9830 SW SERENA WAY 9830 SV] SERENA WAY
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4r . ! CITY OF TIGARD ,� F }
,! Owner: Tom Miller
Permit_ ,, 3199
:�. Address: 14800 SW 92nd '. ;
Building Address: 9830 SW Serena Way
Occu ancv: R-3 Land Use Zone:R-7PO Bldg.Type SN ! '
P g. yp Fire Lone: 3 �, �
>� Comments: ' .
m e rs,g :r
Certificate is hereby given this 29th dap of August , 19 80 ' 1
# c that said building may be occupied and that it
IL ':Y
_.
`? complies with all requirements of the Build- 3r '
ing Code for the City of Tigard, as approved
j_.;: by the Tigard City Council. '
z
t}� din R Inspector •�
(1 MI
Building Official M"
k) Y � Post Certificate in Conspicuous PlaceL46 ►,3
J1 �:� C' s k..p';R3^�5. rd� ./M '�►fi ' � ► ' "'1p►� i+M� •` `y�,� >. j _.�, �/4 1
� �'ti.... ... h. c . .. �.w "r ems_t. iL' - -"71r .- - '— L 1 ...' .•s��,��e 'iT-- 4,. •',k'.ice py,i.
1.1� I'�..-.tF,t �'%�"`QtD {.� v'�!- ,Q?e"Fc :'..•��A�.�.�.4.- :.t+,.��� -wL'M .f+ ?�'� � ay.�•- _ '.'a* k
BUILDING DEPARTMENT, TIGARD ND
PLUMBING PERMIT
,Qn �causp
�C11holder of a va!id plumbing contractors license is hereby
autthorrizzvdb�inng work as here' notedto be installed in accordance with the plumbing code of
i igard. Such installations require inset ction by the City Inspector who :hall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City C hie dt8� Hess License required
for all contractors and sub-contractors. �►
� Job
Owner �—/ f/`' Address__ _ Lam-- t'u . Dat P..�'_:1 2
,�='�
---- TOTAL I
-_ - NUMBER OF
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT _
~Ou IaK-Each 1 uath unit -_ __s ___25.00 __ a
Additional bathrooms-each 10.00 --- t
Mobile Home Space-each
INDIVIDUAL FIXTURES COf��IERCIA �_ - — ?
1 to 60 Fixtures In 1 building-each ?.00 ��
61 to 100 Fixtures in 1 building-each 2.60
_ 101 to 20o Fixtures in 1 buildinrl-each 2'00 ----�-_ _
_201_or more Fixtures in 1 building-each 1.50 �_ ------ W
h1ISCEt t.ANE0U5
_Sw-r-earh_additional 100 ft. 10.00 -- -�--�
'Natar to Servicy bulldin ,_ _ ^— 6.00
Other (S ecif -
PERMIT For Plumbing Inspertion Phone 639.4171
4 o State Plumbing Contractor By
Tf1TA1 RFf FIPT ";t7 ISauetl Rv
n�,,iaco Relocdtion
MATIN0,
Ci-lNTRACTG&—
ADDR
PION A"f
H,:.it Input RitfnU (BTU Per Hour) Olt
FLIEL OIL GAS ELECT
ITEM No. No, FEE
10.00
-��_.v:t7p tc incl .1000000 BT 40--1
U 3760
07
100,O�-i BTU's 6: over 6.00.
4.0!1 2.1
I!!,t3I1 V21L1 O'.11Y 2.,'j sy, n 3.00
cor) '10J! 3,00.
6o'dition Cr-m,.,-ess,)r Und,:r 3 HP 4R) C 11
IUS!"Ll'I OR'S
CITY BLJSIN[*SFj LICENSE REQUIRED FOR ALL CON I nAr;](WS 01' Stll' CON rl%.,kcrm�
DATE
RECEIPT No'. 4r�
714 • Sviat ire of
BUILDING P`RMIT .4PPLICATION TIGARD DATE___' �___ ,19 U4199
rHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR fHE WORK HEREIN INDICATED BUILDER PHONE U3!125.�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER Pf'�Q(`�E __
LOT NO. 11(•- C�(E1 Aflci 9:
OWNER : .:,n Millar - JOBADDRESS 913'20 til,! .arms Way —`
BUILDER same _ ADDRESS 14000 SW 92nd -_ DESIGNER StOVen t e Desiyii Service
STRUCTURE U NEW—❑ RE_MODEL _ ❑ ADDITION` —❑ REPAIR _ P_ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Kk"RESIDENCE ❑ COMM U EDUCA.'IONAL ❑ GOV'T ❑ RELIGIOUS 11 PATIO 11 CARPORT ❑ GARAGE L.' STORAGE ❑ SLABO FENCE
OCCUPANCY _E_-'.2_LAND USE ZONE �l 7P1') BLDG.TYPE 5" _ FIREZONE__ PLANCHECKBY -- _—HEAT���$._
l:onatruct SiD le._ fnmily dwelling w/atteched garage, 4 Bedrooms 1 Baths*
SEE CORRECTInN SHEET ATTACHED.
SEWER PERMITM 21918 .. ;'�liub,00 Y
OCC.LOAD _FI.OJRLCAU 40 HEIGHT 15 NO.STORIES 1 AFEA 1603 NO.BEDROOMS 4 VALUi660901 0,
BUILDING DEPARTMENT
SETBACKS FRONT 14 _ REAR '.,O LEFT SIDE 516" RIGHT SIDE 61 ,311
Permit f07 .00 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 10:3.50 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 1.a0 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax �•<<:�
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
4;��
Total �te'1i,By P1 � -.-.. -
PDC# i 1 S100-00 - YF'_LIACANt OR AGENT
Approved Dl,?4i Receipt No. 1 I
Ab-DRESS
-- -- -- _ PH NE'
DATE INSP. TYPE INSPECTION REMARKS
-- PLUMBING_ DATE
Contractor
Permit No.
Rough-in
Fixture
Final
A•it �y�i..n.r /�aT— HEATING —
7,ia- -A.-L-"P/w.4 _— Contractor
Permit No. ( O
.3s
----- Rough-in ---- —
Final _—
SEWER
�_ -- Final
--- DRIVEWAY
Final
s• _
--- Storm Drainage
(Rain Drain)Final
Sidewalk
------ —_ Curb&Street Final
R:M DEPT.FINAL T---.. — _ Approach --
TEMPORARY CERTIFICATE OCCUPA CY
CERTIFICATE OCCUPANCY Final —
Landscaping
—— Zoning Final
i
!1
t
1
,9
BUILDING PERMIT APPLICATION TIGAA^ DA(E__A&A_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORT iE WORK HEREIN INDICATED BUILDER PHONE��
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
A ``11•• LOT NO.�
OWNER TO/n IAIuL6r2 JOBADDRES� Q W_3C3{'woid -_ �r —
BUILCER .J�J��Qi ADDRESS� _E7 _`i/.��_�� _ DESIGNER Awflot 94%yt C&
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ^❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DE'f0LIT1ON
X.R=ESIDENCE C COMA ❑ EDUCATIONAL ❑ GOV'T -O RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE RM_BLDG.TYPE -X-,A),._FIREZON -.PLAN rHECK SY
OPZ
_�����'��►-fie-- ---- - --- —
SEWER PERMIT N _ GAftde- 4310 - --- —
OCC.LOAD FLOOR LOAD HEIGHT / NO.STORIES AREA/ O3 N0.BEDROOMS I�[ VALLIEj;&
_BUILDING DEPARTMENT SET 6ACK:, FRONT REAR SO LEF i SIDE .'�'G►~ RIGHT SIDE G
Permit . d THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS C014TAINED IN THE BUILUIYO CODE,ZON:NG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check d�• WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFIC. TIONS ANO IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total /d• .S O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRAC.ORS TO HAVE CURRENT CITY PU^INESS
. @ LICENSE,SEPARATE PERMITS RFOUIRED FOR SEWER,PLUMBING AND I EATING.
State Tax P
7 SDC—
Total
PDC.A APPLICANT OR AGENT By
Receipt No.
Approved ADDRESS PHONE
S 0 C -
POC �S /UD
SEWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE S
1b?sA i111PemsN od ;5wof
3
e.
le So '3w Fora..,a- 0A .
A4,La, �--- &A oolc� Amn,
i
�4o or
14,x 36v Yok-
8 x 27&
14-cp x 3Co 5"z 2
2Z
�-- X &(0
Y.
/ZO
�T1� c.1r e,,
AL
(�o c7ca o
i
R,
�' ciry TIGARD MAT % � 7°
E..
BUILDING PERMIT APPI.-Iu,ATION OF
THE UNDI, Heal iNI D HLNEEiY APPLIU) FOR APERIMIT FOR THE WORK HEREIN INDICATED BUILDERPHONF
OR AS SHOA'N AND APPFIOVED IN -HE ACCO',1PANYING PLANS AND SPECIFICATIONS O1'•'NLF?FHrjNE__._�
LOT-NO
cR �=�1►1��� i� � /�
pI �-Ic;^.cs2
ICTURE '• -J 1I '.tIIC L (]ADDITION f- I•E:PAIR ❑R AL )ESTORAGEOSLAs
DAPAAGE DS!/')LITI
S ENCS ���L ''M C ,ICA7 r1N I �GOV'T I�pELIGII�uS[]PATIO LSC PO ❑GAPAGu�LN. E
R- 3 I ANO11`� • ,.'� (1G I NPE ,f- FIRE /0NF 3CH �HEAT�..:V -s
�
JL.R ._'-'L h f'l I I
LOAD FI n IA l p., 'tfl/ r /S VO bk'WES , AR I�pd NU bky/Cl}t`i�n'..
. _BUILC"M '7a0 O; AR /♦ EF' SIDE I/ FLIGHT SIDF /a -
nItO 7-
-—
---- MIT IS 1. ,UFO SUF!)FC O THE RFGULATIONS ONTAINFD IN THE BUILDING C:UDE, 2CP+:VG
Check (S 3, f� IC)N I A AI L APPI.W.A6 C()r)rS AND ORDINANCES, AND IT IS FE�'FBY 4GHEED THAT THE
--- - 1.6 -'� L BE CIJ E IN NCt.0HC4-' t: WI TH THE PLANS AND SPECIFICATION" AND IN CCIAPLIA.NCC .ITH
-total � ' (,, S ICAFILE CODES AND GkOI ANCES. THE ISSUANCE OF THIS FERMIT OCES NOT Y.',IVE
�j ;IVE CO'.' %ANTS CGNIPALT AND SUB CONTRACTORS TO HAVE CUPPLNT CITE' L91ltil'IE55
e Tax �rj 28 - SEPAHAI PE HMI IS REcoiRED OR SEWER, PLUMBING AND HEATING
318 ,?$
I.P a ENT
i
C
WER r I '. 1 ION
WER INSPECTION
WER SUHCHARGE $ - / 44, L
min P.nts : 2-loo
Aftl. i 4 e-110
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