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Permit CITY OF TIGARD SJD BUILDING PERMIT ''1 ' '• : COMMUNITY DEVELOPMENT Q Permit#: BUP2014-00059 �� 1 11 °✓ Date Issued: 06/24/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1346C00600 Jurisdiction: Tigard Site address: 12390 SW SCHOLLS FERRY RD Project: Sprint Subdivision: 1993-057 PARTITION PLAT Lot: 2 Project Description: Installation of(3)panel antennas on existing cell tower. 10/21/14: Reprinted permit to show change in contractor to North Sky Communications. Contractor: NORTH SKY COMMUNICATIONS INC. Owner: THOMPSON, DENNIS C 11818 SE MILL PLAIN BLVD SUITE 410 9295 SW ELECTRIC ST VANCOUVER,WA 98684 TIGARD, OR 97223 PHONE: 360-254-6920 PHONE: FAX: 866-530-4325 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 06/24/2014 $377.90 Demolition Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 06/24/2014 $45.35 Dwelling Units: 0 Plan Review 03/12/2014 $245.64 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/24/2014 $70.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-LRP 06/24/2014 $10.00 Value: $20,000 Info Process/Archiving-Sm$0.50(up to 06/24/2014 $20.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $768.89 Required: Required Items and Reports(Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy o ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / rmittee Signature: Cal 9.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .y ry ity of Tigard ° COMMUNITY DEVELOPMENT DEPARTMENT " Request .Per it Action 4460:01 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.7182439 • t\wtl-.tu ald:_r.,, TO: CITY OF TIGARD Building Division Services Supervisor OCT 21 2014 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503.7 18.2=130 Fax: 503.59$.1 960 www.tigard-or.gorCITY OF'IIGA ► ' ' FROM: ( I Owner Applicant ® Contractor I Cirt :a_,'` DING DIVISION (check ante) REFUND OR Name: Sabre Communications INVOICE TO: (ISt:.m:ss tat Itidt,it.lnal) Mailing Address: 2101 Murray Street City/State./Zip: Sioux City., IA 51 101 Phone No.: 253.246.7132 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CANCI I.;VOID PERMIT APPLICATION. [..... REFUND PERMIT 1 1 .1.15 (atta(-h copy of original receipt and provide explanation below). INVOICI'', 1 (.:)R 1:1:,1:5 DLL (attach case fee schedule and provide explanation below). N 1ZN1hi( V'1;/12I='.1'1..ACI: (1(.)N;°TRAC1'OR ON PLRNi1T (do not cancel pertrut) Permit 4: BUP2014-00059 Srtc Address or Parcel #: 12390 SW SCI IOI.I.,S FERRY RD Project Name: SPRINT. Subdivision Name: 1993-057 PARTITION PLXI` I.,ot #: 2 EXPLANATION: NEW GC TO CONSTRUCT. TRANSITIR CC FROM SABRE; COMMUNICATIONS "10 NORTHSKY COMMUNICATIONS,CCB # 141171 ^�Signature: A,<�;- _< � . � )ate: 10-21-?01'1 J .NNI :E KARCHER --._.. Print Name: - ltcrund Phc) hhr r:cn�nuttin DrvUopmet;t 1:):reehx ut Rutldiny Oihciul tn:n':tuthorve the n•tuud of :m tee ichteh ieee crrt, et tel) rttd or eolleeti i t,) riot inure thin hti':o.tf the land o:r application h e when a;t appluanon r.'ratltdtan a o: canceled hefnt :t oy revive. of t:t*;ha:•kern spinded. e) nut trntre than R,1'o of afar ItutU uac appLeatit'nt lie ritr is>ucd prrutit. J} not mote than?;U° of tIt,:building,plan levee lie"hen,to appA cation is c.utceled beiure fit That rote e ciittrt has tic-n upended vi not more rh:ut SIl e of the hoildin,g petmit ice Fot ir:?ued permit,prior ut m inaptCrinn reguenrs. 2. ,AII tchutds at ill he roamed nt the original parer in the Gtrm u: t cheek Plca>c,al iv 3-I iv he fot heat aran;,refund rcyueeo Rte to St's.Adrain: Date By Rte ro Bldg Adntin• Date Bc Refund Processed: Date By Invoice Processed: Date Bt= Permit Canceled: Date By Parcel Tag Added: Date By Receipt# Dare Method Amount$ I:AlIuiII,n,g\I ii me\Key Penn;tacuon_tbt 2G11.doc — Sabre =� � °��}�m�� industries m��m��N �� Q �.�, �� Y�0 �� ~� �.:`4190�� poi � ' October 21, 2014 �"�vn�p " u�� City ofTigard OCT 2 1 2O14 Community Development �`R1y��N�� 13125 SW Hall Blvd. ~="� �� "xmARD � ��D4�� Tigard, OR 97Z23 ��mx��m�Ko",","",w,^- |E: PERMIT # BUPZ014'O0059 SITE # P054XC009 BUN # 879600 ADDRESS: 12390 SW Scholls Ferry Road Please transfer Contractor on file for the above referenced permit from Sabre Communications Corporation, License # 181875, to the new Subcontractor North Sky Communications, CCB # 141171. With Regards, |eoui[erBarcber Office Manager Sabre Communications 253246.7132 26609 791h Avenue South Kent, WA 98032 Phone # 253.246.7132 Fax # 253.246.7131 _ CITY OF TIGARD BUILDING PERMIT•31i COMMUNITY DEVELOPMENT Permit#: BUP2014-00059 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2014 TIGARD Parcel: 1S134BC00600 Jurisdiction: Tigard Site address: 12390 SW SCHOLLS FERRY RD Project: Sprint Subdivision: 1993-057 PARTITION PLAT Lot: 2 Project Description: Installation of(3)panel antennas on existing cell tower. Contractor: SABRE COMMUNICATIONS CORPORATION Owner: THOMPSON, DENNIS C 2101 MURRAY ST 9295 SW ELECTRIC ST SIOUX CITY, IA 51101 TIGARD, OR 97223 PHONE: 712-258-6690 PHONE. FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 06/24/2014 $377.90 Demolition Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 06/24/2014 $45.35 Dwelling Units: 0 Plan Review 03/12/2014 $245.64 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/24/2014 $70.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review.COM TI-LRP 06/24/2014 $10.00 Value: $20,000 Info Process/Archiving-Sm$0.50(up to 06/24/2014 $20.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement 0 Carport: 0 Covered Porch: 0 Deck• 0 Garage: 0 Mezzanine: 0 Total $768.89 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 d- - • • ! • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR •52-001-0010 through OAR 95 70090 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: r 1�� 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. 7 K.-- Building Permit ApplicatioLECEWED Commercial I t 1 h t I 1 I I c I l ,! 1 1\1 • City of Tigard MAR 11 2014 �� Permit No.: I�/1�-(� • 13125 SW Hall Blvd.,Tigard,OR Plan ReW�,� , II Phone: 503.718.2439 Fax: 503.s��► o'OF TIGARD Date/13 : A`il�� Other Permit: r e;q R n Inspection Line: 503.639.4175 BUILDIN Date Ready : . ruin: 0 See Page 2 for Internet: www.tigard-or.gov G DIVISIQN Notified/Method: ,'p �� Supplemental Information <<a l , -.- 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 0 Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ El 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:12390 SW Scholls Ferry Rd New dwelling area: square feet City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:879600 P054XC009 Sprint Covered porch area: square feet Cross street/directions to job site:SW Scholls Ferry Rd and SW North Dakota Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 1S134BC-0060 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. Installation of three panel antennas on an existing telecommunications facility Valuation: $520,000.00 Three antennas were removed in a project in 2012/13 Existing building area: n/a square feet New building area: n/a square feet 0 PROPERTY OWNER I ❑ TENANT Number of stories: 80' Name:Dennis Thompson/Kiss Car Wash Type of construction: LIB Address:9295 SW Electric St Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: unmanned Phone:( ) Fax:( ) New: ❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Crown Castle USA (Plturrd�irmlaeac Structural plan review fee(or deposit): Contact name:Sandra Walden FLS plan review fee(if applicable): Address:1500 SW Park Ave#324 Total fees due upon application: City/State/ZIP:Portland,ORegon 97201 Phone:(503)709-0820 Fax::( ) Amount received: E-mail:sandra.walden.contractor @crowncastle.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of o CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. <>a Business name:. 5 PcbL Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. 41 City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 1 1 fri 5 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:Sandra Walden Date:3/6/14 • 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) Y764900-- PosOctoo9 COLLOCATION RECEIVED = Supplemental pp Questionnaire MAR TI(,A R D Q of Tigard, 13125 SW'Hall Blvd.,Tigard, OR 97223 11 2014 Phone: 503.718.2421 Fox: 503.598.1960 RR CITY°F TIGARD IF YOU ARE APPLYING FOR A PERMIT TO COLLOCATE ANTEIG' §DIVISIQN PLEASE COMPLETE THE INFORMATION BELOW. Name of Provider: Sprint LP Property Address/Location of Collocation: 12390 SW Scholls Ferry, tigard, Oregon 97223 Zone: G-C Collocating antennas on: ® Existing tower ❑ Existing non-tower structure Is this a new provider? 0 Yes ® No Ifyes, list other providers sin /l/y co//seating on same tower or.rin/char,if any: If no, indicate the prrtao:rs approval(SDR,�'LIID or B UP#): ,; ___ ________ Height of antenna(s): 78 ft. hl 1't1) L��,:- �.�. •�i Color of antenna(s) and accommodating equipment (i.e. dishes): Grey&White -photo attached (to match the grey sky and white clouds) Color of existing tower or structure: steel grey (not painted) Will new accessory equipment be installed? ® Yes ❑ No If}'es,please answer the following Location of accessory-equipment: ® Within fenced area previously approved ❑ Within existing structure Replacing 3 antenna that were removes Other 2012. location No expanded lease area or increase in height fight of Will landscaping be removed to accommodate the accessory equipment? ❑ Yes (Please describe below.) E No Applicant's Signature: _ u 4 iZ , / �c�/',-____ Date: 1/6/14 Name Printed: ✓`f k i)ed IL.'j' .x, Phone: _`;i,4„; '10 C;'7_i' ti' ' �ti J c�'t ,1 — ��1%L'r'io%.c KLE' r.'.14-4- C— _ FOR OFFICEUSE ONLY XjOK issue permit. ❑ Do not issue permit. Refer to planner. I a . CAL/1" Planning Staff Signature Date /Aoll't I i Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12390 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2014-00059 Jeff Grove Violation Summary: Inspector Contractor