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Permit
• City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • N T I GARD December 9, 2008 T & L Communications, Inc. P.O. Box 87387 Vancouver, WA 98687 Attn: Larry Bushaw Re: Permit No. BUP2008 -00327 Dear Mr. Bushaw: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 9653 SW Washington Sq. Rd. Project Name: Sanrio Job No.: N/A Refund: ® Check #60724 in the amount of $56.00. ❑ Credit card "return" receipt in the amount of $ ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as fire alarm is no longer required. Refund 80% of permit fees. • If you have any questions please contact me at 503.718.2430. Sincerely, ,e&f,(974.7Z- Dianna Howse Building Division Services Supervisor Enc. I:\ Building\ Refunds\ Administration \LtrRefund- CancelPermitdoc 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: T & L Communications, Inc. DATE: 11/26/08 P.O. Box 87387 Vancouver, WA 98687 REQUESTED BY: Dianna Howse Attn: Larry Bushaw TRANSACTION INFORMATION: Receipt #: 2008 -3389, 2008 -3969 Case #: BUP2008 -00327 Date: 9/29/08,11/26/08 Address /Parcel: 9653 SW Washington Sq. Rd. Pay Method: Check Project Name: Sanrio EXPLANATION: Per applicant's request as fire alarm is no longer required. Refund 80% of permit fees. REFUND' INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: (BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [BUILD] Permit Fee 245- 0000 - 432000 $50.00 [TAX] 12% State Surcharge 100 - 0000 - 207020 6.00 TOTAL REFUND: $56.00 APPROVALS: If under $500 Professional Staff ,./t/ If under $7,500 Division Manager If under $22,500 Department Manager i .1 J If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR‘TIDEMARK SYSTEM ADMINISTRATION.USE ONLY; ' .: 1/ Case Refund Processed: I Date: I / / /Z4, /C1 f — By I o ,_ I:\ Building \Refunds \RefundRequest.doc 05/23/07 .�,: CI'TY OF TIGAR® 11/26/2008 13125 SW Hall Blvd. . 9:18:09AM , ' _ f y�. Tigard, OR 97223 50 3.639.4171 ;TIG'AP Receipt #: 27200800000000003969 /v c. t Date: 11/26/2008 Line Items: Case No Trait Code Description - Revenue Account No Amount Paid BU P2008 [TAX]. 12% State Surcharge 100 0000 - 207020 7.50 Line Item Total: • $7.50 Payments: Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid Check • T & L COMMUNICATIONS, INC. DLH 4875 In Person 7.50 Payment Total: $7.50 % O C . W N a) OJ • Z 0, .. . L7 E , P4 s% (*._.',' el r :4 o b I 1 i V2 a "O �i N I i y o 0 L z . • Li U m ` 0 Q N L y § W ~ { pi V' . cn 5 P . o s � N V ' \ 14 V i j g m a § 5 >etE� L 3 c U N �, Q Phi V a `. A o a. • y i • v dr u A f" . o v .∎ , / w w a • clteceipi.ipi Page I 01 I oit ". =T CITY OF TIGARD 1 1/26/2008 13125 SW Hall Blvd. 9:16:35AM q Tigard.OR 97223 503.639.4171 -T:t •,.:4€ itI Refund Receipt #: 27200800000000003968 f`,;:; b fir; Z..c. 'i I._._. Date: 11/26/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid BUP2008 -00327 Refund - [BUILD] Permit Fee 245- 0000 - 432000 (7.50) Line Item Total: ($7.50) Refund: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check Refund T & L COMMUNICATIONS, INC. 4875 In Person (7.50) Refund Total: ($7.50) cl erripi.rpt Page I of I .•:Y CITY OF '�'OC�R® 11/26/_008 • tr,�'R,• +r 'Ai . 13125 SW Hail Bled. 9:14:40AM -e , . Tigard, OR 97223 503.639.4171 Receipt #: 27200800000000003389 ' /C, - - l c.... _ Date: 09/29/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid BUP2008 -00327 [BUILD] Permit Fee 245- 0000 - 432000 62.50 BUP2008 -00327 [FLS] FLS Pln Rv 245- 0000 - 433020 25.00 BUP200S -00327 [BUILD] Permit Fee . 245- 0000 - 432000 7.50 Line Item Total: $95.00 Payments: i\lethod Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid Check T & L COMMUNICATIONS, INC. BTT 4875 In Person 95.00 Payment Total: $95.00 • rl:roripi Page I OI I • 11/20/2008 15:02 FAX 360 737 9648 T &L Communications IJ0001 /0001 !PI Community Developnlia CEIV E V • . TIGARD Request for Permit Actio N N , i �► (ITV OF i1GiRL TO: CITY OF TIGARD BUILDING DIVISION Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 • Phone: 503.718.2430 Far 503.598.1960 www.tigard- or.gov FROM: ❑ Owner © Applicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) T &L Communications, Inc V O i D Mailing Address: P.O. Box 87387 City /State /Zip: Vancouver, WA 98687 // 6/0 Phone No.: 360 - 737 -9725 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): • © CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). • $l a C S R :/ u S i TU.S Permit #: BUP2008 -00327 and 008 -00277 Arc Site Address or Parcel #: . SW Washington Square Road, Portland, OR 97223 Project Name: Sanrio • Subdivision Name: Washington Square Lot #: EXPLANATION: Fire alarm is no longer required at this location • Signature: ga, Date: 11/20/2008 Print Name: Larry Bushaw Lefunrl Policy 1. The Director or Building Official may authorize the refund o£ a) any fee which was erroneously paid or collected. b) not morc than 80% of tic land use application fcc 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 fot issued permits. d) not more than 80% of the balding plan review fee when an application is canceled before any plan review effort has been upended 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 sane method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR nrrrCF- USr:. ONLY ..: ;; ;::. ;...... ;:. Rte to Sys Admin: Date By Rte to Bldg Admire Date 1,2/9 O . By era Refund Processed: Date N/24/0, By .�( / Invoice Processed: Date By Permit Canceled: Date J/ 2 ti By Peel Tag Added: Date By Receipt #04 #040.- Date /i/o Metho. Amount $ L \Building \ Forms \RcgPemitnction.doc ftcv 07/26/07 Bitiding Application �� Commercial � � I \4•• 1i „ t FOR OFFICE USE ONLY ff 1 )\ Re ceived City of Tigard � '' " .\ 1 - Date/B • , i e Al Permit No.: J 8 - Z Tigard, OR 97223 g 13125 SW Hall Blvd., Ti %;( v ' Pl Re ► ��1 C .' Phone: 503.639.4171 Fax: 503.598.1960• an evi Other Permit: 0''}� / T I G A R D Inspection Line: 503.639.4175 ,&✓ 6 . L :y: / Juris. El See Page 2 for Internet: www.tigard- or.gov �Q it � � Date R eary u Notified/Method: (0 / ( i j s 77:6 Supplemental Information 1i .,. \ � �� ,,, TYPE OF WOR \ �� ts+'� �? REQUIRED DATA: 1- AND 2- FAMILY DWELLING [ New construction ❑ Milo. Iiiibn Permit fees* are based on the value of the work performed. —.a , yoi .�,� ;. . Indicate the value (rounded to the nearest dollar) of all Addition/alteration/replacement ❑ Othe r: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 94 63 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: S C.J W eILs „ .C s c ]c New dwelling area: square feet City /State /ZIP: 4 1L-r f----,,Or Garage /carport area: square fcct Suite/bldg. /apt. no.: Project name: 5 4 t. r 1 ty 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. Tax map /parcel no.: 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. Valuation: $ /©� 0 • Existing building area: square feet New building area: square feet ❑• PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: \ '""C Cm (4.4 W. aiti I l ck . _ .-•s All contractors and subcontractors are required to be �` r_ l licensed with the Oregon Construction Contractors Board Contact name: ' p I�''� 1 ,, (s L'S `� ) under ORS 701 and may be required to be licensed in the Address: - C g'-')C g- 73 e- - ? jurisdiction in which work is being performed. If the City /State /ZIP: (./457"7// C applicant is exempt from licensing, the following reasons apply: Phone: ( 9 r) 3 .`_) 72 2 -- Fax: : Sd 73 7 q ( `( r E -mail: ` CONTRACTOR Business name: L ( (/L w. r.� l V1� S BUILDING PERMIT FEES* Address: 0 a )e $ 7 3 t *--\ (Please refer tojeeschedulee � City /State /ZIP: ' Z� I N Structural plan review fee (or deposit): C. -, , ` ( Z Fax FLS plan review fee (if applicable): 0 .2 1 7, 1 - Phone: ( 3 y7 S (3c,a ?3 -) 7 6 Y� r � �� Total fees due upon application: �' - - i [ CCB lie.: Amount received: Authorized signature: T his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: f v _ k ly — ,./ / „_ t c j Date: q' Z 1 C.".) * Fee methodology set by Tri- County Building Industry Service Board. 1:\Building\Permits \BUP -COM PerrnitApp.doc 2/23/07 440- 4613T(Il/02 /COM/WEB) . • 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 he 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 PcmutApp.doc 10/30/07 1114 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. El map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name El 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. l: \Building; \ Permits \BUP -COM PermitApp.doc 10/30/07 a Building Division Plan Submittal Requirement Matrix T l G A R D Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 2* Fire Protection System 2 ** 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) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \Building \Permits \I3UP -COM I'ermitAPP.doe 10/30/07 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • TIGARD , '' December 9, 2008 r .. -t T & L Communications, Inc. P.O. Box 87387 Vancouver, WA 98687 Attn: Larry Bushaw Re: Permit No. BUP2008 -00327 Dear Mr. Bushaw: The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the following: Site Address: 9653 SW Washington Sq. Rd. Project Name: Sanrio Job No.: N/A Refund: ® Check #60724 in the amount of $56.00. ❑ Credit card "return" receipt in the amount of $ . ❑ Trust account "deposit" receipt in the amount of $ . Notes: Per applicant's request as fire alarm is no longer required. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, - it )1P. , 11�2_v Dianna Howse Building Division Services Supervisor Enc. 1: \ Building \ Refunds \ Administration \LtrRefund- CancelPermitdoc 01 /16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772 11 a City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: T & L Communications, Inc. DATE: 11/26/08 P.O. Box 87387 Vancouver, WA 98687 REQUESTED BY: Dianna Howse Attn: Larry Bushaw TRANSACTION INFORMATION: Receipt #: 2008 -3389, 2008 -3969 Case #: BUP2008 -00327 Date: 9/29/08,11/26/08 Address /Parcel: 9653 SW Washington Sq. Rd. Pay Method: Check Project Name: Sanrio EXPLANATION: Per applicant's request as fire alarm is no longer required. Refund 80% of permit fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: [BUILD] Permit Fee Example: 245 - 0000 - 432000 $ Amount [BUILD] Permit Fee 245- 0000 - 432000 $50.00 [TAX] 12% State Surcharge 100- 0000 - 207020 6.00 TOTAL REFUND: $56.00 APPROVALS: If under $500 Professional Staff ,./t/ If under $7,500 Division Manager If under $22,500 Department Manager /f If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: I / / /Le, /Qcf By: I �` ¢ I: \Building \Refunds \RefundRequest.doc 05/23/07 z 71 7 CITY OF TIGARD 1 (/26/2008 ' 13125 S\\ Hall HMI. 9.18 09AM ` ''.: Tigard, OR 97223 503.639.4171 Tigard, TIG'ARIi, Receipt #: 27200800000000003969 A c 14._ Date: 11/26/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid BUP2008 -00327 [TAX] 12`%, State Surcharge 100- 0000 - 207020 7 50 Line Item Total: $7.50 Payments: Method Payer User ID Acct. /Check No. Approval No. I-low Received Amount Paid Check T & L COMMUNICATIONS, INC DLH 4875 In Person 7 50 Payment Total: $7.50 3i VI :.,� o a . J 8 t'i , v ;U 'N Ctl C4 o y -a a r • I ii �, w , v v ` .z k ,, Q a \ Z p 3 W V b 1 4 '~ ; ' cr f` r n w a x c� 34 W u V ,b W ! N g L +' a) M L 4 9 ' ti c/ ar .B ° V y "d it t 1 '- U U A rz4 o 0 al • o 'U l J Q H o a, co w P4 a c',ceeIPt Ipt ('age 1 of 1 7 _ '. CITY OF TIGARD 11/26/2008 aiit -,.. 4 1..:7- ; :j. , - a'� �i 13125 SW Hall Blvd. 9:I6.35AM ' - C , . Tigard. OR 97223 503.639.4171 J iiGARDI Refund Receipt #: 27200800000000003968 f's. ee 4_-;r2 ,/ L. Date: 11/26/2008 I,ine Items: Case No Tran Code Description Re\enue Account No Amount Paid BU P2008 - 00327 Refund - [BUI LD] Pei m it Fee 245- 0000 - 432000 (7 50) Line Item Total: ($7.50) Refund: Method Payer User ID Acct. /Check No. Approval No. Hon Received Amount Paid Check Refund T & L COMMUNICATIONS, INC 4875 In Person (7 50) Refund Total: ($7.50) • LR,..,cipi,pi Page I or I _ ; CITY OF TIGARD 1 (/26/2008 . - m . 1312. h 5%% Hall i d. 9:14.40AM t`:._ - ' "I'ioaid. 97223 503.639.4171 `T` ii' A RC° Receipt #: 27200800000000003389 0,,c,,,/.-,./ .: �, t- -, ' Date: 09/29/2008 Line Items: . Case No Tran Code Description t • _ Revenue Account No Amount Paid BUP2008 - 00327 [BUILD] Permit Fee • 245-0000-432000 62 50 BUP2008 -00327 [FLS] FLS Pln RN- - 245= 0000 - 433020 25.00 • BUP200S -00327 [BUILD] Permit Fee . 245- 0000- 432000 7 50 Line Rein Total: $95.00 Payments: • _ . Method Payer . User ID Acct. /Check No. Approval No. Flo Received Amount Paid • Check T & L COMMUNICATIONS, INC BTT 4875 In Person 95 00 Payment Total: $95.00 • • .Kcc.ip I pi Page I of I 11/20/2008 15:02 FAX 360 737 9648 T &L Communications lj0001 /0001 . . Community DevelopCEIV ED TIGARD Request for Permit Acti NOV 0 CITY OF TIGARD TO: CITY OF TIGARD BUILDING DIVISION Building Division Services Coordinator 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) REFUND OR Name: INVOICE TO: (Business or Iruiividual) T &L Communications, Inc V ®I D Mailing Address: P.O. Box 87387 • City /State /Zip: Vancouver, WA 98687 ,, /Mio1 Phone No.: 360 -737 -9725 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): © CANCEL PERMIT APPLICATION. ® REFUND PERMIT FEES (attach receipt, if available). ❑ INVOICE FOR FEES DUE (attach case fee schedule and explain below). ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: BUP 008 -00327 and 008 -00277 - R � " Er= 5 4? e_TEt F 47----- Site Address or Parcel #: . SW Washington Square Road, Portland, OR 97223 Project Name: Sanrio Subdivision Name: • Washington Square Lot #: EXPLANATION: Fire alarm is no longer required at this location Signature: g. „) Date: 11/20/2008 Print Name: Larry Bushaw Refund Pol.ev 1. The Director or Building Official may authorize the refund o@ a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fcc 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 pc,.uit fee for issued permits poor to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. Rte to Sys Admin: Date By Rte to Bldg Admin: Date /,z/fP O By Refund Processed: Date / / / 2 J By . €_I nvoice Processed: Date / By / 2 Permit Canceled: Date i By arcel Tag Added; Date By Receipt # Q,p jirt Date / 9/O Method' e fc_ Amount $ t:\ Building \Forms \RegPermitAction.doe ev 07/26/07