Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00444
'. DEVELOPMENT SERVICES DATE ISSUED: 10/18/1999
N {- I I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13695 SW 118TH CT PARCEL: 2S103CD -07900
SUBDIVISION: CREEKSIDE PARK ZONING: R -4.5
BLOCK: LOT: 009 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: UNK : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 80 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: $ 3,000.00
Remarks: Construction of a bracketed antenna support for a ham radio tower. No certificate of occupancy required, no
change in occupant load.
Owner: Contractor:
BRUTCHER, JACK L + MARTI E OWNER
13695 SW 118TH CT OWNER RESPONS FORM SIGNED
TIGARD, OR 97223
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
5PCT DEB 10/04/199E $4.74 99- 318805 Final Inspection
PRMT DEB 10/04/199E $59.25 99- 318805
PLCK DEB 10/04/199E $38.51 99- 318805 ORIGINAL
Total $102.50
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemtitee
Signature:
Issued By: Q ' '-
Call 639 -4175 by 7 p.m. for an inspection the next business day
C.�TY OF TIGARD Residential Building Permit Application Plan Che ; # 9
1 3125 - .8W HALL BLVD. Additions or Alterations Recd By
Date Rec'd 0
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. /c - //- 99
V 503 - 639 -4171 Date to DST / _( —` .iQ
F 503 -684 -7297 Permit # %. — CYO
Print or Type Called /J
Incomplete or illegible applications will not be accepted
Name of Project Name
Job a kkriC E V- Architect Mailing Address
Address Site Address P
I 3 I S U.) i C D u ki 9 7213 City /State Zip Phone
Name ,
/ AtI e J IL 1311t.lie(•fe �✓ N me
Owner Mailing Address HgnJ t(, 1,04 N J3C -QG
13‘ 4.5 -St.J 'l el Coue -r Mailing Address
City /State Zip
Phone En
-- n 6440 v1L q`7. 3 4: 1- 4IS1,( X5'75- St) 7710111icG1f ° P 1 -
City /State Zip phone
General Name (1.- 3EAVERTo Oa- 970c8 'AL -X7'9 3
Co V ti) kj L- Describe work New 0 Addition* Alteration 0 Repair 0
Mailing Address to be done: 2- • 72€
Prior to permit Additional Description of Work: / rc (L
issuance, a copy City /State Zip Phone B ge l� ANTENAIA S A PPo R 7C �{N '!ZAlk Maio use,
of all licenses
are required if Oregon Const. Cont. Board Exp. Date PROJECT o
expired in COT Lic.# VALUATION $ 3 CX b,
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address -
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City /State ip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon •nst. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic • Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy
of all licenses are Oregon Const. Cont. s •ard Exp. Date
required if Lic.# I hearby acknowledge that I have read this application, that the
expired in COT
database Plumb' • • 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
regon State laws.
Name natu of Owner /Ag Date
Electrical ((( S a,•. /U - 5-5,
Sub- Mailing Address Contact Person Name Phone #
Contractor . � TA lc 13f1 e rc 14c�— 68' :5
City/State Zip Phone z g� 1 ) . Pi
..�1a -w �F CC�iL,O,
Prior to permit �`� ` v
issuance, a copy FOR OFFICE USE '' ONLY: >$•798.03d
of all licenses are Oregon Const. Co . Board Exp. Date � e4ti k /, s f
required if Lic.# Plat #: Map/TL #:
°? — �
expired in COT 50-• i v ' -
database Electrical lc. # Exp. Date Setbacks: Zone: n _ e. ,/ ,
� Solar:
/` /
Ele• ical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
( L () S . is \dsts \forms\sfaddalt.doc 11/20/98
1`�
Permit #: 76u1
Address:
` Issued by: ; I lA Date: /0 —( - 1 4 9
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
,Filill the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
I f 1. I own, reside in, or will reside in the completed structure.
