15780 SW SERENA COURT MWI
15780 SW SERENA COURT
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PERMIT N0._
PEROIT CHARGE none
CONNECTION FEE 640,
PAID BY —
TYPE OF BUILDING
DATE CO JECTED
SERVICE RATE / 8 INSPECTION FEE d2�' _ --- --- --
CONTRACTOR
PAID BY _ __ C)f1TE
pAiO
SIZE OF CONNECTION _ � ASSESSIIENT _ -----
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BUILDING DEPARTMENT, TIGARD
PLUMBING PERMIT �T
� +
holder of a valid plumbing contractors licensa is hereby
authorized to cause plumbing work herein noted to be installed in accordance with the plumbing coda of
Tigard. Such installations regmre inspection by the City Ins;:actor who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business Licenso required
for all contractors and sub-contractors.
Date_4-.:J-4 ��
NUMSEn OF TOTAL PERMIT NO.'S j
TYPE OF PERMIT ITEMS FEE ON EACH AtitOUNT (Office Use Only) i
S --- –
Single Family--l-bath-each �— —_ - _,_25 On Q
Ou.&x-Each 1 bath unit _—_25.00__
Additional be:hrourns-each _� 10.00
Mobile Harne Spece each
INDIVIDUAL FIXTURE KEES
1 to 50 Fixtures in 1 bw!dinj_.:jaaah _ —_ 3.00
51 to 100 Fi:•,ires in 1 huilw!ng-eac'+_ _ —..----- —25(1---- ------ -----
f 101 to 200 Fixtures in 1 buildin -each
_ 201 or more Fi%:ures in 1 bu!Idlnq-eaeh_ -- __ --_ 1 50- --- -_ - ----- ----�-- --_—�-
hIISCELLA NEOU9
Suilding 9e,01wr-1st 50 ft. 10.00
_Sewer-each_additional 100 ft_ _ 10,00
Water Sarvice to building 5_00
Private Watur Systems`earh 100 ft. —_ i Y _ 10_.00
Other fsogcifvl: !M _ S
PERMIT 0 rd For Pluwrthing lnspertion Phone 63.5-4171
316 State �— --- Plumlfir.g Contractor By
TOTAL41 RECEIPT NO. Issued By
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tick• UALI U 1 (0116173
rSEWER PERMIT :'dV 15944
Unified Sewerage Agency
of Washington County CITY OF _LLLL,-,j _ DATE Jung 14 . 1970
OWNER: _ Jerwin Const.-- -- PHONE :
OWNER 'S ADDRESS!
TYPE OF INSTALLATION:
U BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY,
U NEW Cx SINGLE FAMILY ❑ COMMERCIAL.
❑ EXIST. (PRIOR TO 7-1-70 ) ❑ MOLT. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE : 1.5700 SW Serena Ct.
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGULATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
HUNDRED AND TWENTY ( 120 ) DAYS. 'f HE AMOUNT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION — _ p. robertson
ISSUED BY
OTHER
T T�1T1 $ 625.
_
PI' .ICAAT DATEk, —
`-' lU
L ,F�� SEWER PERMIT
N`•' 15944
PERMIT.
ADDRESS OF STRUCTURE _ 15700 SW Surc>na Court
TAX MAP TAX LOT _ SYSTEMS —_
LOT 16 BLOCK OF
V _
APFROVFD BY DATE ISSUED BY DA, E —
D. U. ' S 1 REMARKS bldg. ff2134
1�T P134
BUILDING PERMIT APPLICATION 11T TIGARD DATE 2U" 14 19OF
f{,
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_OR AS AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONF
LOT NO.
OWNER JaarwYn cor,, lt, JOB ADDRESS 1080 ;'3IGrQi a "t- HOME ADDRESS
-- ARCHITECT
ENGINEER
BUILDER .39irr Y 'RP114CI ADDRESS DESIGNER _
STRUCTURE^ UNEW O RF MODEL _OADDITION— ❑REPAIR ❑_RENEWAL ❑_FIRE DAMAGE `OUEMOLITION
O RESIDENCE OCOMM ❑EDUCATIONAL OGOV'T ❑RELIGIOUS OPATIO (:]CAR PORT ❑GARAGE O STORAGE EJSLAE [-]FENCE
OBOND OMOVING LJCONDITIONAL USE [:]DESIGN REVIEW LJCOUNCIL APPROVED OSIGNS
OCCUPANCY___Z.i"�:-LAND USE ZONE--E--I--BLDG.TYPE.j FIRE ZONE PLAN CHECK BY__i ritAT QhA '
Cutiut. Siny.Le F family Juielling W/attmched gsre a -y--
3 bedroom
ge re y e 461 --- --
r '
()C-C,1Q911.____--F.LI)QQB—LQAQ-- _,— 0 NO.SMI.B — -_ABEA a� NQ.BE1�I�-�!�MS VALUE 4.'t at)r�
BUILDING DEPARtMENT _ _ SET BACKS FRONT lbli REAR 159 LEFT SIDE 12 RIGHT SIDE 7
jTa
17 .00
Ij , -- THIS PERMIT IS ISSVFD SUBJECT TO THE REGULATIONS CONTAINED IN TME BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AL FED THAT THE
--�T WORK WILL BE DONE IN ACCORDANCE WI TH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE.WITH
ALL APPLICABLE CODES AND ORDINANCES,, THE ISSUANCE OF CHIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONtRACTGR.' RAVE CURRENT CITY BUSINESS
uu
' LICENSE. SFPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING,
y . J J.U.t. $401)
BV
APPLICANT OR AGENIT
Approved Receipt No.
ADDRESS
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
Permit No. 1,4(63 7?
o
ough-in
Fixture --
aS Final
HEATING
Contractor
Permit No.
-- — Gas or Oil
Rough-in --
--- ---_ Final
—�— _r.— ---_----_— ---- - SEWER--.
—�--`----- Final
-- - ----------— --- DRIVEWAY--
--- ------ ---------- ---' Final - —
Storrh Drainage
(Rein Drain)Final.
Sidewalk
Curl&Street Final
— +�---— —� Approach
— BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
i
'UILDING PERMIT APPLICA HON roF TIC; ,AAD 3
DATE--&—:! .----, ,g-? No
X14
'+.1 l ND, HF.IGNED HERE BY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED DUILc;ERPr,0;4F
r.H WVN AND APPROVED IN THE ACCOMPANYING.; PLANS &,ND SPECIF ICAs IONS. OWNER
LOT NO.
:.R _ JOB ADDRESS J 7 �A w �OMEt1UURF»OS V ---
- - ��_- - ._ ARCHITECT -- - -
nn ENGINEER
R F '.EW LJ RE ODEL ADDRElADDIT'ON �! ❑RF.PAIRT ❑RENEWALDESIGNER FIREDAMAGEQOEMOLITION
[" N''I [—]l-nMM ❑EDUCATIONAL ❑GOV'1 ORELIGIOUSIJPATIO OCAAPORT OGARAGLLE..JJ ❑STORAGE0SLAB ❑FENCE
FC`Nb []MOVING ❑CONDITIONAL USE OOtSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
t'c'uNCY �� L tiND USE ZONE— _ _---B L DG.TYPE _FIRE ZONE—3 PLAN CHECK By HEAT__] �t
J. ; JAD._. f l�Dr3�.5?AiZ.__L V--._HEIC+_Ht_—fGL.L�AILI.,SIQLIE�- .--�R�E1�.$ 1 NOHDRS OM&3 VA Od
BUIL UEPARTMENI
_ _ SET BACKS FRON'f_/ REAR fly LEFT SIDE RIGHT SIDE
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Cherlw .h—�] REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAI' THE
WORK WILL BE DONE IN ACCORDANCE WIl H THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
r,'uh total _—�� ��D ALL APPLICAMLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVF COI!ENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
' e Tax V v LICENSE EEPANA,E PERMITS REOUIREO FOR SEWER, PLUMBING AND HEATING.
To a, 40
fi1t
- - APPLICANT OR AGENT
?0 Receipt No.
-� AUCINfSS— -- PHONE---
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