Permit SITE WORK
CITY OF TIGARD PERMIT #
DATE ISSUED: 08/ 2E-95I/19-:6-0016
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CdMMUNITY0EVEL0PMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171 PARCEL: 25110DB-00600
SITE ADDRESS...: 15348 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C-G
BLOCK • LOT •10
_ _ _ _'
TYPE OF WORK: NEW PAVING? • Y RESO. NO.:
EXCV VOLUME: 0 cy GRADING? • N VALUE...$: 150000
FILL VOLUME: 0 cy LANDSCAPING? • Y
ENG FILL? • N SITE PREP? • Y
SOILS RPT REQD?: V STORM DRAINS?...: Y
IMPERV SURFACE: 44551 sf
Remarks: 13,236 sq. ft. retail tire store site only
Owner: --- --- - - FEES
LES SCHWAB type amount by date recpt
PO BOX 667 PLCK $ 362.70 JD 03/26/96 96-277469
SWM $ 1687.50 DST 08/29/96 96-283421
PRINEVILLE OR 97754 PRMT $ 558.00 DST 08/29/96 96-283421
Phone #: 541-447-4136 5PCT $ 27.90 DST 08/29/96 96-283421
EROS $ 100.00 DST 08/29/96 96-283421
Contractor: ERPC $ 32.50 DST 08/29/96 96-283421
OWNER ERPC $ 32.50 DST 08/29/96 96-283421
__ _____ ___ ___
Phone #: $ 2801.10 TOTAL
Reg #..:
REQUIRED INSPECTIONS -
This permit is issued subject to the regulations contained in the Erosion Control ______
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp _____ _____
applicable laws. Al} work will be done in accordance with Fill Inspection __
approved plans. This permit will expire if work is not started Strm Drain Insp __
within 180 days of issuance, or if work is suspended for more San Sewer Insp ___
than 180 days. Sprinkler supply _______
Domestic water 1 _______________ .
Fire system test
Misc. Inspection ____�
Permittee Signature)(_ `' Final Inspection _ __ __
�� - �T ^ ---- ' ---
Issued By: . `.= 'm��� '^ � ___ __- --'
.�
� Call for inspection - 639-4175
'
1 1 Commercial Building Permit Application f Cit (25SWHall of Tigard S -C--- 13 Blvd. ( ImproVernMts r Tigard, OR 97223 U V �
(503) 639 -4171 1 �
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Jobsite Address: f W. WI T1 ' f7'"iA!(/�. (
��// Office Use Only
Tenant: Suite #
Valuation: 4 1 �✓0/ -,r
I ^�_ � -t,�� Permit # ,�t '% - '? 1 ' 7
1
Owner: — `�-.-1')(A)46 i �j '.' 4 ' � ,W 1v a Map & TL #
Address: 0 - .
� • 061 Approvals Required
I IVA/f 1 e' . 41111- Pi Pi i .
Phone: (4 441 - I I Cpl. Engineering
Other i
I
,:
Contractor: CAW.
-?r is 2 - i(c - i -Y - L s--.,- _/
Address: qin 4" C(
Type of const: Ill - 11
Occupancy class: ri ' 1 1 0 -
Phone: 444.4e-
Sprinklered? dip No
Contractor's License # (O {?ire)
(attach copy of current Oregon license) Sq. ft. of project: I' i ''L(p
Contact name & phone: ;4/4_' — _.11,4L A I && 10 / ' I Story (1st, 2nd, etc.) 1 2
1
`,� / I f Proposed use: ,rill 4
Architect/Engineer: Y It i blrhal fid /I tO
(, Previous use:
Address: i� W �. • III rn bl /W .
Note: Plumbing & mechanical plans
le P o n ) ( 0 1 . ' 1 9 - l i'LC must be submitted at time of
building permit application.
Phone: (.=.) G 0 Q
JOB DESCRIPTION: gebtil Ill 4P '
(K - "./....- .:"
Applican Signa ure & Phone number - -- -- .
J4
__ Wi---- ---
Received by: Date Received: (2--366
Permit # Account Description Amount Amt.. Pd. Bal. Due '
Bldg. Permit (BUILD) 4'rd-
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) Z 2?
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R) -
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIE (TIF -1)
Institutional TIF !TIF -1S)
Office TIF (TIF -0)
Water Quality (WQUAL)
toi
Water Quantity (WQUANT) /‘P? 1141,0
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) /061
Erosion Planck/USA (ERPLAN) 32 5% 3 -
Erosion Planck/COT (EROSN) 32 3 y '/
TOTALS: a Pe.1 I ?eP,
CITY OF TIGARD Credit No.:
Date Issued: June 17, 1996
Engineering
Authorization
Date: June 17, 1996
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: SDR 95 -005
In accordance with Ordinance 379 Sterling Development Corporation
(name of developer)
is entitled to $ 43,497.00 in Traffic Impact Fee Credits that can be applied to TIF charges
for development on lot(s) Pad' F & G of the Tigard Promenade Development. To use this
credit, present this form at the time of issuance of the building permit.
AVta
1 Director
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 43,497.00
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1�`fIo , ,t,J e ,c(-{tc �y
(Q -11-1( e 96 ,- voc6 75(IcoB - �oz- r CL7.e° ?�`��1 .� - 11 -14
5 - 3i- cl Les5c= HwAsAP,uPg6- G1532J- rI -oc(CO 22,� �fo,�s►rG.co
55. r , : C+��.L s JrZ . PAC C 1 5 5 = 2 - 0 S'w PAC f+vt/Y (i , 76 E. CO
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
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•
REQUEST FOR
TRAFFIC IMPACT FEE CREDITS
',Jeffrey C. Rasak , acting as a representative of Tigard Promenade Partners , do hearby
request the City of Tigard make a determination of
eligibility for Traffic Impact Fee (TIF) Credits. I believe the traffic improvements performed by my firm meet all
applicable TIF credit requirements as provided in the TIF ordinance.
The credits are requested for the following eligible capacity or traffic safety improvements:
S. W. Royalty Parkway improvements (including signalization) at 99W
The total cost of such improvements is $ 43,497.00 . I have attached construction contract
documents, or other appropriate information, from which a determination can be made of the reasonableness
I the costs . This information has been submitted within ninety days of acceptance of the subject improve -
.nents. I have also attached a copy of the letter of facility acceptance.
The legal description of the applicable land parcels whose development related transportation impacts war-
ranted the eligible safety improvements is as follows:
RD Ti1RF dba Valvoline Tnstant 0'1
Le _E
Les Schwab Tire Centers (Pad G).
Further, I request that the credits be apportioned proportionate to anticipated average weekday trips gener-
ated by the respective parcels unless other wise indicated as follows:
The credits should be issued to:
Name: Tigard Promenade Partners
Title: o Sterling Development Corporation
Address' *o i.ay our , uite 225
Jolla, C/ 92037
Signed: _ ',,; 41111.1111111111r Dated:
form tif07
Page No. 1 CASE HISTORY FOR CASE NO.: SIT96 -0016
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
SITA007 Application received / / / / 03/26/96 RECD B 04/02/96 BON
SITA008 Permit Created / / / / 04/02/96 PEND B 04/02/96 BON
SITA010 Check for prcl. restrict. / / / / 03/26/96 04/02/96 BON
SITA015 Plans Routed to Plans Examiner 04/02/96 / / 04/02/96 PEND B 04/02/96 BON
SITA018 Plan Rev. Ltr Sent to Ofc Svcs / / / / 04/16/96 JHF 04/16/96 JHF
SITA020 Revised Plans Received 05/05/96 / / 05/05/96 JHF 05/07/96 JHF
SITA024 Plans Approved /Routed to DSTs 04/02/96 / / 05/06/96 APPR JHF 05/07/96 JHF
SITA065 DST Post- Review Completed / / / / 05/10/96 PASS B 08/27/96 JDA
SITA070 (F) Ready to issue / / / / 05/14/96 PASS B 05/14/96 BON
SITA080 (F) Issue permit / / / / 08/29/96 PASS JDA 08/29/96 JDA
SITA750 San Sewer Insp / / / / 01/28/97 sewer to bldg PASS MS 01/28/97 MRS
SITA755 Sprinkler supply lines / / / / 01/06/97 PASS TLP 01/24/97 TLP
SITA755 Sprinkler supply lines / / / / 02/06/97 PASS TLP 02/07/97 TLP
SITA800 Case Finaled / / / / 03/31/97 PASS TLP 03/31/97 TLP
SITB740 Strm Drain Inap / / / / 10/18/96 PASS TLP 11/07/96 TLP
SITB750 San Sewer Insp 05/07/96 / / 11/08/96 PASS TLP 11/13/96 TLP
SITB755 Sprinkler supply lines 04/16/96 / / 11/26/96 PASS TLP 01/24/97 TLP
SITB757 Domestic water line inspect. 04/16/96 / / 01/06/97 PASS TLP 01/24/97 TLP
SITB799 Final Inspection / / / / 03/31/97 PASS TLP 03/31/97 TLP