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CITY ®1 1 IGAR D ---MASTER PL'RMIT
DEVELOPA4ENT SERVICES PERMIT : M00421
DATE ISSUED: 1/225/005/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 4171
SITE ADDRESS: 15740 SW HIGHLAND CT * -
J PARCEL: 2S11UDD 08000
SUBDIVISION: SIJMMERFIELD N0.6IVA
ZONING: R-7
BLOCK: LOT:296 JURISDICTION: TIG
REMARKS: Install a 19'x 10'patio room kit.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS PPOUIRED
CLAAS 0°WORK: ADD HEIGHT: FIRST: 190 of BASEMENT: of LEFT: SMOKE DETECTG?S:
TYPE OF USt:. 3F FLOOR LOAD: 40 SECOND: of GARAGE: of FRONT: PARKING SPACES:
TYPE OF CONST: LINK DWELLING UNITS: FINBSMENT: of RIGHT:
OCCUPANCY GRP: R3 BDRW BATH: TOTAL: of VALUE: S 12.85300
REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN rrAPS:
LAVATORIES: DISV%'1ASHERS: FLOOR DRAINS: SEWER LINES: Sr RAIN DRAINS CATCH BASINS:
TUB/SHOWERS GARBAGE DISP WATER HEATERS: WATER LINES: PCKFLW PREVNTR GREASE TRAPS:
14ECHANICAL OTHER FIXTURES-
FUEL TYPES FURN<100K: BOIIJCMP<JHP: VENT FANS: CLOTHES DRYER:
FURN>-100K: UNIT PEATERS HOODS:
OTHER UNITS:
MAX INP- btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RFIIDENTIA L UNIT SERVICE FEEDER TEMP SRVCIFEFO°RS BRANCH CIRCUITS _ MISCELLANEOUQ ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: I'UMPARRIGATION-_ PER INSPECTION
EA Au'J'L 5005F: 201 400 amp: 201 400 amp: let W10 SVCIFDR: SIGN/OUT LIN LT: PEC HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 . 600 amp: EA ADDL OR CIR• SIGNALJPANEL: IN PUNT:
MANU HMISVCIFDR: 601 • 1000 amp: 601+amps•1000v: MINOR LABEL:
1000+emu/volt
Raco-mect only:
PLAN REVIEW SECTION
�— —�
>-4 RES UNITS: SVCIFDR>-225 A.: a 600 V h NAL: CLS"REA/3PC OCC:
ELEc rRICAL-' :STRICTED ENERGY _
A.SF RESIDENTIAL ,_ S.COMMERCIAL
AUDIO G STEREO: VAr,UUM SYSTEM: AUDIO A,STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LN)SC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRR1G: PROTECTIVE SIGN1.r
GARAGE JPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR:
HVAC: DATA(TELE COMM: NURSE L. LLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 302.53
PIRRIE, NORA ANN APOLLO POOLS INC This permit is subject to the regulations contained in the
15740 SW HIGHLAND CT 1330614W CORNELL RD Tigard Municipal Code,State of OR. Specialty Codes and
TIGARD,OR 97224 PORTLAND,OR 97299 all other applicable laws. All work will be done in
accordance with approved plans This pe'Tnit will expire If
EX
PIR
work is not started within 180 days of Issuance,or if the
R.�� work is suspended for more than 180 days ATTENTION:
Phonn: l Phone: Oregon law requires you to follow rules adopted by the yl Oregon Utility Notification Center. Those rules are set
Rei/ LIC a442 forth in OAR 952-001.0010 through 952-001-0080 You
may obtain copies of these ruler._,r direct questions to
OUNC by caning(503)246-1987.
REQUIRED INSPECTIONS
Footing Insp I
"lab Insp II
Framing Insp
Final inspection
Iss ri By Permittee Signature
Call (503' 39-4175 by 7:00 p.m. for an inspection needed the next business day
' r Plan ChoCk#
�r, l��r= rtVARD Residential R Aiding Permit Application
312F, SW HALL BLVD. Additions or Alterations Recd syr,,
TIGARD, OR 97223 Single Family Detached or Attached (Dup!ex) Date R,,"'d
V 503-63f -4171 Date to P.E.Date to DsT!
F 5W-'1-68L'.-7297 rl�rc�
Permit# H67Wf9 Print or Type Called :3c>
Incompiete or illegible applications will not be accepted
Name of Project Name
Jab PR r/0 ROO/t'l Mailing -----
Address Site Addross Architect g Address
--'7 Q S 01 City/S!ate Zip Phone
-— Na„e
Owner Mailing Address
cit /S 7L En i ;eer Ongy/stae �i Pn�e Mailing
a141'..ua
sty ate `� `� Zipdvc
Phone
General Name tc Y 7 .4-43 �
Contractor Describe work New O AdditionX Alteration O R�air O
[�"l to t,�d^^e: ;r,t- Z?
Prior to permit _ /�w dv>�,[1 Addition'De ipti o ' ork:
issuar.ce,a copy C /Sta Zip hone-ds - _ ____
of all licenses 024s � -
are required If Oregon Const.Cont. Board Exp.Date , PROJECT
expired in COT Lic.# V 113L 4�Obl4� VALUATION $ ����
database (J T _
Mechanical Name — NEW CONSTRUCTION ONLY:
Sub- Sq Ft. House: Sq. Ft. Garage
Contractor Mailinn Address --
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone - subcontractor in the followin areas
of all licensas Restricted Audio/Stereo
are required If Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in(:OT Lic.# Installations Vacuum Irrigation
database I _- S sta n System
Plumbing (check a!I that Other:
Sub- Ij.�. a I
Contractor I !galling Address Corner Lot YES NO Flag Lot YFS NO
check one) check one)
` Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State
Issuance.a copy
of all licenses are Oregon Const.Cont.Board Exp.Date
required If Lic.# ll
expired in COT I hearby acknowledge that I have read this application,that the
database Plumbing Lic.# Exp.Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name Sig=ref w'r'ger/t Oate
Electrical -C-�.. 4-
Sub- Mailing Address - - , C tactPersor K!e a Phone#
Cr,n�ractor .u= 3'�-�/6 rJ�
City/State - Zip Phi.ne
Prior to permit
issuance,a copy - FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp late pia'#:
required if Lic# P
expired in L OT
database [:c-trica,r r•. # Exp Date Selckpy Zone. Solar:
IElectrical Supervisor Lic # Ex 3.Uate Engineering Approval planning Approval TIF:
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