Permit A - 'CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00250
i11 DEVELOPMENT SERVICES DATE ISSUED: 7/14/2006
k 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135BB-00300
SITE ADDRESS: 10195 SW CASCADE AVE ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Work on site pad, equipment cabinets, antennas relocate.
REISSUE:, �� FLOOR AREAS EXTERIOR'WALL CONSTRUCTION
CLASS OF WORK: u FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: 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: $ 15,000.00
Owner: Contractor:
PORTLAND GEN ELECTIC CO WIRELESS FACILITIES INC.
121 SW SALMON ST 1840 MICHAEL FARADAY DR.
PORTLAND, OR 97204 STE 200
' RESTON, VA 20190
Phone: Contact #: PRI 703- 904 -7400
Reg #: LIC 145637
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/10/2005 $187.30
[TAX] 8% State Surcha 6/10/2005 $14.98
[BUPPLN] Pln Rv 6/10/2005 $121.75
[FLS] FLS Pln Rv 6/10/2005 $74.92
Total $398.95 •
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: Permittee Signature:
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.
iotpS sw Ceesror dif wee,
Building Permit Applicai3 C FOR OFFICE USE ONLY
Ci ty f Tigard r,(I Receive. / P No.: / „dm
1312 SW Hall Blvd., Tigard, OR 97223 ! i Date /B �� 7 , / // ��� ?I
P> Plan Revd/
Phone: 503.639.4171 Fax: 503.598.1960 �'i D Date/By Other Perrrut.
Inspecti Line: 503.639.4175 � O , ;; r- e , Date Rea.) :y: i 1 lure.: ® See Attached Checklist for
Intern : ww.ci�. gard.or.us C 1 y - 3 , x ( Noti t -- u) L Supplemental Information ,3 c- AIN
5 TYPE OF WORK r REQUIRED DATA: 1- 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
K Additionialterationfreplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,.
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling 1 .Commercial1industrial Valuation: $ C.
❑ Accessory building ❑ Multi- family Number of bedrooms: •
❑ Master builder ❑ Other: Number of bathrooms: r
C '
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: iga 5lN 0 iA A C a (1.. Bl va . New dwelling area: square feet
City /State /ZIP: - u et . 0 l e Garage/carport area: square feet
Suite/bldg. /apt. no.: J Project name: iZ Covered porch area: square feet
Cross street/directions to job site: S 1,1 el Is c- cY\A . ' . D ac. c A-P t i lad , Deck area: square feet 7
'` CD but t&41 e'r t PO a .-k O, Yj)1L 1 J4 fn 1; � (� Other structure area: square feet
)C`r1 &ti Sf In t) t tS On Ca so ad 4�1 u(5 , REQUIRED DATA: COMMERCIAL -USE CHECKLIS
11
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. t)
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 _ work indicated on this application.
To (e -piAe ( bnc C k pQ� 6LS/I t 6- } ri CCA c( � ( �I � Valuation: $ i�` Q 0
, 1 1n-1 P, t,1. i- NI t rl are A 1 0 re.l U C (LB' Existing building area: square feet
an kyl oar) f rDcc\ (Le()r c . 5z1 4-o 1 Cr ') Yyorwir e New building area: square feet
❑ PROPERTY OWNER I ,k TENANT Number of stories:
Name: 'Je (i iicJt . I &i tl(e.I e y 1._.7 Type of construction:
Address: 5- tE i . ►'t ct (A—/r._ Occupancy groups: s
City / State/ZIP: t .Nu.eld biz_ q Poo Existing: c o
Phone: ( r > 7 7 ) i a..1 Fax: ( `I I Y New: -
pit APPLICANT [CONTACT PERSON NOTICE
Business name: 1 I 7 I 1 rde 55 _ All contractors and subcontractors are required to be
Contact name: A�Q., k i t
#'ctrl , L k S 11 I, � f �( a licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: I.4L ,4 6 31,L) r bl,,r- 6 0 ,3 t jurisdiction in which work is being performed. If the
City /State/ZIP: .?6f-1 a1tA 1 D� 9 1 '� I applicant is exempt from licensing, the following reasons _�
�j 4 ��l 60.5_514 apply:
Phone: ( 5 J 9_g-Lo .6 4 t, Fax: (5..a 5,--b
k
E -mail: (eaCH . f e de i r1 C.k-5 @ f,.3Pl YI2T . 0 brYTh
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C CTOR •
Business name: v �( ' N L 7 "wa" ^ l BUILDING PERMIT FEES*
!
Address: 1 (MI ' , S / •,� Please refer to fee schedule.
City / State/ZIP: Y-, A- . Fees due upon application
Phone //j 703 . 90.' 7-4e Amount received
r r _i
CCB lip• /1
,--;.„_-d„ I , Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
ail Print nameiv l 1 ` � Date: V), I (05 * Fee methodology set by Tri- County Building Industry
C l l Service Board.
is \ Building \Permits\ I4U1'-1'ermitApp.doc 12/113 44()- 4(13T(1I /o2 /CON1/WI :B)
Wireless Facilities, Inc.
4445 SW Barbur Blvd
Suite 101
Portland, OR 97239 USA
January 10, 2006
Mr. Gary Lampella
City of Tigard — Building Official
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Extension request permit number BUP2005 -00250
Dear Mr. Lampella,
Please accept this written request for a one time extension of building permit number
BUP2005 -00250 (applied for by Wireless Facilities, Inc. for a Verzion Wireless
collocation at the PGE Progress Sub Station). As mentioned in recent correspondence,
based on a number of variables we were unable to begin construction prior to the end of
2005. We intend on constructing this site in the near future and would sincerely
appreciate a 180 day extension.
Thank you very much for your consideration of this request and please feel free to
contact me directly at 503- 957 -5745 or 503- 226 -2514 with any questions or concerns.
Sincerely,
-Q afr1 -QC c--
Leah Fredericks
Wireless Facilities, Inc.
Site Acquisition Specialist — Verizon Wireless
/' e + S G ! r b—t 1 $ u t d f' f.JOr-k C �*1 vY'ia�t e,tC ec/ � J
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CITY�:GF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00250
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/5/2006
Phone: (503) 639 -4171 ii'P'iliA,
Inspection Requests (24 Hrs.): (503) 639 - 4175' ! °..
INSPECTION WORKSHEET FOR DATE: 11/2212005 TIME: 7:03AM PAGE: 48
SITE ADDRESS: 10380 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BEAVERTON HONDA
DESCRIPTION: Honda/Yamaha Warehouse. Fire Alarm.
OWNER: LANPHERE ENTERPRISES INC, PHONE #: •
CONTRACTOR: FIRE SYSTEMS WEST INC PHONE #: 360-693.9306
• Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
21:.5 Misc. ins anion 040107 -01 36G -771 -72.15 N
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Corrections /Corilments/ Instructions:
, TiiTh, ■° ■'� ---Th
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PASS n PARTIAL APPROVAL _CANCEL NO ACCESS
FAIL ,. n CALL FOR INSPECTION ADDITI• AL FE S ASSESSED
Inspector: i 110k_ Date: - . • hone #: (503) 718 -L%
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