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Permit CITY OF TIGARD1111 BUILDING PERMIT r Permit#: BUP2017-00315 COMMUNITY DEVELOPMENT Date Issued: 04/02/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1060001200 Jurisdiction: Tigard Site address: 17026 SW FRIENDLY LN Project: Verizon Subdivision: None Lot: None Project Description: Removing existing panel antennas and installing(6)panel antennas,(1)mw antenna,(18)remote radio units,(4) surge protectors,(2)Hybrid cables and(1)coax cable. Contractor: KMM TELECOMMUNICATIONS INC Owner: PORTLAND GENERAL ELECTRIC COMPAN 4051 N HWY 121 SUITE 400 121 SW SALMON ST GRAPEVINE,TX 76051 PORTLAND, OR 97204 PHONE: 844-566-8488 PHONE: FAX: FEES Specifics: Date Amount Description Type of Use: COM DC Provision Review,COM New-Ping 04/02/2018 $180.50 Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 04/02/2018 $377.90 Occupancy Grp: Occupancy Load: Demolition Dwelling Units: 12%State Surcharge-Building 04/02/2018 $45.35 Stories: Height: ft Plan Review 12/05/2017 $245.64 Bedrooms: Bathrooms: Info Process/Archiving-Sm$0.50(up to 04/02/2018 $5.50 Value: $20,000 11x17) Floor Areas: Total Area: Accessory Struct: • Basement: Carport: Covered Porch: Deck: Garage: Mezzanine: Total $854.89 Required Items and Reports(Conditions) Required: Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 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. Issued BG= • rmittee Signature: �fi yii� 1-------- all —all 503.639.4176 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 Applica . LGE1 Commercial FOR OFFICE USE ONLY IkilCity of Tigard 7 Received R I -1/7 Permit No.:��� /ti/ �/�)�/!'- JE,.• t / Date/By: S ��'ttI . /Io e (? 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review `��/� i Phone: 503.718.2439 Fax: 5 0 t Date/By: ) .. a' OtherPertni dr&A.0// //)77C, T 1 G A R l., Inspection Line: 503.639.41j4/ if rs r^ i5,...4;,-, Date Ready/By: I f j Juris ® See Page 2 for Internet: www.tigard-or.gov '-"I. `.• i,i10,7",“ `P`' otified/Method: 6/Alf / Supplemental Information i ' 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 app•lication. El1-and 2-family dwellingValuation: $ ®Commercial/industrial i ❑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:17026 SW Friendly Lane New dwelling area: square feet City/State/ZIP:Tigard,OR 97007 Garage/carport area: square feet Suite/bldg./apt.no.:N/A Project name:POR BARROWS Covered porch area: square feet Cross street/directions to job site:OR 210 and SW Roy Rogers Rd Deck area: square feet C��'tirl vGj77i1/1 ; . `"ki-l•Za. FAL v`s Ve'5_y!j/r( Other structure area: square feet i(AC-(AC- V Y A,4/4-4-(7----f it/flee,Z/- / REQUIRED DATA:COMMERCIAL-USE CHECKLIST t Subdivision:Section 6,Township 2S,Range 1W Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S1060001200 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. The proposal involves removing six(6)existing panel antennas,nine(9)remote radio units(RRU's)and six(6)diplexers near Valuation: $20,000.00 ground and six(6)diplexers on tower with the installation of six(6)panel antennas w/RET equipment as required, one(1)WA antenna,eighteen(18)(RRU's)two(2)surge protectors mounted near ground equipment and two(2)surge protectors mounted Existing building area: N/A square feet on the tower,two(2)hybrid cables and one (1)coax..There will be no increase in ground space or tower height. New building area: N/A square feet 181 PROPERTY OWNER 0 TENANT Number of stories: N/A Name:Hideo and Ruth Hishida Type of construction: II-B Address:17206 SW Friendly Ave. Occupancy groups: City/State/ZIP:Beaverton,OR 97007 Existing: U Phone:( ) Fax:( ) New: U 183 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Verizon Wireless c/o Centerline Solutions Structural plan review fee(or deposit): Contact name:Alice Butler FLS plan review fee(if applicable): Address:6623 NE 78th Ct.,Suite B1 Total fees due upon application: City/State/ZIP:Portland,OR 97218 Amount received: Phone:(971)270-1930 x5001 Fax: :( ) E-mail:abutter@centerlinesoluHons.