Permit ., •
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00296
A DEVELOPMENT SERVICES DATE ISSUED: 8/8/2006
s �I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 102 B D -02600
SITE ADDRESS: 12955 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT: 037 JURISDICTION: TIG
Project Description: Add (3) antennas to existing wireless communication monopole & new equip. cabinets.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 3N : 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: $ 25,000.00
Owner: Contractor:
MARA HYLTON WESTOWER COMMUNICATIONS INC
6802 SOUTH 220TH ST 19500 SW CIPOLE RD
KENT, WA 98023 TUALATIN, OR 97062
Phone: 475 - 251 -8480 Contact #: FAX 503 - 210 -1001
Reg #: LIC 140471
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/8/2006 $283.30
[BUPPLN] Pln Rv 8/8/2006 $184.15
[TAX] 8% State Surcha 8/8/2006 $22.66
Total $490.11
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 tCs._ or d_ irect questions to OUNC by calling 503 - 246 -6699 or 1-800-332-2344.
Iss I ivtV of Permiftee Signature: Aft,( /4"Yle
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 Permit Ap I ' :, , Y . � � � � FOR OFFICE USL ONLY
City of Tigard
/ 1 n �/1,( � t0
Permit No.: vW r/V
Date/B : � � � La
13125 SW Hall Blvd., Tigard, OR 97223 Pl Review ���
1 Other Permit:
JUL �. 1 1 /�*r i M' ' +� Date /B :
Phone: 503.639.4171 Fax: 503.598.1960 �'ii �l �
Inspection Line: 503.639.4175 f ": _.. Date Ready By: �..- ® See Attached Checklist for Q
Internet: www.ci.tigard.or.us t..11 "Y u i iu 4 Notified /Method: Ein Supplemental Information '6
IT I') V_ T T%TT ][0N
TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
❑ New construction ❑Demolition Indicate the value (rounded to the nearest dollar) of all
Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ NIA
❑ 1- and 2- family dwelling ' Commercial /industrial v
Number of bedrooms: 1 .4 /
❑ Accessory building ❑ Multi- family
Number of bathrooms: I
❑ Master builder _ ❑ Other: 1
JOB SITE INFORMATION AND LOCATION • Total number of floors:
Job site address: i 2 ti S.J 1>A0 F IL thdY New dwelling area: square feet
City / State/ZIP: T16,ARi) t oiz c1722.,1 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: GI NG, UL.AR umrs _ PL - 7 Covered porch area: square feet
Cross street/directions to job site: So WALIJUT ST d• su PAGt FIC 1-4kire Deck area: square feet
Other structure area: V square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.: T2S, RI Ow SEC. 26t) TL O260O equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ Z, rj ( , 00 0 °-°
IP•ST , ALL NSW ANTEI.114AS oi,ITD 1= XtST1R(C MtT.IOPoLG ALIT
Existing building area: square feet
NFL.) EQut1=wtE CAR) NEtS
New building area: square feet
R PROPERTY OWNER ❑ TENANT Number of stories:
7 6 1 rnp],n Pa 1.P
Name: 1/IARA Type e of construction: -�
Address: 01.02 S 220' ST Occupancy groups: v
City/State/ZIP: KEW WA g%O32 Existing:
Phone: (925) 251- s-4 jt0 Fax: ( ) New:
lil APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Cl N& L411ZE LESS % REAL COMM ASSocI All: S All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: pAt.)L S t-OTt. MAKER. under ORS 701 and may be required to be licensed in the
Address: t5,6,go ( ili AVE So 1 - r performed. gab jurisdiction in which work is being performed. If the
/ applicant is exempt from licensing, the following reasons
City/ State/ZIP:. p 6 t O'R 9 72014 apply:
Phone: ( 1 3 J 3 ) 2tt t - Oy1 °1 Fax:: (gi3 )2.w I -220`( ? — 2 t - 3. 3 Q D t/•C
E -mail: PS tc #evv.rAc� c. f e (cow soc .001,v, ` 6 - 42). / G l/ <j� /,
CONTRACTOR , U l e ` /V, LS
Business name: l.�f jTC&L)C t!'G'�/`a//r'I1.1Ake"tricMJ . - BUILDING PERMIT `FEES*
Address: /99)o `- j oo L £D • Please refer to fee schedule.
City / State/ZIP: A LATE 1,) D2 % y0(o� Fees due upon application It-
Phone: (6 ) Fax: ( )
Amount received
CCB lic.: / / y p r
Date received: 7 , Q \ V %V s
Authorized signature: I • ` This permit application expires If a permit is not obtained
within 180 days after it has been accepted as complete.
WI 1 Print name: pAuu SLOT - KA\ - 'Z Date: 7/i 5000 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\Building \Permits \Bt1P- PermitApp.doc 12/03 440- 4613T(II /02 /COM/WEB)
R E L C 0 M RECEIVED
realcomassoc.com
IlJL 2 ''006
CONTRACTOR TO CINGULAR WIRELESS CITY OF TIGARD
t3uILDINO DIVISION
TRANSMITTAL SHEET
TO: VAL FROM: PAUL SLOTEMAKER
COMPANY: DATE: 7/25/06
City of Tigard Building Dept.
13125 SW Hall Blvd
Tigard, OR 97223
PHONE NUMBER: 503- 639 -4175 SENDER'S REFERENCE NUMBER:
PL77 TIGARD
RE: REVISED DRAWINGS FOR YOUR REFERENCE NUMBER:
BUP 2006 -00296
❑ URGENT El FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE
NOTES /COMMENT'S:
As discussed on the phone, here is a revised set of drawings showing the corrected tower height of 76
feet. Now the tower height shown on the drawings matches the height in the structural report.
This Building Permit packet includes the following:
• Two copies of the revised stamped construction drawings with the corrected tower height of 76'
Please call me with any questions at 503 - 421 -2258
Thank you,
Paul Slotemaker, AICP
REALCOM Associates, Inc. • 506 SW 6th Ave. Suite 900, Portland, Oregon 97204 • p 503 - 241 -0279 f 503 -241 -2204
5278 Plnemont Dr Building A Suite 235Murray, UT 84123 Summit
Communications
Fax .
To Val Henze! From: Jeff VanderVeen
Fa= 503- 624-3681 Pages: 2
Phone: Date: 7/28/2006
Bat Temporary Oregon Stamp CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply Q Please Recycle
Val,
Please see the attached letter from the State of Oregon allowing Darren Rosenstein to use his Utah stamp
temporanly, until his permanent stamp is approved
Please call me with any questions. 801- 910 -2965
Thanks,
Jeff VanderVeen
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -00296
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °` 'I ��
INSPECTION WORKSHEET FOR DATE: 11/20/2006 TIME: 7 :01AM PAGE: 54
SITE ADDRESS: 12955 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 037 TYPE OF USE:
PROJECT NAME: CINGULAR UMTS-PL77
DESCRIPTION: Add (3) antennas to existing wireless communication monopole & new equip. cabinets.
OWNER: HYLTON, MARA PHONE #: 475-251-8480
CONTRACTOR: WESTOWER COMMUNICATIONS INC PHONE #: 503- 210 -1000
Inspection Request Scheduled For: Date: 11/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message (2,20
299 Final inspection 039990 -01 503-969-6242 Y �c
Corrections /Comments /Instructions: F C
- 1 V(Ill 0.-.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1► -
Inspector: / Date: I 2 Phone #: (503) 718