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6975 SW SANDBURG STREET I i ADDRESS: L2Z57 San&jr42 if is\records\microflm\targets\building.doc it CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Bus-ness Phone: 639-4171 Footing Rain Drain Cover/Service 61�A Foundation Water Line Ceiling Post/Beam Mach. Shear/Sheath Framing -Meth. Plbg.L'nd/Flr/Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp. Bd, San. Sewer Gas Line' Q Q Appr/Sdwlk Reins. Other: . �— - Date: _Ld�1p_'�(_ A.M._ P.M. _ Entry:--------- ._.. i Address: �O [ 7 Tenant:_ __ Ste: - M ( BUP: Con/Own: 9490& MEC:— PLM: ELC: THE FOLLOWOG CCTRRRECTIONS ARE REQUIRED: ELR: Inspector Date: /74 - APPROVEDAL DISAPPROVED/CALL FOR REINSP. CF CO All moo ,. ......-.......-- .....xw-,wr+ert+WOH+u:va+.r..+n, ..., .�r•. - ! F f ,_ ,,,,- „lea .r ;:: K �:_r,, . . .;... �,�. � rt�a'. -.,•. ` CITY OF TIGARU BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone. 639-4171 Footing Rain Drain Cover/Service FPC Foundation Water Line Ceiling -Plumb. Post/Beam Mech Shear/Sheath Framing -Mach. Plbg,Und/Flr/Slab Plbg.Top Out Insulation Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: Date: a � A.M. __.P.M. Entry: Address: Tenant: Ste: 14ST _ -- 1 BLIP: _ Con/Own: _� L` MEC: ,.3ELC:�. THE FOLLO ING CORRECTIONS ARE REQUIRED: ELR: j' q, l ll Inspector: Date i r PPROVED _DISAPPROVED/C OR REIN F CO ri Y t §M1 i ! 1r , Y1 1 lyy.,Ml CITY OF TIGARD BUILDINGS INSP &TION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Meeh. Plbg.Und/Fir/Slab Plbg.Top Out Insulation el ,P_7� Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins i Other: _ _ Date: A M. .M. E try: _ Address: F. _ -- Tenant: BUP: _ Con/Own: MEC: _ M. ��-- µ��y�cQ ELC: THE FOLL�RRECTIONS ARE REQUIRED: ELR: _ )- _ � q � cIV Inspector Date:4C)::- APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO I ...ya r ae„ ...,•r nn un .v W, CITY OF TIGARD s, DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd.,Tlgard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP960430 � DATE ISSUED: 10/11/96 V PARCEL_: 2S 101.DD-00101 s SIZE ADDRESS. . . : 06975 SW SANDBURG ST SUBDIVISYON. . . . : ZONING:C—P BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . . _---------..._--_-----------------------:---__...------------------------------,- —• -------- — yn REISSUE: FLOOR AREAS-------- -- EXTERIOR WALL CONSTRUCTION— CLASS ONSTRUCTION— + CLASS OF' WOR1:. OT FIRST. . . . : 0 sf N: S: E: W: d. TYPE OF USE. . . :COM SECOND. . . : 0 s f PROTECT OPENINGS?----------- TYPE OF CONST. :SN . . . . 0 sf N: S: E: W: p.` OCCUPANCY GRP. :Ur TOTAL_— -- - 0 sf ROOF CONST: FIRE RET? : i OCCUPANCY LOAD: 0 EASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE—. : 0 s f OCCU SEF. RATED: BSMT?: MEZ Z?: REOD SETBACKS--------- REQUIRED------------- ----- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELLINF UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM. HNDICP ACC. n BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 FARO CORR: PARKING: 0 VALUE. $ : 34001 e. Remarks : Clwne r. ----------------------------------•--•--------•--------- FEES ---_ _—-- ------ WF_STON INVESTMENTS type amos.rnt by date r^ecpt 2154 NE BROADWAY #200 PRMT $ 215. 50 JH 07/23/96 96-2:81982 PLCK $ 140. 08 JH 07/2:3/96 96--281982 PORTLAPD OR FIRE $ 86. 20 JH 07/2:3/96 96-281982 Phone if: 284-2147 SPCT $ 10. 78 JH 07/23/96 96-281982 Contract or: TRIAD MECHANICAL INC 2133 N f'RGYLE PORTLAND OR 97217 ____.__.._.__._ _----•---•----•—•—_•---___.___ Phone If: 289-9000 $ 452. 56 TOTAL Reg #. . : 044255 ----- REQUIRED INSPECTIONS ------- This pereit is issued subject to the regulations conte:ned in the framing I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other St ra.rC_t Ura 1 we 1 d i ?pplicable laps. All work will he done in 3crordance with High strength bo approved plans. This nerait will expire if work is not started withia 199 days of issuance, or if work is suspended for sore ____ __�_• than 189 days. _ Pec-mi.ttee 5i t Tssa.Aed By: Call for inspection — 639-4175 7 A 'i._�._ Commercial Building Permit AAAA plication City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: �' �'S -5`^� 5Atiy13y►tfr (Tvics �q. �vx ,��I 1.q 6 S J p Tenant: Sf'VjN I SPi( TQcM 1Suite# PooMice Use Ogly rroP c', C r � Planck/Rec # .I Valuation: _ � 3 �, �� Permit #�� 6�_N30 Owner: ylt Slunl TNKs?OIC J I s - Map & TL #_ - i Address: 15 y NE 13'20t-,b,•j t4 `i SJ1 iCCd)jo Approvals Regr�ired / - -- Planning /, Phone: 3 _-- Engineering Other Contractor: w-I _— Address: Type of const: _ � V"y Occupancy class: _ Phone: _ - Contractor's License # Sprinklered? Yes No_ _ - (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone: SPik tnik SPC CTI Ue-I Story (1st, 2:,d, etc.) fco F IaP r f T�? —lal f — Cr��< <r PZ OlNA9�nl Proposed use: _CCUUCA2J _ / yTCAmm S ArchitectlEn;�ineer: � TKINSi�>L1 Previous ose: C�c�F T OP Address: 2_2z,1— A iA) if �' ti Sly 7 y �J��T L��t O �� Nice: Plumbing & mechanical plans 7 I _ must be submitted at time of Phone: building permit application. � y� 02 7�,✓ -7�O V fI JOB DESCRIPTION: C�CCWLA R nJ rENnlp S r1oc�F to P Mp�l ti r of �r- G'G`�.. - G��PRFSF1ING S{�R(� SJECT�UM 3 �pplic F ignature & Phone number Received b (,) '- Y - Date Received: �6 �iWl�rnrne«'4x,a1 ISN(IIIIi1XC+Rip'�� i1�9G�q�pmxmux�aw>r.:eatgY .kSPtRINMwuvu,,.... . l7M�YWxdCael J Femiit# Account Descrip'lun Amount Amt. Pd. Bal. Due —_ Bldg. Permit BUILD) _ )15. 50 _ Plumb. Permit (PLUMB) Mech. Pem,,it (MECN) State Tax (TAX) �� 7 _ Bldg: Plumb: _ Mech: Plan Check (PLANCK) Bldg: _ Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parl s 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 T.F (TIF-O) Water Quality (WQUAI.) Water Quantity (WQUANT) _ Fire Life Safety (FLS) �• Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (F_ROSN) 1 TOTALS: 7 1 24 1. ,.�. w p Page No. 1 CASE HISTORY FOR CASE WD STIP96 0430 MESTON INVRDTM3174TS 0697; SN SANDBURG ST q 05/07/98 Action Description Rert/ Sclxi/ End/ Action Voteo Diep By Update Upd Cude Sean Dane none Dote By ---- --- ------'"- "' M r�' BUPcao7 Application received / / / / 07/17/96 RBC'D JH 07/26/96 BUN BUPC008 Permit created / / / / 07/26/96 PEND B 07/26/96 BON BUPCOIS Plana routed to Plane Rxaminer / / / / 07/26/96 1p2a PEW) B 07/30/96 DS BUPCOIR Plan Revtew Ltr. to Ofc. SVCW. / / / / 08/02/96 1p2a PUND D8 08/14/96 DS BIIPCO20 Revised Plana Received / / / / 08/06/96 1p2a PEND DS 08/14/96 DS t1UPCO24 Plane Approved/Pouted to DST■ / / / / 08/14/96 1p2a APPR DS 08/14/96 DS � 1 BUPc090 (F) Ready to issue / / / / 08/22/95 PASS JDA 08/22/96 JDA 6p BI1PC100 (F) Issue permit / / / / 10/11/96 PASS B 10/11/96 BON RUPC740 Framing Insp 08/22/96 / / 12/20/96 PASS TLP 12/20/96 TLP 8UPC76R Structural welding final reprt OR/22/96 / / 12/20/96 PASS TLP 12/7.0/96 TLP BOPC769 High strength bolts final rept 08/22/96 / / 12/20/96 PASS TLP 12/20/96 TLP RUPCR02 Final Inspection 08/22/96 / / 12/20/96 PASS TLP 12/20/96 TLP 1 BUPC960 Case FinaleA / / / / 12/20/96 PASS TLP 01/15/97 TLP lly; 9' I. Y: t �Weo� .. .w. - ',.•�q...,,,,,r„r.,q,,,,,y.y,_.��, ..»,pp.n y, ..,.i.- r~ w -s•i, .»n. + '.wry*,.-.+.2-y r , .w..�*»•�,..,.y •• LL.EGTRICAL. PERMIT - �-CITY O\� TIGARD PE1111IT #: ELC9G 0627 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/04/06 13125 SW Hall Blvd.Tigard.Orogor. 97223.8122 (503)839-4171 PARCF_L: Z.,-, 71I DD -211r 1�- 1. SITE ADDRESS. . . : 06 ,75 SW ::PNDSURG ST (� SUB.,)IVISION. . . . : ZONING:C•-P BLOCK. . . . . . . . . . » LOT. . . . . . . . . . . . . . Project Descriptiun: --- Rr'SIVENT:r"L UNIT rC!^R .)PVC/rCCDCRS --- .•• . _.1110CrLLANCOUS..-- 1000 SF nR L.ESS. . . . : 0 200 nmp. . . . . . . . 0 PUmr,/IRRIGATION. . . . : fN EACH ADD' L 500SF'. . . : T 21211 400 ,.amp. . . . . . . : 0 OtGN/OUT LINE I_TG. . , 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANr. 1*4/ SYC/rDR. , : 11 601+amp% - 1000 volts. : 0 MiNOR LABEL ( 10) . . . : 0 ---••-•-SERVICIE/FEEDER----•-_ _._._PRANCM CIRCUITS----_.__-_ -ADD' L INSPECTIONS-- 0 - 2-1710 amp. . . . . . : 1 W/:EpvIC'r OR p`CEP.ER: 5 rr-R INSrECTION. . . . . : 0 ZQJ1 -- 40171 an�p. . . . . . : 41 1st W/0 SRVC OR FDR. : �1 PER HOUR. . . . . . . . . . . : 0 401. 600 amp. . . . . . r. 0 EA ADD' L P-IINCH CIRC: (3, IN PLr+NT. . . . . . . . . . . .. 0 ` 60.1 — 1000 amp. . . . . : Q __.._.___.._-....__.____._._._- CLf1N REVIEW SECTION 1000+ amp/volt. . . . . : t'. > -4 Rr-S UNITS. . . . . . . . : > 00171 VOLT NOMINAL. . l Reconnect only. . . . . : 0 5VC/rDR ) _ '225 r)MPS. . : CLASS AREA/SPCC OCC. . Owner: _ _....... .. _ ..._.. . !_CCS . ._.. ..._.____...._. WESTON INVESTMENTS type almoLrnt by date r-ecpt c:154 NIT DROADWnY #c'00 PRMT 4.. 85. 00 DRO 1.0/04/96 96- 047D,' 5rrT S 4. 25 DRf1 10/04/96 96--2847P-. ^ORTLAND OR 284-2147 , Contract u.,. _._.._._._._ - C PSCPDC C-LECTRICAL WE;:T 11 01). 25 TOTAL 9612, INDUSTRIAL WAY SUITE ,c _ - REQUIRED INS7,PECTIONr, - ..__.._.._... vr1NCClU':rn WA '3(3 l.ec4 ' 1 !7)e) it e Phone 4: 36k'1 4,' 3-59.10 E1erf, 1 f ir.al Qeg 101731 e� a This permit is issued subject to the regulations contained in the Tigard M,,ricipal Code, State of Ore. Specialty Codes and all other '.t r c Ci gnat!ir-P applicable laws. All work will be done in accordance with ^ approved plans. This permit will eMpire if work is not start:^ within 180 days of issuance, or if wi4 is susperded for more __ W than !N days, :_ ,l r,y .. ......_._ .. . _._.._ __..._._.._ . OWN,-P. I N^•i'ALL_r_"l ON ONI_Y.. A The installation is being vade on pr open- y I own which is not i.rtentit-,J fci• I sale, ) ease, ar- rent. OWN!:R' S :3I GNATURE s DATE: -CONTI�:ACTOP. I117TnL.LA7ION ONLY---_.._.._..__..___ ..._._._..__.._ ._ ..... SIGMA' URE OF SUPR. E:LCC' N: DOTCr: L CF.'?V�7E 190: Call for- inspection - 63' 4173 .Mblietl►' 1S�Itf,�ptl�lF? ten."' CITY OF TIGARQ ?' Electrical Pcrmi't Application 131'25 SW HALL BLVD. Rec c 2ys TIGARD OR 97223 Phone i503� 639-41,71 x30.1 Cate :a F ECata-.DST _ •', M Inspection (503) 639-/175 Print or Type Incom lete or ills ible wilt not be aces ted Derr* : r�►CL�9G-OCo7 Fax (503! E64-7297 P 9 P Cued W _ r ---1 4 1. Job Addres:t. d• Cot> to Fee Schedule Below: Name of ICeve cp-tenh 1. r �,C �us,_►,. Number or'nsoections per permit allowed Name(or name of business'. II!'I` Crt-�Lr A0 S. S' Izryi:e Included: Items Cost Sum L Address_ 2 5 S ' y S/,I N�ILCo I ae, Residential-per unit city/state/Zigg-Tk chi ,27 ,^ 1000 sq 't or rss ;'' JJ a F1, J j_ ( Earl,Addi!io-s 5�- sq I or r�t identia n portion tne,erf �_ ,�5 ^J Commercial .. ResC J I Limped Energy' s.5 J0 1 I Each Manurd Pone or Meduipr Dwelling ServiCe o' Feeder 2 S6o Jo Za. Contractor installation only; --- -- 1 (Attach copy of al�urrent licenaev 4b.Servless or Feeders Electrical COntfaCtCr f f* P,� ✓� , r l�icc. Instaliadon a!tera!icn or relocation o Address 9d#0 t:>: rti�' -a _l a. adt� 200 amps or less y ' 201 arca to 4C0 emcs _ StlC.�G 2 StBtm GtJo Zla' �(,3 �1 401 *mos to fico amr-sS"217.GG 2 PnOnQ N . lit: _. _3 �93�' 60' amps to ,noo e,nps S1AO.00 2 Job No - Over 1 000 alba or vGRs S34C.00 — - Ele;c Cont Lice No �-GWuc Exp Date a Raconnact on y --- SeG.co 2 OR State CCt3 Reg. No.Z�2/ _Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No p.p — Installahon,alterat on,or rllac*t on 200 arips or less SSO,OG p g s4 _ 2J1 amps to 400 amps 67:r0 SI nature of Supr Eiec' C.�n .�� __. 401 amps to 600 ampa e100:C 2 2 Over 600 amps to '000 volts, License No of 9 3 Exp.Dale—AO /- ?Y i sea"b^above. Phone No '�&U - K�3 ;;9�J -- 4d.Branch Circuits New,alteration or extens on per panel 2br For owner installations: i ai The fee for orarch errcuits with purchase of service or Pint Ow-e-S Name--- feeder fee, o a r Address--------- Eacti branch s,rcuit 5 55 _ a s 2 b;The fee'or o'*nch circuits —_ Clt _ State Zip without purchase of Phone No — service or feeder f^e. Fry!oranch.;rcuit i The installation is t.eing made on croperty i own which Is r,o: Escn additioral branch circuit— S!.00 _ 2 n Intenced for sale, lease or re—, 4e.Miscellaneous ;Sart/ce or feeder MCI inelUdad) Owners Signature._.------�-- �— Each purrc or im;Von circle cad'sign Cr outli"d IiSnt,,,Ig 3. Plan Review section (if required):* S,gnal crcuittsi or a linueo energy — Panel.allew,cn o•exie^s-on _ MlnbrLobals ;10i � Please check appropriate item and enter fee in secti,� 3 0p r,5R. �C —" d or'nc•e r•.s,ce-i ial u^is one str,.cture af.Each additional insoaClon over Serwce and'eeder 225 z•-ps r more the allowable in ary of Lhe above Sys:ern over 50C vo's ncmi-el I Per i^srenlor — S,S rr —_C assifiea a•ea o•str.cture ccnra'mng sce:41 cc::pa-,:y Pe'he..• as deac•bed in N E C a:le•; i In Fla r t!S 0! _ Suhmit 2 sell of plans with application where any of the above apply. I S. Fees: Not rrquirad for temporary corstniction sarviceg +I 58.E••-er Iota of accve fees 5'Ir Surcha,�e. 35 X:clal eesi T NOTIICF I Subtowl Sb.Ente'26b6 c'Ire Sa for PER-mi S 13ECWE VOID IF:^;04�OR Cf?NSTRt,CTIr;N AJT-fO?IZED IS P a Review if_egu r,a';;Se-3! NOT COMMENCED'All-NIN-SC DAYS CR IF CON;-,RLC-ON CF WORK Subtotal IS SUSPENDED OR ABANDONEC FOR A PERIOD OF 12C DAYS AT ANY TIME AFTER OJORK IS CCtAVENC"cC I 1� Total balance Due Pit,9 AM561tW, . ., w a I s • Page No 1 CABG HISTORY FOR CAFE NO.: RLC96-062' NRSTON INVRBTMIN.'S � 06975 SM SANDBTTRr ST OS/07/9b Req/ Schd/ Rnd/ Actinn Notes Dist' BY Update � Action Deecrlptim Date Ry code Bent Done Dane y�• ------- ------------------------------ -------- -------- - PARE DRA 10/04/96 MA RI.CC001 Appli^-ation received 10/04/96 / / 10/04/96 Pi;,s DRA 10/04/96 OP.A RLCCO03 perrit created 10/04/fb / / 10/04/96 10/04/96 CABS DFA 10/04%96 DRA RLCCS00 (PI Issue permit / / / / ppga 14JR 11/01/96 MJR RLCC730 Vlect'l Service 10/04/96 / / 10/14/96 PASS MAR 11/01/96 MSR pLCCb00 Cape Finaled / / / / 10/30/95 branch circuits not CuWlete 1tl-31-96 called circuits Complete Y Ya I E.A r' 1.i Y. P, i,............ ...................... ............. ..................... ............... .......... r3 CITY OF TIGARD August 13, 1996 r OREGON PSI 12812 NE Manx Street Portland,OR 97230 PERMIT NO: BUP96-0430 OWNER: Sprint Spectrum PROJECT ADDRESS: .W,;S'N Sandburg Road PROJECT DESCRIPTION: Rooftop Cellular TYPES OF SPECIAL INSPECTION: Welding and botting. The owner has notified us that he/she will retain your services to perform Special Inspections in accordance w th the provisions of the State Building Code,permit documents,and special inspection requirements. The owner or the owners agent must also confirm with you that they have authorized you to do the special inspection work. As the regulatory agency,the City requires that you do the following: 1. Submit copies of all inspection reports promptly to the Building Division, architect, engineer, and the contractor. 2. Maintain one copy of each field report at the job site. 3. Submit a final report at the completion of each category of work that you inspect. (See U.B.C.3318 for soils special inspection final report requirements). If you fail to comply with the above requirements,there may be cause for the City to revoke your authority as special inspector for this job. Shop dd you have any questions,please call the Building Division at(503)639-4171. ly, David SCott Building Division f:Nmrft t afx 13125 SMI Hall Blvd., T10ard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -- — I C 014 S, t;31 t1* r.�i1� AUG— 6-96 TUE 14 : 50 GAZL.EY PL014MAN AT"K I NSON P . 