Permit . City of Tigard, Oregon o 13125 SW Hall Blvd. o Tigard, ®R 97223 i z �' i �`�'g
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October 2 , 2009
Oh Planning Design LLC
115 NW 1" Ave., Ste. 300
Portland, OR 97209
Attn: Zach
Re: Permit No. BUP2008 -00364
Dear Zach:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 13190 SW 68` Pkwy
Project Name: Business Objects /SAP
•
Job No.:
Refund: ® Check #101034 in the amount of $393.08.
❑ Credit card "return" receipt in the amount of $
❑ Trust account "deposit" receipt in the amount of $ .
Notes: Per applicant's request as work to be completed under BUP2009- 00177. 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.
1: \ Building \ Refunds \ Administration \ LtrRefund- Cancell'crmit.doc 01/16/07
Phone: 503.639.4171 o Fax: 503.684.7297 o www.tigard - or.gov o TTY Relay: 503.684.2772
City of Tigard
TIGARD Accela 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 Accela System Administrator by Friday at
5:00 PM for processing each Monday. Accounts Payable will route refund checks to Accela
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: Oh Planning Design LLC DATE: 9/24/09
115 NW 1" Ave., Ste. 300
Portland, OR 97209 REQUESTED BY: Dianna Howse
Attn: Zach
TRANSACTION INFORMATION:
Receipt #: 2008 -3793 Case #: BUP2008 -00364
Date: 11/5/08 Address /Parcel: 13190 SW 68th Pkwy
Pay Method: Check Project Name: Business Objects /SAP
EXPLANATION: Per applicant's request as work to be completed under BUP2009- 00177. 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 $350.96
[TAX] 12% State Surcharge 100 -0000- 207020 42.12
TOTAL REFUND: $393.08
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager 4 4 ki (A
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR ACCELA SYSTEM ADMINISTRATION USE ONL
Refund Request Reviewed: Date: "' . ;- • By:
Case Refund Processed: Date: jo /.Z% j By:
I: \Building\ Refunds\ RefundRequcstdoc 04 /13/09
lig
Community Development
RECEIVED
y Request for Permit Action S E P 2 3 2009
r T1GARD
GI I Y 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: Business Objects, an SAP Company
INVOICE TO: (Business or Individual)
Mailing Address: 13190 SW 68t Pkwy
City /State /Zip: Portland, OR 97223
Phone No.: (503) 608 -3300
• SE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
0(0 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 #: BUP2008 -00364
Site Address or Parcel #: 13190 SW 68 Pkwy I Portland, OR 1 97223
Project Name: Business Objects /SAP
Subdivision Name: Lot #:
EXPLANATION: Construction was postponed past 180 day expiration of permit
(originally issued 11/0 . 08). No . i . spection was conducted based on original permit.
1.�o21I i tP� . �►'" i ,�,,, 1A. E.2 . •- oo 7 7 .
Signature: k ; ,• Date: 09-23-09
Deb rance ,'
Print Name:
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 1 -2 weeks for processing refunds.
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CE �USE5Z: 6 % _ .... :' .
2,' �.,
Rte to S , s Admin: Date # QM= Rte to ,,ii: Admin: Date /p 629 d y B ' _ IA
Refund Processed: Date B - Invoice Processed: Date B ,
Permit Canceled: Date gam= B legs' arcel Ta: Added: Date B ,
Recei e t # Date Method Amount $
I:\ Building \Forms \RegPermitAction.doc Rev 07/26/07
City of Tigard, Oregon O 13125 SW Hall Blvd. O Tigard, OR 97223 j
iit . •_
i ' a
:._ II
October 2, 2009 ..
Oh Planning Design LLC
115 NW 1 Ave., Ste. 300
Portland, OR 97209
Attn: Zach
Re: Permit No. BUP2008 -00364
Dear Zach:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 13190 SW 68' Pkwy
Project Name: Business Objects /SAP
Job No.:
Refund: ® Check #101034 in the amount of $393.08.
❑ Credit card "return" receipt in the amount of $ .
❑ Trust account "deposit" receipt in the amount of $ .
Notes: Per applicant's request as work to be completed under BUP2009- 00177. Refund
80% of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
/. 4 r -:,/,-(.:______.
Dianna Howse
Building Division Services Supervisor
Enc.
I: \ Building \ Refunds \ Administration \LtrRefund- Cancell'ermit.doc 01 /16/07
Phone: 503.639.4171 o Fax: 503.684.7297 0 www.tigard- or.gov o TTY Relay: 503.684.2772
City ®f Tigard
TIGARD Accela 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 Refiind form (if applicable) must be
attached to this form. Refund requests are due to Accela System Administrator by Friday at
5:00 PM for processing each Monday. Accounts Payable will route refund checks to Accela
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: Oh Planning Design LLC DATE: 9/24/09
115 NW 1" Ave., Ste. 300
Portland, OR 97209 REQUESTED BY: Dianna Howse
Attn: Zach
TRANSACTION INFORMATION:
Receipt #: 2008 -3793 Case #: BUP2008 -00364
Date: 11/5/08 Address /Parcel: 13190 SW 68th Pkwy
Pay Method: Check Project Name: Business Objects /SAP
EXPLANATION: Per applicant's request as work to be completed under BUP2009- 00177. Refund 80%
of permit fees.
REFUND INFORMATION:
... ..... . .
p on From'Receipt Revenue Account No. Refiiad;
xain "1e: UIL
• � ] , , ..: ._, ._ • -- •Examples
[BUILD] Permit Fee 245 - 0000 - 432000 $350.96
[TAX] 12% State Surcharge 100- 0000 - 207020 42.12
TOTAL REFUND: $393.08
APPROVALS:
If under $500 Professional Staff
If under $7,500 Division Manager !"V' "V
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR ACCELA :SYST ADMINISTRATION •.USE ONL. :>;a-
Refund Request Date: ,- ° ;.p•fo• , i;r• F • By: :9°'
Case Refund Processed: Date: ,j) B
1: \Building\ Refunds \RefundRequestdoc 04 /13/09
INI CITY OF TIGARD RECEIPT
c . 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
/t e---/--:-.". ^rh
Receipt Number: 175426 - 10/02/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
B U P2008 -00364 $ - 393.08
Total: $- 393.08
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 101034 DROWSE 10/02/2009 $- 393.08
• Payor: Oh Planning Design LLC
Total Payments: $ - 393.08
Balance Due: $393.08
Page 1 of 1
•
• CITY OF TIGARD RECEIPT
a : • 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
/Z /6 iA/R --
Receipt Number: 27200800000000003793 - 11/05/2008
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
BUP2008 -00364 [BUILD] Permit Fee 245 - 0000 - 432000 $438.70
BUP2008 -00364 [FLS] FLS PIn Rv 245- 0000 - 433020 $175.48
BUP2008 -00364 [BUPPLN] Pln Rv 245 - 0000 - 433000 $285.16
BUP2008 -00364 [TAX] 12% State Surcharge 100 - 0000 - 207020 $52.64
Total: $951.98
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 8992 TAAA CONV 11/05/2008 $951.98
Payor: OH PLANNING DESIGN LLC
Total Payments: $951.98
Balance Due: $0.00
•
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Page 1 of 1
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'
Community Development s?!r: >J `:.. E dJ
T.IGARD Request for Permit Action
TO: CITY OF TIGARD • Elti);LDING
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: Business Objects, an SAP Company
INVOICE TO: (Business or Individual)
Mailing Address: 13190 SW 68 Pkwy
City /State /Zip: Portland, OR 97223
Phone No.: (503) 608 -3300
,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 #: BUP2008 -00364
Site Address or Parcel #: 13190 SW 68 Pkwy I Portland, OR I 97223
Project Name: Business Objects /SAP
. Subdivision Name: Lot #:
EXPLANATION: Construction was postponed past 180 day expiration of permit
(originally issued p 11 /0 , 08). No i, spection was conducted based on original permit.
n g 0 17 7.
J i
Signature: Date: 09 -23 -09
Deb ranee
Print Name:
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 CO 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.
FOR OFFICE USEONLY
Rte to S s Admin: Date assmortem Rte to - : rldmin: Date /0 A5 B
Refund Processed: Date By Invoice Processed: Date ' By
Permit Canceled: Date 6 ±/ f/•_9 (1,s By Parcel Tag Added: Date By
Receipt # Date j Methnd Amount $
I: \Building \Forms \RegPermitAction.doc Rev 07/26/07
il a CITY OF TIGARD BUILDING PERMIT
#: BUP2008 -00364
PE
°y ` COMMUNITY DEVELOPMENT DATE ISSUED: 11/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY 110 ZONING: C -P
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 003 JURISDICTION: TIG
PROJECT: BUSINESS OBJECTS /SAP
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 325 BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 65,000.00
Owner: Contractor:
BUSINESS OBJECTS AN SAP COMPANY NORTHWEST CONTRACTORS INC
13190 SW 68TH PKWY PO BOX 25305
TIGARD, OR 97223 PORTLAND, OR 97298
Phone: 503 - 280 -3300 Contact #: PRI 503 - 291 -6986
FAX 503 - 291 -7036
Reg #: LIC 89425
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/5/2008 $438.70
[TAX] 12% State Surch 11/5/2008 $52.64
[BUPPLN] Pln Rv 11/5/2008 $285.16
[FLS] FLS Pln Rv 11/5/2008 $175.48
Total $951.98
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 e • e if work is lot started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requi - you folk the rules adopted by the
Oregon ' cation Center. Those rules are set forth in OAR 952 - 001 -0010 through • ' - 9 -001 1100. You may obtain a copy
of th e rules or dire ues ' • s t . 0 . C by calling 503.246.6699 or 1.800.332.2344.
lss ed By: _ 0 0 Permittee Signature: � d �� A
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Received Permit No.: p Ph wA 36
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' � AW b W
C Phone: 503.639.4171 Fax: 503.598.1960 DateB `r`)(j� ®L� Other Permit.
I" I C n R D Inspection Line: 503.639.4175 Date Ready kris ® See Page 2 for
Internet: www.tigard - or.gov Notified'Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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.
dwelling Valuation:
❑ 1- and 2-family $
y g ®Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13190 SW 68 Pkwy New dwelling area: square feet
City /State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1 10 Project name: Business Objects /SAP 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.
Subdivide the existing first floor into two tenant spaces Valuation: 8865,000.00
Existing building area: 36780 square feet
New building area: 36780 square feet
® PROPERTY OWNER ® TENANT Number of stories: 2
Name: Business Objects, an SAP Company Type of construction: 2B
Address: 13190 SW 68 Pkwy Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing: B
Phone: (503)608 -3300 Fax: ( ) New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Oh planning +design All contractors and subcontractors are required to be
Contact name: Deb France licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 115 NW First Ave, Suite 300 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 280 -8000 Fax: : (503) 224-5442
E -mail: deb.france @ohpd.net
CONTRACTOR
Business name: Norwest Contractor's Inc BUILDING PERMIT FEES*
Address: PO Box 25305 (Please refer la fee schedule)
City/State /ZIP: Portland, OR 97298 -0305 Structural plan review fee (or deposit):
Phone: (503) 291 -6986 x30 Fax: ( ) FLS plan review fee (if applicable):
a Total fees due upon application:
CCB lic.: 1
Amount received:
Authorized signature: /I, This permit application expires if a permit is not obtained
r �/ W ' within 180 days after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri -County Building Industry
• Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /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 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: $
\70.14i (d) At least one accessible restroom for each sex or a single unisex
restroom: $
S • • (e) Accessible telephones: $
1 (f) Accessible drinking fountains: and, $
•
(L
a �/O ?? (g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
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L \Building \ Permits \BUP -COM PermitApp.doc 10/30/07