10065 SW SERENA WAY 10055 SW SERENA WAY
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INSPECTION NOTICE I
City of Tigard Building DcparUneilt
12420 S.W. Main St.
Tigard,Oregon 9727.3
Phone: 639-4171
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Type of Inspection –
Date Requested
Time 77_ A.M. —N•M-
1�G� //DDi�•li�J� permit #
Address ,
1_ot
i
Owner -- -
Builder
The following Building Code deficiencies are required to he corrected:
Presented to _ X�Approved
Inopeator
Disapproved
Dote
CALL FOR REINSPECTION
❑ YES ONO
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.NrIE OF OCc-UpANCy
F TIGARD Y= �
VA1 . CITY O
" =r� OREGONL.
Owner Waverly Conatruetion _Permit 0. 499
Address: 11903 SW Broadarrps Rd. x
~�� sW SerenaBuildin Address: 10069 -- —
Occupancy R-3 Land Use Zone: R-7F0 Bldg. Type >iv — r -_
Comments: c'onstruet singles family dwPllina w/a [arhPd Faraaaragp-__ -
i' 6th day of ecrober _, iy R3_ ~� _
x; Certificate is hereby given this 1 �
that said building may be occupied and that it complies with all l ".
reo-i_irements of the Building Code for the City of Tigard, as approved
_ by the Tigard City Couuci-
Builling Inspector
Fire Dept. k
_ -I
fit
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Building Official = .
Post Certificate in Conspicuous Place
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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 _ - / 7- � 2 _ Time A.M._ )e' __P.M.
Address . _/�^' �. _S _ ) �.z - -+.._ Permit #--- ---
Owner __ Lot #
BuilderThe following Building Code deficiencies ere required to be corrected:
__.-_. •�' -�"""'sLr�t�f" !r-���/ _'yam^✓.-'+�� -
Presented to __ �j Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
❑ YES P NO
I
_ Dp•.;�J,ey. _� , _. 49
BUILDING PE �� 49RMIT APPLICATION TIGARD ,9IiB�-f
770
THE UNDERSIGNED HEREBY APPLIES FOR A PFIil�111 FOR THE WORK►iEAE1N INDICATED gWfJER P ONEF._` _�--
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. LOT NO._4P100 ----
�� JOB ADDRESS _ lU���65 5.4i• 5aiwpa _.._.-_-_ _ _ I�aixii�t__L—.._..-
OWNER `7�V0x1,y_(1c)P��__�_ - ARCHITECT
..
Hubbard Rd. ENGINEER
ADDRESS 11903 Broadagoe Rd• DESIGNER
BUILDER fiAWe
STRUCTURE NEW [IREMODEL ❑ ADDITION ❑ REPAIR — Cl RENEWAL O FIRE DAMAGE— C DEMOLI BION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GUV'T C] RELIGIOUS ❑ PATIO 0 CARPORT ❑ GARAGE ❑ STORAGE 0- BLARE] FENCE
It_7Pt� HEAT r-aa~
OCCUPANCY �_ LAND USE ZONE - BLDG.TYPE FIRE ZONE-.r PLAN CHECK BY_ -
_----- Gonotxuct 5int�1�Pasaily l�n�Lliny with attar.,hed vsrage. _
3 Bed
2 Aath
�3 P'luRob. Fix.-
SEWER PERMIT M x5768 --Garage 40.1 _ - -
HEIGHT 14 NO.STORIES � ^ AREA JX? NO.BEDROOMS 3_ VALUE
OCC.LOAD FLOOR LOAD aU _ ------ _..__ RIGHT SIDE
_ BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE _ __
3l'1•lX1 THIS PERMIT IS ISSUED SUBJECT TO THE R,.GULATIONS CONTAINED IN THE BUILDING CODE,ZONING
Permit -
RFGULATIONS AND ALL APPLICABLE CODES AND OR111AANCES. AND IT IS HEREBY AGREED THAT T
HE
Plan Check 2u7*35 WORK WILL BE DONE IIJ ACCORDANCE WI"H THE PI AMS AND SPECIFICATIONS AND IN COMPLIANCE
-'
WITH ALL APPLICABLE CODES AND OPDiNANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 326*35 RESTRICTIVE COVENANTS CONTRACTOR ANN SUB CO4TRACTOHS TO HAVE CURRENT CITY BUSINESS
X2.36 LICENSE.SEPARATE PERMITS REQUIR,_D rOR SE:.ER,PLUMBING AND HEATING.
State Tax SDC
Total _- PDCN 1 I gppl 1CANT OR AGENT By _ ----
-- Receipt No. AOD!�ES'8 PHONE
Approved _ TICR — _—
DATE INSP. TYPE INSPECTION REMARKS — PLUMBING DATE
-----. -----—.._---_.—--- ---7�-�
Contracto
T^��J•f/ -[:� f hi�,� Permit No.
P� - Rough-in
Fixture
Final
HEATING
SOW= ._Lu4 --- - COntrachr 7
Permit No.-2-9 -73 GU
Gas nr Oil
_.— _ - - ---------- ____� Final
- - ----- J SEN,ER
!— -------V - Final
__- — - DRIVEWAY
Final -.
Srtrm Drainage
-- — --—`�-----_�_ (Rein breln)Final -
- Sidewalk
Curb&Street Filial
_r.-- -- --�— Anprooch
BLDG. D':PT.I'INAI. 1•LMP(.,PARY CERCU
TIFI.:ATE OCPANCY Final -
CERTIFIC ATL OCCUPANCY
." I.ardfcaping
2nniyng Final �•_._ �, —
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BUILDING PERMITAPPL,'CATION TIGARD DATE__ 7
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR TIME WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFIC4TIONS. OWNER PttHOCN —_—
lA: LOT NO._Z—
o:vNER�1�V�`I0�1j�. "J08 ADDRESS 1 j - .lay
QHu�bp b sty, _// ITECT
BUILDER ADDRESS(11% '�MO 49 jt It�iQ. EN INFER –
DESIGNER
STRUCTURE GQ NEW ❑ REMODEL ❑ ADDITION i] REPAIR , ❑ RENEWAL—�❑ FIRE DAMAGE Cl DE1A0LITION
RESIDENCE ❑ COMM ❑ EDUCATIr"AL ❑ GOWT Cl RELIGIOUS Cl PATIO ❑ CARPORT Cl GARAGE ❑ STORAGE ❑ SLAB FENCE
—s•��- 'ran,-�-...-.rte ��:r=�/I or--_—����.--=—�- �-=—e
OCCUPANCY —LAND USE ZONE • - BLDG.TYPE ,_ r" FIRE ZZONE___PLAN CHECK BY HEAT,��=__
Ar
SEWER PERMIT M ,7 S 7 1�►$ _ _� � �(�C!/r�R_ �1L_
OCC.LOAD FLOOR LOAD HEIGHT /7 No .STORIES AREA .1_3 0 7 NO.BEDROOMS VALUE_ ;
BUILDING DEPAfITMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Pn-rmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THF. BUILDING CODE,ZOWNG
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PIa�Check _ WORK WILL BE DONE IN ACCORDANCE WITH TPE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
-- WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOT WAIV.'-.
Sub-total ` ' RESTRICTIVE.COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY 9USINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax •
SDC—•
Total —
POC# APPLICANT OR AGENT
By .
-___- Receipt No. — --- --- —_._
Approved ADDRESS PHONE
SDC -
P 7 C
71
SEWER CONNECTION S
SEWER INSPECTION S
SEWER SURCHARGE S -��
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