F
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
ri 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
cy Ff
3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
a4- bt‘dA
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 r- Business Line: 639 -4171 MST
BUP lggq - dlo 4-
Date Requested X13° j 'Ld0 AM — PM BLD
Location 1 041‹ w i/ S CL Suite MEC
Contact Person 9 `cam Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing bN /le- 04
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
�
; IV
PART FAIL
PLUMBING
Post & Beam •
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ I Please call for reinspection RE: [ I Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date � J�7 hin Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST BUP qq'9 -� y y
+! 14 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
I 3-5;.4 �
Date Requested j 2 AM / BLD
Location '( 2 I I b &F• Suite MEC
Contact Person Ph 44001 - S 7 S PLM i I
Contractor Ph SWR MEN
: UILDIN ct Tenant/Owner ELC .
Retaining Wall ELR f/
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear
Framing U
Insulation I cl--sa_cc—
Drywall Nailing . ►n C - _ .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
41E1
PART FAIL
' BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA •
Approach /Sidewalk Date 0 6 Inspector Y� Ext `9
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.3/ /6NS4(HS
%4 HS 4 ENS
..06 ENS JCABLE CLAMPS REQD PERTURNBACK
3/8 HS y(HS
�//6 NS
7//6 ENS
/ /ZHS4 ENS I CABLE CLAMPS READ. PER TURNBACK
9/16 ENS
5/8 ENS SCAN( CLAMPS REQD Ar,QTURNBACK S',FETY WIRE. 9/4 6, 4073 E E TguC10.E
S U' AT E CO N F�T1 °N. SAFET`1 W%0.E
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E4 S TuRNf�uGKLE t
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CABLE CLAMPS - SPACE CAKE SINGLE• EA�1K•►' A. R'S
CLAMPS
Co TIMES CASL.E DIA. Iol
A CC U -BOLT SHALL SEAR. b � .�jN : Q'` SINGLE Roo
ON DEPID ENQ) ,b D ,
1 "� ' �-WI"- Roo
I /4 ENS 1rJ�RE OP T O (TVRNOuCKLES ,,'/-
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/leap LARGER
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°NOTE.'J'EEDWG, NO. C 6// 2//R3 Fag CABLE
7E /N ' 41 TURNBUC .. - /NT NIJNC D 7:47/I4
h E BLo�K $ -IS g 30
`�. P4 ADD ED 3 /0"4 - MY
,,` . L ADDED NOTE 7 -6:�6 r
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� .' ,`\\ � . . ,Z ADDED NOTE •
`��, ; - � �. /z /erg u
c B ►G GRIP \``� /F AWED CAME aAMPSREPDPEX CUYJYZE - •
PREFoRtA D <a DATE 1.3Y NO. DESCRIPTION (OPTIONAL - _N TI{oO CC 4,
A'YTACHMEt \' SINGLE EQUALIZE& ft'- REVISIONS
'' UNR -Rohn
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L Division of UNR. Inc
6
T I TLE
USE o.1EQSrLE /-31NGLE P NCHOR.RO TURN6UCKlE SAFETY 1JlETNo
THIMBLE WREN
VS1NQ PRE'mg wb ClhALE CUmAPS _ FILE NO.
. •' THIS DRAWING IS THE PROPERTY OF ROHN IT l NOT T 8E
R n /� REPROU UCED, COPIED OR TR A IN W OR IN PART
NOT. /5 Q!/E TO V,9 /ARLES /NkOL v1 IN .POOP / ND OT//ER /NSTf�.'L /'T /OIVS, LT �fL/7Lz
f WIT OUR WRITTEN = CONSENT. MOM
ET / /E C/JTOAIEEPS OR /NSTALLEL 'S RESPONS /B /L /TY TO /0.eov/DE W , Y
/� UNLEf! OTHERWISE fPEGIPIED OIMENfION1 ARE GIVEN IN
:7.P1/CTUe/'LL•�' . 944 Y U/9TE SUP.oc,e73 FOR �o /ER 5ef7Nnvae CONNECT /OHS. /T , ,3 _l�� IN — - - -
.HE� G,e /NSTALLE.P TO.5- ECL/.ee- °••. ozi isilp4 OTHER • DWG. NO.
a1//Y BENECESS�'�'�' :° _•. * . °I• T B 6ao3?A BPS
7.-/. SZAWCE OF/LLGLAL ENG //VEEiP /'O DLTE,P/YJ /iYE Tf///T /N•rTALL/LT /Oi —.ilk ° ^ 4 ' - °' J I
• G'D/Lff' /E 11////./ LOCf�L BZ//LQ /�G CODE•1'
c
w ROHN (Descrptio ( Part# . wei
lv\z(_z, 3/8" x 4' copper clad ground rod with clamp GR384 160/100 i
3/8" x 4' galvanized ground rod with clamp GR384Z 172/100
3/8" x 6' copper clad ground rod with clamp GR386 235/100
3/8" x 6' galvanized ground rod with clamp GR386Z 258/100
/o ff . .
5/3" x 8' copper clad ground rod 340020 800/100
5/8" x 10' copper clad ground rod 340021 1045/100
3/4" x 10' copper clad ground rod (THD) 340024 1500/100
5/8" x 8' copper clad ground rod, plain end, w /grnd. wire clamp GR8C 82/100
5/8" x 8' galvanized ground rod with ground wire clamp GR8G 90/100
3/4" x 10' copper clad ground rod (THD) w/ ground wire clamp GR10C 133/100
4 3/4" ground rod coupler 3/4C 80/100
7/8" x 6' solid aluminum lightning rod LR 4
5/8" x 5' solid copper lightning rod LRC 6
3/4" x 6' copper clad lightning rod LRCL346 8
1 - 5/8" x 8' copper ground rod 1 - brass rod clamp 10 lbs
BGK Base Grounding Kit consisting of: 1 - brass tower attachment lug w /hardware 10' - #4 solid copper wire
BGKE Base Grounding Kit consisting of: 1 5/8" x 8' galvanized ground rod 1 S58 rod clamp 10 lbs
1 - tower attachment lug w /hardware 5' - #6 solid copper wire I
AGK Anchor wire grounding Kit 3 - 5/8" x 8' copper ground rods 3 - brass rod clamps 30 lbs 1
for 3 anchors - consisting of: 9 - guy wire ground clamps 45' - #6 stranded copper wire
AGKE Anchor wire grounding Kit 3 - 5/8" x 8' galvanized ground rods 3 - S58 rod clamps 30 lbs
for 3 anchors - consisting of: 9 - guy wire ground clamps 45' - #6 solid copper wire
BGK or BGKE 1 BGK or BGKE_,
Anchor bolt must s BGK or BGKE BGK or BGKE
Attacrt h h to J b e�m I I bok M damp ground wl prov!ded; ro to b ch to lea � nt{ who
oronlder: attach
Ath rats bort lt If
be end If ahachmem lug provided attachment lug provided
pd nut omitted Ground lug rl n
" G (o provided)
Ground wire Ground win
l edrechment lug . i Wq
Copper \W :
(No. 4 } ''
MI ra - Copper wire I Copper who
�DPKe�
(No. 4 max) r { (No. 4 man ) Ii 4 mac)
r' 8'min. min.
�
Ground rod clamp %gwx` 1 Ground rod clamp ^ n in
Ground rod Limp Ground red CINnp
Ground rod Ground rod
I Ground rod I Ground rod
I
supporting towers and No. 25, 45, and 55 towers
No. 25, 45, 5 3w with tapered pe No. 65 and J towers with ta-
ed
Self su
pp g t with anchor bolts with flat base base pered and D towers with tapered grad base
guyed towers wi
AGK or AGKE
s. Comp No G wire Sirs
840020 area thru ur
s4oc : 9,hadxuL4•
9042 : » enl 1' (ea lrKalhdon detail Be01367)
_ I .
(No. 4 roar.) -., .
NW
Ground rav A
Ground rod
eV
1
15 Form No. 88- 2200-1583
Page 1 of 1
•
0 041CAi'o �
jFC) C
PU BLI NOTICE
y �Q
FEDERAL COMMUNICATIONS COMMISSION
1919 M STREET N.W.
WASHINGTON, D.C. 20554
News media information 202/418 -0500, Fax -On- Demand 202/418 -2830,
Internet http: / /www.fcc.gov or ftp.fcc.gov
April 5, 1996
FCC POLICY FOR HANDLING COMPLAINTS OF INTERFERENCE
TO HOME ELECTRONICS EQUIPMENT
Each year the FCC receives thousands of complaints of interference to televisions, radios, audio
systems, telephones, and other home electronics equipment. In most instances the FCC cannot
resolve the problem because the cause of this interference is the design or construction of these
products and not a violation of any FCC rule.
