Permit CITY OF TIGARD BUILDING PERMIT
IN
COMMUNITY DEVELOPMENT Permit#: BUP2020-00108
Date Issued: 06/15/2020
T 1GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503,718.2439 Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Washington Square Mall Subdivision: None Lot: None
Project Description: T-Mobile updates to install(15) nodes,(1) 19"rack and new routers inside existing equipment room.
Contractor: MASTEC NETWORK SOLUTIONS LLC Owner: ppR WASHINGTON SQUARE LLC
1203 114TH AVE SE PO BOX 847
BELLEVUE,WA 98004 CARLSBAD, CA 92018
PHONE: 425-214-9727 PHONE:
FAX: 503-210-1001
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Other Permit Fee-Additions,Alterations, 05/20/2020 $453.95
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 05/20/2020 $54.47
Dwelling Units: 0 Plan Review 05/01/2020 $295.07
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/20/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/20/2020 $17.50
Value: $25,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $922.99
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 OAARR999552-001-0090. 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: ./.‘,2:/ ( � Permlttee Signature: d/f 7--r?fi L /ef 770
Call 503.639.9175 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 ECEIV ,. „-. ,
Commercial APR 2 U 2020 FOR OFFICE USE ONLY
Receivedy. ,2y /Y `,'�jQ/O
City5 of Tigard r y Berm t
• 13125 SW Hall Blvd.,Tigard,OR 972
�7iITY OF TIGARD PIBnRevie
11111111 ... Phone: 503-718-2439 Fax: 503-5@�.��pp, � p�G/'+DIVISION Date/By: � ,, Related Permit:
rlanl;n
Inspection Line: 503-639-4175 �7U11'LJI1Vta Date Ready/By: . / Allis: HI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /y (/J i1 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling INCommercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder ['Other:
Number of bathrooms:
(25ei SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Washington Square Rd New dwelling area: square feet
City/State/ZIP: Portland, OR 97216 Garage/carport area: square feet
Suite/bldg./apt.#: C 01 Project name: TMO-Washington Square Mall Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRE))DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: 1 S 1260000300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install (.15) nodes, (1) 19"rack and new routers inside existing Valuation: $ 25,000
equipment room. See drawings for additional details. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT IS) CONTACT PERSON BUILDING PERMIT FEES*
Business name: T-Mobile (Please refer in fee schedule
Structural plan review fee(or deposit): A9,5.-, 07
Contact name: Hannah Kam ph,Applicant's Representative p pp p FLS plan review fee(if applicable):
Address: 790 NW 21st Street
Total fees due upon application:
City/State/ZIP: McMinnville,OR 97128
Phone: (503)422-9965 Fax::( ) Amount received:
E-mail: Hannah.Kamph@taec.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TBD it'l4t rrcz- A./v.0AI o"... got...4.0101o
S 4L.e.. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 120 3 1144 kVE se- Solar Installation Specialty Code checklist.
City/State/ZIP: 1�t3 e 0 I/u_g•7r /,✓,/�— q Gnut Permit fee(includes plan review $180 00
U and administrative fees):
Phone:( is_ y ICJ 7 g Fax ( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: I R 43 703 Total fee due upon application: $201.60
tilahmah Kaniph Please email building permit submittal Thispermit application expires if a permit is not obtained
Authorized signature: PP P
fees to email listed above for payment. within 180 days after it has been accepted as complete.
Print name Date: * Fee methodology set by Tri-County Building Industry
iiannah Kamph 4-16-2020 Service Board.
•
1:1BuildinglPemtits\BUP_COM_PennitApp.doc Rev,04/21/2014 440-46I3T(1I/02/COM/WEB) r.
�7 t a--
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARDt. 13125 SW Hall Blvd. • "Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.Qov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and 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. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
is\Building\Permits\Bt1P_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . ° Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
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
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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:\Bullding\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
IIICity of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,uP...2v.2--o GAO/Od
Site Address: t 6--SW VJ4ch(lj-bn & U l- r Suite/Bldg#: _ - ,
Project Name: M4- SQ4bleci MA(I- I - ti- D 6/(...e"
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: - , I . ID &JUIpmelll-f I'mrrl
Existing Business Activity: Vs) / r'&{- ,c_1 )
Proposed Business Activity: P / f- 4 I.
g.Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: D Yes V No
'1 Zoning: M,(•stC-
s/, •rmitted Use: Yes ❑ No ❑ Spec Space
XConfirm no land use required.
Business License:
Exists: tE1 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: AO'
/ 2.dt---- Date: .' (24,[(240
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: V/442e
Site Plans: # -
Building Plans: # ...7
Building Permit#: LI'Enter building permit#above.
Workflow Routing: a-Planning ❑ Permit Coordinator —Building
Workflow Sign-off: E—Sign-off for Planning(include notes from planning review)
Route Application Documents: I uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: A7'1 Zie9-l4/C-rr----- Date: V;)--JA-e1
I:\Building'Forms\B IdgPertnitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: �(y Date:
Notes: 1�\'c
0
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 Applic.. t.
❑ SDC Fees Entered: Wash Co Trans •ev Tax: ❑ Yes 0 N/A
Tigard Trans :DC: 0 Yes 0 N/A
Parks SD . 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordin. or: Date:
1\Building\Folios\BldgPennitRvw_COM_NoLandUse_111819.docx