Permit CITY OF TI BUILDING PERMIT
PERMIT #: BUP2001 -00434
D ATE ISSUED: 12/5/01
�.� DEVELOPMENT H O OR SERVICES 1 639 -4171
SITE ADDRESS: 08060 SW PFAFFLE ST 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: r f%5 FIRST:. sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 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: $ 18,350.00
Remarks: Fire Alarm
Owner: Contractor:
EEI SOLUTIONS CHRISTENSON ELECTRIC INC
5665 SW MEADOWS RD, SUITE 300 111 SW COLUMBIA
LAKE OSWEGO, OR 97035 STTERR480 RR 99
Phone: 503 - 625 -6886 P PN - one N 41- 4012
Reg #: 1 _-_. 0 4 58
EL E 00 26 -34C
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm Insp
PRMT CTR 11/27/01 , $225.70 27200100000 Final Inspection
5PCT CTR 11/27/01 $18.06 27200100000
FIRE CTR 11/27/01 $90.28 27200100000
Total $334.04
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Sign atitu e
Signure: ----- :..._ .t�.,-
Issued By: / /�u,
l Call 639 -4175 by 7 p.m. for an inspection the next business day
P Pi'' ;`r-.� • /03-2700 - 013 e .
v • - \ Rz. - reep //3 6/
Building Permit Application
'! " - b l a -t a t " Pau* no.) g U p7�i . 3
, ,� . ;, C,ty of Ti _
Address: 13125 SW Hall Blvd. Tlgarr , OR 97223 Prolee no.: Expire date: `,,
Citya�gard -
Phone: (503) 639-4171 Date issued: By?j (3 I Receipt no.:
Fax: (503) 598-1960 Casc file no.: Payment type
O
Land use approval: tatl family: Simple Complex:
T1 PE 01 11.10111T• )
O 1 & 2 family dwelling or accessory XComtr.crial/industrial 0 Multi- family 0 New construction 0 Demolition
O Additiorlalteration/replacement O Tenant irr provernent ❑ Fire sp rinkledalann 11 Other: k
77 JOB SITE 1 \FORV.ITION r
to
Job address: • ► • � ► la _i - IIIIMM 0r' - 409 3 Bldg. no.: Suite no.:
i Lot: Block: Subdivision: Tax mapitax lot/account no.:
. ---
Project came: rO , Za -- ��
Description and location of work on ptemises'special conditions: i. lie euti CA w ■ li. i . Pt vae ALA t .1
QUESTIONS ?CONTACT DAVE HUNT(503)241 - 4812
U11 \LR FOR SPECIAL I:NFOIt INI10N, LSE. l IILChl.1ST
�_.MI e1u:1 _ ( 1luodplaiii,scpticcapicity,solor,etc.)
Mailing address: ^ , , 4 1/ - apt, !a . ST E 3(D 1& 2 family dwelling:
City: 1.Akro ,C State:0g. ZIP: ency2 Valuation of wink $
Phone: Fax: I E-mail: — No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: ax: E-mail; New dwelling area (sq. ft.)
• Garage/carport area (sq. ft.)
Name: airi5 he € edri - Covered porch area (sq. ft.)
Mailing address: lb SW Cod r;r►t to S /AK) • Deck area (sq. ft)
City: -P0A- \4r'yk State: M I 2IP: (-1720 1 Other structure area (sq. ft.) ..
['hone: 05-2ij - 12 Fax: ; 211.640z E -mail- Comtnerclaliindustrlal /multi - fatally:
Valuation of work $ VI ?f,.70
Business name: �r∎ � Ylc Existing bldg. area (sq. ft.)
Address: • . 1/4.31- i K .31-t ill New bldg. area (sq. ft)
Number of stories Z
City: sr, Sate: 01 a lip: IP: '?7 2.o\
Phuue: , 6;141' - 5l I Type of construction
p-2i(1 -y(3(2 Fan: E rrwl: Occupancy group(s): Existing:
CCB no.: 145s X
•
New: —
City /metro lid. no.: 52 (C Notice: All contractors and subcontractors arc required to be
.'R1111TC(.T /1)NSlCNLR licensed with the Uiegon Construction Contractors Board under
Name: L (16 - ts, provisions of ORS 701 and may be required to be licensed in the
Address: 1 �Ci�V1'IC> 55 F I[o jurisdiction where work it, being performed. If the applicant is
City: H f cv x Statc.OQ ] i;IF 17 j exempt from licensing, the following reason cep Flies:
Contact person: f'i Plan no.: —'
Phone: 221 -1121 Fax: a _2 E -mail: - -"" " ---
Name: "Contact person: Fees due upon application - S 33 Cf4 /
Address: Datc received: _
City: _ State: . ::IP: Amount received $
Phone Fax: E -mail: Plea a refer w fee schedule.
I hereby certify 1 have read and examined this optic itiva had the Na di juirdieiom ocee : cedil :ardr, please vat iuricdctine ter :owe Iarormatian:
attached checklist. All .revisions of law ordinances governing this O Visa O A4aatacr¢d
work will be corn i, the • .ed hereir or not. f C siii cad eu ite: - - i
y iplac
Authotizcd si ;, y, ale: 11/26/01 - Name nt cardlwldu as aboxn rn cra9► nil
$
Print name;B _IAN CHRI OPH R _ cardt:dor,tgaat„re —'- Astons ,
Notice: This penult application expires if a permit Is not orained within 180 days after it has been acceptad as complete. tan -1613 (&OOICOM)