Permit (89) INCITY OF TIGARD BUILDING PERMIT
It COMMUNITY DEVELOPMENT Permit#: BUP2018-00083
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2018
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Washington Square-Cell Tower Subdivision: None Lot: None
Project Description: Replace(3)antennas,relocate(3)RRHs,add(6)more RRHs,remove(6)coax cables,add(3)hybrid lines, install
(3)optic fiber cylinders and install(3)power junction cylinders all on the tower and in a new shroud. No change to
ground equipment. All changes are on the tower.
Contractor: NORTH SKY COMMUNICATIONS LLC Owner: PPR WASHINGTON SQUARE LLC
11818 SE MILL PLAIN BLVD SUITE 410 PO BOX 847
VANCOUVER, OR 98684 CARLSBAD, CA 92018
PHONE: 360-254-6920 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/15/2018 $509.05
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 05/15/2018 $61.09
Dwelling Units: 0 Plan Review 03/27/2018 $330.88
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 05/15/2018 $23.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $30,000 DC Provision Review,COM TI-Ping 05/15/2018 $91.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,015.52
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
y ,4-7.7'...
Issued By: e....„ :
rmittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspecti, date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
jiildin2 Permit Application , '' " ,t `- ' P
'
Commercial FOR Orri('I. I SI.OyLv
City of Tigard MAR 27 2( Received ,t� _
? g
Date/By. 7/d".*/"---, Permit Nye 6( old/P—O0('tp�
11 13125 SW Hall Blvd.,Tigard,OR 97223
,,`Pl4n Review
' Phone: 503.718.2439 Fax: 503.598.1960 ''1 ate/By: iq ) Other Permit:
T I GA R D Inspection Line: 503.639.4175 }v.3 e 9a.'ReadyBy: G/ Juris: ® See Page 2 for
Internet: www.tigard-or.gov Tfioti$ed/Method:-// l/0, 4 Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATIONAND LOCATION Total number of floors:
Job site address:9585 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:879570/P029XC053 Covered porch area: square feet
Cross street/directions to job site: 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.:1S1260000300 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.
Replace 3 antennas,relocate 3 RRHs,add 6 more RRHs,remove 6 coax cables,add Valuation: $ --3e err
3 hybrid lines,install 3 optic fiber cylinders,and install 3 power junction Existing building area: square feet
cylinders all on the tower and in a new shroud. New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:Sprint Spectrum Type of construction:
Address:1105 West 2400 South#A Occupancy groups:
City/State/ZIP:Salt Lake City,UT 84119 Existing:
Phone:( ) Fax:( )
New:
181 APPLICANT *I CONTACT PERSON BUILDING PERMIT FEES*
Business name:Crown Castle (Pfeaserefer tofeesehetale)
Structural plan review fee(or deposit):
Contact name:Zach Phillips
FLS plan review fee(if applicable):
Address:5111 N.Bowdoin St.,
Total fees due upon application:
City/State/ZIP:Portland,OR 97203
Amount received: 320 , ??
Phone:(503)708-900 Fax::( )
E-mail:zach.phillips.contractor@crowncastle.com PHOTOt)I'TAICt#LARANEI'SYSiF M 1FEFS*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:tbd �/,�/�, >
"' j 17:0,y1.416,4,1,40".
�'�'i'"y� G and fire department access,along with the 2010 Oregon
Address: // '1 f- SIS '1) 1dia/kti 41/telt. S Ze/ `rl6) Solar Installation Specialty Code checklist.
City/State/ZIP: /Lvlll L Permit fee(includes plan review $180.00
�^(f'tr7 £1 L Ger and administrative fees):
Phone:( ' Le.) ,,,,._5-ii,... T C1 / Fax'( ) State surcharge(12%of permit fee): $21.60
CCB lie.: V1L0F7q7 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtainedI Or
within 180 days after it has been accepted as complete.
Print name:Zach Phillips Date:3/27/18 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
4
_ 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] $ 30000
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): $ 30000
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
M
Ili
Building Division
Plan Submittal Requirements
Ti 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# r 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.
H. 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
1 Building Division
Plan Submittal Requirement Matrix
TI G A R D Commercial& Multi-Family-New,Additions or Alterations
Type of Submittal #of Plans
(Includes new,additions and alterations.) Required at
Submittal
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\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
in
COMMUNITY DEVELOPMENT DEPARTMENT
III 11
T1cARD Building Permit Review — Commercial - No Land Use
IM
Building Permit #: t� ' /1 -- iC OcF3
Site Address: 9c .-, - ,c7,fo ,(13+57 ),,, A, Suite/Bldg#:
Project Name: qvnn7L-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /� �
Proposal: fi,xiov'-C ,2�i r/ ( 2 /7 1 -err,/ 7�
Existing Business Activity: &e lfsc C-emirvr/''cAoyL._ 64 /i
Prop ed Business Activity: // // 7/
Verify site address/suite# exists and active in permit syste
I :ver Terrace Neighborhood: ❑ Yes 21 No
D1 oning: / ,��] e—
ermitted Use: NJ Yes ❑ No ❑ p
Spec Space
(firm no land use required.
112
Business License:7 --
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
•
Approved by Planning: <==,..... ----:=—:-_______ Date: !'j/aVig
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: 3/a 7//J'
Site Plans: # ...5
Building Plans: #
Building Permit#: 0-Enter building permit#above.
Workflow Routing: Er-Planning hermit Coordinator E TBuilding
Workflow Sign-off: g---Sign-off for Planning(include notes from planning review)
Route Application Documents: EJ T u lig: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: `
By Permit Technician: �t � �17/—.rz Date: =3/�7//F-
I:\Building\Forms\BldgPermitRvw COM NOLandUse 060116.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:
7 DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Pio' /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approvedby Permit Coordinator: Date: // /iZ
ijarl ;440 f f 41, ),4 ? ),..ti..E.(e.m. ( ....e.__- _to,_-.0„„ yke,A5
1ew
I:\Building\Fonns\BldgPer1 itRvw_COM NoLandUse_070915.docx
City of Tigard MAR 27 2w,
14
COMMUNITY DEVELOPMENT DEPARTMENT
�....li Y
Collocation - SupplementalQuestioiARD pp , _
PROPERTYADDRESS FOR SI '11 r t SI. ONt_r
Location of collocation: 9585 SW Washington Square Rd. KVC
Zo :
Name of provider: Sprint
Zach Phillips for Crown Castle Approved
Contact name: p
❑ Not Approved
Collocating antennas on: By: C Date:;-1? Iy
KI Existing tower
Reason not approved:
El Existing non-tower structure
Is this a new provider?
❑Yes
® No
Other providers currently collocating on same tower or structure: IVommunny Development\land Use Applications\02_Forms and
Templates\land Use Applications\Future Forms Rev.12/14/2017
AT&T
Indicate the previous approval: BUP2015-00148
(SDR,MMD#)
ANTENNAINFORMATION
Existing: New:
Height of antenna(s): 87'-6° ft) 87'-
g (sq. Height of antenna(s): 6" (sq. ft.)
Color of antenna(s): In brown canister In brown canister
Color of antenna(s):
Color of equipment: Brown Brown
Color of equipment:
In canister In canister equipment:
Accommodating equipment:
(i.e.dishes) (i.e.dishes)
Will new accessory equipment be installed? El Yes ❑No
Location of new accessory equipment?
IN Within previously approved fenced area
.1 Within existing structure
❑ Other location:
(Please describe)
Will landscaping be removed to accommodate the accessory equipment? ❑ Yes ®No
If yes,describe here: No change to ground equipment. All changes are on the tower.
,01161 Zach Phillips 3/13/18
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