9675 SW SERENA WAY-1 9675 SW SERENA WAY
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Owner: Hank OobliP Permit No. 4589
Address: 10750 SW N. Dakota
V.
. F fC Building Address: _ 9675 SW Serena Way
Occu ancy. T Bldg. Type 5N
p —F�3_ _ and Lse Zone: R-7 PD
Comments: Construct single family dwelling w;attached garage.
Cert+ficate is hereby given this 8th day of February , 1984
that said building may be occupied and that it complies with all
requirements of the Building Code for the City of Tigard, as approved
'sAj I by the Tigard City Council. ;
FLe Dept. Ins ertor
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Building Official
A
Post Cerdficate in Conspicuous Place
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or
- \- ��.-,✓_ �-._•vim �-._° .i y�-o..�.-. ____--- �_ �~_ '.��_�_ i'�_.^✓���`.""._,-�- -` -�i-�__���ti:
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection
Date RAquested Time A.M. P.M.
Address Permit
OwnW—,--- Lot
BuIlder
The following Building Code deficiencies are required to -j corrected:
Presented to Approved
Inspector Ll Disapproved
Date
CALL FOR REINSPECTION
❑ YES .,n NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Pho-ie: 639-4171
I � ,
Type of Inspection
7'
Date Requested ' [ – t'� __ Time A.M. _ -�__._P.M.
Address �J `- �' � C'.)C' y� _ Permit #--
j Owner— ►G _`' ,e-e, `' Lot
Builder
I
The following Building Code deficiencies are quired to be conected:
I
(J
-
Presented to __ Approved
Inspector _ i� �[[[� Disapproved
Date -d
CALI, FOR REINSPECTION
❑ YES `/NO
BUILDING PERMIT APPLICATION TIGARD 4589
THE UNDERSIGNED HF-hEBY'APPLIES FOR A PERMIT FORT HE WORK HEREIN INDICATED BUILDER PHONE to 39-597ti
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHQ,I f
LOT NO --
OWNER llaW Un',lte JOB ADDRESS 9675 Ski 51att'te�'ta ;gy _ f'i_kss
ARCHITECT
ENGINEER
BUILDER Sam ADDRESS 10750 311 21• Daltbte DESIGNER
STRUCTURE CXNEW ("1 REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL C7 FIRE DAMAGE L1 DEMOLITION
(a RESIDENCE ❑ COMM ❑ EDUCATIONAL C' GOVT ❑ RELIGIONS ❑ PATIO C CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY " LAND USE ZONE _ 'OLDG.TYPE , FIRE ZONE PLAN CHECK BY HEAT.—
Construct Sinnle Family thmllinft 1/att6e?le.i
3 IiettNt�n'? ? ;tetli
SEWER PERMIT k 2"< 25
OCC.LOAD FLOOR LOAD 40 HEIGHT 14 NO,STORIES I AREA 141 NO.BEDROOMS I VALUE 96 sG'00-
BUILDING DEPARTMENT SETBACKS FRONT �.W REAR 25' _ LEFT SIDE -c7-* 7 � RIGHT SIDE_ W •`+
Permit _ _471•'?'1 - THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND A'1. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Checl, Z 13•''5 WORK WILL. BE DONE N ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
494 I.5 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal • RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
16.34 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax SDC— $400.00
Total / 11.49
A. -•...4.'a ..t�"�u
-- PDC# 1�'J OQ G,PP NT OR AGENT
By C+t
A roved Receipt No. ADMEN —'-----PHONE
PP ---
DATE INSP. TY INSPECTION REMARKS I PLUMBING DATE
Contractor i
Permit No.
— — Rough-in
Jf
-A Final
� —�� Final
HEATING
e�x-/� contraoto� z
Permit No.
Tas or Oil
Rough-in
Final — ------
.,-SEWER
Final —
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
— Curh tl,Street Final
Anoronch
BLDG.DEi•'Y.F1:1AL TEMPORARY— CERTIML ATE OCCUPANCY
!•KRTIFICATE OCCUPANCY Final
I..-nd�,caping
Zoning Final
1
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C9 s
BUILDING PERMIT APPLICATION TIGARD DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 1� �
OR AS SHOWN AND APPROVED IN THE,,CCOt1PANYING PLANS AND SPECIFICATIONS. OWE E.3 PHONE. Sam•C-
LOTNI'._ 42-4
J 'rCv1
O.VNER �A)4k 0b11 .• JOBADDRESS ?y// C1
wct!4 --eawi,v[
ARCHITECT
` // ENGINEER
_BUILDER '' Ana f. ADDRESS ZQ7'•S 0 +-aW ft' 404 D A __DESIGNER
STRUCTURE NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
V1 RESIDENCE. ❑ COMM ❑ EDUCATIONAL ❑ GOWT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
OCZ,LiPANCY LAND USE ZONE k )Q BLDG.TYPE .�-��- FIRE ZONE
PLAN CHECK BY --HEAT�L
�' OI]•�rte" ii h � 41,x►'! .� P.��/1 fa r1 �]~t-4..s^h G
SEWER PERMIT M ,�1j {� <� 7. Q!��L� f'��
i (0;
OC(:.LOAD FLOOR LOAD �� HEIGHT NO.STORIES I AREA /� /S NO.BEDROOMS 3 VALUE
BUILDING DEPARTMENT SET BACKS FRONT `�' REAR S LEFT SIDE - RIGHT SIDE /
i_F'•_mit �I. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZOWNG
REGULATIONS ANO ALI.APPLICABLE CODES AND ORDINANCES, AND IT 1': HERF5Y AGREED THAT THE
PlanCheck7,?• 6 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFI('ATIONS AND IID COMPLIANCE
;� WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE Cr .HIS PERMIT DOES NOT WAIVS
Suh total G `� IESTRICTIVE COVENANTS. CONTRACTOR AND SU3 CONTRACTORS TO HAVE CURRENT CITY BUSINES�
oAl
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 0
Total0-711. 419 SDC
-
- PDCM APPLICANT R AGENT
By
�� Receipt No.
Approved ADDRESS PHONE
` V--,
S U C
PDC -' 1 �_.L ,O'
SEWER CONNECTION
SEWER INSPECTION 5 3 S
SEWER SURCHARGE S '
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