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Permit r� CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 -00139 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 08/23/2011 Parcel: 1 S136DA00101 Jurisdiction: Tigard Site address: 11410 SW 68TH PKWY Project: PERS Subdivision: PERS SITE Lot: Project Description: 350kw generator. 10/11/2011: REPRINTED permit for reduced project valuation from $270,000 to $150,000. Contractor: MCCOY ELECTRIC CO INC Owner: OREGON, STATE OF PUBLIC 2014 SE 9TH AVE EMPLOYEES' RETIREMENT FUND PORTLAND, OR 97214 11410 SW 68TH PKWY TIGARD, OR 97223 PHONE: 503 - 234 -7521 PHONE: FAX: 503 - 234 -9473 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 08/23/2011 $1,407.95 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 08/23/2011 $168.95 Stories: 0 Height: 0 ft Plan Review 08/09/2011 $915 17 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 08/09/2011 $563.18 Value: $150,000 Info Process /Archiving - Lg Sheet (over 08/09/2011 $16.00 11x17) Info Process /Archiving - Sm Sheet (up to 08/09/2011 $31.50 11x17) Floor Areas: Metro Const. Excise Tax - Commercial 08/09/2011 $180.00 Total Area 0 Use Accessory Struct: 0 CDC Planning Review 08/09/2011 $256 00 CDC Plan Review - LRP 08/09/2011 $38.00 Basement 0 Carport 0 Covered Porch: 0 Deck. 0 Garage. 0 Mezzanine: 0 Total $3,576.75 Required: Required Items and Reports (Conditions) 1 Bolts in Concrete 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 -0�0 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: oA h i' 'f9- 7CA/ 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. ., CITY OF TIGARD BUILDING PERMIT ' j COMMUNITY DEVELOPMENT Permit #: BUP2011 00139 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 08/23/2011 Parcel: 151 36DA00101 Jurisdiction: Tigard Site address: 11410 SW 68TH PKWY Project: PERS Subdivision: PERS SITE Lot: Project Description: 350kw generator Contractor: MCCOY ELECTRIC CO INC Owner: OREGON, STATE OF PUBLIC 2014 SE 9TH AVE EMPLOYEES' RETIREMENT FUND PORTLAND, OR 97214 11410 SW 68TH PKWY TIGARD, OR 97223 PHONE• 503 - 234 -7521 PHONE FAX 503 - 234 -9473 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 08/09/2011 $256.00 Class of Work: ALT DC Provision Review, COM TI - LRP 08/09/2011 $38.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 08/23/2011 $2,132.75 Stories: 0 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 08/23/2011 $255 93 Value: $270,000 Plan Review 08/09/2011 $1,386 29 Plan Review - Fire Life Safety 08/09/2011 $853 10 Info Process /Archiving - Lg Sheet (over 08/09/2011 $16.00 Floor Areas: 11x17) Info Process /Archiving - Sm Sheet (up to 08/09/2011 $31.50 Total Area. 0 11x17) Accessory Struct 0 Metro Const Excise Tax - Commercial 08/09/2011 $324 00 Basement 0 Use Carport 0 Covered Porch 0 Deck 0 Garage 0 Mezzanine 0 Total $5,293 57 Required: Required Items and Reports (Conditions) 1 Bolts in Concrete 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 -0 d+ rough • • 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 .r 800 2 2344 Issue By: Cr 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. Building Permit Application Commercial FOR OFFICE USE ONLY Cl of Tigard \ ` , M II `J Tigard O \ DateBy Rec eived / .,� / a il Permit No y P ,J 11 " Go ` .` 13126 SW Hall Blvd , Tigard, OR ' t r _r. _ Plan Re iew / r j Phone 503 713 2439 Fax • 503 59: 6 .0 N 1 O Permit \ O Date/By ,�ry ' I d.', $" TIGARD Inspection Line 503 639.4176 , \ \ c O' Date Read '7. Juris ® See Page 2 for Internet: www tigard- or.gov o �� o\ �\ej \ Notified/Method `7 ( �3 /l 7736 Supplemental Information 0 \ CI `' 1. 14 — Tt -� , a. __ . 1. ,,, `.z <': „ F WOR :, ''i IR eF t ii E u - < ' =-TYPE O \\� ., REQU ED DAT:a1' AND FAMILY ❑ Demolition Permit fees* are based on the value of the work performed. ❑ New construction Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ® Other: Generator equipment, materials, labor, overhead, and the profit for the • &Y'" ' --' . -" t - _ ' _ -- '4.-- - = work indicated on this application. i, F°`u- - C AT E GOR Y " ' - O F�"• CONST - UCTIO . - - - ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ El Accessory building III Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: -40B SITE INFORMATION { :LOCATION : - . _ _ - Total number of floors: Job site address: 11410 SW 68th Parkway New dwelling area: square feet City /State /ZIP Tigard, Oregon 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: PERS Standby Power & Fire Covered porch area: square feet Cross street/directions to job site: Interstate 5 Deck area: square feet Other structure area: square feet REQUIRED.DATA:,COMMERCL4ti -USE CHECKLIST'. Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the - ' ".- ' - DESCRIPTION OF-WORK _. work indicated on this application. Valuation. $$33 . 0 Installation of a 350kw generator and a•clran- agent-f�a ��v CRT • . 1 r e ' ' s a . Existing building area. square feet New building area: square feet ' -i,' ®;• PROPERTY OWNER - ' _ ° • D - TENANT - Number of stories: Name: Department of Adminisrative Services Type of construction: Address: 1240 Ferry Street SE Occupancy groups: City /State /ZIP: Salem, Oregon 97301 Existing: Phone: (503)373 -2331 Fax: (503)378 -2093 New: ®!APPL[Ci)V'T' ',IV. IIa - '❑ [CONTACT.'P,ER ru' - ri 7. - ' IG E ILDN P M - F - `� - .. • . _. s . .. . ', _ - . � � - _ I UI e_,� . R T1' EES* ' - ., Business name: DAS Facilities Division • t . ° (P1enseiefer, tto;leeschedule) =v ° _ 4 .,° "' ' ' � Structural plan review fee (or deposit): Contact name: Terry Nunley, Construction Project Manager FLS plan review fee (if applicable): Address: 1240 Ferry Street SE Total fees due upon application: City /State /ZIP: Salem, Oregon 97301 Phone: (503) 373 -2331 Fax: : (503) 378 -2093 Amount received: E -mail: Terry. Nunley @state.or.us ' ° F`NHOTOVOLTAiG'SOLAR.PAN SYSTEM- FEES * : . E - -a �,m . -a.; ...,A- � - , ,- ,.. T-, = Commercial and residential prescriptive installation of .$ °_• +. ";,- CONTRAG'TO, _ _ M T-, • R - 1 G' .. Y:'e= F` . r `= °£' - � ° __ - -_ =`` -: ,' = - rm-,_ roof -top mounted PhotoVoltaic Solar Panel System. Business name: ermine W V t z &genet d ` `l K Submit two (2) sets of roof plan with connection details ( and fire department access, along with the 2010 Oregon Address: £p j Y E._ 4.,) Solar Installation Specialty Code checklist. City /State /ZIP: pn7 e) ,2... 7f [t Permit fee (includes plan review $180.00 and administrative fees): Phone: (503) 9_3 Cf - 75) -f Fax: (5 2 3 e/ 9 73 State surcharge (12% of permit fee): $21.60 - I CCB lic.: YA 7 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: Terry Nunley Date: 6/28/2011 * Fee methodology set by Tri- County Building Industry Service Board I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 46I3T( I 1 /02 /COM /WEB) Building Division • Accessibility: Barrier Removal Improvement Plan • T IGARD 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] $ 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: $ J (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 \ Budding \ Permits \BUP -COI PermerApp doc 03 /03/2011 , li Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Building Permit No: 8 - t 2 11--0 c, l 31 ❑ Expedited Review Plan Submittal Date: (, (fig //1 677- To the Applicant: If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact G 4 .., - 1. I at 503 - 718 - 2 i3'( or @tigard-or.gov) 2 -Zoning i'I (' 1 e Permitted Use Yes ,.Er No ❑ ❑ Land Use Required: Yes ❑ No.A:r (explain below) Notes: _ (ems - /.i t i� , -e, o' f�h.e,- Z , GL' /cz ., t proved ❑ Not Approved Date: 7 / ` /7 Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert@tigard-or.gov) Notes: Routed back to Building Division Date: I/ I: \CURPLN .a _: ..1 City of Tigard October 14, 2011 State of Oregon /PERS Attn: Kate Harris 11410 SW 68 Pkwy Tigard, OR 97223 Re: Permit No. BUP2011 -00139 Dear Ms. Harris: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11410 SW 68 Pkwy. Project Name: PERS Job No.: N/A Refund: ® Check #204231 in the amount of $905.04. ❑ Credit card "return" receipt in the amount of $ . Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account "deposit" receipt in the amount of $ . Comments: Refund of difference of permit fees paid as a result of the reduction of project valuation from $270,000 to $150,000. If you have any questions please contact me at 503.718.2430. Sincerely, 7 Dianna Howse Building Division Services Supervisor Enc. • I: \Building \RefundE31256lX airkleBigdelhdli ,0 Or,c�; on 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov 11 City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: State of Oregon /PERS DATE: 10/11/2011 Attn: Kate Harris 11410 SW 68 Pkwy REQUESTED BY: Dianna Howse Tigard, OR 97223 TRANSACTION INFORMATION: Receipt #: 183596 Case #: BUP2011 -00139 Date: 8/9/2011 Address /Parcel: 11410 SW 68th Pkwy Pay Method: Check Project Name: PERS EXPLANATION: Per applicant's request as they reduced project valuation from $270,000 to $150,000; refund difference of permit fees. _..... USN' �ItL�110 �' A' •,I' 1 ,.. _ _ _ Yf .. ,.. "Fee':D sei ari�Frorn�Re¢ei' c= ����' r.., .�.. ,1> �,., = , , ; "•ReveiiueAccoiiri't�IVo�_ '� :^�,. . _ � --• � :,. : �.. a dul I?:e�` :`�t=Fee; _ _ .� . _ ..�lF -.. . -..... _ . R......?�_ ....... , . -.. �'. .. , ....: � : le.230Q0:00�3.1�04.�� t. � Am: Misc Adminstration Fee 230- 0000 -43130 $905.04 TOTAL REFUND: $905.04 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager U 1 \ If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR`cTI S. ADMIN:I T T y .... - ..: ��- �.. ,. D_EMARK=SY _� °EM;��.. -.... � S- ._Rt1„ IQNLJSE'�;0� L, ;.,;:•.::.., .. ... .. Case Refund Processed: I Date: I /0 /y` // I By: I L\ Building \ Refunds \ RcfundRcqucst.doc x 09/01/2010 III CI TY OF TIGARD RECEIPT g . 13125 SW Hall Blvd., Tigard OR 97223 • - 503.639.4171 TIGARD � c`C/✓/" Receipt Number: 184236 - 10/14/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BU P2011 - 00139 $ 905.04 ' Total: $- 905.04 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2342494 DHOWSE 10/14/2011 $- 905.04 Payor: State of Oregon /PERS • Total Payments: $ - 905.04 Balance Due: $1,716.82 .7 a, y . • - Ac cela. S ystem Administration " � " Finance Department Request Date: l00/ . To: Liz Lutz t/ . Kathy Gende . From: Dianna Howse/ Re: Receipt #: a-3_5- /P % 3 Please process this request as follows: Journal Entry (route copy of JE to • Dianna Howse). • Reversal (fees have been reversed on Revenue Account Report). ' Credit Card Return (fees have been reversed on Revenue Account Report). Other /Explanation: /u./6 Fps — 9 y .6;y T han k y ou V 7/ 1: \ Building\ Forms \ RteSGp- FinanceReq. doc raV g"---- Page 1 of 1 • IN CITY OF TIGARD RECEIPT ,, a : H . 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 183596 - 08/09/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2011 -00139 Plan Review 230- 0000 -43106 $915.17 BUP2011 -00139 Plan Review - Fire Life Safety 230- 0000 -43108 $563.18 BUP2011 -00139 Info Process /Archiving - Lg Sheet (over 230 - 0000 -43135 $16.00 11x17) BUP2011 -00139 Info Process /Archiving - Sm Sheet (up to 230 - 0000 -43135 $31.50 11x17) BUP2011 -00139 Metro Const. Excise Tax - Commercial 230 - 0000 -24010 . $180.00 Use BUP2011 -00139 CDC Planning Review 100 - 0000 -43112 $256.00 BUP2011 -00139 CDC Plan Review - LRP 100 - 0000 -43117 $38.00 BUP2011 -00139 Misc Administration Fee 230 - 0000 -43130 $905.04 Total: $2,904.89 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2342494 BTAGGART 08/09/2011 . $2,904.89 Pa yor: State of Oregon / PERS • Total Payments: $2,904.89 Balance Due: $0.00 • • Page 1 of 1 • • Community Development • TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov FROM: ❑ Owner ' Applicant ❑ Contractor ® City Staff (check one .77/v, s .c! ' % �6'� REFUND OR Name: State of Oregon /PERS and �/ ` i �` "14 r 97z-2 INVOICE TO: (Business or Individual) McCoy Electric Mailing Address: See case information City/State /Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ❑ CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach copy of original receipt). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: BUP2011 -00139 Site Address or Parcel #: 11410 SW 68 Pkwy Project Name: PERS Subdivision Name: Lot #: EXPLANATION: Reduce project valuation from $270,000 to $150,000 Signature: SC-- E FJ7Ti9 C'ft EL L= / Date: 9/8/2011 Print Name: 9'L'(G #/ZA1 777a/1r6 -- /c /C: ec Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds. • FOR OFFICE USE ONLY Rte to Sys Admin: Date By Rte to Bldg Admin: Date /0 /1 // By . ►'y • Refund Processed: Date J// f/j By Invoice Processed: Date /V /9 By Permit Canceled: Date /{1/49 By .. Parcel Tag Added: Date N //9" By Receipt # 41 Date � p , Method ( e /4 . _ Amount $ 1: \Building \f r s \ RegPermitAction. ev 04/26/2011 is - 7.1j s /&/i/ �f etc_ CITY OF TIGARD - Building Division /9721/ ' 7 y A/4// L 9/ 10/6/2011 - '})C , e / — e503 — 3 W - ? d 93 BUP2011 -00139 PERS Project Project Valuation reduced from $270,000 to $150,000 - refund difference. Date Paid Receipt # Fee Item - j! $270,000 Fees $150,000 Fees Difference 8/9/2011 183596 DC Provision Review, COM TI - Ping $ 256.00 $ 256.00 $ - 8/9/2011 183596 DC Provision Review, COM TI - LRP $ 38.00 $ 38.00 $ - 8/9/2011 183596 Plan Review $ 1,386.29 $ 915.17 $ 471.12 8/9/2011 183596 Plan Review - Fire Life Safety $ 853.10 $ 563.18 $ 289.92 8/9/2011 183596 Info Process /Archiving - Lg Sheet (over 11x17) $ 16.00 $ 16.00 $ - 8/9/2011 183596 Info Process /Archiving - Sm Sheet (up to 11x17) $ 31.50 $ 31.50 $ - 8/9/2011 183596 Metro Const. Excise Tax - Commercial Use $ 324.00 $ 180.00 $ 144.00 Total Refund State of Oregon: $ 905.04 8/23/2011 183739 Permit Fee - Additions, Alterations, Demolition $ 2,132.75 $ 1,407.95 $ 724.80 8/23/2011 183739 12% State Surcharge - Building $ 255.93 $ 168.95 $ 86.98 Total Refund McCoy Electric Company Inc.: $ 811.78 Dianna Howse From: Dianna Howse Sent: Thursday, October 06, 2011 11:53 AM To: 'Terry.Nunley @state.or.us' Cc: 'zacka @mccoyelectric.com' Subject: BUP2011 -00139 PERS Refund Attachments: PERS_RefundCalc_100611.pdf Hello Terry, Per your request, attached is the refund amounts for the PERS project based upon the project valuation that was reduced from $270,000 to $150,000 on the building permit. As for the mechanical permit, the building official did not agree to reduce the valuation so there will not be a refund on that permit. The refund checks to the State of Oregon and McCoy Electric will be mailed out later next week. Thank you for your patience while we process your request. Please let me know if you have any questions. Dianna Howse Building Division Services Supervisor City of Tigard 503.718.2430 1 Dianna Howse From: Mark VanDomelen Sent: Monday, September 19, 2011 8:04 AM To: Dianna Howse Subject: RE: PERS generator project I did not agree to this. I spoke with someone from PERS and about the mechanical and let them know the valuation seemed correct. I never discussed the FPS but I am not willing to reduce this without documentation. Thanks, Mark VanDomelen Building Official City of Tigard markv@tigard- or.Rov (503)718 -2448 Original Message From: Dianna Howse Sent: Friday, September 16, 2011 3:02 PM To: Mark VanDomelen Subject: RE: PERS generator project Mark, I was working on the refunds and I can't recall if you agreed to also reduce the FPS permit on this project from $60,000 to $36,000. Please let me know and I will get this processed. Thank you. Dianna Original Message From: Mark VanDomelen Sent: Thursday, September 08, 2011 8:48 AM To: Dianna Howse Subject: FW: PERS generator project Original Message From: Zack Armstrong - McCoy Electric f mailto:zacka@mccovelectric.coml Sent: Wednesday, September 07, 2011 4:39 PM To: Mark VanDomelen Subject: PERS generator project 1 • Mark, Thank you for thinking through this project with me this afternoon. I appreciate your willingness to reconsider the scope and make the adjustment to the permit amount. The building permit under discussion is #BUP2011 -00139 for 11410 SW 68th Parkway. Please revise the total project amount downward to $150,000. Any refund of permit amounts should be sent to 2014 SE 9th Ave., Portland, OR 97214. Any refund of plan review amounts should be sent to PERS. We spoke only briefly about it, but I think that a similar revision might be warranted for the fire protection system permit #FPS2011- 00082. It was also valued incorrectly and could be revised downward to $36,000 to more accurately reflect the extinguishing system portion of the work. Please don't hesitate to contact me with any questions you might have. Any refunds should be handled identically as the building permit. Thank you again for your assistance. Respectfully, Zack Zack Armstrong Project Manager McCoy Electric o 503- 234 -7521 c 503 - 258 -7148 DISCLAIMER: E -mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E -mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 3 City of Tigard October 14, 2011 McCoy Electric Attn: Zack Armstrong 2014 SE 9 Ave. Portland, OR 97214 Re: Permit No. BUP2011 -00139 Dear Mr. Armstrong: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11410 SW 68 Pkwy. Project Name: PERS Job No.: N/A Refund: ® Check #204203 in the amount of $811.78. ❑ Credit card "return" receipt in the amount of $ Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account "deposit" receipt in the amount of $ Comments: Refund of difference of permit fees paid as a result of the reduction of project valuation from $270,000 to $150,000. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. • I: \Buildin RefunditiaiiSAVin Qkf ftgaigtarQi91 gon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard- or.gov • n CITY OF TIGARD RECEIPT Ill S 13125 S W Hall Blvd., Tigard OR 97223 1 503.639.4171 TI GARD ,t�i-r Avp Receipt Number: 184235 - 10/14/2011 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2011 - 00139 $ 811.78 Total: $- 811.78 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 6655 DHOWSE 10/14/2011 $ 811.78 Payor: McCoy Electric Co Inc Total Payments: $ - 811.78 Balance Due: $811.78 1-%7y G Accela System Administration Finance Department Request Date: 4)/4/72 To: Liz Lutz r/ Kathy Gende From: Dianna Howse/ Re: Receipt #: /f3 23 F /pya S Please process this request as follows: Journal Entry (route copy of JE to Dianna Howse). Reversal (fees have been reversed on Revenue Account Report). Credit Card Return (fees have been reversed on Revenue Account Report). '/" Other /Explanation: X' n/ /-6 - /0-4a2Fy -,d -4) c � 7 /N C/�/L..t�GB ___ .e/ e h you! ,ac >/�6,3, • I: \Builg \Forms \RteSlip- FinanceReq.doc $34-- Page 1 of 1 CITY OF TIGARD RECEIPT Ill a . 13 125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 183739 - 08/23/2011 • CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2011 -00139 Permit Fee - Additions, Alterations, 230- 0000 -43104 $1,407.95 Demolition BUP2011 -00139 • 12% State Surcharge - Building 100- 0000 -24001 $168.95 BUP2011 -00139 Misc Administration Fee 230- 0000 -43130 $811.78 Total: $2,388.68 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 6655 DADAMSKI 08/23/2011 $2,388.68 Payor: McCoy Electric Co Inc • Total Payments: $2,388.68 Balance Due: $0.00 Page 1 of 1 r� City of Tigard T 1 GARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: McCoy Electric DATE: 10/11/2011 Attn: Zack Armstrong 2014 SE 9t Ave. REQUESTED BY: Dianna Howse Portland, OR 97214 TRANSACTION INFORMATION: Receipt #: 183739 Case #: BUP2011 -00139 Date: 8/23/2011 Address /Parcel: 11410 SW 68th Pkwy Pay Method: Check Project Name: PERS EXPLANATION: Per applicant's request as they reduced project valuation from $270,000 to $150,000; refund difference of permit fees. R g.ON�D`.II�i - ,r. ' e 5 r a k: . , . _ a•.- ' ,.b. ' „ t. : >FO;j�'I�I:A'IwI�.N:: `•�: +'• . ',;.: �.._ •�. :o-�..� . .. "c,..�; - . }•_�+;;. .E .n "From Rerei t- E '` "?y `; ,:•,.= - �> - �Reve�aue::Account:No" - r'•.:� <�'.. i � . am le: Biutc�ua rn t ``; :�:?F . �.�, .... .... �e . Eee� ..,: 'Ez � 00 ...... ,, : g _ .. , . ....... .. _.. P.'.. ...�. Od= 431(1.4 < -. .:. : ii 4 Misc Adminstration Fee 230 -0000 -43130 $811.78 TOTAL REFUND: $811.78 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager 404 l it ,L ,i If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board , . 1 : i4:.P' ; : ,:C.=.'3-; FOR' EIDEMAR+I S' S'T-4'M:'ADIVIIN -I TR USES' _ - ' ... _ �. ..... ... S' RAT`I:ON� ..O1VIY.� . _ ;��� "' Case Refund Processed: I Date: I /0/,/V/7 I By: I r lb ' . - 1: \Building\ Refunds \RcfundRequcst.doc x 09/01/2010 • Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 Nvww.tigard- or.gov FROM: ❑ Owner 17Applicant ❑ Contractor ® City Staff (check one) � g �¢% C //i92R /- REFUND OR Name: State of Oregon /PERS and // 7 r' 9 7 INVOICE TO: (Business or Individual) McCoy Electric Mailing Address: See case information City/State /Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ✓): ❑ CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach copy of original receipt). • INVOICE FOR FEES DUE (attach case fee schedule and explain below). n REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: BUP2011 -00139 Site Address or Parcel #: 11410 SW 68 Pkwy • Project Name: PERS • Subdivision Name: Lot #: EXPLANATION: Reduce project valuation from $270,000 to $150,000 • • Signature: SG e77 6 /4, L. Date: 9/8/2011 Print Name: #X-Ai S i '/1f& l /16 Cf c y Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. c) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds. FOR OFFICE USE ONLY Rte to Sys Admin: Date By Rte to Bldg Admin: Date /Z // // By ." Refund Processed: Date /c //'/, By Invoice Processed: Date /C i9 By Permit Canceled: Date A/ j/9- By .0 Parcel Tag Added: Date AT/ By Receipt # / ?359b _ Date ' /// Method �Li e/_ Amount $ 1: \Building \fr is ReyPermitAction.d'oc c 04/26/2011 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This foul' and the information it provides helps the review process and response to your project. BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: Dan Nelson or designee DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED SEP 02 2011 FROM: Terry Nunley CPM CITY OF TIGARD COMPANY: Oregon DAS Facilities BUILDING DIVISION PHONE: (503) 373 -2331 BY RE: 11410 SW 68 Parkway, Tigard OR B.'011 -00139 (Site Address) 'ermitlCase Number) PERS Standby Power & Fire (Project name or subdivision name and lot number) • ATTACHED ARE THE FOLLOWING ITEM ,� � ° -� - � �,�,� � it Copies YDektiption h _: op><es ` ' :Desc ription — LL Additional set(s) of plans. 2 Revisions: Plan E -501R Cross section(s) and detail . Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. 2 Engineer's calculations. Other (explain): REMARKS: The physical size and weight of the standby power generator has increased. We are submitting the structural en:' eers (Hohbach- Lewin) revised drawing E -501R and Calculations for review and approval. x y:: F OR OF ICE# USE ONLY r a t � , Routed to Permit Te+ icia • Date: q/' j Initials. . Fees Due: I Ye T./No Fee Description: Amount Due: zg Fix £ - £ 6 Special Instructions: Reprint Permit (per PE): ❑ Yes I I No ❑ Done Applicant Notified: Date: Initials: I: \Building\ Forms\ TransmittalLetter- Revisions.doc 4/4/07 Mg 4 10 0 qa Ip Arleirti City of Tigard October '14, 2011 State of Oregon /PERS Attn: Kate Harris 11410 SW 68` Pkwy Tigard, OR 97223 Re: Permit No. BUP2011 -00139 Dear Ms. Harris: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11410 SW 68` Pkwy. Project Name: PERS Job No.: N/A Refund: Fl Check #204231 in the amount of $905.04. n Credit card "return" receipt in the amount of $ . Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. Ti Trust account "deposit" receipt in the amount of $ . Comments: Refund of difference of permit fees paid as a result of the reduction of project valuation from $270,000 to $150,000. If you have any questions please contact me at 503.718.2430. Sincerely, y offlp Dianna Howse Building Division Services Supervisor Enc. 1 \nu,id,„ ,51,Mio `IaileBil ergid' i l,oeir ; 97223 ® 503.639.4171 TTY Relay: 503.684.2772 ® www.tigard or.gov City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: State of Oregon /PERS DATE: 10/11/2011 Attn: Kate Harris 11410 SW 68 Pkwy REQUESTED BY: Dianna Howse Tigard, OR 97223 TRANSACTION INFORMATION: Receipt #: 183596 Case #: BUP2011 -00139 Date: 8/9/2011 Address /Parcel. 11410 SW 68th Pkwy Pay Method: Check Project Name. PERS EXPLANATION: Per applicant's request as they reduced project valuation from $270,000 to $150,000; refund difference of permit fees. � rS "{� :`wi x ':'3::•'. ',1_�t; "e; �- ��T.».c`,: iS ":'x5 - - .�`..,. ��.� Y: = Ai�.'.'x E;F�UIV .IN.FO- RMAT3I:O,N, � +`r:- '.:'.. 31 �+ - �., 4 t -w� .= `,%. "', r.,;`..t;, 13"4s* :• .�t;"_ ^$, �.v::,= x� a:3,��,0 - " - .r % A. ;` .�v� ""�`'r - - .. ?�� � # '.:fi �._.,t :i "r�"��.. u, � .,, ::..a"�'^ ^hits ;':l�ee� °D:e�scr "•i" .ilon- rEzoirn`Recei 'c�';" '���, .��, -� ':�+.�.• -.,, ,��,. ..�.., ,_:,_ n ,.,�� T Revenue "'Aecount�No.: , = :'�• fR nd: -,.. , s` _�»?i`e �i"•:`: !.r't�.•"wt;;.. ^i- >^ .c :v - * ;r` - x?.... - „;� ter. x,3.3 ".'.�- ', k,� ,..�s EZ'i:�.��,. ,.5- -” =�'. e,t ._ .:':i-*.• t ',, i:ro'* .'�:.: >.. r..«. < €, vs : - �'�+ . �. -3.,, x: ;�: k.- ". +'�„bc. -,., .n• ` a �-. -'`? " ' "� .z �'. - ni ; le:i: Builclin ,.Per t'Fee. ,���,,�.. - .P�.. -..., ��., ,,.., .._..� . -. - _ , ... •�' -��,� - :,u.� . . ``23 5 0`00,00`iY431°04''wy: Amount�.�' >, g. �w. Misc Adminstration Fee 230 -0000 -43130 $905.04 TOTAL REFUND: $905.04 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board Case Refund Processed: Date: fivw By: 1 \BuwkLng \ Refunds \RcfundRcyucst doc x 09/01/2010 wpm b., 71 oti, � a rk,-Slill City of Tigard October 14, 2011 McCoy Electric Attn: Zack Armstrong 2014 SE 9t Ave. Portland, OR 97214 Re: Permit No. BUP2011 -00139 Dear Mr. Armstrong: The City of Tigard has processed a refund for fees on the above referenced permit(s) as follows: Site Address: 11410 SW 68t Pkwy. Project Name: PERS Job No.: N/A Refund: 171 Check #204203 in the amount of $811.78. 1 Credit card "return" receipt in the amount of $ . Note: Please allow 2 -5 days for this refund transaction to be credited to your account by the company that issued your card. n Trust account "deposit" receipt in the amount of $ . Comments: Refund of difference of permit fees paid as a result of the reduction of project valuation from $270,000 to $150,000. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 1:\ Buddin \ Refunds1\31r28isS nHafi idat ;fuAd ivi dpki on 97223 ® 503.639.4171 TTY Relay: 503.684.2772 © www.tigard- or.gov I II • City of Tigard TIE ARD Accela Refund Request This form is used for refund requests of land use, development engineering and building application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request. Refund requests are due to Accela System Administrator by Wednesday at 5:00 PM for processing by the following Wednesday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow up to 2 weeks for processing. PAYABLE TO: McCoy Electric DATE: 10/11/2011 Attn: Zack Armstrong 2014 SE 9' Ave. REQUESTED BY: Dianna Howse Portland, OR 97214 TRANSACTION INFORMATION: Receipt #: 183739 Case #. BUP2011 -00139 Date: 8/23/2011 • Address /Parcel: 11410 SW 68th Pkwy Pay Method Check Project Name PERS EXPLANATION: Per applicant's request as they reduced project valuation from $270,000 to $150,000; refund difference of permit fees - ;l"- ::�i.% � -y+.'e• ..' y'j.^.%'. } s: .»; :: rv'= - - ,1Jg '.A,r�, rc Fi,�,s:� -.� - .554 < % ".='1ZEFUN <D �IrN-FO'IgmA Ivi • :. ,_if7 w :;k_ , �s..,: i <k:.., , - ,.t....- ..1,.- .a..- - �„ 1�I '" '`�Yr`_ - ,.$.�.; -c 'a �x -ia. ':z}k,';.v` -�`t �' %�o:. "M`;w �, .s. _'.''^h,�'0;.> :.z „.�'- e y` ' xy '45; ^ � w :� yr�,: -y Tn- #"1"ee Descri' - rio ,Fco” y ryR` y`s ='•y�`;r= _�� -� - ._�. F; ����= p 1 . eee Tt'- s,. �t,?t ;Re euue A N - :c -`EN . 4 -�;�v :�,- ..p.� �„� - 1',. :r; � -�; . ��' o -F,: - r_; :�:�efurcl�w41 - -. ., ^ y. ^ � S : d�y�_7..._ ^K "` Misc Adminstration Fee 230 - 0000 - 43130 $811.78 TOTAL REFUND: $811.78 APPROVALS: If under $5,000 Professional Staff If under $12,500 Division Manager If under $25,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board Case Refund Processed: Date: By: I \ Building \Refunds \Rc'fundRcqucst doc \-09/01/2010 !Pi .4" Community D evelopment Request for Permit Action TIGARD TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov '7c FROM ❑ Owner Applicant n Contractor ® City Staff (check one) .�7 ,477 I '�C /'7 / /'S T7 REFUND OR Name: State of Oregon /PERS and �� — pct..) Y �q�J, 9 23 INVOICE TO: (Business or Individual) McCoy Electric Mailing Address: See case information City /State /Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED ( ✓): ❑ CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach copy of original receipt). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: BUP2011 -00139 Site Address or Parcel #: 11410 SW 68t Pkwy Project Name: PERS Subdivision Name: Lot #: EXPLANATION: Reduce project valuation from $270,000 to $150,000 Signature: ISG /9-7- #)-6{i Date: 9/8/2011 Print Name: /a / ,V 6 /'iG eC7 EZE Refund Policy 1 The Director or Building Official may authonze the refund of: a) any fee which was erroneously paid or collected b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended c) not more than 80% of the land use application fee for issued permits d) not more than 80 °/, of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits pnor to any inspection requests. 2 Refunds will be returned to the original Payer in the same method in which payment was received Please allow 2 -4 weeks for processing refunds. FOR OFFICE USE ONLY - Rte to Sys Admin: Date By Rte to Bldg Adrrun: Date /a // B Refund Processed: Date 10 // / B - i!jj Invoice Processed: Date V B Permit Canceled: Date Af , By Parcel Tag Added: Date /v ii " By Receipt # /f 35 f , Date F /p /// Method (?2 c / Amount $ [ \ Building \Ii sXlteq r itnctto 04 /26/2011 C c, _