9905 SW SERENA WAY URI
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-1CNqfE OF OCCLTA �TCY
CITY OF TIGARD
k. OR-EGON
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ner: PermitNo. 4450
Jay Miller Bldrs. Inc.
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Address: P.O. Box 23291 Tigard, Oregon 97223 -1
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9905 SW Serena Way
Building Address:
Occupancy: R-3 Land Use Zone: R-7PD Bldg. Type5N
Constr,,ct Single Family Dwelling w/attached garage. 1-17-40
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Comments:
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Certificate is hereby given this 29 day of July 19 83
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved
by the Tigard City Council.
Fire Dept. Buil InspectorVi :=
Building Official
Post Certificate in Conspicuous Place
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INSPECTION NOTICE
Citv of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
TYPe of Inspection
Date Requested_ y'�3 •—_— Time __—_— A.M. P.M.
Address C>-J �- y �r. ,• —e Permit #
Owner - __— �— Lot #_ ----
Builder —___-- ----- —_-- ---
The following Building Code deficiencies are required to be corevted:
---
Presented to _ �� Approved
Inspector -.__.._.'� —._ Disapproved
Date
CALL FOR REINSPECTION
❑ YEa $] NO
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INSPECTION NOTICE i
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
-----
i)'pe of Inspection
Date Requested_ -� -- Time-_ — A.M.__ P.M.
Address _ ' , � 'Ly' s-'�•• --.-_ Permit
Owner-� ---------- - -------- - --- Lot #
BuilderC--
The
The follow! g Building Code deficiencies are required to be corrected:
.041
Presented to — ❑ Approved
Inspector 'Disapproved
Date
CALL FOR REINSPECTION
[ 'YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Depaitment
12420 S'N. Main St.
Tigard, Oregon 97223
Ph ne-J 639-4171
Type of Inspection
` Date Requested C Time It- _A.M._ P.M.
Andress Permit #
Owner Lot #
Builder `--
j The following Buildinq Code deficiencies are required to be corrected:
Aop
Presented to � � Approved i
Inspector _ --_ LI Disapproved
Date
CALL FOR REINSPECTION
❑ YES A NO
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Mail' St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date Requested 7 �Ime A.M. P.M.
Address Permit
Owner Lot #
Buhtiei
The following Building Code deficiencies are required to be corrected:
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Presentee to ❑ Approved
El Disapproved
Inspector
Date
CALL FOR REINSPECTION
❑ YES 1-1 NO
BUILDING PERMIT APPLICATION TIGARD DATEis2,3 4450
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HER FIN INDICATED BUILDER PHONE _ 692-361
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPEI.;IFICATIONS. vWNER PHONE
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OWNER 1 Mar 9141-6- XMADDRESS 9916 -; :rerens Uay LOT NO,_ 133 F" - 2 Cict#
ARCHITECT!
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DO gox ?.379! Ti�.grrt ENGINEER tlierC 11alrcla
BUILDER ADDRESS DESIGNER Y y
STRUCTURE _ 0' NI-.W _ ❑ REMODEL F1 ADDITION ❑ REPAIR ❑ RENEWAL ❑ FII3E DAMAGE _ ❑ DEMOLITION
R RESIDENCE ❑ COMM Cl EDUCATIONAL 1-1 GOVT ❑ RELIGIOUS ❑ PATIO ❑ OARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY '-t.p3 LAND USE ZONE BLDG.TYPE —5'L--FIRE ZONE--PLAN CHECK BY Y' —HEAT (�Construct Iiinl1c, Ijolly r i l in;; v;nttached t;arar;F – ---- —
Ser corrrrt'ion Sheet attached. ------ _-- —
SEWERERMIT# 13�'
_ P _ lasrajL_�SeD
OCC.LOAD FLOOR LOAD "_ HEIGHT 1�'_ NO.STORIES I _ AREA 13��'' NO.BEDROOMS + VALUE 64,5(111
__BUILDING DEPARTMENT ^ SETBACKS FRONT REAR + LEFT SIDE _ RIGHT SIDE
Permit 323•0'd THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
�13�ry(1 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT' THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH 1HE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
1 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total I `?'"1 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTCRS TO HAVE CURRENT CITY BUSINESS
State Pax
13. 12 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMS114G AND HEA TING.
`1)4. 1-, SDC– 4(X1*I,H!
Taal
– -
-- PDC# 100,(10 _AWD fJAiJA �ORAGENT
By
— -- - ,Receipt No. _---- - -
Approved of, +� ADDRESS PHONE
DATE IIN�SP1TTYPE INSPECTION a REMARKS PLUMBING DATE
Contractors —
G Pormit No, n v
p_ `-- Plough-in
/ 1 _ Fixture —� -
Final
-
rs-30-8L VHEATINGA Ilk
- —
7 -S-d"J !�-�� �,�, � �! bC Contractor lYVo —
Permit No ,6
—_ cat or Dil
_—
119atigh-in
Final -
- SEWER
-'�Final
Dtt1VEWAY
�• Final
__—.- Storm Drainage
(Rein Drain)Final
Sidewalk
Curb R Street Final
_ _ Approach
BLDG. DEPT.FINAL Tli'MP0RARY CERTIFICATE OCCUPANCY Pinel M—
CERTIFICATE OCCUPANCY
Landscaping
Zohing Final ---
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BUILDING PERMIT APPLICATION TIGARD DATE A—A A4 19-03-
THE UNDER SIGN ELI HEREBY AP'P'LIES FOR A PERIMIT Fon THE WORK.HERFIN INDICATED BUILDER PHONE
ORAS SHOWN ANG APPROVED IN THE:,CCUtd,l'ANYING PLANS AND S('ECIFICATIONS. OwNEP,P�Hf�j NE
L.OT N O.L
Q':1NrF? IIG.JOBADDRESS 7 y_
ARCIiiTECT
D ENGINEER e
BUILDER SSP. AD DREaS1 `ST► 'I� T&D&4 DESIGNER 1*�y �QIYj�f�y
STRUCTURE NEW _❑ REMODEL — ❑_AODITION _❑_ REPAIR ❑ RENEWAL — ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE 0 COMM r EDUCATIONAL ❑ GOV'T Cl RELIGIOUS ❑ PATIO Cl CARPORT ❑ GARAGE ❑ STOR E ❑ SLAB❑ FENCE
—
OCGiiPANCY ANDUSEZONE — BLDG.TYPE ,L _-,_FIRE ZONE_ `"` PLAN CHECK BY _ HEAT�yr
3 Q
SEWER PERMIT Y
OCG.LOAD FLOOR LOADIT� HEIGNT NO_/5TORIES AREA IfD NO.BE_D_ROOMS 3 VP.I_U 00
BUILDING DEPARTMENT SET BACKS FRONT y— REAR - LEFT SICE ,.4�^ RIGHT SIDE
THI5 P'dPPAIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING, CODE,ZOWNG
FIEGW-ATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Chhck WORT( WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS .AND IN COMPLIANCE
WIT;i ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIV;
Suttctal _ � �� •�O RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE Y B
CURRENT CITU51Ni_SS
r LIZENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Statin Tax
Total �[" • SDC—
PDCA APPLICANT OR AGENT
[By
Receipt No. --
Approved ADDRESS PHONE—
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PDC
SEWER CONNECTION
SEWER INSPECTION $
SEWER SURCHARGE S_�_ ,
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