Permit CITY OF TIGARD PERMIT
PERMIT #: BUP2002 -00045
�1 DEVELOPMENT SERVICES DATE ISSUED: 2/25/02
R� J II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 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: 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: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 48 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: $ 130,000.00 .
Remarks: First floor tenant improvement
Owner: Contractor:
PROSODIE /EEI SOLUTIONS PANATTONI CONSTRUCTION CO. LLC
5665 SW MEADOWS RD SUITE 300 1400 SW FIFTH AVE
LAKE OSWEGO, OR 97035 . SUITE 810 RR �n11
Phone: 503 - 639 -3273 P 9h - one N �P74 9 U4Z
Reg #: uC 140755
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Mechanical Permit Require Susp Ceilng Insp
PRMT CTR 2/25/02 $861.30 27200200000 Electrical Permit Required Sprinkler inspection
Sprinkler Permit Required Sprinkler Rough -In
5PCT CTR 2/25/02 $68.90 27200200000 Plumbing Permit Required Sprinkler Final
FIRE CTR 2/25/02 $344.52 27200200000 Plm /undslb Insp Final Inspection
PLCK CTR 2/25/02 $559.85 27200200000 Mechanical Insp
Plumb Top Out
Total $1,834.57 Framing Insp
Framing Insp
Gyp Board Insp
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.
PC ee--
Sre: _ _ _ 4;_ _
IBy: I 6.. �v ,d i r J
Call 639 -4175 by 7 p.m. for an inspection the next business day
4oN „ ..
Building Permit Application alvolegc79 ,,,,
Date received: / O.r Permit no.:bt a a -t1Z*
, . A 1 Cit of Tigard
:_ I Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
• TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: SOCQO S. W . ( LE ST, Bldg. no.: Suite no.: '
Lot: I Block: ISubdivision: I Tax map /tax lot/account no.: IS\ ate GD / (lo0
Project name: ?(L &w pm 'Th 4°n4T 1MP20JEMEntT
Description and location of work on premises/special conditions:
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: `F12-0S0OtC / tiE t Sot.V Tt0 P4 5 (Floodplain, septic capacity, solar, etc.)
Mailing address: SCa La S Svi MEftoot,.)5 ap Sd rt 3■ 1 & 2 family dwelling:
City: Lpt nSt,,l IState:flt� IZIP: 11035 Valuation of work $
Phone: 5.3 - 217 - Ie:,olFax: - 2?7.9K -mail: No. of bedrooms/baths
Owner's representative: �th,J m t�o r J Total number of floors
Phone: Res - (31- (t 204 Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: I State: I ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi-family:
CONTRACTOR Valuation of work $ CO 1Z3b
Business name: - 124,1A'C -lo N ■ CA nS STa'W CT( O'.1 Existing bldg. area (sq. ft.)
New bldg. area (sq. ft.)
Address: _ 4100 SW FIf�CH AUt l -5./
I P: t (, Number of stories
City: I? ^\ t 0 I State: b>Z I ZIP: q'1 2 o I
Phone: Type of construction
503- 274- 444' F ax: S,, ;- z7 q. 1 5 -qt nail. Occupancy group(s): Existing:
Z CCB no.: 1 4D' - 1SS 5 New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER • licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail: •
ENGINEER
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, whether specified herein or not. Credit card number:
Expires
xp'
uthorized signature: (Y'L Date: 2 /I 2( o2 Name of cardholder as shown on credit card
Print name: SlZ l t✓ MBE tl W SE)--.) - Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (luoo/COM)
I , _
1
VIII � Commercial Plan Submittal i Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(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:\dsts \forms \COM- matrix.doc 9/24/01
r
CITY -OF TIGARD 24 -Hour
BUDDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION' Business Line: (503) 639 -4171 BUP ca0D2 -4 1ao 4 4 5
Received Date Request j d AM PM BUP a�3 — D O a r
Location g 0 (o v I Suite aOO -00 331-
Contact Person Ph ( ) So - •(o 201)3-a:12-2-3
Contractor Ph ( ) SWR
BUILD , Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Note . 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:
Final
PART FAIL
P'1 BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
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: ❑ Unable to inspect — no access
Fire Supply Line �7 \ `
ADA Date / 2/2 2 /03 Inspector ( Ext
Approach/Sidewalk Ins ecto
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL