15890 SW SERENA COURT 15890 S4v SERENA COURT
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Permit �!u.
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Permit charge .�?C»2 _.._.
Connection
)l fee
Paid by
of hui.l.dinr; , 44
Date connected
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J Inspection fee aS'�
ri t r a r,t a r Paid by ___ date
�.zs of connection Assessment Paid
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BUILDING DEPARTMENT, TIGARD iY�
n PLUMBING PERMIT iV .
'u holder of a valid plunib'ng contractors license is hereby
authorized to cause plumbing work Yerein noted to be installed in accorc ince with the plumbing code of
Tigard. Such installations require insp=rtion by the City Inspector who sha,l be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors. J
/
Address- S57q�'S`cr> - �,a
-- - -- --------- •— -- Date__
NUMBER OF — TOTAL PERMIT NO.'S •
TYKE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only) yI
Sinnnlr f arnil 1 bath-5art -- — / 25.00
Duplex_Each 1 bath unit 2500 — I
+Addittne-ic
na1 bathraotns- h_ _10.00__
--- �.
h!lubile Hmm�S ace--each '..—_--- --._...._. 1F.n0Y•, ._ _ _�i___ (i
INDIVIDUAL FIXTURE FEES —
_t to 50 Fixtures in 1 buiidl_na_jjr:h�
51 to 100 FlxturesIn 1 buildin -each 250
_ _
__.T to_200 Fixtures in 1 building_Re..h
Z01 or mare Fixtur<s in 1 build m -garh
M1 I S C E L L n N E O U S
Building Sraer--1st 50_f s•__ _...—__...__.___ __.__._. 10.�Q W`__. •--.—_----- --
$ewer-aarh Prl_vate wat•tr 5ysyerns-_each 100 ft._ Y_ 10.00
• Urhrr (S to �rLi__._ _._—_._.._-- --- - - ---_.._--- -- _..___..._. .. __ .._. �_��—.._ .
PLRfilIT FnrPlumbinglydpection Mione6.79,1171
Plumhir,g Cnntr:;ctar By
To rAL ��136. 51,r >11F.CEIPT NO. 1smv?d By
SEWER PERMIT N9 1596,`�����
UfUnilied Sewerage Agency
of Washington County C I TY OF TiUard DATE _ 6-27-78
OWNER: Trim Pl i l l e r M PHONE :
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
L^ nUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
xJET' NEW �x- 93NGLE FAMILY F ] COMMERCIAL
❑ EXIST. (PRIOR TO 7--- 1--70 ) ❑ MUI.T. RES. ❑ INDUSTRIAL.
FIXTURE UNITS DWELLING UNITS 1
ADDRESS OF STRUCTURE - 15890 SW Serena Ct.
PERMIT CONDITIONS: TIF APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGIII_ATIONS OF THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FOR INSPECTION,
PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICATION EXPIRES IN ONE-
4UNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WILL BE FORFEIT[_D SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE $ 25.
CONNECTION CHARGE 600.
SIDE SEWER INSTALLATION _ D. Greene
ISSUED BY
OTHER
/ TOTAL $ 02.5.
APPLICANT DATE
SEXIER PERMIT N%' 15965
I _ foy+ yL'•'
ADDRESS OF STRUCTURE 15890 SW Sdrena Ct.
TAX MAP TAX LOT SYSTEM f'anno creek
LOT 35 BLOCK OF lRrm nad Palates
_-F Walden 6-27-78
A['PROVED BY DATE ISSUEDT :
� DA E
D. U. ' S 1 REMARKS bldQ. J21Q2 -�
low
X9 21V
BUILDING PL °'.iiT APPLICATION 11T i1GARD OAS E7_7H _.., I9-OF
�_
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHON F' 9_'t
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE q` _
`.,er%r1F,J L- L. LOT NO. ��.-...
OWNER Tom JOB ADDRESS 1;_.;s�of� iLt XX0a3'iar jjLxQX jOME ADDRESS
ARCHITECT
ENGINEER
BUILDER 3034v ADDRESS DESIGNER
STRUCTURE "M&W ❑REMODEL ❑ADDITION ❑REPAIR ORENEWAL DFIREDAM.AGE []DEMOLITION
[341ESIDENCF ❑COMM ❑EDUCATIONAL E]GOV'T ❑RFLIGIOUS�PATIO ❑CARPORT ❑GARAGE []STORAGE SLAB FENCE
OBOND (:1 MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY ,a LAND USF ZONE _ 1' -BLDG.TYPE - FIRE ZUNE__A PLAN CHECK --
rt)rlA` . 81n910 i'amily dwall fwr w/sttachica garage 3 bedr -3m _ Uuth
-1. � rsuuq ,if Lot ,3.1 +scrag a $611
0s§_L_Q9B F1a49R LOAD 4_HEIGHT --_2JI__NQ.,sTQ.EiLE5. 1 A1UA 1504 NO,BEDRDQMS 3 VALUE_44p_30()*
BUILDING DEPARTMENT SET BACKS FRONT 17 REAR 20 LEFT SIDE 2.461 RIGHT SIDE 12
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check 10,011 REGULATIONS 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 ii!12100 100 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 6.80 Irl CE111.E,'EPfIt PERMITS REQUIRED FOR SEWER, PLUMBING AND HEAIING.
Total 110.86 p.D.C• #I 6100.
By —_-
APPLICANT OP ACIENI
I Anninved �w Receipt No.
fl/1TE INSP. TYPE INSPECTION RftMARK3 PLUMBING
DATE
99
Contractor
Permit Nc
7-��- — Rough-in
----- ----._--- - Fixture
_� ------- -- Final —
—.-._. - —-- -- ----_ H S A T I N G
-- - — — Contractor
--_--_ -- _
Permit
--- -- — Gas or Oil �U(
J — Rough-in
— - _r--- _--'.— Final
—_ -- -- SEWER
--_--- - ------ Cinal
DRIVEWAY —
Final
-- Stom Drainage
— (Rain Orein)Final
— Sidewalk
— Curb&Street Final
Approach
BLDG. DEPT.FINAL TE'MMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY —
Landscaping
Zoning Final
BUILDING PLRMIT APPLICA HON CITTIC' ,RD DATE_b'? _ _ ,4�_ ' N_ �
IiF OND[ RSIGNED HEREBY APPLIES AOR APERMIT FOR THE WORK HEREIN INDICATED BUIL.DERPHON&_�?_7.-� .
OP AS SHOWN AND APPROVED IN THE ACCOMPANYIN(' PLANS AND SPECIFICATIONS. OWNER PHoNF _.______
—Lor No.`.�,��__.._--
f t�D1 � JOB AC�DRE55 /y�-���� .- Ht�ME ADDRESS _
ARCHITECT
ENGINEER
DESIGNERA.
EW0REMODEL� C,ADDITION UREPAIR —M OREFIEWAL ❑FIRE DAMAGE -]DEMOLITION
I r1 10M DEOUCATIONAL ❑GOVT 13RELIrooUSOPAT10 C.ICAR PORT ❑GARAGE D STORAGE OSLAB OFENCE
✓ �H"RD DMOVING ❑CONDITIONAL USE DDESIGN_REVI_EW _DCOUNCILA-PROVED ❑SIGNS
LL -.N_C� Z3Z3 L MD USE ZONE .- —BLDG TYPE_? FIRE+ZONE_ PLANCHECK BY ► HEAT_
_J!I --
_BUILDING DtPARTMENT SET BACKS FRONT REAR _ LEFT SIDE3 � RIGHT SIDE
virnit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
"Ian Check REGULATIONS 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 INCOMPLIANCE WITH
Sub total �� ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RLSTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRF_NT CITY BUSINESS
litetF ?ex LICENSE. SEPARATE PERMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
_-- Ta ___._
Total / 4
By -
- APPI ICANT OR AGENT
��
- - -- a---- I
City of Tigard Mechanical Permit f Permit.-.._ $3.00
i Fee--�
Navv Installation ❑ Replace r.N Relocation U Addition F-1 Alteration ❑ - .4 % State_
TOTAL
H EAT I IJG
CONTRACTOR 01VNFR G. D. Woldt
ADDFiESST WORK ADDRESS 15890 S, W. Serena Ct., Tigaid
PHONE _y APPLICANT Northwest natural Gas Co. 7100 S. W. McEwan Rd
-Heat Input Rating ►BT J Per Hour)_ -�' �t� Vent —� _ Flue Size a e 34
FUEL OIL GAS ELECT ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
For Issuance of Permit SEE ABOV_ Air Condition Compressor 15 to 30 HP �� 10.00
Neva-i.:p to & iuc.107,000 BTU's r 4.00 Au Handling 10,000 CFM_ i 3.00
New.. 100,001 BTU & over 5.00 Air Handling Over 10,000 Cf-r,1 5.00
Floor Furnace 4.00 _Evaporative Cooler 3.00
%Vali • Floor •Suspended _~ 4.00 Range Vent Fan 2.00
Install Vents Only _ _ 2.00 Vent System _ _ 3.00
Repair • Heat& Ci.oEng y ^� 4.00 _ _Hood Commercial _ 3.00
Air Condition C_ornp•essor Under 3 HP 4.00 �Cotnmercial Duct System _ _ I5.00
Air Condition Compt Pssor 3 to 15 HP 7.50 Water Heater 7.28
!NSPECTOR'S COMMENTS
.ITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OF, --IIB-CONTRACTORS
I.PPROVED 6Y DATE ,__ ISSUED BY _ BATE_
1ECEIPT NO. PA
_ i
�� SignatureApplicant