Permit CITY OF TIGARD BUILDING PERMIT
�. COMMUNITY DEVELOPMENT Permit#: BUP2014-00062
T[GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2015
Parcel: 2S1060001200
Jurisdiction: TIGARD
Site address: 17026 SW FRIENDLY LN
Project: Verizon Wireless Subdivision: SARA KNOLL Lot: 36A
Project Description: Replace(6)antennas and adding related equipment.
Contractor: STRATA INC Owner: PORTLAND GENERAL ELECTRIC COMPAN
PO BOX 2988 121 SW SALMON ST
CHELAN,WA 98816 PORTLAND, OR 97204
PHONE: 425-259-6016 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 03/19/2014 $256.22
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/19/2014 $30.75
Dwelling Units: 0 Plan Review 03/19/2014 $166.54
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/19/2014 $3.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $12,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $456.51
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
952-001-0 through••R 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.
Issu d By: �`/�, 7 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available i ctio •
This permit card shall be kept in a conspicuous place on the job sit 11 •mpletion of the project.
Approved plans are required on the job site at the time of-•ch inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLI
- City of Tigard Received 2 e Ni
' Permit No.: is ��/ -.dee 1v ,
13125 SW Hall Blvd.,Tigard,OR 97223 Q Plan Review .
UPI
Phone: 503.718.2439 Fax: 503.59814 18 2014 Dnte/gy: l ether Permit
T I GA R D Inspection Line: 503.639.4175 Date Ready/By: Juns: II See Page 2 for
Internet: www.tigard-or.gov CITY
OF TIGARD
Notified/Method: 7 aj�_ Supplemental Information
w., D1V1S10N a
s_
❑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: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
. . CA, * LION
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $12,000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder C1 Other: Number of bathrooms:
-. 1 II I l LOCATION Total number of floors:
Job site address: 17026 FRIENDLY LANE New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97007 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:POR BARROWS Covered porch area: square feet
Cross street/directions to job site:FROM 217 S,EXIT 4B,LEFT ONTO SW ROY Deck area: square feet
ROGERS RD, 1ST LEFT ONTO SW FRIENDLY LN,SITE ON RIGHT. Other structure area: square feet
rr
Subdivision: rot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: R482310 �j(d 00 !2.00 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
v work indicated on this application.
Replacing six(6)antennas and adding related equipment per enclosed plans. Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I o TENANT Number of stories:
Name:Verizon Wireless(VAW),LLC d/b/a Verizon Wireless Type of construction:
Address:5430 NE 122°Ave Occupancy groups:
City/State/ZIP:Portland,OR 97230 Existing:
Phone:(503)208-5319 Fax:( ) New
V il .9 , -,,,s.4 ..-. 0 ACT PE N ''
Business name:Black Rock Consulting ‘ �r` Structural plan review fee(or deposit
Contact name:Brandon Clower tr'@` '
Address:5505 SE Tolman St tikA' „11- v? d-' 8� FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97206 �� Qom" A 1� Total fees due upon application:
�� � ` �� Amount received: 5 l
Phone:(503)208-5319 Fax::( ��s'. - - '
E-mail:dbrandonclower@gmaiLcom a .. . �:» .._.,,
- - - % Comme and residential prescriptive installation of
"`` l - t ipof--top mo , ed PhotoVoltaic Solar Panel System.
Business name: . 6+z A 7-A ,N _,��0I- 5 Submit two(2)s of roof plan with connection ,- • s
�f �!'D,� and fire department a •- along with the 2i : •regon
Address: Po" .�o c a qg 1 • f Imo' au Solar Installation S,ecial ..• the • .
City/State/ZIP: Cif i co n) Loft 9 get(p p,U"" i '1" )�' Permit fee(includes pl.. 14, $180.00
I rS eat^ and adm''• ative fees):
Phone:( j'! 5 9._6--q- ( J(, Fax:( ) ( 1" P.j ' State Burch• _ 12%of permit fee): $21.60
CCB 1ic.: '.75 164 ,vd,8 I(� .s e% 4,T
.tal fee due upon application: 01.60
signature: 7} /vim - "l1l lc-
Authorized This permit application expires if a permit is not obtained
•/ within 180 days after it has been accepted as complete.
Print name: D.Brandon Clower Date:3/7/14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Branden Taggart
From: D Brandon Clower <dbrandonclower @gmail.com>
Sent: Wednesday, September 10, 2014 10:40 AM
To: Branden Taggart
Cc: Jim Jaggers
Subject: Fwd:Verizon Project at 17026 Friendly Lane
Branden,
Thanks for following up. We checked with Washington County and they do not require any separate
zoning review (see below). Verizon's construction schedule has undergone some reconfiguring so this
project may be a couple months out before BP pickup. Are we ok regarding expiration? If we are
close, is an extension available?
Sincerely,
Brandon
Forwarded message
From: Jennifer Brown <Jennifer Brown @co.washington.or.us>
Date: Thu, Mar 20, 2014 at 1:53 PM
Subject: RE: Verizon Project at 17026 Friendly Lane
To: D Brandon Clower<dbrandonclower@gmail.com>
Cc: "debbieAtigard-or.gov" <debbie @tigard-or.gov>, Jim Jaggers <jagslaw @gmail.com>
HI Brandon, I've had a chance to look over the proposed antenna replacement, and I agree, it does
not look like you would need a land use permit at all, since the antenna will not be more than 20%
larger than what it is replacing. We are fine with continuing the building permit process, there is
nothing needed from Washington County Planning.
Jennifer Brown
Associate Planner
Planning and Development Services Division
Washington County
503 846 6739
Jennifer Brown(a�co.washington.or.us
www.co.washington.or.us
From: D Brandon Clower [mailto:dbrandonclower @gmail.com]
Sent: Tuesday, March 18, 2014 10:00 AM
To: Jennifer Brown
Cc: debbie@tigard.or.gov; Jim Jaggers; D Brandon Clower
Subject: Verizon Project at 17026 Friendly Lane
Jennifer,
1
I am currently working on a project in an area recently annexed by the City of Tigard. The address is
17026 Friendly Lane. It was previously in Washington County's jurisdiction and they have requested
Land Use clearance from Washington County. Would you please reply-all to this email if the City of
Tigard may proceed with reviewing the Building Permit Application? I have included a basic response
to the exemption criteria below. If you would like any more detail, please let me know.
B. Replacement of existing antennas and transmitters on lawfully established
telecommunication facilities, provided:
(1) They are mounted using similar techniques as that of the antennas and
transmitters they are replacing in order to minimize visual impact, or in the
case of replacing antennas and transmitters on a Facility 2 tower,
replacement antennas and transmitters shall also be designed as Facility 2;
There will be no change to mounting system per plans (attached)
(2) They are made of non-reflective material and painted to match the
telecommunication facility or existing antennas and transmitters, whichever
results in the replacement antennas and transmitters being less visible, or
are placed in the tower;
They will be of similar color and material as existing per plans.
(3) Replacement does not result in an increase in the number of antennas or
transmitters (e.g., like antennas or transmitters may be replaced with like
antennas or transmitters). Notwithstanding, existing antennas and
transmitters may remain for a period not to exceed six (6) months in order
to accommodate the transfer of service from the existing antennas or
transmitters to the replacement antennas or transmitters; and
The total number of antennas is 12 and will remain 12 per plans.
(4) Replacement antennas or transmitters do not exceed the size (e.g., area or
length) of existing antennas or transmitters by more than twenty (20)
percent.
2
All replacement antennas will be smaller in visual surface area than the existing antennas. Please
see attached excel sheet. I factored depth into the visual surface area because of the shape of these
particular existing antennas. Also attached are the spec sheets.
Sincerely,
Brandon Clower
503-208-5319
dbrandonclower@dmail.com
3
Debbie Adamski
From: Debbie Adamski
Sent: Tuesday, March 18, 2014 12:39 PM
To: 'dbrandonclower @gmail.com'
Subject: POR Barrows Permit, 17026 SW Friendly Ln, BUP2014-00062
Attachments: POR Barrows.pdf
Brandon,
I have created the permit for the above project and will forward the plans to our plans examiner for building review. We
will require documentation of Washington County's approval before we can issue the permit. Prior to issuance we will
also need to have the contractor identified.
When I went to receipt the payment for the permit fees, I realized the check amount was more than the permit fee. The
check (#2622) was for$465.51 and the total permit fee is$456.51. Please see the attached fee schedule. We cannot
refund the overage, so I am returning your check by mail. You can either mail another check for the correct amount to
my attention or you can pay the fees when someone comes in to pick it up.
Please let me know if you have any questions.
Debbie Adamski
Senior Permit Technician
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2450
1
RECEIVED March 10, 2014
MAR 182014
VIA US Post Priority Mail BUILD 0FTIGARD
ING DIVISION
City of Tigard
Attn: Permit Center Building
13125 SW Hall Blvd
Tigard, OR 97223
RE: Verizon Wireless Site at 17026 FRIENDLY LANE / POR Barrows
To whom it may concern:
I am making this submittal to obtain a building permit from your jurisdiction for Verizon Wireless'
wireless communications facility located at the address above. All specifics are included in the plans.
Building Permit Submittal:
1. Check in the amount of$465.51 ($453.51 Submittal Fee+ $2/pg Archiving Fee for CDs)
2. Building Permit application.
3. Three (3) sets of 11"x17" drawing set (all wet stamped).
4. Two (2) sets of structural analysis.
Please return a receipt for the check via email as a PDF to dbrandonclower @gmail.com. If you have any
questions I can be reached at 503-208-5319.
Sincerely,
Brandon Clower
Representing Verizon Wireless
503-208-5319
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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
17026 SW FRIENDLY LN, TIGARD, OR, 97007
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2014-00062
Chip Barnett
Violation Summary:
Inspector Contractor