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Permit (177) CITY OF TIGARD BUILDING PERMIT 11111 0 ' COMMUNITY DEVELOPMENT Permit#: BUP2018-00238 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2018 T I�'' IF I' g Parcel: 2S101DD00101 Jurisdiction: Tigard Site address: 6975 SW SANDBURG ST 100 Project: Verizon Subdivision: None Lot: None Project Description: Decommission of existing telecommunications facility for Verizon. Removal of all alterations,additions and improvements associated with site. Contractor: STRATA INC Owner: WESTON INVESTMENT CO LLC PO BOX 2988 2154 NE BROADWAY, STE 200 CHELAN,WA 98816 PORTLAND, OR 97232 PHONE: 425-259-6016 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/06/2018 $564.15 Demolition Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 09/06/2018 $67.70 Dwelling Units: 0 Plan Review 08/27/2018 $366.70 Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 09/06/2018 $10.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $35,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,008.55 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 ules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You •• • .copy of the - or direct questions to OUNC by calling 5• 232.1987• 1.800. .2.2344. f Issued By: /� 1111111 �Ir ee Signature: L s -AI.39.4176 by 7:00 a.m.for the next available ins r tion date / r This permit card shall be kept in a conspicuous place on the job site u d comple'•n of the project. Approved plans are required on the job site at the time of each inspection. 1, Building Permit Application Commercial fj FOR OFFICE USE ONLY City of Tigard REC1 VDateBReceive� O At-- "JOY- Permit NS.. 01,-7;7‘,1 i q 13125 SW Hall Blvd.,Tigard,OR 97223 2 3 Plan Review Phone: 503.718.2439 Fax: 503.598.196014 UG 2 018 Date/B : Other Permit: T I G n R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIG —D Notified/Method: Supplemental Information BUt 'I G fliVigin , TYPE OF *lb' k REQUIRED DATA:1 AND 2 FAMI Y DIV'''' W ,LING, s ❑New construction 0 Demolition Permit fees*are based on the value of the wo performed. Indicate the value(rounded to the nearest lar)of all ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,a the profit for the u X work indicated on this application. TEGORY OF CONSTRITCTIO ` El1-and 2-family dwelling ®Commercial/industrial Valuation: ElAccessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathroom 4 JOB SITE INFORMATION; 6 CATION �'r Total number of `oors: 3; T: ivk''.'y $`kv�',xa1, Job site address:6975 SW Sandburg St New dwelli _area: square feet City/State/ZIP:Tigard,OR 97223 Garage/c.rport area: square feet Suite/bldg./apt.no.: Project name:-POLI tat' 1/6.72., ' A/ Cov red porch area: square feet Cross street/directions to job site:From SW Dartmouth St neck area: square feet Turn left onto SW 72°d Ave-0.8 mi Other structure area: square feet Turn left onto SW Sandburg St-0.3 mi REQUIREDDA1 MERCIIAL-U CHE IST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S101DD00101 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the r a I E CRIPTI I # 1 WoRI€ work indicated on this application. Decommision of existing telecommunications facility for Verizon. Valuation: $ 5 000 Removal of all alterations,additions,and improvements associated with site Existing building area: square feet New building area: N/A square feet p WM R � EEN t Number of stories:c t ► Name:Verizon Wireless(VAW)LLC dba Verizon Wireless Type of construction: Address:5430 NE 122""Ave Occupancy groups: City/State/ZIP:Portland,OR 97230 Existing: Phone:( ) Fax:( New: -'4,:i, de ►PPLU NT ,�I CONTA PEES$,, ", ,B .DING PERMIT u$s - - Business name:Black Rock Consulting 4.4:ase refer lofe tci`• �: Structural plan review fee(or deposit): Contact name:Brandon Clower FLS plan review fee(if applicable): Address:PO Box 1744 City/State/ZIP:Tualatin,OR 97062 Total fees due upon application: " - Fax::( ) Amount received: ,..34.r 7© Phone: 5503-2oi-5. i q PHOTOVOLTAIC. Q SYSTEM FE E-mail:brandon@blk-rock.com " ., ., `�=' ice` ,F 1 . Commercial and residential prescriptive installation of #; r- ® „4„,-:„,,,,,i-, - -_ _„ .. " ,: "" roof-top mounted Photo Voltaic Solar Panel System. Business namer V ' Sir \o. L 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: $201.60 t Authorized signature: sl �- This permit application expires if a permit is not obtained ii j +,,_ within 180 days after it has been accepted as complete. Print name:IDo+‘.n /1 9e1,taq^cx,Y Date: q II D Ii * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) i' Building Permit Applicationtp IT CEIV; Commercial FOR()HAUL'USE ONLY City of Tigard ti i l.� 2 7 2.018 nae pier 6(./?...7 /� ,7"1 unit vo.:/gC 7/r GD,,a 7, I ll 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie _. Phone: 503.718.2439 Fax:: 503.598.1960 i "'3 c7 Other Permit: T I G A tt t) Inspection Line: 503.639.4175 ..; , �Ready/By: -1-j1 rut : ® See Page 2 rot Internet www.tigard-or.gov kk r ettuxl: 6./�� I Supplemental Information ii y)1NG tirvi A�C ,',:,:i: ��fiP.I; oeji6iiKI hii --, i r:- a REO t' ti`*"1ATA«1 AIINI? y f D .;*.DW rr.;a 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ►tee Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit fur the '�t'm' -,',410' 01" da$ '�gas e P work indicated on this application. ,lui"` -1111':5',.. �a. GORl h OF CON I)CTION , r t2,1,,,,'I(, = ' _ 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: " ' JOSSqIsiiis fi! 'OII `A a..4Total number of floors:,, iq : (TL Job site address:6975 SW Sandburg St New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldgJapt.no.: Project name`POR a 1/' /Zo/\j/ Covered porch area: square feet Cross street/directions to job site:From SW Dartmouth St Deck area: square feet Turn left onto SW 72"Ave-0.8 mi Other structure area: square feet Turn left onto SW Sandburg St-0.3 mi 2wv." D u2i ` N-R .=;, S C Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no 2SLO1DD00101 Indicate the value(rounded to the nearest dollar)of all ���m a� a m ! equipment,materials,labor,overhead,and the profit for the .,-4, p Vi.,, °Esc ' QN OF ,---,,-,,-.-4t‘, . 4" h� fl t a' work indicated on this application. Decommision of existing telecommunications facility for Verizon. Valuation: $$35,000.00 Removal of all alterations,additions,and improvements associated with site Existing building area: square feet New building area: square feet i' �,DD,;;: O 4 6! -,0W$� ,'a z „,,c., 1EN Y -, ,� Number ofstories: Name:Verizon Wireless(VAW)LLC dba Verizon Wireless Type of construction: Address:5430 NE 122ad Ave Occupancy groups: City/State/ZIP:Portland,OR 97230 Existing: Phone:( ) Fax:( ) New: gal Hlt' a = 477 ®' -111 CT Ply, , ,. n4fq ,w . a , .. a,, , u ! ._ _. - �„ , -IiULL�? PFuklr���ih ia!'ti .. Business name:Black Rock Consulting , . '; 1plEQB tofec schedrlfP� i'� Structural plan review fee(or deposit): Contact name:Brandon Clower FLS plan review fee(if applicable): Address:PO Box 1744 Total fees due upon application: City/State/ZIP:Tualatin,OR 97062 Phone:(503)452-6622 Se 3 R01'S3,4 Fax::( ) Amount received: ,3(,k, 70 i--- ���� �moi, ,la:aadd�� �� � : E-mail:brandon@blk-rock.com ��I TUTO t gra SO .. -r.. I:SYST1�I1' 'EES* tm1uuitiii a,uF ;n-, Commercial and residential prescriptive installation of v ,'-bA f= Ire, N, -..mil'N-7. ?,tea, 3 p,^" niiat roof-top mounted PhotoVoltaic Solar Panel System. Business name:Strata Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:600 SE Maritime Ave,Bldg 3,Ste 330 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver,WA 98661 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)277-8198 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:75960 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:D Brandon Clower Date:8/21/2018 * 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) 111 BuildingDivision 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] $ 35000 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 03/03/2011 Building Division Plan Submittal Requirements TIGARD 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 PernutApp.doc 03/03/2011 • Building Division Plan Submittal Requirement Matrix TIGARD Commercial& Multi-Family-New,Additions or Alterations TwF:t91 submtal # of Plaits (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 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6975 SW SANDBURG ST 100, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2018-00238 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor