIPTION OF IMPROVEMENTf/ �; ,
EXEMPTIONS - PER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit under $40,000.--------------$ 75.00
B. Single family dwelling unit; ovor $40,000.---------------�lOD DW
C. Mobile Home Court Space (New Developmsnt)--------------� 50. 00
D. Multi-Family dwellings-.-per unit-----------------------$ 60. 00
CONSTRUCTION IS LOCATED ON ,.�S.E . N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park District #I . —.5.F-'7.
. is Park District #II .
CITY OF TIGARD
ORDTNANCE7��77-26
STREET SYSTEM DEVELOPMENT CHARGE
DATE : -2 ESTIMATED SALE'S PRICE $ c ^(� _.__
APPLICANT NAME G,. .,�T E L E P H O N E jt -
JOB ADDRESS �� � � a <� BLDG. PERMIT
JU
AMOUNT 017 FEE FOR S. D. C. -
KSCRIPTION OF IMPROVEMf:NT_
EXEMPTIONS -PER ORDINANCE #77 -26
FEE RATES:
A. Single family dwelling unit under $60,000.--------- '�
B. Single family dwelling unit: over $60,000.---_-_+_^��Q00.00 �
co Mobile Home Court Space (,New Development)---- - $15�.b0
D. Multi-Family Dwellings--per unit-------------------- $240.00
E. Commercial, Industrial & Institutional(Park.Space) 5 50.00 each
F. Single family unit under $40,000. ----------------- $250.00
BIA-DING PERMIT APPLICATION 1OF
1T TICARD GATE._____._..__..,_. V�79THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED 13UILDERPHONE 25
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE-
LOT NO
OWNER )J89 ADDRESS `
—_ _ d HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER f RaUU71 ADDRESS ;�t 3 HUX 281 1� dwrW wrl DESIGNER
��SST�TRUUCTURE '�`,EKIEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
"L'1FTtSIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT GARAGE QSTORAGE❑SL_A8 ❑FENCE
OwOND ❑MOVING [-]CONDITIONAL USE ❑DESIGN REVIEW C1 COUNCIL APPROVED ❑SIGNS
OCCUPANCY_ L—LAND USE ZONE R-7 BLDG.TYPE ON FIRE ZONE! PLAN CHECK,BY OW HEAT
-- consto single family dwellir, w/mttac:hed yesaye 2 both 3 hadrtlugl
;jwuer 13crmit. s au"r innrin_ $tea. ragausar irlIIj',. I2:.. —
.0_QQ._LQ U FLQOR LOAD _ HEIGHT _-N0_MRIES AREAI650 NO QE QF QQMS YBlIJ�l.11a � ��:-_
BUILDING DEPARTMENT SET BACKS FRONT «) REAR 2b LEFT SIDE �.� RIGHT SIDE__
Permit
—-- ---
14 6 O Q
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 92."00 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
Subtotal 276, DU 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. SEPRRAt PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING
).U.C. 441511.
Total 263.36
P.D.C. x',12 $lora.
By
APPL-ICANT OR AOE l T-- ----
Approved I Receipt No. r /
ADS SS —.— - — -
.,... _..... ...... ...._..._.. . .... _....._..,; ... .......,.. .��.,....w.:.....ti-.wYOYr.....,._.�.u..+rl...Yw.w.r...:w.,u1...,w......r.=,."...rw...
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
� I
Contractor
Permit No
_ _ G Rough-in
Fixture _
6A712 dl � — Final ----
�' HEATING
Contractor
Permit No. 2
a �8 tu _ Gas or Oil
9 �/1Lf71 .� — �. -- Rouah-in - — _—
�" /K07- AeAly. Final -
7 3/ .4...1_ (�,��' }; ----� SEWER
Final 6ei/cibL
DRIVEWAY
-- — ---- --- Final - —
^— _ Storm Drainage _ -
(fiain Drain) Final
Sidewalk
Curb&Street Final
Approach _
BLDG DEPT.FINAL. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
C Landscaping
Zoning Final
1
CITY I IC.A.R� DA7E N? 4 '
3UILDING PERMIT APPLICATION OF
OF LI►VDE RSIGNED HEREBY APPLIES FORA PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON
AS SHO AND APPROVED THE �MPAN G PLANS A FCIF ICAI IONS. OWNER PHON —
�( �1 ' LOT NO
P �— ^
t HOME ADDRESS ...
JOEi ADDRE - ARCHITECT
(Q / ,/\}1E,/y INEER
ADDRESS !a'x v -�L� S ISPNER
NE ,cW- QRFMODEL ❑ADDITION �Q_REPAIR QRENEWAL QFIREDAMAGE QDEMOLITION
X • AIM QEDUCATIONAL QGOV'T QRELIGIOUSQPATIO ❑CARPORT ❑GARAGE ❑STORAGEQSLAB ❑FENCE
QMOVING QCONDITIONAL USE —_ OLSIGN REVIE�W --- QCOUNCIL APPROVED ❑SIGNS
FIRE ZONi--? LAN CHECK BY HEAT—
P
LAND USE ZONE TYPE _ _ __..—
IIE.LG1T------- ►!!Q�IQpI€,S - --- �R 3. N�@EpRnOMS ,_YAL-U
_BUILDING DEPARTMM(E�NT— SET BACKS FRONT -2::QREAR J2 (o _ LEFT SIDE JZ) - RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
plan Check 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
pub 10181 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
1
-1
_-._-- --� RESTRICTIVE COVENANTS. CONTRACTOR AND 51,18 CONTRACTORS TO HAVE CURRENT CITY BUSINESS
lath Tax - 2 L LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING,
T 0181
APPI iCANT OR AGENT
Ar�p'uved - - Receipt No.
/��"-�✓li y v C)
'y - -- `_----'-•-�—.n :y':Y'?!',"?S'r+'=':_"':'1x'M....+r... ._.-...-... ......Ky+•.-r+.:r•,...'�.!.y.nwr r.v r_-.;r —_
�f of f IqIi d mc Int n cal Permit m ~ Permit_ _S3.0_,�_.__
New Installation Re:,!ace Relocation ❑ Addition ❑ Alteration ❑ 3%State SL _
/ 7 AL _ 9: wu _.
CC`:TRACTOR �" � " __,c OWNER / t'9
ApnRESS / ! 1�- Q� WORK ADDRESS
P H 0 N E �G/ APPL.ICANT1.�� -_--- _ e �
l_L1� . —_-_ t • z
Heat Input Rating (BTU Per Hour) / Vent Size _._.._.__�_ Flue.Size
FUEL OIL ❑ GAS D. ELECT ❑ OTHER
. �. ITEM NO. FEE ITEM NO. FE
For Issuance of Permit 3.00 Air Condition Compressor 15 to 30 HP tO.0
h New- Under 100,000 BTU L 4.00 Air Handling 10,000 CFN1 31
New. 100,000 BTU & over 5.00 Air Handling Over 10,000 CFM 5.0
Floor Furnace 4.00 Evaporative Cooler 3.1 '
:.
Wall • Floor • Suspended _ _ 4.00 Range Vent Fan 2.0
_ Install Vents Only 2.00 Vent System ��r^ 3.(
Repair • Heat & Cooling _ 4.00 _Hood Commercial _ 3.0
Air Condition Compressor Under 3 HP 4.00 Commercial Duct System 10(
-,air Condition Compressor 3 to 15 HP �- -� 7.50
INSPECTOR'S COMMENTS
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB-CONTRACTORS
APPROVED BY DATE _ ISSUED BYDATE _
RECEIPT NO..