Permit (102) 1 _
CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit#: BUP2017-00008
Date Issued: 01/30/2017
T"f��A Iz.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DD00101
Jurisdiction: Tigard
Site address: 6975 SW SANDBURG ST 100
Project: AT&T Subdivision: None Lot: None
Project Description: Install(3)new RRH on the existing antenna sleds.
Contractor: VELOCITEL INC Owner: WESTON INVESTMENT CO LLC
4004 KRUSE WAY PL, SUITE 220 2154 NE BROADWAY, STE 200
LAKE OSWEGO,OR 97035 PORTLAND, OR 97232
PHONE: 503-636-2500 PHONE:
FAX: 503-636-2501
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 01/30/2017 $225.80
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 01/30/2017 $27.10
Dwelling Units: 0 Plan Review 01/18/2017 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 01/30/2017 $7.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $407.17
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 -•plicable 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 ' work i suspended for more the 180
days. A NTt•+ Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Cr er. ho rules are set forth in OAR
952- 1-0010 through a&R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. . .1987 or .;'•0.332 • 4.
Permittee Signature:
Isued By: /
Call 503.639.4175 by 7:00 a.m.for the next available ins.ectio 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.
Biiildipg Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY �j Q
Received j J 7j Permit No.: , 10�/ V
City of Tigard Receiv
• 13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Rede`.00®.Mi Other Permit:
■ Phone: 503.718.2439 Fax: 503.59 A4 1 8 /U1. Date/B : A� r
Date'ea. Juris: � See Page 2 for
Inspection Line: 503.639.4175A ' Supplemental Information
TIGARD o� 1( AR() Notified/Method. Co jj
Internet www tigard-or gov CI I R
CITY
. _*3, t,,,,„-44,..:44,...4„,-., �� •� r„.,.4 .-,...,-14.„1,02:,;,,,i, D 2-F , N l .:
`� , .,� �� ���� ' ;. AAA:S. A.; ".., ...; ; - „ _ ��y a 1A ��. , . _ _ ,A.. �. ;� . :.#_,. �;
t stru Permit fees*are based on the value of the work performed.
0 New construction Demolition Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
I 464,- TGOR ofCEr i -4 5 � , ,,„,...AA
, si
work indicated on this application.
. , . z < u �3 , : Valuation:
$
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
❑Master builder El Other:
' OB „ D# IO P 'N Total number of floors:
'24 '.' .: ,, � �, i;N,-, N.,-.4.N-0.. ..,,,,,,..,TIo ., ,..D4:gali *rkt*I;,kitty. s. , ” .,a.t= ",
New dwelling area: square feet
Job site address:6975 SW Sandburg Street
Garage/carport area: square feet
City/State/ZIP:Tigard OR 97223
Suite/bldg./apt.no.: I Project name:AT&T PR35 Tigard
Covered porch area: square feet
Cross street/directions to job site:SW 72°d Ave
Deck area: square feet
Other structure area: square feet
7 Q>NASA,reaIRED D TA: O1l MER I L; a;As S, n
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S101DD00101 equipment,materials,labor,overhead,and the profit for the
u` t Ire, t DES I T6 WO ci s "N` work indicated on this application.
AiXWA:„• Y. sAo r R V. N.*VVA ' '
Valuation: $$10,000.00
AT&T proposes to upgrade their telecommunication facility by installing three Existing building area: square feet
(3)new RRIIs on the existing antenna sleds. square feet
New building area: s q
. : N'AN
ti r t Number of stories:
Name:American Property Management do Phil Hansen
Type of construction:
Address:2154 NE Broadway,Suite 200 Occupancy groups:
City/State/ZIP:Portland OR 97232 Existing:
5624.0845 New:
Phone Fax: 03
((503)624.8240 )
.s„ . v,.; `' , t t RSON 4 *4 B141.1DIN l xFEES
„,,.s r 4 ® ' .' �{w r,� $ 1 #. a 'r ks'a."s r.="a.e- �.s" :>:,.'�i Aa x8 +• dote/`' ..", •a:
�.s.m.�. � `:� ;,, ,�s ..�,�. ��.�,=,�(Pteaserejer."taeesc e
Business name:AT&T Mobility do FDH Velocitel,Inc. Structural plan review fee(or deposit):
Contact name:Tom McAuliffe FLS plan review fee(if applicable):
Address:4004 Kruse Way Place,Suite 220 Total fees due upon application:
City/State/ZIP:Lake Oswego OR 97035 Amount received:
Fax:: t , ,
Phone:(503)936.0002 ( ) j PHOTOVOLTiAIC SOI:AR ANE SYSTEM FEES
,�°v s. ..,, .i . A,I4:,x, r4,w :.. , ..s em .;.Aa-.n„
E-mail:tom.mcaul►ffe a fdhvelociIel corn Commercial and residential prescriptive installation of
g VA K CONTRACTOR e;-, K .4 v/. $r ,,, roof-top mounted Photovoltaic Solar Panel System.
„ Submit two(2)sets of roof plan with connection details
Business name:Velocitel do Tom McAuliffe and fire department access,along with the 2010 Oregon
Address:1033 Skokie Blvd,Suite 320 Solar Installation Specialty Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:Northbrook IL 60062 and administrative fees):
Phone:(503)936.0002 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:200980 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: 4, within 180 days after it has been accepted as complete.
Iii
Date:01.13.17 I * Fee methodology set by Tri-County Building Industry
IPrint name:Tom McAuliffe Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
4' P `
City of Tigard
1AIiq
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: u P 2017 —0000 g
Site Address: (g 7 S Ay S Cl n 0( {nuc-c,, St-• Suite/Bldg#:
Project Name: It j t Y P R 3 E
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -In S i i 3 v RR 1+ 0 0 'Q.X IJ h vii G n vt no),S
Existing Business Activity: N ne-r-c-cAL lye ciion9f
Proposed Business Activity: 1/ l
Verify site address/suite#exists and active in permit system.
VRiver Terrace N ' hborhood: 1=1Yes (Z' No
j4 Zoning: - P
gr Permitted Use: gr Yes ❑ No ❑ Spec Space
Confirm no land use required.
XBusiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes: Vit_ QCtftvi,ti cL OU4r 0 "f- S-ec I'S. 7g8 . 040 . 6
Approved by Planning: M i '-' if\-""\--_ Date: ,/ 1 8 / f 1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ///gi/7
Site Plans: #
Building Plans:
#
Building Permit#: Enter building permit#above.
Workflow Routing: 21"Planning [hermit Coordinator ding
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: - Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technici n: / _ i _, Date: //e/7
I:\Building\Fonns\BldgPernritRvw COM NoLandUse 060116.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:
Lr/
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes I_1 /A
Tigard Trans SDC: ❑ Yes Iji N/A
Parks SDC: ❑ Yes ?N/A
7,OK to Issue Permit l
Date: i/ 6 V// ---
Approved by Permit Coordinator: !!
I:\Building\Fonns\BldgPemmitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6975 SW SANDBURG ST 100, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00008
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor