15875 SW SERENA COURT 15875 sw SEPENI, COURT
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ADDRESS, 1��, i � � �1t/�� (y� PEPMIT NO. ( 3
44 PERrIiT CHARGE none
OWNER � t� CONNECTION FEE
PAID BY
TYPE OF BUILDING _��� � DATE CONNECT
SERVICE RETE �� f� INSPECTION FEE
CONTRACTOR PAID BY DATE
511E OF CONNECTION ASSESSMENT PAID
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SEW
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ZAIC
OF 0C
: r CVi- ' CITY OF TIGARDOREGON
€'4I rJwre.. Jaden Constr. Permit No. 1893 �'--.- •_•
l== 1 Address: 10175 S.W. Barber Bvld. #21 ' B Portland, Ore
f C 3 3
Building Address:! 5875 s W. Serena C t.
Occupancy: R-3 Land Use Zone: R-7 Bldg.Type S-N Fire Zone: 3
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Comments:
,�i`�
Certificate is hereby given this 5th day of March 19 79 r
r that said building may be occupied and that it = -:
(, g P
complies with all requirements of the Build-
,
ing Code for the City of Tigard, as approved = , _,,
='s by the Tigard City Council. WX4=vim_
Building Inspector
. � Building Official
yM Post Certificate in Conspicuous Place . ;
_- ----_ -- -- --- -- -- - _ - - - -- 3Z t
Ilia
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BUILDING DLI'AHTMENT, TIGARD
NO.
PLUMBING PE_fi AIT
holder of a valid -dumbing contractors license. is Hereby
autllori2f;d to came plumbing work as herein noted to be Installed in accordance with the plumbing code of
Tigard. Such installations require.. inspection by the City Inspector who shall be notitied not less Vian four
(4) hours prior to the time the installations are ready for inspecti�o)i . City of Tigard Business License required
fora ontractors and b-contractors. 3etC�j
Uwnc - __ /address. — Date--
.�....._._�._ Nunnyela OF
_
TOTAL e e_41MIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (01ffce Use Only)
aItii LP_l tt1 T 1 A L -+ -- ----$-
SinaLq Family 1 br&th-.cach -
_Uuplex-Eoch 1 bath urit -� 25.00
Additional bnthe�ooms-eac,t10.00 p• B� _�
Mobile Home Space-each �- T
INDIVIDUAL Flx'runc FEES
1 to 50 Fixtures in 1 building-aach -
__._51 to 100 Fixtures in-1 buildin each _ 2.-50
101 to 200 Fixtures in 1 buildin -each_-� _ 2._00
_2_01 or more Fixtures in 1 bulldi -ench
MISCELLANEOUS_
Building Sewer-1st 50 ft, 10.00
Sewer-ench additional 100 ft, 10.00
-Vater Service to building 5.00
Private Water stems--cach_100 ft. -_--� 10.00
Other IS�ecifvl:
_P_ERMI f S • d U �.or Plumbitig inspection Phone 6394191
0% Stoter 7e t •p Plumbing Contractor By
TOTAL `,- D rt'i-CEIPT NO. Issued Ey w -
13912
r` Unified Sewerage Agency
of Washington County CITY OF _ Tigard
DAT!
OWNER: Jaden Const. f'fIONE :
OWNER 'S ADDRESS,
TYPE OF INSTALLATION:
XXQPUILDING SEWER ❑B UILDIN6 SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
XXXX>a,�EVy XX>X >tINGLE FAMILY
❑ COMMERCIAL
❑EXIST . (PRIOR TO 7-1-70 ) ❑ MULT. RES.
❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS
1
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. THE AMOUNT PAID WILL
BE FnRFEITED SHOULD EXPIRATION OCCUR.
FEES:
PERMIT FEE 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION
OTHER
ISSUED BY
TA 625.
xarZt`U' :r
APP ICANT ~T DATE r
�j1lr' �r l )
iLL [�f1al,� ��?N . 'i' SOWER PEM"llwf �� � ni1�IG
ADDRESS OF STRUCTURE.` 15875 aLl C
TAX MAf' TAX LOT _ SYSTE:M__f�.cnnc� creels
LOT 4 BLOCK OF
te
APPROVED NY
DATE ISSURb BY DATE'=
REMARKS bldg. X1893
lot
BUILDING PERMIT APPLICATIONrIr
ofY TIGARD DATE_ ""`` ' ,3 '
_ „ 3
THE UNDERSIGNED 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.---__
.:;,t�'7a SLI Serene. Ct.
OWNER JOG ADDRESS HOME.ADDRESS _
ARCHITECT ---
BUILDERADDRESS ENGINEER
DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR-1 ❑RENEWAL OFIRE DAMAGE ❑DEMOLITION
RESIDENCE ❑COMM ❑EDUCATIONAL OGOWT ❑RELIGIOUS 3PATIO L JCAR PORT ❑GA.RAGE ❑STGRAGE❑SLAB ❑FENCE
❑BOND ❑MOVING _❑CONDITIONAL USE LIDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY ' LAND USE ZONE "�l BLDG.TYPE _,FIRE ZONE! PLAN CHECK BY- E LW HEA"F �El"
fnrn..ly ducallw!J W/n tsc:';5sd Llaracae 3 bedroom 3 bath _
AHA
EIHLJHr CL nn. oQQBIE llle0. a�J.
=.0 LOAD FLQQR LOAD 413 HEIGHT +Zl NO ARIES l—
AREA_ G NO.BEDRQQMS
BUILDING DEPARTMENT SET BACKS FRONT �I REAR j L1.EFT SIDE j RIGHT SIDE
Permit ?1)�1'�!igo _—_ — -- _ --_
70, o. ` THIS PERMIT IS ISSUED SUBJECT TO THE REGIILAIIONS CONTAINED IN THE BUILDING CODE, ZONINu
Plan Check d y� 00 HIS
AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Subtotal G f "'Q1 �1 }1 °��(d ALL APPLICABIE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RFSTRICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICE.NS�. SEPARATE PERMITS REGUIRED FOR SEVIER, PLUMBING AND HEATING
Total '(i iX0•l2•(:• k 9Iuus
By y.
APPLICANT ON AGENT -- ---�`-'--"—""-'
Approved Receipt No. ,
AADDDP .sus
UATE INSP. TYPE INSI'CCTION� REMARKS PLUMBING DATE
Contractor _
l!
1A,'14 Rough-in
Fixture --- _--
7 Final
HEATING --__
Contractor
-- `— — Permit No.
Gas or Oil
Rough in
Final
SEWER
Final
DRIVEWAY
Final
Storm Draina
(Rain Drain) Final
Sidewalk
Curb&Street Final
Approach _
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
C,
Landscaping /�
r \ Zoning Final 1,
CITY OF TIGARD
ORDINANCE #77-71
PARK SYSTEM DEVELOPMENT CHARrr-
DATE : /j�,� ESTIMATED SALES PR1C"E
, -
APPLICANT NAME �r�ccYf �,�,Q7` TELEPHONE #
JOB ADDRESS r :�� : _ �y� BLDG. PERMIT #
AMOUNT OF FEE FaR P. D. C. / —
DESCRIPTION OF IMPROVEMENT }�J�
EXEMPTIONS - DER ORDINANCE #77-71
FEE RATES:
A. Single family dwelling unit ender $40,000.------------- 75.00
B. Single family dwelling :nit Iver $40,000.-------------C iaLA7&
C. Mobile Home Court Space (Nrjw Development)--------------$ 50.00
D. Multi-Family dwellings--per unit------------------------$ 60. 00
CONSTRUCTION IS LOCATED ON,•,,�.E. N.W. SIDE OF S.W. PACIFIC
HIGHWAY. N.W . is Park District #I. E'. is Park District #II.
CITY OF TIGARD
ORDINANCE y,77-26
STREET SYSTEM DEVELOPMENT CHIRGE
y A �
DATE :: ;, - �
�/a ESf IMATED SALES PRICE
T s� . -�
APPLICANT NAME ,c , TELEPHONE '"
308 ADDRESS / C� BLDG. PERMITS
AMOUNT OF FEE FOR S. D. C. o-e
DESCRIPTION OF IMPROVEMENT
EXEMPTIONS -PER ORDINANCE #77-26
FEE RATES:
A. Single family duelling unit under 560,000.--------- 30D.0��
nrle ami. dwelling unit over X60 000.--------• I"e
B. Sz � family g
C. Mobile Hume Court Space (New Development)---------- SlbC.,00
D. Multi-Family Dwellings--per unit------------------- $240.90
E. Commercial, Industrial & Institutional(Park.Spece) 6 50.00 each
F. Single family unit under S40,OCO- ----------------- SSK,0.00
i
ADig
nUILDING PERMIT APPLICA-VIQN `T TIG,^t Rid DATEF_EbR. . /�. 19.�$ Np
OF
',IAF UNDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHO '
F, AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIF ICAT IONS. OWNLR IPHON - —
����1� �w �j LOT NO.4-- ..
<JJ1, �;� ''�.+T � ,�-"�. ! c N_ fr�i:�OME AUCIRF:S5_ G r c�r�l�/ `n La
JOB ADURE ��s�a �j �1 �`��7YGi�.�i�Zlil.�
�} 1 ARCHITECT
ADbRESS �Q�•jamL �P��J�.1 BSIGNER ���T l 1710 J
SNE "�fW ❑RE MODE I. ❑ADDITION ❑HLPAIR ORENEWAL ❑FIRE DAMAGE _ ❑DEMOLITION
o4' ;'FNCF IT MM ❑EDUCATIONAL ❑GOV'T ❑RELIC000ROPATIO ❑CARPOR--T ❑GARAGE ❑STORAGE[]SLAB FENCE
-1 'IND ED MOVING _ ❑CONDITIONAL USE_ ❑DLSIGN REVIEW ❑COUNCIL APPROVED_ ❑SIGNS _
LITANCY LAND US ZONE!'. BLDG TYPES^�_-- -FIRE ZONE u PIAN CHECK BY 'y HEAT___
1
E!AQPl.S?AR Q
_Z� _H�G►1T- �I-----NQ_;zTIE _
BUILDING DEPARTMENT E /
_. ._ SETBACKS FRON �— REAR LEFT SIDE -7# IGHT SIDE
THIS PERMIT IS ISSUED SJBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
'Ian Check ---� REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY /!GREED THAT Tr.E
i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICA TIONS AND IN COMPLIANCE WITH
I
rub total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RLSTRICTIVF COVENANTS, CONTRACTOR ANI) SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
at!' Tax LICENSE SEPARATE PFRMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
Dial
---- A iCANI OR AGE NT
App owed -- RPCPIpE NO.
----
Ar?UNE55
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