Permit .� CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00348
COMMUNITY DEVELOPMENT DATE ISSUED: 8/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102AD - 02200
SITE ADDRESS: 08900 SW BURNHAM ST ZONING: CBD
SUBDIVISION: BURNHAM TRACTS LOT: 006 JURISDICTION: TIG
PROJECT: SPRINT
Project Description: Install concrete pad and backup diesel generator. Call Zach Phillips @ (503) 708 - 9200 for inspection.
REISSUE: 0. FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: 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: $ 10,000.00
Owner: Contractor:
BURNHAM BUSINESS + STORAGE LLC CLINTON COX CONSTRUCTION INC
9500 SW BARBUR BLVD STE 300 COX TOWER
PORTLAND, OR 97219 1055 HAZEL ST
AUMSVILLE, OR 97325
Phone: Contact #: PRI 503 - 999 - 3699
Reg #: LIC 168659
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/3/2007 $68.46 .
[BUILD] Permit Fee 8/30/2007 $51.24
[BUPPLN] PIn Rv 7/3/2007 - $77.81
[TAX] 8% State Surcha 8/30/2007 $9.58
Total $207
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. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued :.. li I ./ /� _ / -- � // Permittee Signature: 4 c,� / (12,...,
6
Call 503.639.4175 by 7:00 a.m. for an inspection that busine 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.
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Building Permit Application FOR OFFICE USE ONLY
(/, �y� Permit No.. u
`J of Tigard
g O (��� DateBReceived y I \IF-I"
II City �Ct P�D � _0V J �(1
, . ° 13125 SW Hall Blvd., Tigard, OR y i .,� Plan Re vie w � / �� > r
Phone: 503.639.4171 Fax: 503.5 "8. . t 2 0 07 DateB `�/V 1 l 1 O . Other Permit:
it GARD Inspection Line: 503.639.4175 3 0 L 0 Date Ready /By. (/ lb t4 Juri 0 See Attached Checklist for
Internet: www.tigard- or.gov � e(^ pr„�® Notifie ethod: O f 9 t CP • Supplemental Information
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❑ New construction .R.
❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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:-"' , . _ CATEGORYO ,.:- _ F CONSTRUGTION6 .,. ;; ' :,..: °;. work indicated on this application.
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Valuation: 44,0009 —'
❑ l- and 2- family dwelling ❑ Commercial /industrial
❑ Accessory building ❑ Multi - family
Number of bedrooms:
❑ Master builder El Other: generator
Number of bathrooms:
::-:.,_. :, _. , _5.- -:_, ... , __,_ .:: _. „,. ; ;; ; .`a Total number of floors:
JOB : SITE TiYFQRMAI ION NAND„ LOCATION> � ": ._'4
Job site address: 8900 SW Burnham New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 5g2/ I Ur — Covered porch area: square feet
Cross street/directions to job site: Burnham street between SW Main St. and Deck area: square feet
SW Hall Blvd. Other structure area: square feet
, :e^ Z-• , ,3 - =''d 'T`x , ?,.r.;�-�� die ``. $z�,s..
IRE UIREDiDATA: COMMERCIAL USEzCHE ;-5
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Subdivision: Lot no.: 8900 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S102AD02200 Indicate the value (rounded to the nearest dollar) of all
- .. „,.:.,.,, ;” .:.., ms -rr:- :
., a > -,,3; a a and the profit for the
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equipment, materials, labor overhead, an e o
r
,' iDESRIPTI
'??�� `n�� -' �-� �'' C OOF °°- WORK,:, "` "`''�' work indicated on this application.
Install diesel backup generator for existing wireless facility Valuation S ( , aO
Existing building area: square feet
New building area: square feet
l PROEERTY,OVYNER', F ; 'rx,'® TENA NT ;�- _: ” Number of stories:
�,�,... - 1 "eta ��::_
Name: Sprint/Nextel Communications, Attn: Alan Cagle Type of construction:
Address: 10545 Willows Rd. NE, Ste 100 Occupancy groups:
City /State /ZIP: Redmond, WA 98052 Existing:
Phone: (425)278 -7418 - eN
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Business name: PTS (on behalf of Sprint/Nextel) All contractors and subcontractors are required to be
Contact name: Zach Phillips '7 V- q 200 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1001 SE Water Ave., Ste 430 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 232 -5213 Fax: : (503) 232 -8219
E -mail: zphillips @ptswa.com
1 , G C ARC : ; °�:::; is -. =„ i:,V:, -�.. a
Business name: Cox Tower _
'BUII DING PE RIV ,T=FEE§ ::.:7-?:,V3
Address: 1055 Hazel St . j f ; ° - „ �� , � , .. .e.
(PI toyeeschediile}; : t,°
City /State /ZIP: Aumsville, OR 97325 Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 999 -3699 I n Fax: ( )
CCB lie.: 168659 a. O•I b Total fees due upon application:
t /, Amount received:
�
Authorized signature: cc.,/,...,
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Zach Phillips Date: 7.2.07 * Fee methodology set by Tri- County Building Industry
Service Board.
I \ Building \Permits\BUP- PermitApp.doc 03 /21/06 440- 4613T( I I/02 /COM/WEB)
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Jul of u 1. 16. 2007 10:43tAlMlyon 503- 232- 821:No, 2124 P. 1>
r t' rf} ri.i 11 rig (c _ r1 t�
-� : � ' ] JUL 0 2 2007 JUL 2 5 1007
CleanV1!�terr Services tQ , �� a° u ��ri- � �D
Om Ct9lqultl�ut h dot.
