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Permit
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IlIl _ * Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ity Staff Check(✓)one REFUND OR Name: "� r )� INVOICE TO: (Business or Individual) 4115 ✓(— ,�V L. 6 -ir a a .1 V) Mailing Address: ciApo f= ` 1/ City/State/Zip: A 64441 a i .7 6 Phone No.: (5 U ) .?"--2— it,5 — PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. [ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: ,03j0l tj 00 i) Site Address or Parcel #: lady „f ,,,,ef f/ j ,T -rW Project Name: �tt4,1 Subdivision Name: ''''r~ Lot#: EXPLANATION: Trw,l GM,r A ,mJr.y -eti rj Signature: � Date: /)-//r/ Print Name: �,evile.v 7 Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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 fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to Sys Admin: Date/„L 1, By 1 Route to Records: Date /%1 By -(e Refund Processed: Date -A, � By �' / Invoice Processed: Date ( By Permit Canceled: Date �/j 5i By ►f Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_12051 g.doc a TIGARD City of Tigard September 10,2021 Ramsay Signs Inc. 9160 SE 74th Ave Portland, OR 97206 Re: Permit No. BUP2020-00240 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 9009 SW Hall Blvd, 100 Project Name: Target Job No.: N/A Refund: ® Check#240509 in the amount of$80.00. ❑ Credit card "return"receipt in the amount of$ ❑ Trust account"deposit"receipt in the amount of$ Notes: Tigard CET fee collected in error;refund 100% of fees paid. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Omelas Building Division Services Coordinator Enc. I:\Building\Refundsall2iagn r, er6jigvigkoPregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov :1111 : City of Tigard T i G n R D Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Ramsay Signs Inc. DATE: 9/6/2021 9160 SE 74th Ave Portland, OR 97206 REQUESTED BY: Dianna Ornelas TRANSACTION INFORMATION: Receipt#: 432037 Case#: BUP2020-00240 Date: 12/7/2020 Address/Parcel: 9009 SW Hall Blvd, 100 Pay Method: CreditCard Project Name: Target EXPLANATION: Tigard CET fees collected in error;refund 100%of fees paid. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Re('int1 Example: Building Permit fee Example: 2300000-43104 $Amount- Tigard CET- Non-Residential-AH 212-0000-44505 $76.80 Tigard CET-Non-Residential-Admin 230-0000-44506 3.20 TOTAL REFUND: $80.00 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,000 Department Manager If under$100,000 City Manager If over$50,000 Local Contract Review Board FOR ACCELA SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: 4 ./L .rY„ , By:it el' I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT III I , ' 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: Target Site Address: 9009 SW HALL BLVD 100 Receipt Number: 436370 - 09/10/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2020-00240 $-80.00 Total: $-80.00 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 240509 DHOWSE 09/10/2021 $-80.00 Payor: Ramsay Signs Inc. Total Payments: $-80.00 Balance Due: $80.00 Page 1 of 1 CITY OF TIGARD RECEIPT ,1111 I` • 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TT. AIx.l) Project Name: Target Site Address: 9009 SW HALL BLVD 100 a/6 J it/it-- Receipt Number: 432037 - 12/07/2020 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2020-00240 Permit Fee-Additions,Alterations, 230-0000-43104 $195.38 Demolition BUP2020-00240 12% State Surcharge-Building 100-0000-24001 $23.45 8UP2020-00240 Plan Review 230-0000-43106 $127.00 BUP2020-00240 DC Provision Review, COM TI-Ping 100-0000-43112 $103.00 BUP2020-00240 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $2.00 11x17) BUP2020-00240 Tigard CET-Non-Residential-Admin 230-0000-44506 $3.20 .4 BUP2020-00240 Tigard CET-Non-Residential-AH 212-0000-44505 $76.80 4 Total: $530.83 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 7110730 PUBLICUSER288 12/07/2020 $530.83 Payor: Total Payments: $530.83 Balance Due: $0.00 Paae 1 of 1 CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT Permit#: BUP2020-00240 Date Issued: 12/8/2020 T r G A It D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S126CAO1100 Jurisdiction: Tigard Site address: 9009 SW HALL BLVD 100 Project: Target Subdivision: None Lot: None Project Description: A new drive-up beacon with solar panel. Contractor: RAMSAY SIGNS INC Owner: DAYTON HUDSON CORPORATION 9160 SE 74TH AVE BY TARGET CORP T-0345 PORTLAND, OR 97206 PROPERTY TAX DEPT/TPN-0950 PO BOX 9456 MINNEAPOLIS, MN 55440 PHONE: 503-777-4555 PHONE: FAX: 503-777-0220 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IA Permit Fee-Additions,Alterations, 12/07/2020 $195.38 Demolition Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 12/07/2020 $23.45 Dwelling Units: 0 Plan Review 12/07/2020 $127.00 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/07/2020 $103.00 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 12/07/2020 $2.00 Value: $8,000 11x17) Tigard CET-Non-Residential-Admin 12/07/2020 $3.20 Tigard CET-Non-Residential-AH 12/07/2020 $76.80 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $530.83 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 through1 ' OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.600.332.2344. • • Issued By: 1] V a� e-1 , `W t A t- Permittee Signature: opp c 0 man (�J 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 = _ 1 t I I Commercial FOR OFFICE USE ONLY City of Tigard RECEIVED Rec`eiBd / �7,��}/� 1I 2 2020 -1 PenntNo.: ZUP 2O2L-03240 • l3125 S W HalI Blvd.,Tigard,OR 97223 NOV 1 6 2020 Plan Review Phone: 5U3.718.2439 Fax: 503.59&l960 Date/By: rla- j -p1® ......