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9970 SW SERENA WAY-1 o .1� C M� Mi f. f L ;i �j J. r j�SPB�.� )IOTICS City or Tigard Baildinq Departennt 13115 Bt1 Ball Blvd. Tigorl iv Dragon 97223 Inspection Line (Rec-O-Phone)t 639-4171.. Business Phones 639-4171 Inspections — looting plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. plbg. Top Out (;&0 Lino (_FINALS_,/ Poet/Baan Struct. Ban. Sewer Framing poet/Beam [tech. Rain Drain Insulation plbg. Underfloor water Lin* OYp• Bd. -• Date Requesteds 2 1 L 11�- T1Mt 7111 ��_PM i►ddreses ,)TIC, A.�(IE�/t' Ultt - - -- P*771t 0 Builders t tao TNR TOLI.OwINa OORRECTIONS ARE RRVIRRUt C r �--r-�-` -- -- i ll i Inspector. �/ �� L/-"�`— Dates-') - ApPROVRD DISAPPROVED APPROVRD SUBJECT TO ABONR Call For Rei.nep. CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST93-0572 13125 SW Heil Blvd.Tigard,Oreg.. 97227•e1611'ti0*4ii-1171 DATE .`SSUED: 12/14/93 PARCEL: 2S114BA-01000 x SITE ADDRESS. . . : 09970 SW SERENA WY SUBDIVISION. . . . : WICKS LANDING NO. 2 ZONING: R--4. 5 µ' 1 BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . : 129 " - -- ----------------------------- BUILDING ---------------------------------- REISSUE: ------_--___--•-----------------_REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf i CLASS OF WORK. .-ADD BEDRMS:O BATHS:O GARAGE. . . . . . . . . . :0 Sf �( TYPE OF USE. . . :SF FLOOR AREG?S----- — - - REQUIRED TYPE OF CONST. :5N FIRST. . . . :42 sf LEFT. . : 19 ft RIGHT. :8 ft OCCUPANCY GRP. :R3 SECOND. . . :0 sf FRONT. :20 ft REAR. . :55 ft STOFIES. . . . . . . : 1 THIRD. . . . :0 sf REQUIRED-------------------- HE'GHT. . . . . . . . : 16 ft TOTAL-------:42 sr SMOKE DETECTORS. : FLOOR LOAD. . . . :40 psf VALUE. . . . . f: 1932 PARKING SPACES—,10 Remarks : ADDITION OF 42 SO FT PATH INCREASE SIZE OF GAS 1-1y. __rl_�-- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :U' BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . : 1 WATER HEATERS. . . :0 TRAPS. . . . * a . . . . . . . . :0 TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WAIE.R CLOSETS. . :@ SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0 WASHING MACH. . . :0 SF RAIN DRAINS. . :O ----------------- MECHANICAL_ _.__._._-------__._.------.__________—___- FEES •--___.__-------- FUEL TYPES---_---.—._---. UNIT HTRS. . :lb type amount by date recpt I /GAS/ / / VENTS . . . . . :0 BPRT $ 32. 50 JLH 11/08/93 93-245797 r•',AX INPUT:0 BTU VENT FANS. . : 1 BPLC d 21. 13 JLH 11/08/93 93-245797 F JRN ( 100K . . :0 HOODS. . . . . . : 1 B5PC $ 1. 63 JLH 11/08/93 93--245797 FURN ) =100K . . :0 WOODI.TOVES. :0 MPRT $ 2:5. 00 JLH 1. 1/08/93 9,1,-245797 FLOOR FURN. . . . :0 CLO DRYERS. : 0 M5PC $ 1. 25 JLH 11/08/93 93—r 45797 BOIL/CMP ( 3HPiO OTHER UNI'rS:O PPRT $ 2.5. 00 JLH 11/08/93 93-2 .5797 GAS OUTLETS: 1 P5PC 1 1. 25 JLH 11/08/93 93--2.45797 Owner: --------------------•-----------.-- PAUL GRIMSTAD 9970 SW SERENA WAV TIGARD OR 97223-0000 Phone #: 503-639-6397 Contractor-- -----------------------------_-- OWNER Phone #: Rey #. . : 00000 --------------------- ---------- ---------- f 107. 76 TOTAL This permit is issued subject to the regulations contained in thr, ---- --- REQUIRED INSPECTIONS ------- Iigard Municipal Cr'i, State of Ore. Specialty Codes and all Oher Foot/found Insp Gyp Board Insp applicable laws. ',,!I work 011 be done in accordance with approved Post/Beam St r uct Rain drain Insp plans. This permit will ¢spire if work is not started within 188 Post/Beam Meehan Mechanical Final days of issuance, or if work is -uspended more than 198 days. PLM/Underfloor Plumb Final Mechanical Insp Building Final Permittee `.�iynature- Plumb 10p Out Erosion Control Framing Insp Crawl Drain AIN I s s i e d B y _. _ Insulation Insp Call for inspection — 639--4175 i CITY OF TIGARD , COMMUNITY DEVELOPMENTDEPARTMENT MASTER PERMIT 13125 SW Mdw Blvd.Tigard,Oregon 9722308199 (503)639-4171 PERh1IT #. . . . . . . : MST93-0572 639-4171 DATE ISSUED: 11/10/93 PARCEL: 2S114BA-01000 SITE ADDRESS. . . : 099'10 SW SERENA WY SUBDIVISION. . . . s PICKS LANDING NO. 2ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . : 129 ----•----------------------•---- -- BUILDING --------------•--------------------------- REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf a CLASS OF WORK. sADD BEDRMS:O BATHSs0 GARAGE. . . . . . . . . . .0 Sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------- TYPE OF CONST. :5N FIRST. . . . :42 sf LEFT. . : 19 ft RIGHT. :B ft OCCUPANCY GRP. :R3 SECOND. . . :O sf FRONT. :20 ft REAR. . :55 ft STORIES. . . . . . . : 1 THIRD. . . . :0 s f REQUIRED----------- ---- -'- HEIGHT. . . . . . . . : 16 ft TOTAL-------:42 sf SMOKE DETECTORS. : FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 1932 PARKING SPACES. . :0 Remarks : ADDITION OF 42 SQ FT PATH I _ --.-------------------------------- PLUMBING ---•--------•--------------------------- SINKS. . . . . . . . . . . 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . . I WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :O SEWER LINE (ft ) . :V, GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . :0 WATER LINE ( ft ) . .O OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . :0 SFRAIN DRAINS. . :O ----------------- MECHANICAL ----- -----__-_-__ __---------- --- FEES ----- ----------- FUEL YPES----- ---- -- UNIT HTRS. . :0 type amount by date recpt /Gas/ / / VENTS . . . . . :0 BPRT f 32. 50 JLH 11/08/93 93-245797 1 MAX INPUT:O BTU VENT FANS. . : 1 BPLC f 21. 13 JLH 11/08/93 93-245797 FURN ( 100K . . :0 HOODS. . . . . . .. 1 B5PC t 1. 63 JLH 11/08/93 93-245797 FURN ) =100K . . :0 WOODSTOVES. :0 MPRT f 25. 00 JLH 11/08/93 93-245797 FLOOR FURN. . . . :0 CLO DRYERS. : 0 M5PC $ 1. 25 JLH 11 /08/93 93-245797 BOIL/CMP ( 3HP:0 OTHER LINITS:O PPRT f 25. 00 JLH 11/08/93 93-245797 GAS OUTLETS:O P5PC f 1. 25 JLH 11/08/93 93-245797 Owner: PAUL GRIMSTAD 9970 SW SERENA WAY TIGARD OR 97223-•0000 Phone #: 503-639-6397 Contractor: -..____._____.-.-•-----------__.._____ OWNER Phone #: Req #. . : 00000 ----------------------------------------- f 107. 76 TOTAL This persit is issued subject to the requlations contained in the ------- REQUIRED INSPECTIONS ------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gyp Board Insp applicable laws. All work Mill be done in accordance with approved Post/Beam Struct Rain drain Insp plans. This perrit will expire if work is not started within 188 Post/Beam Mechan Mechanical Final days of issuance, or if work is sus�nded for sore tha 188 days. PLM/Underfloor Plumb Final Mechanical Insp Building Final Permittee Signature: W(w)U +r!