02,-03 i i � Plan Review i ;o f 2Lm s 0 � Date J q b _ cl-1.1 ",RD T N Struciural Special Inspections pet spec The owner or alchit*_t or engine*.-of record shall complete Parts 8 & D of this form and then rotum 1110 the Building Division for approvajg!Lgrr to issuance of a building permit. (PlOase note that a separate soils special inspection toren may be required end additional special inspections may be required for t:ontraclor design Items,) Protect Address:8975 SW Sandburg Rd• Tigard, OR 97223 Vroject Name: Kruse Way A.rcSUtect of Record (Firm): Ge2ley, plowmen, Atkinson, Arch. phone No: (503) 274-7800 .� Engineer of Record (Firm): Walker, Diloreto, Younie, inc, phoneNo: (503) 768--3930 The following special inspectians and structural observations Mall be performed according to the State Bulldirva Cotte and the City of Tigard's Municipal Code Chapter 14.06.010. 14.06.040 unless a schedule of inspections is submitted by the Engineer of Record and approved by the Building Division, Ar ty t�\fl ❑ Prestressed Concrete 1 structural Steel 0 Structural Mason I'm . Field Welding 0 Fireproofing Shop Fabrication ,other 8, Indicate the specia' inspector or approved testing agency to perform the ".-.jai Inspections noted In Part A above, Including addresses and phone numbers, Submit names, qualifications and certlfica'.ions of the special inspectors assigned to the project. The speciai inspector or Inspection agency shall submit a final signed report to the Building Division stating that all items requiring special Inspection and testing were fulfilled and roponod and,to the best of hialhor ' knowledge, In conformance with the approved design drawings, specifications, approved change orders and the applicable workmanship provisions of the U.B.C.(see U.B.C. for soils special Inspection final report requirements). Items not In conformance, unresolved Items or any discaepe '9s in inspection coverage (i,o., missed inspections periodic inspections when continuous wa3 required, etc.)shall spec41c11Jiy hemi20d in this report. LS' I'i t t slur �' 's , and 111, 3 311? C. D structural Sit* ObsoNation by Engineer of Record D. The owner hereby agrsss to employ the special inspector,approved testing agency and/or ongineer for the above-noled -9 okiel inspections andlor#iructural observa:iort__ ,_ Signature of Owner ( ✓ iers Representative) Print Name__ 71 0 k� �_.P- n �,, � J.H. Stohr phone No. (S03)238-7050 Firm (IRS C: sultants Inc. Date August 8. 1996 Z11,12A 4Ai Struct,rra; Plans E: r a_t0fVv I �,,,�� SPRINT CELLULAR ANTENNA MOUNT 8975 SW SANBURG,TIGARD CITY OF TIGARD RESPONSE TO STRUCI RA , REDEW LPZA Job No. 96522.052 City No. BUP-96-0430 es AUGUST 6, 1996 j, 1 STEVEN M. N. PLOWMAN, R.A. GAZLEY PLOWMAN ATKINSON, 2701 NW VAUGHN, SUITE 764 PORTLAND OR 97210 FAX(503)274-7803 RE: FIRST PLAN REVIEW SPRINT ROOF TOP CELLULAR ANTENNA, 8975 SW SANBURG RD(A.K.A. KRUSE WAY SITE), TIGARD Linhart Petersen Powers Associates (LPZA) has reviewed the response to our structurally reviewed of construction documents for Sprint cellular roof top antenna mount, to be constructed at 8975 SW Sanburg Rd.,Tigard, Oregon including: • June 14, 1996, plans prepared by Gazley Plowman Atkinson Architects and sealed by Steven M. N. Plowman Oregon Registered Architect. Plan sheets reviewed were sheets: T-1, A-1 through A4. Electrical plan sheets E-I through E-2 were also included but not requested to be reviewed by City of Tigard; j • June, 7, 1996, structural calculations by Walker / Diloreto / Younie, Inc., (WDY), sealed by Robert A. Walker, P.E., Oregon Engineer 6845, eleven sheets; I• August 8,1996 facsimile letter from Gazley Plowman Atkinson Architects, Randy Wiederhold including detail 13/A-4. `VVe have juxtaposed the original LPZA comment line with the architect's response and a status line. INFORMATIONAL CQMMFNI': 1. LPZA Original Comment: The following plan review comments are based on the City of Tigard Building Regulations. For your convenience for building requirements refer to the 1996 Oregon Structural Specialty Code (OSSC) (i.e., 1994 Uniform Building Code as amended by the State of Oregon) and is the code cited unless otherwise noted. ` Status:Informational,RESOLVED, LINHART PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street NE•Salem,OR 97305 (503)371-2212•FAX:(503)371-3853 J mw t l 1-tint Sprint Cellular Antenna 8975 SW Sanburg Rd City of Tigard Tigard Oregon Response to First Review August 6, 1996 Page 2 2. LP2A Original Comment: An exploded or three dimensional diagram of this facility would be heipfui to (lie reader. GENERAL MMENTS• LP2A Original Comment: Group U, Division 2 Occupancy (Equipment Support Frame, ' Equipment Mounting platform and equipment). Type 11-N Construction Base area of structure: 112 square feet. Height: 5 feet. Occupancy load: One. � � t�.lnfttr��iit�l>R{.RESOI VEDA 9 STRU TURAL COMMENL 1. LP2A Original Comment: The construction of the "existing masonry wall" to which this installation is attached is not addressed. Please provide description of the existing wall including: type of masonry units, cell filling. reinforcing, method of attachment to the roofing structure, type of grout and mortar, age, etc. Section 1603.3.1. Architect's response: The construction of the "existing wall" is 6" x 12" x 4" high hollow clay brick constructed after September 1983. Reinforcing, grouting and mortar cannot be determined from visual observation. When the holes for the anchors are drilled the cells are to be inspected for grout. If the cells are not grouted, then grouting will be required (see attached detail 8/A-4). 2 x 12 joists are attached to the 3 x 6 plate of the masonry wall with standard metal hangers. S1�tuas B S�OLVF.� 2. LIP 2A Original Comment: There is no detail or note on the plans specifying the spacing of the anchor bolt holes in the plates for the four legs of the equipment support frame. Engineer's calculations specified 12" o/c. Please provid:d detail or note on the plan. Section 106.3.3.1. Architect's response: We omitted the '@ 12" o.c.' from our ' .,ail by accident. We will submit a new sheet A-4 with detail 8 revised. (See Attached Detail 8/A-4). Status: RESOLVEL) 3. LP2A Original Comment: There are no details of how the heavy equipment cabinets are attached to the equipment platform. Provide details of method of attachment. Section 106.3.3.1. Architect's response: We have added a detail which will be on the reissued sheet A-4. (See attached Detail 13/A-4) LiNHARI' PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street NE • Salem.OR 97305 (503)371-22 •FAX:(503)371-3853 Y^ • 1Mr�[y}yL .... - ....mow ,.. .... . ._ ,. : Sprint Sprint Cellular Antenna 8975 SW Sanburg Rd City of Tigard Tigard Oregon Response to First Review August 6, 1996 i Page 3 � Status; SO VE 4. LP2A Original Commeat: Special inspection forms, identifying the required special inspections for anchor bolting, and welding, shall be submitted. Such forms may be • Obtained from the City of Tigard Building Department. Section 1701. Architect's response: The special inspection forms wiii be submitted separately. � St�uti�El`112I,�y. o WE RECOMMEND TO THE BUILDING OFFICIAL THAT A BUILDING PERMIT BE ISSUED. Respectfully, LINHART ET EN POWERS ASSOCIATES ell _� WALTER M. FRIDAY, P.E. Plans Examiner Enclose Details 8/A•-4 and 13/A-4 ti c: Dave Scott, P.E., Tigard Building Official, FAX (503)684-7297 i f I i I , r' T LINHART PETERSEN POWERS ASSOCIATES �.. 3855_; Wolverine Street NE•Salem,OR 97305 (503)371-2212•FAX:(503)371-3853 } ,p x +; • r ••a ....pry( «�...,�� +tii�,r ti1. A' - ♦/ .►.' v J n ; Sprint Cellular Antenna " Sprint City of Tigard " 8975 SW Sanburg Rd First Review Tigard Oregon August 2, 1996 Page 2 Base area of structure: 112 square feet. Height: 5 feet. Occupancy load: One. 0 STRUCTURAL COMM M iH 1. The construction of the "existing masonry wall" to which this installation is attached is not ad-.:sscd. Please provide description of the existing wall including: type of masonry units, cell filling, reinforcing, method of attachment to the roofing stricture, type of grout and mortar, age, etc. Section 1603.3.1. 2. "There is no detail or nate on the plans specifying the spacing of the anchor bolt holes ; in the plates for the four legs of the equipment support frame. Engineer's calculations specified 12 o/c. Please provided detail or note on the plan. Section 106.3.3.1. 3. "There are no details of how the heavy equipment cabinets are attached to the equipment platform. Provide details of method of attachment. Section 106.3.3.1, 4. Speciai inspection forms, identifying the required special inspections for anchor bolting, and welding, shall be submitted, Such forms may be obtained from the City of Tigard Building Department. Section 1701. THE STRUCTURAL COMPONENTS APPEAR f0 SATISFY THE REQUIREMENTS OF THE OREGON STRUCTURAL SPECIALTY CODE, BUT THE METHOD OF ATTACHMENT OF THC FACILITY TO THE BUILDING AND THE CONNECTION OF THE EQUIPMENT CABINETS TO THE FACILITY ARE NOT DETAILED. WE DO NOT RECOMMEND TO THE BUILDING OFFICIAL THAT A BUILDING PERMIT BE ISSUED UNTIL ADDITIONAL. INFORMATION IS SUPPLIED ANSWERING 'THESE COMMENTS. Respectfully, LINH PE SEN POWERS ASSOCIATES WAI.,TE M. FRI7PE., E. t Plans Examiner c: Dave Scotigard Building Official, FAX (503) 684-7297 LINHART PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street Nr•Salem,OR 97305 (503)371-2212•FAX:(503)371-3853 y 1 � CITY OF TIGARD OREGON May 2, 1996 ��\ Trento Communications Inc. 7160 Hazelfern Road, Suite 100 Tigard, OR 97224 Re: Times Square Building Minor Modification Dear Kevin: This letter is in response to your request for a Minor Modification to the apprr•ved Site Development Review for the property. The Director has approved the modification as proposed. Thank you for your efforts in scaling back the previously proposed monopole structure on "o of the building to the flush mounted antenna array. T,ie proposed ins._.,iation is not visually obtrusive and for this reason, no other planning review is required. 1 Please present a copy of this letter with any request for Building Permits to construct this antenna. Feel free to contact me concerning this information. Sincerely, Mark Roberts, AICP Associate Planner l Ac u rpl nbn a rk_rlbrady.doc c: Correspondence file RECD MAY 0 3 1996' '''1 4 I 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -- -- 'rIw"'f Y. 'r +maouwwrwa+w+am • "'^^ManRMWy i � a p tis��,Vd�r✓t ' r � ik - o�e4 "�'j vri� i t,��, �`. ,p�9��.,- p ,'�� 1,� •�,�wy�1`rf � � 3 i '�� , ;, R }�-�"lrff LY _�L:. 4. t a, rri f ti�+ ., i .`.•f, r, wr _:,fr d,.�.ti `t a u�,; y 41.,E fi 'r' !u. llu N'11y$ y �, :,r :�• �., �. ..n�"P�.•' {`•%+'�`� S.I�d�tN�!'�'i4�tl��'�.i.r, 'bwrv.�Y.�l�++uL*;.N� CERTIF ICPTE CITY OF T OCC UPANC'v ul`RMI1' M. . . . . . . t BUP93--0137 COMMUNITY DEVELOPMENT D1 FAR T DATE. Ie-GUE.Dr 06/14/94 13125 8W Nall 01vd.Tigard,Oregon 97223.811* '(503160- 171 PARCEL t 26101 DD-~00101 r S I T L ADDHE68— a I)L'v"r':, :iW ;A41iDUF1C3 ST SUBDIVISION. . . . rXC)NINf3yC_P_____.._.__.___ . (LASS OF WORK. a AL.T TYPE Or-- USt:- . a COM 1 � OCCUPANCY ORI. t B 1 5 s QCCUPANCY LOAD 0 3 TENANT NAME. . . :GTE. MOB I L_NI::•1 r' ReuaarHsr Hdd rciof -tall E4iit0'nnele, rcmulle1 int . clffieel Ater & add aaechain�c:ail pq'.1iP. ` OTE: MOBILNET 1'5115 t3W SEQUOIA PKWY PORTLAND OR Phone Mr 260-•E565 i 1. L. SrHOMMFR & SONS, INC . i429 NE SANDY E'IL.V�ID t 41RT'L.AND OR 9i072-195)9 �'honG Isla 1 I?eg #. . s 04937 rlrrupiancy of the above refere.riCed bl-iildinp is hereby given, and c::er'tifies the uamplianc^e with the Stene (if C7r-ergon Specialty Codas for- the group, ,tcc^upalnr.y, anci kise under which the referenced permit war, is sued. _._._._.._.. ../ - I N,QU ` O INSPF_LTUR aU 1. G AFF IC:IAL ` POST IN CONSPICUOUS PLACE i •' r i i 1 f I .n.p...r .... ..---.•nlTtl;cyeW"1kM;'WIAkBnXW..N.W.u.....n,••.. K-.. � IW.:hvT YG'Y I -.vn:aWwNn... .-.....,, ..+... MMN •µ'•rt:Yn'•1„r.tl+1n4.WRiW 4.:'p-::.l:Mn9!61'NV6YYE'.!MI[h17f+.”+M1`# .... ,• : '1 4 'p � '14r" "}"', �. 6-...�.. -,..�.„ �..y.. �,...... .,.,fop,. ,.. .,, .. • �,,, y. N, ,� , ..�.., � ,.r +y,,,., r, 1 c msPFLg-T ROTI CL City of Tigard NaalldLoq Dopa[ 1212S M Sall Sled_ 'Tigard, Oregon Iaepoction Line (Roo-0/-�Phona)i 639-1175 Business n )4-- ti�l'7I Inspections Footing Plbg. gnderslab Mach. Rough-in Appr/Sdwik • Found. Plbg. Top Out gas Line FINALt _ Post./Seam 8truct. San. Bower Framing -Bld 9• Post/Beam Mech. Rain Drain Insulation -Plumb. Plhq. Undsr floc t Nater Line gyp. ad. -Hoch. Dicta Raquentwd: L_..LJ.9/ Tlmis Am _____PM Adclrens:—!„Q�1_yL /—yl z i,p Per _ / 3- Q� I Bulldsrs (� //C�/r��r (Ln -�)d _ �J t� THE FOLLOWING OORRECT10148 ARE REQUIRED: �3 /Q _._. QST lf, CLQ 4 y V Inspectors---- -----��_— Dater. hPOVED DISAPPROVED APPROIBD 91JBJECT TO ABOVE — -Call For Rainsp. 1i H t ,kN!. L M.t! TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4735 S.W. Griffith Drive• P.O. Box x755 + Beaverton, OR 97076• (503)52G-:A 9• FAX 526-2538 _ .September 16, 1993 Moffatt Nichol & Bonney, Inc 1845 N.E. couch street Portland, Oregon 97232 Re: GTE Mobilnet 6975 S.W. Sandburg 6090D-102-012 i Gentlemen: This is a Fire and Life Safety Plan Review and is based on the 1991 .editions of the Uniform Fire Code (UFC) and those sections of the Uniform Building Code (UBC) and Uniform Mechanical Code (UMC) specifically referencinq the fire department, and other local ordinances and regO at.ions. Plans are conditionally approved subject to Tigarc: Building i Department requirements and the following items: 1 . The tenant .space number must be prominently displayed on the street front where it is readily visible to drivers and officers of responding fire apparatus and other emergency vehicles. UFC Sec. 10 .208 4 2 . Not less than one (1) approved fire extinguisher(s) with a rating of not less than (*) shall be provided for each (**) square foot of floor area or fraction thereof. The travel distance to an extinguisher from any portion of the building_ , shall not exceed 75 feet . UFC Sec. 10.303 (*) 2A10B:C - Light and Ordinary Hazard 4AlOB:C - Extra Hazard (**) 3, 000 - Light Hazard 1,500 - Ordinary Hazard 1, 000 - Extra Hazard "Warklax"Smoke tktectors Save Lives _ per;.'*tin'E,�«rr#17Aa?+YNY�'��SY�k#�a��'•�I�SPi►ui. _ i . S}•iva nr•��-+M "v..w. qnr y,. .r•M....-y,w.. •,w• •yIv'° W M 7rT s i I Moffatt Nichol & Bonney, Inc September 16, 1993 Page 2 • Note: Where flammable or combustible liquids are used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association .Standard 10-1 . Approval of submitted plans is not an approval of omissions or oversights by this office or of non-compliance with any applicable regulations of local government . If I can be of any further assistance to you, please feel free to contact me at .526-246.9. Sincerely, I 1 Bradley N. Wanamaker Deputy Fire Marshal BNW:kw cc: Tigard Building Department t x I I ��. � R-�r',1• �-••n.n,.,�•r+1"s•--57A ,..rn, •,n ....* ,..,� �v vn+.• �+y�1c. ,�,•''�,�MM' "'.. TUALATIN VALLEY FIRE & RESCUE AND ~ ` BEAVERTON FIFE DEPARTMENT I� —FIRE MARSHALLS OFFI(:E (503) 526-2469 POSTED: A OCCUPANT CONTRACTOR —_ _—_ BLDG, PERMIT II _ PROJECT NAME PLAN REVIEW It LOCATION �� ! !'� f �[1,J U�'� _ R• JURISDICTION: 1= Be. C r4( T�. 5= Tu. 6= Slt. 7= Wi. 8= CC 9= WC 0= MC COVER FINAL SP CIA FOLLOW-UP/REINSPECTION ATTEMPTED FINAL y El Framing El Separation Walls �� Sprinkler System Cl Fire Dampers (Overhead/Underground) Alarm Sy�ateA Hood' Extng Systems Conference 'Sprax,_Beo h El Ceiling Cover Other s' a r I I i_ R q'. tai Dates r 1 Inspector: I Cirf OF 171GARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tlp&rd,Oregon 1)7273.611)1) (503)631).4171 '2 6 e r. f �a I (f( 1 1 + r s 4.. jjJ CITY 0"I' TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Mall HNd.Tlgaid,Oregon 97223.6199 (503)639.4171 1 • • 1 I t �1 13155 W IWI Ilhd PLNCK/RECT 1 CITYOF TI GA RD T�omsm 972D PFR11IT COMMUNITY DEVELOPMENT DEPARTMENT (503)639-4171 DATE ISSUED JOB ADDRESS: bU�5'�U • O _ TAX MAP/LOT t,w SUB: LOT: LAND USE: Ry lie I JE _ VALUA is OWNER SPECIAL NOTES NAME: j6F:.�, _ REISSUE OF: - ADDRESS: J 11 LAST REISSUE: Dn�, FLOOD PLAIN/ PHONE: SENSITIVE SENSITIVE LAND: I CONTRACTOR APPROVALS REQUIRED I ' NAME: PLANNING: ADDRESS: _ ,_ ENGINEcRING: FIRE DEPT: PHONE: .--- ___-- OTHER: b�J/F - 4 CONTR. BOARD N: —. --___ EXP DATE: I ITEMS REQUIRED SUBCONTRACTORS: PLUMB: � _ LIST/SUCCONTRACTORS: MECH: '— � 1Le�_— _ BUS TAX: — -- ARCH ENGINEER CALCULATIONS: NAME: MCfffE !Cfk , TRUSS DETAILS: ADDRESS: A&& OTHER: PHONE: —L.�� —^-� �_�'L" _ PROPOSED BLDG. USE: COMMENTS: v_�}� �F-6 re. �5� `cv, F'f% I 444u4m- Z!nT4SMG_NAA1 RE _,,.eived By: -- t� z -- Date Received: • �•r{ r "dr, et r t ,r yL 'r r t j PERMIT # DCCT # DESCRIPTION AM£1UNT AMOUNT PD. BAL. DUE BUSI S f 10-432 00 (3uilding Permit Fees L979: 7rS�' 10-431 00 Plumbing Permit Fees 0/ 10-431 10-431 O1 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building Plumbing Mechanical P 10-433 00 Plans Check Fee Building --_� Plumbing Mechanical 10-230 06 Fire 30-2.02 00 Sewer Connection _ 30-444 00 Sewer Inspection _ 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit. TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Bev Chrg (SSDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) _ !, i TOTAL 2-3 aQ -7r nm/3587P.WPF tr; 4 •� 1R y *�1;,•'li utf `'..1WM�I+f AwV�r.ti.tn. e toe go. I CASE HISTORY FOR CA.99 No.: HUP93-0137 OTR MOBILNRT 06975 SW SANDBURO ST 09/07/91 Action DOSOVirtiOO Req/ Schd/ Rnd/ Action Notes Disp By Update Upd Code Bent Dane Dane Date By - -- --- -------- --- ---- --------- -------------------- ........ -------- BUPC007 Application rezeived / / / / 07/02/93 JF 07/14/93 MAD • BUPCOIO Plan check deposit paid / / / / 07/0:/93 JF 07/14/93 MAB ` SUPCO20 Flan check by / / / / 07/14/93 APPR. MB 07/14/f3 MAB SUPC040 Check for prcl. restrict. / / / / 07/02/93 NTIF VRG 07/14/93 MAD BUPC100 (P) Issue permit / / / / 00/09/93 POAS JLH 08/09/93 JH BUYC740 Freeing Insp / / / / O6/14/94 PASS TLP 06/15/94 TLP BUPC799 Final Inspection / / / / 06/14/94 PASS TL? 06/15/94 TLP BUPCgS0 (P) Isrue Cert. of Occupancy / / / / 06/14/94 PASS SRN 06/23/94 SN BUPC960 Case Finaled / / / / 06/15/94 PASS TLP 06/15/94 'TLP i k I b_ y - 'h" 1`m ♦� .. °,�� ..-ry�t...� ,..mss,.. p ..�sn .. ».. .. q:. / sur�-rr►.,N A �sr lilt G ,�•. I Foul F mvwl i 075 sw "SOCMI 5a�rr 1� '•�, f 4 I , y .. �, 7. .,�..r•.n• ^ti Mr.-q.w.�„M�"'r*a...royo. y�,�gl•w^an r:. �,v er ..yw �r,. .•w�WMI^ ,7f"` r ti1N"�`i"*"My 1. , DEPARTMENT OF LAND USE d,TRANSPORTATION t WASHINGTON TON LAND DEVELOPMENT SERVICES DIVISION NY/9�7 ��I 155 NORTH FIRST,HILLSBORO,OR 97124 r. C 1 IN'TY1 INSPECTIONREOIJESTS: 503/MU-3501/693-4415 OREGON XXXXXXXXX---> 640-3470 1 t Mage : 1 of I Date 02/15/95 Time 12159 Permit 'Type : CotwnerciiL Electrical Permit Permit # 05U63621 i' Permit Status APPROVE:L, Applied 02/03/95 Situs Address 6975 SW 6ANUBURG ST 'T1 Issued 02/03/95 Permit 'Title TIGARD TIME.) Completed Permit Uescr, : JUH 54508 SERVICE,/b CIRCUITS 'to Expire 08/02/95 Project 'Title 'TIGARD TIMES Project # P0047342 Project Uescr. JULY 54508 SERVICE/5 CIRCUITS * EROSION Parcel Number 261TI - Land Use District + valuation U Legal Uescr. UWner : INSPECTION - 'TIGARD Construction U'TH Applicant Name FRAHLER ELECTRIC Classification 900 Applicant Addr. i 11860 SW GREENBURG RU Occupancy TIGARD, OR 9722.3 Validated by PH Applicant Phone: 639-4627 Inspector Area k'ee description Units Fee/Unit Ext fee Data Service/Feeder: 2UU amps or less 1 60 . 00 6U , 0G Each branch W/ Feeder [Enter #J 5 5 . 00 25 , 00 Subtotal Electrical tees : 85 . 00 State Surcharge of h% 4 , 25 'total Electrical tees : 89 , 25 *** Fees hequired *** *** Fees Collected & Credits *** I ---------------------------- ---------------------------------------------- Method Check # Receipt No. Date Payment ! CK 2009U 02/15/95 89. 25 TUTAL THIS VATS *** *,r*** 89 . 25 i tees : 89 , 2ti ! Adjustments : . 00 'Total Credits : , OU 'Total Fees : 69 . '25 'Total Payments : 89 . 25 Balance Due: , UU 1 NOTICE: This permit beromes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit baromes null and void If construction Is Interrupted for a period of 180 days. 1 certify that the InformaCon presented by the applicant and his agent or agents In support of this permh is into and correct to the best of ow knowledge. I acknowledge that the Building Department's rellence upon false and misleading information may Invalidate this permit. All provisions of applicable laws and ordinances governing the constriction and use of this building or structure will be compiled with whether or not specined on the plana or noted on the dans correction shoots. I acknowledge:hot the granting of a permit done not grant authority to access private property or to use easoments. I further acknowledge that the use or occupsn„y of the structure or building permitted depends upon my calllog for inspections at various times during the proross of construction and the bul:ding Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department In solely at the risk of the applicant and such use or occupancy Is revncahie until all Inspection requirements are satisfied and Approval Is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is Issued specifying that the ties or occupancy of the building or structure Is pmvisional and revocable until the satisfaction of all Inspection requirements. I APPUCAWT'S SIOMATURE .� : �. 4 A, .. .. _ _ .+a'ar�ri��ItiY''•WN.s`y+:ifiilliYY l•✓�r. TEMPORARY _-_ 2/6/95 - 2/ 12/ 95 WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Q�' Electrical Inspection Section APPLICATION�y P R LI C AT I O N 155 North Fiiat Avenue, "350-12 Hillsboro, Oregon 97124 Inform.ition: (503)640,7470 Fax: (503) 693-4412 permit -6 (oar / PRINTPLEASE 1. Number �S � _ Date Please ' ' ' 4. Complete Fee Schedule below 1. Location of Installation Number of Inspections par permit allowed 1 Address b975 S.W. SANDBURG ROAD Service Included: Items Cost(ea.) Sum Building A. Residential-per unit City T I GARD Suite o. A - 1 cxlo sq,n.or loss _ $110.00 _ 4 Tenant NamoT I G A R D TIMES Each additional 500 sq.n (K commercial) __. or portion the.oof ___ $25.00 Umiled Energy _-- $25.00 1 Map No. Tax Lot Eech Manuf'd Name or Modular Dwelling Service or^seder 568.00 -- 2 Thomas Map Book: Page:_ Section:_ _ Directions__. ____ — B. Services or Feeders — Installation,alteratinna or relc-nticT 200 amps or less 560.00 60 - 00 2 commercial [X] Resideatial❑ 201 gimps to 400 amps $80.00 2 401 amps to 600 amps _^ $120.On 2 2a. Contractor Installation onl : sol amps to looc amps $180.00 z Y Ovor 1000 amps or volts _ $340.00 � Electrical contractor F R A II L E R ELECTRI C Reconnect only $50.00 2 Address 1 1 8 6 0 SW GREENBURG TbTF— city State ZIP_ 9 z 3 C. Temporary Services or Feeders Date_�:L�L4i_ ___ Job Number _ 5 0 Installation,alteration or relocation Property Owner 200 amps or less $5000 2 Contractor's License No. 3 4- 13 C 201 amps to 400 amps $75.00 _ 2 Contractor's Board Reg. No. 14 1 0 -- 401 amps to 600 amps $100.00 2 g Over 600 amps to 1000 volts is,-a'ri'above ,Signature of Supr. Elec'n 4 a A''- D. Branch Circuits ,I License No._1 B 1 ti ___ Phone No. Nem alteration or extension per panel e) The fee for branch;ircuits with 2b. For owner Installations:_ purchase or service or feeler fee. $!5.0025 . 00 2 r r_ _ Eech branch circuit Print Ow-r Wnnme b) The fee fol branch circuits without purchase of service or feeder fee. First branch circuit __ $35.00 _ _ 2 Each add'nl branch circuit $5.00 2 --�— -- -��,,e —�-— E. M'iscellancorjs (Service or Feeder not included) Each pump or irrigation circle $40.00 2 The installation is being made on property 1 own Each sign or outfine'ighting __. $40.00 ,_ __ 2 which is not intended for sale, lease or rent. Signal eimdt(s)or a limited energy panrl,alteration Owner's Signature or extenslon $40.00 _ 2 F. Each. additional Inspection over the allowable �- In any of the athove �. Man Review section (if required) Per inspection $35.00 Per hour _ $55.00 Please check appropriate Item and enter fee In section 58. In Plant $53.00 4 or more residenti..l units in one structure S, Fees `Service and feeder, 800 amps or more System over 600 volts n,)mina) A. Enter total of above fees8 5 . 0 0 _ Classified area or structure containing special 5% Surchargr, 05 X total fees) $ _ 4 . 2 5 occupancy as described in N.E.C. Chapter 5 Subtotal $ B. Enter 25% of line A for Submit 2 sets of plans with application wt,ere any of the Flan Review if required (Section 3) $ - above apply. Not required for temporary construction Subtotal $ services. ❑ Trltst Account $ Balance Due $ 8 9 .2 5 For inspections call This permit bscrmss null and vold N the work authorhed by the permN Is not oonrmsnoed 646-3561 or 693-4415 within 1100 drys tram date of leauento at such perm"a N tt.s work autfwrhed Is -uspendsd or abandened at any time aftrr work In commenosd for a perlod of 161 days. 24-hour recorder, one working day In advanct of need F.krcfrlcel Permits are non-rafunlable and non-tranefsrsble. I 8194 I V.. .a p Uq ow TUALATIN VALLEY FIRE & RESCUE? 1 "P-N n AND EAVERTON FIRE DEPARTMENT s FIRE NIARShALS OFFICE (503; 526-2469 POSTED: OCCJPp.NT CONTRACTOR -- "1 i� Y h R.L)ri it, s -� Y'ai i TBLDG. PE'RMIT 16 y PROJECT NAME L. ��/'� >Y; Y +� - PLAN REVIEW 0 LOCATION �� Y -` r cJ (S) JURISDICTION: 1= Be. 2= Du. 3= K.C.(` 4!y- 5= Tu. 6= Sh, 7= Wi. A- CC 9= WC 0= MC COVER FINAL < SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL I LI Framing Separation Walls Sprinkler System ❑ Sha,:t El Fire Dampers (Overhead Underground) ('.Alarm System) Hood' Extng Systems ❑ Conferences' I�Q`IUi Spray Booth Ceiling Cover u Other .r i Datpt_ � rl - �� Inspector: ) 4; x" P.