15885 SW SERENA COURT 15885 SW SERENA COURT
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ddro:� _._( S �� �LV Permit `10• 1ST
Permit charge: X072 e-
Connection fee ape),.
Paid
VPI of buildin;. J7 ,. -fes.. �.L' Date curs^ .ted
Inspection Frye
nntract�r Paid by date
ize or connection Assessment Paid
FYI•... .'Y.'• '�i�
BUILDING DEPARTMENT, TIGARD N�
PLUMBING PERMIT lr •
holder of a valid plumbing contractors license is hereby
authorized to cause plumbing work as herein noted to be installed in accordance 4ith the plumbing code of
Tigard. Such installations require inspection by the Cite Inspector who shall be lotified not less than Four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required n
for all contractors and sub-can tractors.
OwnerGl�Q�',1-= _ Address_,K..a�"" �5
NUMBER OF TOTAL PERMIT NO.'S
TYPE OF PERMIT - ITEMS FEE ON EACH AMOUNT (Office Use Only)
Single Family-1 beth-reach — _ _�--__ _—25500
Duplex--Each 1 bath unit _—_—____-.__ _ _.-- 25.00Additional bathrooms bathrooms-_each__
' ------
INOIVIOUAL FIXTURE FEES
> 1 to 50 FixturAs in 1 buildir%--each - 3.00
51 to 100 Fixtures in 1 buildin ear•h
101 to 200 Fixtures in 1 buildm�eacl,— 2.00
201 or more Fixtures in 1 building_ r :h 1.50MISCELLANEOUS
Building Sewer-1st 50 ft. 10.00
Sower each additional 100 ft. 10,00
Water Service to building 5.00
{, Private Water S stems-each 100 ft. 10.00
Other IS.ecify): — ------
PE_R M I T
___- ----_PERMIT Qr) For Plumbing lrfsper.tion Phone E.??4,171
'r State Plumbing Contractor LV
TOTAL_ �a . RECEIPT NO. Issued By •-
U , SEINER PERMIT �`'��% �'
15864
ifnSewerage Agency
cf Washington County CITY OF Tjrjard DATE 4-18-70
OWNER : _ Fd Cause PHON: :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION: '
XGx BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
x U NEW EkSINGLE FAMILY LI COMMERCIAL
[� EXIST. iPRIOR TO 7- 1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS _ DWELLING UNITS I
ADDRES`, OF STRUCTURE : 15H85 SW Serena Ct.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RU-ES AND
REGULATIONS OF THE UNIFIES SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) LAYS. THE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATICN B. Greene
OTHER
ISSUED BY
T L s 625.
APPLICANT -- - - DATE
SEINER PERMIT NV 15864
ADDRESS OF STRUCTURE 15005 SW Serena Ct.
TAX MAP _ TA I ;JT
-- _ .._ SYSTEM fauna creek
LOT .—_;�___-.__B L O C K OF
APPROVED E3Y
DATE ISSUED BY' DATE
D. t. . ' S 1 REMARKS bldg. x'2040
_'-..-,...- .+.r ...—+ey+�..p-way..,..vx-, -prr.. r,..y .n^ �..yRl�"*., p+.-+.......,,.....�..y.,.........- .._,...,wny}Ip^lf•C.....
I
BUILDING PERMIT APPLICATION "" TIGARD DATEOF
THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE �j _
LOT NO.
OWNER tjhusH JOB ADDRESS 1b885 SLI Serena Lt.HOME ADDRESS
ARCHITECT
9�m ENGINEER
BUILDER .41 _ ADDRESS DESIGNER
rSrRUCTURE a�1WEW �-10RF'MnDEL :JADDITION ❑REPAIR ❑RENEWAL [:]FIRE DAMAGE ❑DEM�O-1LITION
L,1 RESIDENCE ❑COMM OEDUCATIONAL DGOV'T URELIGIOUSOPATIO []CARPORT ❑GARAGE D STORAGE OSLAB DFENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW DCOUNCIL APPROVED OSIGNS
OCCUPANCY—h._.�LLAN)USE ZONE 13-7 BLDG.TYPE ;1a FIRE ZONE PLAN CHECK BY-_—.-is-t,V HEAT_$�8 _.
rcinst. tsinglei family duelling wTI ttschtaf.' ijereye 3 badrueim 2 both
etr a r.p e cm ��- ------ - ---- -- -- -----
4020 l
_FJ.Q4RLOAD _-_-HEIGHT NQ ,SIrRIE ----A.RE A U ---
BUILDING DEPARTMENT SETBACKS FRONT Al HEAR 50+ LEFTSIDE—�52–' LI�QMS_. —V�
IDE ll RIGHT SIDE ip
Permit 1.72.tlU
�1. � THIS PERMIT IS ISSUEC, 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
2'1'`6,hq WORK WILL 9F DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
i,,,5i1 RESTRICTIVE COVENANTS. CONTE ACTOR ANO SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE. SEP R16F PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total P.Q•G. $100.