- ^— --�-� LD∎ ta,O
Sensitive Area Pre - Screening f 07, Oast el I
Site Assessment
Jurisdiction: (-; 41 •C r i i Df Q ed I
Property Information: (exannple3S234AB01400) Owner Informationsj pp gS TaxlotID(s):_ 2 .3/ 6 2 bR oo z 7'� Name:_Yr
ferIiavt1 kSLJi8S a. (IC
company;
Address: t S ao tY&e._ j?. 1)14 oy
Site Address: t'10 ( W e tU . i 14 sl hn
• • • . r
Yt��r•i f rue 1 Z3 _ Phone/Fax: . SO 4 ? ' - ? J ?2 - 7 f
Nearest Cross Street; SW �I 1 Iil V E-mail:
Development Activity: Check all that apply Applicant Inform " alien:
Addition to Single Family Residence {rooms, deck garage) I:) Name: xttisYl ?Ts ( jh i I .
Lot LIne Adjustment ❑ Minor land Partition ❑ Company: p
Rcsidentiel Condominium ❑ Commercial Condominium ❑ Address. 11U • (. Z S % R
Residential Subdivision ❑ Commercial Subdivision 0 P , , , s • • 'L
Single Lot Commercial ❑ Multi Lot Commercial ❑ Phone/Fax: N V 2' R 1 511 /23 Z` g cf
Other :,SI - ttll beta, - yp q f,yeteliFaie n VI
s1a t E -mall: Z_�IS w✓A.c�w,
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Will the project involve any off -site work: YES ❑ NO csi Unknown ❑ Location and description of of-site work:
Additional comments or information that may be needed understand your project:
. This applIcatton does NOT the need for Gradblg and E rosion Control Permtta, Connecllon Permits, aufding Permits, Site Development
Permtta, DEQ 1200 -C Permit or other permit§ ae issued by the Department or Environmental Quality, Department or State Lends andfer Department of
the Army Cie. Alt requited perm Its and approvals must be obtained and completed under applicable loom, elate, end rerferal law.
By signing this tam, the owner to Owners authorized agent of representative, acknowledges end agrees that emdloyees of Clem Water Services have authority
to enter the project site al all ten ohable times rar the purpose of Inspecting project site co n and gathering Information retitled to the projectaila. I certify
that I em familiar With the Intimation cortolned I In this document. and to the best or my knowledge and better, this information is true. complete, and =Gestate.
Print/Type Name' ,� et. -lit ( ri j/1 i 1 1 4 .) Print/Type Title: fief/114'6Y �
Signature: r J Date: I 7 .2 .
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200' of he site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT
% PRIOR TO ISSUANCE OF ASERVICE PROVIDER LETTER, If Sensitive Areas exist on the site or within 200 feet on
adjacent properties, a Natural Resources Assessment Report may also be required.
❑ Sensitive areas do not appear to exist on site or within 0' of the site. This Sensitive Area Pre - Screening Site Assessment
does NOT eliminate the need to evaluate and protect water quality sensitive areas If they are subsequently discovered. This'
document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section 3.02.1. All required
permits and approvals must be obtained and completed under applicable local, State, and federal law.
Based on review of the submitted materials and bast available information the above referenced project will riot significantly
impact the existing or potentially sensitive areas) found near the site. This Sensitive Area Pie- Screening Site Assessment
does NOT eiminate the need to evaluele and protect addillonal water quality senslttve areas if they are subsequently
discovered. This document will serve as your Service Provider fetter as required by Resolution and Order 07 -20, Section
3.02.1. All required permila and approvals must be obtained and completed under applicable local, state, and federal law,
•
A This Service Provider Latter is not valid unless _ / CWS approved site plan(s) are attached.
❑ The proposed activity does not meet the definition of development. NO SITE ASSESSMENT OR SERVICE PROVIDER
LETTER IS REQUIRED. J /
Reviewed By:,��y,1F Oats: •" S' 2 Oa 7
2560 3W killeborn Ion we!' • Ititstto Oregon 51123
Phone: (509) ee1-5100 r Fax: ( ■ . eel-4439 . www_aCISM 7uamwGcer.a a
Roiscl tali 1.2007 7:::-;,:x , 5 Z 7 7 $ 7i
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CITY OF TIGARD ,_.
BUILDING DIVISION / - - PERMIT #: BUP2007- 00349
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/30/2007
Phone: (503) 639 -4171 tv � �
Inspection Requests (24 Hrs.): (503) 639 -4175 F. ..
INSPECTION WORKSHEET FOR DATE: 9117 /2007 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 08900 SW BURNHAM ST CLASS OF WORK:
SUBDIVISION: BURNHAM TRACTS LOT #: 006 TYPE OF USE:
PROJECT NAME: SPRINT
DESCRIPTION: Install concrete pad and backup diesel generator. Call Zach Phillips @I (503) 708 -9200 for inspection.
OWNER: BURNHAM BUSINESS + STORAGE LLC, PHONE #:
CONTRACTOR: CLINTON COX CONSTRUCTION INC PHONE #: 503 - 999 -3699
Inspection Request Scheduled For: Date: 9/17/2007 Pour Time: 1 .Q,0-
�
Code # Inspection Description Confirm # Contact # Message /
205 Footing 055826 -01 603-547-6084 N
Corrections /Comments /Instructions:
4 s F __,tc__ , p v 4.\._ z--
1►�', ■ P TIAL APPROVAL CANCEL ❑ NO ACCESS
III AIL I • F OR INSPECTION n ADDITIONAL FEES ASSESSED
/01. Inspector: , Date: 1 / 0 Phone #: (503) 718 - ,r