Permit , CITY OF TIGARD BUILDING PERMIT
a • COMMUNITY DEVELOPMENT Permit #: BUP2012 -00169
TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/01/2012
Parcel: 2S102AD03450
Jurisdiction: Tigard
Site address: 8777 SW BURNHAM ST
Project: Sprint Subdivision: TIGARD HIGHWAY TRACTS Lot: 18 & 20
Project Description: Antenna modification to existing cell tower.
Contractor: GENERAL DYNAMICS INFORMATION TECHNOLOGY Owner: TIGARD, CITY OF
77 A STREET 13125 SW HALL BLVD
NEEDHAM, MD 02494 TIGARD, OR 97223
PHONE: 781 -455 -3743 PHONE:
FAX:
Specifics: FEES
Description • Date Amount
Type of Use: COM -
Class of Work: OTR Type of Const: Permit Fee - Additions, Alterations, 11/01/2012 $377.90
Demolition'
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 11/01/2012 $45.35
Dwelling Units: 0 Plan Review 08/28/2012 $245.64
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 11/01/2012 $30.00
Bedrooms: 0 Bathrooms: 0 11x17) s
Value: $20,000 DC Provision Review, COM TI - Ping 11/01/2012 $67.00
DC Provision Review, COM TI - LRP 11/01/2012 $10.00
Floor Areas:
• Total Area: 0
Accessory Struct: 0 -
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $775.89
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 10 through R 95 - 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: Permittee Signature:
Call 503.639.4175 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
Commercial FOR OFFICE USE ONLY
R��1 Q /(2...
City of Tigard �Fj�D DateBya �Q � � v rmi
Pet No.: if l �a �
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V 13125 SW Hall Blvd., Tigard OR 97223 Plan Review
' Phone: 503.718.2439 Fax: 5 . 1 960 /P' If ' 1 � Other Permit:
� 1
I' I C A IZ D Inspection Line: 503.639.4175 ° 7 2 8 2 2 Date/B Date Ready/13y: ru ® See Page 2 for
Internet: www.tigar - or.gov Notified/Method: 4 7/�i 2 T t 4 Supplemental Information
CITYOFTIGARD sith W /nlo 4W to /a 't 112. spot r&/LJol'K I,
Tyildianiii0IVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING p
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addit ion /alteration/replacement Other: A44 �b,17ic /C�Q'�`- -equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION n'tiO
El 1- and 2- family dwelling KCommercial/industrial Valuation: $ S
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND � L " OCATION Total number of floors: 4
Job site address: 1 � L,,) 1. (l1/1(irvl New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
I.
Suite/bldg. /apt. no.: Project name: aQ o3xt =0 L I, Covered porch area square feet }.
Cross street/directions to job site: .t L) V Deck area: square feet t*.
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed. F
Tax map /parcel no.: o -r
S 2 /) n T 2 VJ L4 o / j tn Indicate the value (roded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
Q
DESCRIPTION OF WORK work indicated on this application.
RC,"ov./ 3 Ct8IlAC+ i'e- IliI R+ W , 4 Z Valuation: $ ZO000
l � ` � L C/
I 1if44c kcpla C � W!144 3 Existing building area square feet
ll�� New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
name: CAS yy► (Please refer tofeeschedul�
Business Wa
S i? ! Structural plan review fee (or deposit):
Contact name: r i� .PZ pt
00/444 n FLS plan review fee (if applicable):
Address: 550 / �6 ,� coo /� A
y UG1) � l� c re ! / Total fees due upon application
Cit /State /ZIP: F�� /I '��
Phone: O,1) S � 9 5 Fax:: ( ) Amount received: 15 A45 61
E -mail: (10 C41,1 . 00)(0 >Zc� — Z C SCAOkt, ill • CO PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/ Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Ct a e ( ,/!i ro j .0 Submit two (2) sets of roof plan with connection details
"' J and fire department access, along with the 2010 Oregon
Address: 7/ 4- Solar Installation Specialty Code checklist.
y � eE, ,sp �Q �a R Y / 7 Permit fee (includes plan review
City/State/ZIP: / 7 $180.00
Phone: ( S
and administrative fees :
-') VS,s- 32 L j Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: (D Z 1 10 I Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name: NeT#( 6 p3)-z— Date: 5/ Z-G�JZ. J) L , * Fee methodology set by Tri- County Building Industry
Service Board
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM/WEB)
11 .
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 per -cent (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): $
1: \ Building \ Permits \BUP -COM PeemitApp.doc 03/03/2011
•
Building Division
Development Code Provision Review �r..
T c A R ° Commercial Projects - No Associated Land Use Case
Building Permit No: u- ao 0 Expedited Review
Plan Submittal Date: g [ a't 1 17^
To the Applicant:
•
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If .a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if appro ed.
Planning Review (contact' & ' GU at 503 -718- 2 43V or @tigard- or.gov)
2 Zoning 1'U.0 '1113b Permitted Use Yes 'Er No ❑
❑ Land Use Required: Yes ❑ No . (explain below)
Notes: acs a. 79f 4
...12r/cpproved ❑ Not Approved Date: g `2 J Z
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
A 101 , y 1/1/
1
COLLOCATION • -•' - , 0 •••, a •�
&//I// 7- z,
A I G }t D City of Tigard, 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2421 Fax: 503.598.1960
IF YOU ARE APPLYING FOR A PERMIT re i1• _ *I F* IP ENNAS,
PLEASE COMPLETE THE INFORMATION BELOW.
JUN 1 1 2012
Name of Provider: Sprint
Property Address /Location of Collocation: 877 SW B, ' GF TIG ARD
G /FNr;I NFFRING
Zone: MUC -CBD
Collocating antennas on: El Existing tower, ❑ Existing non -tower structure
Is this a new provider? ❑ Yes ❑ No
Ifyes, list other providers currently collocating on same tower or structure, if any:
If no, indicate the previous approval (S DR, MMD or BUP#): BU P Z 6 I I— DO b 5q
Height of antenna(s): 103 ' ft.
Color of antenna(s) and accommodating equipment (i.e. dishes):
Same as Exisiting
Color of existing tower or structure: Galvanized Steel
Will new accessory equipment be installed? ❑ , ❑ No
Ifyes, please answer the following:
Location of accessory equipment: ❑ Within fenced area previously approved
❑ Within existing structure
❑ Other location (Please describe below.)
Will landscaping be removed to accommodate the accessory equipment?
❑ Yes (Please describe below.) ❑ No
Applicant's Signature: Date:
Name Printed: Noah Grodzin Phone:971 . 285 . 6645
FOR OFFICE USE ONLY
❑ OK to issue permit. ❑ Do not issue permit. Refer to planner.
Planning Staff Signature Date
1: \CURPLN \ Masters \CollocateAntennas.doc