15935 SW SERENA COURT 15935 SW SERENA COURT
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PERMIT NO.
ADORES
_ PERMIT CHARGE none
OWNER CONNECTION FEE
PAID BY
TYPE" OF BUILDING T� . DATE CONNECTED G
5ERUCE RATE (� INSPECTION FEE
CONTRACTOR PAID BY _ BATE
SIZE OF CONNECTION ASSESSMENT P
AID
�7l ,
BUILDING DEPARTMENT, TIGARD �Tn
1 PLUMBING PER`�11T 1�I •
_.._ _ _'J___I _ �.L�_U _.__, holder of a valid plumbing contractors license is hereby
authoriz � to cause p!u bing work as hereir✓iioted to be installed in accordanrt with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the instillations are ready for inspection. City of Tigard Business License required
for all contractors and sub-contractors.
0wner�'_�_ _ __-- Address, ,� �:,r-- C'l' 1.:�,Ja'a te._a4
_ NUMBER OF TOTAL _ PERMIT NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AN1OUNr (Office Llso Only)
R, S_I D EN T(C,.4_ _ ---
Sin le!L. --I bath-each — 25.00_ --
Dnolqx- Cech 1 bath unit 25.00
�Acfdi6onO bath roums••each_ --� _ _—�- -- 10.00 -J-
_MChili Home Spica nach 15.00
I N_O I V 10 U_A L FIXTURE FEES_
1 to 50 Fixt,!rns it 1 buildirig-e.ich _ — —_3.00_
_Fi1 ten, 100 Fixtures ;n 1 building each _ _ 2.50
101 to_200 Fixtures in 1 buildinu-,each _ 2.00
_ 201 or mora Fix- !, I 'ati0din
hl ISC E LLA N_E 0 U S
--Buildi� SN.oer-1st 50 rt. 10.00 s
-_. Y
--5•_..?r
-u-ch addltlonel 100 ftp —_ —_ —_ 10.00
l MIN,Sarvir. to building _-- . _ 5.00--- -- _---
Private W'atef Svstama-each 100 ft. 10.00
-ott!w fspe_IF:l - _ �— - _ —_ -- __---- - -- -- _�— j
ForAuntbing inspFrtiors Phon?639.4171 _- —
State_—_ +� - Plumbing Contractor By
_-.- 671•ALRECEIPT NO. Issued 6y
SEWER PERMIT N(.) 's1591
Unified Sewerage Agenry T i oat s-18-78
of Washington County CITY OF DATE
OWNER . Ed Ga:,-e _.____ PHONE :. _
OWNER ' S ADDRESS: -
TYPE OF INSTALLATION:
xxx❑ BUILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
)ONEW XE]"SINGLE FAMILY ❑ COMMERCIAL
❑ EXIST. (PRIOR TO 7- 1-70 ) ❑ MUI_T. RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS 1 _
ADDRESS 0'= STRUCTURE : - 1 59' 5 51,1 Serena [ t- _ _
PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL RULES AND
REGUL.ATION3 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 FORFEITED SHOULD
EXPIRATION O ,CUR .
FEES:
PERMIT FI_E $_ 25•
CONNECTI,JN CHARGE= r.
SIDE SEWER INSTALLATION B. Greene
ISSUED 'BY
OTHER
625.
Oy IAL
APPLICANT DATE
SEWER PERMIT N ' 15910
ADDRESS OF STRUC-TOP.[- 15935 SW Serena Ct.
TAX MAI TAX LOT SYSTEM fzinno creek
L 0 T BLOCK O F _
E. Walden 5-18-78 �Z;7Z-�-
ArPROVED
BY DATE ISSUED BY/ DATE
D. U. ' S - 1 REMARKS _bj # 2104
V,te,.,, .,,..,,.,,.�,w,-�s9'n•'_.'+a*w..«m.,y„r �,,yi►•e/.r. ...�..,,., ;. - . ter�:.l�s-Tl• � �,�,4. w_ ...T�, .�., -.^..
BUILDING PERMIT APPLICATIO14 1OF
1T TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORT' HEREIN INDICATED BUILDER PHONE —
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE—____
LOT NO
OWNER �Gi U P k JOB ADDRESS HOME ADDRESS _
-- ARCHITECT
f`'1Qft� ENGINEER
BUILDER ADDRESS DESIGNER _
STRUCTURE ®NEW ❑Rf'MQDEL ❑ADDITION ❑REPAIR ❑RENEWAL. [:]FIRE DAMAGE ❑DiOLITION
❑ RESIOENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOU i❑PATIO ❑CAR PORT ❑GARAGE [-]STORAGE❑SLAIJ []FENCE
DBOND ❑MOV ING ❑CONDITIONAL USE DUESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY_.-.=. ..LAND-_:E ZONEL=— BLDG,TYPE__. FIRE Z6NE—__ PLAN CHECK BY U wW IIEAT__�
Y i. . k3.Lli_ 10 faIFIJ..l,'j dWAtl1ti1� w/attaGheED-
aswer permit 1591U
40 20 1 i6in
&._I�QAI2.,_�__u Fl.S?S?R__�O.9�_� __�EiLStf�T_ —. N-Q:.,ilQ91UARES__IyQ 9EDROQM. VALUE --
BUILDING DEPARTMENT SET BACKS FRONT 20 REAR I'!1 LEFT SIDE a 0 RIGHT SIDE
Permit 17 •011 —_ - ---THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGR"ED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THIE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total 262.�0 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 lax LICENSE. SEPARATE PERMITS REQUIRED FOR S!WER, PLUMBING AND HEATING.
Total .l69, - a •UrC.. r(e„
�•a.i. t*a �.t�r�.
By
APPLICANT On AGFNT -`--'�-----'— -------'--�-- -.._-
Approved stW Receipt No
' REMARKS PLUMBING j I DATE
DATE INSP. YPE INSPECTION -_ --t—------FF
Contractor
Permit No. ,5�.� 5131179
6- \ _-- Rough-in
Q 0� Fixture
Final
HEATING
Contractor d
— Permit No.
Gas or Oil
Rough-in
Final
-- SEWER
Final
DRIVEWAY
Final
St 1YIh Drainage
(Rein Drain)Final
Sidewalk
Curb(L Street Final
Approach Y
DO.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaplog
i
Zoning Final �
"DUILDING PERMIT APPLICATION 1IT Tl``G i , ryRd f
GATE��_j�_� _w. t9 N2 U
OF
'F UNE?E SIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDERPHO�N�
CF. �.' ala f'JN AND APPROVED IN THE ACCOMPANYING PLAN AND SPECIFICATIONS. OWNER PHON
��
LOT Nth
JOB ADDRESS
�, (I- E ADDRL�SS -
-_ l s� �1 __— ARCHITECT
ENGINEER
R 4.J_DR_E r, _ __ ff-'� DESIGNERS�11
EW DRF MODEL ❑AUDIT ION ORkPAIR DLJ
RENEWAL FIRE DAMAGE. ❑DEMOLITION
NrF n' L�Ir ❑EDUCATIONAL 0GOV'T DRELIGIOLISDPATIO ❑CARPORT ❑GARAGE ❑STORAGE[ISLAS ❑FENCE
I-'SND [IM-)VING DLONDITIONAI USE DDLSIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
USE ZONEU. _ BLDG T FIRE ZO'VE PLAN CHECK BY_�J
0?h...._ . _ __ FISJS?�1.OHZL .(, ._ _ KEiQ!?_ NO STOLR !--/BII.EBl��.-.N�@E�AQ�MS �j yALI)E
T_PU'LDING DEPARTMENT SET BACKS FRONT Q _ REAR r {,� LEFT SIpE --RIGHT SIDE Q __
F e[Mit / -7 r- o 0 -_--_---_.._ -- --- --
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check J REGULA'fIONS AND ALI. 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
Sub Intal 14Z'C) ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
-- - - RESTRICTIVF COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAV1= CURRENT CITY BUSINESS
`. tall' Ta / 7 L' (� LICENSE SEPARATE PEhMITS REOUIRED FOR SEWER, PL.UMBINL, AND HEATING.
Total
By
APPLICANT OR AGENT _
Receipt No,
I ADhF+E 55 HON
i
f ill Cif ioa- .rd .. ... ..._.._MccIiiltlicaI Per Imi �T� ' � Permlt__�_��:U�----
.\ • Fee__.--_�Y,00
New Installation Reolace �� nei;cation I_] r,;;;; Alteration *i. State
TOTAL_.-..._-_� -hit
0` IY
CO^dTRACT08 `r -4a0S.f O►;r�ER _____�a. -- ----_—__'
ADnRESS� � �:_�__.�-�� _.___ _ WORK ADDRESS
PHONE _ {¢3� � _� _ APPLICANT__ `
Heat Input Rating (BTU Per Hour) �D DVent Size fit_— Flue Size
FUEL OIL G GAS ELECT Lam, OTHER
ITEM t.7. FEE ITEM NO. FEE
For Issuance of Permit _ i — -3.00 Air Condition ;ompressor 1510 30 HP — 10.0_0
New• L►rider—10y66-06'f6—-- - 4.00 Air Handling 10,000 CFM --- 3.00
New• t0U,U00 BTU & over 6.00 Air Handling Over 10,000 CFM _ 5.00
Floor Furnace —� —__ —L - 4.00 — Evaporative Cooler _- 3.00
Wall •_Flour •Suspended 4.00 Flange Vent Fan - 2.00
Install Vents Only 2,O0 Vent System ---_� _ 3 OC
Repair -_Heat & Cooling�r T_ _— 4.00_ _- Hood Commercial �- _ _3 UG
Air Condition Compresaar Under 4.00 _Commercial Dunt System 10.01'
,air Condition Compressor 3 to 15 HP 7.50 _ _ ••• • -- -- '
INSPECTOR'S
CITY BUSINESS LICENSE REOUIRED FOR ALL CONTRACTORS OR SUB CONT' ACTORS
P,PPROVED BY _-_--- .._—_ -- DATE --___ ISSUED BY � � 11A'i ERECEIPT NO..
Sinn�ti i rrr�ni Annlicent