Permit _ .,
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00298
e� DEVELOPMENT SERVICES DATE ISSUED: 6/23/2004
„44 '�' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08060 SW PFAFFLE ST 100 PARCEL: 1 S136CD -00600
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 18 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 50,000.00
Remarks: TI: Create new suite, interior walls.
Owner: Contractor:
CAMERON, KIRK (EEI SOLUTIONS) PANATTONI CONSTRUCTION CO. LLC
5665 SW MEADOWS RD. 1400 SW FIFTH AVE
STE. 300 SUITE 810
L/ E oSWEG3Q) 5 PORTLAND, OR 97201
Phone: 503 - 274 -4442
Reg #: LIC 140755
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 6/23/2004 $470.80 Electrical Permit Required
TAX 8% State Surchar 6/23/2004 $37.66 F Permit Required
[TAX] ! Framing Insp
[BUPPLN] Pin Rv 6/23/2004 $306.02 Gyp Board Insp
[FLS] FLS Pln Rv 6/23/2004 $188.32 Susp Ceilng Insp
Total Final Inspection
$1,002.80
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 yo _ • • •w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 -0010 through ► • R 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
call' g (503) 246 -6699 or 1 -:00 -3320 .
4; Iah / k / /
Perm' :: 77
Signature: ?(. Call 639 -4175 by 7 p.m. for an inspection the next business day
9 .
Building Permit Application /' FOR OFFICE USE ONLY ��p �/
City of Tigard DateB L e P No.: �U► l 7'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 f or if'� t,'' '� ' DateB : 23 ` ` Other Permit:
Inspection Line: 503.639.4175 ' � Date Ready/By: ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental lnformation
- . TYPE OF WORK • • , REQUIRED DATA: 1- AND.2- FAMIU,Y 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 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: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
'' JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: gob a f 't i pret} FiE s- t. New dwelling area: square feet
City/ State/ZIP: 1 ,e l 0 2 7223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 1 Project name: , /I 4_ 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.
P 5 / 3 (Q GDO ro Indicate the value (rounded to the nearest dollar) of all
Tax ma / P arce no.: equipment, materials, labor, overhead, and the profit for the
• DESCRIPTION OF WORK work indicated on this application.
Valuation: $ 7 v •
Existing building area: /4, square feet
New building area: square feet
,PROPERTY,_OWNER .. ❑ TENANT -- Number of stories:
Name: K & n eel 5o /(/h t m S Type of construction: V — /t/
Address: S t f f fW A4�c- k 64,3 j Ji" i le 3,9e Occupancy groups:
City/State/ZIP: `apc O l ox ff 70 3S Existing:
Phone: ( S7j3 2.4 7 - /060 Fax: ( 3) 29 7- 9 /66 New:
❑ APPLICANT ' . N � CONTACT PERSON -
Business name: q �/, a��� 4/i f /1 atitf�q i // ' All contractors and subcontractors are required to be
Contact name: �'� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i / f /4/ j/44444 f 1/j e to o jurisdiction in which work is being performed. If the
City/State/ZIP: el'f Akit f � Gf 71i0.- applicant is exempt from licensing, the following reasons
( -� apply:
Phone: (� 1/3) 2, 2 4 -/ (I/ / Fax: : (f?J)) 2,2,1-- 207 7
E -mail: m51m t liZ4 - WIC
•
•
Business name: p CONTT i - .
/ affix/ 4UdiJMa GO
,, , BUILDING PERMIT FEES*
Address: Pled SW h /dd YW /r i i - .!!LI I e/tO
P Olt- q 710 / Please refer to fee schedule
City/State/ZIP:
(�3) 2 7 _ oivi (b 2 7 u _ L yr � Fees due upon application
Phone: i Fax: f ! ,
./ 0 755' Al 1 O Amount received
/
CCB lic.: �
D ate received:
Authorized signature: Thi permit application expires if a permit is not obtained
`7 di-4,1,i within 180 days after it has been accepted as complete.
Print name: /14 ( 5 Date: 6 - . 3 U L/ * Fee methodology set by Tri- County Building Industry
s Service Board.
i:\Building \Permits \BUP- PennitApp.doc 12/03 440 4613T(I /02/COM/WEB)
47„,„,$40,1,;,. Building Division
47„,„,$40,1,;,. -��I�;� P lan Submittal Requirement Matrix
�' Plan
& Multi- Family - New, Additions or Alterations
City of Tigard
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3**
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
p/ BUP c,0 ( I - 0da9
Received p Date / a AM PM BUP
Location o 0 (� p Ye MEC
Contact Person Ph ( ) 7/v -" 0 603 PLM
Contractor Ph ( ) oZ l — (0 5 � SWR
BUILDING Tenant/Owner X a- ELC
Footing
Foundation - ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
PASS • • T FAIL `
: ING
Post & Beam
Under Slab
Rough -In i 1
Water Service � �
Sanita ry Sewer r •i�
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL