Permit (12),
CITY OF TIGARD BUILDING PERMIT
N�■ COMMUNITY DEVELOPMENT Permit#: BUP2019-00015
Date Issued: 02/21/2019
T f[;r\R.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111BCO2603
Jurisdiction: Tigard
Site address: 10310 SW CANTERBURY LN
Project: WCCCA Canterbury Subdivision: TIGARDVILLE HEIGHTS Lot: 7
Project Description: Upgrading and adding antennas to existing 120'monopole. Replacing existing generator and propane tank with
new 40kw generator and 1,000 gal propane tank. Addressing other civil site upgrades to the facility.
Contractor: DAY WIRELESS SYSTEMS Owner: TIGARD, CITY OF
4700 SE INTERNATIONAL WAY 13125 SW HALL BLVD
MILWAUKIE, OR 97222 TIGARD, OR 97223
PHONE: 503-780-5524 PHONE: 503-718-2591
FAX:
FEES
Specifics: Date Amount
Description
Type of Use: COM Permit Fee-Additions,Alterations, 02/21/2019 $940.29
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 02/21/2019 $112.83
Dwelling Units: 0 Plan Review 01/30/2019 $611.19
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 02/21/2019 $243.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 02/21/2019 $16.50
Value: $78,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,923.81
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: Permittee Signature:
.�,G''�I
Call 603.639.4175 by 7:00 a.m.for the next available inspection dat
This permit card shall be kept in a conspicuous place on the job site until completio of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commerciall'�T"
City of Tigard pp Received L /%% / � /,�/j/ / /,/
JQ N 1 Date/By: l !`7 Pi V K!' oz " Cx)Ol 5-
13125 SW Hall Blvd.,Tigard,OR 97223 2 2 2 a 1 9 Plan Review
Phone: 503.718.2439 Fax: 503.598.1p6A, Date/By: p��y' J,
Other Permit:
T t G A K D Inspection Line: 503.639.4175 d ' Ai7 Date Ready/By: �� Janis: H See Page 2 for
Internet: www.tigard-or.gov BULL; ..E tJ:�l, z tki Notifi-. -hod:,_ / . Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ®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:10310 SW Canterbury Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WCCCA Canterbury Covered porch area: square feet
Cross street/directions to job site:From Tigard City Hall:Head south on SW Deck area: square feet
Hall Blvd.Turn right onto SW McDonald St.Turn left onto SW 103`d Ave.Turn Other structure area: square feet
right onto SW Canterbury Ln.Destination will be on the left. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:02600 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S111BC Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Upgrade and add antennas to existing 120'monopole.Replace existing generator Valuation: $578,000.00
and propane tank with new 40kW generator and 1,000 gal propane tank.Address Existing building area: 1,320 square feet
other civil site upgrades to the facility. New building area: 1,500 square feet
►5 PROPERTY OWNER 0 TENANT Number of stories:
Name:City of Tigard Public Works Type of construction:
Address:8777 SW Burnham Street Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing:
Phone:(503)718-2591 Fax:( ) New:
... ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Washington County Consolidated Communications Agen (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Don Forsberg
FLS plan review fee(if applicable):
Address:17911 NW Evergreen Place
Total fees due upon application:
City/State/ZIP:Beaverton,OR 97006
Amount received:
Phone:(503)267-1947 Fax::( )
E-mail:donforsberg45@gmaiLcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Day Management Corp. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4700 SE International Way Solar Installation Specialty Code checklist.
City/State/ZIP:Milwaukee,OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)659-1240 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:64950
Total fee due upon application: $201.60
Authorized signature: v This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Don Forsberg Date:1-22-19
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440 46l3T(11/02/COM/WF_B)
Building Division
Plan Submittal Requirement Matrix
TI G A R D Commercial&Multi-Family-New,Additions or Alterations
d alt tl+ot�s) � q td t
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\Pernuts\BUP-COM PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirements
TI 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 Depattnlent Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
" 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] $
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\Permin\BUP-CCDM PermitApp.doc 03/03/2011
City of Tigard
14 ■ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land Use
Building Permit #: j4'/o?O/ --U 00/c----
Site Address: INIO S L\/ ( ,\ kjry Lo„)t Suite/Bldg#:
Project Name: `\d CCC.A
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: vpk(i. ev1.4.,..) pltril, (.1,4 eipoc
t�t a�� ,61,1 d� ary h c'. .;i ��
1ooi iltAtakk ANA 1)00 jt,l. r I b ! AAGk � Ci✓\k ill vo' J ) , /
V �� nth J U T Ant An C. rt, � 0 i � /7� � ��{ ��
iJ
( rify site address/suite# exists and active in permit syst_emx
'.
1:1 er Terrace Neighborhood: CILy
Yes M/No
IV Land Use Case#: Cu ni?-000 u 6
'lan atch Approved Land Use:
Pg Site Plan ❑ Landscape Plan ❑ Other:
rh1� CI Urban Forestry Plan El Elevation Plan
g eight _M, a iimum Height Actual Height
Conditions Met: 0? Prior to Submittal ❑ Prior to Permit Issuance
s ai- }se:_____
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
[12 Public Facilities Improvement(PFI) Permit: �/
Required: CI Yes,applicant was notified LIQ No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning: 4gt-- Date: 1-LZ-(9
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: I / /!
Site Plans: # ?�
Building Plans: # 3
Building Permit#: Inter building permit#above.
Workflow Routing: lanningFngineering p.-Permit Coordinator 7Q.. Building
Workflow Sign-off: Sign-off for Planning`l (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 ..i// r .�,�,'". Date: /1.217%7
I:\Building\Fonns\BldgPermitRvwCOM WithLandUse 060116.docx
Engineering Review
2 Slope at building pad: Cii%
21--PFI Permit#: i/ A
I2' Conditions "Met"plrii r to issuance of building permit A
[ Easements (encroachments)per engineering conditions o approval and plat(not typical on SDR/CUP)
ak*X/ater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes 2—No
Assess Water Quantity Fee in-lieu: ❑ Yes 2—"No
LIDA Facility on lot: ❑ Yes 1:2'No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 40 14 eiX., Date: 02 - 4 .f 9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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:
Revi n Notice 3: Date Sent to Applicant: _,
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes I /A
Tigard Trans SDC: ❑ Yes Ly' N/
Parks SDC: ❑ Yes /A
OK to Issue Permit
dir
Approved by Permit Coordinator: Date: /# /i
I:\Building\Forms\BldgPermitRvw_COM_WithLandUse_070915.docx