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Permit CITY OF TIGARD PERMIT# LDING PER IT95 -0316 ,,=- COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/19/95 13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (t9M13991j771 PARCEL: 2511ODC -00100 SITE ADDRESS...: 15570 SW PACIFIC HWY SUBDIVISION ° WILLOW BROOK FARM ZONING: C –G BLOCI'. LOT • 11 REISSUE: FLOOR AREAS EXTERIOR WAL CONSTRUCTION – CLASS OF WORK.. :NEW FIRST •53862 sf N:4HR S:4HR E:4HR W:4HR TYPE OF USE...:COM SECOND... :280 sf PROTECT OPENINGS? TYPE OF CONST. :3N THIRD ° sf N: 5: E: W: OCCUPANCY GRP. :B2 TOTAL : 54142 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD:145O BASEMENT.: sf AREA SEP. RATED: STOR. : HT.: ft GARAGE... : sf OCCU SEP. RATED: BSMT ?: MEZZ ?:Y 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: PARKING: VALUE. $ : 2240659 Remarks: 54,142 sq. ft. single story grocery store Owner: FEES -- STERLING DEVELOPMENT CORPORATION type amount by date recpt LA JOLLA CORPORATE CENTER PLCK $ 3760.58 JD 07/28/95 95- 268619 3252 HOLIDAY COURT, SUITE 225 FIRE $ 2314.20 JD 07/28/95 95- 268619 LA JOLLA CA 92037 PRMT $ 5785.50 JSD 10/19/95 95- 271865 Phone #: 619 -546 -8841 SPCT $ 289.28 JSD 10/19/95 95- 271865 EROS $ 568.00 JSD 10/19/95 95- 271865 Contractor: ERPC $ 184.60 JSD 10/19/95 95- 271865 S DEACON CORPORATION ERPC $ 184.60 JSD 10/19/95 95- 271865 P.O. BOX 25392 PORTLAND OR 97225 Phone #: 503 -297 -8791 $ 13086.76 TOTAL Reg #... 38138 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Slab Insp Appr /sdwlk Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Tilt–up Pn l Insp M i sc. Inspection applicable laws. All work will be done in accordance with Masonry Insp Final Inspection approved plans. This permit will expire if work is not started Framing Insp within 180 days of issuance, or if work is suspended for more I n s u l a t i o n Insp than 180 days. Gyp Board Insp Susp Ceilng Insp - — Bolts in concret Structural weld Permittee Signature: ' ,� / /. ►Im High strength bo Lic. fabricated s Issued By: Sprinkler Unders _ Call for inspection – 639 -4175 I _,. PuP l�- tO ) LP A..' .,_41.4(,;:lm CITY OF TIGARD OREGON August 17, 1995 MPR Architects 9150 SW Pioneer Ct. "T" • Wilsonville, OR 97070 TRAFFIC IMPACT FEE FOR SAFEWAY STORE IN THE TIGARD PROMENADE 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 $261,560.00. 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. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1st of each year. Please note that 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 31, 1995 and must be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- 4171. Bonnie Mulhearn Development Services Technician c: TIF file Building file 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 • DATS PLANS CHECK NO.: 5� — 1S 1 1 -72. • PROJECT TITLE: COUNTYWIDE - Ceu0au. — i okTra TRAFFIC IMPACT FEE • APPLICANT: WORKSHEET leV (FOR NON -SINGLE FAMILY USES) � 01 e-, 51) I4 Z2 CITY/ZIP /PHQNE RATE PER Lek. JO110�. c. R e/ 230 LAND USE CATEGORY TRIP TAX MAP NO.: _RESIDENTIAL $159.00 2J I DDg— 00700 ✓ BUSINESS AND COMMERCIAL $40.00 SMiS N0. ADDR OFFICE $146.00 4 . 1 D c'1 e' ° WA+Vn 4 INDUSTRIAL $153.00 INSTITUTIONAL $66.00 PAYMENT METHOD: CASH /C'HEC'K CREDIT INSTTTUTIONAL ONLY: BANCROFT OCCUPAI (PROMISSORY NO CATEGORY /DESCRIPTION u TRIP RA1 WEEKEND AVE TRIP PATE DEFER BASIS: 4.400440M CALCULATIONS: T1F = .. I=. >c Lo- eEKE,ave 4v ra J. 1 �v vSC Tyr 5H, ly x ICC = 5-1 CS 5,1- 1)14iYi yO.00 z)co PROJECT TRIP GENERATION: PE: 2- (4 1, S1110 ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY•. —` !! ((�� (r Ae w� I Y � � L t(�Lt,i1S W l � 1 �G?_ xG � J ? �� t0Y � l ICV, ROAD AMT.: J J TRANSIT AMT.: (fi .=)/4 PREPAJiED ev: CC: WASHINGTON COUNTY TIF NOTEBOOK form tif10 • . . W t i l � ._._.,:l......,__.z., CITY OF TIGARD COUNTYWIDE OREGON TRAFFIC IMPACT FEE - PAYMENT OPTION FORM --- 1..'q - r, 62, ,Aeto...4 Date Site Address -- 1' ci FiVAVSacke, 1 i Pro' Name " 4 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 and/or The Ordinance allows for deferral of payment 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. 4 iv.. I ' i`l&/ ' !f & ii?, •WNER/• ! P I • NT OWNER/APPLICANT c: Buildln Permit File Payment Option Notebook 1:'bgifastmtifsub 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 rur I'D 0 " ILo DATE: ] PLANS CHECK NO.: lc - l3 -9S 1 "7 72-C . PROJECT TITLE E & i - 4 Tcc mil tk COUNTYWIDE °` TRAFFIC IMPACT FEE APPUCANT: �(� WORKSHEET - A - ex 1 �! eivc � (FOR NON - SINGLE F MAILING ADDRESS: � � (F FAMILY USES) � ,zs2 00110W-‘ ! . 51,0,4 22-S 1 CM/ZIP/PHONE RATE PER LA Jo 11 CA- , (S A 1Z o LAND USE CATEGORY TRIP TAX MAP NO.: RESIDENTIAL $159.00 Z`�I I D �— (' BUSINESS AND COMMERCIAL $40.00 SITUS NO. ADDRESS: , OFFICE $146.00 7 b bf * kelcifr IlAfrg INDUSTRIAL $153.00 INSTITUTIONAL $66.00 PAYMENT METHOD: RASH /C.HFCK CREDIT INSTITUTIONAL ONLY: BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY 'DESCRIPTION OF USE INEEKDAY AVG. TRIP RAI WEEKEND AVE TRIP RATE DEFER TO OCCUPANCY 45 s,, r_x- v eA (4 ) od BASIS: A lm& ,i i t f= ca tu,_94 12*/N -to re-C lec.t d∎Etmol a Qi : VAre2 1 v k D ' ? C rP s resLL\ i I In a - ko*ed ob "D Tit f c.-e ,45 - slim acyl ca A Qrc e a 6 L l M Z cp. lyD S-k-otre , CALCULATIONS: • - T1 = T, (._-.."_).f, xc W•ec0.6t.t_ av \fal 49) Yaffe x Ie Arkei use CGc- r v , ""%' -4 K 4 LID ,Lo _ Z is, , -,coo 00 PROJT 146'i ERATION: 4 - 2- I S 3(10, ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY: '• • AMT.: 1-IF-C.- i ", i. TRANSIT AMT.: T IF-MT t v..1)(tioq o0 PREPARED BY: CQ WASHINGTON COUNTY TIF NOTEBOOK form tiff O CITY OF TIGARD OREGON October 13, 1995 Sterling Development 3252 Holiday Ct. Suite 225 La Jolla, CA 92307 TRAFFIC IMPACT FEE FOR SAFEWAY STORE IN THE TIGARD PROMENADE 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. This calculation has been amended to reflect trip credits for the demolition of three single family residential units. The amount of the TIF is $215,360.00. 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. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1st of each year. At the time of application for the permit a Countywide Traffic Impact Fee Payment Option Form was signed indicating that you would be deferring payment to occupancy. If you have any questions, or if I can be of further service, please contact me at 639- 4171. 6 nA4.4;a ,, L1 Bonnie Mulhearn Development Services Technician c: TIF file Building file MPR Architects 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 1,111 p /y,", 4,°' ... Commercial Buildin emit A pplication : City of Tigard �, it A C . • i \ 1 .. 13125 SW Hall Blvd. l\ ? 2 ,� Tigard, OR 97223 Or 1 y > 7 `�� GS 6 (503) 639 -4171 o d� v ` v" , y `� e 15A 11._510 c • Y• , s A. ° . Z. 6 PO > C l/ — ' s3,ye2 Jobsite Address: *A: Tenant: ��7 a. t SAG . Suite # Office Use Only Valuation: � I . `I 64 Planck/Rec # � ,, � Permit # 6O f 15= o 7 Dt Cr) '4 Owner: J' \∎ rl.rf' e- i Z Map & TL it Address: " 27i k-Vv. ` .Q.1 et • 'w/ Approvals Required La V,A1a. , V • 4 1 Planning � bK q5 -Go5 CQV & 2 - Phone: 1 i, E ngineering ' , ,, Other 56 l 6 _ ma c( Contractor: -.