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August 23, 1994
Dan Rosborough
` 9680 SW Serena Way
Tigard, OR 972.24
9680 SW SERENA WAY, PLUMBING PERMIT #PLM91-0179
On 10-2-91 we issued a permit for this project, however, we have no record
of any inspection being comple'led.
Permits become void if there has not been an inspection performed for over
180 days. In that case, the Building Division may require a new application
and fees to commence or continue work. A notice of non-compliance against
the property may also be recorded by the City.
Please advise the Building Division within 15 days from the date of this letter
as to the status of this project.
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CITY OF TIGARD-16"IN8 hNSP�CTION NOTICE
Inspection Line (Rec-O-Phong):639-4175 Business Phone: 639-4171
Inspection:__/.
Footing Susi. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: /_ Time: AM PM
Address:_ (�4v �� D_ 'l [' 1/l_d L�'�)
Builder: Permit# �
THE FOLLOWING CO!IRECTIONS ARE REQUIRED:
Inspector. Date:—L�/Z /
_APPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF T11FAnn
1W PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPAFK MENT onooN PERMIT #. . . . . . . : PLM91-0179
13125 SW KI!Bbd. P.O.Bat 23307,Ttgatd,Oregon 07223(6021)&W4176
SITE ADDRESS. . . : 9680 SW 7ERENA WY PARCEL: — —
5Uti1D I V I 51 ON. . . . . rONING: ;
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
-
CLASS OF WORK. . :ADD--�---GARBAGE—DISPOSALS. . : MOBILE HOME SPACES. :
TYPE OF U;SE. . . . :SF WASHING MACH. . . . . . . : BACKFLOI; PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 F _OOR DRAINS. . . . . . . . TRAP'S. . . . . . . . . . . . . . �
STORIES. . . . . . . . . WATER HEAIEKS. . . . . . .I I CATCH BASINS. . . . . . . .
FIXTURES-------------- LAUNDRY TRAY,. . . . . . : 3F RAIN DRAINS. . . . . V
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURE=S. . . . . :
l :-
TUB/SHOWERS. . . . : SEWER LINE: (ft ) . . . . :
WATER CLOSETS. . : WATER LINE (fit ) . . . . :
DISHWASHFRS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : tDACKFLOW PREVENTOR
Owner': —______._____----•--_______.____.__-- -- ------------.--. __ FEES ---------------
DAN ROSBOROUGH type amot.nt by date recpt
9680 SW SE:RENA WAY PRMT t 15. 00 PLL 10/02/91
5 P C T t 0. 75 PILI_ 10/0L:/91 -
ARD 0 '37C--'C4
Con' ractor:
RUDY FERRANTE LANDSCAPING
11155 NE. HALSEY
PORTLAND OR 97220 ----------.-- _.___._—•-----------------
Phone #: ! 15. 75 TOTAL f'
Req #. . 10241 �
REOU I RE:D INSPECTIONS
------ -
This permit is issued subject to the regulations contained in the 'Top—out Insp
Tigard Municipal Code, State of Orr. Specialty Codes and all other Final Inspection
applicable taws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 104 days of issuance, or if work is suspended for more
than 108 days.
! e t nils 1'p P
lyyued Fiv :
all for inspection - 639-4175
f
13L ILDING PERMIT APPLICATION TIGA:?a DAT
THE UNDERSIGNED HF.REEIY APPLIES FOR A PER.A17 FOR TFiE WORK HEREIN INDICATED BUILDER PHON169?677*1&
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS Ai ID SPECIFICATIONS. OWNER,WN
LOT NO.
atm ER m. IAsIW- 7��'^•o JOB ADDRESS�I100 �s-"�11A�'AR ECT
Q �N� ENGINEER - {
BUILDER ADDRESS 10270 9DESIGNER .
STRUCTURE NEW ❑ REMODEL ❑ AODI i ION' _❑_REPAIR ❑ RENFWAL ❑ FIRE DAMAGE ❑ DEMOLITION �
`RESIDENCE ❑ COMM ❑ EDUCATIONAL i:] GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE G STORAGE ❑ SLAB❑ FENCE
f?�:%uPANCY � -,LANO USE ZONdE AAFI,�t_BLDG.TYPE FIRE ZON��-",=PIAN CNECK 9Y _FIEAT`_
f gC�M 0 D% imenh
-3
SEWER PERMIT k $•• 0�
-- -----
OCC.LOAD FLOOR LOAD �'I�i HE!GNT 2G NO.STORIE _ AREA 3O NO.BEDROOMS 3 VALUE 6QOD
BUiL01NG DEPARTMENT SETBACKS FRONT REAR ,20. LEFT SIDE 28 RIGHT SIDE 23�
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONfN..
•�G
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Pan Check 20/C WORK WILL BE DONE. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
ORDINANCES.WiTH ALL APPLICABLE CODES AND OF THIS
PERMIT DOES NOT
Sudtatal .y\• RESTRICTIVE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSyNEisS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
9'
3tatA Te,c
Total ` ` SDC
9• — __ _.._
•� 1 V/- ppm APPLICANT aR AGENT
BY
- �- Receipt No. ADDRESS - -' PHONE ^
I Appmved_
SDC - �Op
SEWER CONNECTION 5 S2�_
SEWER INSPECTION $ 3�
SEWER SURCHARGE S -.one
C O'n m t --
POP No. 1J CASE HISTORY FOR CASE NO.: PLM91.0179
DAN ROSDOROUGH
09680 SW SERENA WY
ds/Oi/9�
' Action 0mription RiV Schd/ End/ Action Notes Disp By Update Upd
Code Bent Done Done Date By
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PLMA050 (F) Issue permit / / / / 10/02/91 PASS PLL 10/02/91 JLH
PLMAOSO (F) Issue permit / / / / 10/02/91 PASS PLL 10/02./91 JLH
PLMA050 (F) Isrut permit / / / / 10/02/91 PASS PLL 10/02/91 JLH
PLMA799 Final Inspection / / / / 09/20/94 couldn't fine? FAIL MS 02/28/96 TLP
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PLMA800 Case Finaled / / / / 02/27/96 PASS R.P 02/28/96 TLP
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W.Main St.
Tigard,Oregon 97223
Phone: 639-4171
Type of Inspection "t �yi-�-� -
Date Requested -5-- Tena '� A.M..--_P.M.
Address _ ` O-,C7---S<<i =^��+ `�- --- Permit
Owner _ _ _ Lot #_
Bmldef
The following Ruilding Code deficiencies are required to be corrected?
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Presented to
J/ �.1 rvproved
Inspector Disapproved
Date l
CALL FOR REINSPECTION
l YES ❑ NO
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A: F y:��.— ��1Qa.1,,. - 4%_.'�' Owl.,, i" =:V J?�.• a.
41 ifl �c�sa-p_� � x �"o-.-�. � �P � � T� $
7; `
Cpkf]E' OF OCCI�� A1�TCY
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CITY OF TIGARD
OREGONC&A ViO
finer. Tom Miller Bldr. Inc. Permit No. 4437
Address: 18270 SW Boones Ferry Rd.
Building Address: 9680 SW Serena Way
Occupancy: R-3 Land Ucc Lone: R-7PD Bldg. Type 5N
t
` } Comments: Construct Single Family Dwelling w/attached garage.
Certificate is hereby given this 15 day of August lg 83 -'x`
that said building may be occu,-)ied and that it complies with all ;
requirements of the Building Code .ter the City of Tigard, as approved
-_ b the Tigard Ci Council. _
. _ y g City
4 _ �
. ; ! Fire Dept. _/Building Inspr-'Nr
Building Official
Post Certificate in Conspicuous Place
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BUILDING PERMIT APPLICATION TIGARD DATE.—, .'
ATE. 1:`w� ,s----- 443 l
THE UNDERSIGNED HEREEY APPLIES FOFI n f'EIIMIT I GR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE AGCOMPAN\'ING FLANS AND SPECIFICATIONS. OWNER PHO1�E (T i+
LOT NO. IIi
OWNER T mil 'Aller .. :.. JOA ADDRESS 968(1 9V Serena Baty
ARCHITECT
ENGINEER 1'ier.r. vaBYr,.l.�y
`iS�s" ADDRESS 1'.,271:) .,i itxiiir® ferry DESIGNER
BUILDER � _ _ ----- -
STRUCTURE _ [7 NEW l REMODEL L] ADDITION ❑ RFPAIR ❑ RENEWAL ❑ FIRE CAMAGE ❑ DEMOLITION
(3 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ QTV'T ❑ RELIGIOUS_❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STGRAGE ❑ SLAB❑ FENCE
OCCUPANCY LAND USE ZONE _+t'I}BLDG.TYPE + —FIRE ZONE PLAN CHECK BY J'! __HEAT i {
Callstnict Sinyle Fa..rily Dwell.i,1 1a/att4rheil Gars,e
--- _- - --- See Corvectiot: ,I+eet 3ttArheal 3 1,earoo~nso --
-_� } PntIss y
SEWEPPERMITN
OCG.LOAD FLOOR LOAD 4,) HEIGHT NO.STORIES AREA 7 ' 10 NO,BEDROOMS i VALUE 71•�' h1 t
BUILDING DEPARTMENT —
SET_HACKS FRONT l REAR LEFT SIDE RIGHT SIDE
Permit 1�+ '• �` _ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING COI)E, ZONING
�• REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check "1 '• + WORK WILL EE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATtJNS AND IN COMPLIANCE
ry T 5 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURFIENT CITY BUSINESS
1{•��, LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax
�1 SDC— .•.., ,
Total PDCN � LuU.l��s -APPLICANTORAGENT�
By
Receipt No. ADDRESS PHONE
Approved
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DATE INSP. TYPE INSPECTION REMARKS PLUNKING - DAT<
Contractor -
�-L- Permit No. a
Rough-in
---- -------
6C� _...
Fixture
Final -- - -
HEATING
Contractor
Permit No. 242
Got or 011
Rough•i n
Final
SEWER -�
Final
DRIVEWAY
Final --
--• - i— Storm Drninagp
(Rain Drain)Final
Sidewalk
y - Curb&Street Final
Anproach
SLDG.OF PT 1NAL TEMPORARY CERTIFICATE O�:CUPANCY
(CERT-FICATE OCCUPANCY Final
I —
Landscaping
Zoning Final
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