9620 SW SERENA WAY 9620 SW SEKENA WAY
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City of Tigard Nlechanicai Permit N _
New Installation ❑ Replace ❑ Relocation❑ Addition Alteration ❑
DATE:
HEATWG OWNER /—
CONTRACTOR JOB ADDRFSS_-.�11C --�Y
ADDRESS
PHONE
Heat Input Rating(BTU per Hour)
Vent Size—_ Flue Size
FUEL OIL❑ GAS ❑ ELECT ❑ OTHER
-- -— —r NO. FEE ITEM NO. FEE —
ITEM _ 7 50
For Issuance of Permit — SEE BELOW Each Air Handling Unit or Duct 5Ystem
6.00 Commercial Hood System _ _ x.50
New•u�to & inci. 100,000 B i U —— _ 4.50_
Now 100 000 BUT's & over , — _ ___ 7.50 tither Equipment Each — 4.50
--1--J—�— 4.50_ 1 Trip Inspection 0
Woodtwrning5tove _
Wall Floor Sended 6.00 Air Condition Compressor - up to& incl.3 H.P. 6.00
11.00
Vent S�stom w/Fan — 4.50 Air Condition Compressor - 3.1 to 15.H.P,incl. ----
Repair-Heat Coolies 6'� _—
�— CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS (i r+ STIR-CONTRACTORS!om!
PERMIT 18SUA'JCE 10.00 Comments: _ -------------- --_ `----
FEES __ � --------------------------— --
SUBTOTAL ?_
Issued By 4pplicntX
STATE `25%PLAN CHECKREC. Signature —
s % '...........--
OF OCc-UPANCy
CE
/
OREGON
3834
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Rod Sauer Permit �o.
A t
ti Owner: j
Address: P.O. Box 7S3, Boring
' Building:address: 9 6 2 0 SW Serena WP Y
Occupancy: R-3 Land Use Zone- R7PD Bldg. T3-pe S
Comments:
Certificate is hereby given this 29thday of September , 19-8j— ±, , • .
that said building mai be occupied and that it complies with all
.c ,
requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council.
Fire Dept. B4ilt2ingInspcor
Building Official
` Post Certificate in Conspicuous Place
5 01
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► BUILDING DEPARTIV1EW, TIGARD
PLUMBING PERMIT N°
A�1_'G2!1 / '/�t.� �1J•�-S+�/_ solder of a valid plumbing contractors license is hereby
authorized to cause plu bing work as herein noted to be installed in accordance with the plumbing code of
I igard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business cvnse required
for all contractors and sub-contractors.
Job
Owner z?1 ,0CO/t31X-�f'fiD,17 Address
NUMBER OF TOTAL i
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT
RESIDEy71AL_ -- - — .�-
Dingle Family-1 bath--each �` 25.00 _ ��
Duplex-Each 1 bath unit 25.00
Additional bathrooms-each —_ — 10.00
Mobile Home Space-each 15.00
INDIVIDUAL FIXTURES(COMIERCIA1.
1 to 50 Fixtures In 1 building-each _ 3.00
61 to 100 Fixtures in 1 building_each v 2.50
101 to ',U0 Fixtures in 1 buildin -sarh
_ 201 r. more Fixtures in 1 building-each _ 1.50
MISCELLANEOUS
Sewer each additional 100 ft. 10.00
,cam`
Water Service to building _ ��___,__ 5,00 __ 1
Other (Specify)-
PERMIT W, '_ For Plumbing lnspectiun Phone 639.4171 �/ )
4 o State 4 D Plumbing Contractor By
rOTAl '40 i Fr'EIPT NO. Issued By
! ! ! ! ! ! !
City ®f Tigard Mechanical Permit
NO.
,few Installation Replace ❑ Relocation❑ Addition ❑
Alteration ❑ DATE: Z: �
HEATING -r/11,�i //__ G�-c --- OWNER oc� o�Ccu�•— �,.
;ONTRACTOR
d. � JOD ADDRESS�6L0 S�✓ SC��•c�.c-c (.J�s;L•!.;�
ADDRESS L/
PHONE . ___- APPLICANT_
Neat Input Rating(13TU per Hour) _
75-11 Vent Site_. el Flue Sze
FUEL OIL C1 GAS Q ELECT ❑ OTHER
--- ITEM V I NO. FEE _ - ITEM NO. FEE _
For Issu.mce of Permit _ SEE BELOW Each h A1r Ha-ndlin Unit-or Duct System tem 7 S0
8,00 Commercial Hood System- _ 7.50_
New•u to & incl. 100,0___ 00 BTU_ -- 4.150 _
-----�--- 7.50 Other E uguii pment - Each
New 100 00� BUT's &_ over 4 50 1 Trip Inspection A'50
Woadk�urn'ng Stove _
Wall Fir�ar Suspended 6.00 Air Condition Compressor • up to 6i Incl.3 N.P. 6.00
_4.5_0 Air Condition Compressor•3.1 to 15.H.P.incl._ 11.100
Von f S_ntP"m w/Fan -- 6.00_.
Rep3'ir Neat Coaling___ -
~~CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! ! ^�
IT IS5UANCE 10.00 ` Comments
PERM -
FEt S _- .0v
SUB-TOTAL 'ao
% STATE Issued By___-__—,.--
25%PLAN CHECK - �' 7-
TOTAL G by REC.# - ;�� Signature of Applicant
BUILDING PERM ITAPPLICATION TIGARD 3834
THE UNDERSI-AN ED HEREBY APPI-L S FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _6 )P-0440
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PIANS AND SPECIFICATIONS. OWNER PHONE
LOTNO.106 - PiCkIS
GWNER JOBADDRESS 9620 SV Serena Vay
97f►09 ARCHITECT
ENGINEER
BUILDER _ ADDRESS P*0*130x. 158• P0rLT!q DESIGNER _ 17-j1.rcy-jrc18jV _
STRUCTURE l NEW 11 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM L' EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT CI GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY i -3 _LAND USE ZONE Tim' _BLDG.TYPE Sit _FIRE ZONE__ 2-- PLAN CHECK BY _jdWh HEAT===:qs
Construct single f.arily dwellinq w/nttached crarngo.^ 3 redrooms 2 batter.
V'S. r0r)T�Te TION r_111"F'T A11TArVr)' .
SEWERPERMITM 23i(`G - "! f?.(li; Supraun 47J zn_fIL-_
OCC.LOAD FLOOR LOAD 4' HEIGHT ? 5 NO,STORIES ° AREA 1713 N0.BEDROOMS 3 VALUtF I,r
BUILDING DEPARTMENT SET BR,CKS FRONT « REAR LEFT SIDE RIGHT SIDE ! .
Permit — _._ '_� '� THIS PERMIT IS ISSUED SUE.IECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
t, . )L. REGULATIONS AND ALL APPL%CABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check T'-:1 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.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR i:EWER,PLUMBING AND HEATING.
State Tax
SDC—
Total _
I PDCq i10.0(o_ APPLICANT OR AGENT
By E. 1
c`tt) Receipt No. ADD-RE88 PHONE --- -------
Approved �
�- PLUMBING DATE
REMARKS
DATE INSP. TYPE INSPECTION - —_---
Contnictor
.�j/'r/ ✓� Permit No
Hough in _
-� a •�i ��MIa► �eh� -- _.- Fixture
Final
_ ! n HEATING
Contractor
Permit No.
.2�,i +`•y Gas or Oil
--�-- Rough-in
Final _
SEWER
Final _
_ DRIVEWAY
Final Final _
— Storm Drainage
-- (Rein Drain)Final _
sidewalk
_— Curb&Street Final _
GERTIFICATE OCC NCY Final — ---
BLDG. DEPT.FINAL yEMPORARY
r,rPTFICATE t.)CCUPANCY lo-
7-
V
Landscaping
Zoning Final
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BUILDING PERMIT APPLICATION TIGARD DATE Jtt14
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORT{HEREIN INDICATED BUILDER PHONE G3 y
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SP'ECIFIC;ATIONS. OVJNFP.PHONE
�-. 11, LOT NO. ''o s
JOB ADDRESS y�� S^GJ�Q•+¢rt�t_WQ 4 L O� L
AR.;HITECT
GG��� n q ENGINEER .