+11 OtherPennit: 71(.,A IL i) inspection Line: 503.639.4175 Date ReadylBy . ha r El See Page 2 for GI!Y ur ; iar�151� NotifiedlMethod: I�� yy SupplementalInformation Intone!: wvov.tigard-or.gov „ .,, r ON` ld�//p �(�+ tzt TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate thc value(rounded to thc nearest dollar)of all I ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit fur the work indicated on this application. CATEGORY OF CONSTRUCTION - - ❑ I-and 2-family y dwellingValuation: $ [El ❑Accessory building El Multi-familyNumber of bedrooms: IDMaster builder D Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9009 SW Hall Blvd New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: /CD Project name:Target-Beacon Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-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. Install(1)Target drive-up-&-go beacon. Valuation: $$8,000.00 Existing building area: square feet New building area: square feet 0 PROPERTY OWNER ® TENANT Number of stories: Name:Target Type of construction: Address:9009 SW Hail Blvd Occupancy groups: City/State/ZIP:Tigard OR 97223 Existing: Phone:( ) Fax:( ) New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) name:Ramsay Signs Inc. Structural plan review fee(or deposit): Contact name:Chris Brown FLS plan review fee(if applicable): Address:9160 SE 74th Ave City/State/ZIP:Portland,OR 97206 Total fees due upon application: Phone:(503)777-4555 Fax::(503)777-0220 Amount received: E-mail:Cbrown@ramsaysigns.cum PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Ramsay Signs Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:9160 SE 74th Ave Solar Installation Specially Code checklist. City/State/ZIP:Portland,OR 97206 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)777-4555 Fax:(503)777-0220 State surcharge(12%of permit fee): $21.60 CCB tic.:63422 C Total fee due upon application: $201.60 Authorized signature: Yitivo ii This permlt application expires if a permit is not obtained within 180 days after it has been accepted as complete. t � * Fee methodology set by Tri-County Building Industry Print name:Chris Brown Date: 1, .1�J r W Service Board. 1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard W COMMUNITY DEVELOPMENT DEPARTMENT .11111 TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: EJp2020-002gO Site Address: 9009 SW Hall Blvd Suite/Bldg#: 100 Project Name: Target (Name of commercial business occupying the space, If vacant,enter Spec Space.) Planning Review Proposal: Install new drive-up-and-go beacon Existing Business Activity: Sales-oriented retail Proposed Business Activity: Sales-oriented retail ElVerify site address/suite# exists and active in permit s stem. ElRiver Terrace Neighborhood: 0 Yes El No QZoning: MUC QPermitted Use: Li Yes U No U Spec Space ElConfirm no land use required. ❑r Business License: Exists: ❑o Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: Date: 11/18/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal / Original Submittal Date: !#(l/2o2(J Site Plans: # 3 !!! Building Plans: # �, 3 Building Permit#: lo.Enter buildin permit# above. Workflow Routing. Planning Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: 'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: — ./Pff Date: //lh//2 20 (:\Building\Forms\B1dgPerm itRvw_COM_NoLandUse_111819.docx • Pe "t Coordinator Review ❑ Conditi.' "Met"prior to issuance of building permit ❑ Approved,N b Released: Date: Notes: Revisions (after Building Submittal on Revision Notice 1: Date Sent to - •. .nt: Revision Notice 2: Date Sent to ' .pt nt: Revision Notice 3: Date S-• to Applicant. ❑ SDC Fees Entered: ' ash Co Trans Dev Tax: 1 Yes ❑ N/A Tigard Trans SDC: I -s ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to sue Permit (roved by Permit Coordinator: Date: I:\Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_11 1819.docx Branden Taggart From: Branden Taggart Sent: Friday, December 4, 2020 5:06 PM To: 'Christopher Brown' Subject: Target Beacon Permit: BUP2020-00240 - 9009 SW Hall Blvd Attachments: Invoice.pdf Hey Chris, The Building permit for the Target drive-up beacon is ready to issue now. The balance due is$530.83, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: htti s://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (BUP2020-00240) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits a(�tigard-or.gov, and we will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thanks, Branden Taggart r City of Tigard ® Senior Permit Technician Community Development 13125 SW tall Blvd Tigard, OR 97223 (503)71B-2449 bra n dent©tigard-o r,gov 1