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Permit (90) CITY OF TIGARD BUILDING PERMIT IIIPermit#: BUP2018-00132 i� . COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2018 TE'tt1 R•L� Parcel: 2S102AD03450 Jurisdiction: Tigard Site address: 8777 SW BURNHAM ST Project: Sprint Subdivision: None Lot: None Project Description: Replacing(3)antennas,remove(3)radios,removing(6)junction cylinders,installing(1)hybrid cable, Installing(1) platform reinforcement kit. Contractor: NORTH SKY COMMUNICATIONS LLC Owner: TIGARD, CITY OF 11818 SE MILL PLAIN BLVD SUITE 410 13125 SW HALL BLVD VANCOUVER, OR 98684 TIGARD, OR 97223 PHONE: 360-254-6920 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IA Permit Fee-Additions,Alterations, 05/15/2018 $301.85 Demolition Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 05/15/2018 $36.22 Dwelling Units: 0 Plan Review 04/30/2018 $196.20 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/15/2018 $91.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/15/2018 $22.50 Value: $15,000 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $647.77 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 By: "" •- mittee Signature: OW 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. Building Permit Application Commercial u ' 30 City of Tigard APR 2018 Received 31)//ii-Al'g DateBy: /� Permit No.: /� 13125 SW Hall Blvd.,Tigard,OR 97223 --; Plan Review v� J /" ��� �" � a Phone: 503.718.2439 Fax: 503.598.1960 ' f IDateBy: S' j 'g` Other Permit: T l G A R D Inspection Line: 503.639.4175 1-i -, Date Ready/By: Luis: H See Page 2 for Internet: www.tigard-or.gov N/tified/Methodd. / Supplemental Information TYPE OF WORK - REQUIRED DATA:I-AND 2-FAMILYDWELLING ❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRi1C1ION work indicated on this application. ❑ 1-and 2-family dwelling Ei Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:8777 SW Burnham Rd. New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:879526/Tigard/Sprint Covered porch area: square feet Cross street/directions to job site: Deck area: square feet ��op Other structure area: square feet C1. VL ji 6 i4.1 ) tt,,o`Krel REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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.: equipment,materials,labor,overhead,and the profit for the SCRIP ION U1 WO work indicated on this application. Replace(3)antennas,remove(3)radioa,remove(6)junction cylinders,install Valuation: $$15,000.00 (1)hybrid cable,install(1)platform reinforcement kit. Existing building area: square feet New building area: square feet =® PROPERTY OWNER. Q TENANT Number of stories: Name:Tigard Water District Type of construction: Address:8777 SW Burnham Rd. Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:( ) Fax:( ) New: 0 APPLIGA IT 0 CONTACT PERSON BUILDING PERMIT,FEES* Business name:Crown Castle 117easer*rfajeescketh1e) Structural plan review fee(or deposit): Contact name:Zach Phillips FLS plan review fee(if applicable): Address:5111 N.Bowdoin St. C Total fees due upon application: ity/State/ZIP:Tigard,OR 97223 Phone:(503)708-9200 Fax::( ) Amount received: E-mail:zach.phillips.contractor@crowncastle.com PHOTOVOLTAIC SQL4R'PAh€ L SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:TBD Submit two(2)sets of roof plan with connection details ��� Sib' � 1'`'y���'L' �� and fire department access,along with the 2010 Oregon Address: // * K / Af`z/ iotzfli 1,(/v,.( #- Solar Installation Specialty Code checklist. City/State/ZIP: J ,✓' �I tt Permit fee(includes plan review /C>'��`vu✓�r �/J� ! and administrative fees): $180.00 Phone:(3w) 7 h Fax:( ) �S}' �'J� State surcharge(12%of permit fee): $21.60 CCB lic.: �'C,/'7, 3 /Z1 lV J Total 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:Zaach Ph tps Date:4.30.18 * Fee methodology set by Tri-County Building Indust,y Service Board. I:\Buildmg\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Division Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ 15,000 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP-COM PemutApp.doc 03/03/2011 III NI Building Division Plan Submittal Requirements T I G A R D Commercial& Multi-Family-New,Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ® map&tax lot# ® project name // site address suite number ® zoning ® applicant name ® phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking,including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape-ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations,plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit-based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey,and full set of architecture drawings. I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 • 114 " Building Division Plan Submittal Requirement Matrix T I G A R D Commercial&Multi-Family-New,Additions or Alterations Type of Submittal ' ' #of Plans (Includes new,additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 3 (must include location of all accessible parking) Plumbing(site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing(building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington County,and Tualatin Valley Fire&Rescue),if applicable. I:\Building\Permits\BUP-COM PemutApp.doc 03/03/2011 City of Tigard IIIA COMMUNITY DEVELOPMENT DEPARTMENT ■ T 1 G A R D Building Permit Review — Commercial - No Land U s e Building Permit #: 4./W / 2) f '60/1/4_<2._ Site Address: 5-' 777 $ () ,,r,J,,h 44 Suite/Bldg#: Project Name: $ p, * ,4i len il , R a*,„ -a.0-\_ (Name of ommercial business occupying the spac . If vacant,enter Spec Space.) Planning Review Proposal: R ptclol9 Cyti•lerw Existing Business Activity: , Proposed Business Activity: -------" EECT-ee ify site address/suite# exists and active in permit system. 2 er Terrace Neighborhood: ❑ Yes [2'100 ."Zoning: Nf,) -ow ,,.LI---Permitted Use: B'Yes ❑ No ❑ Spec Space -Er-Confirm no land use required. ❑ Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: _ Date: 4 //3* 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: 4/730//r- Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-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: A‘f. /// . / By Permit Technician: % �- Date: y I:\Building\Forms\BldgPermitRvwCOM 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: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 4/A Tigard Trans SDC: ❑ Yes �N/A Parks SDC: ❑ Yes N/A ►2iri K to Issue Permit Approved by Permit Coordinator: Date: C/2-11 .1 6l.,KA vAt j 4 6( li 1 C I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx City of Tigard #i a_{ " ' k,d -114 qCOMMUNITY DEVELOPMENT DEPARTMENT APR C 3 2018 TIGARD Collocation - Supplemental :I :d` est, onaire PROPERTY ADDRESS i oiz s'EU F t SE, ONLv Location of collocation: 8777 SW Burnham Rd. Zone: Name of provider: Sprint Zach Phillips with Crown Castle CI Approved Contact name: p ❑ Not Approved Collocating antennas on: By: Date: © Existing tower Reason not approved: ❑ Existing non-tower structure Is this a new provider? ❑ Yes r1 No Other providers currently collocating on same tower or structure: L\Community Development\Land Use Applications\02_Forms and Templates\Land Use Applications\Future Forms Rev.12/14/2017 AT&T Indicate the previous approval: BUP2014-00058 (SDR,MMD#) ANTENNA INFORMATION Existing: New: Height of antenna(s): 106' (sq. ft.) Height of antenna(s): 106' (sq. ft.) Color of antenna(s): 6iA1 Color of antenna(s): 6V-ty Color of equipment: Color of equipment: Accommodating equipment: Accommodating equipment: (i.e.dishes) (i.e.dishes) Will new accessory equipment be installed? El Yes ❑No Location of new accessory equipment? ❑ Within previously approved fenced area ® Within existing structure ❑ Other location: (Please describe) Will landscaping be removed to accommodate the accessory equipment? ❑ Yes ID No If yes,describe here: Zotk,IA Ptt 'di (kg 5 App 'cant's signature Print name Date City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 1