Permit 1111
CITY OF TIGARD
' ' BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00119
Date Issued: 5/25/2022
T€t=.hR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114AA00300
Jurisdiction: Tigard
Site address: 16295 SW 85TH AVE
Project: AT&T Subdivision: None Lot: None
Project Description: Removing(3)antennas,(1)12PR fiber cable,&(1)DC6 squid,and installing(3)stacked antennas,(1)DC9
squid, (2)DC cables,&(1)24PR fiber cable.
Contractor: LEGACY WIRELESS SERVICES INC Owner: WH SHIPMAN LIMITED
15580 SE FOR MOR CT 16-127 LAPAAU RD
CLACKAMAS, OR 97015 KEAAU, HI 96749
PHONE: 503-656-5300 PHONE:
FAX: 503-656-5305
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IA Permit Fee-Additions,Alterations, 05/11/2022 $301.85
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 05/11/2022 $36.22
Dwelling Units: 0 Plan Review 05/03/2022 $196.20
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/11/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/11/2022 $34.00
Value: $15,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $678.27
Required: Required Items and Reports(Conditions)
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 will 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 obtain a copy of the rules or direct questions to OUNC by calling 50 . 32. 987 or 1.800.332.2344.
Issued BY P rmittee Signature: '
.07105)
all 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
7 lsuliaing rermnAppllcaaon
Commercial RECEIVED ECG FOROEIICE I SE:ONLN
City of Tigard Received 5-//�_ ��//,
;, .- • 13125 SW Hall Blvd.,Tigard,OR 97223 Date Br-
Plan Review T-cl .3 w Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 MAY _ 3 2022 Date/By: v y
flu:1 R 1) Inspection Line: 503-639-4175 a Date Ready/By: a� See Page 2 for
Internet: www.tigard-otgov CITY OF TI((Al`�1 totified/Metlw 5 ��/ Supplemental Information
TYPE OF w I IG:DING DIVISInN, G/REQUIRED DATA:1-ANI)2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
( Addition alteration/replacement 0 Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling [fCommercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder [}Other: unmanned cell tower Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16295 SW 85th Ave New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 fi r Garage/carport area: square feet
Suite/bldg./apt.#: Project name: PR 5? II - 112.211 Qdilll Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Durham Rd. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 2S114A00300 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.
Remove:(3)Antennas,(1) 12PR Fiber Cable,(1)DC6 Squid. Valuation: $ 15,000.00
Install:(3)Stacked Antennas,(1)DC9 Squid,(2)DC Cables,(1)24PR Fiber Cable Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: AT&T Mobility Type of construction:
Address: 19801 SW 72nd Ave.,Suite 200 Occupancy groups:
City/State/ZIP: Tualatin,OR 97062 Existing:
Phone:( ) Fax:( )
New:
a APPLICANT N CONTACT PERSON BUILDING PERMIT FEES°
(Please refer to fee schedal4
Business name: Smartlink Group
Structural plan review fee(or deposit):
Contact name: Courtnee Gomez
Address: 3612 SE 168th Ave FLS plan review fee(if applicable):
City/State/ZIP: Vancouver,WA 98683
Total fees due upon application:
Phone:( 916)527-4157 Fax::( ) Amount received:
E-mail: courtnee.gomez@smartlinkgroup.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 'FRB L e_ e> (44•i_es S 5 ��.3 Submit two(2)sets of roof plan with connection details
S.671)
y-�� and fire department access,along with the 2010 Oregon
Address: 1�I OU s ( 44 Solar Installation Specialty Code checklist.
City/State/ZIP: ep e,7 c"-^ Pemut fee(includes an review
C �5 ` /�I 7 and administrative fees): $180.00
Phone:4 �i��- s 0 v Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: /2�-r w V I S 7) y Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
Print name: Court Go eZ Date: 4�27/2022 * Fee methodology set by Tki-County Building Industry
Service Board.
I:1Building\PennitslBUP_COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - N o Land Use
TIGAP.D
__ -... ..a. t....Te-k1-¢,_>sm¢n Y<44ti4,:1,041pq°retu .�os:tXPk. ,�...a_- _.. _-..._..-
Building Permit #: Au 14, J��,id
Site Address: 1�2.-9 S A V1r Suite/Bldg#:
Project Name: AT- kT
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: (al ADVe (.1(->erpl,FNCUU2-, Pem;N
Existing Business Activity: MI-
Proposed
Business Activity:
Verify site address/suite#exists and active in permit system.
D ;River Terrace Neighborhood: 0 Yes El No
.JIG g 1- P
Imo'P fted Use: IQ Yes ❑ No ❑ Spec Space
Confirm no land use required.
11 Business License:
Exists: 0 Yes 0 No,applicant'n was provided a business license application
Notes: LeCl�. ciICC-K 1f r7roVI CI J ` J_Z2
Approved by Planning: - --.. Date: +i/2 22
Revisions (after Building Submittal only) Reviewer Date
Revision 1: D Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
r -- � an —.S.:.— ..-z�-..=.7_---- — _—. ,: : ._
Building Permit Submittal
Original Submittal Date: 1173/5-2-
Site Plans: #
Building Plans: #
Building Permit#: finer building permit#above.
Workflow Routing: planning D-Pertrtit-cooramatui - - nilding
Workflow Sign-off ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Building original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 2�� Date: S— 31Z)
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse 111819.docx
Julie Drinkwater
From: Courtnee Gomez <courtnee.gomez@smartlinkgroup.com>
Sent: Friday, May 13, 2022 9:54 AM
To: #Building Permit Technicians
Subject: RE: BUP2022-00119, 16295 SW 85, AT &T
Attachments: PR52 Durham_BP App_5-13-2022.pdf
Categories: Julie
Caution!This message was sent from outside your organization.
Hi Julie,
Please add the following contractor to this permit. I have also attached an updated application.
Legacy
GC Company name: Legacy Wireless Services
POC: Sen Galindo
15580 S.E. For Mor Court, Clackamas,
Address: OR 97015
Phone#: (503) 656-5300
Email: Sgalindo@legacy-wireless.com
OR Business License#: 150432
WA Business License# LEGACWS982C2
Thank you,
Courtnee Gomez
Real Estate Project Manager
Smartlink
c. 916-527-4157
From: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Wednesday, May 11, 2022 5:18 PM
To: Courtnee Gomez<courtnee.gomez@smartlinkgroup.com>
Subject: FW: BUP2022-00119, 16295 SW 85,AT&T
Waming:This message was sent from outside the company and could contain attachments.Please do not open unless you recognize the source of this email and
know the content is safe.
Hello Courtney
I also wanted to mention that we will need to have the contractor information before we can issue the permit for you.
Thank you
Julie Drinkwater
1
Permit Technician
City of Tigard Building Department
13125 SW I'all Blvd
"Tigard,OR 97223
503-718-2804
Due to an increased demand for services, please expect longer wait times for responses to emails,voice messages and building
inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non-
essential,such as fee estimates,may take longer to respond. In the meantime, please view this quick guide on how to submit
common service requests.
From: #Building Permit Technicians
Sent:Wednesday, May 11, 2022 5:09 PM
To: Courtnee Gomez<courtnee.gomez@smartlinkgroup.com>
Subject: BUP2022-00119, 16295 SW 85,AT&T
Hello Courtnee
The permit for AT &T is now ready. The balance due is $482.07. Attached please find the invoice for your
review.
The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit
record number under the Building tab. There is a service fee of 3%for payments by card, and there no service
fee for payments made by e-check. On the payment screen, select the payment method from the dropdown
list next to the `payment' field.
You can pick up the permit at the permit center Monday through Thursday between the hours of 8:00am to
4:30, unless you pay the fee ahead of time online, in which case you may come in any time before 6:00apm.
Thank you
Julie Drinkwater
Permit Technician
City of'ligard Building Department
13125 SW flail Blvd
Tigard, OR 97223
503-718-2804
Due to an increased demand for services,please expect longer wait times for responses to emails,voice messages and building
inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non-
essential,such as fee estimates,may take longer to respond. In the meantime,please view this quick guide on how to submit
common service requests.
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