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10305 SW SERENA WAY 10305 SW SERENA WAY a 3 Q z w cr w Ln 3 M Ln CJ n INSPECT!ON NOTICE City of Tiga-d Building Department 124^_L S.W. Main St. T:gard, Oregon 97223 Phone 639-4171 Address-----------__---- _-—_ -- - e Permit # -� Type of Inspection The following Building Code deficiencies are required to be corrected: �• J .. .._r"_._..• _�._ .. syr .,.......} .f7..���..-5_-- - - -- -- ---- A irewritnd to --___ Inspector Date -- C,4L.L FOR REI/1ISPEC77ON El YES ❑ NO L.- c INSPECTION NOTICE City of T'gard Building Delavrtment 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639.4171 R`Jdress Permit Type of Inspection The following Building Code deficiencies are required to be corrected:. .�.__. `�G.�.cL"`�`d^� �..�..G- � `•G.�e•��.�y (�?"?'i..t'.r' G.C',.� war'_.. ''�'^.'',}7 �•,^ .r "`-7C�..•� �___ .� Presented to-_-- —.---__--- Inspector Date ---_---__ GALL FOR REI11r;SPECTIOAI n YES LJ No INSPECTION NOTICE City of Tigard Building Department 12420 S.W. Main St. Tigard, Oregon 97223 Phone 639-4171 Permit t� _ Address_ Type of Inspection --- - --------- — The following Building Code deficiencies are required to be corrected! Prese-ii,rl to- Inspector _.._-------..-------.----._-- __ Date. -----------....--- (ALL FOR REWSPECTION ❑ VES ❑ NO BUILDING PERMIT APPLICATION TIGARD DATE._...___ -'�- 19 + U 3328 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE 246-4730 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE .__._.- —_ — OWNER CICJ SF. MUF11S JOBADDRESS r' `,rte, SW Serena lJoy LOTNO.30 ik ck5 L6Lr�g BUILDER Da11I13 ADDRESS r' 34 ilt! I.NhRii71r ._ _f1 toptldOESIGNER Piercy & Oarcllp.y STRUCTURE ® NEW El REMODEL 7 ADDITION C1 REPAIR C RENEWAL _❑ FIRE DAMAGE _❑ DEMOLI' ON U RESIDENCE ❑ COMM L] EDUCATIONAL ❑ GOWT ❑ RELIGIOUS 0 PATIO ❑ CARPORT El GARAGE Cl STORAGE ❑ SLAB❑ FENCE OCCUPANCY LAND USE ZONE R'"7PBLDG.TYPE _ .5n FIREZONEPLAN CHECK BY-- dd—H_EAT (:cjnst ruct single Fcatni.iy dwelliI) w/attached gareQe. _ 4 Bar',room*-3 baths. _ SEE CORRECTION SHEET ATTACHED. SEWERPERMITM :'(3Z�X OCC.LOAD FLOOR LOAD 41) HEIGHT 22 NO.STORIES AREA 42997 NO.BEDROOMS-- 4 VALUE'J4 r 400• BUILDINCI DEPARTMENT - --- ---- SET RA KS FRONT 47 REAR 31 I•EFT SILff . r RIGHT SIDE • ' = —;_—-- - Permit .��'%'l.001 --- -- - -- _ ----- 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 Pie s Check I s1i• JU_ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT' DOES NOT WAIVE Sub iota! 41^�• �� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS State Tax �'• l Z•�� LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. Total $4Z6.58� SDC __ �1JO. lit PDC# .l I SICID.l7f� APPLICAN?dR-AQENt By }.t — ril,�r; Receipt No. - Approved ADDRESS `—` - ---- --- - -- -- ---- PHONE DATE INSP. TYPE INSPECTION ` REMARKS � PLUMBING: DATE etT\4l Ac�g Gr�A�io�.. W\��ee•L. - Contractor ZA6 qli%Am _ Permit No Rough-in Fixture Final__ -- • AVT1... T1.lul a tc _ _ _ `_ HLATINGi Contrac:ar �G�13-� RsorQ•�mM, 41NM�a 0y�tillfl it No. Gas of Gd • Rough-in Final ----- -- ---- --=---... Final - - SEWER r ��---_--__- — Final - ---- .�— DRIVEWAY'- Final Storm Drainage (Rain Drain)Final Sidewalk Curb&Street Final Approach BLDG. DEPT.FINAL �� TEMPORARY CERTIFICATE CCCUPANCY Final —� CERTIFICATE OCCUPANCY Landscauing Zoning Final — w 4 BUILDING PERMIT APPLICATION TIGARD DATE-44" 7 t9 $G THE UNDERSIGN ED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONEZ%-T/,30 OR AS SHOWN AND APPROVED IN THC ACr,'M PANYIi\,l7l PLA`•!S AMD SPECIFICATIONS, Ow-14'�P,P,.-IO LorNO. � _.- -7 G CLM6leiC� J08 ADDRESS BUIL ER ADDRESS �7:)4 '3 LP" 171f40ESIGNER dl gTpn , rn•IRF �Li NEW Cl REMODEL ❑ ADDITION -_❑ REPAIR ClC7 RENEWAL ❑ FIRE DAMAGE LI DEMOLITION RESIDENCE I! COMM ❑ EDUCATIONAL 73GOWT ❑ RELIGIOUS C PATIO ❑ CAA PORT ❑ GARAGE Cl STORAGE ❑ SL-ASC FENCE OCCUPANCY U"3 LANDUSEZONE�' t3LOG.TYPE �)�.._FIRE ZONE PLAN CHECK BY sEwPERMIT Ir OCC.LOAD FLOOR LOAD 'J/ HEIGHT 2z NO.STORIES AREA 4"p.l1jVALUE ypNO.BEDROOMS (' BUILDING DEPARTMENT ETBACKS FRONT /fZ REA^ ,3 LEFT SICE f,f RIGHT SIDEPermit -Z 7 7 p� THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE SUiLDIING CODE.,ZOPI:NG Plan Chock ,,s.v REGULATIONS AND ALL APPLICABLE CGIQES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCOPDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Sut�tatal g WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERfAIT DOES NOT WAIVE • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,FLUP.IdltiG AND HEATING. ;itetli Tax vs Total u 7 y' SDC- _� PDC# APPLICANT OR AGENT - ey _ ��- Receipt No. -� -- Approved ADDRESS -- - ---- PHONE Dc DC — S /CrD EWER CONNEC'(ION S 716, 'EWER INSPECTION S 2.5, EWER SURCHARGE 5 w � 1 c� b g vJ +Ea.�xr� �•,y 3 0 6��^: La IJA I !v x zZ 2 2 0 /4 x zti' .�a F 7 x '12-1 14- A ZI 7 x 1-9 1 21 -2,x /2 2g�4- 3 x 14-- 0 91 S-44 C-A 2zx 21 -Z;< 9b 1 ,19 Cl Permit_. City of TiLard 1111 Lh(�niral Permit ` • Fee.-- �.Oa N tion C, Replace h tion 3Relocation ' Addition ❑ AltEra °' L7 /, State_- TOTAL--- / OTAL__— CQ"1TPA OR MoColli/ter Heating & Alar Cond• OWNER Bob Samlaels �nRESS 21940 W. Baseline 8d. Beay.— WORK ADDRESS_10305 S. W. Serena Way PHnNG—__ 649-554 _ l , APPLICANT MOCollieter Heating _ _ Heat Input Rating (BTU Per Hour) 125.000— Vent Size 5"- Flue Size--6" FUEL OIL ❑ GAS ELECT ❑ OTHER__ ITEM NO. FEE ITEM NO. FEE For-Issuance of Permit ^� 3.00 _Air Conditio_n_C_c repressor 15 to 30 HP 1U.00 New-Under 100,000 BTU — f 4.00 Air Handling 10,000 CFM 3.00 New. 100,000 BTU &over 1 5.00 ''Air Handling Over 10,000 CFM 5.O0 4.U0 Evaporative Cooler 3.00 Floor Furnace _ —� i Wall Floor •Suspended 4.00 Range Vent Fan 2.00 Install Vents Only 2.J0 Vent System Repair - Heat & Cooling 4.00 Hood Commercial3.00' r° ••- it Condition Compressor Under 3 HF 4.00_ Commercial butt System — 10.00 Air Conditinn Compressor 3 to 15 HP 7.50 — ,1 Y INSPFCTOR'S COMMENTS -..^— CITY BUSINESS LICENSE REQUIRED FOR ALL. CONTRACTORS OR SUBCONTRACTORS x. APP11OVED BY DATE _ ISSUED BY DATE RECEIPT N0._�_ — - �,t�rc.c_S . 774 Signa tu plicant