10145 SW SERENA WAY 10145 SW SERENA WAY
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CITY OF TIGA_Z" -
L! OREGON
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' = Bldg. Permit No.
4182
O�s-ner: Tom Miller _--
<: =zsl Ore.
23550 S.W. Grahams Ferry Rd. Sherwood,
address: � _•
=. �. 1014 5 S.W. Serena Way .
C', �; Building Address: N
= `�`F R PD $Icig. Type 5 s-
. Occupancy-
Construct
Land Use
Zone:
: truct sin le family dwelling w/attached
Comments: Cons 9
2 Bedrooms 2 Baths2�
garage
r ? �.i'. 4 day of ;november , 19 82
Certificate isht:rebc gigen this
4 that said building may be occupied and that it complies with all E
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requirements of the Building Code for the City of Tigard, as approved
( a
by the Tigard City Council.
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Fire Dept. )3uilding Inspector x
lBuilding official
Post Certificate m Conspicuous Place
INS
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BUILDING PERMIT APPLICATION TIGARD DATE__ — f' ?�• 1.tt 19-- 4182
THE UNDE P5IGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO-L-1-1'-lCkfil
OWNER J ' ! ' IIi I JOBADDRESS
— =- ---
- ARCHITECT
EER :1$L�Gr
BUILDER ADDRESS
-- ADDRESS 23r 5C� a.'I. !'t'%thF1l;1.Ti T' NER _
STRU_C� PURE_ C1•NEW ❑ REMODEL ❑ ADDITION ❑ REPAIRJL RENEWAL ❑ FIRt vAMAGE ❑ DEMOLITION
n4RESIDENCE 0 COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE-F] STORAGE ❑ SLAB❑ FENCE
OCCUPANCY ___" LAND USE ZONE +' ��' ' BLDG.TYPE 5': FIRE ZONE=—.—_PLAN CHECK BY =1--_HEAT_-si=—
C on,t:ruct sin,41c, ta;,.Al.y ;xal]..ig,7 �;%att� �rt,��.i Gararle __--
>neCorrm-,tion lino �attaclt ,'<�, xoU,,u7 ----
3g7
SEWERPERMITk YC t'T!?' ---- --
OCC.LOAD FLOOR LOAD ._I HEIGHT '_ NO.STORIES_ AREA ll-' NO.BEDROOMS VALUE 52•0 04
BUILDING DEPARTMENT SET BACKS FRONT _REAR LEFT SIDE RIGHT SIDE
Permit _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULA"ONS AND ALL APPLICABLE CODES AND ORDINANCES, AND iT IS HEREBY AGREED THAT THE
Plan Check WORK WILL RE DONE IN ACCORDANCE WITH TFE PLANS AND SPF.,IFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANC'-. OF THIS PERMIT DOES NOT WAIVE
Sub-total I ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS'O HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING A14D HEATING.
State Tax 400
Total
;,l PDCM ,. 1 :Lot) nrPIICANtORAOENT l f r ,� ^/
By �I N f j L 1
-- - Receipt No. ADDRFS; PHONE ---�--
Approved __ l%/on
DATE INSPP, TYPE INSPECTION REMARKS PIA'MDING DATE +
Contractor!�
.. -.•�` /moi,
9_ 23 �.._ Permit No. �=°
ZIA- Rough-in
/Q G r Y ����sr.��(..Cit►a,c� C.�/ �•. __ Fixture -- --
/'D � final
HEATING
Contractor `
_-._— -- Permit No.
Gas or Oil
- � ---- Rough-in � -
- �-� -- Final
--------- -- SEWER
Final ----
DRIVEWAY
Final
Storm Drainage
(Hain Drain)Final
-- - �---------�_- SidaUNalk
Curb&Street Final
—_ —--- Approach
BLDG. D[PT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIvIrATE OCCUPANCY ------
Landicaping
Zoning F incl
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BU
! DING PERMIT APPLICATION TIGARD DATE * l
THE UNDERSIGNED HEREBY APPLIES FOR A PERiMIT FOP THE WORK HEREIN INDICATED BUILDER PHONE��'��
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHON
� �Q► -- _—_— — qp/--' LOT NO.
' "j- `'' � +,r- QQ41AKOBADDHESS101 �l� j �Q
AF1f.I iliiG.T �'
BUILrE9 ✓6AM'IQ. ADDRESS 3.�w�Q7�V wj6 ES E` Ifi('�� ---.—
P9LI RENEWAL ClF-IRE ❑ DEMOLITION
STRUCTURE NEW - ❑ REMODEL _��_ADDITION — _❑_RE _ —
RESIDENCE C
7CCOMM Cl EDUCATIONAL ❑pGOV'T Cl RELIGIOUS ❑ PATIO Cl CARPORT_❑ GARAGE Cl STORAGE_❑ SiLAB❑ FENCE
OGC'UPANCY "�__.LAND USE ZONE I BLDG.TYPE ,rL� -_FIRE ZONE-_=PIAN CHECK BYY�` HEAT
well
SEWER PERMIT M_--. ---t---
OCC.LOAD FLOOR LOA HEIGHT �� NO.STORIES _� AREA ZINC.BEDR_OOn'S VP.LUi;7 jZ�QpO
BUILDING DEPARTMENTS Y SET BACKS FRONT 8 `REAR` — LEFT SIDE RIGHT SIDE ,f
Permit /._ � THIS PERM!T 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 iH,E
Plan Check I Gr WORK WILL SF DONE IN ACCORDANCE WITH THE PLAIDS AND SPECIFICATIONS AND IN CO';PLIANCE
> WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su!}tctal __
74.Sr 1? RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON TRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
i State Tax • �G
_ �.— —
Total _lLfZ•- ------ --- --__..__... --- --
- PDC# APPLICANT OR AGENT
By
Approved ---
Receipt No.
S D C - �_ 400 -
PDC - S JL # ��
SEWER CONNECTION S U&
SEWER INSPECTION S �
SEWER SURCHARGE $ �,r�--�
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-1-11400
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