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Home My WebLink AboutPermit (3) CITY OF TIGARD BUILDING PERMIT .111 COMMUNITY DEVELOPMENT Permit#: BUP2022-00103 Date Issued: 10/11/2022 T[G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AD03450 Jurisdiction: Tigard Site address: 8777 SW BURNHAM ST Project: AT&T Subdivision: None Lot: None Project Description: Remove(2)atnennas and(3)radios. Install(6)small antennas(2 stacked per sector),(3)RRh on new collar, (2)DC trunks and mount modification.update equipment in cabinet Contractor: KMM TELECOMMUNICATIONS INC Owner: TIGARD, CITY OF 4051 N HWY 121 SUITE 400 13125 SW HALL BLVD GRAPEVINE,TX 76051 TIGARD, OR 97223 PHONE: 844-566-8488 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: I IA Permit Fee-COM-New Construction 05/09/2022 $379.22 Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 05/09/2022 $45.51 Plan Review 04/20/2022 $246.49 Dwelling Units: 0 DC Provision Review,COM TI-Ping 05/09/2022 $110.00 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/09/2022 $128.00 11x17) Value: $30,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $909.22 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 503.232.1987 or 1.800.332.2344. Issued By: r, ,1; 1 I , Permittee Signature: Call 503.639.4175 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. I Building Permit Application Commercial Ft)R mulct:l: 1 51:()NIA CI of Tl and RECEIVE_ Received L . g Date/By: f 00(0/ i4 Permit No.: '(3�e l „ ,0 3 .14 "i 13125 SW Hall Blvd.,Tigard,OR 97223 0 �^ Plan Review-.* �S Phone: 503-718-2439 Fax 503-598-1960 DDate/By: , y: V"y 1..Z_. } Related Permit: T I CiARD Inspection Line: 503-639-4175 ('Ty(� I tAR� Date Ready/By: ' Juns: fii1 See Page 2 for Internet: www.tigard-or.gov N d/Method: �/ Supplemental Information TYPE OF WORK REQUIRED DATA: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 ®Addition/alteration/replacement 0 Other: 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: $ IDAccessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8777 SW Burnham St. New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name: AT&T Covered porch area: square feet Cross street/directions to job site: Deck area: square feet R2143974/2S102AD03401 Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ( Lot#: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Tower-Remove(2)antennas and(3)radios(RRH). Install(6)small antennas[2 stacked per Valuation: S30,000 sector],(3)RRH on a new collar mount,(2)DC trunks,and antenna mount modifications. Existing building area: square feet Ground-update equipment in existing cabinet and support rack. New building area: square feet 0 PROPERTY OWNER ® TENANT Number of stories: Name: Crown Castle Type of construction: Address:4017 Washington Rd., Occupancy groups: City/State/ZIP: McMurray PA 15317-2510 Existing: Phone:(503 )708-9200 Fax:( ) New: 0 APPLICANT, El CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please reJertofeeschedule) Crown Castle(on behalf of New Cingular Wireless PCS LLC-aka AT&T) Structural plan review fee(or deposit): } y 5 Contact name: of �� Zach Phillips FLS plan review fee(if applicable): Address: 1842 SW Lobelia St. Total fees due upon application: City/State/ZIP: Portland,OR 97219 Phone:(503 )708-9200 Fax: :( ) Amount received: E-mail: zach.phillips@crowncastle.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: T$D yl ti L� Submit two(2)sets of roof plan with connection details l 1 ! '�� ` 'j�l r and fire department access,along with the 2010 Oregon Address: i . v C) Lc,Ke `LL)o f-U 0' 7A-- t.0 C Solar Installation Specialty Code checklist. City/State/ZIP: 1...4 i..t�\ \I r 1 i ---Tx. 111 9 ¶11 Permit fee(includes plan review $180.00 1 and administrative fees): Phone:( 9YW.p ' Fax:( ) �. D,t j'�� State surcharge(12%of permit fee): $21.60 CCB Lic.: �( ` `^ ' lt �%LJ Total fee due upon application: $201.60 Authorized signature: I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Zach diillips Date:4/20/22 * 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) City of Tigard III 'I' COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Commercial - No Land Use TIGARD Building Permit #: ' , Site Address: "1-1--1 SV\) 1&,(nhaY✓i St. Suite/Bldg#: Project Name: C\y) \)\(k‘( co -1b(` 0 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: nap Ol y1-\ G'S r kq Cvrript Lc,liK €y J Sr-IP. / Existing Business Activity: ce\\ , 'P11K Proposed Business Activity: et` -W Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes K No Zoning }.4)_ C(? 9 Permitted Use: Yes ❑ No ❑ Spec Space Confirm no land use required. 4‘ Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: '4,p 6 I b\Ir0 Date: U "Zd •� 1 Revisions (after Building Submittal only) Reviewer Date Revision 1: D Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved Cl Not Approved Building Permit Submittal Original Submittal Date: 1VAC70? Site Plans: # .--- Building Plans: # 3 Building Permit#: E Enter building permit#above. Workflow Routing: 'Planning ❑ Permit Coordinator Building 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: �17 0 Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx City of Tigard 11114 '1 COMMUNITY DEVELOPMENT DEPARTMENT r,c,A R D Collocation Supplemental Questionnaire SITE INFORMATION Collocating antenna is on: ® Existing tower ❑ Existing non-tower structure Address: 8777 SW Burnham St. City/State: Tigard,OR zip: 97223 PROVIDER INFORMATION Name of provider:New Cingular Wireless PCS LLC(aka AT&T)Has this provider previously served Tigard? ®Yes ❑ No Contact name: Zach Phillips w/Crown Castle Phone: 503/708-9200 List other providers currently collocating on same tower or structure: T-Mobile(Sprint) Approved land use case number: CUP96-0004/BUP2016 00060 ANTENNA INFORMATION Existing: New: Height of antennas: 80 ft. Height of antennas: 80 ft. Color of antennas: off white Color of antennas: off white NA/equipment shelter NA/equipment shelter Color of equipment: Color of equipment: Accommodating equipment: Accommodating equipment: Will new accessory equipment be installed? ®Yes ❑ No Location of new accessory equipment: 0 Within previously approved fenced area 0 Within existing structure 0 Other location: Will landscaping be removed to accommodate the accessory equipment? 0 Yes No Ifyes, describe here: 2/7 tAl (CA(11 v Cif01 ek,CA , App ant's si ature Print name Date CVO w S1—L.- Pole/structure owner's signature Print name Date STAFF USE ONLY ,tom, Zone: A )'e-9 C) [A Approved ❑ Not approved Received by: Pn►IarCl Date: 9 zo Z7 Reasons for denial: City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of