Permit r
C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00219
, DEVELOPMENT H O BMENg Tigard, SERVICES DATE ISSUED: 7/7/2006
PARCEL: 1S135BB-00300
SITE ADDRESS: 10195 SW CASCADE AVE ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Ti adding 16 feet to existing monopole
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: pJ t FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N . 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: 116 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:
PORTLAND GEN ELECTIC CO MANUEL BROS.
121 SW SALMON ST 908 TAYLORVILLE
PORTLAND, OR 97204 GRASS VALLEY, CA 95949
Phone: Contact #: PRI 530 - 272 - 4213
Reg #: LIC 112761
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/19/2006 $235.30
[BUPPLN] Pln Rv 5/19/2006 $152.95
[TAX] 8% State Surcha 5/19/2006 $18.82
Total $407.07
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. f,
Issued By: LLl Permittee Signature: J `- , � r`
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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.
B 1 ,/7 Y' eetSet- cli . 3h/
laint Permit Application �� ` i � _ 1 t,lz: > rl It c =u�1 �i R ti 1 z` 1: i ;
City of Tigard EC E I a� / �. Received : i � / �
V ,1 , Da teiv f 'i _ i I ii�iii'iH m_ �' /„ 00.24 7
13125 SW Hall Blvd., Tigard, OR R2.5 'dr& Plan Revie /n
Phone: 503.639.4171 Fax: 503.598.1960 A *' i, ' I' DateB : , ��� Other Permit:
Inspection Line: 503.639.4175 MAY 1 9 200i , i��- . I Date Read . p Ju.. ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Methodo �O -iU --Wiz- Supplemental Information
CITY OF TIGARD 5 'dY( / 'n r ,
BUITYAECO})IWO'RHN REQUIRED DATA: 1- AND 2- FAMILY DWELLIN :
❑ New construction ❑ Demolition 'ermit fees* are based on the value of the work perfo ed.
I icate the value (rounded to the nearest dollar) o . 1
Addition/alteration/replacement ❑ Other: equ • ment, materials, labor, overhead, and the . . it for the
CATEGORY OF CONSTRUCTION work t • icated on this application.
Valuation: $ 2a•Z) DO • O
❑ 1- and 2- family dwelling %Commercial/industrial
❑ Accessory building ❑ Multi - family Number of b= ooms:
❑ Master builder ❑ Other:
Number of bathro. • s: v./
1 0 1 q5 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:_ ' 1 S\IV tryeack1Z66.141 a • 1Z New dwelling area E. square feet
City /State/ZIP: --T164.402.2:1 t:).g. Garage/carpo . ea: ,17i square feet
Suite/bldg. /apt. no.: Project name: Agee_I mi�, Covered • .rch area: sq : e feet
Cross street/directions to job site: ` 2t ? Dec. , ea: ji square -et
Sp S e..k"ol k r�‘ A , v./ erg Sther structure area: 3 2 square feet
m r 2 kl REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: i
R 203 up s i s S w8 GG 3o D equipment, materials, labor. overhead, and the profit for the
//��
11
DESCRIPTION OF WORK work indicated on this application.
2
C \
L7 - pGA k.1% ce 4 � aL Q V ► W�vNf v�b h Valuation: $ D, ODD
4 1 - Ya _ ) A � � � Gail war Existing building area: square feet
R 11 New building area: 'S square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: -p Type of construction:
Address: Occupancy groups:
City / State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
JK APPLICANT CONTACT PERSON NOTICE
Business name: (4 iziGk.R -+C -r. L.. C. All contractors and subcontractors are required to be
Contact name: 1 TP Lam �� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: S5 D 1 NE to i=3-• e + + ._ A• Z jurisdiction in which work is being performed. If the
City /State/ZIP: VAKtovt7Ve le' R o & o Z applicant is exempt from licensing, the following reasons
® / apply:
Phone: (�g d . s$ZO Fax:: 3bv 32/0. 1 bg3 t Y a36 3a
E -mail: ddb ., 1 Aesop db GasGaA ie„, elm . 4 ottim RAW - 1 5a.96 0 1
CONTRACTOR 7. J ga—. ES 4
Business name: ----11,1 /Intit / 6" O L /!• BUILDING PERMIT *
Address: R 19 T �.,ds(,v Please refer to fee schedule.
City /State/ZIP: )4 Yp , e , .4, � t ! q '/9
Fees due upon application
Phone: ( j 4.1 ( ) Amount receive
CCB lie.: .: , P' �/ / O 6
Date received. � q o& 1 /07,40 7 4.:_. /10
Authorized signature: II, G`1 This permit a plies on expires if a permit is not obtained
t , within 180 days after it has been accepted as complete.
Print name: z st , In u_ (sic, h I Date: ,s. 1 al• ph. * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM/WIOB)
, ® R
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: BUP200&- 00219
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2006
Phone: (503) 639 -4171 A 1fl� ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/2812007 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 10195 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PGE MONOPOLE
DESCRIPTION: TI adding 16 feet to existing monopole
OWNER: PORTLAND GEN ELECTIC CO, PHONE #:
CONTRACTOR: MANUEL BROS. PHONE #: 530-2714213
Inspection Request Scheduled For: Date: 3/2812007 Pour Time:
Code # Inspection Description Confirm # Contact # Me g
2.)9 Final inspection 045537 -01 360- 430 -7810 Y , &\;
Corrections /Comments/ Instructions:
7 1 - . ' S. 10. P z4 - 4'
. ,
x
/ ASS I 'ARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS
n FAIL FA ti L FOR INSPECTION II] ADDITIONAL FEES ASSESSED
Inspector: �/ — Date: , > G6 07 Phone #: (503) 718 -
4W