9750 SW SERENA WAY I I / I I II I I ► ► ► ► ► ► ► �_►
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9/50 SW SERENA INAY
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\ ITS OF TIGARD
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Owner: Jay Miller _Permit No. 85
( ` Address: 11325 SW Ambiance Place
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IfSy %Yl erena Wa•. -- r� 3= x
a Building Address: 9750 SW S . s
� '►�' R--3 Land Use Zone:R?PD Bid a 5N Fire Zone:_3 ^
� ''�• _ Occupancy: g•"�'P
W. Comments: NV
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` Certificate is hereby give--i this 21st .lay of August , 19 B 0
that said buildingmay be oc u ied and that it {
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complies with all requirements of the Build- r- .=
ing Code for the City of Tigard, as approvedr- l�z
by the Tigard City Coun i1.
C
ng Inspector
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` Building Official ,f ':
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Post
Certificate in Conspicuous Place
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BUILDING DEPARTMENT, TIGARD N°
PLUMBING PERMIT
holder of a valid plurnbing contractors licen;� is hereby
ted
e of
authcrized to cause plumbing work as her9n no �P Inspectorinstalled
linaccordance
shalllth ` lumbing d
be notified ot essl than four
s
1-igard. Such installationrequire inspection b r the City
(4) hours prior to the time the installations are ready for inspection. City of Tigard Busi' s License required
for all contractor; and sub-contractors. Job _
Dates
owner—' _/eL_ Address__��
U C..�-�- -• — t
_ - TOTAL
NUMJOF Ah1OUNT
rtPE OF PERMIT ION EACH
RAF S I.Q_c.PITSin h; Famil -1 bath--each25.00Ou lax^Each 1 bath unit10.00Additiona1500le Home ----INO1VIDUAL FIXTURE9CCJf�f!IEA3.0_ 01 to 50 Fixtures In 1 building-each 25081 to 100 Fixtures inn I buildln3_cach 101 to_200 Fixtures in 1 buildin2-each - �--- -
_.
_2n1 or more Fixtures in 1 bui—_ 1dn'1 each --- -
�11SCE
ILL ANEOUS
10.00 —
Sewer-each additions___ 1100 It. _
5.00
-Y later Service to building I
Other Iapt+clfY1:
PERMIT _ For Plumbing lnsp�?ction Phone 639-4171 ,
Q— — -� _ Plumbing contrar-tor By
o State
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l- 7J4766
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llr:7t I! ': i':!tinU (FiTU Per Ir;.ur)- — mlb- v rr FIn .`.,i Y "T�
ruF1. UIQ f.i ens L;r�r[ rc•r f l r)Illrl�
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IS, Inc i.;
�F Permit �l'f: AitUV t �I. .
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INSPCC'I.OWS C(7'I` ':lFtlITS__.-_
CITY RLJSIf•I( 5 , l IC( tJS[ f{rC!t119FC) F-C%FI nL! Lf)�Jrll.^,r;lO11: (Ir 511.; ('OtlIIt:�C:iYrl!S _____^.,•_
Af'PROIi I.0 CY nnT[ I`; ;U( () WI, nATI-
r 4
BUILDING PERMIT APPLICATION TIGARD DATE-_ 2/25 19"U
620`Ubb8
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR T HE WORK HEREIN INDICATED BUILDER PHONE _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE -----
LOT NO..1`l i—1 i.Gf3 --
•C
OWNER .lay I°lillur JOB ADDRESS 971j0 Smf1t�lTtc.1j Serena Way ARCHITECT —
ENGINEER
ADDRESS 1.L. :i �bj.Aflt_ , W1 DESIGNER
BUILDER E3LritAE3 - ---_-_ _—_
_❑ REMODEL [1ADDITION_ FJ REPAIR _ ❑ RENEWAL _❑ FIRE DAMAGE _ FJ DEMOLITION
STRUCTURE_ L NEW
(� GARAGE L� STORAGE ❑ SLAB❑ FENCE
M)Q•TESIDENCE ❑ COMM_❑ EDUCATIONAL ❑ GOV'T FA RELIGIOUS ❑ PATIO ❑ CAR PORT -
R-3 Ft— pD T
OCCUPANCY LAND USE ZONE
—_BLDG.TYPE 5r� _FIRE ZONE 3 PLAN CHECK BY�Dl.1N ._HEAT, a39
argue. 3 E1�draBedrooms — 2 baths.
_ I;ons+'.rUGt sinyl
_ nfamlly_ duelling W/a:�ttacharl _ ------
:;CC CDRViECTION SHECT ATTACHCD.
SEWERPERMITN 211 .1 —�
NO_STORIES 1 AREA -1403` NO.BEDROOMS VALU 5 4,1 bO.
OCC.LOAD FLOOR LOAD /{Q_ HEIGHT _],;�_—_ �_- —
BUILDING DEPARTMENTSET BACKS FRONT 21 REAR `J7 LEFT SIDE— is RIGHT SIDE 7
Permit 1.195.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICARLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 97•-.'U WORK WILL BE DONE IN ACCOFlDANCE •WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPL.ICABI E CODES AND ORDS IANCES. 1 HE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 192• f�0 RESTRICTIVE COVENANTS. CONTRACTOR NND SUB r]ONTRACTORS TO HAVE GURRFNT CITY 3USINESS
-- -- LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 7.60 /401).UP
- — SDC --
totfll _ �'"JOD30 PDCa 117 C1.1. PLICANT OR R- —
By p 1 -----
- — — Receipt No.
------- ---- PHON
Approved - DMH ADDRE8T3
ML "I' M
DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
C.ntrector ( —
�� Permit No.
Rough-in L=
Fixture
A; — —. Final e —
�_-- — - --
HEATING
Contractor -
Permit No.
Gat or Oil j rC1
-- Roughdn -- ----
- --- Final - — -----
SEWER
Final
DRIVEWAY
. -- ----- --_-- Final i
btorm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OC7 NCY-
CERTIFICATE OCCUPANCY p Final —
Landscaping
Zoning Final
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BUll-DING PEP-MIT APPLICATION QF TlGARD DATE____ LL pt�
THE UNDI HSI k�`JrD HILHEBY APPLIES FOR APERMI T FOR THE WORK HEHEIN INDICATED BUILOLRPHONrS? SOS
OR AS 5H0' 'N AND APPROVED IN rHE ACCOMPANYING PLANS AND SPECIFICATIONS. Ov.'NLItE��E ..�__�..r -V
t l' f _I �� n�/� Q LOT NO_L.7 �L/aC�leej�.�E../r�a.��1�
ALY_ At 62.- OH?UpRk55 �1_�._`�..1W 9- _ _ ___
ARCHITECT
�JENGINEERESIGNER
DCR
)CTURE_ YNEW C�REti1nDE.L LJADOITION I�I,LPAIR [:]RENEWAL ❑FIREOAMAGE ❑GEMOLITI�N
+=NqLC3L0MM ❑EDUCA- ",� t_jGOV'T CIRELIGIOUSI]PATIO LICARPURT ❑GARAGE ❑570RAGEOSLAB ❑FENCE
.PA��: Il'> AND'', , nG t vPc FINE !t)NE PIAN CHSCK BY
LrAp _. F n 'TV GHT ,♦ r�'1NQ btuR:ES r�AgEA/#V3 N4 9EPRQQh'I$ .3 .VALVkI""eG"1�
I —BUILDING r.<• k,S FH-.)NT 020 oFAR j / LEF' SIDE � plGrtT S10E � - --
nIt _.
i .,MIT IS I`51I1'D SUF.)FCT 10 tHE HFGULATIONS CONTAINFO IN THE BUILDING CODE. ZON;NG
I Check _ 'IONS ANt:
D At L APPLICABLE UDFS AND ORDINANCES, AND IT IS IdEPEBY AGREED 1HAT THE
' -"' 11 I BE DONE IN NCt UBC'A'vt:E Wt TH THE PLANS AND SPECIFICATIONS AND IN CC'MLIANGE I':ITH
•total 19L 3-0 ICABI.E CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Iw ,VE COVF%ANIS
RM CONTRA( TOR AND SUB CONTRACTORS TO HAVE CURRENT CITY ®USI04ESS
tE TAX SEPARATE PEERMITS REO.'IAEO FOR SE.'IIER, PLUMBING AND HEATING
al - 3
A AGENT _ .. -- -•-- - - -
�r ovEd
IC - 8 - go
WE r IION 960
WER INSPECTION 2r
WER SUIRCI,ARGE
azo s
L 2
G37
S o x l4
;L x 6- i
1 Cv x Z- 2
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J-31 1-6'o*
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CITY O�ARD—12420 S.W.MAID!--TIGARD,OREGON 97223
RECEIPT
AMOUNT: $
DATE:
DOLLARS 4 ' 4
CASH:
ADDRESS:
M.O.:
0 OF
FOR: ACCT. ♦ PERMIT= iURCNARO� AMOUNT
SEWER BILLINGS 40-;t64 -
i;:SINESS LICENSE Q5-331
PLUMBING PERMIT 06-332 — S -
MECHANICAL PERMIT 05-332
r!BUILDING PERMIT 05-333 , o,
SEWER CONNECTION 40-363 _
SEWER INSPECTION 40-365
SYSTEM DEV.CHARGE 25-366 -–
PARK DEV.CHARGE #1 30-367 I _
PARK DEV.CHARGE #2 30-368 __L_
ZONING ADJUSTMENTS 05-362
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=C-
TOTALS g � $ / 13,3,
RECEIVED BY:
_
PERMIT NUMBERS ASSIGNED: a
Number Amount
Hum_bor Amount Number Amount - ) ►k i
t 5 i,S S RECEIPT # ''