Permit IN p CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00305
1 3125 SW Hall Blvd., Ti Date Issued: 12/31/2013
Tigard OR 97223 503.718.2439
T lC 11 9
Parcel: 2S 114AA00300
Jurisdiction: Tigard
Site address: 16295 SW 85TH AVE
Project: Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Remove and replace (3) existing antennas. Location and height will remain the same.
Contractor: WESTOWER COMMUNICATIONS INC Owner: WH SHIPMAN LIMITED
405 EVANS BLACK DR BY NORRIS & STEVENS INC
TUKWILLA, WA 98188 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 206 - 373 -1229 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/31/2013 $564.15
Class of Work: ALT Type of Const:
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 12/31/2013 $67.70
Dwelling Units: 0 Plan Review 12/10/2013 $366.70
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 12/31/2013 $12.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $35,000 Misc Administration Fee 12/31/2013 $5.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,015 55
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. API 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: �� > Permittee Signature: , , _.:2<"&oic__206..._ C 4 JtL
.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 Perm Anplicatiot Ej C'Ej IVED
Commercial 1 11R tit 1 1( 1 , 1 11v1 1
City of Tigard DEC 1 0 2013 Received. , i m it N o.:
II4
• 1 SW Hall Blvd., Tigard, OR 97223 Plan Review I" . �r _ / �,
a Phone: 503.718.2439 Fax: 503.5 pate/g : , ��wn'a Permit
'
1i 1) Inspection Line: 503.639.4175 � ' OF TIGARD Date • .'ry: ® see Page 2 for
Internet www.tigard- or.gov BUILDING DIVISION Naif,ediMethod: it l i ' - Supptementat fo rnrmstinn
5 oke w,i- tK(n..f
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ 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 ® Other: Modification 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: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16295 SW 85 Avenue New dwelling area: square feet
^____
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: PR52 Durham Covered porch area: square feet
Cross street/directions to job site: SW Durham Road Deck area: square feet
From OR -141 turn left to stay on OR -141 / SW Durham Road, turn left onto SW 85th Other structure area: square feet
Avenue, site location is on the right REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 25114AA00300 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Remove and replace (3) panel antennas Valuation: 8835,000.00
Existing building area: +284 square feet
New building area: 0 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: n/a
Name: Columbia Cable of Oregon (Comcast) Type of construction: modification
Address: 14200 SW Brigadoon Court Occupancy groups:
City/ State/ZIP: Beaverton, OR 97201 Existing:
Phone: (360)688 -3188 Fax: ( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Eagle Consulting Group (Please refer to fee scl►edateJ
Structural plan review fee (or deposit):
Contact name: Alkn Potter
Address: 1750 Delta Waters Road #102 -326 FLS plan review fee (ifapplicable):
Total fees due upon application:
City/ State/Z1P: Medford, OR 97504
Phone: (541) 821 -8846 Fax: : (425) 984 -0485 Amount received:
E -mail arpolter@eagkconsultinglk.coo PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: WesTower Communications Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 7525 SE 24" Street; Suite #500 Solar Installation Specialty Code checklist.
City/State/ZIP: Mercer Island, WA 98040 Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Fax: ( )
State surcharge (12% of permit fee): $21.60
CCB lic.: 140471 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ) /10l /7 /'•_ Date: 3 • Fee methodology set by Tri -County Building Industry
Service Board.
1:1Building\Permits\BUP -COM PermitApp.doc 02/ 24/2011 440- 4613T(I 1 /02/COM/WEB)
^t
EAGLE
Consulting Group, llC
Date: December 24, 2013
To: City of Tigard Building Department
13125 SW Hall Blvd.
Tigard, OR 97223
RE: Bldg Permit No. BUP 2013 -00305
Dear Building Dept:
Enclosed please find a check in the amount of $648.85 for the fees due for the above referenced permit.
I have enclosed an additional $5 to cover the cost of mailing the permit to me in the enclosed envelope.
Please let me know if you have question.
I can be reached at 541 - 821 -8846.
Allen Potte
Eagle Consulting Group
1750 Delta Waters Road, No. 102 -326
Medford OR 97504
,11111t4
R ECEIVED
DEC 1 0 2013
EAGLE CITY OF T IGgRD
onsuiTin9 Group, L.r BUILDING DIVISION
Date: December 9, 2013
Building Permit Application
WesTower Communications / AT &T Site ID: PR52 Durham
From: WesTower Communications by Eagle Consulting Group LLC
To: City of Tigard Building Department
13125 SW Hall Blvd.
Tigard, OR 97223
Dear Budding Dept:
I am enclosing the following documentations for a building permit for
modifications to an existing cell tower site for WesTower / AT &T. The site is owned by Sprint
Spectrum Realty Company, L.P. I have enclosed the following documentations:
Structural Analysis
Construction Drawings
Fee check
Please return a receipt for the fee check. Please contact me or my business
partner, Butch Popp at 541- 821 -7600 when the permit is ready to issue so we can advise our
client and they can visit your office to complete the permit application and pay any additional
fees that may be due.
If you have any questions, please feel free to contact me at any time. We
appreciate your assistance with this request.
Sincerely,
Allen R. Potter, Eagle Consulting Group LLC
Principal /Member
Site Acquisition and Land Use Planning
1750 Delta Waters Road, No. 102 -326, Medford, OR 97504
541- 821 -8846 wireless phone
425 - 984 -0485 eFax