9875 SW SERENA WAY 9.375 SW SERENA WAY
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Jay i Gr'mstad - Permit No. 4877
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Address: 19805 SW 68th Tualatin Oregon 97062 : '+
c Building Address: 9875 SW Serena WayL
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Occupancy: R-3 Land Use Zone: R-7 Bldg. Type 5N ''�_
�• Comments: Construct single family dwellingw/attached garagekh
3 Be:rooms 2 Bathrooms :
~' 1 I th day of January , igla—
Certificate is hereby given this -�`
that said building may be occupied and that it complies with all
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requirements of the Building Code for the City of Tigard, as approved
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�Y = by the Tigan'_City Council.
•
Fire Dept. ng Inspector
wilding Official
Post Certificate in Conspicuous Place
10, Wt
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INSPECTION NOTICE
City of'Tigard Building Department
12420 S.W.Main St.
Tigard,
Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 1-4 ,2 Time A.M. P-M-
Permit # �7/k z Z
Address
Lot #.--
Builder
The following Building Code deficiencies are required to be corrected:
JV jq-, d— vle
Presented to Approved
Inspector ❑ Disapprov(d
Date
CALL FOR REINSPECTION
❑ YES 0 NO
O w s r
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,On gon 97223
�7 Phone. 639.4171
Type of inspection
Date Requested_ ,��..�.— Gtr J _ Time l4. P.M.
Oddres3 _ JI i ��_i rUt/r � (z..LG1C Permit
Owner ------ Lot #_
Builder -- -- ------- ---------The following Building Code deficiencies arP required to be corrected.
Presented to _ —_ pproved
Inspectnr., �� ?! �.j Disapproved
Date —
CALL FOR REINSPECTION
❑ YES 0 NO
j INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639.4171
Type of Inspection
Date Requested--_--_.7 Time A.M.-_ P.M.
Address ?%7 _ 'S ti--���Z'0- —Ad—- _ Permit #
1
Owner_ —_ ___-- Lot #— j
Builder _----- --- --- -� —
The following Building Code deficiencies are required to be corrected:
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i
i
Presented to __.—______ — —_— — [] Approved
Inspector Dlapproved
Date ---- ------- �
CALL F REINSPECTION
YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 972.23
Phone: 639-4171
I
Type of Inspection !L + —_ -- r-- - ---
Date Requested_ _.—�--+ Time r A.M. P.M.
Addresses Permit #��
Owner— _� .— —.. _ Lot #__
Builder _--
The following Building Code deficiencies are required to he corrected:
Presented to Approved
Inspector _ __ Cj Disapproved
Date
CALL FOR REHIPECTION
YES AJ NO
r
Building Permit No. 7
Location `? "7l cc
De,t e _ _l ti�F .15 I k4
Statement of Exemption
From Builders Board
Registration
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with the Bu lde�s fSOard for the4f lloa namrperson�,lly exempt from registration
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I am performing work on property I own, a residence that I reside in,
and/or a residence that I will reside in. I will be my own general
contractor and will hire subcontractors who are registered with the
Builders Board.
I own, reside in, and/or will reside in the completed dwelling.
My general contractor is:
Name
Builders Board Registration !Tumber
Registration Expirstiou Date
All subcontractors who work on this dwelling will be registered with
the Builders Board.
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Signat
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■
BUILDING PERMIT APPLICATION TIGARD
DATE__Y _r��-- -•19
THE LINDF_RSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN I DICATED BUILDER PHONE 6---�-2-=.29
�R S SHOW7ND APPROVFI)IN THE,,CCOtf PANYING PLANS NO SPE61FICATIONS. OV 'E.R Pl-
1 Lor rlQ.rX •� 3
OYJNER t• JOB ADDRESS
7 J-Y = ,�__ , .
AHCHI CT �
ENGIN"ER
CDESIGNER
BUILDER � * _ADDRESS��� -
STRUCTURE NEW l� REMODEL ❑ ADGITION _ R RENEWAL ❑ FIRE DAMAGE_ Cl DE►AOIiTIOr
r RESIDENCE ❑ COMM EUUC:ATIONAL 1:jGOV'T ❑ RELIGIOUS ClPATIO ❑ CARPORT Cl GARAGE ❑�=STORAGE
�C SIABO FENCI
Cl
J:.a.ii?ANCY _ _r EAT PLANCHECKBY
LANDUSEZONE SLOG.TYPE ZONE
—
S_- 'ER PERMIT MHEIGHT �C NO.STO,,iES ATEA Z NO.BEDROOMS VALUE&O�
OCC.LOAD FLOOR LOA / _�
BUILDING DEPARTMENT SET BACKS FRONT / REAR L LEFT SICE RIGHT SIDE _
c'armi! ? THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOt1'!1;
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT TH
Plan Check WORK WILL. BE DONE IN ACCORDANCF WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC
WITH ALL APPLICABLE CODES AND ORDINANCES, THE. ISSUANCE OF THIS PERMIT DOES NOT WAIV
Sub-total / RESTRICTIVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINt5
f LICENSE-SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
I r
State Tax
Total APPLICANT OR AGENT
PDC',#
Receipt No. --i�t�cir�E--�------- -
ADDRESS
Apprdq
-C) ---
S O C
PDC
SEWER CONNECTION
i 1
SEWER INSPECTION S 001
SEWER SURCHARGE S v
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C n m m a D t c: �"► W ` _ 'V r/Y/�_ll���{Ili `�-�-'""y� ••-
i� d
BUILDING PEP.MIT APPLICATION TIGARD DATE June 12 _ t9 84 4877
I THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 692-6769 ,
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE _y
LOT NO.
lNER Jay Grimeted _ JOB ADDRESS SH SerenaY P=ek's I.Bndina
TARCHITECT
Tualatin
ENGINEER
ALDER Same _ ADDRESS 19805 SQL 68th _ ------DESIGNER- - — —, -- ----- `
"RUCTURE _X NEW REMODEL _ ADDITION REPAIR RENEWAL FIRE DAMAGE - DEMOU,TION
RES.'^FNCE COMM _ EDUCATIONAL GOVT _ RELIGIOUS ❑ PATIO CARPORT ❑ GARAGE 7— STORAGE L-1 SLASC FENC,
;CUPANCY — R-3 LAND USE ZONE R-7 BLDG-TYPE :N FIRE ZONE PLAN CHECK BY ETW HEAT Gas
Construct single family dwelling w/attached garage.
--- _ 3 Bedroom 2 Bathroom
NER PERMIT k 27902 Garage 480
C.!OAU FLOOR LOAD 40 HEIGHT 16t_ NO.STORIES 1 AREA 1562 NO.BEDROOMS 3 VALUE 60 000
BUILDING DEPARTMENT SET BACKS FRONT 10+ REAP, uG+ LEFT SIDE S} RIGHT SIDE 59
a
rmit 3 11.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINP.NCES, AND IT IS HEREBY AGREED THAT THE
3n Check 203.45 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 HOT WAIVE
5-total 516.45 RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
ate Tax 12
LICENSE.SEPARATE PERMITS REQUIR D FOR ER,PLUM AND HEATING.
.�Z
SDC— $500.00 \ i�r G
mal
528.97 _�PnCIRII 1 SO.OG A
APP I JT A ENT C -- --- -- - -- - -- -
' C141 SSJC 230.00 -
POroJs_ 1 Receipt No.
RIF —J 14��� ADDS. i PHONE -
DATE INSP TYPE INSPECTION REMARKS PLUMBING DATE
7
Permit No.
Rough-in
Fixture
Filial
HEATING
Contractor A4w&a
file
Permit No. :?
Gas or Oil
Rnijqh i,
Final
SEWER
Final
DRIVEWAY
F in&)
$1,Drm Drainage
(Rain Drain)Filial
Sidewalk
Curb&Street Final
�A�wel
BLDG DEPT. Fl(i.',: TEMPORARY CERTIFICATEOCCILIPANCY
CtIll'I'llICKIT OCCUPANC Filial
FL.nd..pinql
erining Final
80047506
1UTUAL CANCELLATION AND TERMINATION OF EASEMENTS
SOUTH OF S.W. DURHAM ROAD (CR #429)
7
1 . PARTIES:
The parties to this Mutual Cancellation and Termination of Easements South of
S.W. Durham Rd. (CR #429) are:
(a) TUALATIN DEVELOPMENT CO. , INC. , A Delaware Corporation , record title holder
of that parcel described in fee No. 8003719• Hereinafter coilectively designated as
"First Party".
AND
(b) GRIMSON COMPANY INC. , an Oregon Corporation , record title holder of Lot 136,
in the recorded plat of Pick 's Landing 2 , as recorded in Book 116, Page 1 , City of
Tigard, Washington County , Oregon , hereinafter termed "Grimson Company , Inc ."
(c,) PICK'S LANDING 2 HOMEOWNER'S ASSOCIATION , recorded title holder of tract "G"
of said recorded plat of Pick 's Landing 2 , hereinafter termed "Association".
FOR AND IN CONSIDERATION of the mutual benefits to be derived by the First
Parties , Grimson Company , Inc. and the "Association". Hereunder by reason of the
cancellation and termination of the easement rights hereinafter described :
1 . First Parties do hereby remise, release and quitclaim to Grimson Company ,
Inc. and the "Association", heirs and assigns , all right , title and interest of
Knauss and Lewis to that certain existing 25 foot easement , over , along , across ,
and within that portion of said Tract "G" and said Lot 136 and being more
Particularly described as follows :
The East 25 feet of Tract "G", and the East 25 feet of Lot 136 of the
duly recorded plat of Pick's Landing 2 , recorded in Plat Book 46, Page 1 ,
City of Tigard , Washington County , Oregon.
/after recordin , return to:mirmIca _._.
—" �, tle Ins.CO.
cy
STATE OF OREGON )}
County of Washington 1 SS
I, Roger Thomssen, Director of Records
and Etectiorfs and Ex-Officio Recorder of Con-
veyances for said county, do hereby certify that
the within instrument of writing was received
and recorded in book of records of said county.
A ROGER THOMSSEN, Director of
Records& Elections
19RO DEC 3;1 IIH IT 09