Permit (2) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111111 _ . Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • 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, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
- Commercial
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T i.G A K D 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. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ 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_PernitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIIPlan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD c, 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\Pernuts\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
INr COMMUNITY DEVELOPMENT DEPARTMENT
s
TIGAKD Building Permit Review — Commercial - No Land Use
Building Permit #: .sue 7,p -• 00) 6. i
Site Address: I 2to55 ,SJ 1\10f-t Dct 1Lu Irk Suite/Bldg#:
Project Name: AT2-' -
(Name of commercial business occupying the space. If vacant,enter Spec Space)
Planning Review
Proposal: R(piaCer IPAIt Of A vrFCl1vW AVlo1 accef( v l aoq vip na f..
Existing Business Activity: 1N I Y-eItSS fACA I l '4
Proposed Business Activity: 11 H
t Verify site address/suite # exists and active in permit system.
,N River Terrace Neighborhood: ❑ Yes X No
Zoning: c.- )
I_�/.Permitted Use: Yes ❑ No ❑ Spec Space
D4- Confirm no land use required.
fitkf3usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes: Ai I Duv£o{ ta-1 1 '.4S'D. O O. Pc
Approved by Planning: A fy� � Date: (a it V20
Revisions (after Building Submittal only) " Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal � r/
Original Submittal Date: c//P (1!/20
Site Plans: # '�
Building Plans: # „a_
Building Permit#: CLEnter building permit# above.
Workflow Routing: ❑ Planning riT'ermit Coordinator wilding
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ut ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/
By Permit Technician: X. ,."5e„,„„ic,„._
Date: ` /2-C7
I:\Bui lding\Forms\B Idg PermitRvw_CO M_N o land Us e_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 Applic. • :
Revision Notice 3: Date Sent to Appli,, t:
❑ SDC Fees Entered: Wash Co Trans D ev Tax: ❑ Yes 0 N/A
Tigard Trans :DC: 0 Yes ❑ N/A
Parks SD ❑ Yes ❑ N/A
O OK to Issue Permit
Approved by Permit Coordina .r: Date:
1:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx
City of Tigard RECEIVED
.14 '" COMMUNITY DEVELOPMENT DEPARTMENT JUN 18 2020
Collocation Supplemental Questionna1TY OF T! ?)/
T[GARD S�:I hp(f;t,� r,
SITE INFORMATION
Collocating antenna is on: ® Existing tower ❑ Existing non-tower structure
Address: 12655 SW North Dakota St. City/State: Tigard,OR Zip: 97223
PROVIDER INFORMATION
Name of provider: AT&T Has this provider previously served Tigard? ®Yes 0 No
Contact name: Sarah Baird,Crown Castle Phone: 206-336-3204
List other providers currently collocating on same tower or structure: N/A
Approved land use case number: (CUP)95-0004
ANTENNA INFORMATION
Existing: New:
Height of antennas: 45 ft. Height of antennas: 54 ft.
Color of antennas: Paint to match monopole Color of antennas: Paint to match monopole
Color of equipment: Paint to match monopole Color of equipment: Paint to match monopole
Accommodating equipment: Accommodating equipment:
Will new accessory equipment be installed? ®Yes 0 No
Location of new accessory equipment:
® Within previously approved fenced area
O Within existing structure
O Other location:
Will landscaping be removed to accommodate the accessory equipment? 0 Yes 0 No
Ifyes, describe here:
Sarah Baird,Crown Castle,on behalf of AT&T 6l16/2020
Applicant's sign •e Print name Date
�Q�atpr� Sarah Baird,Crown Castle 6/16/2020
Pole/structure ner's signature Print name Date
STAFF USE ONLY
Zone: C'P KApproved 0 Not approved Received by: (, Dare: (? I IS
Reasons for denial:
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503 718 2421 • Page 1 of
euf2020 -camisl
a(r,) Sw ., Oa a��-
CROWN1505 Westlake Ave N, Phone' (206) 336-3204
Seattle,WA 98109 Fax.
C1:610
CASTLE wvmcrowncaslle.com
JUN 18 2020
June 16,2020
CiTYTIGARD
City of Tigard BLIII_DING DIVISION
Community Development Dept.
13125 SW Hall Blvd
Tigard,OR 97223
RE: Eligible Facilities Request to modify equipment on a communications tower located at:
12655-A SOUTHWEST NORTH DAKOTA STREET,TIGARD,OR,97223
Crown Site Number:856366/Crown Site Name:SCHOLLS&125TH
Customer Site Number:PR77/Application Number:511734
Crown Castle USA Inc.("Crown Castle")on behalf of New Cingular Wireless PCS,LLC("AT&T Mobility")is submitting
the attached Eligible Facilities Request application to modify transmission equipment on a telecommunications tower
located at 12655-A SOUTHWEST NORTH DAKOTA STREET,TIGARD,OR 97223 in CITY OF TIGARD,OR(the
"SCHOLLS&125TH Tower").
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,excluding tolling.
AT&T Mobility proposes to modify the"SCHOLLS&125TH Tower"as follows:
Remove(3)antennas,(3)RRH's,and(6)TMA's;replace antennas mount;increase rad center to 54';
replumb UMTS;relocate(1)RRH;and install(6)antennas,(6)RRH's,(1)fiber trunk,and(1)DC trunk
on existing tower.AT&T also proposes to re-terminate DC trunk;and install(1)cooling door and(1)5G
growth kit within existing compound.
Itemized list of submittal documents:
• (1)Cover Letter
• (1)Building Permit Application
• (1)Collocation Supplemental Questionnaire
• (2)Structural Analysis stamped by Oregon State engineer
• (2)Construction Drawings stamped by Oregon State engineer—11"x17"print
The Foundation for a Wireless World-
CrownCastle.com
f
aiNeeCROWN1505 Westlake Ave N, anode (206) 336-3204
,„,0 Seattle,WA 98109 Fax.
CASTLE www crowncaslle.com
AT&T Mobility 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,
Sarah Baird
Sarah.Baird@crowncastle.com
(206)336-3204
The Foundation for a Wireless World.
CrownCastle.com