> /yt- / ©CC Address: �}] Type of const: .�•�d�- . A/ Occupancy class: • Z • Phone: Sprinklered? - No S 3, .PG Z Contractor's License # �/J (attach copy of current Oregon license) Sq. ft. of project: '4 1 t Contact name & phone: Story (1st, 2nd, etc.) v`, /rw • l p� L � 4 _ Proposed use: C�N'lkRI' / � / Architect/Engineer: 1 '� 1 t � . 44 _ Q � �� Previous use: Address: 11 1 !'iwiff CV. T • \rjAA • I ( � Note: Plumbing & mechanical plans L� must be submitted at time of building permit application. O 04-; ., �� Phone: JOB DESCRIPTION: (* GaW¢I' Ge .-v otec/'21 ret 0 %oce y wtiy& 1 t- :" 7. ignature & P e number �' Received by: b • Date Received: 7 -- 14-61` Permit # Account Description Amount Amt. Pd. Bal.'bue �l)Y q 0316 Bldg. Permit (BUILD) 9"5 v s -`7 • Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) y .2.d-1 ----- Bldg: Plumb: Mech: 5-742 Plan Check (PLANCK) J l (t L I C , Z 7/b Bldg: Plumb: Mech: �.o r etS -b31 l Sewer Connection (SWUSA) DS c l I r C) /fit 1 - i i60-•� Sewer Inspection (SWINSP) 45 L 15 Parks Dev Charge (PKSDC) 1--( J ° Residential TIF (TIF -R) / it , /Mass Transit TIF (TIF -MT) £0 L40% 4.f �'�� b "Ai" Aft, D 1a Commercial TIF (TIP -C) f 15 152_ 6F r � 1St , � SZ � Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) A jf. a 1 g ' 02 Erosion Cntrl Permit (ERPRMT) 5/, d' 'Gd Erosion Planck/USA (ERPLAN) /cal 6 (� y �� Erosion Planck/COT (EROSN) /)' 'I � f, V 69 TOTALS: i 57;(, 1 4 4 t , P ''f t z:26, 2515 1 -43-601.(1.25 ' _ 1/21/00 Activities for Case #: BUP95 -00316 . 4:15:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes . BUPC007 Application received _ 7/28/95 JD PEND B 8/8/95 BUPCO20 Plan check by 8/8/95 10/11/95 JHF APPR JHF 10/11/95 to typing AM 9 -15-95 BUPC040 Check for prd. restrict. 8/8/95 8/8/95 JD APPR JDA 4/3/96 BUPC460 Devel review cond. met . 4/10/96 JDA PASS JDA 4/10/96 BUPC740 Framing Insp • 1/18/96 RB PART TLP 2/8/96 entire perimeter ext walls & dropped curtain at fwd location- dose up stud spacing to no greater than 24 "; secure top plate bracing. • BUPC750 Insulation Insp 2/7/96 TLP PASS TLP 2/8/96 BUPC760 Gyp Board Insp 2/7/96 TLP PASS TLP 2/8/96 BUPC762 Susp Ceilng Insp 2/15/96 TLP PART TLP 2/20/96 BUPC799 Final Inspection . 4/2/96 TLP PASS TLP 4/2/96 BUPC726 Tilt -up Pnl Insp 9/15/95 3/28/96 TLP PASS TLP 4/2/96 BUPC727 Masonry Insp 9/15/95 3/28/96 TLP PASS TLP 4/2/96 special insp. BUPC768 Structural welding final reprt 9/15/95 4/4/96 . TLP PASS TLP 4/4/96. BUPC764 Bolts in concrete final report 9/15/95 4/4/96 TLP PASS TLP 4/4/96 BUPC769 High strength bolts final rept 9/15/95 4/4/96 TLP PASS TLP 4/4/96 . BUPCO24 Plans Approved /Routed to DSTs 10/6/95 10/11/95 JHF APPR JDA 10/12/95 . BUPC090 (F) Ready to issue 10/16/95 JDA PASS B 10/16/95 Need contractor info. BUPC100 (F) Issue permit 10/19/95 JSD PASS JD 10/19/95 BUPC100 (F) Issue permit 10/19/95 JSD PASS JD 10/19/95 BUPC100 (F) Issue permit 10/19/95 JSD PASS JD 10/19/95 BUPC740 Framing Insp 2/8/96 211/96 TLP PASS TLP 2/8/96 BUPC762 Susp Ceilng Insp 3/6/96 3/5/96 TLP PASS TLP 3/6/96 BUPC763 Reinforced concrete final rept 4/2/96 4/2/96 TLP PASS JDA 4/4/96 BUPC770 Structural masonry final reprt 4/2/96 4/4/96 TLP PASS TLP 4/4/96 BUPC960 Case Finaled 4/4/96 TLP PASS TLP 4/4/96 BUPC740 Framing Insp 4/5/96 4/4/96 TLP PART TLP . 4/5/96 BUPC947 (F) Issue Temp Cert of Occ 4/11/96 4/11/96 JDA APPR JDA 4/11/96 Approved with conditions that ELR96 -0102, ELR96 -0108, PLM96 -0073 and ALL TIF • FEES BE PAID BUPC950 (F) Issue Cert. of Occupancy 4/2/96 JF JF 9/17/96 Page 1 of 1