Permit n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00170
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/07/2013
Parcel: 1 S 134BC00600
Jurisdiction: Tigard
Site address: 12390 SW SCHOLLS FERRY RD
Project: Sprint Subdivision: 1993 -057 PARTITION PLAT Lot: 2
Project Description: Antenna modification to existing cell tower.
Contractor: GENERAL DYNAMICS INFORMATION TECHNOLOGY Owner: THOMPSON, DENNIS C
77 A STREET 9295 SW ELECTRIC ST
NEEDHAM, MD 02494 TIGARD, OR 97223
PHONE: 781 - 455 -3743 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: Permit Fee - Additions, Alterations, 01/07/2013 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 01/07/2013 $45.35
Dwelling Units: 0 Plan Review 08/28/2012 $245.64
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 01/07/2013 $48.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $717.39
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.
A�/ t�.t
Issued By: /I{� / ( / / //' i Permittee Signature: // v C ✓"
ll°OddjjAA �t t�� 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 Q n FOR OFFICE USE ONLY
City of Tigard RWVEMD RDeacteiveyd tr Af PermitNo.: I� p� —��ZO
lig tti) ° 13125 SW Hall Blvd., Tigard,OR 912 cc Plan Rev' Q
Phone: 503.718.2439 Fax: 503.598. l� 2 8 2012 Date/By:,' t Other Permit:
Inspection Line: 503.639.4175 Date Re y: orris: El See Page 2 for
T I G A R D
Internet: www.tigard-or.gov CI�'y O FTIG RD „.Notified/Method: A /p / 1 Su lemegtal Information ,
R OF WORK 0;06412-e_ K � ` Iij(�J / L " _ _ / 1 2- 0000 P /,1 spice
TYPE OF W OR REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction El Demolition
Permit fees* are based on the value of the work performed. p
Indicate the value (rotnded 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.
dwelling Valuation: $
❑ 1- and 2-family g ❑Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 2 39 0 5) 5c 1A(.7 (IS f fA-1 New dwelling area: square feet
City /State /ZIP: Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ( )(COI y Covered porch area square feet
Cross street/directions to job site: 6 Al IJ l Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 151-3q i3 c- 006z, d Indicate the value (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
a c 1O 2_ C,c.r3i' dS y e� %Gl It 1/ )i& z Akio Valuation: $ Lc7, 00-0 �C n , r 6 'I A d i kp k &- Wit ' l t � 3 f p Existing building area square feet 1 "1 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax:( ) New:
0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
(�i�
Business name: �( f c, pm _ (Please refer to fee schedule)
AA KK Structural plan review fee (or deposit):
Contact name:
Address: 5 0/ 4 � 27 1 /4 AZ /c- l a. l /� z- FLS plan review fee (if applicable):
� / �-
Total fees due upon application:
City /State /ZIP: Vonc jak wig 9 2 /
Phone: ( ,) 2,6s ys Fax: : ( ) Amount received: 4,2z/5". 6 r
E - mail: / 1.Wtk , &ozppL 1 .� CA 4 ai • C,v17 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR / Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: 1°Jtleft i ki G,,5 /r4 oatin . - 104 li em u tizede ' Su bmit two (2) sets of roof plan with connection details
! and fire department access, along with the 2010 Oregon
Address: 7-7 dfe-r Solar Installation Specialty Code checklist.
City /State /ZIP: AiteD141 MD d a495/ Permit fee (includes plan review $180.00
/ and administrative fees):
Phone: (NI) cm6,.'_ 37 /3 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.:16 ZH Q ( 7/3,14 Total fee due upon application: $201.60
Authorized signature: A )���j{ > This permit application expires if a permit is not obtained
I V � v within 180 days after it has been accepted as complete.
Print name: Ai54.4 6itOPP J Date: e/z 43 /LW Z., * Fee methodology set by Tri- County Building Industry
Service Board.
L \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
l
il l Building Division
d .7 4' Accessibility: Barrier Removal Improvement Plan ;:
TAI G �A�Rt D _
i
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. I
(1) Every project for renovation, alteration or modification to affected buildings and related ti
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.
i
(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 thatiwill 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 PermitApp.doc 03/03/2011
ii Il .
Building Division
Development Code Provision Review
T [ G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: ) to 07A0 r a — OD 170 ❑ Expedited Review
Plan Submittal Date: S P. 0
To the Applicant:
• If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact at 503 -718 - or @ tigard- or.gov)
_r_e_l_d
❑ Zoning l� Permitted Use Yes. - ' No ❑
❑ Land Use Required: Yes ❑ No.- (explain below)
Notes: E'5 / f J p / felin • • f7 • • - ' yy.� *eti+.�
- /
a 7i V. 10
proved ❑ Not Approved Date: 1-2 I Z
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
L• \CURPLN