Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00575
uh:� DEVELOPMENT SERVICES DATE ISSUED: 7/26/2005
`' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD * ** ZONING: C -P
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG
Project Description: Remove (2) existing antennas & add (4) antennas of similar size to each of 3 sectors from 6 antennas
to 12 total.
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: U2 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: $ 10,000.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST WIRELESS FACILITIES INC.
ONE SW COLUMBIA ST #300 1840 MICHAEL FARADAY DR.
PORTLAND, OR 97258 STE 200
Phone: RESTON, VA 20190
Phone: 703 - 904 -7400
FEES Reg #: LIC 145637
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/26/2005 $139.30
[TAX] 8% State Surchaq 7/26/2005 $11.14
[BUPPLN] Pin Rv 7/26/2005 $90.55
Total $240.99
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 ose rules are set forth in OAR
952 -01 -0010 t 'ugh O' R 952 - 001 -0100. You may obtain a copy of these rul-- or dir:ct q - stions to OUNC by
calli • 503 - 246 -66• • • 8D 1- 332 -2344.
Issu -d By: I / ## / Permittee Signature: A l k,... A irralL
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.
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Building fermi • AMIE' „ x" F OR OFFICE USE ONLY
City of Tigard r 1004 Date/By: 'q � �� PermitNo.`:�^ A. �`_ d ...7 •
13125 SW Hall Blvd., Tigard, OR 97 0 ( Plan Review ' /
Phone: 503.639.4171 Fax: 503.598.1960 r i to p R®
A ajpi @ Date/B : � L V Other Permit:
Inspection Line: 503.639.4175 L1 I Y LA p� �a� d'' I - Date Ready e y: 0 See Attached Checklist for
Interne www.ci.tigard.or.us BUILDING DIVISION Nonfied/Method: Supplemental Information
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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
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1:,,,. °; te � work indicated on this app application. ,� `a CATEGORY & CONS - t
a�.- .a�a '{l�,» «,, � _?: a c.,� .�. �. ' =z .u;� te r;:. >s�,:�� N�- ,«Ys �_.,. ":. �» , „:��., x �_ :,T�,�
1 - and 2-family dwelling Valuation: $
❑ y g ❑ Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
k i '” t""" t F "a, s Total number of floors: •
t_<'�. �. r1A., JOB SIT al,* T � D 4CATIO.N �s,,... _. „ .�> .. . r.„�:I
Job site address: % S...1 Gg.;L$ ts) 3; Pb , , New dwelling area: square feet
City/State /ZIP: i ,, D 0 Q c 7 22,-.3-1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: po?. ''-- t c,AAtib. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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REQU - 4 1 2 T AJ OMMER US.E CHECKLIST -;"
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
'4 ' = , � ' m DESc TLOIV` &OF WOR14 , work indicated on this application
�,��e „� , u�..�'0:r < �"� ... ..�� �>f � .� .; cam., t .7” �.• 1 4� ate �,d5 .- t,,t
`T+�C: ,"E�e i5-'i tS A id — i jE_w..314S A�,$ " „ Rii.0^KN ED A .i ,�:-� iJ : N }tS Valuation: $ t s o 600
c/4- s , 51 1- Ali:.e_ /1 ►v. i%(4C.tt O� il'T� c. St.L77iv(4.5, Existing building area: / square feet
,. Fac” P.0 TiL. to t.$ sl Tc.„ t . 'Tu ?r1r1.
New building area: square feet
Ii; J ` i' I PROPERTA Oi3'NER I ::::t.: ' "'i? � ' T ' r , t .. Number of stories:
..,ti .ss ,E .. _mss - , ._ 'z <g, .kn,:4 ', , _ �. ., :..,_
Name: 07,_ Liiv(:cliv Iovy1¢t 1„;C Type of construction:
Address: , $l„,,) C S i 3e,c) Occupancy groups:
t
City/State /ZIP: Si'azc'1, oQ e V - 123 41 Existing:
Phone: ( ) Fax: ( ) New:
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l & ,. _ : AP 'L T' 0 W . N I' i � .: ..COLtTACT . t t t ' . i,
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Business name: \E, .\ ON %.» 1,k41 -fit 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: 4'41+ S S w g yip --4,- gVA, jurisdiction in which work is being performed. If the
City/State /ZIP: Pv f OD- O 723°) applicant is exempt from licensing, the following reasons
apply:
Phone: ( c 3 22( 251 if Fax:: ( )
E -mail:
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art- r - .. `s CON . RAPTOR a „ �F A
Business name: \p,/ �-1 ° I . :4 , t �^- , 1 ..,, . -a. : „. .. ........ ... . .
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N:G . ' B ES` * ' •
Address: 1- 4” 51N .,1 R■,.,c. Please refer to fee schedule.
City/State /ZIP: VlvAak -t 0t, 0 1,°35
Fees due upon application
Phone: ( sd3 c -f ‘ %ii.L Fax: ( )
Amount received
CCB lie.: 1 4 C0.37
Date received: I II) Authorized signat This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: i Ot �' Z,_ 2 * Fe e methodology set by Tri -County Building Industry
� �� Da �1�0 gY Y tY g Y
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11 /02 /COM/WEB)
t.
Building Division
Avti Plan Submittal Requirement Matrix
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
g Type of Submittal # ofPlans�
(In.cludes`new; additioimand alterations) ` csfui ed at
v�.n,,.�F' " - W' q
, # Sumota F
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:\ Bui lding\Forms \COM- PlanSubReq.doc 12/24/03
r
CITY OFT.IGARD
BUILDING DIVISION PERMIT #: BUP2004-00575
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 IP-P-n-ft = • w ma
,1 1 4 1t
INSPECTION WORKSHEET FOR DATE: 12/14/2005 TIME: 7:01AM PAGE: 54
SITE ADDRESS: 10260 SW GREENBURG RD ' CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: LINCOLN TOWERS ROOF
DESCRIPTION: Remove (2) existing antennas & add (4) antennas of similar size to each of 3 sectors from 6 antennas
to 12 total.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: WIRELESS FACILITIES INC. PHONE #: 703-904-7400
Inspection Request Scheduled For: Date: 12/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Finai inspection 023407-01 206-49B-61391 N
Corrections/Comments/Instructions:
, ....
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0 . ,
( 'I
-
T Z —
ASS PARTIAL APPROVAL [11 CANCEL 0 NO ACCESS
fl FAIL - CALL FOR INSPECTION n ADDITI NAL F ES ASSESSED
1: i
Inspector: i it Date: li-3 1 7 10;e #: (503) 718-1-412