BUILD'cR ✓47vt� ADDRESS�O O� �
�, � gOr'�'N� /7yOgDESIGNER-�
---—
STRUCTURE ❑ REMODEL ❑ ADDITION _❑_ REPAIR Cl RENEWAL ❑ FIRE DAMAGE_ Cl DEIAOL.1 T 10
RESIDENCE 0 COMM Cl EDUCATIONAL ❑ GOO-V'T—❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLASC) FENC
OCCUPANCY _LAND USE ZONE ____ BL LDG•TYPE _J--Al-FIRE ZONE_ PLAN CHECK BY _HEAT �C
21
SERVER PE.=EMIT q
OCC.LOAD _ FLOOR LOAD 6 HEIGHT �� ,TORIES / AREA I!713 NO.BEDROOMS VkLUErp p0
-- BUILDING DF- SET SET BACKS FRONT
-0223 �•�C� REAR ��„f LEFT SIDE �,2_s' RI_GHT SIDE 7 7'
Is^rmit -- ISSUED SUBJECT TO THE REGULATIONS CO. -�
� THIS PERMIT IS ISSCONTAINED IN
- Tlir fiU1LDi;VG CODE,ZOP1'N
EGULATIONS AND ALL APPLICABLE CODES AND OPDT
INANCES, AND IT IS HEREBY AGREED HAT TN,
Ian Check I /• S O VIDRA WILL BE DONE IN ACCOPI)ANCE WITH THE PLANS AND SPECIFICATIONS AND IN COL?PLIANC
i- --
WITH Atte.APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES INC)T WAIV
ISr uSIC'taI - �� 'y RESTRICTIVS COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURF,ENT CITY 6USINeS
I� LICENSE. SEPA�IATE PEA\1ITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
:State Tax _
Total SDC;-
By APPLICANT
Approved -- Receipt No. -__.---.--- _---
ADDRESS --
SDC - Ilk , fr ..
SEWER CONNECTION b Qa'
� dCeI
SEWER INSPECTION ,25� ' ' t1f` '51') �kjtr0
SEWER 51UFCHARGE S
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r�,!,;�4�t� . f pec:&��-I I-g I � Segs. �t.•.a u G�nuc. �►v_,_�;i___�f J �'� P/� .
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CITY OF TIGARD—12420 S.W.MAIN—TIGARD,OREGON 97223
RECEIPT
� DATE:_____ � ' / -=, " �1 AMOUNT:$
DOLLARS
NAME:
tI E
NAME: r ' ��.I CASH:
1 '
ADDRESS:
1
M.O.:
1-- # OF
FOR: ACCT. ♦ PERMITS SURCHAR01 AMOUNT
SEWER BILLINGS JI 40-364 S—
BUSINESS LICENSE 05-331 --
PLUMBING PERMIT 05-332 S — -
MECHANICAL PERMIT 05-332 --
�
BUILDING PERMIT 05-333t-l-��`---
SEWER CONNECTION 40-363 ---
SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366 —
PARK DEV.CHARGE #1 30-367 - -- ;
PARK DEV.CHARGE #2 30-368 - -
ZONING ADJUSTMENTS 05-362 -- -
TOTALS
L:
RECEIVED BY:
PERMIT NUMBERS ASSIGNED: I
Number Amount Number Amount Number Amannl y
RECEIPT N
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0619
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713
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WASHINGTGN COUNTY,OP EGON
BUILDING DEPARTMENT
PLAN CHECK APPLICATION Date JL"ie
This is to certify that the following plans have been submitted
For plan check pur3uant to the Oregon Structural Code and Fire
& Life Safety Code, 1979 Edition.
0wner_Qaglp , VelCA --
Job Address--�62'4> r`a' ge"M►ul,
Lnt No. i G ,r LaS`'r ;z - I
Owner/Applicant Address - ,.xJ 0
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q[4W tk"4nfM�s 1% 97.223 _Phons No. &W-0o
D a s c r i p tion ; I"k4 0,1&46e- Of o —
Bed e4- : q��� Of
City-of -Tigard, Building Dept.
By
I
— --— 12420 S W. MAIN VO BOX 23.;97 TIGAs,[), OREGON 97223 PH: 639-4171