The URL can be used to link to this page

Permit . . . , A BUILDING PERMIT CITY OF T I GA R D PERMIT #: BUP2005 -00200 ,r DEVELOPMENT SERVICES DATE ISSUED: 5/13/2005 13125 SW Hall Blvd., Tigard, O 97223 503 - 639 -4171 PARCEL: 1S136CD -00600 SITE ADDRESS: 08060 SW PFAFFLE ST 100 ZONING: C -P SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE LOT: JURISDICTION: TIG Project Description: TI, wall & ceiling. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 26,762.00 Owner: Contractor: FINKE, ALEX TRUSTEE GREGORY LEE ANDERSON CONSTRUCTION FINKE, LOTTE I TRUSTEE PO BOX 681 P BOX 23562 CANBY, OR 97013 -0681 PAone ND, OR 97281 Phone: 503 - 519 -7558 FEES Reg #: LIC 154764 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 5/13/2005 $298.30 [TAX] 8% State Surcharl 5/13/2005 $23.86 [BUILD] Addl Permit 5/13/2005 $193.90 Total $516.06 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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Th►se rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules f dire ques . o OUNC by calling 503 - 246 -669 • • 1- 800 - 332 - 2344. / Issued By: �� a - _Ar . Permittee Signature: / / Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. • Buildin Permit Applica o 5 i I ® FOR OFFICE USE ONLY City of Tigard MAY 13 2005 Received Permit N..: / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.196CITY OF f ICiAR. i%�� I' +I Date/B : Other Permit: 6iv Inspection Line: 503.639.4175 E , 1 Qg®® _ _ a__�i�Y ' I „ Date Ready/By: Juris: ® See Attached Checklist for Internet: www.ci.tigard.or.us �I � ®�� Notified/Method: Supplemental Information TYPE OF' WORK REQUIRED D AT A : 1- AND 2- FAMILY D ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all i gtAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION • work indicated on this application. ❑ 1- and 2- family dwelling 'F, Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE. INFORMATION AND. LOCATION Total number of floors: Job site address: g0( il PrA FF Le. New dwelling area: square feet City/State/ZIP: T G A a 5 OR q 7 2 z 3 Garage/carport area: square feet Suite/bldg. /apt. no.: / d d Project name: C n1 [ A 2A - T - I Covered porch area: square feet Cross street/directions to job site: 73 Deck area: square feet Other structure area: square feet REQUIRED DATA COMMERCIAL USE CHECKLIST: ' Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: j S 1 36 G A O(, 0 O equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ADD t -hAu., / Apo 2 /Jew Do oas Valuation: $ 2 (', 7( C 72./JA-/a r /in p20d6roe 7 Td kc t.S T7 A/� Existing building area: Z v dap square feet j PA c, 6 New building area: O square feet ,, X PROPERTY :OWNER , . , ' ' . ❑ TENANT.. ., Number of stories: Z Name: 6 Pc p y pg4/6.wPM &u r LL 6 Type of construction: V M Address: / v 7 Zo 5 u Mo A PA A- /6 Occupancy groups: g City/ State/ZIP: Po2rz q"..sjQ o 2 L, 7z 19 Existing: Phone: (5 (09 -7N5-/ Fax: (533) (097 - 7'/51 New: . , .. Z APPLICANT • ❑ CONTACT PERSON NOTICE Business name: e/26�.02 y Leh /4A/0 (ZSon) Zows r 2 t..' nD / " All contractors and subcontractors are required to be Contact name: G p So� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: p Sox 4 g i A402,.- pW ?7.› jurisdiction in which work is being performed. If the City/ State/ZIP: CQ N B ca 97a , 3 applicant is exempt from licensing, the following reasons apply: Phone: (533) 579 _ 75 5 8 ' Fax: : (5-0 3 i 6, $Z _s o 5 E -mail: CONTRACTOR . . Business name: Ge6Go2ff I- A4No - ii 0 A 6,N5T7L ✓C ;7a i✓ / aG . . • • ,. ,., s Y g PER •F EES Address: Po (do- ( ( --AViS , 7 © fZ- Please refer to fee schedule. City/State/ZIP: A-NPv 9 Q 2 C Fees due upon application Phone: (663) 57 1 - 75-5- Fax: (533) 4082,_5z).5---4. Amount received CCB lic.: I 5g7 toil el.3-17 17 ... Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: C 'oay C. ,4N06 o,.) Date: 5- 3 / * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits\BUP- PemutApp.doc 12/03 440- 4613T(11 /02/COM/WEB) Building Division ' i��j � Plan Submittal Requirement Matrix ^ t. Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal .,. • # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\Building \Forms \COM- P1anSubReq.doc 12/24/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: BUP2005.00200 Phone: (503) 639 -4171 � `�� "4p�Mi'I 5/13/2005 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 6/1/2005 7:15AM 16 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 08060 SW PFAFFLE ST 100 LOT #: TYPE OF USE: PROJECT NAME: SPRINT PCS WIRELESS MONOPOLE DESCRIPTION: EMARK 11, wall & ceiling. OWNER: PHONE #: CONTRACTOR: FINKE, ALEX TRUSTEE, PHONE #: GREGORY LEE ANDERSON CONSTRUCTION 503 - 519`7558 Inspection Request Scheduled For: Date: Pour Time: 6/1/2005 Code # Inspection Description Confirm # Contact # Message 299 Final inspection 008103-02 503. 519 -7558 N Corrections/Comments/Instructions: l tit LteIf/ ; ;111/ fri'V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 111 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED dr Inspector: Date: / huhuui Phone #: (503) 718 -