12901 SW LAURMONT DRIVE 0
12901 SW LAURMONT DRIVE
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CITY OF TIGA RD cm�c RD PEDMIT NO. SU4380198
COMMUNurY DEVELOPMENT DEPARTMENT oaaorl
13125 S W Hall rAvd..P O.Box 23397.Tigard.Oregon 97223.(503)6394179 DKI U 'I
PI:-j1Ij PKI* .140 (9k:i 0 1 1�kil
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N $25 0 00
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,This permit is iSSULd subject to the regulations contained in Title 14 PECErpt No
of the TMC. State of Oregon Specialty Codes.zoning regulations
",;and all other applicable codes and ordinances. and It is hereby PIE14111.11-tED I.N(apECIT1011"Ils
agreed that the work wil;be done In accordance with the plans and 11.101 TIV.,
'specifications and in compliance With all applicable codes and K7-(I
U
-brdinances The issuance of this permit does not waive restrictive . NDA'VION WAL.L., FIATN DRATNS
tfltli & Fit-tvll
covenants Contraclor and subcontractors shall have current city 1_1NE.
1'..business tax permits This permit will expire and become null and P .V .Lj'NDE'PSL..A9 C;TTY APPP(,H/SW
void it work is riot started within 180 days or If work is suspended r�r SU 611
14bandoned for a period oi 180 days any time after wor!, has
0. PL.H_ 'TOPUL)I'
'Jorrimenced It shi.11 he the responsibility olthe permittee toassure r- OAK)14L.
ill required insp ns are requested and approved F*1:OCTI1.A(:,F-
T.NSUI.-A i
C.,Y 11 1!,
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOP WORK OTHER THAN DESCRIBED ABOVE
MF.0 I+-)N.I.(:;AL PEPI'll f
CITY OF T'GA F,I:-"PM]:'T* NO. : MEBOO200
RD
1Y OF t
Cl WAW
COMMUNITY DEVELOPMENT DEPARTMENT OR160N I)rYI 1 , IJ:iSLAJ) , /1. 1/0,8
13125 S W.Hall Blvd,P.O.Box 23397,Y'qnrri.Oregon 972271 (503)639-4175 F11:41M PM1r Nri JAR(1.1 QR
RIO ADUPESS : 1.2901 5W LAIJF,1M(:)NT' UP .
I1^4Y IIAP/11-11:111, lIii ll "4 31)C: SUB : SIJf1MI*-*,:W 1. 61<11--': PAWK I
LAND USE:
0,11, i"*11.ZU. : :1 TEM: NO:
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WQPK C*I ASS: NEW r!,Ijpr4r) r.,. <,I ooj< 1.
USE TYPE : 91NUL.E FAMT.I Y i'!'LJPNrdrE 1001,*.4- AIP HANOLP 10K
OUN1.0' IYI:"F'.:' VN F''L,.OnA FURNOCE V:VAP CIC)OLF"141
P3 HE A-11::p VEN'T* FAN
Vr.`:N*I' VI'FNI , SYS11-K1"I
BI P/cOMP (31-11P HOOD
NO S)'1014TUS : I DIP/GOMP TWINEr.U.)1*01411DOM
DW.l I... .UN I1*!';; . ,1. 91 A/COMP 1.5--30HP INC CNE PATUP(COM
IYPF: Dt 1-4/tIUMP 30-50HP 11r.t'A]W 1 S
MAX . INPUT I;L..n/C(:)MP 504+11P OTHEII
PIPING 01.111-FET5
I 1AW
MO III S 5 E Y-TE 001,4 I I:;,PM 11, 81:1.0 0
N larl li)(:)X :1,9,�Sp4 P1. ('114 I)EE114 VI $7 1 .
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H p c3 r,tl im n d 9i"r. 1.9 1 IX FUPES 41 A.Ll . t"5 0
11"H NF (303) P44--t'431.-1 1:V116IF". '1 AX *'I
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1 14JA. I-IF-A1-I*N(,' INC .
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A .."5115-1505E PIAZZA AVE
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0 PI-40NE (50.3) R43--1.184
R 11P, I.ON NO 11/17 OTAL
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This permit is issued subject to the regulations contained In Title 14 rF-GEJ:F1*T NO
of the TMG, State of Oregon Specialty Codes. zoning regulations ...........
and all other applicable codes and ordinances, and It Is hereby PEQUIRLU INSFIC-ECT IONS
agreed that the work will be done In accordance with the plans and C.1AS 1.-1:NF:
specificisUons and in complinnce with all applicable codes and PILY-1,11, SEAM
ordinances. The issuance of this permit does not weave restrictive POIJUI-I J.114
covenants. Contractor and Subcontractors shall have Current city
business tax permits. This permit will expire and become null and Fl.NAL
void If work Is not started within 180 days,or if work Is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assurr,
all required inspections are requested and approved.
Permittee ,ontr,
Issued By I. Fl)ri IRETF.C.-f-TUN 6 49-111J. 7.15
SEPARATE PERMITS REQUIVED FOR WORK OTHER THAN DESCRIBED ABOVE
Wit
Cnyo�
VIEW[ T NO GE880201
CITY OFTIGARD F �10
DA'VE: 1.11SLIEn : P,/1.7 as
COMMUNITY DEVELOPMENT DEPARTMENT V,RIM . PIKY' .NO
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Or9g,n97223,(503)6394I75
J019 AUDPE.'55 : t2901. SW L.AlUPMOMT 1*.)1'-4 1.1l5A NLJHLA-Ar'l 3 lei y 5-4
IAY NAP 11.01, ISO. 33M." 1.5600 AT SOMM-EP LAKE- P11*1pi< LT : VIL 8K
LAND USE'.:
C;ECT I(IN 33 TWIP: 1* PN(*.-, : 1.w
NF:-W
TYPE : SINGLE FAMLY
the 11491-kietl; 1,C)
The permi-t JAM clai.y9i from the dilate ii6411-te(J . The tntal
i;IIIInkint! 1a1told WJAI IT pel'llll 1, wXP:irI-.)!&,, 111cl Agent".4 cloulli oot tplaki—.-
is.ntee the mecm.11"ACY of the J.ocifktton of the "IJ.dcmower, latei-mlin . If tnsm viewer i-S
Ilot 'Inc-4111-tod W , tie vjivloll , the
'41A. lirer.�*A.or --om the d1.1I;tItkI1r-e uj.ven 1f not wo 1clooLted , the :1.1-11statilar
purcAlmitiv.) III fancJ Sil.do bewc!l` Pol'init, 1411E ir.111i'l I1(3ellcy WJA.1 :1.11m I'mll m
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IMPE-AVIO09 APEA:N S1 AL 1- 'T YPE : DUTI.,.DT.NG SE-WEA
VIXILIPE 1111411,S : I I--':N6N'1 I MP1A'.11UEM1i--:N'I
DWELA-ING UNITS
NO 01: DIAX.3S
llcllrl].Mil.`A II' EKIN PLPti.r. 1 0 1*4 15 0
0
W po MIX .1.9,524 C(3NNF.(71J0N GHA611*.3E: 11100 .00
N p(;I or `0-JrP1.It 1 1,N LK 1('P INCiIAIJ
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PHONE--. 1503) 21A (":31.4
(Xf HE:1:4 *360 00
C HO 14 1515 E T V E DON
0 MIN M0PVFi5rF11'Tr.;: BUILDEAS :CIBC:N
T po BOX Vp"5241
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A 1.) 1,:1,hi I I d or 117PV?
C PHONE (,0503) F-2441-931-A
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0 NO. '35533 rOTAL : $I eig"s 0
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REC'EIPT NO.
This permit Is issued subject to the regulations contained In Title 14
uf the TMC. State of Oregon Specialty Codes,zoning regulations REQUIREED TNIWECIJONG
and all other 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 all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work Is not started within 180 days,or if work 18 Suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required in^ctions are requeste approved
Permitle ahire
(:AL I F'OP TNSPECTION co39—A175
J�!) I
SEPARATE PERMITFj REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA RID lr'-EPM1*T' NO,
C WA
ITY OF T —10 1701 E:: 1551-JIL.I.)
OOFOON
COi:MUNITY DEVELIOPMENT DEPARTMENT E' AIM PM'I* .N0 0$130:1 99
13125 S.W.Hall Blvd..P.O.Box 23397, 'lgard,Oregon 97223,(503)639-4175
A- L)OPESS : 12903, 5W ALJPM01f4*1' E-WI
PK
MAr)JjJ)T '151. 33DC, 50111) : VIL L()(X.: A] SUMMES4 LAKE: PO
I-AND USEE
NO:
Worli 1 15 : NEW WAIrill CLOSLI P I PAP
USE SINGLE, FAMIL-Y UPXNAL- BKFI-,OW PAVNTA
cOWil r '1 PE:: : VN L.IWII)NAI 0P), cl 1,11AP PPI.MV:A
OCICUla .GAP . : P3 41118 51-40WER P.
DIS114W011HUM
(71ARBAGE, 111SPOSAL. :L
UNITS L,ALIN BIL.DG . 01"WIN MIA
I I 00P UWAIN
SINK 1. SEWED (IF T)
we-1,11'.-J4
0'rHE:R
F EES
14011 f I:; DON PR11:11-111 f . 1.50
Pyla
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W pa BOX 1,915241
NJ
E
R PHONE (503) 244-931-4 A,rr.-", TAX
5HOEMAKNrA HAP01 0
0 1•:'I-.LJMD1NG
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I P(1 BOX 2,50
A R al. 171' 9"TOF13
PHONE. (50. 630-17PS
T "49pp 30
ISE CE:1F'1* N(J.
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes.zoning regulations P11EQUIRE0 INSPE'(111,101145
And all other applicable codes and ordinances. and It Is hereby r"I H I Il`4Dr%'I'451..A1;
agreed that the work will be done in accordance with the plans and POST* & B E-.'.A M
.�c -)1 1:34 L.A.11SIR
specifications and in compliance with all applicable codes and We "
ordinances The issuance of this permit does not .iah a restrictive P . ror.ou'r
covenants. Contractor and subcontractors shall hivri current city
business lax permits. This permit will expire and become null and WAIN UPAXW;
void if work is not started within 180 days,or if work i3 Suspended or F'•.L'NAL..
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all requirrI, ii�s ections Are requested and approved.s
er
F ermittee
INSPEX"T WIN 639--/ 1,"
11 i
lssu:�d By ...... L L---
SEPARATE PERMITS REQUIPED FOR WORK OTHER THAN DESCRIBED ABOVE
ITYOF7z-
CTIVA RD PLAN CHECK APPLICATION
COMMUNITY DENEI_OPMENT DEPARTMENT cnYr�r�a PLAN CHECK /
onooN p .—,--
13125 SW I do BMi P.O.Ba rs o7.Tlpad,a+oa+sans(sw)saws 7s �., PERMIT / O f-071,rf
DATE ISSUED
JOB ADDRESS: _ IG` u l S .�,,. La[lU(1_ t�njl (-n' TAX MAP/LOT ISI- 3 '
SUB: dnj „Ty r�tiV�.✓(..4ILI /°/l i'LOT: 1 _ LAND USE:_ YW
��
VALUATION: U 0 SETBACTS: FROhl: ; , `tEAR: LEFT:.1.L_ RIGHT:
WORN CLASS: P w HEIGHT: TOTAL AREA:
USE TYPE: ^ F” FL00R LOAD: 0 1ST: /y
CONSTk TYPE: HEAT TYPE: ,u' 2ND:
OCCUP GROUP: L DWELL/UNITS: 3RL:
OCCUP LOAD: NO BEDROOMS: BASEMENT: ��—
NO STORIES: �_ NO BATHS: 2- GARAGE:
IMP SURFACE:
APPROVALS REQ'D SPECIAL. NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: —� LAST REISSUE: BUS TAR:
FIRE DEPT. : _ FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN LND.: TRUSS DETAILS: _
PAR RING PLAN:
LANDSCAPE PIAN: —
PLAN CHECK BY: OTHER: —�
COMMENTS:
ACCT .SCRIPTION AMOUNT
OWNER �-- n 10-432 Building Permit Fees %o �
NAME: VV 1s ct Ty 9(elrs/,v, 10-431-°600 Plumbing Permit Fees
ADD S: 0 y qS 2 10-431-601. Mechanical Permit Fees ,,,2 � J
T / 10-230-501. State Building Tax (52) 5
10-433 Plans Check Fee y �, Z -
PHONE: 7 30-443 Sewer Connection (20x)
30-202 Sewer Connection (80X) 3 r5 0
CONTRACTOR 30-444 Sewer Inspection r5-
NAME:_ _ _ .51-448 Street System Dev. Charge (SDC)
ADDRESS: '52--449-610 Parke I System Dev. Charge (FDC) r s ?j
_ 52-449-620 Parke Il System Dev_ Charge (PDC) >e�
31-450 Storm Drainage Syst Dev Chrg(SSDC) s p
1 PHONE:_ L 10-230-505 TRFD (95X)
10-435 TRFD (5x)
ARCH/ENGINEER 10-230-506 Washirgton County Fire /1 (95x) �r
NAME: '--''" 1.0-435 WanhinSton County Fire 11 (5;)
ADDRESS: _ 10-220 Amart/Wedgewood s 0
TOTAL
PHONE: -�
OREPAID
a �
REC I
V
BALANCE DUE �l
APPLICANT SIGNATURE
\*Iceived By: Date Received'