Permit (179) (R‘Pv2:17
City of Tigard • comm UNITY DEVELOPMENT DEPARTMENT
Request for Permit Action
TIGARD 13125 SW flail Blvd, • Tigard, Oregon 97223 • 503-718-2439 wv,rw.ti,gard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW I-tall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598 1960 TigardBuildingPermits@tigard-or.gov
FROM: Owner [ Applicant Contractor City Staff
Check(I)one
REFUND OR Name:
INVOICE TO: (Business or individual)
._..„(.2,2 /7
Mailing Address: c.,-//4= "EzzV.Z;,,,e.:27.-
City/State/Zip: i,„___("9/Z2,/1
z2,4),
Phone No :
/-0?9772
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (V):
A, CANCEL/VOID PERMIT APPLICATION.
II REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
I I INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit).
Permit 14: Aqt,'"Pr-;21),1R-aeVt.?
/3/115— C4-ci "* / "Ad/
Site Address or Parcel #:
Project Name: 6-1
Subdivision Name: 47;„ hi- '77 1.„66/2-1A Lot#:
_
EXPLANATION:
,4Y,017) -
J-44171e-
Signature: doe.: Date:
„owl'
Print Name: Aor
Refund Policy
1. The city's Communiry Development Director,Building Official or City Engineer may.authorize the refund of:
* Any fee which was erroneously paid or collected.
* Nor more than Rfriti of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
* Not more than 80%of the application or permit tee for issued permits prior to any inspection requests.
2 All refunds will he renamed to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks For processing rebind requests, e7 — 3 , 2
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3 63: :165'
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4.4 ierY, 76 7,f/
FOR OFFICE USE ONLY
Route to Sys Admin: Dare B Route to Records: Date ‘,.7- B
Refund Processed: Date /, rerg ' Invoice Processed: Date By
Permit Canceled: Date / Fire Parcel Tag Added: Date By
Ti\Building\Poran Re1PerrrucAction_09....14.th
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TIGARD
City of Tigard
6/1/2018
Gagle's Heating
2789 Pringle Rd SE
Salem, OR 97302
Re: Permit No. BUP2018-00023
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 13145 SW Pacific Hwy
Project Name: O'Reilly Auto Parts
Job No.: N/A
Refund Method: ® Check#228648 in the amount of$147.81.
0 Credit card "return"receipt in the amount of$
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
0 Trust account"deposit"receipt in the amount of$
Comment(s): Per applicant's request as job was awarded to another contractor. Refund
80% of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
CITY OF TIGARD BUILDING PERMIT
II • COMMUNITY DEVELOPMENT Permit#: BUP2018-00023
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/26/2018
TIC. rtilil'J 9
Parcel: 2S102C600300
Jurisdiction: Tigard
Site address: 13145 SW PACIFIC HWY
Project: O'Reilly Auto Parts Subdivision: NORTH TIGARDVILLE ADDITION Lot: 33
Project Description: Structural upgrades to install(2)RTU mechanical systems.
Contractor: GAGLES HEATING Owner: CHUNG, HENRY&COMPANY
2789 PRINGLE RD SE BY THOMSON PROPERTY TAX SERVICES
SALEM, OR 97302 PO BOX 06116
CHICAGO, IL 60606
PHONE: 503-581-2972 PHONE:
FAX: 503-581-1376
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/22/2018 $164.96
Demolition
Occupancy Grp: B Occupancy Load: 50 12%State Surcharge-Building 02/22/2018 $19.80
Dwelling Units: 0 Plan Review 02/13/2018 $107.22
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 02/22/2018 $32.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $6,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $324.48
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: �! /// '� Perm -- . . ure: C,..-
it ~
3
Call 503.639.4176 by 7:00 a.m.for the next available inspect3te
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.
