Permit CITY OF TIGARD BUILDING PERMIT
ti> • COMMUNITY DEVELOPMENT Permit#: BUP2015-00063
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2015
Parcel: 2S1060001200
Jurisdiction: TIGARD
Site address: 17026 SW FRIENDLY LN
Project: AT&T Subdivision: 2002-032 PARTITION PLAT Lot: 3
Project Description: Removing(3)antennas and installing(9)panel antennas,(6)radio heads,(1)DC Converter,(1)slack tray&
rectifier,and(1)diesel generator with tank.
Contractor: VELOCITEL INC Owner: PORTLAND GENERAL ELECTRIC COMPAN
2415 CAMPUS DR SUITE 200 121 SW SALMON ST
IRVINE, CA 92612 PORTLAND, OR 97204
PHONE: 503-349-2149 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 03/16/2015 $453.95
ype of Const: Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 03/16/2015 $54.47
Dwelling Units: 0 Plan Review 03/16/2015 $295.07
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/19/2015 $20.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $25,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $823.99
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- through OA- • 2-00 -1190. 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: / r Permittee Signature: Ctl�yy'/.AM
i
\ 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 FOR OFFICE USE ONLY
City Tigard RECEIVED Received r�r permit No.:�{,,n
III 4- �' g Date/By. /45-- act axis. _Quo(D
13125 SW Hall Blvd.,Tigard,OR 97223 plan ..
Phone: 503.718.2439 Fax: 503.598.1960MAR 1 6 2015
Date/BA/1g / A i� �-- per Permit:
TIGARD
Inspection Line: 503.639.4175 Date • 7: ' 1 l ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Met od: 3//b/(J ; i .(p Supplemental Information
illiEQUIRED 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'CONST'RUCTIO. work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder ®Other:Wireless Number of bathrooms:
Total number of floors:
JOB SITE INFORMATION AND LOCATION
'`
Job site address:17026 SW Friendly Lane New dwelling area: square feet
City/State/ZIP:Beaverton,OR 97007 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:AT&T-P1191 Covered porch area: square feet
Cross street/directions to job site:Just south of SW Scholls Ferry and just Deck area: square feet
east of SW Roy Rogers Road in the PGE transfer station Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:
1 I I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:251060001200 7026 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
' D SCRIPTION OF WORK work indicated on this application.
On existing tower: Install platform stiffeners. Removfe(3)antennas. Install Valuation: $$25,000.00
(9)panel antennas,(6)radio heads,(1)DC converter, In shelter:install(1) Existing building area: 325 square feet
slack tray&rectifier. In fenced compound: Install diesel generator w/tank. New building area: 0 square feet
Number of stories: 1
Name:Portland General Electric Type of construction: IIB
Address:121 SW Salmon Street,17t°Floor Occupancy groups:
City/State/ZIP:Portland,OR 97204 Existing: Unoccupied
Phone:(503)464-8127 Fax:( ) New: Unoccupied
® APPLICANT r ® CONTACT PERSON 'W BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:FDH Velocitel,Inc.,for AT&T Mobility
Structural plan review fee(or deposit):
Contact name:Dan Dutton
FLS plan review fee(if applicable):
Address:4004 Kruse Way Place,Suite 220
Total fees due upon application:
City/State/ZIP:Lake Oswego,OR 97035
Phone:(503)756-3888 I Fax::(503)636-2501
Amount received: cr)olitS t 7
E-mail:d.dutton @velocitel.com PHOTOVOLTAIC SOLAR P• L, STEM FEES*
11/11111•11.1111, ,
Commercial and residential prescriptive installation of
CONTRACTOR rt roof-top mounted Photovoltaic Solar Panel System.
Business name:Velocitel,Inc.,Jay Telford Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4004 Kruse Way Place,Suite 220 Solar Installation Specialty Code checklist.
City/State/ZIP:Lake Oswego,OR 97035 Permit fee(includes plan review $180.00 t
and administrative fees):
Phone:(503)636-2500 Fax:(503)636-2501 State surcharge(12%of permit fee): $21.60
CCB lic.:200980 Total fee due upon application: $201.60
Authorized signature: �c_ This permit application expires if a permit is not obtained
�jt.�� within 180 days after it has been accepted as complete.
Print name:Dan Dutton Date:3-13-15 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02t24/2011 440-4613T(I 1/02/COM/WEB)
a ,i,
IIII III City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: ged0/5--arjG3
Site Address: 11026 SW FFie z y Ln. Suite/Bldg#:
Project Name: AT&T
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: . , a - pane arT}' nos, rad i o heads bC, cc) ver-ef; i n - t i
• _ • • • M ` • sr- . ° re '' t . • ant . _s 1
Existing Business Activity: WI reee.SS comml In X0.-"1 or -P'acil lt',e5 �'�"
Proposed Business Activity: same
Verify site address/suite#exists and a tive in permit system.
,, .River Terrace Plan District M Yes ❑ No
NJ Zoning: R-
VPermitted Use: es ❑ No ❑ Spec Space
M Confirm no land use required. use, Perrl'+ii-Fed *in a)
151 Business Lice,,_nj�:
Exists: IJ Yes ❑ No,applicant notified to obtain business license
Notes: ,no,--rtVtal ..1) (9e. to antenna, hPif(1kri'f{S) of ViS'.k&t i alpetris
Approved by Planning: -Ti m �P�'1r� Date: 3 h 6115
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: 3a6 /5--
Site Plans: # 4
Building Plans: # 3
Building Permit#: EkEriter building pe above.
I
Workflow Routing: nning 'IC t Coordinator Er 11 lding
Workflow Sign-off: I-off for Planning(include notes from planning review)
Route Application Documents: [ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
---- 1111111111
By Permit Technician: _ _; Date: 3/6/4S--
I:1Building\Forms\BldgPermitRvw_COM_NoLandUse 030415.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:
/''OK to Issue Permit ALer-j/e—c Approved by Permit Coordinator:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse 02041 5.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
17026 SW FRIENDLY LN, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00063
Chip Barnett
Violation Summary:
Inspector Contractor