Permit (50) IL
, CITY OF TIGARD BUILDING PERMIT
lr ' COMMUNITY DEVELOPMENT Permit#: BUP2016 00214
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2016
TIGARD g Parcel: 1S135BB00300
Jurisdiction: Tigard
Site address: 10185 SW CASCADE AVE
Project: T-Mobile Subdivision: None Lot: None
Project Description: Replace(3)existing TMA's,remove(1)radio from tower,install(3)new radios,move(1)radio from tower to
cabinet,remove(5)radios from cabinet.
Contractor: LEGACY WIRELESS SERVICES INC Owner: PORTLAND GENERAL ELECTIC COMPANY
15580 SE FOR MOR CT 121 SW SALMON ST
CLACKAMAS, OR 97015 PORTLAND, OR 97204
PHONE: 503-656-5300 PHONE:
FAX: 503-656-5305
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 07/22/2016 $271.43
Demolition
Occupancy Grp: U Occupancy Load:
12%State Surcharge-Building 07/22/2016 $32.57
Dwelling Units: 0 Plan Review 06/29/2016 $176.43
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/22/2016 $90.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 07/22/2016 $22.50
Value: $12,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $592.93
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 of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued BC w444r)c, Permittee Signature: A i
VMP'
Call 503.639.4175 by 7:00 a.m.for the next available inspected . e.
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
Commercial E JE FOR OFFICE; I Si (
Received O��/� PermitNo.: P �:cifrgard
t0y Date/By: 313125 HBlvd. Tigard,OR 97223)U N 2 7 2016Plan Review ' Other PermitPhone: 03. 8.2439Fax: 503.598.1960Date/By:3 ADate Ready :y: runs: ® SeePage2foInspectnL : 503639.4175- t4^ sNotified/Method: �'J-" ISupplememtal information
it,
^It l) g g 1 S ,iS8O .�1
Internet: www.ti ard-or. ov �� ��t .t P-. ,
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
ui ment,materials,labor,overhead,and the profit for the
Addition/alteration/replacement ❑Other: work indicated on this application.
CATEGORY OF CONSTRUCTION Valuation: $
❑ 1-and 2-family dwelling i Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
Number of bathrooms:
❑Master builder ❑Other:
Total number of floors:
JOB SITE INFORMATION AND LOCATION' s uaze feet
New dwelling area: q
Job site address:10185 SW Cascade Ave s uaze feet
Garage/carport area: q
City/State/ZIP:Tigard,OR 97223 s uare feet
Pro ect namer4;9�999B'ftgSl'ai j _1r)c?.�,Aki Covered porch area: q
Suite/bldg./apt.no.: J
Cross street/directions to job site:SW Cascade,Beaverton Tigard Hwy
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Lot no.: Permit fees*are based on the value of the work performed.
Subdivision: Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:1S135BB00300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Replace(3)existing TMA's with(3)proposed TMA's,remove(1)existing radio
Valuation: $$12,500.00
Existing building area: square feet
from tower,install(3)new radios on tower,move(1)existing radio from tower New building area: square feet
to existing cabinet,remove(5)existing radio from cabinet
I
0 TENANT Number of stories:
® PROPERTY OWNER
Type of construction:
Name:Portland General Electric
Occupancy groups:
Address:PO Box 3340
City/State/ZIP:Portland,OR 97208
Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:T-Mobile c/o Technology Associates EC Structural plan review fee(or deposit):
Contact name:Chelsi Monihan FLS plan review fee(if applicable): //
Address:7117 SE Beveland Street Suite 101 Total fees due upon application: /7 t .7 3
City/State/ZIP:Tigard,OR 97223 Amount received:
Phone:(503)593-0282 I Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:chelsi.monihan@taec.net Commercial a : residential prescriptive installation of
CONTRACTOR roof-top mounte. 'hotoVoltaic Solar Panel System.
Submit two(2)sets s f roof plan with connectio s
Business name:TAD-
and fire department a ass,along wit 10 Oregon
Solar Installation Specie it Co ecklist.
Address: Permit fee(inclus='',lan review $180.00
City/State/ZIP: and inistr. 've fees):
Phone:( ) I Fax:( ) States. arge(12%of pe 'it fee): $21.60
CCB lic.: ./ •t 5 2- .4S/ Total fee due upon applies tion: $201.60
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�► I 5 ^I V�'�' ^ I * Fee methodology set by Tri-County Building Industry
�C� 1�/nn�� i I �/1 Date: V/ VJ Service Board.
Print name: ) 1 i I V` , V��Y t
I:\Building\Petmits\BUP-COM PermitApp.doc 02/24/2011
440-4613T(11/02/COM/WEB)
rr..
ICity of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
Buildin•r t #: 43 i 6 —60 24 4/
Site Ad(8: /0/'8,c-' Z) civiceiv. , Suite/Bldg#:
Project he: -7-
J1/6Z/7e
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planninjview
Proposal:
.-2 invie r��oJ —771/7/4A> i" bv S en h let;
cs�i( r ods do /1/
Existing Busr Activity: 6(.3k• -b-c'S �
Proposed Buns Activity: CjYI . t'�l/r
✓/
V!'Verify siteess/suite# exists and active inpermit s st .
IL�''*vet'Terr y
eighborhood: ❑ YeSre o
n oning: 1`(,y ,
Jr/errnitted L UG Yes ❑ No ❑ Spec Space
t27nfirm no id use required.
Business
Exists: Yes ❑ No,applicant notified to obtain business license
Notes: 4/e._.i / 2 4 / 1 If 9 •
•
Approved by Planing: �_ —''. - -:� : Date: 41,e,
`t'
Revisions (after Itilding Submittal only)
Reviewer Date
Revision 1:
C Approved ❑ Not Approved
Revision 2: C Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6/A7��
Site Plans: # .3
Building Plans: # r3
Building Permit#: D'Enter building peer t#above.
Workflow Routing: a-Planning 2 Permit Coordinator ]'"Building
Workflow Sign-off Q"Sign-off for Planning(include notes from planning review)
Route Application Documents: Lr Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: i CalLo ,
Date: Ce/A8/%0
e 8%0
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse 070915.docx
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:
DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
?II OK to Issue Permitéz2 _
/
Approved by Permit Coordinator: G G `" Date: 6'
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx