Permit I.
TIGARD
v9 BUILDING PERMIT
CITY
a OF
111 • COMMUNITY DEVELOPMENT Permit#: BUP2012 00138
T[G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2012
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Project: A T&T Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Installation of concrete slab for placement of backup generator for monopole. Location of monopole is on Blum Rd
on the north side of Washington Square property.1/29/13,extension request approved for 180 days. 8/19/2013,
2nd extension request approved for 180 days until 2/19/2014.
Contractor: BATTERY POWER SYSTEMS INC Owner: PPR WASHINGTON SQUARE LLC
201 FRONTAGE RD N, SUITE A 9585 SW WASHINGTON SQUARE RD
PACIFIC,WA 98047 TIGARD,OR 97223
PHONE: 253-931-8222 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee-Additions,Alterations, 07/18/2012 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 07/18/2012 $45.35
Dwelling Units: 0 Plan Review 07/18/2012 $245.64
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/18/2012 $3.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $672.39
Required: Required Items and Reports(Conditions)
1 Special inspection bolts in
Fire Sprinkler: Parapet: concrete
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 1.800.332,2344.
Issued By: / Permittee Signature: )/' sq"\......„,.........n
Call 503.639.4176 by 7:00 a.m.for the next available inspection date.
Y P
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.
r
y ' � CITY OF TIGARD BUILDING PERMIT
.' .. g .' COMMUNITY DEVELOPMENT Permit #: BUP2012 -00138
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/06/2012
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Project: A T & T Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Installation of concrete slab for placement of backup generator for monopole. Location of monopole is on Blum Rd
on the north side of Washington Square property. 1/29/13, extension request approved for 180 days.
Contractor: BATTERY POWER SYSTEMS INC Owner: PPR WASHINGTON SQUARE LLC
201 FRONTAGE RD N, SUITE A 9585 SW WASHINGTON SQUARE RD
PACIFIC, WA 98047 TIGARD, OR 97223
PHONE: 253 - 931 -8222 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee - Additions, Alterations, 07/18/2012 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 07/18/2012 $45.35
Dwelling Units: 0 Plan Review 07/18/2012 $245.64
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 07/18/2012 $3.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000 .
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $672.39
Required: Required Items and Reports (Conditions)
1 Special inspection bolts in
Fire Sprinkler: Parapet: concrete
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. A TENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- -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.
.. j
Is ued By: / / , Permittee Signature: / ---.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. v
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 BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit #: BUP2012 -00138
•
T t CARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/06/2012
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD MGMT OFF
Project: A T & T Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108
Project Description: Installation of concrete slab for placement of backup generator for monopole. Location of monopole is on Blum Rd
on the north side of Washington Square property.
Contractor: BATTERY POWER SYSTEMS INC Owner: PPR WASHINGTON SQUARE LLC
201 FRONTAGE RD N, SUITE A 9585 SW WASHINGTON SQUARE RD
PACIFIC, WA 98047 TIGARD, OR 97223
PHONE: 253 - 931 -8222 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Permit Fee - Additions, Alterations, 07/18/2012 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 07/18/2012 $45.35
Dwelling Units: 0 Plan Review 07/18/2012 $245.64
Stories: 0 Height: 0 ft Info Process /Archiving - Sm $0.50 (up to 07/18/2012 $3.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0 •
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $672.39
Required: Required Items and Reports (Conditions)
1 Special inspection bolts in
Fire Sprinkler: Parapet: concrete
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 1.800.332.2344.
Issued By: Permittee Signature: p l ____z
Call 503.639.4175 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.
4004 Kruse Way PI., Ste.220
RFCEIVED
velc.cirer Lake Oswego, OR 97035
JAN 28 2013
complete wireless solutions CITYpBTjGARD
P ,, J is BUILDING DIVISION
January 25, 2013
Re: Extension of Building Permit
•
Mr. Mark VanDomelen,
I spoke with Debbie Adamski and she told me you were the person
to speak with about a 6 month extension on our Building Permit #
B U P2012- 00138.
I'm in the Telecommunications Industry and we're negotiating with a
3rd party about leasing and improving the cell site area, but the
Landlord is taking his time on reviewing the documents, thus we
need a 6 month extension (current building permit expires 2/6/2013).
I appreciate any help you can give me.
You can reach me at 971 - 222 -9924 or email me at
d.ditterick@velocitel.com.
ti\ 11 V , \-tiv 41\
Sincerely,
IL /6) / e
� a
Dennis Ditterick \
Site Acquisition
Velocitel /AT &T
Velocitel, Inc. 1 503.636.2500 1 503.636.2501 fax I www.velocltel.com
TO 3EVd ONI131IDO13/1 ZOOt' 89E05 8T :ZT ETOZ /ZZ /t0 M
Pwi
Building Permit Applicati �L'%n,9� °h Site. ~rte
Commercial JUL 18 2012 FOR OFFICE USE ONLY
City of Tigard OFTIGARD Received
Date/By: 7 /8 /P' AO Permit No.: 1 ��� —ek /5
• 13125 S50 Hall Blvd., Tigard, O. ' y Plan Review Q si rf�
Il i II
Phone: 503.718.2439 Fax: 50 `'. '' :.' °� ^ G DIVISION Date/By: (J Other Permit:
TIC. It D Inspection Line: 503.639 Date ReadyBy: p// J 2 / � , J�ri5: ® See Page 2 for
Internet: www.tigard- or.gov . �t''. ethod: �/ [� / f�/ Supplemental Information
- / ,,
TYPE OF WORK / REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition P- i it fees* are based on the value of the work perfo • ed.
Indi - e the value (rounded to the nearest dollar) o • .11
❑ Addition/alteration/replacement ' ,Other: equipm- nt, materials, labor, overhead, and the i • fit for the
CATEGORY OF CONSTRUCTION work indi . ed on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial
Valuation: $
❑ Accessory building ❑ Multi- family Number of bedros . s:
❑ Master builder Other: Number of bathrooms:
JOB SITE INFORMATION . AND LOCATION Total number of floors:
Job site address: 9s S iv J�J � �' e- y � v � New dwelling area: square feet
r
City /State /ZIP: � v // 4/,,s i 9 N A�!� !Li , � Garage /carport . • .: sqi - feet
•
Suite/bldg. /apt. no.: Project name: G T 4 . -7- Covered po area: square fe •
Cross street/directions to job site: / {�
r— 1' 7c (Z e f X l yr,Lj Deck •. -a: square feet
`
O S' l) i !1 Ai c• s' q A 'i' 4 F /e , f a 14 fit/ % I er structure area: square feet
Ili _ _ ■ ∎ - Y _ e.dl e.f,� REQUIRED DATA: COMMERCIAL -USE CHECKLIST •
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: /.S' / 4 00003 Q t' 4 Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
i DESCRIPTION OF WORK work indicated on this application.
/ / / /d. Valuation $4:9 1) l) C 00 X.
Existing building area: square feet
Lea __S.-7) . w 41(2_5*. 1 Q O A � e O ` A X
�1 9 h v f ! ,� / d.
ke C r''f' rye. I' S D h Cd ic-i- .e - re. ,5 / e.. A New building area: square feet
X PROPERTY OWNER ❑ TENANT Number of stories:
Name: E ` S' ' VAS Type of construction: f L ,
Address: 7J 1 F ` // � h � / , / n Occupancy groups:
City /State /ZIP: �', kT L AIL P _ : fjf /� `1 1 , 41 1 1.9 l Existing: 3 , - T '
Phone: ( ) Fax. `� t (rat/v:4246 : h d s
APPLICAe to r NT / / 7 T � CONTACT PERSON BUILDING PERMIT FEES*
Business name:
I/
/ , (Please refer to fee schedule)
a ' Contact name: c n r S 0 i '..-/-/ - 8 1 . ` k ; Structural plan review fee (or deposit):
dress: "La/14_ 44s e, k),„ pL, v � L. p FLS plan review fee (if applicable):
1 r�KP � a_ h X1/4 9 9 D, 7x— Total fees due upon application: - A G 7 � ?7
City /State /ZIP: L
VQ(I Qn Amount received: 'c�
Phone: ( 9 x ) 9 q q 9 9 4 Fl : ( )
�-•Sa� cu e /r F `I t , /, �} PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E- mail: . � > / c d Ci Ip , h2. /
CONTRACTOR Comm 'al and residential prescriptive installatio
roof -top mo• • ed PhotoVoltaic Solar Panel tan.
4 Business name: / � .,, A t e' ✓ .S .�- f tkos L l Submit two (2) s of roof plan with ! 1 ection details
and fire department a• ess, alon. •tth the 2010 Oregon
Address: 0 / fY �i , e Ad A V .
Solar Installation Specia a checklist.
City/State /ZIP: pr y c i f _i e .)A- 96 Q 4 7 Permit fee (incl • p .1 review $180.00
and • inistrativ- es ):
Phone:1.2S`3) 9 ?/ _ el /f Fax: ( ) State sure.. ge (12% of permit fee $21.60
CCB lie.: // t y ( o �
�s-(C Total fee due upon application: $201.60
i
Authorized signature: /" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print nam-: J r � 1 ) , r Date: * D * Fee methodology set by Tri -County Building Industry
• -- Service Board.
IABuilding\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(l 1 /02 /COM/WEB)