9845 SW SERENA WAY 9845 SW SERENA WAY .�
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OF OCCIT�4-VCy
CITY' OF TIS-xA-RD
? '• Owner Tual. Dev. Co. Permit No.
Address. 15300 SW 116th {
Building Address: 9845 SW Serena Way !!
". .T R-3 T RSPD Bldg. T),-pc 5h I .'•
Occupancy: Land Use Zone: g•
Comments: Construct single family dwelling w/attached garage.
- -4
Certificate is hereby givcn this 10th• day of Aupus t , 19 81
z
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved
�i by the Tigard City Council. :
i ,"Y !' Fire Dept. B ilding Inspector
pl` Building Official
( Post Certificate in Conspicuous Place
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JL-JIIW lll�
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone 630-4171
P.ddress_-- ----------- -- �'�,"1� '� _..••�.� �.. ---- -- Permit
Type of Inspection - - -- - --- - --- _ .=a - -"j--- -- --- - --_
The following Building Code deficiencies are required to be corrected:
C
Present ed to -- - ---------....-._...- - ---- Inspector
Date ---
CAL!_ FOR REll1r;SPECT/0N
G� VES ❑ NO
I
C] Alteration ❑ DATE: .J
Mew Installation Replace ❑ Relocation❑ Addition LJ
HEATING OWNER '�_---
�
CONTRACTOR ' �
' �• ' JOB ADDRESS____�_.g� � �►/� ,4dadl"Al Ad
ADDRESS--
PHt7NE - 1 --- APPLICANT ----
_ 7 Vent Size_y Flue Sze ,--
Heat Input Rating(9TU per Hour)
G'Ut" W^�
Ir-'LJSL OIL GAS- GAS (X ELECT ❑ OTHER __.____----- -
NO. FEEPh
ITEM NO. FEE
ITEM -
SEE BEt.OW Handling Unit or Duct S stem 7.50
Far Iss�-• u��nCe flf Permit 4.50
New up to & incl. 100.000 STU _ 6.U0 Commercial Hood Svszem �{.50-
7.50 p&over -- 4.50 pectionWoodtiurnin Stove Wall-F1nor Suspended 6.00 tion Corepressor -up to&incl.3 HJ'.- 4.50 tion Com ressor.3.1 to 15.H.P,ind. 11.00
Vent Stem w/Fan _ ----- 6.00- .____
CITY BUSINESS LICENSE REQt RED sY .ALL CONTRACTORS OR SUBCONTRACTORS ! !
----------
PERMIT 155U<\PJCE 10.Ofi Comments:
55-5 --
,SU 13-Ti.)TA L
EES ,^,SU13,TC)TAL
�• '!G S.TAT'c ___ ` Issued By.
viL/.PLLly CHECK
T'OTAt__! -L_.� REC. # -- _ Signature
P. Q. BOX 119 PLUMBING iu m►T
ZCIL6 'HO '9H:0AA NiY 81V%J, VIED 91!31 holder of a valid plumbing contractors license is here
6 z t xO d Orr----
':)rdl JNIijow prized to caus3 plumbing work as herein notcu to bo installed in accordance with the plumbing coda
10UVNN13U 't( � , Such installations require inspection by Vie City Inspector who shall be notified licit less ,nan fo
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business req
for all contractors And sub-contractors. C, vi QA
\
Owner--J Addressc c •5 ,� (-�� I,ZQ�Le%����. 1 f, '! :,i1
NUMBER OF TOTAL l PFRMIT N
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT 1011lcs Use
M- TIAL
- -
Single Family-1 b•th-etch �r» 25500
Du l�ex-Each 1 beth unit 25.00_ _
i
Additional betMoams-etch _ _ 10.0
Mobile Home Sp"-each 16.00
INDIVIDUAL F111TURE FEES
1 to 6_0 Fixtures In 1 bulWing-each 3.00 _ —_-
51 10 100 Fixtures in 1 bulWlnp--each V_ 2.50 �-
101 to 200 Fixtures In 1 building-etch _ 2.00 __ A
201 or more Flntures in 1 bulWing,sech 1.60
M15C4LLANE0V5
_0uIld1np Sewer-1st 50 ft. _ 10.00
� Y"Itt ach additional 100 ft, _ io.00 r.
_Water$arvlco to bulWlnrL_ _ ( _ _ 6.00
Pr"Is Water Systeme-each 100 It.
014f 15 KPylc _ _
PERMIT For Plumbing ingwrion Phone 6394191
y r -
�% statPlumbing Contractor
TOTAL RECEIPT NO. Iswad By
wr
7
BUILDING PERMIT APPLICATION TIGARD DATE__— 4�Z4/ 19 �1 3 f 03
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 639-3101
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT
OWNER 1 Ual e DeV. CU. JOBADDRESG 9645 SW Serena Usy _-- ---.
ARCHITECT
ENGINEER
BUILDER same ADDRESS 15300 SW 116th DESIGNER TDC
STRUCTURE 11 NE'VV ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ OEMOLITION
RESIDENCE U COMM ,'J EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABCJ FENCE
OCCUPANCY LAND USEZONE ft5PO BLDG.TYPE SN_FIRE ZONE — _ PLAN CHECK BY _duh—HEAT
Cone _ruc t aingle family dws-Hing w/attachedgerege.i 3 Bedrooms 2 Baths.
Re—Iasus of Permit #3702 (9665 SU Serena flay)
SEE CORRECTION SHEET ATTACHED,
SEWERPERMITO 13334 •- j,��.n _ r;:Lga 474 sq.ff,t,
OCC.LOAD FLOOR LOAD 4(1 HEIGHT 12 NO STORIES 1 AREA 1106 NO.BEDROOMS 3 VAL4471000,
BUILDING DEPARTMENT SETBACKS FRONT 2.4 REAR 4-' LEFT SIDE ,•' RIGHT SIDE 6.5
Permit $176.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check IO.U�i WORK WILL. BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 188-DO RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINFSS
LICENSE.SEPARATE PEkMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax 4 _ 7.11 4U�i.c�C
Total x19E�•1�' SDC –
PDC# I I 100.On APPLICANT ORA(3ENT
By p1 _
Receipt No. L.,
Approved duh ADDRESS PHON ��
DATE INSP. TYPE INSPECTION REMARKS PLUMBING I DATE
_ — Contractor
d/
Permit Na
odd-
Rough-in
Fixture
L'
C', S Final —
9
HEATING
Contractor ^
Permit No.
- U Gas or Oil
— —
Rough-in
T-- Final
— — —" SEWER
Final ..--
DRIVEWAY
— � Final
s• _ Storm Drainage
(Rein Drain)Final
Sidewalk
Curb&Street Final
--- - Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY - -- "- �-
/L �/ X Landscaping
Zoning Final
t
t
1
70 5
BUILDING PERMIT APPLICATION TIGARD DAT k_L�—�19301
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICA"r ED BUILDER PHONE _ l
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. nVJ-4FP PHONE
LO N0.
0:^1NER j/J,lJZ,4r7iC) 1J[Y�L. &e,dAQOB ADDRESS 0 if� j I C/
ARCHITEC.'T
ENGINEER
BUILDER 'fes SAID�,. ADDRESS/ �,$ I&7-,q A-V1 DESIGNER 7-Z)C
STRUCTURE t2l"NEW ❑ REMODEL r ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITIC
(2 RESIDENCE C COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENC
OCCUPANCY �,_ LAND USE ZONE R f _P BLDG.TYPE _FIRE ZONE.-=-PLAN CHECK BY NEAT
-- Cees �! 06 Ir ° -DOWIPAI Aa%IAS fAw
01
Se
GicovrttG+ton. 2--�
SEWER PERMIT N
OCC.LOAD FLOOR LOAD HEIGHT jr ,TORIES / AREA NO.BEDROOMS 3 VALU*AW0
BUILDING DEPARTMENT SETBACKS FRONT ,[� REAR /�/ LEFT SIDE �J RIGHT SIDE �i•f
[Suh-toLtal
mit r , THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CON'A1NED IN THE BUILDING CODE,ZON:N
00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT TF
ec /Q� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIA14C
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI%
•�� RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEF
7:./.2m
, ,� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
-tits Tax TQ^.ems
SDC-
Total
_�7 _./�j
PDC# APPLICANT OR AGENT
By
Receipt No.
Approved ADDRESS PHONE
DC
CIC
EWER CONNECTION
EWER INSPECTION S ?�
r
EWER SURCHARGE S
lL�
n m m o n}C: Red.
BUILDING DEPARTMENT, TIGARD *�D
PLUMBING PERMIT
C'/n2 holder of a valid plurTlbing contractors license is hereby
authorized to cause plumbing work as lierei4 noted to be installed in accordance with the plumbing code of
Tigard. Such inst,llations require inspection by the City Inspector who shall be notified not less than four Ii
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
Job
S
a ;
Owners/j' Address_---���<_" ct�
N(;,%JBER OF TOTAL
TYPE OF PERMIT ITEMS FEF:ON EACH AMOUNT �I
Re31OENT1Aj,
1
Sinala Famat
ily-1 hh-each 15.00.. -- �- ..� i
Duplex—Each t bath unit 25.00
Additional bathrooms—each ��� 10.00
Mobile Home Space—each _ 15.00
INDIVIDUAL FIXTURES C�f��1ERCIAI
1 to 50 Fixtures in 1 buildia7 each !__,3.00
_51 to 100 Fixtures in 1 building-each _ _ _ 2.50
101 to 200 Flxtures in 1 building—each _2.00
1701 or more Fixtures in 1 building--each r` __� 1.50 _
M1SCELLANEOUS
Sewer—lath additional 100 ft. _10.00
_Water Service to building /_ 11.00
Other l5vlcify):
PERMIT For Plumbing Inspection Phone 639.4171
I 4%State Plumbing Contractor By
I TOTAL RECEIPT NO. Issued By