Permit CITY OF TIGARD BUILDING PERMIT
''1 COMMUNITY DEVELOPMENT Permit#: BUP2015-00172
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/02/2015
Parcel: 1S 135BB00300
Jurisdiction: Tigard
Site address: 10185 SW CASCADE AVE
Project: Verizon Wireless Subdivision: OAKBURG Lot: 27
Project Description: Structural reinforcement to existing tower. No ground or antennae work.
Contractor: SABRE COMMUNICATIONS CORPORATION Owner: PORTLAND GENERAL ELECTIC COMPANY
2101 MURRAY ST 121 SW SALMON ST
SIOUX CITY, IA 51101 PORTLAND, OR 97204
PHONE: 712-258-6690 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 07/02/2015 $1,142.19
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 07/02/2015 $137.06
Dwelling Units: 0 Plan Review 06/17/2015 $742.42
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/02/2015 $187.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-LRP 07/02/2015 $28.00
Value: $105,111 Info Process/Archiving-Sm$0.50(up to 07/02/2015 $15.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,251.67
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
952-001-00 I. • ••R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by by callin or 1.800.332.2344.
Iss ed By: j , Permittee Signatpre: `rjrJ if
Call 503.639.4175 by 7:00 a.m.for the next available insp: "'on date.
This permit card shall be kept in a conspicuous place on the job site un it completion of the project.
Approved plans are required on the job site at the time of each inspection.
. . ,
, , ....
.., . .-
Building Permit Application CEIVEP .
Commercial 1 (.1<()I lc( I, i -.1 0.1 \ •
City of Tigard Received f Dilic/BY- 0 17 < pcmictlo.: .
IN...--- •1 13125 SW Hall Blvd.,Tigard,OR‘j4J3 1 7 2015
Plan Ravi, ... ..
: Ill Phone: 503-718-2439 Fax: 503-598-1959 , Dare/B . 41111,•t, • .I ', 'oteted Permit:
1.i ciAR I,) Inspection Line: 503-639-417€i i 1.: 14
U I!GARD Daly Ready/By: elgIM:111M Aida: i4 Soe Page 2 for
Internet: www.tigard-or,8010,Irr yr r.rt,,,e' TIIVISION NolifiecVMethod: s ArA/Midalli Supplemental Information
. ,
-f:;i"?4-:4:2";•:T !.. :.,,-,, ':-.-,...-.•.7-::;.:::::',.,- TY11:91‘,..WOgIc:.'.2:WI.i:;..::'
0 New construed:in 0 Demolition Permit fees*are based on the value of the work performed. tr‘-
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other; cell tower reinforcements equipment,materials,labor,overhead,and the profit fbr the •
G01 OF CO 1%**Icitioil:::,',': work indicated on this application.
' Valuation: S
0 I-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder Other: cell tower Number of bathrooms:
l
, •jOktill'i*AlOoRiviiiilic*:rAtfA LOCATION';::'1217•:.-'ifVa -61::iL- Total number of floors:
Job site address: 10185 SW Cascade Ave New dwelling area: square fret
City/State/Z1P: Portland,OR 97223 (,/.f)2I (AI iT,,te-SJ : Garage/carport arca: square feet \\
Suite/bldg/apt ii: I Project namez-Crown-GeetierPftestlftBSS-erff40 Covered porch area: square feet N.V..
Cross street/directions to job site: Hall Blvd toward Burnham St,turn left onto SW Pacific Hwy Deck area square feet
%..,
Turn right onto SW Greenburg Rd,then left onto Cascade Blvd Other structure area: square feet . k
;1 %* 014* *
* :CE,*.:1.;....:
Subdivision: Lot N: Permit fees'are based on the value of the work performed. IN
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel ii: R0273215
equipment,materials,labor,overhead,and the profit for the ,,...
• ' DRIfittiiki1014 OF WORK •: • , -•• : ''-- •:: work indicated on this application.
- . ... , • -•
.-.
Structural reinforcements to existing cell tower. No ground or electrical work,No line or Valuation: $ 105,110.63
Existing building area: square feet
antenna work _
New building area: square feet
4.•;‘,.•:.-gT.-f... ?..04043.0PF*11*;'(1#444i''' • ' •I' ., .):::::.:::0:0140ctot::::::.,f---,..-- .::.. . ,-: Number of stones:
Name: Crown Castle Type of construction: ..
•
Address: 5350 N 48th St Suite 305 Occupancy groups:
CilY/S1a1c/ZIP: Chandler,AZ 85226 Existing:
Phone:(602 )845-1753 Fax:( ) New.
:::21.,.-.:.: ., • .1 , 0.-.:1;411.0644t:--;::-,.,...,:.•: :•• , •::::-: .-:0.:..i,:jiliffitti*likifoifige-tai‘'i' :,--.77.77:""7-7777131JILDINGIBICAKIT.FIGES*•""- ''''''''
I -(Plearee•Pieleed#kaialt,v,:,:.:,;'..q.:%-r..:.
Business name:DMJ Permitting Swims,kW
Structural plan review fee(or deposit):
Contact name: Diana McKay
FLS plan review fee(if applicable): s
Address: 3120 E County Road 44
Total fees due upon application:
City/State/ZIP: Eustis,FL 32736
Amount received: A 7 /3,4/o.-- wi
Phone:(407 )209-7155 I Fax:;(321-) 256-5124
ii-001aAaikkiPANke00000(**0' -- .
E-mitil: diana@dmjpermits.com
_. . _.. . , Commercial and residential prescriptive iriatidlatios n of 44 I
CONTRACTOR • -.- :• . roof-top ,;. nted PhotoVoltaic Solar Panel System.
Business name: Sabre Communications Submit two ts of roof plan with connection de .•,
R ,
and fire departure. ,ccess,along with the 20 I regon
Address: 7101 Southbridge Dr Solar Installation Spec. 1 Code chec
City/State/Z1P: Sioux City,IA 51111 Permit fee(includes . • , ew
$18000
and admini••-• . es):
Phone:( 712 ) 258-8690 Fax:(712-2y9-0187
State surcharge A of permit fee. $21.60
CCB Lic.: 181875 1
_ Total 't due upon application: "01.60
*..,. .....________.
Authorized signatu ' This permit application expires ifs permit is not obtained
within 180 days after It has been accepted as complete.
Print name: J Black Date: June 5,2015 * Fee methodology set by Tri-County Building Industry
Service 13oard. Vibi:,
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-46131(11102/CCM/WEB)
.". .1
I
City of Tigard
IN COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
1( , . I. I ,
Buildin g Permit #: i&L{) O /5'-- 00 ! 7 .--
Site Address: /0/gr. 440 /,2 Suite/Bldg#:
Project Name: V / I )f ter c
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review 1/
Proposal: S71 r1rc-1 J
uRd /.e/n4r maet 1 /� e°x;z7 -7jGti°/'
Existing Business Activity: 2/rehs,.j cpninia4/?„,"7 , 4e..i'l
Prop..ed Business Activity: // // //
15 Verify site address/suite# exists and active in permit syst
' 91 i. 'vet.Terrace Plan District ❑ Yes lJ No
�ermitted Use: Yes CI No CI Spec Space
onfirm no land use required.
Business License•
Exists: Pi Yes /-❑ No,applicant notified to obtain business license
Notes: �Cof tOl i- /'M bcO/S- Oa)/9
/* ->
Approved by Planning: ` ,,y, Date: /47/-9//c—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal /
Original Submittal Date: C //7 7/5
Site Plans: # !�
Building Plans: # _ 3
Building Permit#: 12-Enter building permit#above.
Workflow Routing: .Planning El—Permit Coordinator Building
Workflow Sign-off: .12.-Sign-off for Planning(include notes from planning review)
Route Application Documents: a-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 677//5—
l:\Building\Fonns\BldgPermitRvw_COM_NoLandUse 031015.docx
4
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
Pr OK to Issue Permit `
Approved by Permit Coordinator: C, L a _ (_ -n,a-J Date: (a,—C 8 - LS
I:\Building\Forms\BldgPertnitRvw_COM_NoLandUse 031015.docx
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
10185 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00172
Jeff Grove
Violation Summary:
Inspector Contractor