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Permit { + CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00435 iA DEVELOPMENT SERVICES DATE ISSUED: 1/7/04 o. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 1355' — SW PACIFIC HWY PARCEL: 2S102CC -00600 SUBDIVISION: /.3,5L/5" ZONING: C -G BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 1,340 sf N: 1HR S: NR E: 1HR W: 1HR TYPE OF USE: COM SECOND: 2,459 sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: N S: N E: N W: N OCCUPANCY GRP: B TOTAL AREA: 3,799 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 27 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: Y MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 150 psf LEFT: 2 ft RGHT: 2 ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 35 ft REAR: 6 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 425,000.00 Remarks: New construction of 3 -bay change facility. TIF DEFERRED UNTIL OCCUPANCY. Owner: Contractor: DDHK VENTURES, LLC GRADY HARPER + CARLSON . 12604 SW 60TH CT 2945 NE ARGYLE ST PORTLAND, OR 97219 PORTLAND, OR 97211 Phone: 503 - 977 -0578 Phone: 284 -9151 Reg #: LIC 63005 332� FEES MET REQUQRED5INSPECTIONS Description Date Amount Erosion Control Insp 846 -8. Masonry Insp [FLS] FLS Pln Rv 7/18/03 $801.22 Mechanical Permit Require Framing Insp [BUPPLN] Pln Rv 7/18/03 $1,301.98 Electrical Permit Required Roof nailng Insp Plumbing Permit Required Insulation Insp [PKSDC] Parks SDC 1/7/04 $744.00 Foot/Found lnsp Gyp Board Insp [BUILD] Permit Fee 1/7/04 $2,003.05 Foot/Found Insp Susp Ceilng Insp (additional fees not listed here) Footing Drain Reinforced concrete final rE Struc Steel Insp Bolts in concrete final repot Total $5,484.89 Reinf Steel lnsp Structural welding final reps Slab Insp High strength bolts final rer 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 than 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 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: ,<YM4-47e2 Permittee / Signature: 71, ,jj 4 Call 639 -4175 by 7 p.m. for an inspection the next business day /3x65- 5 " p,4 /r / w IODIC If- LUO e 4 pycoDCP /// -S-o3 /BSS SO ; _ • • - — 00 A ECEI Building Permit Application OFFICE USE ONLY �/ E� Date received:7 -1 .O Permit no.: .; v a� ...00 36 City of Tiga vc Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 JUL 1 8 1003 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: CITY OF TIGARD 1 &2 family: Simple Complex: Land use approv�UILDING DIVISION TYPE OF PERMIT • ❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi - family ❑ New construction 0 Demolition ❑ Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm ❑ Other: • 1 ! JOB SITE INFORMATION Job address: _ � Bldg. no.: Suite no.: `y�� ot: l ',�i_- 11 =�� � fal Block: Subdivision: Tax map /tax lot /account no.: (.4..C, • Project name: ird .O�? "1reav 0 a ab 2 De cription and 1/c tion of wor on premises/ recial conditions. I�T�V �.tL�.J• / Ll�l� A 1IA4__■ / ;4 -. 4 q a f/1-- Mir T OWNER FOR SPECIAL INFORMATION, 'SSE CHECKLIST • EZEINC (F lot) dplain , septic capacity,solar,etc.) . , Mailin _ address: e�� � �71j/�I r _ � i 1 & 2 family dwelling: , ' 113131=2WM- S IP: Valuation of work $ • _ . • • Phon - /;t�y,i J t I , iirai E- mail:, No. of bedrooms/baths Owner's representative: /Ji t Total number of floors Phone• r ��� ln1 i f' . New dwelling area (sq: ft.) ' . APPLICANT Garage /carport area (sq. ft.) ' Eriimraw Covered porch area (sq. ft.) Mailing address: A -WkW �'IIMIM Deck area (sq. ft.) a �v� / / �-.,_ I Other structure area (sq. ft.) �" Phone: P Ar miz % ` oi Commercial/industrial /multi- family: • i CONTRACTOR , Valuation of work '. 1J t i xisting bldg. area (sq. ft.) rr T� GA/921 '/Z/°ER i ' GrSd ew bldg. area (sq. ft.) 121 1 Address: ,_ .. Air 2. L' .ST, City: / iiL ZIP: cJ' 0-Z Number of stories I Phone: a, - /sy Fax: E -mail: Type of construction CCB no.: Occupancy group(s): Existing: (03 S New: i er City/metro lic. no.: Notice: All contractors and subcontractors are required to be ARC111'1'EC "f /DESIGNER licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: --<U ENGINEER OFFICE USE ONLY R Emwim 1. Contact person: EM ees due upon application $ Address: Imatizarrif f i Date received: • �� � �U Emir. ZIP: .r /' I Amount received $ Phone: fim>n 'nse, ° 1.: Please refer to fee schedule. 1`1 I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. 1, attached checklist. All provisions of laws and ordinances governing this 0 Visa 0 MasterCard work will be compeie. with, . by her .pecif ed herein or not. I , Q ` 4 3 1 l c f Credit card number: / ! o 3 S Expires 00 A uthorized sign. /� I / , //J'� Name of cardholder as shown on credit card Print name: di A1At (I 1 1/A.■ Cardholder signature Amount Notice: This pe it application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4.40 (6/00 /COM) DATE: 7 5- n3 p L��(L/(( P S C /" 3- 0643s PROJECT TITLE: COUNTYWIDE c-K /(4. toe, TRAFFIC IMPACT FEE WORKSHEET " . , enn� � � it►l (FOR NON - SINGLE FAMILY USES) MAILI s: ` 'g4 ° � � 5 w �e Hy CITY/ZIP/PHON9 I N d '?7.3 • TAX MAP NO.: SIDaCC.- °Mo00 SITES NO.AODRESS: LAND USE CATEGORY RATE PER TRIP I3 S W PCCC1 -(c t3 RESIDENTIAL $ 253.00 /3.5 q5 J X BUSINESS AND COMMERCIAL $ 64.00 OFFICE $ 233.00 INDUSTRIAL $ 244.00 INSTITUTIONAL $ 105.00 • PAYMENT METHOD: CASH /CHECK CREDIT BANCROFT (PROMISSORY NOTE) INSTITUTIONAL ONLY: DEFER TO OCCUPANCY LA ' U 3/ [, lick SE CATEGORY ESCRIP(t4 DT19N rOF y c4 US4-E i o WEEKDAY RATE AV 4. I WEEKEND AVG. TRIP RATE h -- BASIS: v•e%Pc,(t. Skopo /q' Ii ' c4 + Pr cal s c o 3 - ba j oil c ii4h0. e. Cr t d i -f vve -C cLe-rn o I i -h'ovi o-C 5,41-) 8 Grl i �k SitvP CALCULATIONS: / TVilp ?n P�S provi d - d by TVA-C1-it- e = IP-0 /i3 QU Q 11-1),,s• Tr F (tvetA) +v'` f ps - C9 Id +1 ) &N ° 3.4a • / �6 `7 3 9 ) PROJECT T SdENERATION: • FEE: (p /G I 9.o N FOR ACCOUfING PURPOSES ONLY ADDITIONAL NOTES: t7) k� 5'!470 Ire C redrts _ . T. c -. S. e X q. J ROAD 3 4/5_. 0 0 I / 1 NS T AM? PRE S. �T os k yr 3� . (O I +Y1 r CrCd,Ts TRA 'a1. oa 7,A-4) 611 44 0\ July 25, 2003 CITY OF TIGARD . OREGON Jennifer Kimura VLMK 3933 SW Kelly Portland, OR 97239 TRAFFIC IMPACT FEE FOR QUICKLUBE, 13565 SW PACIFIC HWY: Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amount of the TIF is $6,169.00. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Please note with the third option, that Traffic Impact Fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 of each year. You may appeal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must be received by the City Recorder no later than 5:00 p.m. on August 8,2003 and must be accompanied by the $1,170.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. Also enclosed with this letter, you will find a "Countywide Traffic Impact Fee Payment Option Form ". Please choose a payment option, obtain the necessary signatures, and return to me as soon as possible. We must receive this form before permits can be issued. If you have any questions, please contact me at 503 - 639 -4171. �Gy erree Gaynor xecutive Assistant Enclosures (2) c: TIF file Building file 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST //'' BUP r, eV 3 -@19X Received ate Requested W/ / AM PM BUP Location 6 3 Suite MEC Contact Person Ph (r©3) -7 4 PLM Contractor Ph ( ) SWR BUILDIN e " Tenant/Owner - ELC • Footing ELC Foundation Access: �� Ftg Drain ELR Crawl Drain girPr Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear , Int Sheath/Shear . / � Framing . ,. 1. Insulation We I � 401 s� Drywall Nailing Firewall Fire Sprinkler - Fire Alarm _ Susp'd Ceiling J ' ` `/ i NIP Roof pr, t � ��� FAI mi, , Beam — W Under Slab g r Rou hIn � 4. A /1 Water Service � — Alli Sanitary Sewer ( ��� d Ur Rain Drains Catch Basin / Manhole Storm Drain • Shower Pan MI 0 al 62--- E, ) 6 81 0 - (P ° Other: Final PASS PART FAIL ---1,..---` 1 MECHANICAL eli Post & Beam ` Rough - In \ ∎�1 \ /I' , I ► ' "F - Gas Line Smoke Dampers , Final PASS PART FAIL • ELECTRICAL • fl A Y Service Rough-In ‘ . �� , AVIV UG/Slab , 4 , . 'k — i _ Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please ca I for reinsp -ction RE: — _ : ,_.- , Unable o inspect - no access Fire Supply Line _ I - ` Ar Approach/Sidewalk Date �• 6 Inspect . d i , - i r' , Ext Other: Final DO NOT REMOVE this inspe , Ion record from the Job site. PASS PART FAIL