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13044 SW LAURMONT DRIVE 13044 Sw LAURIONT DRIVE I a� Q a.� 0 a 3 �r ■ {w r. M M- �ti'� f/+��t. � t lJli yn r'�,:+� t�:'`74 � ,�+ t,�,h•it n ,M44 ,1> �,, 7j h,l Rb 1!NA{a,/'�' i"`, +t,.• "r ter •w'ti\ r•,..��,�IgF'e,'NIS'�`Y�,�NNM ' -NIII�7'i'j,.h�l�y ���"�`II,M���:,„,,.�IIIMr' 4 � 1�•, yJl,y{�'1;it ':'�:Fe7;{ �\{�Ny�M; 1. r+frff- ++>!. 0 �Mi� �P III��P�/fi���I r[,�111�.y►��ll/i:'.rd1�1h.'`>n1��t�1`` _/ � /�/'►��j{�,�1n1' .� '`/�/� I H .01A r ,� r - -- •J. A_17" -_ _ -sem /rte�''1 "�' �y Iq�;� ��" Wil:ili d,gtyr► �f 5 � 1•u n� � � .,�ll , I,IQ�,'�•t�,, 4':� I I � oro ~cJ � I ��\'��, IAV/- V 00 d „ a to tc Lv 4.1 oAll ri (� q r P� �, � ai u u c� y E•, w I ,,>r�4,y � a, b u y f p' M A 15�- , J: ,,�',, ... Nldv�.'•��' -.L�.i)L. :.'.tii'ia`.1 Vf$. .:.�nnee�nw5- � � �4 wx1► INSPECTION NOTICE City of Tigard Building Department y II) F O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection L C"- Date Requested c I Time A.M.�P.M. Address .�C'yLl L ( �_L�y ti►'�_G ► I ______ Permit Owner - Lot #----- Builder _ . I ' IY l •5..�-� The wing Building Code deficiencies are required to be corrected: Presented to __^_______ Approved Inspector +1 n'"- U Disapproved Date CALL FOR REINSPECTION 0 YES U NO CITY OF TIGARD PLUMBING �t���vd- Applicants must hold Chegon Registration to conduct a plumbing PERMIT 639-4175 business ar must be property owns►/operator nol hiring outside help. ti. 11-14 �� � Nome of Plumbing Permit No. Sy(d2____ DeacripHion ORS 014-21.410 DUAN PRICE AMT Job Tax - Map.No. Address FIXTURES _ loY Block £ribdivlalon - 7,50 1• Sink _ a ncnhe ss _Uwtorp --- --- --7.50 e s a Tub or TubrShower Comb _ - 7.50 e Address Shower Only 7.50 - Water Closet 7.50 1 Dishwasher • Owner city/rule --, ZIP _____ -�� ------ -- � 750 Prone —_ Garbage Dispoeal - -- - , _ , 7.50 &nw i Washing Machine -- ' 7.50 • Floor Drain 750 Water Heater - ----- 750 _ laundry Room Tray 1 50 Occupant CkyrStele� 7_ip 7,50Urinal -- -- -- --- Other Fixtures(Specity) I so IL tiftl&. — 7.50~ u 7.50 e ° 7.60 Col troctor — _4AA 9 Z MISCELLANEOUS - City Bus.Tax No. sewer la 100• 30.00 Side BkVs,Board Nntale Sewer•ea.A&M.100 - 15.00 al) „a . _Water Service t III 100' - - - - 20.00 - I hor*by w4wowledge ow I haw rad oft application,that the Information WaW Servlon @a.AAddit.”' — 15.00- givan is correct,MW 1 am ragledmnd with Che Stale Builders BOOM.and&iso Storm 6 Rain Drain 1 at.100' 30.00 -- have a Stale Pkatrttlkhg wrim m that Ile numbers given we corrvA.that all pkxrbkq work will be dorm In 0000rdance with applicable prwlsbrrs Of Ore- Storm d Pyn Drain AOdit 100' - - 1500 . -- gun Revised Stol lea Chapiety 447 and 093 and applicable codes and that mobile Fbnrd specs - 2500 no help will be ergbymd urgesa I w*W wxfa ORS W3. (11 exempt hoe — --- -- --- --- State rogisinNon.please Pw mason below) Back Flow Pravw*w HOMEOWNERS-1 hereby omrWy fW I am the owner of M prvpmrtY dm Device or ArMI i'oNtAion Device - - --- 150 morR»d above,M trfifdh localk n 1 propose to make a plumbing kWMK tion for Any Trop or Wasle W my own use and this ptapoly b not bshV owetrucled for male.lmmme or rent Connected to a Fb&" - Calch Baskh ?A0 -' ----_ It".of ExN1.Plumbing- 40.00 Pmt Hr 40.00 Per Mr After.tK Pkmnbkrg wtlhh an Exlelkig Brig ---- -- 15.00 min_ AUTHORIZED SKINATURE _�_- --- --- - -�� New Bldg.or&M,AdAddtton 26.110 rMn �Craitt,sin�le fano! Describe wc%* new[]�addNion� armatlon❑ rVWr C) C1,P-11inq EW P T to be done residential non resldantial — -- -- ------ - ----- Exit"use of Wi ldlnp or pr"rty ___- _ _ VJWTOM PVqPWd ufRe of �1rMNIOIMIItI! «ate- ---_ - - - - -- --- -- foT" Tl+ls pdrnM tic If null lend cold 4 won«a oonsrucrann wAtwrteed w rxht cos rtttargeA ll�Mn 1t10 d1�sAr M oarOr collar or trorltM MlapartAmd or&bandor+md for a ps f d of 190 Assns r any Ilse tiller watt Is oomaiw% sd - bats Woued - by w_• w w w w w w w w sir BUILDING PERMf1 APPLICATION DATE__ _._ ` _�:ts %$99 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE 244-9314 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE _ 1.3044 SN 1.41-tCTI►��s1�' I)rive r�RT.�p A v t I 1 ugl •a. OWNER, Jon ?•'IC)x'�.nsette.- ,10BADDRESS ----,--- 1 :� 33E�� .�tills�sl�lak�i ARCHITECT ENGINEEBUILDER_ atL11G! ADDRESS _— _ DESIGNER_._ — STRUCTURE IYNEW ❑ REMODEL ❑ ADDITION ❑ REPA:R C7 RENFWAL ❑ FIRE DAMAGE ❑ DEMOLITION © RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCEPT _ OCCUPANCY - — LAND U8E ZONEBLDG.TYPE— FIRE ZONE— PLAN CHECK BY _ HEAT --- - nw-,tnic.,is Sing]-c £�imi.ly dwn.1.1ing ti: o . .mac l.tf �`f t r� c`c,•11C3. REz SUE R IF94 u1 oc ' O �.I 7't' 3rJw SEWER PERMIT 0 ;j,l073(I-du .1 J)aths' 1E1tY'P. ps ` g£1r'1Cr: c'l:Cecl 411 OCC LOAD FLOOR LOAD U HEIGHT NO.STORIESAREA NO.BEDROOMS VALUE _----- ----------------- BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SILT RIGHT SIDE Permit �30 Cil THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING ;T{1 X00 REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS IIFREBY AGREED THAT THE Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PI.ANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLIC:AbLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal_ _ RESTRICIIJE COVENANTS. CONTRAMR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1. 50 LICENSE.SEPARATE PERMITS REQUIRED'FORt6 ER,PLUMBING AND HFA,ING. State Tax Total 41.)1. .51: — SDC— «� - PDC# 6' 'I APPLIC GENT By 40.00 Approved 4 0 Receipt No. ADDRESS �_—— -- - -- PHONE i� raft � I� +'v rtarel t� REMARKS - PLUMBING DATE A-7 TYPE INSPECTION _ -�-- t Contractor Permit No. Rough-in Fixture Final / 1 ! e--�•-� --- -- _ -- - -- HEATING S �� Permit No. -- Q,1 ' a s�✓fes - — Gas or Oil � - — ! � ~'[• ^'� Rough-in Final `--- - --_ —SEWER -- — Final — DRIVEWAY -- ---- — —_ — Final — Storm Drainage --' — -- - -- (Rain Drain)Final - -'' - -- Sidewalk — Curb&Street Final —_ 'Approach - -�"-- CERTIFICATE OCCUPANCY BI..UG.DEPT.Fl,i�.� TEMPORARY Final [.RTIirICATE OCCUPANCY — --'-"—'--- 1 Landscaping Zoning Final � tTi t#� A 4r awl t= aw CITY OF TIGARD MECHANICAL PERMIT "", " - - Permit# e,/T'2 55 Description Table 3A Mechanical Coda QTV PRICE AMT City of Tigard 1) Permit Fee -0- -0- 10.00 13125 S.W. Hall Blvd. P.O. Box 23397 2) Supplemental Permit 3.00 Tigard, Or; 47_Z3 _. 639-41751) Furnace to 100,000 BTU 600 incl.ducts&vents (►,I� Furnace 100,000 BTU + 2 incl.ducts&vents _ 7.50 Nameof oe,n,lopmrm"i--- 3) Floor Furnace — 6.00 incl,vent _ Job Address -` '— 4 Suspended heater:wall heater^ 600 Address 13 G 5 G.i�4 k y �,�-�, ) or floor mounted healer To Lot Map No5) Vent riot incl.in 300 Lot Bla:k Subdivision appliance permit 3yMm r�( ---- -- - _-' N («name or business) 6) Repair of heating,refrig., 600 22� ya .t A 3, ` `cooling,absorption unit ` Mailing Address Phone 7) Boiler or come to 3 HP 6.00 Owner absorp.unit to 100,000 BTU_ _ City/State - Zip 8) Boiler or comp to 3 HP-15 HP 1100 absorp.unit to 500,000 BTU Name 9) Boller orcomp 15-30 HP 15.00 absorp,unit Yi-1 million MWWV Address Ph" ) Boiler or comp