Loading...
Permit sr I CITY OF TIGARD Marx I, BUILDING PERMIT • COMMUNITY DEVELOPMENT Permit#: BUP2014-00070 T [GA R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2014 Parcel: 251060000100 Jurisdiction: TIGARD Site address: 16744 SW SCHOLLS FERRY RD Project: Sprint Subdivision: 2002-032 PARTITION PLAT Lot: 3 Project Description: Modifying existing telecommunications facility and replacing(3)antennas.6/10/14,reprinted to change contractor from Sabre Const.to North Sky Communications. Contractor: NORTH SKY COMMUNICATIONS INC. Owner: RALSTON,CHRISTOPHER J&SHERI L 11818 SE MILL PLAIN BLVD SUITE 410 21029 SW LEBEAU RD VANCOUVER,WA 98684 SHERWOOD, OR 97140 PHONE: 360-254-6920 PHONE: FAX: 866-530-4325 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations. 03/31/2014 $377.90 Demolition Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/23/2014 $45.35 Dwelling Units: 0 Plan Review 04/23/2014 $245.64 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/23/2014 $20.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $20,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $688.89 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 952-001-001' rough OA' • 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1 / / Issued y: • � � Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspe date. This permit card shall be kept in a conspicuous place on the job site unt completion of the project. Approved plans are required on the job site at the time of each inspection. 06/09/2014 17:23 503--223-6742 FEDEX OFFICE 5128 PAGE 02 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RECIP 1 IFID m 1111 Request Permit Action _ 9 2i-i.1 1.,,;,l,.i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.ti -or. ov ' HU ' tJILi?iNc r)rimInp TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503,598.1960 www.tigard-or..gov FROM: ❑ Owner ® Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Rusincsi'or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ® REMOVE/REPLACE CONTRt1.CTOR ON PERMIT (do riot cancel permit). Permit#: none provided-reference address 8 1O 11-1-006)70 Site Address or Parcel#: 16744 SW Scholls Ferry Rd Project Name: 879602 PO54XC0I 1 Sprint 2,5 Subdivision Name: Lot#: EXPLANATION: Please change the contractor to North Sky Communications Signature; c- /� Date: 6-9-14 z:1.-,S,- dra Walden Print Name: 1e5.mcJJohgt 1. '11w Director or Building Official may authorize the refund of a) any fee which was erroneously paid or collected. Y) not more than 80 of the land ure application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than SO%of the land ttre application fee for issued permits. d) not more than P0%of the building plan review fee when an application is canceled before any plan review effort has been expended. c) not more than RlWn of the building permit fee for issued permits prior to arty inspection rcciucata• 2. Refimds will be returned to the original Payer in the same method in which payment was received. Plcasc allow 2-4 weeks for processing refunds. I ()l: (7l l• i('l; I tip; ONI.1 Rte to S s Admin: Date B• Rte to El.: Admin: Date B Refund Processed: i)ate = Invoice Processed: B Permit Canceled: Date Parcel Ta• Added: Date B. Recei•t# Date Inel Amount$ i:\Building\Poems\Rt:gronmtAction.doc Rev O3 5/ t2 O_J \ .R_ ,P, -c 1 t `� /o /y 06/09/2014 17:23 503--223-6742 FEDEX OFFICE 5128 PAGE 01 * RECEJvj.r FiecE Office . Fax Cover S h e i 0 20 Fed Kinko's is now FedEx Office C`T 14 BUILD N FT/CgkU Date Number of a es 'T� lver pag page) lincluding cover page? N To: From : Name V( (et cot_ei 4# Name �- (*JA)U Compa n y e l) __ Company e_gailifiC 1;� Telephone " S Telephone ,503 -70t——70 ©8Z.u Fax _O (QC) Comments G• w / I 11111111111111111111111E III II lIIIII II11 I I PSI II 1 11111111001111 1 III 7 90363 00711 1 7 90363 00714 2 7 90363 00720 3 Fax•Local Sond Fax-Domestic Send Fax,International Sand fedex.com 1,800,GoFedEx 1.800.463.3339 A)2009 Max.All rights rosrrvad.Products,services Ono nova vary Dv IOCation.610.OP00.009 SERA 72705 06/03/2014 TUE 10: 16 FAX Qj001 . . . 'RECEI VFD . City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JUN - 3 2014 CITY OF 1l(GHHtj N : p CITY OF TIGARD BUILDING PERMIT 1,1 COMMUNITY DEVELOPMENT Permit#: BUP2014-00070 Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 04/23/2014 TIGARD 9 Parcel: 251060000100 Jurisdiction: TIGARD Site address: 16744 SW SCHOLLS FERRY RD Project: Sprint Subdivision: 2002-032 PARTITION PLAT Lot: 3 Project Description: Modifying existing telecommunications facility and replacing(3)antennas. Contractor: SABRE COMMUNICATIONS CORPORATION Owner: RALSTON, CHRISTOPHER J&SHERI L 2101 MURRAY ST 21029 SW LEBEAU RD SIOUX CITY, IA 51101 SHERWOOD, OR 97140 PHONE: 712-258-6690 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT T Permit Fee-Additions,Alterations, 03/31/2014 $377.90 ype of Const: Demolition Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/23/2014 $45.35 Dwelling Units: 0 Plan Review 04/23/2014 $245.64 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/23/2014 $20.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $20,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $688.89 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 952-001-0010 thr• - _•. •52-001-00'1. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f f Issued .y: 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 ( r Commercial RECEIVE') I ()It (II I 1( 1 I tit ()\1 1 City of Tigard Dae Received L ..atir Permit No.: A, . ti —4 rv'Z U .74 . ` 13125 SW Hall Blvd.,Tigard,OR 97223 kAAR 20 3114 P"• Phone: 503.718.2439 Fax: 503.598.1960 Date/13 : ± g Other Permit: 1 i( A it i) Inspection Line: 503.639.4175 Date Ready/By: lyric a See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: '/p (y i9), -177G Supplemental Information ` � G DIVISION ck y,,-..t,i.tc en TYPE O 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:Modifcation equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1-and 2-family dwelling ®Commercial/industrial Valuation: $ a ❑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:16744SW Scholls Ferry Rd (8791102 PO54XC011) New dwelling area: square feet City/State/ZIP:Tigard,Oregon 97007 Garage/carport area: square feet Suite/bldg./apt.no.: Project name9642 i1 J rQr�.%j/�" Covered porch area: square feet \* Cross street/directions to job site:SW Murry �j Deck area: square feet V Other structure area: square feet N REQUIRED DATA:COMMERCIAL-USE CHECKLIST ubdivision:2S1050000 Lot no.:100 Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all IN Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Modification of existing telecommunications facility Valuation: $$20,000.00 Replacing 3 antennas,3 remote radio heads with ancillary equipment and cabling Existing building area: square feet ntennas were removed in previous Phase of project in 2013 New building area: square feet 0 PROPERTY OWNER I ® TENANT Number of stories: Name:Crown Castle Type of construction: J Address:8432 154`h Ave.NE Bldg C Occupancy groups: City/State/ZIP:Redmond,Washington 98054 Existing: unmanned Phone:( ) Fax:( ) New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES" fee\ Business name:Sprint (Plea%' 'a' � le) Structural plan review fee(or deposit): Contact name:Sandra Walden Address: 1500 SW Park Ave N324 FLS plan review fee(if applicable): City/State/ZIP:97201 Total fees due upon application: A5 ms22 1/a j) hone:(503)709-0820 Fax::( ) Amount received: $377.9 E-mail:sandra.walden.contractor@crowncastle.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of -`C CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. t Business namerTB'IT 6i-t_ �_,�/e �e (J^ Submit two(2)sets of roof plan with connection details 1/ and fire department access,along with the 2010 Oregon Address: 15'Z7 r ,j / J)( _ Solar Installation Specialty Code checklist. City/State/ZIP: fh//S�n7 (-IR Q 741/7 Permit fee(includes plan review $180.00 r and administrative fees): e* Phone:(53.5 I*It_(25-6,-.1 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: /6,-7/241 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained,‘;Vaidtedaerifee"........_ within 180 days after it has been accepted as complete. Print name:Sandra Walden Date:3-26-14 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) f • RECEIVED i III lig COLLOCATION MAR 12014 II Supplemental Questionnaire l I c,A I.C) City of Tigard, 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGAIW Phone: 503.718.2421 Fax: 503.598.1960 BUILDING DIVISION IF YOU ARE APPLYING FOR A PERMIT TO COLLOCATE ANTENNAS, PLEASE COMPLETE THE INFORMATION BELOW. Name of Provider: Sprint Spectrum Property Address/Location of Collocation: 16744 SW Scholls Ferry Rd (879602) Zone: AF-10 Collocating antennas on: ® Existing tower ❑ Existing non-tower structure Is this a new provider? ❑ Yes ® No Ifyes, list otherproviders currently collocating on same tower or structure, if any: If no, indicate the previous approval(SDR,MMD or BUP#): WA,63, BP*6521461b 05 2.15 400 Height of antenna(s): 105 ft. aw 6 5 J L451)S N ' -L 121 14/d ctititimAi- LA-pro esnt,raHac, 01 -O'Q/ , S'v Color of antenna(s) and accommodating equipment (i.e. dishes): same as existing Color of existing tower or structure: gray Will new accessory equipment be installed? p Yes ® No Ifyes,please answer the following: Location of accessory equipment: El Within fenced area previously approved ❑ Within existing structure ❑ Other location (Please describe below.) No Ground Work Required Will landscaping be removed to accommodate the accessory equipment? ❑ Yes (Please describe below.) ® No Modification to an existing,permitted telecommunications tower. Propose re-installing 3 antennas, 3 remote radio heads and ancillary equipment at the same height where 3 antenna were removed in 2012-2013 Phase 1. sandra.walden.contractor @crowncastle.com Applicant's Signature: aid. Date: 3-20-14 Name Printed: Sandra Walden Phone: 503-709-0820 FOR OFFICE USE ONLY ❑ OK to issue permit. ❑ Do not issue permit. Refer to planner. Planning Staff Signature Date Ziot r4441 Ney k y.e, Atioio 14-tif '7 ee-1, 4rr ?-7":744 ( 1:\CURPIN\Masters\CollocateAntennas.doc Debbie Adamski From: Cheryl Caines Sent: Tuesday, April 08, 2014 2:54 PM To: #Building Permit Technicians Cc: Tom McGuire Subject: BUP2014-00070 Branden and Debbie, An update on the planning review for BUP2014-00070. This is the monopole located in River Terrace.There is no city planning review for this because our Development Code does not apply in this area at this time. We have an agreement with Washington County that their code still applies. I left a message with a county planner last week and heard nothing. I left another message today with their planner on duty. I hope to hear something in the next day or two. If not, I'll contact the Planning Manager to find out if any sort of approval is required by the county before we issue the permit. I have the paperwork at my desk. Cheryl Caines Associate Planner City of Tigard (503)718-2437 cherylc(a�tigard-or.gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 16744 SW SCHOLLS FERRY RD, TIGARD, OR, 97007 Commercial - Building 299 Final inspection PASS - No C of O June 12, 2014 at 2:14:17 PM BUP2014-00070 Jeff Grove Violation Summary: Inspector Contractor