Permit CITY OF TIGARD BUILDING PERMIT
11 • COMMUNITY DEVELOPMENT Permit#: BUP2014-00255
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2015
Parcel: 1 S136AD06300
Jurisdiction: Tigard
Site address: 10955 SW 65TH AVE
Project: AT&T Subdivision: VILLA RIDGE Lot: 2
Project Description: Installation of back-up generator
Contractor: KDS ELECTRIC LLC Owner: PORTLAND GENERAL ELECTRIC COMPAN
PO BOX 1694 121 SW SALMON ST
PRINEVILLE, OR 97754 PORTLAND, OR 97204
PHONE: 360-921-0095 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 11/13/2014 $377.90
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 11/13/2014 $45.35
Dwelling Units: 0 Plan Review 10/30/2014 $245.64
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/13/2014 $75.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-LRP 11/13/2014 $11.00
Value: $20,000 Info Process/Archiving-Lg$2.00(over 11/13/2014 $18.00
11x17)
Info Process/Archiving-Sm$0.50(up to 11/13/2014 $0.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $773.39
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 1.800.332.2344.
Issued By: Permittee Signature: _�`
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.
fluiid n2 Permit Application
Commercial t F 11 1 I, c,1 I I( I I .I \I 1
Received
City of Tigard IateB : e,Harlon Permit No.: G 'Mt if dill,.
• 13125 SW Hall Blvd.,Tigard,OR 97 if 3 0 2014 �►
a Phone: 503.718.2439 Fax: 503.598. ,.r ae a Ir t r l Other Permit:
PlaDat n e/B Revi
1 I( A It I) Inspection Line: 503.639.4175 C1-Iy C* rl6ARD Date Ready / ns: ® See Page 2 for
Internet: www.tigard-or.gov ('of.1 i+�//�� I Natified/M ad: �� �� �y �f��, Supplements!Information
CnellgI1 l�
TYPE OP WORK REWIRED DATA:1-AND 2•FAMILY DW&LUNG
❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF. CONSTRUCTION work indicated on this application.
Valuation: S
❑ I-and 2-family dwelling ❑Commercialliindustrial
❑Accessory building ID Multi-family Number of bedrooms:
❑Master builder ®Other:Generator Number of bathrooms:
JO$ SUE, ,T101'4 AND LOCATION Total number of floors:
Job site address:10955 SW 65"Avenue New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ATT Generator—Tigard NE Covered porch area: square feet
Cross street/directions to job site:Please See Sheet T-1 of Plan Set Deck area: square feet
Other structure area: square feet
REQUUTEDDArTA:COMMERCIATAJSE CHECIcLIRT
Subdivision: ( Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S36AD06300 R279549 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.
Install standby generator on a new concrete slab at an existing wireless Valuation: $20,000.00
communications facility. Install(1)ATS and(2)new 20 AMP services. Existing building area: square feet
New building area: square feet
1 PROPERTY OWNER f 0 T NAHT Number of stones:
Name:Crown Castle International Type of construction:
Address:2000 Corporate Drive Occupancy groups:
City/State/ZIP:Canonsburg,PA 15317 Existing:
Phone:(724)416.2000 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:General Dynamics IT
fflett t+msss.feeaeinr
- Structural plan review fee(or deposit): 3485-33"
Contact name:Phillip Kitzes
a FLS plan review fee(if applicable):
Address:2018156 Avenue NE,Suite 129
Total fees due upon application:
City/State/ZIP:Bellevue,WA 98007
Amount received: /-`� I �
Phone:(425)420.5189 Fax::( )
E-mail:phillip.kitaes(agdit.com PHOTOVOLTAIC SOLAR PANEL SYSTEM)
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:KDS Electric,LLC Submit two(2)sets of roof plan with connecti•• •etails
and fire dep: 1 •• t access,along with - 110 Oregon
Address:PO Box 1694 Solar Installation .: '.lty Code 1% ist.
City/State/ZIP:Prineville,OR 97754 Permit fee(includes .• review $180.00
and a•u•' strative .
Phone:(360)921.0095 Fax:( ) State sure . :e(12%of permit fee): $21.60
CCB lic.: 195055 I/740/�S Total fee due upon application: $21 .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:Phillip Kitzes Date:10.28.14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\BuildingWermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
City of Tigard
114 II
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A lz D Building Permit Review – Commercial - No Land Use
Building Permit #: aS�
Site Address: 1015 5 Svc Is St v` A-ve Suite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: V.Q.R.A.) Rio posect Ai 4 c e-P 9p,Q i
Existing Business Activity: cell Aimer
Proposed Business Activity: CQQ —.e.1/
Verify site address/suite #exists and active in permit system.
❑ Zoning: C– C1
❑ Permitted Use: "Yes ❑ No ❑ Spec Space
[• nfirm no land use required.
Notes: W1trilYt ilia QJyisi^i(Di Pc - ) 1() c– Cie / Yla f C144 1/11)1i104/
-'tth Qani`ca
Approved by Planning: pk ra&s Date: \012,01 (LI
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
'1---
Building Permit Submittal
Original Submittal Date: /ey- n1/`f
Site Plans: # 3
Building Plans: # 4j
Building Permit#: 'Enter building permit# above. ��
Workflow Routing: -Planning .. Dermit Coordinator •'CJ Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technicia akvtA_A-1 Date: (b/ip47/
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_071514.docx
f a
Permit Coordinator Review
El Conditions Met-Prior to Issuance of Building Permit
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:
>4•K to Issue Permit
Approved by Permit Coordinator: , Date: iy7319AV
1:\Building\Forms\B IdgPermitRvw_COM_NoLandUse_071514.docx