to 30-50 HP 22.50 10 absorp.unit 1-1.75 Contractor Gfy/slele Zip 11) Boiler or comp to 50 HP 31.50 absorp.unit 1,751],000 BTU _ State Regiwation No CRY" Tax-►ro 12) Air handling unit to i-- 4.50 10,000 CFM _ - - I hereby ac*nowiodge that I have read this appticatlon that the Information given is t 3) Air handling unit 7.50 ca10,000 CFM a carred,that I am the owner« izent authord ageof the owner,that plans oubmitted are In _— -- -- oompliance with State laws,that I am registered with the State Builders'Board,that tttb14 Non portable 4 number given is coned.(M exempt hon State reglstratirm please give reeson below) ) evaporate txroler .50 -- ---------------- ------- ----- 15) Vent fan ca,inected 3.00 - ----—- to a single duct - - -- Ventilation system not 16) Included in appliance permit 4.50 7/ 17) Hardriby / mechanical 4'� cal exhaust r e Signature(owner or owl) - -- -Dale 19) Doninstic type _— 7.50 Describe work ❑ addition O alteration ❑ repair F1incinerator -- — T to be done residential ❑ non-residential 1-119) Commercial or Industrial - --�- ---- type incinerator 30'00 Existing use of --- - -- ---- building or property20) Other i.e.,woodstove,water heater,solar,clothes dryers,etc. 4.50Proposed us�of ------- ---_ - -- building or property 21) Gas piping one to four outlets 2.00 'Type of fuel- oil L1 natural gas Cl LPG ❑ electric 0 22) More than 4-per outlet N4Tf SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON ------ - - ---- - - -- 3 �5 STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 - S .OWSURCHARGE DAYS, OR IF CONSTRUC11ON OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -- �-- --- WORK to COMMENCED TOTAL ,! Special Conditions.------_-__ e V _ Date s,suod .._.�. by_ i f LAN LhLLN NU. for inspections call 639--41.75 PERMIT NO. GATE CITY OF TIGARD 699.4171 - 1�_ 'J I� � ,, ✓1 T BUILDING PQ9MIT P.O. Box 7igard OR 9722 TAxMAP LOT NO. OWN . � p1SSN117 M�" = "� ►ny'�H J09 AOORESS ✓� e v1� U1 ()✓1 BUILDER _ STATE REG.NO !__.w.OAT a BUILDER'S PHONE -- ARCHITECT _ _ _:,,*. PHONE _OTHER --- _- STRUCTURE In NEW (I REMOOEL ❑ ADDITION O REPAIR ❑ MOVE 0 OTHER C3 OEMOLITIOP GyRESIDEWX ❑ COMM ❑ EDUCATION O IND - O RELIGIOUS, O'ACCESWRT O GARAaF Cr>]OTHER O FENCI OCCUPANCY L _lANO USE ZONE r1l ."-BLDG•TYPE � 6L _FIRE ZONE.- L PLAN CHECK BY LY _HEAT Construct single family dwellin all. per apprewed plaak, _S►thjprr to 85 code SEWERPERMIT,I, 3c�'a 3 -(I -' baths traps garage area- _-- OCC LOAD FLOOR LOAD y D HEIGHT �_t NO STORIES �- AREA VNO.BEDRCXJNIS ��i VALUE BUILDING DEPARTMENT ScT BACKS FRONT 1 REAR LEFT SIDE ) RIGHT SIDE PernN1 3 O THIS PERMIT IS ISSUED SUBJEIT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONINI REGULATIONS AND ALL APPLICABLE CODES AND OROINANCM AND IT 13 HEREBY AGREED THAT TNI PIanCheck I WO1WK WILL BE DONE IN ACWRDANCE WITH THE PLANS AND SPEWICA,TIONS AND IN COMPLIAHC► WITH ALL APN.ICABLE CODES AND ORDINANCES.THE LSSUANCE Off THOS PERMIT DOES NOT WAIV PL CIL F" RES'TRK:TTYE COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HIVE CURRENT CITY SUSINES TAX PERMITS.SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING. Stale Tax r —� , 4 ssa- SDC— -- Total 1, 9 (1 APPLICAMTQRAGENT �7 Prspd. LI ,L 0POCI 1 {. ��)24 i'�n� t7 ()L-( C. 70, t Receipt No ,�0.CRESS � ,G 7 1 MM+MM- Nf Bal.Due S (� -43 Issued By_ ----►Pproved By SSDC SOC — �111 RECEIPT # i POC — --�T � � _ DATE PD. SCUER CONNECTION �_�i,�r CI _ AMOUNT PD.+—_ � SEWER INSPECTION S 3 S 1 �'�1 - 1 S S - ----- SEWER SURCHARGE 5 C4 - :ommen e: - - - ,