1
Bui dint Permit Application
' Commercial FOR OFFICE USE ONLY
City of Tigard C .t" Received ri
g fi
Date/ 13 By:. Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972 4 y' �� �
= Plan Revie }��
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: "ap 1 Other Permit:
T I G A R D Inspection Line: 503.639.4175 1 3 2-018 Date Ready/By: Juris: ® See Page 2 for
Internet: www tigard-or.gov FEBU Notified/Method: Ja,/`J , , �r,i., Supplemental Information
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❑New construction 'rid iii ton Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
L Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
f` ' >t ar E 'Y „t. n 1 E Aa.it t. 2,1
,E '� 'work indicated on this application.
tegi,... .G......� GES,-.amu. ...::. ,. :
❑ 1-and 2-family dwelling g Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
timitiotott
4,00114PRAllbotimorz,
` ..,. r ....' ` r..� i Ig
. r „ ti3. .I �'t . : • ,L rt . � ;a # VOI: Total number of floors:
Job site address:13145 SW PACIFIC HIGHWAY New dwelling area: square feet
City/State/ZIP:TIGARD,OR.97223-5044 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: C1'�ei,/•��i u Q�� Covered porch area: square feet
Cross street/directions to job site: ,`�' 1 -4-....
! Deck area: square feet
.,.4....- ager 4. • ....0 9-:,.„ Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
1iy rytk (`
xti � 1 t13 � 4 x : �*
votst work indicated on this a lication.
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STRUCTURAL UPGRADES TO INSTALL TWO ROOF MOUNTED MECHANICAL Valuation: $6000.00
SYSTEMS Existing building area: square feet
New building area: square feet
ivt 1F
m s, , � ,i I , el ` ' irilEEEA Number of stories: 1O , ^ 1m.. .s; _ .. _ _. . .... . nrq x -
Name:O'REILLY AUTO PARTS Type of construction: REINFORCE ROOF
Address:233 S PATTERSON Occupancy groups:
City/State/ZIP:SPRINGFIELD,MO.65802 Existing:
Phone:(417)868-4295 Fax (417)574-7153
New:
s `i.. ! n... 1 *''._3 phE '�' t tk � p.�"tiFFIRRimmitgi te € €
.a i,u..., ,.,. i .FE._..a'�v_.:.�.•.....r7t i x .. ....x o,E ,.,,I .,, s r,... �� � S
Business name:GAGLE'S HEATING,AIR CONDITIONING AND PLUMBING INC
Structural plan review fee(or deposit):
Contact name:JEFF BRANCH
FLS plan review fee(if applicable):.
Address:2789 PRINGLE RD SE
City/State/ZIP:SALEM,OR.97302 Total fees due upon application: 1 V
Phone:(503)581-2972 Fax::(503)581-1376 Amount received:
#J T
E-mail:Jeff@gaglesheating.com aviiiitni
` . �� ...,.. u .
'" Pte, " t ,1 E �Ef Commercial and residential prescriptive installation of
GEEORr,.I # fi...w ,, •-•_- �•=kf ri. .-. <<. r ,. .:: ... ..... , ...,; . x,,ll . ....R roof-top mounted Photo Voltaic Solar Panel System.
Business name:GAGLE'S HEATING,AIR CONDITIONING AND PLUMBING Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2789 PRINGLE RD SE Solar Installation Specialty Code checklist.
City/State/ZIP:SALEM,OR.97302 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)581-2972 Fax:(503)581-1376 State surcharge(12%of permit fee): $21.60
CCB lie.:61330 Vil Ti( Total fee due upon application: $201.60
Authorized s' urea. _-.-'"" This permit application expires if a permit is not obtained
�%
__..w._.. within 180 days after it has been accepted as complete.
Print name:JEFF B' CNH Date:02/13/18 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
III _ Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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: $
(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:\Building\Permits\BUP-COM PernutApp.doc 03/03/2011
'PIC
' Building Division
Plan Submittal Requirements
T I G A R D Commercial& Multi-Family- New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ® map&tax lot# ® project name ® site address ❑ suite number
® zoning ® applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I:\Building\Permits\BUP-COM PernutApp.doc 03/03/2011
1111
Building Division
Plan Submittal Requirement Matrix
Ti GARD Commercial& Multi-Family- New,Additions or Alterations
iiilx' eee ek a anis B of z i#®a�
f r z'rgf ��p ` �E ��S �(o �� � � k *
yz3�i.«.re....,z.. b ..t[ ..,n.s. .. .,3.. ..tP t' .,at .._.,....e',r.....t,J .. c.,... �.��}��4��� 1104
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011