Permit ,.._ „.... CITY OF TIGARD
4„ DEVELOPMENT SERVICES BUILDING PERMIT
'! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 (Rr� I T # R OF 97 00 5 6
DATE ISSUED: OP/11/97
PARC:=L.: 2E102BD - 026' 0
SITE ADr`r EOO. , _ : 12025 7'4 PACIFIC HWY
SUBDIVIE.TGN • NORTH TICf RDVILLE ADDITION '- Ot:':'O:C C
BLOCK.....--; LOT _ , .. :37 JURICDICTION:TIG
REISSUE: // FLOOR AREAS--------- F;tTERI(-7{ NP�L.L CONSTRUCTION-
CLASS OF WORK.:A S U FIRST • 240 sf N:1HR S:1HR E:1HR W:1HR
T`!P: OF USE...:COM SECOND.... 0 sf PROTECT GPENINGS?---------------
TYPE OF OONST.:5- -1HR ... . 0 sf N: S: E: W:
OCCUPANCY GRP.: B TOTAL------: 240 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 3 BASEMENT.: 0 sf AREA SEP. RATED:
STOR. : 7 HT; 80 ft OARA ^E...: 0 sf OCCU SEP. RATED:
BENT?: MEZZ ?: REQD SETBACKS REQUIRED - - - --
FLOOR LOAD....: 100 p s f LEFT: 0 ft ROUT; 0 ft FIR SPKL : N SMOK OCT.. : N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:N
GEDRMS: 0 BATHS: 0 IMP SURFACE: 240 PRO CORR:N PARKING: 1
VALUE. $ : 60000
R e m at k : Footing, 80 ft. tall cellular communications monopole, fencing, &
- - -- - - - -- ---- - - - - --
?OSEMARIE EMERY ESTATE type amount by date recpt
1= lW PACIFIC HWY PLCK $ 0.00 JMH 01/23/07 57- 269375
TIGARD OR 97223 FIRE $ 0.00 JMH 01/23/97 07- 289376
ERPC $ 40,00 .T:3D 07/24/97 97 - 29750'.i
P #: EROS $ 13.00 JSD 07/24/97 97- 297509
ERPC $ 13.00 JSD 07/24/97 07-- 297502
Contractor: - - - -- -- -- PRMT $ 313.00 JSD 07/24/97 97-297509
COP: COMM III CATIONS INC PLCK $ 203.45
1065 ELM ST FIRE $ 125.20
EPtN .IC SE: EA '7)5125 SPOT $ 15,65 JSD 07/24/97 97- 297509
Phone *- a 596-0300 $ 723.30 TOTAL
Rey it.. : 001035
-- REQUIRED INSPECTIONS --- -- - - --
This persit is issued subject to the regulations contained in the Foot /Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp - _
applicable laws. All work will be done in accordance with Insulation I n s p _
approved plans. This permit will expire if work is not started Gyp Board Insp
within 180 days of issuance, or if work is suspended for more .J
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 CAR 952 - 001-0€10 through CAR 952 - 0€101987. _____
You many obtain a copy of these rules or direct questions to OUNC — -
by calling (503)246 -1987.
Permittee Signature: G rrc! - i - Issued By: i 4_ 1 ,4
++ + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ •+++++++++++++++ + + + + + + + + + + + + + + + + + + +-+• + + + + + + + ++
Call 639 -4175 by 5:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + ++ + + + ++ + + + + ++ ++ + + + + + + + + +++
tYt'OIU Pc /
, , Commercial Byilding Permit Application
• City of Tigard 13125 SW Nall Blvd. Tigard, OR 97223 ! /m 7
(503) 6394171 IV
Jobsite Address: 1 292 5' Sal ?eCI 'C 111.9 OFFICE USE ONLY
Tenant: Suite # 4�c
�D Planck/Rec. # /41 5 d-
Valuation: Sc S ( I� r ��_�ciili Permit #
e
0 � :..'
Planning C
• 2.d �°wl�C1G C� k r I �` Map>l< 2 �� Owner. j � J / C
rr Approvals Required
Address: 1 S W pelG (Tl Gu/y /
�Or
I
Engineering C'�`{ 9(n' CT` :`; .:.;::
Telephone:
Other
U COP l�1UV11 l
Contractor: C� �o(1 S - 14C.
Address: 9 I (00 5Q `V i r i ( I vi k (cz
-d r+1 a4 , 0 R. -9 Type of constr: VAN
Telephone: 5 3— D 0560 Occupancy Class: e=--J
Contractor's License # 10 3 5 Sprinkler? Yes C)
(attach copy of current Oregon license) .
Sq. FL Of Project: N/k
Contact name & telephone: VOrrcw5 . NY
A --
Story (1st, 2nd, etc.):
Architect & Engineer:rrclh5WOdC J COVOI11..0j tC.
Proposed Use:
Address: 10 0 r, rr Par(cLJ y
LAV Awor / D p J TThe3S Previous use:
l`\ ( Note: Plumbing & mechanical plans must
Telephone: 3 - 6 35' 4Z 03 be submitted at time of building permit
application.
A M OA l t 1, {'t(61A ` g Mt 5 5 I ONI���Z 1 ∎J f IUC 511
JOB DESCRIPTION: kI P-`R)UCf C / CCIUS ( Yfl IJFa C 0
k ll. MONOPOLE , TAG 114 , 6t_kkIz P- �tIJG, , Au. 1r 1Cff WI l.(. P
C c rn- u cCT-p r `Tn S IT r .
---- / 3 3 - o2d q _
(Applicant Signature & Telephone Number)
Received by: 9&I. - o /)- Date Received: ? 7 ` i
I. CC!.1PER.DCC :CS !O..%
e'
1
PERMIT Account Description Amount Amt Pd. Balance Due ---) �,
0 7 - 005) Building Permit (BUILD) 31 �-- (5 - '
_OW) Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) l "-- /I 6 H O C
b
Bldg.
Plumb. ?
:heck ('+c
d /�03 +5 / .--49-
Bldg.
Plumb.
Mech.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS)`l J-(J A 3Eq '
• Erosion Cntrl Permit (ERPRMT) 4o V40
Erosion Planck/USA (ERPLAN) I3 ./ f
Erosion Planck/COT (EROSN) 6 V 6 in 1 r_ 6 • •4' TOTALS 3o I . W ,
C `.CCMFER.DCC kOST) 1096 a 7 CJ 3710 dgegliffil7
1 f J �lJ i
p e ,4.,/i -- ).B.19 ,
Page No. 1 CASE HISTORY FOR CASE NO., BUP97 -0056
CORD COMMUNICATIONS, INC
12925 SW PACIFIC HWY
11/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC005 Application received / / / / 01/23/97 THIS APPLICATION WAS RECEIVED AND PASS JMH 02/05/97 J *H
APPROVED TO BE PROCESSED BY DAVID SCOTT
AND JIM F. AS ONE PERMIT.
•
BUPCOO8 Permit created / / / / 02/05/97 THIS PERMIT WAS PREVIOUSLY CREATED AS A PASS JMH 02/05/97 J *H
SITE PERMIT IN ERROR. SITE PERMIT WAS
DELETED.
BUPC010 Check for prcl. restrict. / / / / 02/05/97 MARK HAS ENTERED ONLY ONE CONDITION ON MEMO JMH 02/05/97 J *H
CUP96 -0009 WHICH IS THAT THERE
ARE NO CONDITIONS.
BUPC012 Plans routed to Plans Examiner / / / / 02/05/97 Mark Roberts approved copy of building PLAN JMH 02/05/97 J *H
plans, ok to procede as normal.
Mark Roberts requested copy to make sure
applicant is working as agreed.
BUPCO24 Plans Approved /Routed to DSTs / / /. / 07/15/97 APPR RDP 07/15/97 RDP
BUPCO29 DST Post Review Completed / / / / 07/23/97 Plans reviewed by Mark Roberts and he PASS DRA 07/24/97 DRA
approved them for issuance.
BUPC070 HOLD FOR / / / / 08/13/97 NO INSPECTIONS UNTIL THE SIT97 -0003 HAS HOLD JT 08/13/97 JT
BEEN ISSUED
BUPC075 Hold Release / / / / 09/22/97 Site issued, okay to release per Jeanne PASS JMH 09/23/97 J *H
T.
BUPC090 (F) Ready to issue / / / / 07/24/97 Cord Communications needs to obtain a PASS DRA 07/24/97 DRA
City of Tigard Business Tax as they are
a Tigard based business.
BUPC100 (F) Issue permit / / / / 08/11/97 PASS DRA 08/11/97 DST
BUPC7O5 Foot /Found Insp 02/05/97 / / 09/22/97 & rbar approved PASS TLP 09/23/97 J *H
BUPC763 Reinforced concrete final rept / / / / 10/06/97 Hap recd concrete report that states RECD HAP 09/13/98 J *H
concrete has only reached 3500 psi,
where 5000 psi is specified (must be
reached in 28 days). Report from
Carlson Testing, Inc. See report in
file.
Received report dated 011598. Regarding
Air Touch Cell Site. Form letter not
• specific to test for reinforced
concrete, but approves all inspections.
•
See report in file.
Page No. 2 CASE HISTORY FOR CASE NO.: BUP97 -0056
CORD COMMUNICATIONS, INC
12925 SW PACIFIC HWY
11/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
---- --- -- -- ---- - --
BUPC802 Final Inspection / / / / 01/16/98 CTI test indicates 3000 psi: Break at 28 PASS GS 09/13/98 J *H
days was 4420 - 4570 "'s
Approval subject to verification of
i
final electrical approval.
Check reports, check for 3000 or 5000
psi concrete. Referred to HAP 091398/jh
BUPC960 Case Finaled / / / / 11/06/98 11/06/98 JT