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Permit `�'p �3- c�/7`f CITY OF TIGARD CO3D► i l(UNITY DEVELOPMENT DEPARTMENT 3125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 � • 131 SW Hall Blvd. PLNCK/ RECT # 7 CITY OF TIGARD poe3:73397 PERMIT # guf75 - - 0191 COMMUNITY DEVELOPMENT DEPARTMENT Tigard. Oregon 97 3 (503) 639-4171 DATE ISSUED JOB ADDRESS: /0.36.0 S,,bf/ 775f4D TAX MAP /LOT SUB: LOT: LAND USE: VALUATION: /..C/71.4-4>;e2 ** pPROV D TO ISSUE A OWNER SPECI.;� NOTES NAME: Pacific Realty Associates. L.P. (PacTrust) REISS OF: ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 LAST REISSUE: Portland, OR 97224 FLOOD PLAIN/ PHONE: 624 -6300 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: H.L. Green Company PLANNING: OI( ADDRESS: 15115 S.W. Sequoia Parkway, Suite 200 ENGINEERING: Portland, OR 97224 FIRE DEPT: PHONE: 624 -7717 OTHER: NO �'/_ 17P CONTR. BOARD #: 41328 EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS: MECH: 1-V47145 C '45777e'L BUS TAX: ARCH /ENGINEER CALCULATIONS: NAME: John H. Romish TRUSS DETAILS: ADDRESS: 2216 S.E. 24th Avenue OTHER: Portland, OR 97214 PHONE: 236 -6306 PROPOSED BLDG. USE: 01//10A off-4f. COMMENTS 7g- . $Q. FJ 11rl /iii it Age d`�L AFT C'NT SIGNA' ceived By: / Date Received: 2'42 PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE 10 -432 00 Building Permit Fees /10.5 10 -431 00 -- Plumbing Permit Fees 10 -431 01 Mechanical Permit Fees 10 -230 01 State Building Tax (5 %) 6153 Building - - -- - - Plumbing Mechanical 10 -433 00 Plans Check Fee 7 Building Plumbing Mechanical -- 10 -230 06 Fire . 30 -202 00 Sewer Connection 30 -444 00 Sewer Inspection 25- 448 -02 Commercial TIF Fees 25- 448 -04 Industrial TIF Fees 25- 448 -06 Institutional TIF Fees 25- 448 -03 Office TIF Fees 25- 448 -01 Residential Traffic Fees 25- 448 -05 Mass Transit TIF Fees 52 -449 00 Parks System Dev Charge (PDC) 31 -450 00 Storm Drainage Syst Dev Chrg (SSDC) 24- 445 -01 Water Quality (Fee in lieu of) 24- 445 -02 Water Quantity (Fee in lieu of) TOTAL f �� nm /3587P.WPF .