9895 SW SERENA WAY 9895 SW SERENA WAY
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M . CITY OF TIGARD } {� ►
OREGON `
r Jay Mille Permit No. 4453 f ti
S.� jEEk Address: P.O. Box 23291 Tigard, Oregon 97223
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'�•SE c— ` Building address: 9895 SW Serena Way -fie
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-'r� Occupancy: Land Use Zone: Bldg. Hype
Comments: Construct Single Family Dwelling wart:shed garage. = a �
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f._ Certificate is hereby given tris I6day of Se2tember � 1c) 83
occupied it com lies with all �>
that said :;uilci�ng may br p ied and *that p
requirements of the Buildin7 Code for the City of Tigard, as approved
' - by the Tigard City Council.
�Ll ire Dept. g Inspector
A
Building Official
Ab
Post Certificate in Conspicuous Place s t
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INSPECTION NOTICE'
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-41 i'l
Type of Inspection
Date Requested Tkn6 A.M. P.M.
Address Permit #--
Owner Lot #-
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REUNSPFCTION
[-I YES [-? NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
ETigard,Oregon 97223
Phonei 639-4171
Type of Inspection
Date Requested6 Time A.M. P.M.
IC
AdOwner
Address -JW-1 >0 5 le"re Via& Permit
"V-- -4
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
YES A NO
�I
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I
21
BUILDING PERMIT APPLICATION TIGARD DATE 4 55
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR HE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
LOT NO.
OWNER _.)Sy --JOB ADDRESS 9895 S14 Serena day
u� --- —_-• ---
— ARCHITECT
PO Ox 2'129 1 Ti4rArd ENGINEER f iercy Barclay
BUILDER ADDRESS. DESIGNER
STRUCTURE E�NEW El REMODEL — El-ADDITION ❑ REPAIR_ ❑ RENEWAL ❑ FIREDAMAGE ❑ DEMOLITION
EY RESIDENCE ❑ COMM FJ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS CI PATIO O CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY _LAND USE ZONE _ 7 _BLDG.TYPE apt FIRE ZONE— • PLAN CHECK BY — HEAT J
Conatruct in le 1 ts«lily pa>~ltinN d/attachod carate J-
_ ��o-•Isuuve of 1'erv,:it hl 4341 1, 16,300) '3W vl'v4n r'r. ' :3 iedroov:js
2 Battt►o
SEWER PERMIT#
OCC.LOAD _ FLOOR LOAD 41' HEIGHT 20 NO.STORIES AREA NO.BEDROOMS VALUE �9Y tiL?il
BUILDING DEPARTMENT _
SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pe,qChecok
' ' t' 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 WORK M iLL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA-rIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
12. LICENSE.SEPARATE PERMI rS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
Total
:340.i2 SDG-- , ;
PDC# L I 10U.011 t APPL.IGANT OGEN ' —_
By Itu�
Receipt No, {ADDRESS lnNF
Approved
DATE INSP. TYP6INSPECTION REMARKS PLUMBING SATE
"- Contractor
Permit No. I2 ZO 39i -141-e5 f�/
Rough-in
�..�� ! d /t.
Fixture
Final
HEATING
7-01 ----
Contractor
Permit No. 6-1743
-
Gas or Oil
- --_.---— _.-- Rough-in
Final
SEWER
__—_.. ----- Final
_ ---- ---- ---- DRIVEWAY -�
- - --_- --_-- ---------------------- Final
• - - --- -���------� Storm Drainage
- _— -- ------ --� ---�— (Rein Drain)Final � -
-- _-- -`-- Sidewalk
'- - Curb&Street FInal _
BLDG. oEPT.FINAL TEMPoRAR'r CERTItTICATE VCCUPANCY t Ine1
�CERTinCATE OCCUPANCY - --- '" -
LandscHping
Zoning Final
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BUILDING PERMIT APPLICAI ICON TIGAa:) ----,
D4TE._ #4 0311903 J/4,3 3
'�
THE UNDERSIGNED HEREBY AF PLIES FOR A PERPAIT FOR THE WORK.HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACGOtAPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
MM LOT NO.
/341
OWNER�AAYA .LEIL JOB ADDRESS ►� A ,�� LA
ARCHITECT
ENGINEER
BUILDER �,X.t.�� ADDRESS 'L/ 3/Z_�� DESIGNcR !��=�� ', --��,/-
STRUCTURE — NEW ❑ REMOOFL� Cl ADDITION - ❑ REPAIR _0 RENEWAL C) FIRE DAMAGE Cl DEMOLITION
RESIDENCE ❑ COMM Cl EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS F.7 PATIO ❑ CAR PORT ❑ GARAGE ❑ STORAGE Cl SLAB❑ FENCE
OC,C,UPANCY (Z-3 LAN�D'UUSSEZ�ONE q?PD BLDG.TYPE Ste.u__FIRE ZONI_---�-'�_PLAN CHECK 01' _ HEAT
-_.____.�.-���Sr _ ik►NiiP #� ..>��'Q.Q.Sw-��-��_ .�__-----,�__l��_1e _ �
SFJVER PERMIT —
OCC.LOAD _ FLOOR LOA ®— HEIGHT ,Z G? �NO.STORIES . AREA _J�I NO.BEDROOMS VP.LII
010060
t BUILDING DEPARTMENT SET BACKS FRONT REAR Sr LEFT SIDE.. 9 RIGHT SIDE rJ
Pormit !3 - ��' THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN rHE BUILDING COTE,ZON!'JG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ 9•�O WORM. WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN �;OMPLiANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF T�iI;'. PERMIT DOES NOT WAIVE
Su:rtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAY CURRENT CITY BUSINESS
Y— LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _ 1 •AZ
SDC—
Tolal N d.f ----- —--- --------- ---
PDC# APPLICANT OR AGENT
8y
Receipt No.
Approved ADDRESS -- --- ----- -- --SONE ----- -
fL��
5DC - _.� -
P G c —
SEWER CONNECTION $
SEWER INSPECTION $ 3•y1
SEWER SURCHARGE _ S
13(00
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