6v
-- t APPI (CANT fIR AGENT
Approved Receipt No
a
DATE RVSP. TY E IN3PECTION REMARKS PLUMBING DATE
Contractor
—y Permit No. I
Rough-in
Fixture --
---
_
IIF-AIIN^i
f7 aG Lk� ' Contrar.tnr
at, - pvi Permit //5� -- g.3 53//78
Gas or Oil 1
_ 1 J
0 Rough-(n
=1 Final
SEWER --^—G
Final �4Q� /0
DRIVEWAY '
Final
Stomin Drainage
(Rain Drain)Final
Sidewelk
Curb&Street Final
Approach
BLDG.DEPT.FINAL TEtdPC)RAR— Y--� CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPANCY Final —
Landscaping
Zoning Final
i
SWI.-DiNG PERMIT APPLICATION `uFY TIC,A RD DATE 5�--...1�_. tq N� ' �
aF 11NDF HSI(,NFD HEREBY APPLIES FOR APERMII FOR THE WORK HEREIN INDICATED BUILDER PHONE
C,R AS SH;)WN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. OWNER PHONE
LOT NO.
js 4-
e&o—jOB ADDRESS I,O` S �H_OME ADCiRESS
- ARCHITECT
ENGINEER
R _ ADDRESS----- -- _—,_�_� DESIGNER
`vF C '.['N _� 0RFMODEL— ❑ADDITION ❑REPAIR — DRENEWAL _ DFIRE DAMAGE ` ❑DEMOLITION
(,%1M DEDUCATIONAL DGOV'T 0RELIf,IOUSf_�PAT10 (3CARPORT ❑GARAGE DSTORAGEDSL.AB ❑FENCE
1r `ND MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW []COUNCIL APPROVED ❑SIGNS
I' NCY j L 4N0 USE 10� —` BLDG.TYPE .IRE. ZONE—PLAN CHECK BY------ HEAL
_------ -- ------ 2-- 11 R
qF _ fy,Q 0_EDROOMS �Z VALUE-_ �
''9D _- F L�S?�3_JS�A.I�__-�l�_--_H�-�HZ-_.�l�_--�l4_;zL4R.lE;T�_�__ _
BUILDING_ DEPARTMENTSET SACKS FRONT �-� REAR %-V +— LEFT SIDE___-RIGHT SIDE. -_
- -- THIS PERMIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian 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
Cub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- - RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
tate Tax �l b 0 Y LICENSE SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Total
Ay --
_ APPI�CAN1' Op AQEIIT
1.4pprcrved — r / Receipt NO
I.
00RRESS HON
L9 c►�
1
2-1-78 NOTICE! NOTICE!
EFFECTIVE THIS DATE
MANDATORY INSPECTIONS
(TIGARD BLDG. DEPT.)
1. FOOTING 639-4171
a. Inspection prior to pouring any concrete for footings.
2. WALL INSPECTION - REQUIRED IF WALL:
a. Has reinforcement, or.,
b. Is over 6' in height
3. POST & BEAM (Subfloor mechanical & plumbing)
This inspection shall. be made 'prior to nny floor covering
4. FRAME Olt COVER INSPECTION
.5. (INSULA'T'ION) (All except blown in insulation.)
6. WALLBOARD INSPECTION
7. FINAL I16il,CTION BEFORE OCCUPANCY
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Fee_
New Ins;rl;ationg St.-I cc ❑ Relocation ❑ Addition ❑ Alteration -D "Y" date___--
CONTRACTOR �d � 1-k ------------_-- Q1'iNcR _._.�%YC_.- ---- --------
allT�}_
ADr7RE.'SS— SC�S� WORt ADDRESSES ' GJ SC?y'rys7
PHONE . - _ _ APPLICANT_
Heat Input Rating (BTU Per ur► C>�*� Vent Size .�" Flue Size S
FUEL OIL ❑ GAS F�ECT OTHER
ITEM f NO. FEE ITEM NO. FEE
For Issuance of Permit_ --�_� 3.O0 - Air pipndilion o Zr r 15 to 30 HP 10AC
New• nder 100,000 BTU Od Air ndli3.00
"Jew• 100,00(1 B7 over 0 •'Ai ling 10,000 CFM S.00
ra i C ler 3AC
Wall - Floor Suspended (-� 4.00, Ra Fan � _ 2.0r.
Insall Vents Only _ OrVent Syst -�_ 3.00
Repair-_Neat& Cooling % Hood Commercial - 3 OC
-� Air Condition Compressor Und 3 4.00 imercial Duct System - _ 100C
:Air Condition Compressor 1 P 7.50
INSPECTOR'S COMME TS_� -- _
CITY BUSINESS LICENSER UIRED FOR ALL' CONTRACTORS OR SUBCONTRACTORS
-r-Xi
:"A. APPROVED BY ___ DATE _ ISSUED BY----- _ ��I,DAATfc
RECEIPT NO.
774 Signatu of Applicant
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