13090 SW LAURMONT DRIVE-1 13090 SW LAURMONT DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397 CP
�^U Huard, Oregon 97223
Phone 639-4175
Type of Inspection
nate Hequestod— —__._._ f 4��Q Tim(e� A.M/—._✓._P.M.
Address __ `OdAA.dddlLM;�=-i�, —•- Permit _� 9
Owner -- _ Lot
Builder -- ---- - - ---- -- --- ----- A
The following Building Code deficiencies are required to to be corrected:
qu
Lze
Present^d to _. _ n Approved
Inspector � -Proved !
Date
CALL FOR REI ECTION
S ❑ NO
I
PLAN LML61% NU��`Z-t
for inspections call 639•-4175 "I
PEMIT N0. �eCl
CITY OF TIGARD 699.4171 DATE 7`�� H V I W w ° r,,
eUILO NOP RMIT ti v"Aw� b t Kk 16,41P.O. > x 2 397, V Bard OR 972231 TAX MAP – LOT N0. �...�._�. a
1i��^� I cl( I r�'170 6(� � JOBAOORESS r�p9q � � , L►�V�� 1Ii(fir �'
OWNER -•�r,- -- 3 9 r7 C:
BURMA - STATE REG.NO. 'a S 3� a>�.DATE._._..._._._---
_
slnLot:R•s PHONE --
ARCHITECT -
PHONE OTHER
STFV PI�IURE 0 NEW 0 REMODEL 0 ADDITION O REFAIR 0 MOVE 0 OTHER CI DEMOLIT106
O RESIDENCE 0 OOMM O EDUCATION 0 IND - 0 RELIGIOUS. ❑'ACCESSORY (] GARAGE O O CHER O FENCE
OCCUPANCY l�tNO USE ZONE iiBLS TY� FIRE ZONE--PLAN CHECK BY ►SAT
Construct sln_=ale family dwel I incl w/a a -hr — --
5��hj
SEWER PERMIT 0.3 0 .3d •(Idu) baths Zl trap!; (,, aar�e r -a {/ ---
OCC.LOAD _ FLOOR LOAD I HEIGHT 2 -� NO.STORIES -- AREA 31y NO.BEDROOM VALUE
BUILDING DEPARTMENT SET dACI(v._ fR11NT. RFJER �F LEFT SIDE RIGHT SIDE -
Pwmlt 3 ( THIS PERMIT(S J&;UED SUBJELT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING
REGULATIONS ANL ALL APPLICABLE CODES AND ORDINANCE!.AND IT IS HEREBY AGREED THAT THI
Ptaet(*•ek �" V WORK WILL BE DONE IN ACCORDANCE WTTN THE PLANS AND SPECIFICATI0113 AND IN COMPLIANCI
WITH ALL APPLICABLE CODES AND ORDINANCES.THE ISSUANCII OF THIS PERMIT DOES NOT WAIY!
PL CIL Flri RESTRICTIVE COVENANTS.CbNTRACTOR AND SUB CONTRACTORII TO NAVE CURRENT CITY BUSINESS
TAX►ERMRS.SEPARATE►Ei1MlTS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State T. L 1 5 - /Li 56oC
Total — APPUCANTORAGENT
" 11
�� c // -1- 6Oy jqL 'f / 12n_ya,�/J
RscaIC1 No. -LL, 1 M16N!
Bal.Ow �_1 • S (,1
laeuac9 Ay —_ -Approyod el----.—
SSDC ---�
RECEIPT A'
e, u
POC - ` 1.�� DATE PD.
5EWER CONNECTION fi // G� �., AMOUNT PD. i�
SEWER INSPECTION 5 5-1
SEWER SURCHARGE S .
AGI M, / Mr�L,o,1,Ct�
'ommento:
CITY OF TIGARD PLUMBING
40"ft nxm hold OmWn Reowallon to conduct' s plumbingPERMIT M 977
buttinesa or nett be properly ownerloperslor nal hirl outside het .
Nanta of Devs,bgrlsrdVV ����,
J7450
PlumbrnN Pwmll NOIQL . --
ooswpdw
Jo6
%04 ORS 814.21410 CIUAN. 11,1111101 Aml
Addnata
Ta La Map.No.
HXTURES —
_ __
Lot BfocM SubdiMabn -------- -
Srn _ 7.60 :s
�W x-10 go ragwss lAValory 7.50 ic
q., t1=L Tub orTubrShowerComb 7.50. ShowerOnly 7rsoOwner % W�s � Water Close) , 150Phonrr Garbage Disposal r%0
Name WashingMachrne ' ASO '
�I.n�q.rn ► 'tri
17iilmq Xddress Mir" Water tleater
Occupant t,icy%Sate - -�- Zip
t sundry Room Ray 111 / SO
lJnnar � �
Kam
Ottw►r Fixtures(Specify) 1 S_0
Mww
W" '_�� _.. — ._ __ 7.50
Phoso.
ConatackW , � IP J _
--- .� ax No MISCELLANEOUS _
""• Serer 1 at 100' 3000. _
tomMAWSWU
Sawar s,a Addrl 100 ISM 0
ZZ _O Waley Service t st 100 ' 10.00
I hemby aclrsoMAlarlpa hat 1 hoo rand#*apoicaMon.j t?ra Mrkrmation Wider Struts as.Addd 2W' _^ 1500
01van N otrnaol,Aral l as,rep1-lare0 wWi ars,State&r kWo Board,aid also %wm A Rain Drain I el 1003000
tmo a fl1Qa ftAm Yto t>oa I ow Iris nUort wit go~are=Tim X hal am
pkwftV motif ell h dons,In moordarroa with appIpb-pffw%km c I Ore- Sloan i P"n Drab►A" 100' 1500
gon gerhad MaLk.,a Ohapbra 447 and W3 and appaoatitie codes w i that Mobile lonso Spat fn oo
no hey w•ba anlpbys,d unleat Aoarra- under ORS 009. ill tramp from
8YIa ragwarorr Pbgins►Kaon babel. Bad*Flow Prevenbon
11011 -I huetry aardy hal 1 am the wmm of fhe props,N da- Devto or Ant4lt>Nulion Demo 7 60`
6~1111, r 81 Which 1aoaMon 1 F ave b nwla a pkitiveting inalaAM on for Any Trap or waala Not
MY awn WO and Ada p VMt#b fool bafnp owwft cftd fir aid.tineas,a rent Ca rmmftd to a FbwmM
._ - , 7
Catch Statin 7 tq
Inap of Exla.PuTtwv _ _ - !:100 p'er K
------- --- a1Y Req*a and u _M 00 Per►w t
_____ _ --- -- -----. _ -- ------.- ---- Mor of h4rnb4q vAltMn
an EAD"8104 ►5 00 mx,
AUT110111IM 911MA11011f Oats New lMdp at Burtd AddOw N 00 non
_-_.-.-- — � lt:au►,situle tale 1 _
06ow to wo* naw�iddhon ll---—mition."On[..) repair f 1 c3re11 i rL
TtlMdfsnNatir!•'1� _ rwn-faa1d00tlal __.__ .`"-`_—"_ __-
hdm"late of
b1�t10 a prolDa� - -- — �TOTIII
Of
4"Dime 13
18 oAlllfOl �.
AAM ass wo it me wom W eaMoro
+rn«Anorurw is not owr-
�1�� •INaAt�tlYspardad a t0antlonaA ler
F
M �r
Data► Imbed
BUILDING PERMIT APPLICATION DATE_ / to "S4
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
F1 Mc t' iQt}c* l-3090 SW Laurti1C)nt Drive LOTNO.1._��_ .----
OWNER –_ JAB ADDRESS 1_V�11_,],aQLQ__z_audmm r
Sarr.d ENG ARCIITERT plan' 9 1.0 lake
BUILDER ADDRESS DESIGNER
STRUCTURE ❑)KNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE El DEMOLITION
(YRESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABLI FENCE
D14 tri T1
OCCUPANCY _ LAND USE ZONE –___BLDG.TYPE FIRE ZONE PLAN CHECK BY HEAT___3, __
Construct {_ngle family dwelling w/attached garage, all per approved plans.
mgmsuffixty'x Subject to 8:3 codel REISSUE of 6504
�HYlf�iK}i�flS
,,)q6mag
aY � # Cflwer 034030( 1du) 3 baths, :.0 traps garage area41) 20 21 41:'
81=Q LOAD FLOOR LOAD HEIGHT NO.STORIES^– - AREA NO DROOMS 3 VALUE 99000
BUILDING DEPARTMENT – -- i(�-- — e.() _.._. a ,__
SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
44,00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE. IN ACCORDANCE WITH -HE PLANS AND SPECIFICATIONS AND IN COMPLIA14CE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PUFMIT DOES NOT WAIVE
Subtotal _ RESTRICTIVE COVENANTS. CONTRACtQR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax Z Z 50 QC SE.SEPA ATE,PERMITS REgUIRE1I FQR(SEWER,PLUM B�NG AND HEATING.
Total SDC- 00.00 G"
PDC# j 1 (� 0() 'APPLI RAGENT c;
I
By 40.01
Receipt No.
Approved 451.50 ADDRESS PHONE
a li
DATE INSP. TYPE INSPECTION REMARKS PLUMBING
DATE
Contractor ,
Pe�mltNo���G—
Rough-in
Fixture
Final - — --
0-Zc �e 7 A- =�L - HEATING
65f
---
Permit No. 1l
Gas or Oil — —
Rough-in
Final --
SEWER A—
�rrC�CP"�C. - Final —
_— —----
�.'-�� _ DRIVEWAY
�� —_4 Final
-- --�� Storm Drainage
(Rain Drain)Final
—__— Sidewalk —
-----------� --------- Curb&Street Final --
___ _ _ Approach
BLDM T.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
I
i
CITY OF TIGARD MECHANICAL PERMIT Permit tk —11 _
Description
Table 3A Mechanical Code _ _ CITY PRICE ArAT
City of Tigard -
13125 S.W. Hall Blvd. 1) Permit Fee 0 -0 10.00
P.O. Box 23397 ~�
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 1) Furnace to 100,000 BTU 3.00
incl.ducts&vents G
Furnace 100,000 BTU +
2 incl.ducts&vents 7.50
Name of Development 3) Floor Furnace ---- - 6.0
incl.vent
Job [Address —�- 4 Suspended heater,wall heater 6.0 _
Address Q C) iC qrt Y rrl e n f /:✓ ' ) or floor mounted heater------
Tax
eater --Tax Lot Map No /.S 1 j vv r r of 5) Vent not Incl.in 3.00
Lot c;1 Block Subdivision s � appliance permit _` --- -
Name(or name of business) Repair of heating,ru}rig.,
-� 6) cooling,absorption unit 6.00
Mailing Address v Pt10nP 7) Boiler ocoto 3 HP runit to 100 0 0 BTU 6.0
Owner absorp.
City/state ---- lip —' 8) Boiler or comp to 3 HP-15 HP 11.0
_ absorp.unit to 50,000 BTU
Name -9) Boiler or comp 15-30 HP`--- -� 15.00
>absorp.unit t/z-1 million
Maung Address v Pftrxx,e _— 10) Boiler or comp to 30-50 H.P - — 22.50
absorp.unit 1 .1.75 million_ _
Contractor �yjSte e - ----- Zip 11) Boiler or romp to 50 HP 31.50
absorp.unit 1,750,000 BTU _
State Regishatbn No - — CRY Bus Tax No 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the Information g ve, is 13)—Air handling unit 7.50
correct,that I em Mie owner or authorized agent of the owner,that plans suhm,Heo pr 10,000 CFM +in -- -- —
compliance with State laws,that I em registered with the State Builders'Board,that LieNon portable
14 `4.50
number given is correct.(H exempt from State registration please give roason below) ) evaporate Cooler
--------- - 15 Vent fan connected 300
to a single duct
16 Ventilation system not 4.50
--- - --- ) included in appliance permit
_------- ------ -- 17 Hood served by / 4.50
mechanical exhaust
Signature( agent) --- Date 18) Domestic type -- 7.50
Describe work O addition O alteration C] repair U 'incinerator _
to be done_ residential ❑ non-residential Ca - _ 19) Commercial or industrial 30.0
Existing use of type incinerator — -_--_-- -- —
building or properly. - -- ---- 20) Other eater, .,eoodstove,water hesdryers,etc 4.50
Proposed use of ------ --------- --- -
building or property - -----_ _- 21) Gas piping one to four outlets ) 2.00 ,✓
Type of fuel -- oil ❑ natural gaS [ I LPG L1 electric L) --
22) More than 4-per outlet
NOTICE SUB-TOTAL So
THIS PERMIT BECOMES NULI. AND VOID IF WORK (iii CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 �� SURCHARGE 1.73
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 AFTFR --------_—_ --_ ___ _
WORK IS COMMENCED. TOTAL
Special Conditions
-- Date issued_-- by _