13134 SW LAURMONT DRIVE SW LAURMON`_" DRIVE
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CITY OF 11GARD PLUMBING 1 25 .%qW1 a1w.
m� Orson a i4fatlon to conduct a pluoiWn" PERMIT G�755 CR �'�%'
builkwu at property owner(operstor not hirinj otrlaide help.
Natna d
Plumbing Permit No.
Deetxlpaon
Job Tax Lot M0'RS 611.216 w10 rn� . � AMT
ap.No.
Address
FIXTURES
Lai Block Subdivlslon --_ .�_
Sink 1.60 S
aHantsof busineulLmvetory--- _-- 1. 00 `� Q
Tub orTuWShowerComb-_�- -- - 1.30
reef Shower Only 150
Owner i late - ----- - meq- - Water Closet - Iso 1_CC�
[_Drshvv.sl-, l 7 SD ;l
— - -- Phone Garbai,,r_Disposai 150
Name -- —_-- Waste W Machine
Floor Drain 1 50
f TN+p 7CJddiess f►,one Waln_Hesler I 750 1 1,
Occupant - ----- Laundry Room Tray- _ so -
P City/Slate zip
Urinal _50
1 1Phone' Other Fixtures(Specify) -- 1 so -
N�� '�(-•l y V-1`• '��� -�-1 t --- , __ - - 1.30
tytr.etw
C �_
AMM ?30
co _ _
MISCELLANEOUS
City Bus Tax No Sewer lot too*
Siat Pwtw -Lc N $aiweea Adds+ 100' I S 00
(RMxienbal) Water Ser Am t v ton t - . 2000.
{ 1
(hW*y adMWAledp Istat 1 harm reed Mtle applloftm.ttW the krortrtadon Water Smim sa.Addy - 15.00
Dorset 10411011 •tar l ant r0 9'l'l I with ria 84110 sunders so«+d..no also Starm&Rrrt Drain t to 10030.00
hew a Bella Pltmift "Dana.fhM/»numbua plwan are 0011 that SM - -----
prert* work trrigbe Acwe Yt arpm rdanoa with sg l i p MN m ovisiorxr of Ore- S.omt A P yet DrMn Addh 100 - 1500
gon Rev%w1 Stalulae a plrre 117 and 03 mind appkeble oodes and that MobIM Hww Space 2500
no hmib w6f be etrWM WW unlase kei under ORS lfi 3 ("exempt from - __-
61Ma naplmiMtaort,plaaami lihna reeaon below. Back Flow Pnwenbon
HOMEOWNEM• ::..xeby owdy Mtel 1 am the owner d ewe property de- Devloe or Neta-Pollution Dar-ce 1 3O
tetxbaA Mi ova.M wnlatl l adlon 1 prtopoae b metas a pluntbMtO brta11e11on for Any Trop or WM@ N/ot ---
MY eewl we WA#Q prtlDWV M mW bektp oorteetroled 10 sale.4aee or rant CarrNramid b s F#xkrre _ -- 1,60 1iI
Ca"Basin
-- - _ — ►"P OIEJM Pkxnbrnq
_..- - � _.- - ,� 1000 Par►1r !
S{f'daN�_R'q"" InapeWoru --• -- - •- i
_. AJler of Pkanb+rtQ wMk+
an F-A@WV 81dp 11.00"on
AA Mo►A196 . >•,• _ -�U New tMdQ or&Ad Addlerxi N•d0 tern i
Lnwacrbe work new{ j'"idcfrtton'_l aheratlm FI rarAwr I 1 ��,xrllit 15.W
reeldarNutl{ I—._non- 09n - -- ----
i
Exhok p umie W
bt*ft or Wopaly ,i .t
NO WW oral/N tetotk er eon fti ll n raretortssd M not oom
;4` t AHiIM 'ett M tllatltaftlr Mt11Mteed or eberldonad b
call-Man
—__.—_.._ --- -- - t)atrr r«+art
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(A)0r �S�'IPL PLAN CNLLh NO. a 3 7 2
CITY.OFTIGARO 639•4171
for inspections call 639 -4175
PU�MIT N 0. / -UICIV; 7
DATE �.=` ___to� L J�n.vw
9 O. Boa PERMIT Tigard OR 97223 TAX MAP 6� ' 33�n LOT HO. 23 SUBDIVISION /i>�Ic
P.0. Box 3397, --
OWNER_ II(��l(� ,�1 , S� ►
JOB ADDRESS
BUILDER STATE REG.NO. EXP.DATE
BUII.DER'S PHONE
ARCHiTECT—
PHONE J L OTHER
- '
STRUCTUREL�INEW C) REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE _ Ci OTHER 0 DEMOLITION
EY'RESIOENCE O COMM ❑ EDUCATION
�� ❑ IRO - ❑SSRELIIIGIOUS. 0-ACCESSORY C7 GARAGE O OTHER ❑ FENCE
OCCUPANCY ._ _LAND USE ZONE !u v BLDn.TYPE FIRE ZONF PLAN CHECK BYetjL3 k� 14EAT , G-S
-- ^L F
Construct single family dwe11 ing.w/alta -shed n;;ge., All per a;pr^wpyl ptmac
4.,5 -2-
SE wFR PERMIT 0.
SEWERPERMIT0. j4� sj ( '(Idu) )ath_5, _ftrap5 _ C3araae arPa
�� NO.STORIES AREA 'G,.]U NO.BEDROOMS �lVALU� 0U��
OCC.LOAD FLOOR LOAD
HEIGHT ._�_
BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permlt THIS PERMIT—��O SUBJECT TO 1 HE REGULATIONS CONT.MNEO IN THE BUILDING CODE,ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL Be DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND 1N COMPLIANCE
WITH ALL APPLICABLE CODES AND O DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.CIL Fki RESTW"VE COVENANTS.t30NTRA ANrO�
CONTMCTORS TO NAPE CURIIENT CITY BUSINESS
TAX PERMITS SEPARATE PERMITS A GUt IEDEWEP RING AMD HEATINGState Tax SSOC. l "?
SD(;– +�
Total L �� Z o APPIICAA AGEN1 -- ----v- -
V PO(,I
Prepd. (2, --- -- — -- -..
Recelpl No ADDRESS PNt1NE
Bal.Due' � �(J
Issued By-_.--- _–_-Approved By--
S S D(',
r,_SSDc _ - 5 �� U
SOC - 6, p 0
"—" RECEIPT
POC •-�� _ ,"f 'S U — DATE PD.
�-�---�
SEWER CONNECTION 8 � 0 7� r— AMOUNT PD. - —
SEWER; INSPECTION S 3
SEWER SURCHARGE
qv, lis!
.ammento: --
BUILDING PERMIT APPLICATION 9§V101dW DATE- �s0$4
THE UNDERSIG! I-.E'IEBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED RUILDER PHONE 224-931.4
ORAS SHOWN, ,. A:'pROVED IN 1 HE ACCOMPANYING PL-ANS AND SPECIFICATIONS. OWNER PHONE _ ^_
OWNER 1 .'...,ri sotte '13134 S.W. CT NO.
JOBADDRESS W Lc�uzumOnL ----- 113, 30A —_--
97219 ARCHITECT
) PO &jR 19:524 Portland
BUILDER AD Rc iSS DESIGNER
STRUCTURE ® NEW _ ❑ REMODEL _ ❑ ADDITION ❑ REPAIR ❑ RENEWAL G FIRE DAMAGE ❑ DEMOLITION
I T RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ aioV'T ❑ RELIGIOUS ❑ PATIO_❑ CARPORT ❑ GARAGE ❑ STORAGE Ll SLAB I I FENCE
OCCUPANCY F3 LAND USE ZONE -?-7—,PD BLDG.TYPE .9q --FIRE ZONE_PLAN CHECK BY =HEAT_,"fin ^_
on>structr single family dwelling w/attached garage, Balt per approved plans.
Subject to 85 code. —
*rcjnsue 6592 --
SEWERPERMITII 34081 2 1')i1lhn, R traps garages area 420
OCC,LOAD FLOOR LOAD 40 HEIGHT 11 NO.STORIES 1 AREA 1670 NQ_BEDROOMS 3 VALUE 81-.()0{)
BUILDING DEPARTMENT SETBACKS FRON' REAR LEFT SIDE RIGHT SIDE
Permit
376.00
— THIS PERMIT IS ISSUE') SUBJECT TO THE REGULATIONS CL.NTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check40+00 WORK WILL BE DONE ,N ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. rHE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total RESTRICTIVE COVENAN''S.CONTRACTOR AND£ .s CON'i RACTORS TO HAVE CURRENT CITY BUSINESS
r183y
Tax 18.80 LICAN E,SEPAF�ATE PE&AITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC— JJ600.UOCC
- — -- -- PDCq r 150.0( APPLIC TOR 1GEN7 �
---Recelpt No. � �oved / _--_ ----_ _.- --�-
PHONE
r,A i r. INSP. TYPE INSPECTION REMARKS PLUMBING _I DATE_ 4untruct� �-
Permit No.
t
Rougi,in _
y_30•Y7 ti�- — _ Fixture - _ -
Final
HEATING
ton � Contractor Y_ � 110
l�+rF
Permit No
lk—
Gay of Oilp 1-10L
Fiuel
SEWER
3U n d _ Final J
DRIVEWAY
4Final
torm Drainage
(Rain Dram)Final
Curb✓I,Streot Final
i�Approach
t3LDG.DEPT.FINAL y TEMPORARY CERTIFICATE OCCUPANCY I final
CERTIFICATE OCr VPANCY
Landscaping
t
---�-� Zoning r•,nel
1
i
r
fit
t
CITY OF TIGARD MECHANICAL PERMIT Heceipt w
Permit tY
Description
Table 3A Mechanical Code QTY PRICE AMT
City of Tigai d -0- -0- 10.00
13125 S.W. Hall Blvd. 1) Permit Fee _
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 9722.3
639-4175 Furnace to 100,000 BTU 6.00
1) incl.ducts&vents
2) Furnace'00,000 BTU . J 7.50
Incl.ducts 8,vents_
No of Deve nt 3) Floor Furnace 6.00
incl.vent
Job Address - 4) Suspended heater,wall heater 6.00
Address �.� - or floor mounted heater
Tax Lot Map No 5) Vent not Incl.in 3.00
appliance permit
Lot Block Subdivision
Nemo(or name of business) 6) Repair of healing,refrig., 6.00
cooling,absorption unit
Mailing Address Phone 7) F,oiler or comp to 3 HP 6
Owner _ absorp.unit to 100,000 BTU
ciryrstate .ip 8) Boiler or comp to 3 HP-15 HP 11.00
_ absorp.unit to 500,000 BTU
I
Norm 9) Boiler or comp 15-30 HP 15.00
absorp.unit 1/2-1 million
Mailing Addr s Ph" r10) Boiler or comp to 30-50 HP 22.50
absorp.unit 1-1.75 million _
Contractor Ctty/3tate Zip t 1) Boller 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
Air handling unit 7.50
1 hereby adutowledge that I have read this application that the information given is 13) 10,000 CFM +
correct,that I am the owner or authorized agent of the owner,that plans submitted are In
oompliance wfth State laws,that I am registered with the State Builders'Lard,that the 14) Non portable 4.50
number given Is correct.(If exempt from State registration please give reason below). evaporate Cooler
15) Vent fan connected 3.00
- - --- - to a single duct
Ventilation system not
16) included in appliance permit_ 450
17) Hood served by ` 4.50 �� 7
mechanical exhaust
Signature(owner or agent) Date 18) Domestic type 750
Describe work [] addition L1 alteration L] repair F] incinerator
10 be done residentia non-residential ❑ 19) Commercial or industrial 30.30
type incinerator
Existing use of
building or properly_ _ Y ___ 20) Other i.e.,woodatove,water y ri0
heater,solar,clothes dryers,eta
Proposed use ,;
building or propend_ —_.__�.______— 21) Gas piping one to four outlets / 2.00
Type of fuel- oil ❑ natural gas LPG 1_l electric Cl
22) Mote than 4-per outlet
NOTIC _ SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 4%SURCHARGE ;
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOThL ` ?
ABANDONED FOR A PFRIOD OF 180 DAYS AT ANY TIME AFTER _
WORK IS COMMENCE __ TOI ALL
COMMENCED (' ,
Special Conditions
Date issued..