Plans •
DATE I I 19 I PLANS CHECK NO. I l_ ? f A G
PROJECT TITLE: 1 ACC
COUNTYWIDE fAeCro e .cc
TRAFFIC IMPACT FEE
WORKSHEET APPUCANT: joV l F3 Mc Czaske
(FOR NON - SINGLE FAMILY USES) MAIUNGADDRESS: 1, I 1 ZS N
�� I C
�Zfi
CITY/ZIP/PHONE o tJV ' I D 1f � V /� q oo
1.�
TAX MAP NO.: - 7 G 1 i
I _ Z4 oO
SITES NOADDRESS: / V
LAND USE CATEGORY RATE PER TRIP (Z(J L I S 21}J Lo I q
A -
RESIDENTIAL $ 179.00
BUSINESS AND COMMERCIAL $ 45.00
OFFICE $ 164.00
INDUSTRIAL $ 172.00
INSTITUTIONAL $ 74.00"
PAYMENT METHOD:
CASH/CHECK
CREDIT
BANCROFT (PROMISSORY NOTE)
INSTITUTIONAL ONLY:
DEFER TO OCCUPANCY LANQ USE CATEGORY DES RIPT]ON OF USE WEEVG. 7 WEEKEND AVG. TRIP RATE
1 (0�0 . v1' £ . TRIP RATE KDAY A■Z3 .79 1
BASIS: - o DtA/�C L FY'o ± 2_ 4 dord DcCi
IVY 1
,,.,
` tkA s r C ` _ik_ka 1 C t ^y- 0 0,4k l ,c _j� � � - r /' 7V =� = = 'v'n O /c..r
CALCULATIONS:
\ F = X15 tar -tr I P A e V t , AnCrv. x art a.Jeice _. 1v , I rail- 2( 1 a.v )J u c - J
77( z3.1 q +r f s x 4 (6
Z /o,5132 -4t -W- +r■ GUtA, cr k H 10,513
top . 513 �r = X kloLl.OD = � 9 z �l. (�, ^' � Z W PROJECT TRIP GENERATION:
FEE 611 I zq 00
FOR ACCOUNTING PURPOSES ONLY
ADDITIONAL NOTES:
Arrt, CZw w<< re- *) o -11 otAk eet foe 1.rAoi k-i�v. a-
ttr e- & rPs��a wcv,
ROAD
`TI F- ,te X1.
TI 1= - MT TRAMS i 4ID
PREPPP ED B_ ;Li
I:TIFWKST.DOC (OST)
DATE. - L5_g1 I PLANS CHECK NO.
I I'(C.
PROJECT TITLE:
COUNTYWIDE M CxosV tell
- TRAFFIC IMPACT FEE
A PPLICANT: V��Y\ f✓ • MC el �
WORKSHEET .J� K
(FOR NON - SINGLE FAMILY USES) MAIUNG ADDRESS: \ S Fvv\■
CITY/ZIP/PHONE: Z JA O "" 91
f Z
TAX MAP NO.: ZS I I D — tPDO
SITES NOADDRESS:
LAND USE CATEGORY RATE PER TRIP , L (Q L(5 r- LA '+- Ave
RESIDENTIAL $ 179.00
BUSINESS AND COMMERCIAL $ 45.00
OFFICE $ 164.00
INDUSTRIAL $ 172.00
INSTITUTIONAL $ 74.00
PA YMENT METHOD:
CASH/CHECK
CREDIT
BANCROFT (PROMISSORY NOTE)
INSTITUTIONAL ONLY:
DEFER TO OCCUPANCY LAND USE CATEGORY I D TI1O� O
j FF U$E WEEKDAY G. WEEKEND AVG. TRIP RATE
(� 7Z0 1 P� IP CKk V�+�C� TRIP RATE AV �j�.1
BASIS: ` \ �\ c&ij' C cD o6SL s z, q 62 4 r . V
p d N.�7s-d U-i'�'l CQ.
� P 1
KLa_v2 sce4 - k P CXYA,k3c.S
CALCULATIONS:
-CIr -y;e ccekearwA, 6y, x u?edelt 4kverekerir l tai. x i 4 use ceMstry
961-1 X 3 ""). I1 = 1C7 I . 11 Tv j QS — - ter l FS 61-) ck =
I.Z7
_ p� r� (4)9(.0i..1)°
PROJECT TF�I/ENERATION:
X
�.Z�TY1 S kkpq _ �� / COa.Z� tI FEE: (L.�'')�� Q PI IP D..d�
j Gl�l/J� - II 1 � r FOR ACCOUNTING PURPOSES ONLY
ADDITIONAL NOTES:
P 1 Lu' \ vew-e_ o �M a `i Z°&
P � � e -w\ �
` 1l
0. r� 510�Q.Vl�- •
I (r .0 ROAD AMT. 3 15f D
F .^ T
TRANSIT AMT ., I$3
I" ` P PAR BY• ff, „
I:TIFWKST.DOC (DST)
•
y
DATE I _ 1 1 _ 17 PLANS CHECK NO.
PROJECT 1111.E
COUNTYWIDE • Kc-CrasKet an(c-
TRAFFIC IMPACT FEE
WORKSHEET CANT: 0 5. KcCtosKey
(FOR NON - SINGLE FAMILY USES) MAIUNGADDRESS: y Z S SW �c x1 +0h.)
CITY/ZIP/PHONEa � ,. 9703
TAX MAP NO.: z51 AD Z 19 D0
SITES NOADDRESS: !� A lY
LAND USE CATEGORY RATE PER TRIP (Z(0 4 S S 1, () Lo f' Ave.
RESIDENTIAL $ 179.00
BUSINESS AND COMMERCIAL $ 45.00
✓OFFICE $ 164.00
INDUSTRIAL $ 172.00 •
INSTITUTIONAL $ 74.00
PA YMENT METHOD:
CASH/CHECK
CREDIT
BANCROFT (PROMISSORY NOTE)
INSTITUTIONAL ONLY:
DEFER TO OCCUPANCY LANDU�SE�ATEGORY 1 �DE�S RIPTI N O�tlS 1 YTVRIP EEKDRATE 3 AY AVG. 17 7 I WEEKEND AVG. TRIP RATE
l�� f}`tt
BASIS:. � I' Gi\ Il CGI /a � Dc s 7-- 1# 66,04 oCQ •
CALCULATIONS:
T(r - t7a - � Iar 6 , - e eite,tr� I N cvn x uiE a ore. t r VtL x
( O4'1 . 0 e' - orY
4164,00
2_ 901/ s 34. 11 = 101.27 1Irlr
PROJECT TRIP GENERATION:
ICI.zi 1 +Il'1.D° = 4 16, (o0 IS Ilo,(oCY . °O /n1
FE I (D , (00c3 .00
FOR ACCOUNTING PURPOSES ONLY
ADDITIONAL NOTES:
(f - ROAD AMT.: Is;zv' � Svd
TRANSIT AMT
TIF= -MT t, 1,3( 3.00
PREPARED BYY
I:TIFWKST.DOC (DST)
COUNTY WIDE !,L 4,
TRAFFIC IMPACT FEE CITY OF TIGARD
PAYMENT OPTION FORM OREGON
I1 0 q1. V2- 5(1 (pq
Date Site Address
MC CrthK C Atktc L
) (1-6 C
Project Name Plan Check # '
I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request
the following (choose whichever option or options are applicable):
❑ Cash or Check
❑ Credit Voucher •
❑ Bancroft or Installment Payments
or
t=1 The Ordinance allows for deferral of P a Y ment of the TIF until issuance of the occupancy permit if the TIF
is greater than $5,000. If the TIF meets this requirement, I also request this option. I understand the TIF
must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated
based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up
to six percent each July 1st. This rate increase is not subject to appeal.
/
,_
I
J :.4 h %t>
!-.% E" APPLICANT/ - . OWNER/APPLICANT
c: Building Permit File �� 4
Payment Option Notebook
i:ldstsktifsub 9/96
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
COUNTYWIDE TRAFFIC IMPACT FEE
APPEAL INFORMATION
Attached Is a copy of the Director's decision on this Traffic Impact Fee assessment or Traffic Impact Fee
Credit /Offset request
This decision may be appealed and a public hearing held by filing a signed petition for review (appeal)
within fourteen (14) calendar days of the date written notice is provided (date mailed).
APPEAL PERIOD: Date mailed: 11- 1 -17 to 5:OOPM on 1 Z - 1 - 9�
Appeal Due Date
A motion for reconsideration also may be filed within seven calendar days of the date written notice of
the decision is provided (see Section 208 of the Washington County Community Development Code). A
motion for reconsideration does not stop the appeal period(s) from running and is available only as an
extraordinary remedy for when a mistake of law or fact has occurred. A motion for reconsideration
requires a fling fee of $ Lo2S.
This decision will be final if an appeal is not fled by the due date(s), and a motion for reconsideration is
not granted by the Director.
The complete fle is available at , 131 LS $u0 } $� J , _ ` � i C - uy
for review.
A petition for review (appeal) must contain the following:
1. The name of the applicant and the relevant casefile /building permit /other development
permit number,
2. The name and signature of the petitioner fling the petition for review (appeal). If a
group consisting of more than one person is filing a single petition for review, one
individual shall be designated as the group's representative for all contacts with the
Department. Al Department communications regarding the petition, including
correspondence, shall be with this representative;
3. A statement of the interest of the petitioner,
4. The date the notice of decision was sent as specified In the notice;
5. The petition for review (appeal) shall state the relevant facts, applicable ordinance
provisions, and relief sought•, and
6. The fee of $625.00 for Director's decisions being appealed to the Washington County
Hearings Officer.
For further mat information contact - - `7 / 7/
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