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photovoltaic Solar Panel System. Business na o r ��m Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: /1)$7 A � /�f ,",i.1 l f'l' 1L ) Solar Installation Specialty Code checklist. Ci /State/ZIP: r / s/ Permit fee(includes plan review CJ`s lei/ Ue �Cae1S and administrative fees): Phone:( / fill( Fax:( ) State surcharge(12%of permit fee): CCB lie.: ?/ya.-'i i Total fee due upon application: ryi Authorized signature: ' (A This permit application expires if a permit is not obtained 1 viv- ��(----1,4„.........._" j1I��� 1 within 180 days after it has been accepted as complete. Print name: A 1,1 (,4 V Date: ' 1-1, * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT III T1cARD Building Permit Review — Commercial - No Land Use Building Permit #: t,,j0 ^ ,5`,-C---- Site Address: I OZ 6 S LI Fr t,A17 C Suite/Bldg#: Project Name: f0C-- .rOIA (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: K1r' J t en,A,y ,,,,,,Al an-4.,na, ( i r vk rail gin;h C {z rzU'1) ,,, C 6l;Cplo-11 ruv✓- 9 rZ,-A an.J. 6 ti,pk-/—l :� -4,A- ,,-,1-t 1"1-4 1`y61l.,l-fr, I- 6 pro v,,vii,,‘,4 ,./71a5 et,f rJ (2,4Ki, Existing Business Activity: C krkir -4 ;, I NA/ i .�tr,'i I? Rr.0 2_ s.,r �J kJ NV- �. Proposed Business Activity: G,\..v„,--7.41,-.1 2 5:,,.� (�'-`�`�':::14,1C5^1.0,41_44-etr„.4-71:Aff; L- b7iiL,.L J C..,.:t r c Tpx ;,,i[� erify site address/suite# exists and actiwe�i permit system. /River Terrace Ne' hbo hood: It�' Yes ❑ No D'/Zoning: K-2- El Permitted Use: Yes ❑ No ❑ Spec Space Confirm no land use required. ausiness License/ Exists: Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: Il"^^1 , ,,i-- Date: 1Z-5- 17' 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: /dZ f c-10 Site Plans: # 3 Building Plans: # 3 Building Permit#: ❑ Enter building permit#above. Workflow Routing: Planning ermit Coordinator i Building Workflow Sign-off: % ign-off for Planning(include notes from planning review) Route Application Documents: 1i/:uilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: A.,‘: '� / ' /J' Date: ,U . I:\BuildingForms\BldgPermitRvw_COM NoLandUse_060116.docx Permit Coordinator Review Jconditions "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: SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes E /A ROK to Issue Permit Approved by Permit Coordinator: (7��1,e;�/L ' Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx 1111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT Collocation - Supplemental Questionnaire TIGARD PROPERTY ADDRESS FOR STAFF USE ONLY Location of collocation: 17026 SW Friendly Lane Zone: Name of provider: Verizon Wireless © Approved Contact name: Alice Butler ❑ Not Approved Collocating antennas on: ?Existing tower By: Date: ❑ Existing non-tower structure Reason not approved: Is this a new provider?: ❑ Yes v Other providers currently collocating on same tower or structure: AT&T P0146479 I:\CURPLN\Masters\Land Use Applications Rev 09/29/2014 Indicate the previous approval: (SDR,MMD #) ANTENNA INFORMATION Existing: New: Height of antenna(s): 64' (sq. ft.) Height of antenna(s): 64' (sq. ft.) Color of antenna(s): White Color of antenna(s): White Color of equipment: White Color of equipment: White 12 antennas 6 being removed and replaced. Accommodating equipment: 12 antennas Accommodating equipment: Count to remain the same.Adding 1 2 ft MW (i.e. dishes) (i.e. dishes) Will new accessory equipment be installed?: Yes ❑ No Location of new accessory equipment?: El Withinpreviously approved fenced area Within existing structure Other location: On existing tower (please describe) Will landscaping be removed to accommodate the accessory equipment?: ❑ Yes (please describe below) No � 1 U , ( - 1,k7 \ — — )7 Applicant's signature Print name Date City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 1 , City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17026 SW FRIENDLY LN, BEAVERTON, OR, 97007 Record Type: Record ID: Commercial - Building BUP2017-00315 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor