13412 SW LAURMONT COURT �.. .� �.
13412 SW LAURMONT COURT
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P.O.a-)x 23391
CITY OF TIGARD PLUMBING 13125 � 1M »vd.
Applicants must hc'i Oregon Registration to conduct a plumbing PERMIT 'rigx639� 75
R 97223
business or must be property owner/operator nut hiring outside help.
Name of Gewloprnent
C07-yo BLDG• +D rzS __ - Plumbing Permit No.
Address M
Q ecrtpU�n
-- (- 1 _ V- 4 � _ ORS 914-2,-9,0 DUAN. P1410E AMT
Job Tax LU Map.No. _
Address _ FIXTURES
Lot Block Subdivision ------ -__ _ --
Sink 7.50 S Q
Name or name ness Lavatory -- — 7.50 Ja
O Tr C D _ Tub or Tub/Shower Comb -- `_ 7.50 -- 7, 5-(
Maifi%Address Shower Only - 1 7.50
w 7.5
z_ S. c_ -uRvn0X-7- - --- — ----
Owner Clrj! 411e— - Zip 7.50 7.50yv LZ.
Dishwasher 750
Pho1e _Garbage Disposal ( 7.50 7.5-U
Name - Washing Machine _ - _ �_ — 7.50
Floor Drain. 7 50 _
Water Heater v ( — 750 — 7215 V
Laundry Room Tray 7.50
OccupantCity/State �— zip — --- - — —
Urinal 7.50
'— raF.- Other Fixtures(Specify) - - -- 7.50 —
dl+0 i- (i . � .3 --S-1 2 - — - 7.50
MaWN Address --- -- - --- —
Z- '- ,a) "l�F uLC.y L-rU �. - ----- - -- 7.50 -
Contractor Stat Zip" ' - 7.50
MISCELLANEOUS _
5y Bus Tax No Sewer lei 100AO 00
96 3°e7 — - � hewer♦a.Addit 100 - -- -- ,5.00 ----
slat J S. l - -- -
I (R tial) —�- — Water Servbe,$t,00- -- ` 20.00^ 217,or
I hereby ack LnowleiVe that I have resod this ap Alcatkin,that the k4omw0on -Water Servioe sa AAdit.W_ 15.00 `-
givers is oared,that I am regisisred with the Ste;,BuNder's Boon' and also Storm&Rain Drain,at 100 30.00
have a Suis Pkxnbkhg eoan"that the rxK„bers given are 0oned,that&,* —.._
pkxnbing work wig too done In a000rdsnce with Wplomble provisions of Ore- Storrs i R-Jn Drain Addll_100' — - 15-00
7o^Revised Statute Chapters 447 and 993 and applicable codes and that Mot>Ne basso Space 25.00
no help wN be enpbyad urrtes licensed under ORS gal. (K exempt from _
State registallen.plsass Dpi+reason below). Bach Flow Pnhw"w
HOMEOWNERS-I hereby ow*1ha1 I am the owner of"pnpsrty de- Oev.1-or ArMI-PoWion Device — 7.50 -
sorbed above.st w/hld boaton 1 propose to make a p1tolt til hatalrMlon kx Any Trap or wast Not
my own use and this property M not bshq consul~for asks,lease or hint C,onnecled to a Fixture 7.50
Catch 8askh '— ----- -------- - - 7.50 —
khsp_d Exhd Plumbing 40.00 Per Hr
-- -- --------J--.. __._ — Specialty RetllAaed Inspedbru 40.00 Per Hr
Abler of Pkx"bkhg w1ft
rEztslkig Bldg 15.00 min.
_
N k7ED SIGNATURE Dam New Bldg.or Build.Addition 25.00 nMn.
-- — sil�le_fr7ta1
Deaxitre worts new LX' addition 1'j alwitlon[] repair f ] c3�.t?11.i t 15.00
los durhe_-_ residential non-reaidv'M I(-i ---— ---- — - -
Eftllrg flee of ----
billi tO or prwertY
arplvp4rly NOTMV TOTAL
Tfds parnt2 Oaooautonsed idnot oom-
ttusrttad wM11n No daf�rar if oarraliuoflorl or worlds stiopendatior aba ldoned for
a period of 180 days d any raw OW wait N ovoranoad
IftCyAI --
mm
.� ..i .. w. .. .�
BUILDING PERMIT APPLICATION DATE_ . _ ___ t6_ _ ,L 73
THE UNDERSIGNED HEREBY APPLIES FOR F. PERM�T FOR TH{_WORK IIEREIN INDICATED BI I'LDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOTNO._ ISI
OW N E H _ _ _!.{1 j31cj L ./Qa>slgfiDDN ESS 134] -Imo►' - �—v
i) Ioto s _ol��+ ��� S]t; �y ARCHITECT
BUILDER tiAfi@ 11111 ENGINEER
ADDRESS DESIGNER
STRUCTURE CYNEW J REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO L] CARPORT ❑ GAFIAGE ❑ STORAGE ❑ SLAB EJ FENCE
OCCUPANCY --3.2-_LAND USE ZONE --FJ2DG.TYPE --S&—FIRE ZONE___PLAN CHECK BY 8431--HEAT_--:
Constmct: ,single family dwe.li.inq w/at:tached garaae• !j].1 �_z__ proyee,- plalns-
Subject to 83 code. Sub jeot tti �TOrt X360 sewer ch . -
Nis 11 f I ?C _n-trn 1; 91,page 43g,t i rt.4 0;1;k"(4. - -
SEWER PERMIT M .14019 I " ) 3 b_tt t hf3t_ I t CaP8 ---c-c�1 c�1sC�+a
OCC.LOAD FLOOR LOAD HEIGHT ORIES z AREA 1 '; NO.BECROOMS ' VALUE
BUILDING DEPARTMENT _ SETBACKS FRONT REAR LEFT SIDE r RIGHTSIDE ^!
