Permit Support Document I
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CITY OF TIGARD \\ 2g Z\ 1 MASTER PERMIT
='PI COMMUNITY DEVELOPMENT Permit#: ELC2021-00633
Date Issued: 11/01/2021
T I C;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 DB02400
Jurisdiction: Tigard
Site address: 15475 SW ALDERBROOK DR
Subdivision: SUMMERFIELD NO.8 Lot: 483
Project: Bailey
Project Description: Federal Pacific Panel change
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib Backwater Value:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Fum<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less. 0-200 amp: 1 0-200 amp: W/Svc or Fdr: 0
Ea add!500 sf: 201-400 amp: 0 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 0 401-600 amp:
601-1000 amp: 601+amp-1000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo N HVAC: N Security Alarm. N Vaccuum System: N Garage Opener N All
N
Other N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF
Owner: Contractor:
CLOUD,STANLEY D TRUST PRECISION NW ELECTRICAL Required Items and Reports(Conditions)
1846 QUARLEY PL 12020 SE ANNA CT
HENDERSON,NV 89014 DAMASCUS,OR 97009
PHONE: PHONE: 503-413-9870
FAX: 503-594-2873
Total Fees: $157.78
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Nn-(,(,y Vr n,De Wegp, Permittee Signature: Ow Apt ti,c,6 4-rout,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.