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9625 SW SERENA WAY 9625 SW SERENA WAY z W cn 3 cn Ln N C7� I t.. w�;ii✓`^' ? P.: a yy y 01 /� '4-. .�_ ... ,. :y '!fit§ 77 17 OF . � •�� � 1OCCLrIN I ` • ) s. .$ g� CITY OF TIGARD C� OREGON �t James Blackburn rn -^ � .' 4. / .. . Owner: Permit iV o.— I -, Address: 9525 S.W. Serena Way Tigard Building Address. Sdme �'_`r_ • !: Occupancy: R-3 Land Use Zone: -7Py'Bld g.Type 5-N Fire Zone: ;,+ , Comments: Certificate is hereby given this 30th day of July 19 81 ',dux II .s A that said building may be occupied and that it 1 complies with all requirements of the Build- ing Code for the City of Tigard, -.s approved I . by the Tigard City Councl. � I* k _ �7 g_ 0, Buil ng Inspector p yid F \ NIE / Building Gfficial i Post Certificate i--t Conspicuous Piace t j s +�. �:J Y %7, ( /A f j�' ►'t,( "`` `< , :,, =`� .J � -.T+�i�� 7 nom. r .,,6.r'�' 4 � �i RL+'u`' >T•Y• � ' ` ut+/t.�'�s�`�aTs,:=.'tii 'W�-o7�_ ii*•�=�.w., ���..�.'C{* -A�fti'�}iy-'N�/'' �•.'s.•a?'w'"..�=.G���k�O`a=1i�''6'j�� .w.1�.�•.:�ifl� r .ti. s�S E��- r,,f�`y' _^��': _.. ---___ Siunature of.Apal(pnt ------- -----_--_----'_ City of Tigard Meci�ar-icaa Permit NO. Frew Installatior Replace Relocation 0 Addition Alteration IIDATE:,, HEATING , WNE R N rlcsz c [ hi, Y y. CONTRACTOR a.1.l.1. _'LC--M. c' IA ADQR'cSS �:� �1s5 W 1��.� r" 1Zc�� JJ S ADDRESS,24-- �` c� L1.����'�.C.vim. Int, PHONEAPPLICANT Heat Input Rating(STU per Hour) Vent Size __. Flue Size FUEL Olt_E] GAS Zj, ELECl C] OTHER — ITEM Na. FEE ITEM NO. FEE_ For Issuance of Permit SEE BELOW_ Each Air HandlingUnit or Duct System 7.50 New-up to & incl. 100,000 BTU _ — 6.00 Commercial Hood System 7.50_ New 100,000 BUT's & over 7.50 Other Equipment - Each 4.50 Woadhurninq Stove 4.50 1 Trip Inspection —4.50 Wall-Floor- Suspended _ 6.00 Air Condition Compressor-up to&incl.3 H.P. 6.00 Vent System_w/Fan _— 4.50 sAir Candition Compressor-3.1 to 15.IT-13:—incl. 11.00 Repair-Heat Cooling_ 6.00 CITYBUSINES.. LICENSE REQUIRED BY ALL '70NTRACTOFIS OR SUES-CONTRACTORS ! ! PERMIT ISSUANCE 10.00 Comments. FEES SUB-TOTAL �" 96 STATE_ Issued By_..—, 25%PLAN CHECK BUILDING DEPARTMENT, TIGARD PLUMBING PERMIT holder of a valid plumbing contractors license is hereby authori-red to cause plumbing work as herein noted to be installed in accordance with the plumbing code of Tigard. 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 License required for all contractqrs and sup-contractors. .� Job y Owner /_ r. _�_ % � Address_ y� y �'� �.c� at NUMBER OF TOTAL TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT Single Family-11 bath—each _1 25.00 Duplex—Each 1 bath unit _ 25.00 Additional bathrooms—each 10.00 Mobilo Home Sap ce—each `15.00 INDIVIDUAL FIXTURES CIMMERCIAI 1 to 50 rixtures in 1 building—each '�_N _ 3.00 51 to 100 Fixtures In 1 building—each _ a2.50 101 to 20U Fixtures in 1 bui1din97each _^ 2.00 _201 or more Fixtures in 1 ch _ _1.50 h115CELLANE0US �^ , Sewer—each_ad_ditional 100 It. _ 10.00 Water Service to building_ �Y _� __ _ 5.00 i Other (Specify): PERMIT I for Primbir:q inspection Phone 639-4171 ; Plumbing Contractor By TOTAL RECE,PT NO. Issued By BUILDING PERMIT APPLICATION TIGARD DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THL WORT;HF-REIN' INDICATED BUILDER PHONE OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIGATIONS, OWNER PHONE ---- OWNER '.ia[:kburn JOBADDRE_3S9U2`j ")"L) J :i:-Ml LiRY Tualatili ARCHITECT ENGINEER BUILDER,'1.Lar.natiys Pov. CO. ADDRESS 1148 SW Industrial _Li.,DESIGNER Al.terns t-i v e STRUCTURE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR_— ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION I RESIDENCE n COMM ❑ EDUCATIONAL ❑ GOV'T Fl RELIGIOUS Ll PATIO Cl CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY -LAND USE ZONE RI—PD BLDG.TYPE aN FIRE ZONE "`—PLAN CHECK BY _ EIL HEAT -.: t ruct single family duelling w uttmc;te: ajra e 2 Bedruome 2 Batt.. . r;F.'r- -' -"RECTION SHEET ATTACHED. §EWER PERMI i M -".222 - $7SC1,n' _ �tx�P aP-f# _ garage 4:jO aa. f t. _ OCC.LOAD FLOOR LOAD 4U HEIGHT 13 NO.STORIES AREA 1.224 NO.BEDROOMS 2 VALU& y -110. BUILDING DEPARTMENT SET BACKS FRONT 1 REAR LFFT SIDE RIGHT SIDE Permit 11169100THIS PERMIT IS ISSUED SUBJECT TO THE 93EGULATION3 CONTAINED IN THE BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND li IS HEREBY AGREED THAT THE Pian Check 94,50 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND S')ECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIVE Subtotal 2Q3• `,i0 RESTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTCAS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBINN AND HEATING. State Tax 7•`� SDC— 9,,400.00 ,t� l � � -""- r,,l�c•di Total r.291.00 -- PDCM It $li]O.Or+ APPLICANT OR AGENT ✓ _ ffa. i-- Recelpt No. Approved li C r ADMESS _ PHONE DATE INSP. TYPE INSPECTION — REMARKS �I PLL(�1MBING DATE t' ��d�J �'���. -- --- - A- Permit No. Rough-in -_ U Fixture Final --- H' TING - Contracto Gas or 011 Rough-in u — ��Vy-- - Final — .SEWER ---- —� -__ - — --.--_ Final DRIVEWAY 4--— Final Storm Drainage - _—__ - (Rain Drain)Final — - Sidewalk Curb&Street Final _ __ _ Approach iil DG DEPT. FINAL TEMPORARY CCRTIFICATE OCCUPANCY — CERTIFICATE OCCUPANCY Final at�2 — >_po ndscaping i I Zoning Final I 4 ( I i Y . . I 19 U1�UIN� PEP,1r1lT APPLICATION TIGA�?G DATE__ '_ is THE UN0ERSICtiED HEREBY APPLIES FOR A PERMIT FOR Tl ii:WORK HEREIN INDICATED BUILDER PHONE`4—?8--?623 ORAS SHCWiN AND APPROL ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVI,`IEA PHO +c ©g II L ADDRESS ARCHITECT ENG NEER RESS _ �JJtt4—A-M 9ESIIGNER - 4I1 'c — .-, SIR(a'�i,,��pp STRUCTURE NEW _C] REMODEL L1-_AODITIO_N J REF'AT�__ L! RENEWAL ❑ FIRE DAMAGE Cl DFMOLfTIO a':SIDE'iCti C COM?d ❑ EDUCATIONAL a GOVT ❑ RELIGIOUS Ci PATIO u CAA PORT ❑ GAFP,Gc u STGFAGE ❑ SLAB❑ FENC _�.�urANCY �� �LAND USEZ9N-EBLDG.TYPE_y,�_�, FIRE ZONE—__�_pLgN CHECK BY g HEA•f SEWER PERMIT K OCC.LOAC_ LOOR LOAD WD HEIGHT NO.STORIES /� 'AREA Z� ZNO.BEDROOMS V/•.LIh:-pp �— i31111_DING JEPAATMENT—­1 SET BACKS FRONT 2—-- .-- "-- -2gHEAR Iff (.' LEFT SICE :f.S RIGHT SIDE s THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONF CONTAINED IN THE BUILDING CODE,ZONIN^ i t REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HERE?Y AGREED TPAT TH Plan Chack I / `!� WOPK WILL BE DONE IN ACCOPCANCE WITH THE PLANS AND SPECIFICATIONS AND IN C0110PLIANCc +- —� WITH ALL APPLICABLE CODES AND ORDINANCFS. THE ISSUANCE OF THIS PEF{,AIT DOES No' W:1Vc RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY EUSII.i ^ :3131A Tax LICENSE SEPARATE PERMITS REQUIRED FO:A SEWER,PLUMBING AND HEATING. I� -- SOC— Tot<ll PDC.ri APPLICANT OR -- �y Receipt No. Approved L ADDRESS J Q C i-TIJER CONNECTION ;C'yEn IPJS�_CTIL?�� FIJJER SURCHARGE $ a R � n mm c n Q: T!V 1 1� `�vr�_• -� . 1 h S_c k, let 6 fj e. ,//1 � _ bo.1 f � Al _ C11YOFTIFARD WASHINC -.N COUNTY,GRLEGON BUILDING DEPARTMENT PLAN CHECK APPLICATION Dat7' z)2!-!, This iS to certify that the following plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, 1979 Edition. Qwner _ lG Job Address_9(6; 5 '5�) Q � L o t N o. - P4rftG!' .2 Owner/Appl.i cant Address '2.1/00TVU�6eje © Phone No.-(aa- ?0 � Description: .01. r !d Nfto R4 IZ;21-00 loo 03' 13u-) '�chc�a "� Ci'-- ail Vor-TAgard, Building DppL By : V ---- 12420 S.W. MAIN P.O. BOX 23397 TIGARD, OREGON 97223 PH: 639-4171 — --__ •��G�'.-ter�_ iZ �. � •.3 '�/ = C�G O /G X ...3 c � z x z o - cryo 427 5�S' 9.x s� ryd o