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Permit (2) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2020-00002 Date Issued: 01/07/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 101 DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 207 Project: TKG Brokerage Subdivision: None Lot: None Project Description: TI for new tenant: New partition walls for private offices and break room. Contractor: ROBINSON CONSTRUCTION CO Owner: HILLTOP BUSINESS CENTER LLC 21360 NW AMBERWOOD DR 9430 NW KAISER RD HILLSBORO, OR 97124-9321 PORTLAND, OR 97231 PHONE: 503-645-8531 PHONE: FAX: 503-645-5397 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 01/07/2020 $102.00 Occupancy Grp: B Occupancy Load: 10 Permit Fee-Additions,Alterations, 01/07/2020 $393.11 Demolition Dwelling Units: 0 12%State Surcharge-Building 01/07/2020 $47.17 Stories: 0 Height; 0 ft Plan Review 01/07/2020 $255.52 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/07/2020 $157.24 Value: $21,000 Info Process/Archiving-Lg $2.00(over 01/07/2020 $4.00 11x17) Cash Over 01/07/2020 $210.00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,169.04 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes 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: • a 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 City of Tigard C COVED Reee"ea CE Date,B �� Pe m l No.. Jr., III '' 13125 SW Ball Blvd.,Tigard,OR 7 Plan ReviewEN Phone: 503-71 S-2439 Fax: 503-598-19¢¢QQ Nt�' 7 2020 Date/B : ' '7 . 0 J, Related Permit: TIGARD Inspection Line: 503-639-4175 JN1 t Date Ready By: ® ® Sec Page 2 for a Internet: www.tigard-or.gov TIGARD Notified/Method:r ,Ir yA r`r Supplemental lnforma[ion €143446 el Ora' UPI 04F TYPE OF REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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. - El 1-and 2-family dwelling El Commercial/industrial Valuation: $ ElAccessory building ❑Multi-family Number of bedrooms: ElMaster builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7320 SW HUNZIKER RD, New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: SUITE 207 Project name: TKG BROKERAGE INC. Covered porch area: square feet Cross street/directions to job site: SW 72ND AVE/SW HUNZIKER RD Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#:2S101 DB00100 Permit fees*are based on the value of the work performed. Tax map/parcel A:2S101 DB00100 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. SCOPE OF WORK FOR STORAGE 207 CONSISTS OF BUILDING NEW INTERIOR Valuation: $21,000 $ PARTITIONS FOR PRIVATE OFFICES AND BREAK ROOM.SUITE 207 IS AN EXISTING Existing building area:N/A square feet OFFICE,GROUP B OCCUPANCY,WILL CONTINUE TO BE USED AS OFFICES. New building area: N/A square feet 0 PROPERTY OWNER RI TENANT Number of stories: 2 Name: TKG BROKERAGE INC. Type of construction: V-B Address: 7320 SW HUNZIKER RD,TIGARD,OR 97223 Occupancy groups: B City/State/ZIP: SUITE 207 Existing:B Phone:( ) Fax:( ) New: B ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: CI DA (Please refer to fee schedule) Contact name: KAMELIA KARGAR Structural plan review fee(or deposit): Address: 15895 SW 72ND AVE,SUITE 200 FLS plan review fee(if applicable): City/State/ZIP: PORTLAND,OR 97224 Total fees due upon application: Amount received: Phone:( 503)226.1285 Fax: :( 503)226.1670 E-mail:KAM E LIAK@ CI DAI N C.CO M PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ROBINSON CONSTRUCTION CO. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 8060 NE WALKER RD Solar Installation Specialty Code checklist. City/State/ZIP: HILLSBORO,OR 97124 Permit fee(includes plan review and administrative fees): $180.00 Phone:( 503)209.8545 Fax: ( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 63147 Total fee due upon application: $201.60 Authorized signature: yd'/lJ^-_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: KAMELIA KARGAR Date: 01/06/2020 * Fee methodology set by Tri-County Building Industry Service Board. I:'.Building\Permits\BUPCOM_PermitApp.doc Rev.04/21/2014 440-4613T(1 I/02/COM/WEB) IN . City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit TIGARD Appointment Checklist Permit Record#: ,6L1i) ,1jj-'1,6 Contact Name: knM ,,* k,t, c-4 Phone #:r5o3 62,26 /.2 Fs X 3 V/ Business Name: C/a,¢ Appt. Date/Time: V.,,./0-,7-40 �fp,DV gyy �S Site Address: 932O J ,9i V2ik T Bldg/Suite #: 7 Project Name: 774E 0,--e/zz-7241- /,,/c, New Tenant? /.1?, Yes ❑ No Project Description: il/E7..,/ /"e7-72,p/L- P472-77770i,/ Ce/ff - S �12. /9,-i 1./#1. Dom.CE3 L 4.P /tip xer--1 . Existing Use: Q/'FC,=- New Use: 4y j�� MMD Required: ❑ Yes No Related Record #: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work: Occupancy Group: V Type of Construction: V— n Type of Use: U Occupancy Load: )C7 Oregon Specialty Code: 3:1$ SPECIFICS Number of Stories: Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback—Left Sideyard Setback—Front Sideyard Setback—Right Sideyard Setback—Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: 1/.7 Fire Alarms: Smoke Detectors: Sprinkler Type: / Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ ,. I, crtre FEES DUE $ - DC Prov Rvw,COM TI—Ping $ Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI-Effective 7/1/2019 $ . 12%State Surcharge Project Valuation $ $' , Plan Review,Structural Up to$4,999 $0.00 $ ) 7. Ian Review,Fire Life Safety $5,000-$74,999 $102.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $254.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $406.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ q 6( ,0 ti TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070119.docx • Dianna Howse From: Kamelia Kargar <Kameliak@cidainc.com> Sent: Thursday, December 19, 2019 5:05 PM To: #Building Permit Technicians Cc: Ryan Robinson; Jennifer Hawkins Subject: OTC appointment Warning!This message was sent from outside your organization and we are unable to verify the sender. Hi I would like to have OTC Appointment as soon as possible please. Site address: Hilltop 7320 SW HUNZIKER RD, SUITE 207 TIGARD, OR 97223 Name :TKG BROKERAGE, INC. DESCRIPTION OF WORK: SCOPE OF WORK FOR STORAGE 207 CONSISTS OF BUILDING NEW INTERIOR PARTITIONS FOR PRIVATE OFFICES AND BREAK ROOM. SUITE 207 IS AN EXISTING OFFICE, GROUP B OCCUPANCY, WILL CONTINUE TO BE USED AS OFFICES Evaluation: $21,000. Intake fee please ? New tenant KAMEEUA KARGAR INTERIOR DESIGNER E ..._'-URE 15895 SW 72ND AVE,SUITE 200 PORTLAND,OREGON 97224 PHONE:503.226.1285 x341 FAX:503.226.1670 KAMELIAK@CIDAINC.COM{ ClfAI CIDA ON FACEBOUK&TWITTER (rDCIF)r,,,,,( 9 Best Best Best ' flies companies Co • _ 1 City of Tigard _ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Commercial - No Land Use TIGARD Building Permit #: �fjt,f0,26 —oLLtja Site Address: 7 3 2 0 SW Hun 2i k2 r-eC Suite/Bldg#: 201 Project Name: T KC, . (3+rb1 4O) . Inc. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: ZY1+e-rtOr TL rlew if#-Gnbr Pori-il-tOr L. Gor vt-E,'ca.t r 6rectt_ rcor•e" Existing Business Activity: 0 1'Gt.(L. Proposed Business Activity: 0 ( U._ No cM vi✓l 9 e- 4 Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: 0 Yes 4 No ,1 Zoning: C p 7 Permitted Use: p'Yes ❑ No ❑ Spec Space jZr Confirm no land use required. fZr Business License: / Exists: 0 Yes V No,applicant was provided a business license application Notes: Approved by Planning: �-_,- Date: t / 7 / ZC7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: t/7/yv Site Plans: # t Al f(� Building Plans: # 3 Building Permit#: n�t building permit#above. __�/ Workflow Routing: R" lanning CI Permit Coordinator l�"Siulcung Workflow Sign-off: [].Tgn-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 Technician: ' �[` �T` Date: /-2/-D I:\Building\Forms\BldgPermitRvw_COM_NoLand Use_111819.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0 N/A Tigard Trans SDC: 0 Yes ❑ N/A Parks SDC: 0 Yes ❑ N/A O OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III i II Request for Permit Action TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.ti ar v� f TO: CITY OF TIGARD JAN 7 2020 Building Division CITY OF 'WARD 13125 SW Hall Blvd.,Tigard, OR 97223 UILlNC DIVISION Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits agar or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Pl !71(AS 00 V Mailing Address: 1001 Y\l i3 L r�jo iA S+ 1 U vu i- - ID, City/State/Zip: ?ov�lo , 9 .- a..O`J9 Phone No.: (`70 ) - )-09 -- g c.-14(1 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CA, 3TS)ID PERMIT APPLICATION. ' REFUND P ZMIT FEES (attach copy of original receipt and provide explanation below). E FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: 6t�gvd-C) OC)C -- Site Address or Parcel#: `73pZ© (j j.1.) (A/ , Ian/ Ed '0 .07 Project Name: 7 r4 0 er-d to Subdivision Name: Lot#: --- EXPLANATION: fc.es (.Je�rc e,, 1,1'fin 77 77Li e , ct rlyt,L2h`c�lA -/mac., c 7 i ,iU c✓-.�d✓ o/` ,-e-a () C ,r6, U1rcW 7`-z) Lir ciLe_e-kt /,o ff/ - ,),A) -r4..II xi d,2..i0,41 A ds /- 19-e dt.7 J R -( - //7/ .6 7 Signature: RAu Date: 01 1 0 i i Print Name: t C\ Vo 0etJ 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 1 7 a-n By 4,7; Route to Records: Date 9 .7 2-/ By ,% Refund Processed: Date�/7 ZO i� By Invoice Processed: Date By Permit Canceled: Date/A/ Ai— I By, Parcel Tag Added: Date By I:\Building\Forms\RegPemvtAction_12 18.doc a TIGARD City of Tigard January 28, 2020 Ryan Robinson 1001 NW Lovejoy St, Unit#510 Portland, OR 97209 Re: Permit No. BUP2020-00002 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: 7320 SW Hunziker Rd, #207 Project Name: TKG Brokerage Job No.: N/A Refund: ® Check#234511 in the amount of$210.00. ❑ Credit card "return" receipt in the amount of$ ❑ Trust account"deposit" receipt in the amount of$ Notes: Refund overpayment of Tigard CET. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Coordinator Enc. a 1 •aT ai�60 egon 97223 • 503.639.4171 I:\Building\Refunds SaWTTn Re ay: 50 3.684.2- 72 • www.tigard-or.gov u City of Tigard TIGARD 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: Ryan Robinson DATE: 1/17/2020 1001 NW Lovejoy St, Unit#510 Portland, OR 97209 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 427640 Case#: BUP2020-00002 Date: 1/7/2020 Address/Parcel: 7320 SW Hunziker Rd, #207 Pay Method: Check Project Name: TKG Brokerage EXPLANATION: Charged in error for Tigard CET;refund overpayment. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Cash Over 100-0000-48001 $210.00 TOTAL REFUND: $210.00 APPROVALS: SIG TU S 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: 9/g/;.r By: 4 I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT a 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: TKG Brokerage Site Address: 7320 SW HUNZIKER RD 207 rit A70 Receipt Number: 436194 - 09/03/2021 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID B U P2020-00002 $-210.00 Total: $-210.00 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 234511 DHOWSE 09/03/2021 $-210.00 Payor: Ryan Robinson Total Payments: $-210.00 Balance Due: $210.00 Page 1 of 1 III CITY OF TIGARD RECEIPT 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 T I G.A,1;13 Project Name: TKG Brokerage Site Address: 7320 SW HUNZIKER RD 207 Receipt Number: 427640 - 01/07/2020 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID BUP2020-00002 DC Provision Review, COM TI - Ping 100-0000-43112 $102.00 BUP2020-00002 Permit Fee-Additions,Alterations, 230-0000-43104 $393.11 Demolition BUP2020-00002 12% State Surcharge- Building 100-0000-24001 $47.17 BUP2020-00002 Plan Review 230-0000-43106 $255.52 BUP2020-00002 Plan Review-Fire Life Safety 230-0000-43108 $157.24 BUP2020-00002 Info Process/Archiving- Lg$2.00 (over 230-0000-43135 $4.00 11x17) BUP2020-00002 Cash Over 100-0000-48001 $210.00 Total: $1,169.04 PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 180 BTAGGART 01/07/2020 $1,169.04 Payor: Ryan & Kelly Robinson Total Payments: $1,169.04 Balance Due: $0.00 Page 1 of 1