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Permit (106) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2017-00237 TIC AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2017 Parcel: 2S114AA00300 Jurisdiction: Tigard Site address: 16295 SW 85TH AVE Project: A T&T Subdivision: None Lot: None Project Description: Modifications to existing cell tower-replace(6)antennas,remove(6)TMA's,add(6)RRH's&(1)surge suppressor. Add(3)helical anchors to existing foundation. Replace kickers on platform A. Add(3)breakers& converter module inside existing equipment shelter. Contractor: VELOCITEL INC Owner: WH SHIPMAN LIMITED 4004 KRUSE WAY PL, SUITE 220 BY NORRIS&STEVENS INC LAKE OSWEGO, OR 97035 621 SW MORRISON STE 800 PORTLAND, OR 97205 PHONE: 503-636-2500 PHONE: FAX: 503-636-2501 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 09/05/2017 $1,083.36 Demolition Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 09/05/2017 $130.00 Dwelling Units: 0 Plan Review 08/24/2017 $704.18 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/05/2017 $226.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 09/05/2017 $27.50 Value: $97,000 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $2,171.04 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 952^9)1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 4'7( /`♦� Permittee Signature: �� 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. i Building Permit Application Commercial R "+ FOR OFFICE USE ONLY City of Tigard Received ,„..7 1� IPA)/ _� 111 - Date/I3 f Permit No.: / p2 3 7 v 13125 SW Hall Blvd.,Tigard,OR 9A 2 2��% Plan Revie • �. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ♦ Other Permit: TIGARD Inspection Line: 503.639.4175 C;1 r' Date Reac I•�♦ f Juris. H See Page 2 for Internet: www.ti and-or. oval i 1 i l .i?a1 ,� 4 Supplemental Information V"d ;��,�� Notified/Metho.. Alit . . .. , . `i i i °.-!!:' Iii ..,, ❑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. ❑ 1-and 2-famil Y dwellin Valuation: $ g ®Commercial/industrial 111Accessory building ❑Multi-family Number of bedrooms: D Master builder ❑Other: Number of bathrooms: :. , w, e ,, , R ` Total number of floors: Job site address:16295 SW 85th Ave. New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:AT&T PR52 3C/4C Covered porch area: square feet Cross street/directions to job site:SW Durham Rd.&SW 85'Ave. Deck area: square feet Other structure area: square feet tliTi .4A1tk i it Subdivision: Lot no.:300 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S114AA00300 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the AVAR . .. .' C . Q IA ' _ work indicated on this application. Replace(6)antennas,remove(6)TMAs,add(6)RRHs,and(1)Surge Suppressor. Valuation: $$97,000.00 Add(3)helical anchors to existing foundation.Replace kickers on platform a Existing building area: 336 square feet Add(3)DC breakers and converter module inside existing equipmetn shelter. New building area: 0 square feet r .. 7 . z% I _`, Number of stories: N/A Name:Jacob Finney/FDH Velocitel for AT&T Type of construction: IIB Address:4004 Kruse Way Pl.#220 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: S-2 Phone:(503)896-0226 Fax ( ) New: S-2 Business name:FDH Velocitel on behalf of AT&T . . . fPteaa refer, e vc ;, t¢., �: ._ ... Structural plan review fee(or deposit): Contact name:Jacob Finney Address:4004 Kruse Way PI#220 FLS plan review fee(if applicable): City/State/ZIP:Lake Oswego,OR 97035 Total fees due upon application: Phone:(503)896-0226 Fax: :( ) Amount received: /7ey-//T IliE mail.Jacob.Finney@FDHVelocitel.comF. P>HOTOet .Q -t C` O ISYS' 'J/ 1J 4 I 1 Commercial and residential prescriptive installation of `` E `= .. i f"'T _ f • 41 �;.. ,. , .�,..% roof-top mo ted Photo Voltaic Solar Panel System. Business name:FDH Velocitel Submit two 1 sets of roof plan with connection details and fire depa - t access,along with the 2010 0 -gon Address:4004 Kruse Way PI#220 Solar Installation ., laity Code chec City/State/ZIP:Lake Oswego,OR 97035 Permit fee .- ' as -'as_••iew $180.00 and adm'•' rativ- --s): Phone:(503)896-0226 Fax:( ) State sure'.. •e(12%of permit fee): • $21.60 CCB lic.:200980 otal fee due upon application: $201.60 Authorized signature. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: J 9e► chuda� Date: 97e y1 * Fee methodology set by Tri-County Building Industry j / Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard IIII " COMMUNITY DEVELOPMENT DEPARTMENT II T I c a R D Building Permit Review — Commercial - No Land U s e c, Building Permit #: '�r t bo/7-DO o9 3 7 Site Address: 10 -gS SVS{ 95111 AV-C, Suite/Bldg#: Project Name: A1-2-1- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Riff4abg 62 aaallyAS Existing Business Activity: ,t5'h twe.g. Proposed Business Activity: h £ S.Verify site address/suite# exists and active in permit system. .rM River Terrace Neighborhood: ❑ Yes No Zoning: 1_ p . Permitted Use: 1.Yes ❑ No ❑ Spec Space IR Confirm no land use required. lt Business License:�IA Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: FillapSail MOS S (emrhfatp46i 0 /e- 7 0 .630. - -f$ 2 Approved by Planning: Date: e✓gi+/17 Revisions (after Building Submitta only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: CA 7 Site Plans: # ' I /3 Building Plans: # -j Building Permit#: 2rEnter building�perml above. �� Workflow Routing: .Planning .IJ'Permit Coordinator ._Lf Building Workflow Sign-off: 0'Si -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 Technician: ( ,„ 4 ; Date: f ,,y I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060 1 16.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: VI 11.II C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Si /A Tigard Trans SDC: ❑ Yes 0 N/A Parks SDC: ❑ Yes ►� N/A OK to Issue Permit A roved b Permit Coordinator: /' �-- PP Y ate: 0-4 I:\Building\Forms\BldgPermitRvw COM_NoLandUse_070915.docx Jacob Finney From: Lina Smith <LinaCS@tigard-or.gov> Sent: Wednesday,August 23, 2017 3:18 PM To: Jacob Finney Subject: RE: Modification to a wireless telecommunications facility (PR52) Hi Jacob, I reviewed your plans. Land use is not required for this proposal, because it falls under the exemptions listed below. Let me know if you have any questions. Lina Smith Assistant Planner City of Tigard I Community Development 13125 Hall Blvd.Tigard, OR 97223 E-mail:LinaCS(itigard-or.gov Chapter 18.798 WIRELESS COMMUNICATION FACILITIES 18.798.030 Exemptions A. The following uses and activities shall be exempt from these regulations: 1. Existing towers and antennas and any repair,reconstruction or maintenance of these facilities which do not create a significant change in visual impact; 2. Ham radio towers,citizen band transmitters and antennas; 3. Microwave dishes; 4. Antennas and equipment and other apparatus completely located within an existing structure whose purpose is to enhance orfacilitate communication function of other structures on the site. From:Jacob Finney [mailto:Jacob.Finney@FDHvelocitel.com] Sent:Wednesday, August 23, 2017 2:22 PM To:#CD PoD<CDPoD@tigard-or.gov> Subject: Modification to a wireless telecommunications facility(PR52) Hello, AT&T is proposing modifications to the existing cell tower at 16295 SW 85th Ave.,Tigard, OR 97224. There will be no increase in the tower height or building footprint. I previously confirmed that planning would review the project when I submit the building permit application, and that a separate planning review would not be required. We now have drawings (attached),this is to confirm that I can proceed with submitting the building permit application. Thanks, Jacob Finney Site Acquisition Specialist FDH Velocitel 1