13172 SW LAURMONT DRIVE 13172 SW LAURMONT DRIVE
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INSPECTION NOME
City of Tigard Building Department
�.0. Box 23391
Tioard, CrRgon 97223
Phone: 639-4175
Type of Inspection
Date Requested ��� _ _ Time
Address3 ( � ��- �'_� -{ >_C�LC.3y"t _ Perm t
Owner -----__-- Lot #
Builder
The following Building Code deficiencies are required to be c rested:
t
Presented to - - _-- -_--_-._ -_ F Approved
Inspector Disapproved
Date ---
CAU FOR REINSPECTION
0 YES ❑ NO
s� a er � i� ser swi sir sra
INSPECTION NOTICE
C4v of Tigard Building Department
P.J. Box 23397
Tigard, Oregon 97223
Phone: 639-4175 i
Typa of Inspection — G�
Date Requested_._1 Time Lcd< A.M.— P.M.
Address 22 L(9-1,L F i ) Permit # (c,�C
Uwn�r Lot #.
9u !r i or74P f ollowinq Building C-de d eficiencies are required to be corrected,
---11= — a_-L v+_� u 0— po' rte-'•—
Presented to 1
] Approved
Inspector --� _
pe 4 F - .—..— 40sapp►oved
Late
—A _ ----
CALL FOR���PECTION �
L_ ES ❑ NO
BUILDING r- "*i1TAPPLICATION DATE .__ ___"ie MO
THE UNDER1 IERECY AF PLIES FOR A PERMIT FOR 11IE WORK HEREIN INDICATED RUILDSR PHONE 244-9314
OR AS SHOWN ANL,APPROVLD IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNLR°HONE
LOTNO._ 7ffr.1ti ll `SAL
OWNER JOBACDRESS - -_ i�' :y1t Lulu Lett Ctt I}11V isi 33nc suamsr_
ARCHITECT Xnke
San ENGINEEFl plan #11
BUILDER ADDRESS DESIGNER
STRUCTURE L- NEW 1:1 REMODEL O ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
Cr3 RESIDENCE Ll COMM ❑ EDUCATIONAL D GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE D_S_LAB❑ FENCE
OCCUPANCY 2 LANDUSEZONE R7pn BLDG.TYPE FIREZONE_ _PLAN CHECK BY –GS—HEAT–mac
flnngtrunts1ry, ,l rrrr i] awn-7] 8. Fiereirpreoed .
f', th3p o AS _ndc,_, > tjnt'.t-IC AmIrt 5_1nQ TtEYMM c)t 66 8 _.�—__�
SEWERPERMIT# _ 34036(ldLj __ 3 baths. _t0tY.oP,s
OCC.LOA') FLOOR LOAD f HEIGHT
NO.STORIES AREA 7 0 NO.BEDROOMS __3 VALUE 97000
BUILDINt3 DEPARTMENT SETBACKS FRONT -STMflu -
REAR LEFT SIDE �� RIGHT SIDE 7 _
Permit 424 .00
THIS PERMIT IS ISSAED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check_ i;1_IL WORK WILL BE DONL. IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS, AND II•! COMPI!ANCE
WITH ALL. APPLICABLE CODES AND ORDINAN,-ES. THE ISSUANCE OF THIS PF14IIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTPfArTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
LICENSE.SEPARATE PERMITS RECiUIREIJFCIR WER,PLUfY)91NG ND HEATING.
State Tax 21 .20 ki$!)C U.01.)
.20 soc— 600.00- _..--
Total R
49,90PDCNI 150.00 APPLIC
By
Approved
445.20 Receipt No. 7._DD R EWS ------ PHONE
DATE INSP, TYPE INSPECTION REMARKS PLUMBING I DATE
)cContractor
[Porm t
or Hough-in
Fixture
ns Final
HEATINt
Contractor
A%.4- Permit No.
7
/Li Gas or Oil
Rough-in
Final
I— SEWER
OK Final
DRIVEWAY
Final
Storm Drainagp
(Pain Driinl Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT. FINAL. TEMPORARY CERTIFICA'T'E OCCUPANCY
CERTIFICATE OCCUPANCY final
1�;andscaping
Zoning Final
w• s� sw sss � .� s .� uQ sir
i
wLAN I,HLI,n NU.
for inspections Cali 639--4175
PERMIT N0. 49'4-7Z-_
CITY OFTIGARD 699.4171 DATEU7;a Rt
ggUILDINA Mrk E@gqMIT
P.1). Box P2Wx7. Tigard OR 97223 Tix 1��33 L�'4pTN0, �� SYBOIVI>i1�N rl?b>:..�
. , /3/7 Z
OWNEII. c y (lair cry I S ,� �l T!Ltl:�✓l /` .108 ADDRESS
BUILDER _ _ STATE REG.N0. " J (ATE
BUILDER'S O'HONE
ARCNITECf .,�.,,� PHONE OTHER —
,S[TRUCTUAI IJ NFW ❑ REMODEL O ADOITIOM O REPAIR ❑ MOVE C) LITHER O DEMOLITIOi
O RESIDENIM U COMM ❑ EDUCATION ❑ IND • ❑ RELIGIOUS, ❑'ACCESSORY (IOArrOE}}/�/�❑OTHER G FENCE
OCCUPANCY U1N0 USE TONE
I P DG.TYPE FIRE ►IAN PLAN CHECK BY .1LIC�►SEAT "
_ Construct single family dwei l ink atta-bed naraae. all per approved �
SithjPrr to 85 code .�.. =•. a/i' ��G '� -- -
SEWER PERMIT/„34/� -(Idu) baths__ . d iG�: ys�b9ara9e ar .a f/
V' -
OM LOAD FLOOR LOAD 0 HEIGHT L4 N(;.iTORIES '2, AREA Z ITONO.BEDROOMS -3 SALVE
BUILI)ING DEPARTMENT --
SET ,I(S FRONT X&,vs*AFAR 7--S' LEFT SI)E RIGHT SIDE
pwrnNl THIS PERMIT IS ISSUED 05JEVT TO THE Rl"QUI,ATIONS CONTAINED IN THE BUILDING CODE. ZONING
REGULATIONS AND ALL APPLICABC E CO -'�Aivl
A. k►ORDINANCES.AND fT I3 HEREBY AGREED THAT TH,
"AR Check WOIIK WILL BIE DONE IN AIXGRD,.d"WfTH TI#!PLANS AND SPECIFiCAmNS AND IN COMPLIANC
WfTH ALL APPiM,ABLE CODES AND ORDINANCES.THE ISSUANCIE OF THIS PERMIT DOES NOT WAIVI
PL Ck Fki RESTRpMWE COVENAMM I�bNTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY e' VNES'
TAX►ERMTT&SEPARATE PERMITS REOUIRED FOR SEWER,PLUMBING AND HEATING,
SI AI.Tau Z 2- O S50C
Total AJ. 7,C1A►p1.ICANTQ�IAGENT }
P►epd. 1�/p -- Pox014610
issued
liecelpl No ADDRESS
Bal,pus - Za
Issued By__.--–APaowd By
ssoc
SOC -- � � -
--- RECEIPT #
POC
DATE PD,
SEWER CONNECTION 5 AMOUNT PD. - -
SEWER INSPECTION 4 3 S _ > ,�' ��U� tJ
SEWER SLRCHARCE
o mm P n t o:
ala � w a>w oar Is asr aw rrZ/ as
G-- CITY OF TIGA R D PLUMBING ����V.'.
APPks ei � hold � Regluration w c«,x, a plumbing P�R►V1 IT
but nom a IW-M be propdty owner/opeator not hiring outside hel /
Nal # 134
PlumbinK'ermU Nr), L
Addrup S tr.� 1ni4 N e o.�>n
Job ORS 814-21410 OIiAN. PRICE AMITar Loi Map No.
Addr*"
FIXTURES *
Loi Block Sub immon - - — - 60 -. Oi
1aa l
Sink _ 1.60
.
sates «nartls si L.svatory _.
51"1 _ Tub«TuWShowe►Comb -�- ?,50
au
Shower Only 750
Owner -w/„tam t0- - T,p K star.Closet 1 1_510 17�•dF
rAshwasher
.7-59 151,6
--- _---- PrKx1e ----- Garbage Disposal 1%0 I •
Washing Machine ' ) ,0 '•',.��
1 loot Drain
M1(f �eSS IMvrw Walm Ilealai ' 1 SO
_ r
Occupant ;ItylSWs - -ZAP - laundry Room Tray 7 su
Urinal )So
antis Odw Fimun s(Specify) !0 _
06 r% 1e0
•.. _.-_.- - ._..._. .-._
Ph”
. q Z.S u -----— - ---- ?so
.CoMrscler , T 60
MISCELLANEOUS -- _
Cay Bia Tax No
� Sewer 1 M 1 OU' 3000
s ►tea � ��o��3TaIilTtx�er-i 13-us 7J0 fieweria AR1dN 100 1500
(Awider "!1v 'a y-'J'L b Wat«SarHoe 1st too to 00 •Ot
1 hWfty ada+vwls4pe Sol I haw read,0111 application,r ia1klhe 1a TnaUon Wear Servos as Addl AD' 1600
}
0"n M(metsal,"I ant n10+alered wM Iia Stew BukWe Board.a`d also Si«m a Rain mwn 101 100 30010 I
amble a sk"buret a eoanne Wa We nurntwo govw are o«rera.Wal all
pMM11bYq wean w11 bs done in a000rdanos with s1lpacwbie wovisians of Or* Siam a Pain Orton ANN 100'- -- 1500
i
po Rsliiwd SINKA)se ClIdo rti 447 and e0."1 and sppaoeGie oodles and that Mobile HorneSpace' 2500
no NO will be anlp W&d unless arxrred under ORS ee39. (N exeapt horn - - - - - -
Blals rgglssralleilt pita»Ohre reason below). Back Flow Prevention
P h eby aarYq tint I am IM ow w d ttw property de- Deno.«Mw Portuhor Device
opblsd 86M M wbio I'm IyIn l I pooposs b►node a ptumbkv trwI I "i for Any Tulp or Wade Mol
WO Om WO steal Oft 11-UP IV`ata bsiq owWnx sd b*a*.bus at rern Cwtin 0 to s pmkpe /s0
lnap_d EaNt.Pwrnbelq __ s9 90 Mr►M
- -----.-_.-._--------.__-_-_ _ ���rssasd Mlapeaaaru rD 00 hr►« +
- - - - - Aft of ftffl*4q wIWYI
an ExW*y&dp 10.00 nw,
Q tMOr1A11Rf Dal. rear Oft a Illlad.Adlaeon woo rwn 1
OodOflt ,work new w-jdrtlon } al mown( ] repair( )
�,(�47r1E rtgiWsrtt►eI�cn_•rs c�Mtlal 1__J �_-__-� -.----- � .-.-.__.._ tt''
E�deMrtp awe of
elialm it pmp«ty
U"Of
►�IrilrjlOpory _ _ __._ __ �.._....._._.. ..r_... ���r
MOTILE
�IIeM t MA and WOW M w«h w aortwsucftn ausvawd is ata t", 4
1wwrom M Mr%*v0ft F•w&*M"Slid- «atwasdm kv •••�•••�•��'•
00
r eAr Belts MMur were Is ear%w*=d
LAlIMAl1101M1______-__
Date 111191wi C/
i i i i i i i i i errs �/
CITY OF TIGARD MECHANICAL. PERMIT
Permit# 7
_--
Deacrlptlon
Table 3A Mechanical Code _ CITY PRICE AMT_
City of Tigard ) Permit Fee -0- -0- 10.00
13125 S.W. Hall Blvd. _ _ __
P.O. Box 23397 9Cf ?/ ;!) Supplemental Permit 3.00
Tigard, OR 97223
639-4175 1. Furnace to 100,000 BTU / 6
.00 f incl.ducts&vents G
Furnace 100,000 BTU + 7.50
`!) incl.ducts&vents
Name of Development 3) Floor Furnace 600
incl.vent
Job r„tddress �'•! 4) Suspended heater,wall heater 6 .�
Address /�/ � �,� or floor mounted heater - —
To Lot Map No 5) Vent not incl.in 3.00
Lot -Z_ t Block Subdivision appliance permit -
Name of ine5s) 11, 6) Repair of heating.refr ig., 600
cooling,absorption ut.it
Mailing Address I`%one —- 7) Boiler or comp to 3 HP 6.00
Owner abscrp unit to 100,000 BTU
CitylSlale - 21p 8) Boiler or comp to 3 HP 1 o HP 1
_
absorp.unit to 500,0(,JBTU _ 1 .00
_
Name 9) Boilerol comp 15-30 HP 15.00
absorp.unit 112-1 million
Melling Address a phone -- 10) Boiler or comp to 30-50 HP 22.50
-�absorp.unit 11^1_75 million
(.;ontractorcnyistate - zip 11) Boiler or comp to 50 Hp 31.50
absorp unit 1,750,000 BTU _
State Registration No City Bus,Tex NO. t 2) Air handling unit to 450
10,000 CFM _
I hereby acknowtadge that I have read this application th it the information phren Is Air handling unit 7.50 13) 10,000 CFM +
rprrecl,that I am the owner or authorized agent of the owner,that plans submitted are In -- -------
compliance with btate laws,that I am registered with the Sla'o Builders'Board,that the14 Non portable 4.50
numuer given is crwom(If exempt from Stale registration pie iso give reason below). ) evaporate cooled'
15) Vent fan connected 300 D,�
to a single duct -
- ----- Ventilation system not
16) 50
included in onpliance permit
17) Hood served by / 4.50 !�
✓�
mecharical exhaust
Signet oast) -.— -- - Dete 18) Domestic type 7.50
Describe work U addition f I alteration L] repair U _ incinerator _ _
to be done - residential K non-residential U t 9) Commercial or industrial 3000
Existing use of type incinerator- _ — -
building or properly 20) Oth•,r I.e.,woodstove,water 4.50
Proposed use of __ heater,solar,clothes dryers,etc.
building or property
- ------- 21; Gas piping one to four outlets / 2.00 Z
Type of fuel-- oil I I natural gas LPG fJ electric I J
-- 22j More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON ---v�-- - - ---- _-'
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 j` -*%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK 1S SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL -7 S
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
W ,1K IS COMMENCED TOTAL y
Special Conditions
--- -- - . --- _-_- Dale Issued by