To help consumers deal with these interference problems, basic information concerning interference
solutions is now available on the Internet through the FCC Compliance and Information Bureau
Home Page. This basic information includes the CIB Interference Handbook and the CIB
Telephone Interference Bulletin. The CIB Interference Handbook includes a list of equipment
manufacturers who provide specific assistance with interference problems. The list also is available
through the Commission's Fax on Demand at 202 -418- 2830. Callers should request document
number 6904.
Involving dealers and manufacturers in the resolution process should give them knowledge of the
problems and provide both the opportunity and incentive to protect their products through customer
service.
At the same time, however, it should be emphasized that the Compliance and Information Bureau
will continue to take appropriate enforcement action where it has been determined that the
interference is caused by violations of the Communications Act or the Commission's rules or
policies.
For further information, contact Compliance and Information Bureau at (TOLL FREE) 1 -888 -CALL
FCC.
- FCC -
http://www.tcc.govictb/Public_Notices/heeel.html 1/29/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP JR� 00
Date Requested 7//2164 AM PM BLD
Location fm qC 544 // Suite MEC
Contact Persons �2c��/ -� _ Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner j c) ELC
( g Wall ELR
F o rn Access:
ndation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:, v � /0Q ��
Slab SIT �A j
Post & Beam
Ext Sheath /Shear G/ S .6,4e6
Int Sheath /Shear (f
Framing
Insulation
Drywall Nailing I, — S 6 s7£ /9C ^J f ee-€0 J»JC.E W . tom,
Firewall
Fire Sprinkler i•lE 7 qz /G-03
Fire Alarm
Susp'd Ceiling f �
Roof GI( ., �A�CZS fad �i/'LuGBTU . C
knpArar
Misc: _ `
Final , SA '
P ASS PART FAIL D C-Q U! eA.0
PLUMBING
Post & Beam
Under Slab ClVe,- . _ I (4. /AA �, - �
Top Out
Water Service " 1 A/ds - tau. pxorJIDE' C.z7P `/` AV Ito l ,
Sanitary Sewer [�
Rain Drains
Final � � //
PASS PART FAIL 41 L , A 1` /V ' -4 '1J3 / - >46
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] able to inspect - no access
ADA
Approach /Sidewalk
Other Date Vii/ Inspector /qt Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
04/05/2000 Activities for Case #: BUP1999 -00444
7:36:41 AM
Assigned Hold Updated ,
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA005 Application received 10/04/1999 BON RECD No Hold DEB 10/11/1999
BUPA010 Permit created 10/11/1999 DEB DONE No Hold DEB 10/11/1999
BUPA020 Check for parcel restrictions 10/11/1999 DEB DONE No Hold DEB 10/11/1999
BUPA030 Plans routed to PE 10/11/1999 DEB DONE No Hold DEB 10/11/1999
BUPA045 Plans appproved by PE 10/12/1999 RDP DONE No Hold RDP 10/12/1999
BUPA050 Apprvd plans routed to DSTs 10/12/1999 RDP DONE No Hold RDP 10/12/1999
BUPA800 Misc. Inspection 10/12/1999 10/12/1999 NOTE No Hold RDP 10/12/1999 Inspect tower in accordance
with approved plans and
engineering.
BUPA870 Final Inspection 10/12/1999 10/12/1999 02/02/2000 RB PASS No Hold AKJ 02/02/2000
BUPA055 DST Post - Review Completed 10/18/1999 BON DONE No Hold BON 10/18/1999
BUPA075 Ready to issue 10/18/1999 BON DONE No Hold BON 10/18/1999
BUPA085 (F) Issue building permit 10/18/1999 BON DONE No Hold BON 10/18/1999
BUPA610 Footing Insp 11/01/1999 11/01/1999 11/01/1999 RB PASS No Hold RB 11/01/1999 As per engineering details.
BUPA950 Case Finaled 02/02/2000 AKJ DONE No Hold AKJ 02/02/2000
Page 1 of 1