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Permit (29) II CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2021-00099 TIG.A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/16/2022 Parcel: 1 S 135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST Project: T-Mobile Subdivision: ASHBROOK FARM Lot: 5 Project Description: Modify existing T-Mobil rooftop wireless telecommunication facility. Remove and replace(6)antennas&ancillary equipment,and(2)equipment cabinets. Contractor: KGPCO SERVICES LLC Owner: KING CAPITAL INVESTMENTS LLC 3305 HIGHWAY 60 ATTN KING, THOM WEST FARIBAULT, MN 55021 19250 NE PORTAL WAY PORTLAND, OR 97230 PHONE: 503-334-2268 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 06/09/2021 $453.95 Occupancy Grp: U Occupancy Load: 0 Demolition 12%State Surcharge-Building 06/09/2021 $54.47 Dwelling Units: 0 Plan Review 04/28/2021 $295.07 Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 06/09/2021 $103.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 06/09/2021 $62.50 Value: $25,000 11x17) Hourly Building Rate 06/09/2021 $90 00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,058.99 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 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 obta T8rtne ia+ec.pr)direct questions to OUNC by calling 503.232.198 r 1.800.332.234 Issued By: • Signature: .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. Building Permit Application B_i 1a12 Commercial RECEIVE I F(1Iz OFFI('I': t sl:OyI.1 City of Tigard APR 19 2021 Received G<�5�1011 ®' Date/By: S jj No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503-718-2439 Fax: 503-598-196001�OF TIGARD Date/By: I, 2J Related Permit: T[l;ARD and-or. ov Notifie. g g Inspection Line: 503-639-4175 Date Ready/By: e-I fil See Page 2 for Internet: www.ti BUILDING DIVISION thod: I/ �` �`�� �/ �' � Su plemental Information L/.- _ i TYPE OF WORK ' 'REQUIRED DATA:Ir;AND -FACM1lLY.. WELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all X Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ l-and 2-family dwelling X Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9600 SW Oak Street New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name: reen ur, Covered porch area: square feet Cross street/directions to job site: See attached plans. T i 'V?o,Le., Deck area: square feet Other structure area: square feet REQUIRED DATA:COM 1ERC`IAL. E,CHECKLIST Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 1 S 135BD00100 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DE RIPTION OF work indicated on this application. Cell site maintenance. Modify existing T-Mobile(formerly Sprint)rooftop wireless Valuation: $ 25,000 telecommunications facility.Remove and replace(6)antennas and ancillary equipment on Existing building area: N/A square feet existing rooftop antenna frames. Remove and replace(2)equipment cabinets on existing rooftop equipment platform. New building area:N/A square feet ©::PROPERTY.OWNER HROf Number of stories: Name: T-Mobile Type of construction:11B Address: 8960 NE Alderwood Road Occupancy groups:U City/State/ZIP: Portland,OR 97220 Existing: Phone:( ) Fax:( ) New: APPLICANT ..' XQ'CONTACF PERSON BUILDINGPERT FED' Business name:Smartlink,LLC (Please rNdcrrriJeeseBedyle� Structural plan review fee(or deposit): 295:0T Contact name: Michael Birndorf FLS plan review fee(if applicable): Address: 650 NW Alpine Terrace Total fees due upon application: City/State/ZIP:Portland,OR 97210 Amount received: Phone:( 503 ) 421-2251 Fax::( ) E-mail: michael.birndatf@smartlinkgroup.cam PHOTOVOLTAIC SOLAR PANEL'SY;ST M PEES* i RA( CC'II Commercial and residential prescriptive installation of CON' roof-top mounted Photo Voltaic Solar Panel System. Business namefe to( / ,� C-'��� � L�G Submit two(2)sets of roof plan with connection details Ci" J, and fire department access,along with the 2010 Oregon Address: `13US 60 Solar Installation Specialty Code checklist. City/State/ZIP: /4// � ,5J �i Permit fee(includes plan review � � ✓t /'�v and administrative fees): $180.00 Phone:O j1_ LZf Fax ) State surcharge(12%of permit fee): $21.60 CCB Lic.: Oy�fv j ?7 Total fee due upon application: $201.60 Authorized signature: d- C'">N----7e This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Michael Birndorf Date: 4/19/21 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I I/02/COM/WEB) City of Tigard 111111 COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: 3(IP2021-Oa Site Address: 9600 SW Oak St Suite/Bldg#: Project Name: T-Mobile (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Remove/replace antennas and equipment Existing Business Activity: Wireless communication facility Proposed Business Activity: Wireless communication facility 11, erify site address/suite#exists and active in permit s stem. • ilk''ver Terrace Neighborhood: ❑ Yes L'J No Zoning: MUE-1 I ❑s Permitted Use: Id U Yes No U Spec Space ❑° •nfirm no land use required. usiness License: Exists: ❑ Yes ❑ No, applicant was provided a business license application Notes: , Approved by Planning: Date: 4/21/21 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: e049/2621 Site Plans: # 3 Building Plans: # 9 Building Permit#: (Enter building ermit# above. Workflow Routing: 0—Planning U Permit Coordinator 1413uilding 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: //%l/l� Date: 13/202// 1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_11 1819.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 Applican ❑ SDC Fees Entered: Wash Co Trans D-. Tax: ❑ Yes ❑ N/A Tigard Trans S! : ❑ 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 yLL smart ;£. RECEIVED APR 1 9 ?02 TO: City of Tigard Building Department CITY OF TIGARD FROM: Michael Birndorf, Smartlink BUILDING DIVISION DATE. 4/20/21 SUBJECT: Commercial Building Permit Application-T-Mobile Cell Site Maintenance-9600 SW Oak Street Please find the attached commercial building permit application for cell site maintenance to replace existing antennas and equipment on the rooftop of an office building located at 9600 SW Oak Street in Tigard. The following attachments are included in the application: • Commercial Building Permit Application • Construction Drawings (3 sets) • Structural Analysis (2 sets) • Structural Mount Analysis (2 sets) Please feel free to contact me with any questions regarding the permit application at michael.birndorf@smartlinkgroup.com of 503-421-2251. Thank you, Michael Birndorf Real Estate Project Manager 11232 120th Ave NE, Kirkland WA 98034 503-421-2251 michael.birndorf@smartlinkgroup,com