Permit ' V CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT BUILDING
BUP2013-00156
T[GARL, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2013
Parcel: 2S102CC01100
Jurisdiction: Tigard
Site address: 13680 SW PACIFIC HWY
Project: Sprint Subdivision: FREWING'S ORCHARD TRACTS Lot: 15
Project Description: Install replacement planel antennas and ground equipment cabinets at existing wireless communcation tower
facility.
Contractor: WESTOWER COMMUNICATIONS INC Owner: TIGARD-ORENOMAH LODGE NO.207 OF
405 EVANS BLACK DR PO BOX 230184
TUKWILLA,WA 98188 TIGARD, OR 97281
PHONE: 206-373-1229 PHONE:
FAX:
Specifics: _ _` FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/27/2013 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/27/2013 $45.35
Dwelling Units: 0 Plan Review 06/26/2013 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/27/2013 $24.50
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 $693.39
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. ATTE - . - -eon law re.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-e% 0 through OAR ° 2-001--19 e. Y•. may obtain a copy of the rules or direct questions to OUNC by calli e. ' .232.1987 or 1.800.332.2344.
Issue. By: 1 i �� / Permittee Signature: i iv 4r,1 i�
f►
Call 503.639.4175 by 7:00 a.m.for the next available inspec .n •:te.
' This permit card shall be kept in a,conspicuous place on the job site until c .lotion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application •
Commercial RECEIVED r()li(,rrlc-l:; IHS1l(,NLYY
City of Tigard Received o DateB t 3 =1�- Permit Niwav/3 �d/s...
:� C • 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 2 6 2013 Plan Revie,Tari v
Phone: 503.718.2439 Fax: 503.598.1960 pateIB : j �/. Other Permit:
i C.n It D Inspection Line: 503.639.4175 OFTIGARD Dn Date Ready :y: ® See Page 2 for
Internet: www.tigard-or.gov lilui Notified/Method: Supplemental Information
BUILDING DIVISIO
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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑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:13680 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project nam SPA/n/7— Covered porch arca: square fcct
Cross street/directions to job site:SW Watkins Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102CC01100 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.
Install replacement panel antennas and ground equipment cabinets at an existing Valuation: $20,000
wireless communicaiton tower facility Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:Sprint Spectrum Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Sprint Spectrum,do Smartlink LLC (Please refer 101cc schedule)
Structural plan review fee(or deposit):
Contact name:Paul Slotemaker,AICP
FLS plan review fee(if applicable):
Address:621 SW Alder St,Suite 660
Total fees due upon application:
City/State/ZIP:Portland,OR 97205
Phone:(503)241-0279 I Fax::( )
Amount received:
E-mail:paul.slotemaker@smartlinklIc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Westower Communications Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 112 E State St Solar Installation Specialty Code checklist.
City/State/ZIP:Ridgeland,MS 39157 Permit fee(includes plan review
$180.00
and administrative fees):
Phone:(601)898-4450 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.:140471 Total fee due upon application: $201.60
Authorized signature: '1 This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
Print name:Paul Slotemaker Date:6/25/13 ' Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(1 1/02/COM/W EB)
A .31,
III
Building Division
° Development Code Provision Review
T I G A It D Commercial Projects - No Associated Land Use Case
U
Building Permit No: .4Gf./) aQ/_3 - DO/S6 ❑ Expedited Review
Project Name: �,2/n/T
Site Address: /3 6 PO j A) A9e"/.. /C' 44 )7 , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: 4/e0,_3 41*Routed By:
1" Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
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 Cb 7LyL Cif/A 6 (503) 718- or I, @ tigard-or.gov)
Proposal: ins-l-&l( ►.- e.t.a a-'-\ 10�— (t'It is Ai e - ‘11-ci e� �o -I DC,a�;Owl) a n ci adra
a c r e sJ o rtl t c1 w,.O rvm e n+- W i-heiin -e)(6i-1 n9 1 pr-1.6 cm.il Li p, II U Q v c1
curia (S ca 3- 000i a /&Amp,2)oc.).4.— ouat u),
Zoning C.-- C
Permitted Use Yes Cp No ❑
Land Use Required: Yes ❑ No gi
Notes:
46 Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building: 1-I - 13
1:\CURPLN\Masters\Development Code Provision RevievADCPR_COM NoLandUse.doc Rev.01/16/13 •
RECEIVED
.111,1 COLLOCATION
°. ` Supplemental Questionnaire JUN 2 6 2013
TI G A R D City of Tigard, 13125 SW Hall B/ad.,Tigard,OR 97223 CITY OFTIGARD
Phone: 503.718.2421 Fax: 503.598.1960 BUILDING DIVISION
IF YOU ARE APPLYING FOR A PERMIT TO COLLOCATE ANTENNAS,
PLEASE COMPLETE THE INFORMATION BELOW.
Name of Provider: Sprint Spectrum
Property Address/Location of Collocation: 13680 SW Pacific Hwy,Tigard, OR
Zone: CG
Collocating antennas on: ® Existing tower ❑ Existing non-tower structure
Is this a new provider? ❑ Yes ® No
If yes, list other providers currently collocating on same tower or structure, fag:
If no, indicate the previous approval(SDR,.11M1MD or BUP#): SDR a o0,3 - or 9l tit m ID 0,200,-1-Duo
l o
Height of antenna(s): 100 ft.
Color of antenna(s) and accommodating equipment (i.e. dishes):
Gray
Color of existing tower or structure: Gray
Will new accessory equipment be installed? ® Yes ❑ No
Ifyes,please answer the fo/lowing:
Location of accessory equipment: ® Within fenced area previously approved
❑ Within existing structure
❑ Other location (Please describe below.)
Will landscaping be removed to accommodate the accessory equipment?
❑ Yes (Please describe below.) ® No
Applicant's.Signature: I� Date: 6/8/12
Name Printed: Paul Slotemaker Phone: 503-241-0279
FOR OFFICE USE ONLY
V: OK to issue permit. ❑ Do not issue permit. Refer to planner.
Q C - -(3
Planning Staff Signature Date
I:\CURPI N\Maslen\(:ollocatc. ntennas.dcx
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13680 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2014-03-24 (null)
BUP2013-00156
PASS - No C of O
Violation Summary:
Inspector Contractor