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Permit CITY OF TIGARD BUILDING PERMIT iki 1 e COMMUNITY DEVELOPMENT Permit#: BUP2021-00255 Date Issued: 2/15/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S134DC00600 Jurisdiction: Tigard Site address: 11355 SW TIGARD ST Project: Verizon Wireless Subdivision: None Lot: None Project Description: Equipment upgrade. Scope of work includes installing(3)panel antennas,(1)Hybrid cable, and(1)OVP on the existing tower,and installing(1)OVP on the ground.There will be no change on tower height or compound size. Contractor: M &A CONTRACTING INC Owner: ANDERSON, LARRY&CYNTHIA LIVING TRUST 1366 LEE ST SE 11355 SW TIGARD ST SALEM, OR 97302 TIGARD, OR 97223 PHONE: 503-581-6125 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/09/2021 $453.95 Occupancy Grp: U Occupancy Load: 0 Demolition 12%State Surcharge-Building 11/09/2021 $54.47 Dwelling Units: 0 Plan Review 10/26/2021 $295.07 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/09/2021 $110.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 11/09/2021 $38.50 Value: $25,000 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $951.99 Required: Required Items and Reports(Conditions) 1 Special Inspection(see plans) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 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 wit expire if work is not started within 180 days of issuance, or if work is suspended for more the 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 952-001-0090. You may ob in a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.230. Issued By: e_..„.. . .�� Permittee Signature: '.�/JJ � /2' yr. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. -1�y 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. ATC 413471 -Verizon Upgrade Building Permit Application g - • 23 Commercial RECEIVE® FOR OFFICE 1. SE O\l \ Received 0/240,o2r 6(11,2�Jz/-0OZ 55 City SWof Tigard DateB : Permit No.: ,1114 • 13125 Hall Blvd.,Tigard,OR 97223 SEP 23 2021 Plan Review I Phone: 503-718-2439 Fax: 503-598-1960 Date/By: J I. 8 —2 Related Permit: c 4 tt I, Inspection Line: 503-639-4175 CITY OF I IGARD Date Ready/By: � rule lit See Page 2 for Internet: www.tigard-or.gov pl lIi ('�IN (lI\Jh!ON N•/ ethod:/ /per( ' I j�7 Supplemental Information ALLi.d - 9 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 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:Cell tower equipment modification 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: S ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11355 SW Tigard Street New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldgJapt.#: Project name: ATC 413471-Verizon Upgrade Covered porch area: square feet Cross street/directions to job site: See sheet T-1 of enclosed Construction Drawings Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 1 S 134DC00600;ACCOUNT#:R269916 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ATC 413471-Verizon equipment upgrade on an existing commercial cell tower. Scope of work Valuation: S 25,OD0 Existing building area: N/A-Cell square feet includes installing(3)panel antennas,(1)hybrid cable,and(I)OVP on the existing tower,and tower installing(1)OVP on the ground. There will be no change in tower height or compound size. New building area: N/A square feet II PROPERTY OWNER 0 TENANT Number of stories:N/A Name:American Tower Type of construction:II-B Address: 10 Presidential Way Occupancy groups: City/State/ZIP:Wobum,MA 01801 Existing: U Phone:( 205 )545-5908 Fax:( ) New: N/A ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee ached*,Business name:Crafton Communications-Agent for American Tower Structural plan review fee(or deposit): ,C,§:617 Contact name: Kaitlin Butler FLS plan review fee(if applicable): Address: 2918 Clairmont Avenue South Total fees due upon application: City/State/ZIP: Birmingham,AL 35205 Phone:(205 )545-5908 Fax::( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:kbutler@craftongroup.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:-TDB* 41 $ 4- en,t, Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: /7&G S T S. Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review ��L C �� '"— �����^ and administrative fees): $180.00 Phone:(. ) S-,?' re, L(Z( ! Fax:( ) / State surcharge(12%of permit fee): $21.60 CCB Lic.: l -7^7 7�y 1 Pl'I/1_3 t / ,J Total fee due upon application: $201.60 Authorized signature: Dlghally signed by Kaiin Butler This permit application expires if a permit is not obtained Kaitlin Butler within 180 days after it has been accepted as complete. Print name:Kaitlin Butler Date: * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PerntitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: 3 J P7-0'L( -00255 Site Address: 11 S5- guts 'I1(e)MIO Sr. Suite/Bldg#: Project Name: ATT. L113N1I r Veer?Al upiAlt (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Vt1?-17.411 I/V4IZG(,2SS ()Voo'ne f8 EX. Intcor^vi41)COT1cMS Existing Business Activity: ,`(� Proposed Business Activity: Nf' erify site address/suite# exists and active in permit syysstt rir River Terrace Neighborhood: ❑ Yes L7 No Ip oning: ft,-L. S` VJ Permitted Use: VYes ❑ No ❑ Spec Space 3Conflrm no land use required. 1 Business License: Exists: ❑ Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: -7(77- Date: /V/25—A/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 9 g/ ,OZI Site Plans: # 3 Building Plans: # 5 Building Permit#: [VInter building permit#above. Workflow Routing: Planning ❑ Permit Coordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: V.-Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: Awl By Permit Technician: _ jri.-. Date: /0/24 O21 I:\Bui lding\Forms\BldgPennitRvw_COM_NoLandUse_1118I9.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to App t: Revision Notice 2: Date Sent to % .plicant: Revision Notice 3: Date Si.. o Applicant: ❑ SDC Fees Entered: hash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Is Permit Ap •ved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_1 11819.docx Nikki Tuason From: Nikki Tuason Sent: Wednesday, October 20, 2021 10:33 AM To: Kaitlin Butler Subject: RE:ATC 413471 - Verizon Upgrade Hi Kaitlin, Correct, you'd need to resubmit the building permit application with the new address and we would accept the new application under the date the application was resubmitted.After the revisions have been made you can just scan and email it to me directly to include with the rest of the application packet. Thank you, Nikki Nikki Tuason Assistant Planner City of Tigard Planning Division I Community Development 13125 SW Hall Blvd. Tigard, OR 97223 Phone: (503) 718-2450 E-mail: nikkit©tigard-or.gov From: Kaitlin Butler<kbutler@craftongroup.com> Sent: Monday, October 18, 2021 8:57 AM To: Nikki Tuason <nikkit@tigard-or.gov> Cc:Sean Vermilya <sean.vermilya@tigard-or.gov>; Agnes Lindor<agnesl@tigard-or.gov>;#Building Permit Technicians <Tigard Bu i ld i ngPerm its@tigard-o r.gov> Subject: RE: ATC 413471 -Verizon Upgrade Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender verify the sender. Good morning, Apologies for the late response, it took me a while to verify this. A previous building permit for this site, BUP2004- 00518, used the address 11355 SW Tigard Street. Please see the permit attached. This is the correct address for this site. Will you need the documents that have a different address revised to show 11355 SW Tigard Street as the address and resubmitted? Thank you, Kaitlin Butler Zoning and Permitting Specialist Crafton Communications, Inc. 1 2918 Clairmont Avenue South Birmingham,Alabama 35205 Office: (205) 545-5908 Fax: (205) 623-1155 kbutler@craftongroup.com �c. CRAFTON V COP, MUN IC ATIONS From: Nikki Tuason <nikkit@tigard-or.gov> Sent:Wednesday, September 29, 2021 2:12 PM To: Kaitlin Butler<kbutler@craftongroup.com> Cc:Sean Vermilya<sean.vermilya@tigard-or.gov>; Agnes Lindor<agnesl@tigard-or.gov>;#Building Permit Technicians <Tiga rd Bu i ld i ngPerm its@tiga rd-or.gov> Subject:ATC 413471-Verizon Upgrade Hi Kaitlin, We spoke earlier today regarding the proposed Verizon upgrades. I wanted to confirm what the address is for the project, our records indicate that the Conditional Use Permit that approved the tower is for the address 11355 SW Tigard St. (Tax Map/Lot 15134DC00600) while the permit applications submitted to our department have different addresses (11360 SW Suzanne Ct. and 11355 SW Suzanne Ct.) I've scanned the documents with the Suzanne Ct. and the plans showing the Tigard St addresses for reference. Thank you, Nikki Nikki Tuason Assistant Planner City of Tigard Planning Division I Community Development 13125 SW Hall Blvd. Tigard, OR 97223 Phone: (503) 718-2450 E-mail: nikkit@tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 Nikki Tuason From: Nikki Tuason Sent: Wednesday, September 29, 2021 12:12 PM To: kbutler@craftongroup.com Cc: Sean Vermilya; Agnes Lindor; #Building Permit Technicians Subject: ATC 413471 - Verizon Upgrade Attachments: SKM_C65921092911510.pdf; SKM_C65921092912040.pdf Hi Kaitlin, We spoke earlier today regarding the proposed Verizon upgrades. I wanted to confirm what the address is for the project, our records indicate that the Conditional Use Permit that approved the tower is for the address 11355 SW Tigard St. (Tax Map/Lot 15134DC00600) while the permit applications submitted to our department have different addresses (11360 SW Suzanne Ct. and 11355 SW Suzanne Ct.) I've scanned the documents with the Suzanne Ct. and the plans showing the Tigard St addresses for reference. Thank you, Nikki Nikki Tuason Assistant Planner City of Tigard Planning Division Community Development 13125 SW Hall Blvd. Tigard, OR 97223 Phone: (503) 718-2450 E-mail: nikkit@tigard-or.gov i RECEIVED SEP23 ?PI CITY OF i R AtiO CRAFTONBUILDING DIVISION erfAti COMMUNICATIONS NOTIFICATION OF ELIGIBLE FACILITIES REQUEST To: City of Tigard Permit Center Re: Building Permit Application Site: ATC 413471—Verizon PECAN Site Address: 11355 SW Suzanne Court, Tigard, OR 97223 Dear City of Tigard Permit Center: Pursuant to 47 USC § 1455 and the Rules adopted by the Federal Communications Commission, 47 C.F.R § 1.6100, the enclosed permit application qualifies as an Eligible Facilities Request. Federal law provides that a local jurisdiction has 60 days from the date that an Eligible Facilities Request is filed to approve the application. If more than 60 days elapse from the date this Eligible Facilities Request permit application is filed, and the local government does not act on this application, the application will be deemed granted under federal law. Sincerely, a_ Kaitlin Butler (205) 545-5908 office kbutler@craftongroup.com