Permit (75) Building Permit Application
EXPIRED 3/27/icy 1
` Commercial � �
,�j Received
City of Tigard R' Date/By: lo/V/3 Permit No.:Ljti/pip i3--u. /,i 7
13125 SW Hall Blvd.,Tigard,OR 9722b� # t1
;" _ 20 Date/By:an Review Other Perini e��/3Do0
Phone: 503.718.2439 Fax: 503.598.1960 �- %
T I G n R D Inspection Line: 503.639.4175 Q (��0) �` Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov ( 0VI�" C1Q14, Notified/Method: Supplemental Information
❑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
L- } .a work indicated on this application.
ElI-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family
Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
tt ::.:1:::,,,,,,:,7,,,,,,,,,,,, ,y :.. lYTotal number of floors:FAV-L . „ t, ,. , ,,. a ; � ` ,:
Job site address: 10250 SW NORTH DAKOTA ST New dwelling area: square feet
City/State/ZIP:Tigard,OR 972232 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:4 1 -6Ereolwrg- 37"-- Covered porch area: square feet
Cross street/directions to job site:SW Tiedeman Ave.and SW North Dako Ave. Deck area: square feet
Other structure area: square feet
I
itp0,1 !„i t �.” �' `"
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S135CB00200 Indicate the value(rounded to the nearest dollar)of all
materials,labor,overhead,and theprofit for the
r .� p F work indicated on this application.
extend and existing monopole 20',install 12 AT&T panel antennas and acillary Valuation: $$50,000.00
equipmnet on the pole,and install an equipment shelter near the pole. Existing building area: square feet
New building area: square feet
C]s iNumber of stories:
. _ ti .im » , eu,..._� , .<. .�, <�; �:.....,.,4-.
Name:Pascuzzi Investments LLC,c/o Art Pascuzzi Type of construction:
Address: 10250 SW North Dakota St. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)888-3995 Fax:( ) New:
ei
6 111 •u, 'a- i AcY � l '--;IF::,: £ _-y 3 I 1 O 1-:t PERMO � ! y +..`,r
Business name: PTS(on behalf of AT&T)
Structural plan review fee(or deposit):
Contact name:Zach Phillips
FLS plan review fee(if applicable):
Address: 1001 SE Water Ave.,Ste 180
Total fees due upon application:
City/State/ZIP:Portland,OR 97212
Amount received:
Phone:(503)708-9200 Fax::( )
E-mail:zphillips@ptswa.com _. raoTOvotTAle$ $ .t-i$ 104
,,� 0 ,, r, Commercial and residential prescriptive installation of
4 _F a- „ ,.__ A =.,. ;. ... roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: t;i.........._________
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Zach Phillips Date:9.9.13 * Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
N
•UPI
■ 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\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012
h
11/1 Building Division
Plan Submittal Requirements
T I 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.
FL 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 Department Building Survey,and full set of architecture drawings.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
A
IIIII Building Division
Plan Submittal Requirement Matrix
TI G A R D Commercial&Multi-Family-New,Additions or Alterations
yPSaid xi a a- a!tIO rgy' n a a E43k& mat
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\Pemvts\BUP-COM PermitApp.doc 03/03/2011
Zachary Phillips
From: Debbie Adamski <DEBBIE@tigard-or.gov>
Sent: Monday, July 29, 2013 3:08 PM
To: Zachary Phillips
Subject: RE: BP submittal fee for an antenna collocation
Zach,
The submittal fee for this project value would be: $474.14.
Debbie Adarisl(i
IlhY <,14/11 3r Pomo Irc tolicon
! a OIRICT °rOi I18 14'1O
(MAIL tAliee1heard-trr p,d.v
Cit 4,f'I'ipnr.1 I 4t.i%1S14 y1L 18 1)kI.'I1ttP?61.NC
13125 SW Han tBouEetard,-Tigard,OR 97223
From: Zachary Phillips [mailto:zphillips(&ptswa.com]
Sent: Monday, July 29, 2013 3:02 PM
To: Debbie Adamski
Subject: BP submittal fee for an antenna collocation
Debbie-
AT&T is proposing to extend an existing Clearwire pole in a light industrial zone and attach antennas on it. The proposal should just require a building
permit. What are the submittal fees for a BP based upon a valuation of$50,000?
Thanks,
1
111111.
Zach Phillips
Project Manager/Land Use Specialist
1001 SE Water Ave., Ste 180
Portland, OR 97214
(503)232-5213 direct
(503)708-9200 cell
(503)327-8544 fax
www.ptswa.com
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party
unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative
Rules "City General Records Retention Schedule."
2