Permit 340.0v THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
�2 •UU REGULATIONS AND ALL APPLICABLE CODFS AND ORDINANCES, ANL) 11 IS HEREBY AGREEU THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECInC4TIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COV_NANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CUIIRENT CITY BUSINESS
17.40 LICENSE.SEPARATE.PERMITS REQUIRED FOR SEWER,PLU Nall AND HGATING.
State Tax _ _ 250.00
SSC _
Total r 600.nr) �
—� `! PDCH 15O•(�OAPP�IC<.N?OR AGENT ✓ l
By 100.00 f
Approved 478.00 Receipt No. . Ia; i
ADDRESS — PHONE
DATE
__ INSP. TYPE INSPEC 'ION REMARKS PLUMBING DATE
i� :�cLt'v '%it2a4-Glti• G —.1, ., il,uctor .1 O -- �'�/3 ? O ?
Permit No.
Rough-fn
o, k- Q� Fixture
Final
HEATING
— j.n --- —
Contractor
—
' - Permit No. $b 1
fez 4c ail
C:'L .scsNt� �Z,4aim l c7•Y � dof+�T" - -- Rough-n
�Z-$ ,.w ---- —--- -- Finale --
SEWER
Final ----__----
--- ------ ---- _-------.—�_— --- DRIVEWAY--- --------
Final
Storm Drainer
(Rain Drain)Final
� Sid±tMalk
— _— '---- V_—�.---- _' Curb b Street Final
Approach — --
BLDG. DEPT.FINAL — TEMPORARY CERTIrICATE OCCUPA14CY
CERTIFICATE OCCUPANCY Final
Landuaping
Zoning Final
CITY OF TICARD MECHANICAL PERMIT
Permit;,E �j Ne, �^
GpMltplbrt
TAW IIA UsctanIcal Cod. a" PNC! AM
City of Tigard 1) permit Fee -0- -0- 1000
13125 S.W. Hail Blvd.
P.O.gTigard,
2;i?' .2) SUpplerwtal Permit 3.00
Tigarf3, i)R y,X23 _ —
639-4175 1) Furnace to 100,00013TU
incl.ducts&vents ' 8'� er -
urnace 400,000 BTU +
2) Incl.ducts t-vents 7""'
— Name of DevelopmentFloor FL l'3(* --
_13 3) incl.vent --- -- 6.00
Job 4) Suspended hater,wall heater 600
Addrnss z e.� or floor mounted heater
.�i5 v��' o T ----------- -- -
Tax Lot /si_,2 „e-, Mir No. Vent not Incl.in
Lot i 2 Block Subdh isson 5) appliance permit _ 3.00
Name((x name of busi9aee) _- 8) Repair of heating,refr Ig., 600
6 cooling,absorption unit
MailingAddra" Phase �S�_C7 � .3oilerorcomp 103HP 6.00
Owner absorp.unit to 100,000 BTU _
catr,stai� -
zip 8) Boiler or comp to 3 HP-15 HP 11 l]D
absorp.unit to 500,000 BTU _
Name 9) [toiler or comp 15-30 HP 1500
N I absorp.unit 1,12-1 million
Mailing Address 10) Boller or oom. p to 30-50 HP — 22.50
absorp.unit 1 -1.75 million _
Contractor Chy/state zip _ - 11 Boiler or comp to 50 HP —_- -- 31.80
abeorp.unit 1,750,000 BTU
Na City Wit.Tax r� ) AIr handling unit to
12 10,000 CFM 4'f.0
I hsvety arlvxrwtedge Mat 1 tare road Oft application Vat r,r Mrkxrnaga plwn M 13) Air handling unit 10,000 CFM + 7.50
orr --
oeel,Mat 1 am Me owner or e(rttmriznd agent of the owner,that plea sub"led are M ---- -
oompkance with b%W laws.Mat 1 am eglow d *Nh Me Sate BuNdera'Bond Mat MeNon portable
number gKw M axle se(11 exempt from Btate reglahaflon pleagive reason t. 14 Now) ) evaporate cooler 4.80
15 Vent fan connected 300 �
to a sin le duct y
-._..--____.. __-- --- -_-. _-_- Ventilation system not
16) Included in appliance permit 4.50
) Hood served by 1-.
1mechanical exhaust 4'5 'y
Domestic I_ Type 18) 7.50
Der Ube wort( [7 addition El alteration 11alteration ❑ repairIncinerator _
Ito be done sidential.p non-resideMlal ❑ -— 19) Commercial or industrial- --- - 30.00
F04iting use of type incinerator ---__-_-,--._T� -
building or property_ )` S -_ 20 Other i.e.,woodstove,water 4.50
Proposed use of f
heater,solar,clothes dryers,etc. y
-
building or property ------ 21) Gas piping one'o four outlets 2.00 . -
Ty;re Offuel- oil [ I natural ge s,r 1-PG D electric G' _-
-' -- - 22) More than 4-per ouMl. —
;y0T1�. SUFJ-TOTAL
THIS PERMIT (3FGOMES NULL AND VOID IF WORK OR CON - - --- �
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 s 41%SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK I6 SUSPENDED OR PIAN REVIEW 25%OF SUS-TOTAL -^ ��
ABANDONED FOR A PERIOD OF 180 DOYS AT ANY TIME AFTER
WC .K IS COMMENCED. TOTAL
Special Conditions-_ -_._.--__--_--
_ Date issued ! rr - -- --by %. /U
7 ,a
for inspections call 634 -4115 NLi\N G:LI:', NU.�
7 (/LL' t I T NO.
CITY OF TIGARD 639.4171 DATE
BUC-DING PERMIT
P.O. Box 23397, Tigard OR 91223 TAXMAP � OTNO. ._L L.�.SUBOw+SION
OWNEm_ 1— 'S2_ � ?b-f G�E�Ib�'1./ JOB AODRESS ��.� 5t^� 4*-'eg1m_w r Lt
BUILDER�( l // /�/�is � _ STATE REG.NO.___EXP.DATE
BUILOER-S PHONE
PHONE _OTHER
AITCHITECT__ — —" —
STRUCT'JRE NEIN Cl REMODEL O ADDITION U REPAIR U MOVE L7 OTHLA L) DEMOLITION
13 RESIDENCE 0 COMid 0 EDUCATION O IND O RELIGIOUS, 0-ACCESSORY U GARAGE Q OTHER C) FENCE
OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZANE PLAN CHECK BY4EAT
Construct single f hed ----
subject to 85 code.
'C.WERPERWT/, .iyo/5p .(I du) 3 baths,_(Z trapS aun area __ 1_
OCC.LOAD FLOOR t OAD ' ' '' HEIGHT_: / NO.STORIES AREA - `_:i/NO.9EDROOMS VALDE
r— BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SIDE ;; RIGHT SIDE
Permit 3`� O THIS PERMIT IS ISSUED SUBJECT TU TME REGUTATIOkAS CONTAINED IN THE BUILDING CliDE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES,AND IT IS HEREBY AGREED THAT THE
Ptan Check .Z 'Z WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFh:ATIONS ANO 14 Ci ;AeLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE IS WANCE OF THIS PERMIT DOES NOT WAIVE
01.Ck F" RESTRICTIVE UDVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
TAX PERMITS.SEPARATE PERMITS REOU41.ED FOR SEWER,PLUigt:NO AND HEATING_
Stale Tarssoc
SOC—
TONI �j APPUCANT0I7AGENT ----_--. - _
POC,I
prepd.
o Flecelpl No AOOAFSS
------ - rruSNr
Bal.Olin y t7
- Issued ey.. _--Approved Bye.
S;DC 5
SDC - -
- RECEIPT N
Poc
DATE PD.
SOWER CONNECTION 5 AMOUNT PD.___ _—
5LAAF INSPECTION S
SEWER SURCHARGE , 5
w iw w w w w w
II
l
I
1
CIT'z OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. :
PLAN CHECK APPLICATION DATE RECEIVED: 7-_ 2 _ Q• 7
P.O. Lox 23397, Tigard OR 97223 P/C DEPOSIT PAID:
This is to certify that the attached _ sets of plans have been submitted for plan
check pursuant to the Oregrn Structural Code and Fire & Life Safety Code, edition.
PROPERTY UWNER:_`` __ OWNER'S ADDRESS:
CONTRACTOR: V ��. « TELEPHONE: �,q(C
JOB ADDRESS: 2 L C4 LOT NO. & MAP;
DESCRIPTION OF WORK: _ _%� %J IL-)_ —
Approvals Required SPECIAL NOTES
OPlanning Dept. O Reissue
OLngineering Dept . O Flood Plain/Sensitive Lands
O Fire District O Sewer Availability
O Other O Other
Items Re uired
OLeiList of subcontrac!ors
OBusiness Tax
r �
`-' Cc'11CUlatLOrS
OTruss Details C I/
GParking Flan
0 Landscape Plan
0 Other
COMMENTS:
City of Tigard Building Departm?nt
BY: