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Report az021 -001073 PROJECT DESCRIPTION 11lDll _10966 SW 65T"AVE,TIGARD, OR 97223 VERIZON MODIFICATIONS BU:874135,APP ID 540658 r 1 PROJECT DESCRIPTION THE PURPOSE OF THIS PROJECT IS TO ENHANCE BROADBAND CONNECTIVITY AND CAPACITY TO THE EXISTING ELIGIBLE VTRELESS FACILITY. TOWER SCOPE OF WORK: • REMOVE (6) ANTENNAS • REMOVE (6) RRHS • INSTALL (5) AN I.hNNAS • SIDE BY SIDE ANIhNNA MOUNT (CO1�1i iSCOPE P/N:BSAMNT-SBS-1-2) • INSTALL (3) RRHs • INSTALL (1) OVP • INSTALL (1) HYBRID CABLE • INSTALL (3) VZWS_1L-aT-MSK8 UNIVERSAL ANGLE CORNER CONNECTION BRACKET • INSTALL (3) VZWSMART-PLK8 SUPPORT BRACING KIT • INSTALL (1) VZWSMART-MSK10 WIRE ROPE ROUTING BRACKET GROUND SCOPE OF WORK • INSTALL (1) OVP r CROWNCROWN1505 Westlake Ave N Phone: (206) 336-2863 V ,�/ Seattle,WA 98109 RIv CASTLEa : www.crowncastle.com 0:11116 AUG�u� o.5 202 CITY OF [IGARI) BUILDING D!VISlON Via FEDEX to City of Tigard Tigard, OR-application via mail July 3o,2021 City of Tigard Community Development— Permit Services Attention:Tina Escalera 13125 SW Hall Blvd. Tigard,OR 97223 Phone:503-7i8-2439 Email: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> RE: Eligible Facilities Request to modify equipment on a communications tower located at: • 10955 SW 65th Ave.Tigard,OR 97223 • Assessors Tax Parcel ID number:1S136ADo63oo • Real Property Account No. R279549 Jurisdiction:City of Tigard, OR Application for bonding permit Crown Site Number: 874135 Application ID: 540658 Crown Name: West Portland Carrier: Verizon Carrier site ID: 307842 Carrier site name: Villa Ridge-A Crown Castle USA Inc.("Crown Castle")on behalf of Verizon is submitting the attached Eligible Facilities Request application for a building permit application to modify transmission equipment on a telecommunications tower located at 10955 SW 65th Ave.,Tigard,OR 97223. Verizon proposes to modify this existing site as follows: The Foundation for a Wireless World. CrownCastle_com CROWN1505 Westlake Ave N Phone (206) 336-2863 V Y 'v Seattle, WA 98109 Fax: CASTLE www.crowncastle.com PROJECT DESCRIPTION THE PURPOSE OF THIS PROJECT IS TO ENHANCE BROADBAND CONNECTIVITY AND CAPACITY TO THE EXISTING ELIGIBLE WIRELESS FACILITY. TOWER SCOPE OF WORK • REMOVE (6)ANTENNAS • REMOVE (6) RRHS • INSTALL (5) ANTENNAS • SIDE BY SIDE ANTENNA MOUNT (COM MSCOPE P/N:BSAI.LNT-SBS-1-2) • INSTALL (3) RRHs • INSTALL(1) OVP • INSTALL(1) HYBRID CABLE • INSTALL (3) VZWSMART-MSK8 UNIVERSAL ANGLE CORNER CONNECTION BRACKET • INSTALL (3) VZWSMART-PLKB SUPPORT BRACING KIT • INSTALL (1) VZWSMART-MSK14 WIRE ROPE ROUTING BRACKET GROUND SCOPE OF WORK • INSTALL (1) OVP Submittal documents for this Building Permit application: • Cover letter(see this document) • One(i)copy of the City of Tigard Building Permit Application; • One(1)copy,Collocation Supplemental Questionnaire with attached Crown Castle authorization; • Three(3)copies,construction Drawings,by LAB,dated 7/15/2021; • Three(3)copies of the Structural Analysis Report by Tower Engineering Professionals,dated March 26,2021; The Foundation for a Wireless World. CrownC.astle.com lal% aC CROWN 1505 Westlake Ave N Phone (206) 336-2863 Seattle, WA 98109 Fax: ,,,► CASTLE roe • Crown Castle Authorization to submit for permits,as tower and facility owner Section 6409 of the Middle Class Tax Relief and Job Creation Act of 2012,commonly known as the"Spectrum Act" (Pub.Law No. 112-96,126 Stat 156),mandates that state and local governments"may not deny,and shall approve,any eligible facilities request for a modification of an existing wireless tower or base station that does not substantially change the physical dimensions of such tower or base station." Additionally,if"the reviewing State or local government determines that the application is incomplete"[they]"must provide written notice to the applicant within 3o days of receipt of the application,clearly and specifically delineating all missing documents or information." Under federal law, an Eligible Facilities Request is deemed granted with written notification in sixty(6o)days after an application is filed with a local jurisdiction,exduding tolling. Verizon is committed to working cooperatively with all jurisdictions around the country to secure expeditious approval of requests to modify existing personal wireless service facilities. If you should require more information regarding the Spectrum Act,please do not hesitate to contact me with your questions. Sincerely, Gary Abrahams for CCI The Foundation for a Wireless World. CrownCastle.com } ` ' 0:,00CROWN Crown Castle 6.4 1505 Westlake Avenue North CASTLE Suite 800 Seattle,WA 98109 September 17,2020 Re: Crown Castle—PNW Subject: Gary Abrahams—Authorized Consultant for Crown Castle Dear Reviewing Parties: This letter serves to notify you that Crown Castle has retained the services of Gary Abrahams, as approved agent to submit application for and obtain local jurisdiction approvals including but not limited to zoning and building permits. This includes applicable permitting for any and all customers seeking to install or modify their equipment on Crown Castle towers. Please feel free to contact me directly with any questions. Thank you for your expeditious processing of applications filed by Mr. Abrahams. Sincerely, Chris Listfjeld Site Acquisition Project Manager—Seattle Chris.Listfjeld@crowncastle.com (206) 336-7403 1'he pathway to possible. CrownCastle.com RECEIVED CROWN Crown Castle CASTLE AUG 05 Z021 1505 Westlake Avenue North s Suite BOO CITY OFIGARD Seattle,WA 98109 BUILDING DIVISION September 17,2020 Re: Crown Castle—PNW Subject: Gary Abrahams—Authorized Consultant for Crown Castle Dear Reviewing Parties: This letter serves to notify you that Crown Castle has retained the services of Gary Abrahams, as approved agent to submit application for and obtain local jurisdiction approvals including but not limited to zoning and building permits. This includes applicable permitting for any and all customers seeking to install or modify their equipment on Crown Castle towers. Please feel free to contact me directly with any questions. Thank you for your expeditious processing of applications filed by Mr. Abrahams. Sincerely, Chris Listfjeld Site Acquisition Project Manager—Seattle Chris.Listfjeld@crowncastle.com (206)336-7403 The pathway to possible. CrownCastle.com •"(be,. °dccb Geographic Information Systems u ; ry t• �,h it :, R-5 ir It , Maps N. N- SIN Oak St -- v it k -, I, j U '} R 1 2 5�!` jz`p k St` 4 it xf It ', a R-5 rl: : ., �. H 4.�� �lado St1N � SLR Spruce St �w' } `t ' 1 44 • 2" :LY,'• . d `- I- r //J/// . 1 , 0 .300 600ft Base map service provided by Metro LillaIMO click here. ropr 1 oa Geographic Information Systems Iv , Navigation: Washington County x GIS * Reports: parcel Rev 14136 l;fiS, 00 I General Information _ + 10705 10680 596' 10663 interactive maps 10700',, _ 10720 , 11477 map gallery — 1 7115 _ 10735 contacts i 10730 s 10745 10750 -` other gis links frequently asked questions prt�c Si I 11501 11505', . Property Search 11505 property/ taxlot _ tax maps \.,11539'. Survey Search ,. Land Services /' ' 10901 i Building Services ., 11543.? 109151`' 11565 i 11530 Parcel Report for Taxlot: 15136AD06300 1 General Property Information Map &Taxlot ID #: 1S136AD06300 Real Property Account #: R279549 Site Address: 11611 SW 65TH AVE. TIGARD OR, 97223 City/State/Zip: Legal: Sub Reports: District Overlay Information Assessment&Taxation Information Scanned Tax Macs Permits& Projects Casefile Historyyy Parcel Ownership Information: Information Withheld - why? Interactive Mapping: InterMap Other Resources: Bogle Maps Bing Maps Bing Maps Oblique © 2000- 2021 Washington County. All rights reserved. Links to extern&sites do not constitute endorsements by Washington County. By visiting this and other Washington County web pages,you expressly agree to be bound by the terms and conditions of the site. For questions regarding information privacy, liability, accessibility, and public records policies, please review the statements document. This page maintained by Washington County Technology Services. Need assistance with this page? email us Loom. click here. '" roNc°� NiA a N Geographic Information Systems ,la Go err Navigation: Washington County»G » Reports: A&T Report 15136AD06300 i General Information Assessment & Taxation Report interactive maps map gallery General Property Information contacts Site Address: 11611 SW 65TH AVE. TIGARD OR, 97223 other gis links Tax Lot ID: 1S136AD06300 Property Account ID: R279549, frequently asked questions Property Classification: 0030 - MISC. PROPERTY CENTRALLY ASSESSED BY DOR- See full Property Search list of Codes property/taxlot Neighborhood Code: ZPHY tax maps Latitude/ Longitude: 45.4413260/ 122.744691 Tax Statement History: See property tax information for all accounts on this parcel Survey Search Tax Statement History: See property tax information for account R279549 Land Services Sales/ Deed Information Building Services Sale Date Sale Instrument Deed Type Sale Price $ Assessed Values for Account R279549 Roll Date: 10/06/2020 Taxcode: 023.80 Market Land Value: $0 Market Bldg Value: $0 Special Market Value: $0 Market Total Value: $0 Taxable Assessed Value: $0 Legal: Lot: Lot Size: A&T Acres: 0.08 Bldg Sq Ft: 0 Year Built: N/A Improvement Information Total Improvement Value: $0 Plumbing Bedrooms **2021 Information Advisory** All property assessment information presented about the 2021 tax year is unedited and uncertified. This information is subject to change, furnished as reference data only and should not be used to calculate or prorate taxes. **Disclaimer** „ City of 1 ar on eRegister for an Account ® Reports (1) vr a Login Search... Home Engineering Planning Code Compliance Record BUP2018-00241: Commercial - Building 124•0,e. Pe,emfl- Record Status: Closed Record Info Payments T schedule an inspec ion, c. here. Work Location 10955 SW 65TH AVE Re Details Licensed Professional: Project Description: VELOCITEL INC AT & T 4004 KRUSE WAY PL, SUITE 220 Replacing (5) antennas, removing (2) LAKE OSWEGO, OR, 97035 antennas, adding (6) radioheads, removing (4) Primary Phone:5036362500 amplifiers, adding (1) surge protector with Fax:5036362501 CCB 200980 feeders, and adding radiohead mounts to existing cell tower. Owner: PORTLAND GENERAL ELECTRIC COMPAN 121 SW SALMON ST PORTLAND 97204 Pho..: 063367414 •re Details Parcel Information Parcel Number: 1S136AD06300 School District: Tigard-Tualatin Jurisdiction: Tigard TIGARD Cr":0CROWN R C qV crown Castle 1505 Westlake Avenue North CASTLE AUG 05 2021 Suite 800 Seattle,WA 98109 CITY OF IGARL) 3UI DING D!VIS ON September 17,2020 Re: Crown Castle—PNW Subject: Gary Abrahams—Authorized Consultant for Crown Castle Dear Reviewing Parties: This letter serves to notify you that Crown Castle has retained the services of Gary Abrahams, as approved agent to submit application for and obtain local jurisdiction approvals including but not limited to zoning and building permits. This includes applicable permitting for any and all customers seeking to install or modify their equipment on Crown Castle towers. Please feel free to contact me directly with any questions. Thank you for your expeditious processing of applications filed by Mr. Abrahams. Sincerely, 1f Chris Listfjeld Site Acquisition Project Manager—Seattle Chris.Listfjeld@crowncastle.com (206)336-7403 The pathway to possible. CrownCastle.com