13112 SW LAURMONT DRIVE w MW,
lam w ■RMW,
1.311" SJd LAUWIONT DRIVE _
I
a�
5
Q
4J
r-
0
E
N
b
.a
l
Uj
N
r;
no
4w,
owl
ca
ID
bf
0
u Z I 11E
rL.
Ch
Olt04
t
4J
N r.4 Ulm lID
0
4
4J M
4J 1w 1-4
a) 1714
to Ln
W m
AS U,
O x
x 0
11.0
0 0
0 04
... ..........
Tw_'
CITY OF TIG/ RD PLUMBING
APPk&* RNW hold Orepn aeSlsUatian to conduct a plumbingTiqKd PERMIT 6 758 WW
bu*wm araw1M be propertyner
ow /operator not hlrl outside tel .
Flame al0evelopttenl �� '1 Numbing F m 1I No.
w `►w�cc�wa�' r,..
Nn
Wb Das$14-e»-21-010 ot�N. "Jet ��
Addnu Tax Lot MV. o.
FIXTURES
Ld Bloch SubdMWon Sink
or nYrtme sa -1 lavaWry - 1.60 - do
_�� Tub Gr Tub/Shower Comb _ P.SO _ !A
0 ns Shower Only T so
Ownier ;rl rale - Zip _Water close) 1 )50 •�
Dishwasher - - t - )-50 1•
Ptxx>tt
Garbage Disposal r {1^•�
artM Wasteng Machine )bo
I luor 0i.un r Stt
rota P►rxu+ Water Heater I ) 50 's
Occupant _--� _,__- _—_--- Laundry Room Tray I so
V Gty/StaN Zip ----
Urinal 7 So_
Fhom 01tw Fixtures(Specity) )50
b. m
_ _ '0-
LCOlhteMt _ -- -- ---- r 60
W MISCELLANEOUS
-Bus ax No ----
geliver 19.1 100' 3000
S+ sad
?'+-atriAixt�in s _ Adel t 00 1 S 00
p�^f y —
We SeMw Ise 100 1 2000
I IAS -atiMro�Mwfpft GA1111 I hae mead MIM sppeoaMolt.11W Mn l lormabon Water Servwe ea Adds d�i 1600
�M11 M WNW OW I nn feplelerod Wo Mn 84"&Ades B" .and also ��«m 8 Rai,Orem let too JO 00
MW a oft1�MlllbMp roalw Mu Mw 1wsr11biere phrelt an txnrcl,(t+a1 an — ----- —
Oh10M1q W*elf be done In a000nlenoe wMh m;p- provialone ofOris- Sloan a Pyn Drain Addit 100 _ 1500
i
Otln llrtlfaed/11e1 00 a+apere 441 and 093 and appeoabM ocd..and that Mob%Hone Spao+ 25100
ne hetp tilfil ee wrpbyed twMmeee ecmertemed under ORS aey.(N exempt hom - - - -
Sleee te0lrlleawR.r.-�e Olwa raxtaon balm. Bacit Flow Prrvwntion
-I htweby GWWY VW 1 am Mu awrnr of time prtlpetty dr OatAoe
or Nee Pbeuhon Dome r S0
NOW ebotler W~bVWAon 1 popme to mala a pkwft O t W011aMar for Any Trap or Waste Nd
t� e�telMd tlltb/rapwy M rlol t,.r1p ottrtaauded kr rode,lea..or rmertt Cvmeseeb d to•Fbin e )l0
GNrh Baton 7 so I
trop of ExIM P,rnbr� »e0 00 Per t*
speclaoill _Awavnd 40,00 Per 1M 1
__- AIW of PkAt1bk wild
------_ ---__.- - t 6.00 mtn
an Ex"V Bldg
I 111'4011t1ao WW"TURIF- -Dde Now(hdp or Hued Addlectn woo 1
.mein,Sirllale ll"y
Lotmob
waft new(i0riaddriliot
ow+I 1 y@JWU t( ) rWWW I I
hN
ill
non-tinall
L"-dawn tae.
bus"tx 1mve tr
011
imiaA In111t1aa+r'awM w ew,..t+oarain adltwna.d M rwl aa*+
41-1
NMlawueNallgrtwlRbMleRelsdeda abandoned for
e1r416 alllmr soft le een *Md
t tloua111
Doha v AN; ��'�' / _ by . l
BUILDING PERMIT APPLICATION IM� DATE_ _� ' 19 � %804
THE LIN DERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK HEREIN INDICATED BUILDER PHONE -2-4 --X31.4_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PFa _
OWNER ' 'T) M1 0r] 9G8tt0 JOBADDRESS � 11'1-,V �f2urmont Drive LCTNO.
OW ,hh"�¢ �`1`'
_� r151:3 3 tiC '�'�`u�rt■rt—lam_
ARCHITECT
9i nte. ENGINEER same, Plan #1r
BUILDER XX ADDRESS DESIGNER
STRUCTURE ❑YNEW _ ❑ REFI UDEL _ ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T�❑ RE_LI'MOUS [3PATIU ❑ CARPORT ❑ GARAGE El STORAGE O SLAB❑ FENCE
OCCUPANCY F 3l, jrr
LAND USE ZONE `HLDG.TYP i FIRE ZONE PLAN CHECK BY HEAT
-LonStruct single family dwelll..ng w/attached norago, all per approved plans.
_ r C t to 85 code. S).tbjoR7t to Amart $360 REISSUE of 66484 /. r
SEWERPERMITN 34039{ idea) 2 bnth,3 traps garage 440
— 6000 —
OCC.LOAD FLOOR LOAD R 0 X5
HEIGHT NO.STORIES_ AREA NO.BEDROOMS VALUE
BUILDING DENARfMENT _
� ry
-- -- SETBACKS FRONT 2 0 RFAR �. LEFT SIDE 1`k � RIGHT SIDE
Permit m — O THIS PERMIT 15 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED SHAT THE
PlanCheck40,00 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ROINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRlCTIVF. COVENANTS. CONTRA TOR' N SUB CONTRA ORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEP'R�IE Cj VMITS REOUI EDF WER,PLUJABIN AND HEATING.
State ;ax 16 5 5 DC: 4.)U
Total 3a�.SS SDC— 600.00 ,`•
PDCIIry 15•O(7 APPLICA GENT --'
By OL-9-0
Receipt No.
Approved _ x{7.55 ADDRESS PHONE
DATE INSP.1 TYPE iNspirmoN REMARKS PLUMBING I DATE
jp 71,6,17 4 Con trar w�
7Permit No.
Rough-in
q-17- 7Q e�;W s
Fixture
esk. 6�&44 Ca
ta
HEATING
Or
Contractor
Permit No, -/,
Gpg or Oil F7
IL2 crZ! r e2
k J--k Rough-in
Final
SEWER
r Fin.1
DRIVEWAY
Final
---------------
(Rain Drain)Final
Sidewati.
Curb&Street Final
I
IApproach
BLDG. DEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY
iCERTIFICATE OCCUPANCY Final
indscap;,19
Zunlng Fin,,
nn W W VW-A .w ss>t
rLfAN LhL0\ /NU.
toir inspections call 639-4115 PERMIT NO.
CITY OF TIGAgqRD 699.4171 DATEBUILDING 233911T Tigard OR 91223 TAX MAP 3-3�U—t LCAT NQSUBDIVISION
CO)YW dJ f -, II ..'L�•-- JOB ADDRESS,
BUILDER _ STATE REG.NO. DATE
BUILDERS PHONE _ '241- 9 -
ARCHITECT PHONE O1 r1ER —
STRUMAE O NEW G_ 4EMODEL O ADDITION O REPAIR O MOVE O OTHER O OEMOLI TION
O RESIDENCE O OOMM O EDUC�AATIIONp� O IND O RELIGIOUg• O•ACC,MAY Q OAAAGE O OTHER O FENCE
OCCUPANCY LAND USE ZONE L�_.Z BLOC.TYPE ,S FIRE ZDNF PLAN CHECK 8Y BEAT 4
41-3
Construct single family dwelling wLa -tac3Ednarapp- all per arpround.plm
srihi�ecr to 85 cow.
SEWERPERMIT I,3,c/d 3 '()du% j, baths, traps, is 9e areaCOO
OCC.LOAD FLOOR LOAO HEIGHT �G NO.STORIES I AREA/40%05? NO.BEDROOMS 3 VALUE
BUILDING DEPA� RTMENT SE,'BACKS FRONT REAR 79 ' LEFT SIDE �S � RIGHT SIDE 6
Prrmlt 3.3 THIS 1 CpM1T IS ISSUED SUBJECT TO THE AEGULATIONS CONTAINED IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS NERESY AGREED THAT THE
Plat Check �U WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATWNS AND IN COMPLIANCE
WIT"ALL A►PLM.ABLE CODES AND ORDINANCES.THE ISSUANCE OF TINE PLAW DOES NOT WAIVE
PL Ck.F" RESyRICM COVENANTS.CbNTRA(;TOR AND SUB CONTRACTORS TO NAVE OYRRENT CITY BUSINESS
- rry TAX PERMIT&SE►AIIATE PERMITS RJ MRED FOR SEWER PLUMBING AND HEATING,
stala'faa / j ssm
- SOC-- ---
Total 3u-7.<S- APPLICANT OR AGENT
PI)CI r ��
Prapd. O �� LC �� - `1 ►U2 �/ l C l i
Race"No ADDRESS PM(rr+f
Issued By -------Approved By
SSDC
RECEIPT #
�A
POC —
DATE PD.
SEWER CONNECT ION 5 �'�aa AMOUNT PD. Zji"l
5EWER INSPECTION 3S
C 11ARGE .3
SEUER SU F S eS /c--
—
WMA
as # r#
CITY OF TIGARD MECHANICAL PERMIT permit ;Y _ Y97 �
Description
-161b4e 3A Maehanleat Code QTY PRICE AMT
City of Tigard 1) Permit Fee �- -0- -0- 10.00
13125 S.W. Hall Blvd.
P.O. Box 23397
Tigard, OR 97223 2) Supplemental Permit _ 3.00
639-4175 1 Furnace to 100,000 BTU , 600
incl.ducts&vents
Furnace 100,000 BTU +
incl.ducts 8 vents 7.50
Nanw of Development 3) Floor Furnace - 6.00
�� incl.vent -
Job Address 4) Suspended heater,wall heater 6.00
Address i 3 i i 2- �(� �.v4.�,�er� _ or floor mounted heater --
Tax tot Map No. 5) Vent not incl.in 3.00_ for Block Subdivis-on appliance permit
Name(or name of business) 6) Repair Gf heating,Teff ig., 600
`D _- cooling,absorption unit--
Mailing AddressPhorx+ Boiler or comp to 3 HP 600
Owner ) absorp.unit to 100,000 BTU _
City/State - Ilp - 8) Boiler or comp to 3 HP-15 HP v 11.00
- -- absorp.unit to 500,000 6TU ---
Name 9) Boiler or comp 15-30 HP 1500
absorp.unit 112-1 million
Meiling Address Phone - 10) Boller or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million
Contractor City/State 11 Boiler or comp to 50 HP 31 50
absorp.unit 1,750,000 BTU _
State Registration No City Bus Tax No 12) Air handling unit to 4.50
10,000 CFM _
I Mernb acknow 13 Air handling unit - 7:0
y ledge that I have read this application that the information given 's ) 10,000 CFM +
correct,that I am the owner or authodzed agent of the owner,Mat plans submitted are in -
mnpliance with State laws,that I am registered with the State Builders'Board,that theNon portable 4.50
number given Is correct.(ll exempt from Sipco registration please give reason below) 14) evaporate cooler
- --- 15) Vent fan connected Z 3.00
to a single duct
-- - - --- 16 Ventilation system not 4.50
included in appliance permit
17) Hood served by 4.50
_ mechanical exhaust
Signature(owner or agent) - -Date 19) Domestic type -_ 7.50
Describe work C) additiop-11 alteration (-1 repair I-1 incinerator - WN— - -
to be done residc„';ctI K non-residential 1 1 - 19) Commercial or industrial 30.00
Existing use of type incinerator - - �- -
building orm,3ert ) Other i.e.,woodstove,water
20 heater,solar,clothes dryers,etc---- 4.50
Proposed use o. - ---- --
building or property _-_ 21) Gas piping one to four outlets / 2.00
Type of fuel- oil f 1 natural gas k-T/ LPG ❑ electric I I —
22) More than 4-par outlet
THIS PERMIT BECOMES NULL AND VOID IF WORK On CON- - - -- _- -
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1804%SURCHARGE y Z
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR _ PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL 3 7
WORK IS COMMENCED
Special Conditions