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CITY OF TIGARD
OREGON
_ U
Mountain Vista %-op. 3366 T_
Owner. Permit No.
C_ Address: 1429 Hemlock, Lake Oswego
Building Address: 9635 SW Serena Way
Occupancy: Land Use Zone: R 7 P D Bldg.Type 514 Fire Zone:
Comments:
Certificate is hereby given this 5th day of Decamber 19 80
that said building may he occupied and that it
complies with all requirements of the Build- Ir
ing Code for the City of Tigard, as approved -A& 4
T 'AE.
by the Tigard City Council. rx
A!f
4.Dpilding lw:pector
Building Official
Post Certificate in Conspicuous Pla.:e
................
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address —_! Permit
Type of Inspertion ---
The following Building Code deficiencies are requires) to be corrected:
Presented to______-._ Inspector .
Date
CAi_L FOR REllll PECT70N
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Permit
Address._._.___
Type of Inspection — -- —�--- —
ti r
Thr following Building Code deficiencies are required to be corrected.
Presented to _ _ Inspector ---
Date ----
CALL FOR REWSPECT'10N
c� YES Cl No
BUILDING PERMIT APPLICATION TIGARD DATE__— ' � is E10 3366
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 635-7184
OR AS S'iOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PfR� F.___ --_
LOT NO._ 1 C
OWNER ta.LCI 4iJ' tO I'LUOBADDRESS ;,E3trsi:': tva.j Lending II
CHITFCr Unve Nortar
BUILDER _+.IMU ADDRESS Hemi , L.fa. DESIGNER Studiu 5 — 244-6629
STRUCTURE In,*EW s_❑ REMODEL CJ ADDITION ❑ REPAIR _ ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _ ' —=+ LANDUSEZONE `_lIJU BLDG.TYPE aP: FIRE ZONE; PLAN CHECK BY duh HEAT
-- I ;.r+s,truct single family dwelling + /stt ached arago, 3 Bedroums 2 L;,ths.
`1171' COR-RECTION' SHEET ATTACHED. _
SEWERPERIy11TN '..'� — V.7�i0*�� isjjr Ljw Vii, —I.ElL
OCC.LOAD FLOOR LOAD HEIGHT l3 NO.STORIES 1 AREA 1415 NO,BEDROOMS VALUiI 6 0100.
_ BUILDING DEPARTMENT SET BACKS FRONT REAR �'+ `' LEFT SIDE RIGHT SIDE
Permit 1y9� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 94.Sit WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
1WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 9E 150 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 7.9t� off
_.� - PDCk I I1C�Q.QOAISPLICANI�-A(3
Total „.40f,.4;:
— ENT
By pl _ _
Approved
dIWI1 Receipt No. A DRESS --------— I — -� PHONE -_._
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
/ Contractor i ^
G4T � �p �— Permit
In-1-1r0 h t]atwi•�_�: — �O— �3 yD Rough-in
T—.
Future
16•-/J !{S �//l)C O _ Final
HEATING
A1C nK
l�_ Y ZO '>I ihat�•• D t Contractor J
Permit No. 19 c19 '•�'� / }��
Q Gas or Oil
-----.-- — -----G ------- final ---
SEWER
DRIVEWAY
Final
Storm Drainage
-- --...__-- �-v— -- IRain Drain)Final
— — Sidewalk
T— Curb&Street Final
-- -- -- ---.— �—. —_-- (Approach ----
BLDG.DEPT.FINAL TEMPORARY CERTIFlC OCCUPANCY Final
CERTIFICATE OCQJI%ANCY �/ -- ------
�/ Landscaping
i
•� 7oning final
s
.. � �• __ �. ,•yrs 'ty}r:+''�I;,:
BUILDING PERMIT APPLICATION TIGAR0 DATE ._._.19A0_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER P,�or:r _
�O �a 1A. 'I'o�1 ° �I �illJ l Q a.(� — -- -
LOT DJo. 1
ONNER/ t�'¢�K.!S� P ADOaESS .i
�4Fit3tMfiE� 'rAe
Q A G 1 1rtlf]I'f�t!�
BUILD F1 SAWe— _ --------- A0QRESS 49 o�{R.L41t' EsIGNER- a.S" 244-6 62,7
4 i r.uG i URE ,NEW _❑ REMOO_EI. - ❑ ADDITION ❑ REPAIR C3RENEWAL C1FIRE DAMAGE ❑ DEIAOLITIOtq
RESIDENCE-C COMM ❑ EDUCATIONAL_—❑ GOV'T ❑ RELIGIOUS [I
PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAF,0 FENCE
u,C;OFANCY _..LAND USEZONE _BLDG.TYPE --FIRE ZONE PLAN CHECK BY HEAT-4Q�+_
A o o
SEWER PERMIT p __—
OCC.LOAD FLOOR LOAD �D HEIGHT 13 N0,STORIES AREA �J� NO.BEDROOMS VO.LUEgaoov
BUILDING DEPARTMENT SETBACKS FRONT 20 REAR `* LEFTSICE ,f,J' RIGHTSIDE S,.S
Permit .� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZON:NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGPEED THAT THE
IPlanCheck �• WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMP wc--
� I:+I
i--- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
ISub-total _—_ Q 'S® RESTRICTIVE COVENANTS. CONTRACTOR AND SUE CONTRACTORS TO HAVE CURRENT CITY BUSi'SS
rLICENSE_SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 7
—
Total G UCAN `—'--- --� �
pDCp A PF�UCANT OR AGEN i
By _
J Receipt No.
Approved
;DC
-SEWER CONNE=CTION _S
3E_WL-R INSPEC1ION
R SURCHARGE 5 --�-'.� t S A�'N�'yg i Ire"sl .
w
AtAl�ITA-1—mu s_rA.T.Lr_5
5%
,� ..
'_9!4
wtoo•- '3
c � ,
� T xr cep,
2� 330
r
s"G �a a
1rY' . { M► a.w .v►�.ri/r. •'W 9.a • y.a a.a► s• _/
„u Fee_ - -- 06)
New Installaron '❑ Replace ❑ Relocation El Addition C3 Alteration C1 - '"" 3%
New -7
TOTAL—-2—
CONTRACTOR Tmperitil Mech . OWNER Mountain Vista Properties
ADDRESS---4532 SE 63rd WORK ADDRESS 9635 SlJ Sor. ena Wad
PHONE_ 7 i fi n 1 _ APPLICANT t mei e r ' a (I e c h ,
Heat Input Fisting (BTU Per Hour)__80 , 000 Vent Size ` 4 _ Flue Size_ 4
FUEL OIL J GAaI ELECT ❑ O7nFR
ITEM NO. FEE ITEM NO FEE 11
For Issuance of Permit _ .00 Air-Coni:--:on Compressor 15 to 30 HP �_—~ 110.00 '
New- Under 100,000_ BTU 4.00 Air Handling 10,000 CF'.' _ 13.0 ,J
'tiE�v- 100,000 BTU &over _ 5.00 Air Handling Over 10,000 CF."A
Floor Furnace - 4.00 1 E_vaoorative Cooler
,Vali • Floor -Suspended —� 4.00 TRange Vent Fan
Instal: Vents Only _-� 2.00 Vent System --� , I 0
Repair.Heat&Cooling x4.00 Hood Commercial _ I_3 C-1_
Air Condition Compressor Under 3 HP - 4.00 Commercial Duct Systern _ I IO a0
Air Cundit on Compressor 3 to 15 HP W - 7.50
INSPECTOR'S COMMENTS
'ITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUBCONTRACTORS
APPROVED BY DATE ISSUED BY DATE
9ECEIPT NO.
/74 Sionature of Aoolicant