� Plumb Top Out Erosion Control Framing Insp Crawl Drain Issued Py �� U —__--_ _ Insulatio , Insp Call for inspection - 639-4175 Residential Building Permit Application City of Tigard 13125 SW Nall Blvd. Tigard, OR 97223 (503) 639-4171 .Jobslte Address: f 7D'!i1A�-5ffr6*4jy I �-S , b-Yye Lot OtflC�Use O Subdlvls�n• I fi Plancic/Rec# D Valuation:_ �iii�- l�}O1?{f�`�r-�` /��•_ ,__ - Permit # Owner: l'f�( l-iZ_&45 4-1,j Reissue ofJ Address: 6(117U SW ! F"A)R W Approvals Required �.��_-77?�c� Planning W Phone: l;rlgineering Contractor: 5A/L-t Ft- _ Other Address: Hems Re�ulred Subcontractors Phone: Truss Contractor's License # (attach copy of current Oregon license) Olher Subcontractors: - �n Nkr /) _ Plumbing: ► \-� Mechanical: (attach copy of current OR Contractor's License) Architect/Engineer: Address: C l Phone: _ COMMENTS: T A441caht Sigure & Phone number Received by:—,,�1i'( _ bate Received: Permit # Account Description Amount Amt. Pd. Bal. Due i ,P)73jjj-j252 7 Bldg. Permit (BUILD) —3z• 5-7) � ---- �- Plumb. Permit (PLUMB) +2 . e Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Z�+ Mech: Plan Check (PLANCK) �, L•_ � —____.____.__ Bldg. 5 Plumb: Mech: Sewer Connection (SWUSA) 1 Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-M T) —_ — Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) _ k Water Quality (WQUAL) Water Quantity (WQUANT) _ Fire District (FIRE) _ TOTALS: �C� • ;� �__..._.. P 0 i. y}� �t +ui d r i�',.fie t r! `,;� ��Yi'`?+Y a ^hril:�ttjo arq��,n�}^v^� w ,. •, #m ,:n«y .H4,• NeAw3rk1'JYi'Miur��,� r°47W',r;fs� .,7 ,�. 'q''l: .h '?., w 1"1 '�`�'�_ I Pape No. 1 CASE HISTORY FOR CASE NO.: NS193-05TZ PAUL GRIMSTAD 09970 SW SERENA WY 05/04/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd to Code Sent Done Done Date By -------- --- MSTA007 Application received / / / / 11/08/93 PASS JLH 11/08/1)3 BLT MSTA0)0 Plan check deposit paid / / / / 11/08/93 PASS JLH 11/08/93 BLT j MSTA020 Plan check by 11/08/93 / / 11/08/93 PASS RT 11/08/93 BLT I 04STA030 Check for prcl. restrict. / / 11/08/93 11/08/93 PASS VG 11/08/93 BLT I 14STA092 (T) Issue combination permit / 1 / / 11/10/93 PASS AN 11/10/93 JH NSTA095 (F) Reprint Permit / / / / 12/14/93 12/14/93 JH MSTA705 Foot/found Insp ! ! ! / 11/15/93 PASS TLP 11/15/93 TLP MSTA720 Mechanical Insp / / / / 12/30/93 PASS TLP 02/02/94 RB NSTA722 Plumb Top Out / / / / 12/30/93 PASS TLP 12/31/93 TLP MSIAT25 Froming Inap / / / / 12/30/93 PASS TLP 12/31/93 TLP NSTA733 Gas Line Insp / / / / 12/15/93 change existing 3/4" to 1 1e PASS TLP 12/16/93 TLP MSTA740 Insulation Insp / / / / 01/04/93 PASS TLP 01/10/94 TLP MSTAT45 Gyp Board Inap / / / / 01/05/93 PASS TLP 01/10/94 TLP MSTA755 Rain drain Insp / / / / 11/29/93 PASS MS 11/30/93 MRS MSTA795 Mechanical Final / / / / 02/02/94 PASS R8 02/02/94 RB MSTA797 Plumb Final / / / / 02/02/94 PASS RB 02/02/94 RB MSTA799 Building Final / / / / 02/92/94 PASS RB 02/02/94 RB MSTA970 Case Finaled / / / / 02/02/94 PASS RB 02/02/94 RR i `x.171.