Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00043
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2019
fd Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: AT&T Subdivision: None Lot: None
Project Description: Replacing(6)antennas and(9)radios(RRH); Removing(3)radios(RRH)and (3)amplifiers(TMA). In equipment
room, replacing equipment in TE43 cabinet. Monopole location is between Dicks and Macy's Furniture off of Blum
Rd.
Contractor: LEGACY WIRELESS SERVICES INC Owner: PPR WASHINGTON SQUARE LLC
15580 SE FOR MOR CT PO BOX 847
CLACKAMAS, OR 97015 CARLSBAD, CA 92018
PHONE: 503-656-5300 PHONE:
FAX: 503-656-5305
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 04/22/2019 $377.90
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 04/22/2019 $45.35
Dwelling Units: 0 Plan Review 02/26/2019 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/22/2019 $17.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000 DC Provision Review,COM TI-Ping 04/22/2019 $98.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $783.89
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 .- . - • •irec qu- '•ns to OUNC by calling 503.232.198.800.332.2344.
Issued By: Permittee Signature:
_
Lam' 50 r• 9.4175 by 7:00 a.m.for the next available inspecti • ate.
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.
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
T i G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: / t2 O £, j
Site Address: `isgs . i r f\ ,C Suite/Bldg#:
Project Name: A �
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review r
Proposal: flute aO(nkct� a Cn) rad (121ZZE4), L t L3) able ,A1 cznrlfimpoitr5(.0
7-/v ttvlpnh- rave ryta � . ,� �,� i� Tc
Existing Business Activity: vU'trt ,h tfir
Proposed Business Activity:
/Verify site address/suite#exists and active in permit syste .
12 River Terrace Neighborhood: ❑ Yes g No
DT�oning: hUL
rmitted Use: Ur/Yes ❑ No ❑ Spec Space
[I Confirm no land use required.
pfr Business License:
Exists: ❑ Yes 0 No,applicant notifiediito obtain business license
Notes: N6 CIV11} to a ` 5 l elu.. ht;h1 r � �dr,
Approved by Planning: , LyuL Date: 2 ,a q
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: �to// 7
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: 2-Planning !IL-Permit Coordinator 13-Building
Workflow Sign-off: [ -"Sign-off for Planning(include notes from planning review)
Route Application Documents: —wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Cc Date: �Y
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:
Re • ion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes If N/A
Tigard Trans SDC: ❑ Yes --II /A
G
Parks SDC: 0 Yes l4A
O to Issue Permit di4KDate:
Approved by Permit Coordinator: 2.?///'
I:\Building\Fonns\BldgPermitRvw COM_NoLandUse 070915.docx