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CITY OF TIGARD
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Owner: David Lee Construction Permit No. 3411
Address: 4965 SW 152nd, Beaverton
Building Address: 9630 SWL Serena way
Occupancy: R-3 Land Use Zoi 7 PQ Bldg.Type 5 N Fire Zone:
Comments:
Certificate is hereby given this 9th day of March '19 R
that said building may be occupied and that it
complies with all requirements of the Build-
-4
ing Code for the City of Tigard, as approved
by the Tigard City Council.
13 Inspector
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Building Official
Post Certificate in Conspicuous Place
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L!TIG
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard, Oregon 91223
Phone 639-4171
Address Permit
Type of Inspection
The following Building Code deficiencies are required to be corrected:
Pre.-,ented to.------- Inspector
Date
G4LL FOR REMBPECT70N
0 YES 0 010
I
BUILDING PERMIT APPLICATION TIGARD DATE__ 1960 3411
THE UNDERSIGNED HEREBY APPLIFS FOR A PERMIT FOP 1 HE WORK HEREIN INDICATED BUILDER^HONE 246-0416
OR AS SHOWN AND APPROVED IN THE ACCOMPANYIIQ PLANS AND SPECIFICATIONS. OWNER PHONE
LOT NO._ I s
OWNER ()= vid Lee CrinstrJOB ADDRESS 9630 51,; Se enr: ;.1n! _ � �,ke Lanifl—I__—
�4/gbJr
ARCHITENGINEECT
EC '
BUILDER 3617le _ ADDRESS 3f 37 5!d DESIGNER ^_
STRUCTURE I5 NEW ❑ REMODEL l i ADDITION ❑ REPAIR ❑ RENEWAL n FIRE DAMAGE ❑ DEMOLITION
D RESIDENCE ❑ COMM ❑ EDUCATIONAL CJ GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT 0 GARAGE ❑ STORAGE F SLAB❑ FENCE
OCCUPANCY !? "3 -LANDUSEZONE R7PI) _BLDG,TYPE i.aI FIRE ZONE PLAN CHECK BY _ QCT HEi4T_�gB
Construct single P�mily dwelli_!i� /attachso gars 3 Bedrooms 2 C3laths.
SEWER PERMIT#--- - __.__:`-..._ ° 7 7U Q -- "ara a b
- _-�1_ rS� - ---
OCC.LOAD _FLOOR LOAD _ 4!1 HEIGHTU.- NO.STORIES 1 AREA 1076 NO.BEDROOMS '3 VALL471 730•
BUILDING DEPARTMENT SETBACKS FRONT REAR 4 0 LEFT SIDE_ 8 RIGHT SIDE 7
_-- �_- ---------
Permit 1.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS ANf ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
PlanCneck 11"'. JD WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLI{;APLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 346.50 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CON TRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARA TE PERMITS RFOUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 9,24
SDC Ij,4(�t!.[]1)
Total S 35�i.74
- PDC# 00 I I �� •G 0 APPLICANT OR AGENT
By _ p 1
Approved
b C r Receipt No. ADDRESS POE '
i
DATE INE:P.. TYPE INSPECTION PEMARKSPLUMBING DATE
y!� Contractor
1 _ Permit No._,2
Rough-n
4's Llr 1�140•� O�i V�"�L �-� - Fixture --- -
Final
��/'!��• _!► (-�c;�_�"`— � _— - HEATING
Contractor
�'�S"� t� - 1�' ..fE ��4■� _ _ - Permit No.- '7
Gas or O!1
-- — ---- ---- Rough-in W000t 71'We 12>"3
Final
SEWER
-- - ---- - - — - Final
DRIVEWAY
--- -------- -- --------- ._ Final
Storm Drainage
(Rain Drain)Final
Sidewalk
- i— Curb&Street Final
Approach
BLDG. DEPT. FINAL TEMPORARY C.ERTIFtCA'CE OC ANCY Final
CERTIFICATE OCCUPANCY -q-�1 ----- -- -
// Lsnds^.aping
Lonin;Fine,
1
BUILDING PERMIT APPLICATION TIG AP.:) DAT
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HcREI INOICATEO BUILDER PHONE �
dR AS SHOWN AND APPROVED IN TH' .',CCO''PaNYING PLANS AND SPECtFICATICNS. OWNER PHONE
LLa t'lO., )
JOBADDRESS�
,,,�I,jAR HITEC'T '
�NGiNEER
BUt� t_> >� ,t �.c�� C c' .`� ADDRESS 3�v W- I�,r�u�;�Zt�. 12:2 DESIGNER
STRUCTURE ElREMODEL C; ADDITION ❑ REPAIR ClRENEWAL ❑ FIREUAntaGE 13 fJE►dOLITlO
RESIDENCE C CCM%i Cl EDUCATICNAL ❑ G0V''T C RELIGiO_ US CI ;:ATtO u rAa PORT J GARAGE C STORAGE C SL.A.SL F'ENC�iirANCY LAND USE ZONE /' /P4 BLDG TYPE _F:I REZON ,PLAN CHECK,BY HEAT
.3FNNEA PE?till k
(JCC.LOAD FLnOR LOAD cj/u HEIGHT �. NO.STORIES l AREtA E� o
_ _ _ /. 6 N0.6�LROOMS VALUE 7/1.3
BLIILCINv '
DcPaRT7AEMT , �- �
SETBACKS FRONT �, REAR ACFPSV LEFTSICERIGHTSIDE
pgrm't _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE EUILDI, CGDE Zf7N:•4,_,
c REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND I-. IS HESE-BY AGREED TeA,T i PF
PlanChklCk /f S WORK WILL BE DONE IN ACCORL'ANCE WITH THE PLANS AND SPECIFICATIONS AND 11-14 COb'.PUANCE
—� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVZ
Sua-totai-- _ ivl � ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE SEPARATE PERMITS REAIJIR�:D FOR SEWER,PLUMBING AND HEATING.
` � ~
r�
SDC--
Total � i
FOC# APPUCAN i CR AGENT
BY
Appiov Receipt No. ADDRESS
PHONE
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7WER C0NN;'CTl0N 5 _
-WER INSPECTION S �b --
EWER SURCHP_ GE S
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