Permit CITY OF TIGARD BUILDING PERMIT
III I COMMUNITY DEVELOPMENT Permit#: BUP2013-00261
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2014
T[Ur'RC5 Parcel: 2S101DD00101
Jurisdiction: Tigard
Site address: 6975 SW SANDBURG ST
Project: Verizon Wireless Subdivision: TECH CENTER BUSINESS PARK Lot: C
Project Description: Upgrade of existing rooftop antennas
Contractor: M&A CONTRACTING INC Owner: WESTON INVESTMENT CO LLC
1366 LEE ST SE 2154 NE BROADWAY, STE 200
SALEM,OR 97302 PORTLAND, OR 97232
PHONE: 503-581-6125 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions.Alterations. 03/03/2014 $256.22
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/03/2014 $30.75
Dwelling Units: 0 Plan Review 10/24/2013 $166.54
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/03/2014 $5.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $458.51
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1. 00.332.2344.
Issued Br/Air-
y Permittee Signature:
("),Ze•
9.4175 by 7:00 a.m.for the next available inspection date.
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.
Building Permit Application
Commercial RECP'!ijgr' FOR OFFICE USE ONLY
City of Tigard .-. .. Received
`� g DateB O� Permit No.: /L /,40 ti40•I
q 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 2 4 2 U i J Plan Review�J �
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
T 1 G A RD Inspection Line: 503.639.4175 CITY Q�TIGARQ Date Ready :y: /r / �,,�, A Juris VI See Page 2 for
Internet: www.tigard-or.gov t�I�DI I Notified/Method.!! �� Supplemental Information
NG D:UI / �,t f J-f�1 .
"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 CONSTRUCTiO.
work indicated on this application.
❑ 1-and 2- mily dwelling ,Commercial/industrial Valuation: $ 12/
�� —
fa❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other:
Number of bathrooms:
JOB SITE 1,INFORMATION AND 1LOCATION Total number of floors:
Job site address: (917s. W S J-4.4 bud 5-- New dwelling area: square feet
City/State/ZIP: 'rI� 04, b12 c, a2 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 3) !f `• 17,(4,14"I 3. Covered porch area: square feet
Cross street/directions to job site: Set /IGk f Deck area: square feet
Other structure area: square feet
y d
3$ k tE 01:;t);44,4,-p 3 7 �6 :, M.
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 WORK I work indicated on this application.
Valuation: $
0441,E 44 66J
tM a t s . tv1% /zfJ (o z4 ' vlr
Existing building area: square feet
'PAC( ri I l rail o f I 70/144
New building area: square feet
❑ PROPERTY OWNER TENANT � ) Number of stories:
Name: VC/:- (I+/L ILA f (vi) d/6/fe Viii Z!�'1 Wulf!✓f Type of construction:
Address: Six N rz ill N? I/ Occupancy groups:
City/State/ZIP: (A/i-lG,,, , 0re 5-2,13 0 Existing:
Phone:(SOT -31b. -r121 Fax:( ) New:
❑ APPLICANT T A.CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: 10- "Ti„//,eiI Structural plan review tee(or deposit):
Contact name: J tv-. . (A 3 'VI
Address: 9si y5 /1, �j FLS plan review fee(if applicable):
Jh Total fees due upon application:
City/State/ZIP: 6,11,.. (,,,v1...,Cl- SS 7 S7 Sy
Phone:(q((, ) a (.1— Alf 07 Fax::( ) Amount received: ��I-
E-mail: s.3 c lQw atria I.!. L O/�, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Submit two(2)sets of roof plan with connectio• • ails
and fire departmen ' cess,along with •- I 0 Oregon
Address: _ Solar Installation Spec:. - Cs.- ecklist.
City/State/ZIP: Permit fee(inclul_ • -view $180.00
ana .•
Phone:( ) Fax:( ) State s arge(12%of permit fee): $21.60
CCB lic.: G-174-6, '�� k f Lc otal fee due upon application: $201.60
Authorized signature: k!
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: >‘.. 4 s .r f Date: i / !Vl J i 7 * Fee methodology set by Tri-County Building Industry
�' / Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6975 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2014-03-20 00:00:00
BUP2013-00261
PASS - No C of O
Violation Summary:
Inspector Contractor