Permit ii CITY OF TIGARD BUILDING PERMIT
` 7 COMMUNITY DEVELOPMENT Permit#: BUP2022-00165
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15l2022
Parcel: 1 S134BC00700
Jurisdiction: Tigard
Site address: 12655 SW NORTH DAKOTA ST
Project: Dish Wireless Subdivision: 1993-058 PARTITION PLAT Lot: 1
Project Description: Install dish wireless at existing facility.Extend tower with 20'extension.
Contractor: B&C TOWER LLC Owner: HA& R LLC
3402 C ST NE STE 208 ATTN RICHARDS, DALE
AUBURN,WA 98002 SANDERS,WARREN L&EVA M
332 4TH ST
LAKE OSWEGO, OR 97034
PHONE: 253-204-4149 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Other Permit Fee-Additions,Alterations, 06/29/2022 $453.95
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 06/29/2022 $54.47
Dwelling Units: 0 Plan Review 06/17/2022 $295.07
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 06/29/2022 $126.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $929.99
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
1
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 503.232.1987 or 1.800.332.2344.
Issued By: ^ e Signature: ire('ate
=; 33503.650
.6.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shallsall 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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIY Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
l i c;'\It h 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.71 8.2439• www.tigard-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, S
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
1:\Building\Penults\BUP_C07.4_PeanitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ ' Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
HOARD
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• w•w w.tieard-or.eov
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: Permits\BUP COM PermitA .doc Rev.03/05/20t9
\Building\ PP
it Coordinator Review
❑ Con..:.ns "Met"prior to issuance of building permit
❑ Approved, `, •T Released: Date:
Notes:
Revisions (after Building Submittal
Revision Notice 1: Date Sent , li .nt:
Revision Notice 2: Date Sent to Ay•n ,nt:
Revision Notice 3: Date Sent to pplic. • :
❑ SDC Fees Entered: Wash Co rans Dev Tax: • Yes ❑ N/A
Tigar. rans SDC: ■ es ❑ N/A
Pa 's SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit C. .rdinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx