Permit (126) CITY OF TIGARD BUILDING PERMIT
I:'" COMMUNITY DEVELOPMENT Permit#: BUP2018-00269
Date Issued: 10/15/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102CC01100
Jurisdiction: Tigard
Site address: 13680 SW PACIFIC HWY
Project: Sprint Subdivision: None Lot: None
Project Description: Replacing(3)antennas,Adding(3)radios, (6)junction cylinders,(3)hybrid lines,and back up batteries in existing
cabinets. Removing abandoned equipment at the 72 ft height level on the tower.
Contractor: NORTH SKY COMMUNICATIONS LLC Owner: TIGARD-ORENOMAH LODGE NO.207 OF
11818 SE MILL PLAIN BLVD SUITE 410 PO BOX 230184
VANCOUVER, OR 98684 TIGARD, OR 97281
PHONE: 360-254-6920 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 10/15/2018 $301.85
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 10/15/2018 $36.22
Dwelling Units: 0 Plan Review 09/20/2018 $196.20
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 10/15/2018 $17.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $15,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
• Garage: 0
Mezzanine: 0
Total $551.27
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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 800.332.2344.
oer
Issued By: -, /.'---
,7,,,zrwr... Permittee Signature:
_ 7-7
03.639.4175 by 7:00 a.m.for the next available inspectio
This permit card shall be kept in a conspicuous place on the job site until c. ion of the pro ect.
Approved plans are required on the job site at the time of each spection.
Building Permit Application
Commercial ,„„:::;, ,v� - FOR()I FIC l sr: O'1.\
City of Tigard 2 0 201 Date/BReceived , /�� STT,j: / I / -I(I,
SEP PlanR : i i
Ill13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
Phone: 503.718.2439 Fax: 503.598.1960Cy i' ' 1r Itu z�� DateBy: )Q.j'I e Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page
2 forTIGARD Date
iInternet: www.tigard-or.gov a1"'y lo8 . r2/Otified/Method:1 (r() ; Supplemental
Information
.Z l?.f
TYPE OF WORK TREQUIRE13 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
0 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 INFORMATION AND LOCATION Total number of floors:
Job site address:tos8u SW Pacific Highway 1 g CO Fe New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: j� ..5
. J VI ti 4-1 Mile)(e)( Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-IJSE CHECKLIST
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:25-1-02CC-01100-001 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.Add(3)radios,(6)junction cylinders,(3)hybrid lines, Valuation: $$15,000.00
and back-up batteries in existing cabinets. Remove abandoned equipment Existing building area: square feet
at the 72'hieght level on the tower. New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:TIGARD-ORENOMAH LODGE 207 Type of construction:
Address:PO BOX 230184 Occupancy groups:
City/State/ZIP:TIGARD OR 97281 Existing:
Phone:( ) Fax:( ) New:
10 APPLICANT ►Tf CONTACT PERSON BUILDING PERMIT FEES*
Business name:Crown Castle(Tower Owner) (Pteeserejerwfee schedplc�
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:Portlands,OR 97203
Phone:(503)708-9200 Fax::( )
Amount received:
E-mail:zach.phillips.contractor@crowncastle.com PBflT(IYQLTAICf?LAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:North Sky Communications Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:11818 Mill Plain Blvd.,Ste 410 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA98684 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:208747
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:Zach Philli Date:8.23.18 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
111
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6C(Pabig"()OPZCor
Site Address: Q S 1' ;k q Suite/Bldg#:
Project Name: Sof- n}
(Name of ommercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: e tort. (: ) qct,S- AI 3 14065 ( 6) )-.�At, �n (-711 i j ( 3) h7 i rpJ 1s nt. a
� A
C.6;.rji. i 0.1144esti Clcart,iil`C ',.i uh1- k Zt { k )7 .
Existing Business Activity: j'r t (dMMJnrZ H
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.stem
W/
ver Terrace Neighborhood: ❑ Yes Q No
EI Zoning: C—G
LIQ permitted Use: [(Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes(� ❑ No,applicant�n`otified to obtain business license
"ten
Notes: �x�M - Li ,v CR 1Y. 1S) ca. 4
Approved by Planning: 1� Date: 9- _(y
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: !1p2U(((F
Site Plans:
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning 'Permit Coordinator )5—Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .4, . Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
E 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:
r.Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
18=0K to Issue Permit c
Approved byPermit Coordinator: 4 Date: //9- l) !3
/
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13680 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00269
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor