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Permit (2) CITY OF TIGARD BUILDING PERMIT #: BUP2022-00232 i v Perm • COMMUNITY DEVELOPMENT Date Issued: 10/13/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CC00700 Jurisdiction: Tigard Site address: 13599 SW PACIFIC HWY Project: Paris Nail&Spa Subdivision: None Lot: None Project Description: Removal&replacement of exterior wall,framing,windows, insulation, &masonry due to loss occurred from vehicle collision. Contractor: SERVICE TEAM OF PROFESSIONALS Owner: MLP PROPERTIES LLC 18256 SW 100TH CT 19220 VIEW DR TUALATIN, OR 97062 WEST LINN, OR 97068 PHONE: 503-408-1212 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/13/2022 $674.35 Occupancy Grp: B Occupancy Load: 49 Demolition 12%State Surcharge-Building 10/13/2022 $80.92 Dwelling Units: 0 Plan Review 10/13/2022 $438.33 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/13/2022 $110.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/13/2022 $4.00 Value: $44,399 11x17) Info Process/Archiving-Sm$0.50(up to 10/13/2022 $3.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,310.60 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 952-00 -0090. Y a btain a c y of the rules or direct questions to OUNC by calling 503.232.1987 or 1,800.3%�33�3�2.2233344/4. Issued By: �� Permittee Signature: zt.hG C/W Call 503.63 .41 15 by 7:00 a.m.for the next available inspection e. 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. ,Building Permit Application Commercial FOR OFFI('F t SI O\1.1 Ci of Tigard RECEIVER Received 3 _ LJP2o2 `J 6 DatNB aa3 ,5z��' Petmit No.: L^000 i 7 • 13125 SW Hall Blvd.,Tigard,OR 97223IIII MAR 0 7 2022 Pia"Rev ew Phone: 503-718-2439 Fax: 503-598-1960 Date Th: 3—a Related Permit: TIGARD Inspection Line: 503-639-4175 Date ady/By: j 1 , 63 See Page 2 for Internet: www.tigard-ocgov CITY OF TIGARD N clod: J 7 Supplemental Information BUILDING DIVISION : jy/ TYPE OF WORK REQUIRED fIATA:1-AND 2-FAMILY DWELLING 0 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 tigf Addition/alteration/replacement Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ Z s oo Q ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 'Other: W i f (1i+S , t,la/y Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ( 4fa6 B Sk./i40 vain V e ( ,J, New dwelling area: square feet City/State/ZIP: 171 dI QC) 0 Q 411 VL Garage/carport area: square feet Suite/bldg./apt.#: Project name: CADAJl OCisifeAri.. INS j Covered porch area: square feet Cross street/directions to job site: °pA�V,},,VMMv►VQ.WLN Deck area: square feet 514 SC14o fiN 1� 'r b S(a, leive , Other structure area: square feet Te raC‘$ilr j '10 SO' AlOVA**111 I talie LW/60 Ltc k REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees"are based on the value of the work performed. Tax map/parcel#: Z✓10 p A DO 4 q 00) 1!77-ems 0 t S^10 Indicate the value(rounded to the nearest dollar)of all ��1 F' equipment,materials,labor,overhead and the profit for the DESCRIPTION OF WORK work indicated on this application. I . y f 121.4' "A"' Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER IR TENANT Number of stories: Name: CR 0034 C&.s4ft. Type of construction: Address: f b 5 �ecl LkL Ave. N. a Soo Occupancy groups: City/State/ZIP: 5t.4 11.e_ WA c D 109 Existing: Phone:Cad) Vogt— Z25 Fax:( ) J New: 0 APPLICANT r� *11 CONTACT _ PERSON BUILDING PERMIT FEES' GMA vei(-W.o Servic6, L(�L (Please referr dee schedule) Business name: E 6 r a.su 5 Structural plan review fee(or deposit): 'f�G�.07 Contact name: Address: L Q _ ak Ave. s_ fit- i 0 City/Smte/ZIP: `j FLS plan review fee(if applicable): 9 8 �y Total fees due upon application:V-�` - n t . Amount received: Phone: ) 3{ 7.. �z15 Fax::( ) E-mail: 6 ( ►kA Ivc.f 140 fe-ee, S'pX ft C�J, Co Si PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �t Commercial and residential prescriptive installation of A6 Sow Lm.. CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: -rep A,f- P 4- Are, - \ Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon t� ►'- Address: 019 5 I 671-1 Ave.- Nor Ife, / Solar Installation Specialty Code checklist. City/State/ZIP: Koran& / WA 18o5Z Permit fee(includes plan review $180.00 o$) 6 93j 2 Fax( ) and administrative fees): Phone:(t S State surcharge(12%of permit fee): $21.60 CCB Lic.: Ft(Q 5 g l y / Total fee due upon application: $201.60 Authorized si • This permit application expires if a permit is not obtained A within 180 days after it has been accepted as complete. Print name: LYLr a/. �.N$ Date: 3/yt/'LZ • Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) RECEIVED 16668 SW Autumnvale Lane MAR 0 7 2022 2S106DA04900 CITY OF BUILDINGDIVISIONTIGARD Crown Castle for Dish Wireless BU 879602 Exhibit"A" Proposed Scope of Work SCOPE OF WORK THIS IS NOT AN ALL INCLUSIVE UST. CONTRACTOR SHALL UTILIZE SPECEIED EQUIPMENT PART OR ENGINEER APPROVED EQUIVALENT. CONTRACTOR SHALL EERFY ALL NEEDED EQUIPMENT TO PROVIDE A FUNCTIONAL SITE. THE PROJECT GENERALLY CONSISTS OF THE FOLLOWING: TOWER SCOPE OF WORK: • INSTALL (3) PROPOSED PANE ANTENNAS (1 PER SECTOR) • INSTALL (1) PROPOSED ANTENNA PLATFORM MOUNT • INSTALL PROPOSED JUMPERS • INSTALL (6) PROPOSED RRU® (2 PER SECTOR) • INSTALL (1) PROPOSED OVER VOLTAGE PROTECTION DEVICE (OVP) • INSTALL (1) PROPOSED HYBRID CABLE GROUND SCOPE OF WORK: • INSTALL (1) PROPOSED CONCRETE PAD WITH FOOTERS • INSTALL (1) PROPOSED ICE BRCGE • INSTALL (1) PROPOSED PPC CABINET • INSTALL (1) PROPOSED EQUIPMENT CABINET • INSTALL (1) PROPOSED POWER CONDUIT • INSTALL (1) PROPOSED TE1CO CONDUIT • INSTALL (1) PROPOSED TELCO-FIBER BOX • INSTALL (1) PROPOSED GPS UNIT • INSTALL (1) PROPOSED SAFETY SWITCH (F REQUIRED) • INSTALL (1) PROPOSED FIBER NID (F REQUIRED) • ULLLZE El1STING OPEN MEIFR SOCKET AND DISCONNECT RECEIVED If your requested information is not visible; pleas;,; click here. MAR 0 7 2022 !`ITV(lF TI(.ARn BUILDING DIVISION Y1 . T 8 i Geographic Information Sys s .,,, 4 Navigation: Washington County. * GIS » Reports: Parcel Report 25106AD04900 General Information + interactive maps ,: '-,._ - map gallery i,,,_i contacts Ccinj other gis links frequently asked questions Property Search . 12917 property/ taxlot SW LEMONGRASS LN tax maps 'k' M"--_f. 1 C _ I I 12933 I Survey Search a 116994 16952 16920 16894 16862 168216 16804¢ Ya947 ' Land Services I a f u La 12955 Building Services m 12967 J T— 1._ 1 # 12981 ', 16999 169571693716909 1.685716835 16809 ', I , I 1 mil. I I I f 12997cL ~f " FRIENDLY LN w u� ) I 0 10oft 1302 16944 1'6894 16844 16804 16744 Parcel Report for Taxlot: 2S106AD04900 1 General Property Information Map &Taxlot ID #: 25106AD04900 Real Property Account #: R2201576 ___________ Site Address: 16668 SW AUTUMNVALE LN. BEAVERTON OR, 97007 City/State/Zip: i Legal: __... 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Need assistance with this page? email us 111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ - " Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tieard-or.gov REQUIREMENT: OREGON REVISED STATUTE(ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [21 of Valuation Computation): $ I:\Building\Pemvts\BUP_COM_PermitApp.doc Rev.03/05/2019 MIIICity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Plan Submittal Requirements Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov 1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with: A. 0 map&tax lot# 0 project name ❑ site address 0 suite number ❑ zoning ❑ applicant name 0 phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans,details and specifications. J. Accessibility barrier removal worksheet. K. Deposit-based on valuation of project. I:\Building\Permits\BUP_COM_PermkApp.doc Rev.03/05/2019 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _ " Plan Submittal Requirements Matrix Commercial & Multi-Family - New, Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov Type of Submittal # of Plans (Includes new,additions and alterations.) Required at Submittal Demolition Permit 2 (site plan is required showing location and square footage of all buildings to be demolished,erosion control plan and tree protection,if applicable) Site Work 3 (must include location of all accessible parking) Plumbing(site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing(building fixtures) 2 Electrical 2 Solar Photovoltaic 2 (Requires check list for prescriptive installation. If not prescriptive installation,engineering is required.) 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),if applicable. I:\Building\Permits\BUP_COM_PemutApp.doc Rev.03/O5/20t9 I City of Tigard III li COMMUNITY DEVELOPMENT DEPARTMENT T c n ;D Building Permit Review — Commercial - No Land Use ,leMMM..MMIMMMIMIMIK Building Permit #: ,3`1 P7-02 --000 ;' Site Address: l 6 6,6 Q sod u Wl Vbvede , Suite/Bldg#: Project Name: Cvtiw vl i.e.. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review 11�_ / - - n Proposal: f+n5 L1a},byt oP- Acvv C4rhattles .Y. - fu?9gvymp /► Feu3 G2(( foof Existing Business Activity: WzetIcS5 Como?vpi od min co...6r f cL QS Proposed Business Activity: Verify site address/suite#exists and active in permit system. ❑ River Terrace N�gighbood: 0 Yes n No L41 Zoning. �K 0 Permitted Use: 63 Yes ❑ No ❑ Spec Space WI Confirm no land use required. III Business License: Exists: Yes 0 No,applicant was provided a business license application Notes: Approved by Planning: hem. `- ikiptitifikfrio Date: `( 0(7.e9 Z Z Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Qa/Q��OZZ Site Plans: # 3 Building Plans: # 3 Building Permit#: 2—Inter building permit# above. Workflow Routing: Planning ❑ Permit Coordinator alluilding Workflow Sign-off: IF-Sign-off for Planning(include notes from planning review) Route Application Documents: ID-Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: (='--h Date: 05/6�2022— I:1Building\Forms\BldgPermitRvw_COM NoLandUse_111819.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 Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3 Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co•Trans Dev Tax: - ❑ Yes, 0 N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx , City ofTigard RECEIVED COMMUNITY DEVELOPMENT DEPARTMENT MAR 0 7 202Z Collocation Supplemental Questionnaire:moo CITY OF TIGARD yr, , _, ro .� _,_.�.. r• ._ , m.�.,<- B iI DIVISION SITE INFORMATION Collocating antenna is on: liii Existing tower 0 Existing non-tower structure Address: 16bb at S W AVfvmei vc L City/State: Tty 0 O 2 Zip: 17723 PROVIDER INFORMATION Name of provider: Dt S t wtrt/��L'S-5 Has this provider previously served Tigard? ❑ Yes �No Contact name: t; 4�ry 44 _ Phone: Z°e -1 '4 1 -1/ZZ 1 List other providers currently collocating on same tower or structure: Plt-t AA- Approved land use case number: O( - 0 'if SJ 1D ANTENNA INFORMATION Existing: New: Height of antennas: N A ft. Height of antennas: 61 ft. Color of antennas: ilia Color of antennas: 5KyI- rGtC4100- Color of equipment: NI/ of Color of equipment: a Gfc� IW-e Accommodating equipment: a!R Ac ommodating equipment: L.) t �y bract cevto 1e5 Will new accessory equipment be installed? Cl Yes r..1 No Location of new accessory equipment: V Within previously approved fenced area ❑ Within existing structure 0 Other location: Will landsc •ing be removed to accommodate the accessory equipment? 0 Yes l>it No If ye,, ,:ae / Oe: I • G Ably ,Q-b ria 3142 z pplican s sit:attire Print name i Date Sir Al--far% CIA-S. USA- Oglof Ifi7/14 Pole/structure owner's signature Print name Date S l\FI' t'L,F ONI.I Zone: 0 Approved 0 Not approved Received by: Date: Reasons for denial: City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of u‘ ` , CROWN Crown Castle 4,0I CASTLEV 1505 Westlake Avenue North '4, 4 Suite 800 Seattle,WA 98109 September 17,2020 Re: Crown Castle—PN W 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 passible. CrownCastle.com Cro n CROWN 1505 astle a„„0"1: CASTLE 1505 Westlake Avenue North Suite 800 Seattle,WA 98109 September 17, 2020 RECEIVED MAR 0 7 2022 Re: Crown Castle—PNW CITY OF TIGARD Subject: Gary Abrahams—Authorized Consultant for Crown Castle BUILDING DIVISION 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.l.,istfjeld(,,crowncastle.com (206)336-7403 'Ihepaw, topussihle CrownCastle.com ■