Permit CITY TIGARD BUILDING PERMIT
V PERMIT #: BUP2006 -10024
.1 4, DEVELOPMENT SERVICES DATE ISSUED: 4/11/2006
^�'� �I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S102DB -00100
SITE ADDRESS: 08840 SW BURNHAM ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: 2nd fI.FIRE DETECTION & ALARM UPGRADE. DUCT DETECTORS.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: 93 BASEMENT: • sf AREA SEP. RATED:
STOR: 2 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: $ 2,500.00
Owner: Contractor:
GTE NORTHWEST INC DTS SYSTEMS, INC
GARY N WILLIAMS 7905 SW NIMBUS AVE
GTE TELEPHONE OPERATIONS BEAVERTON, OR 97008
IRVING, TX 75015
Phone: Contact #: FAX 503 - 643 -6194
PRI 503- 643 -3127
Reg #: LIC 134056
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/4/2006 $72.10
[TAX] 8% State Surcha 4/4/2006 $5.77
[FLS] FLS Pln Rv 4/4/2006 $28.84
Total $106.71
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 By: �� Permittee Signatur _� , �EM
7
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.
Q s tJ co o r 6,hUIf
Fare Protection System l e
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Building Permit Ap i Siron ` FOR' QFFIC;E " ONLY "
Ce of Ti and O d 11n VO11 �O Recei ed ,
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Permit No i � '
13125 SW Hall Blvd., Tigard, OR 9722 OZ /, 1 O f\ I e /' ® is :. I
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Pl an ket'te .
/
Phone: 503.639.4171 Fax: 503.598.19 'i j' Date ,By Date/By: 'ta /� Other Pemnt:
Inspection Line: 503.639.4175 �� 7 _ Date Rea, - , H See Page 2 for
Internet: www.ci.tigard.or.us a Nottiied.Methi�d '" A0 gi - Mil Supplemental Information
/! "D''
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING .
❑ New construction ❑ 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
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1 - and 2-family g ®C ommercial /industrial
❑ Accessory building 1=1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB .SITE INFORMATION AND LOC _ -tTION Total number of floors:
Job site address: 8840 Southwest Burnham New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 Garage/carport area: ' square. feet
Suite/bldg. /apt. no.: Project name: Verizon Tigard Central Office Covered porch area: square feet
Cross street/directions to job site: See Attached Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COAMAIERC AL -USE C.43EC,`ILIST
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
' DESCRIPTION OF WORE ° ' , work indicated on this application.
2 Floor Fire Detection & Alarm System Upgrade. Valuation: $ Q
t C ' �. . _ Existing building area: square feet
1 .1� - New building area: J square feet
0 PROP,ERT1 OWNER ' ❑ TENANT Number of stories:
!�C
Name: Verizon Type of construction: S
Address: 8840 Southwest Brnham
Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing: B ? 3
Phone: ( ) Fax: ( ) New: /
.❑ APPLICANT ❑ CONTACT PERSON - NOTICE
Business name: DTS Systems, Inc. All contractors and subcontractors are required to be
Contact name: Drexel White licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7905 Southwest Nimbus Avenue jurisdiction in which work is being performed. If the
City/ State/ZIP: Beaverton, OR 97008 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 643 -3127 r Fax: : (503) 643 -6194
•
E -mail: dwhite@dtssystemsinc.com E C F I V
C ONTR ACTOR 'MAR • E' • .
Business name: DTS Systems, Inc. 1MMAR 1 R 290 S
B LIILDING PERMIT FEES*
Address: 7905 Southwest Nimbus Avenue ( (= T I C, A R I�
( T Y Please refer to fee schedule.
City/State/ZIP: Beaverton, OR 97008 MILD! N 3 DIVISION
Fees due upon application 1 - I/
Phone:(503)643 -3127 I Fax : (503)643 - 6194
CCB lie.: 134056 /. 68 Amount received /06'. i '
y� `` °jf Date received..;' t ' 'O
Authorized signature: /o p t This permit pticccaaa��� / on expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Merle D. White Jr. Date: 3/ ( C)( * Fee methodology set by Tri- County Building Industry
Service Board.
is \Buldng\Iunuits\FPS- Pe®rtApp.doc 12103 440- 4613T(1 ll07/COM/WEB)
CITY OF `TIGARD
4 BUILDING DIVISION PERMIT #: BLIP2Ot;: iii,;02
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11 I /20(k.
Phone: (503) 639 -4171 Al p� lh�j
Inspection Requests (24 Hrs.): (503) 639 -4175 -1 .
INSPECTION WORKSHEET FOR DATE: (i i /2006 TIME: 7: 03AM PAGE: 63
SITE ADDRESS: 01.41) SW 6tJRN1 ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: /ERIZON
DESCRIPTION: 211,11 f1.9 Rt. 1.):::..1 ON & AI. .A.R M k..IPGRAD".. DUCT DE. rf:CFOR `3.
OWNER: GTE NORTi HW+VS i INC, PHONE #:
CONTRACTOR: [YTS FY S'l'EMS, INC PHONE #: 603 1 fl
Inspection Request Scheduled For: Date: Cu`v: 006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions: 1 CALL— (Z (J p
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ASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(i FAIL C ' LL FO 1 INSPECTION n ADDITIONAL FEES ASSESSED
NW IL
Inspector: A / / � Date: 06 Phone #: (503) 718 - -2 A2--___ .