Permit r . 1 1
C OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00290
�� DEVELOPMENT SERVICES DATE ISSUED: 7/27/99
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06975 SW SANDBURG ST PARCEL: 2S101 DD -00101
SUBDIVISION: ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
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: 3N . sf N: S: E: W:
OCCUPANCY GRP: U2 TOTAL AREA: 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: 4 Z.t
Remarks: Installation of new antennae array & equipment - The inspections on this project will be completed by Special
Inspection
Owner: Contractor:
WESTERN INVESTMENTS US CONSTRUCTION GROUP INC
2155 BROADWAY 12644 INTERURBAN AVE S
PORTLAND, OR 97232 TUKWILA, WA 98168
Phone: Phone: 206 - 244 -2225
Reg #: LIC 75762
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
PLCK BON 6/30/99 $25.03 99- 316524 Final Inspection
FIRE BON 6/30/99 $15.40 99- 316524
PRMT BON 7/27/99 $38.50 99- 317185 OR/GINA 5PCT BON 7/27/99 $2.70 99- 317185 Total $81.63 L. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
Permitee
Signature: / //f/e `- ILLIAlliir
Issued By: 114A i ,(/t a ' (----
Call 639 -4175 by 7 p.m. for an inspection the next business day
G - S
cl IGARD , commercial Building Permit Application Recd By a
i 31 SW HALL BLVD. Tenant Improvement Date Recd - 3 0 'l
Date to P.E. It
TIGARD, OR 97223 Date to D T 7-1 ;
(503) 639 -4171 Permit # / V IIDZ 0
Print or Type Related MR*
Incomplete or illegible applications will not be accepted Called 9 'R ' —
9 PDK6. e // R . AEr T o,e. ‘ ,7.7 (
Name of Development/Project
Existing Building) New Building ❑
Job Kruse. w... Thy H ;talc,
Address Street Address U Suite Building
69 7s sw ,Z 6.4 yr --�
'v"eS SikZx- et , J,
Data `�
Bldg # City/s to v zip Existing Use of Building or Property:
•I r J CI? Q 17 3 f%'awIMeYC iL' �( � i
Name (3C ct_
Property 1�. ,� uc,$) rm¢r,k" Proposed Use of Building or Property:
Owner Mailing Address Suite
7/ c< a 1 I.-& j Of Stories:
/Stat Zip U Phone
f - � a C7 3 Sq. Ft. Of Project: /
Occupant Nam N` n`
-9r ;0 r6S Occupancy Class(es)
Name N'i4
Contractor US Ci_skt c 1 1 oto L 4 a Type(s) of Construction
Prior to permit Mailing Address Suite I N
issuance, a copy Y / N Will this p roject have a Fire Suppression System?
of all licenses a bOC 1 e. taut, ❑ No ❑
are required if City/State Zip ST
expired in C.O.T. Americans with Disabilities Act (ADA)
database � I r. / 1 fJq / %ZOO' 514 _ eca.$ Valuation X 25% = $ •/ Participation
Oregon Const. Cont. Board Lic.# Exp Da Complete Accessibility Form
7 6 - 76p q W? S Project $
Name /// Valuation t�S� . ab
Architect Plans s R- . uired: See Matrix for number of sets to submit
Mailing Address Suite 4 on back
City/State Zip Phone I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Engineer Name
that plans submitted are in compliance with Oregon State Laws.
k aM e kx j Si.. N is�4 , u of Owner /Agent Date
IP Mailing Address ' V Suite t,
� ito- _ 3' 2 t-- )
laga ',L,,; c..,,- 1 Q.� Contact Person Name Phone
City /State Zip 1 Phone
T be �7aa3 �gy -qo� � . ►\ w �p. l� , PE 5:3 6 �ti -g 017
FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demoli 'on 0
Accessory Structure 0 Foundation Only 0 Alteratio Mapl.#� 6/ p i, M 66 d�
�� td Up
Repair 0 Other 0 Notes:
Description of work: .‘_ a 6t p0 1 ,
Jxt.o O Arenc., 1 . % v„',. s.•t,4 \ TIF:
a2941-4 av Ors -S TX €7.1 bu►
4 075, 03 gei,e,e ,c )
Note: Site Work Permit Application must precede or accompany Building j 4/0 F 5
Permit Application Gr 2
I:\COMNEW I.DOC (DST) 5/98
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COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
poli**0.015400 000006610 (107.100M11§ tittiomnfomptffetyli
4.0P1000401Rg‘00:11010000010:00;00101,110P01i9010010.00tigcgdOli!iii01111:01:1111111111:11
§4004tgrgigittOgiggotongimiiigtgggigigfoloop.)r044100tovo*
After plan revtew approval, Plans Exammer will contact the applicant to request
.adtiitionaE0amsefsi:ftir ditttibutitutpurposeceOprfaemt0000517:eftypinumm::::::
11.111:101
IM01:050:00filretAtEllee. KEY:
Subrrntted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Th Building
NOTES:
II:P*0041(00. #§0. 1§0. :§t§.A4
I: \dsts\forrnsVnatrxcom.doc 10/30/98