9660 SW SERENA WAY 9660 SCJ SERENA WAY
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CITY OF TTGARD i � T.�
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OREGON
_ 481 ` �J 7
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Nottmann & Browning Co. Permit No. 3
j Owner: _ �, s
j = ;yam
Address: _R.O. Box 1673 Lake Grove
- -- Toy ~t:
Building Address: 9660 SW Serena Way -
SN Fire Zone: - = ,
R-3 Land Use Zone: R 7 P D Bldg.Type '
Occupancy: �
l, Comments:
' Atha
lltt� lav .19 81 .?��'�"� �
' Certificate is hereby given this day of ,3,
•'' that said building may be occupied and that it
complies with all requirements of the Build-
I� ing Code for the City of Tigard, as approved �►��'
-11D .= by the Tigard City Council.
411
f' ilding Inspector
Building ftc a! - FYI'Q-z�''Sv
Post Certificate in Conspicuous Place
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WSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
4ddress---- ---- --- = — Permit #--------.
Type of Inspection
The following Building Code defiriancies are required to be corrected:
J
P"r"wited to -------- ----___--- Inspector _
Date --._
CALL FOR RVAIS'EMON
❑ YES ❑ NO
i
P'
Its IWI11 W W I! W W- V
INSPECTION NOTICE
City of Tigard Building Depariment
12420 J.W. Main St.
Tigard, Oregon 97223
Phone 639.4171
Address--•__--- Permit # —
Type of Inspection —_.---
The following Building Code deficiencies are required to be corrected:
�L'� �•4'•� ` V,) .f ,�..r.y iJfl[�.lri. `F Y r�.... .-_--.�rL�"1 L.
Pumented to — Inspector —
Date -
CAI-L FOR RE-I&WECTION
d YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oretion 97223
Phone 639-4171
Addresspermit #
_. __ _ _. �""' .�.,,� � --" _;;�..,�.. _ E.
Type of Inspection
The following Building Code deficiencies are required to be corrected: .4D- 1.
- - - - _..+�.*.�,n_ry �'i '�—d�''�,�+Kl..r�..y_�.� �.� `) G�.,•'�ser,rt .J-s,
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Presented to - _--__-_— -_-----_._.___-.- _-- inspector _.—.--
Date --
CALL FOR REINSPECTION
❑ YES ❑ NO
.............
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 639-4171
Address --r% Permit
Type of Inspection
The following Building Codn deficiencies are required in be corrected:
Presented to....... Inspector
Date -
GALL FOR RVAISPECTION
0 YES C3 No
' 3481
BUILDING PERMIT APPLICATION TIGARD DATE ----'19
[HE UNDERS13NED HEREBY APPLIFS FOR A PERMIT FOA'1 hl' v%,QR�,Hi-;iEIN INDICATED OWNER PHONELDER E (-39-36t);
Y -
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECI, IGATIO�lS. LOT NO. 11U-P t Llig -U
lstra; �.ny _ _ _ Lurid lLi 2
OWNER <}i:t.i)Ant} ��, _ JGBADDI�E58 �9(''f?l1 � d �bTE.�4�1 __ -- -
- - --- ARCHITECT
p.u. I;t)x 103 ENGINEER �� ''
BUILDER 9 f}111 � �_— ADDREBS�kV C•r 'w —
STRUCTURE ® NEW— ❑ RE.MODEL_---[3 ADDITION_ ❑ REPAIR Cl RENEWAL _L] FIRE DAMAGE ❑ DEMOLITION
0 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS D PATIO ❑ CARPORT ❑ GARAGE ❑ STORAUE ❑ SLAB❑ FENCE
OCCUPANCY --j _,LAND USE ZONE 1,i �'L BLDG.TYPE :] • _FIRE ZONE — PLAN CHECK BY I I HEAT -
-- t:c)Tl>yL>r114t ;.111'?1� c �11'i,�iy Liwellillf, w/nttjich(+'(� —� -_
3 bedrooms
scf! carr"cLion sherL OttatCht d _-- -
---- - 2 baths
__ -- --- — C e r a p C
SEWERPERMITN
OCC.LOAD FLOOR LOAD HEIGHT__1,5_ NO.STORIES AREA :' �� ' NO.BEDROOMS .; VALUE
BUILDING DEPARTMENT SET BACKS FRONT 1— REAR 5/ LEFT SIDE RIGHT SIDE ?
Permit — L 9.VU 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 11(1.5f) 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.
Sub total 356•5l.) RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REOUIRED FO Sf_4vfR,PLUMBING AND HEATING.
State Tax
— SDC— k+1��.•.+'
Total 3(i t .11(_ LICAOR -------1------- —�---
PDCN a J 1)U•00 APPNT AGfWT
By
Receipt No.
Approved _ ADD�R-L$8--
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
�.�•� �sV -- `' -- --- - _. _ _._ Contractors jt: 713
Permit Na. a�"D� w.le�PJ �'/oot-R,/
=ixture
7' -- —
2'��y'r/ - -------- Final
HEATING
Contractor
S/-iv _ _ ` Pe�miINo. I�7'D /-N
fG.,0,0,1
Rough in
Final _
SEWER — --
Final / /Z P/ -
DRIVEWAY
Final
Storm Drainagr
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL T TEMPORARY CERTIFILATE OCCIARANCY Final - _ —
ICERTIFICATEOCCUPANCY y p/ ICI
O Landscaping
Zoning Final
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BUILDING, PERMIT APPLICATION TIGARD DATE 19
THE UNDERSIGNED HEREBY AFPLIES FUR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE4*_3
OR AS;HowN AN APPROVED IN I-HE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ _
/ Ca LOT N0.f L� rt +t1'�i
a/Z►��A ���ADDEES�44 - _ _ ",,Ad L%# Z --
T ARCHITECT
ENGINEER J
BUILDEP A in_c" ADDRESS�p&k*./�_,__ - DESIGNER It%1djk4s 9Desi N
STRUCTURE _- NEW REMODEL - ADDITION ❑ REPAIR (3 RENEWAL C FIRE DAMAGE 10DEIJOLI T ION
ESIDENCE C COMM E3 EDUCATIONAL ❑ GOWT ❑ RELIGIOUS G PATIO C CARPORT ❑ GARAGE C STORAGE_C SLABC FENGI
OGC,UPANCY ?_.LAND—US—EZONE w� BLDG.TYPE _.!L. -FIRE ZONE_ PLANCHECKBY HEAT��,,__
ilia
;"4 p"101(y _&_1 ff,III!
See Cao+n"A �., '311 a c+.
SEWER PERMIT N
OGS.LOAC _ FLOOR LOAD
LSU HEIGHT��� NO.STORIES Z _ _4%
AREA 220NO.BEDROOMS VALU-N - pp
BUILDING DEPARTMENT SETBACKS FRONT ,2(� REAR S7 LEFT SIDE �.Z.S^ RIGHT SIDE
Permit .Z �� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN ' HE BUILDING CODE,ZON:N,
REGULATIONS AND ALLAPPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT TY.F
Plan Check WORK WILL BE DONE IN ACCOP.DANCE WITH THE PLANS AND SPECIFICATIONS AND IN CO.M.PLIANC','
rte_
]WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PER"AIT DOES NOT WAIV:
ISub-total 3 Pa .S� RESTRICTIVE COVENANTS. CONTRACTOR AND SU8 CONTRACTORS TO HAVE CURRENT CITY ELGI ES:
~"- LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUP:RING AND HEA•ING.
i S to to Tax •
..� SDC-
Total -3&A8-0(P --— - - ----- ----- --
ppm APPLICANT OR AGENT
By _
Receipt No.
ApprovADDRESS PHONE
ed
soc
SEWER CO JNEC1 10N S 2.�• G..8,j
- 6wt h e l.. G 61," Q
SEWER INSPECTION $ /""�
'EWER SURCHARGE $ '_,,�- - ----
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