The URL can be used to link to this page

Permit w , . _ Alb CITY OF TIGARD BUILDING PERMIT PERMIT I BUP2006 -10050 l n DEVELOPMENT SERVICES DATE ISSUED: 8/2/2006 ^'" ..� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BC-00600 SITE ADDRESS: 12390 SW SCHOLLS FERRY RD ZONING: C - G SUBDIVISION: PP1993 - 057 LOT: 002 JURISDICTION: TIG Project Description: Add antenna to existing monopole. REISSUE: 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: NONE sf N: S: E: W: OCCUPANCY GRP: NONE 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: $ 20,000.00 Owner: Contractor: THOMPSON, DENNIS C AND BARAN TELECOM INC. DAVIDSON, WILLIAM G 2355 INDUSTRIAL PARK BLVD. 12475 SW MAIN ST CUMMINGS, GA 30041 TIGARD, OR 97223 Phone: Contact #: PRI 678 -455 -1158 Reg #: LIC 127341 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/2/2006 $235.30 [TAX] 8% State Surcha 8/2/2006 $18.82 [BUPPLN] Pln Rv 6/28/2006 $152.95 [FLS] FLS Pln Rv 6/28/2006 $18.82 (additional fees not listed here) Total $501.19 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: �y� Permittee Signature: 94' e „ 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. sei .. ... P3,0 Building Permit Applilltie EI �E® FOR oFFlc� USE ONLY City of Tigard t Received Permit No r 13125 SW Hall Blvd , Tigard, OR 97223 JUN 2 7 2006 Plan _ �� v t. `� �V��o,o�6 _ ao Phone 503 639.4171 Fax: 503.598.1960 Plan lan R Review i ' � Date/By 2 Other Permit 503.6 e I I Date Ready / By 1 _/� Internet www. -1-1( runs 1E1 See Attached Checklist for Inspection Line' 39.4175 cl .o 503.6 nus Notified/Method OF TIGA ^^ '� o tifieeto � �� vv � BUILDING DIVISION d/Mhd Supplemental Information S,O Z'''�Z CJ hhk:\ TYPE OF WORK • REQUIRED DATA: I- 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. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑•Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: L </ )/ /4.-.-7 4./ New dwelling area: square feet City /State/ZIP: t,.�`_ //2ie Iz / Garage /carport area: square feet / Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no : Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1 xs /jiRc— O 6 db Indicate the value (rounded to the nearest dollar) of all Q equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Add antenna to EXISTING MONOPOLE Valuation: $$20,000.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ® TENANT Number of stories: Name /� Type of construction: Address: 30 / A/ /// ,,ti., el Occupancy groups: City /State /ZIP: 40.,„-4, FL- 7 1-23Z Existing: Phone: ( )N /A Fax: ( J )N /A New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Faster Permits All contractors and subcontractors are required to be Contact name: Rondi Felton licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: P.O. Box 40047 jurisdiction in which work is being performed. If the City /State /ZIP: Portland, Or 97240 applicant is exempt from licensing, the following reasons apply 235,3© Phone: (503) 320 -1750 Fax: : (503) 296 -2630 Z ��Vt. - /5 YS @ E -mail: rondi @fasterpermits.com • CONTRACTOR R5 _ p��. 8 S 30 Business name: Out to Bid gA4.4,, ✓ -- — ,�'�� -FLe' BUILDING PERMIT FEES* 5 Address: Please refer to fee schedule. City /State /ZIP: Phone: ( ) Fax: ( ) Fees due upon application j7/. 7 7 CCB lie.. / .2'73 Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained 74: within 180 days after it has been accepted as complete. Print name: Rondi Felton, agent Date 6/27/06 * Fee methodology set by Tri- County Building Industry Service Board. I\Bwlding\Permits)BUP- PermitApp doc 12/03 440.4613T(I1 /02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006-10050 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2006 Phone: (503) 639 -4171 �Qp Inspection Requests (24 Hrs.): (503) 639 -4175 �'! I . INSPECTION WORKSHEET FOR DATE: 17171/7006 TIME: 7:00AM PAGE: 70 SITE ADDRESS: 12390 SW •CHOLLS FERRY RD CLASS OF WORK: SUBDIVISION: PP1993 - 057 LOT #: 002 TYPE OF USE: PROJECT NAME: MONOPOLE DESCRIPTION: Add antenna to existing monopole. OWNER: THOMPSON, DENNIS C AND, PHONE #: CONTRACTOR: BARAN TELECOM INC. PHONE #: 678. 455x1158 Inspection Request Scheduled For: Date: 12/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 041367 -01 209 -304 -6424 N Corrections/Comments/Instructions: S I) Ali (Cy ''----- __, -- ----------'-72 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL e ' LL FOR INSPECTION ❑ ADDITION FEE ASSESSED l Inspector: dim Date: Phone #: (503) 718 - 24-2_3 ' _