Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
'IN CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00057 ° COMMUNITY DEVELOPMENT DATE ISSUED: 7/18/2008 Ti G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S136CD -00500 SITE ADDRESS: 08050 SW PFAFFLE ST ZONING: C -P SUBDIVISION: PACIFIC CROSSROADS CORP LOT: JURISDICTION: TIG PROJECT: PACIFIC CROSSROADS CORP.CENTER Project Description: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM BUP2007 -00579 & 580 APPLIED TO THIS PERMIT. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 5,050 sf N: NR S: 1HR E: NR W: NR TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: N S: U E: N W: N OCCUPANCY GRP: B TOTAL AREA: 5,050 sf ROOF CONST: FIRE RET? N OCCUPANCY LOAD: 51 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 20 ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: psf • LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: 12,309 PRO CORR: U PARKING: VALUE: $ 532,119.00 Owner: Contractor: CEDAR HILLS DEVELOPMENT PACIFIC CREST STRUCTURES INC 915 NW TORRYVIEW LANE 17750 SW UPPER BOON ES FRY #190 PORTLAND, OR 97229 DURHAM, OR 97224 Contact #: PRI 503 968 - 8949 Phone: 503 - 299 -3100 FAX 503 - 598 -6658 Reg #: LIC 66915 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pin Rv 2/22/2008 $890.31 Ersn Cntrl 681 -4444 [FLS] FLS Pin Rv 2/22/2008 $547.88 Reinforced concrete Bolts in concrete [BUILD] Permit Fee 7/18/2008 $1,874.30 Structural welding [TAX] 12% State Surcha 7/18/2008 $224.92 (additional fees not listed here) Total $29,806.78 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 .66• • . 1.800.332.2344. . Issued 4' I L .". _ P ermittee Signatu f 4110" riri( Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FA i Fie— ZQe ` j s '30 o ' Building Permit Application q /� (� t/ / FOR OFFICE USE ONLY Received City of Tigard DateBBy: pC p1 g l I 1 Permit No.: 0 e Q I ° 13125 SW Hall Blvd., Tigard, OR 97 , . , T f Ire++ Plan Revie ■ Phone: 503.639.4171 Fax: 503.598.``.1 Date/By: Q 1 Z — Other Permit: TI GARD Inspection Line: 503.639.4175 V p q cl L+ 9J 8 Date Ready/By: /f t Juri �. Supple ❑See ment Page al 2 Infofor ation Internet: www.tigard- or.gov J L+ Notified/Method: rm • • r l TYPE OF W nl,a.\ ` 19 ; , ft \ REQUIRED DATA:1- AND 2- FAMILY DWELLING 2 ew construction g.1 • a! ($ b` ` Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling [t Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: gO50 S vl ? f STQ.tit. i New dwelling area: square feet City /State /ZIP: — r7 e 4 A rz ., , © P-U Q o N Garage /carport area: square feet Suite/bldg. /apt. no.: C Project name: r/tC( rIC Goss eoAPs Covered porch area: square feet Cross street/directions to job site: 5' S1 4 L8 Sip- E -t- alp Deck area: square feet S W 9 -1-14- AV G NJ to a Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: 5ol , 4-0o Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1St Indicate the value (rounded to the nearest dollar) of all t 3 1 C b I��ND 1 equipment, materials, labor, overhead, and the rofit for the 5 . pp DESCRIPTION OF WORK work indicated on this application. ) �8 1\61N W l S 00 1 sttE LL *u' Lb t N Ct - S D 5 0 Sr Valuation: W IS 0 Cc KP ittkl C■I U NflC - - Tit (S R-M 1-1- Existing building area: Or square feet New building area: G p 5 0 square feet PROPERTY OWNER . ❑ TENANT Number of stories: I Name: (1 p A p- a-LS / E V E L Op m E N-- Type of construction: V - $ Address: 9 I 5 NW T a- y V l E w LANE Occupancy groups: City /State/ZIP: - 4: ) ." ta-rLA Nb , ©P-E 610 N 4 0 - X0 1 -9 Existing: N I ,f! Phone: (S # 7_11 - • 3 I 0 0 Fax: ( ) New: []APPLICANT �+❑ CONTACT PERSON . NOTICE t�" 1 Business name: t L'DR-EN ) .St N qla- otAP All contractors and subcontractors are required to be Contact name: 13 pp EA ra.4:, licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: (QS 0 '5 V•1 $EVE LANA Silx-t£-1- ` St IT1E 1/3.O jurisdiction in which work is being performed. If the I applicant is exempt from licensing, the following reasons City /State /ZIP: "Ti e & , P£ G 0 N Q [ U, 3 apply: Phone: (503) A-44 - OS5 : . Fax:: (503) /Z¢4 • 04 i i E -mail: l @0 N1D4 . Cowl CONTRACTOR Business name: --PfcC,1 ( c 6 1 WkeTIARES ) 11.1 C C. BUILDING PERMIT FEES* Address: q (Please Please refer ro fee schedule) �� Sw ��$L� �� ) • 'Slit lT E (6 Structural plan review fee (or deposit): WO . 3/ City/State /ZIP :Tm 0-T t_q u D ©P2 O AI 9 3-2 44 t ��9 $g FLS plan review fee (if applicable): Phone: ( 51)3) 1 LQ t5 • g 144 Fax: ( ) CCB lic.: S Total fees due upon application: i q,3 s.'. / Amount received: Authorized signature: This permit application expires if a permit is not btained within 180 days after it has been accepted as complete. Print name: F5 - -i � Date: 4 2- (S. 015 • Fee methodology set by Tri -County Building Industry t Service Board. I:\Building\Pemmits‘BUP PermitApp.doc 12/27/06 440- 4613T(1 I /02/COM/WEB) Building Division Plan Submittal Requirements TIGARD Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name El phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: • A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). • D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. • G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. - N ■lf+ -e4. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. • • I: \Building \Permits \BUP -COM PermitApp.doc 02/23/07 IIIII ° Building Division Plan Submittal Requirement Matrix TIGARD Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building Z Fire Protection System 2 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \Building \Permits \BUP -COM PermitApp.doc 02/23/07 1 • MILDREN DESIGN GROUP, P.C. RECEIVE ARCHITECTURE • SPACE PLANNING 7650 SW Beveland Street, Suite 120 Tigard, Oregon 97223 FEB 2 2 2008 Voice: 503-244-0552 Fax: 503-244-0417 CITY OF TIGARD BUILDING DIVISION LETTER OF TRANSMITTAL To: City of Tigard Date: February 15, 2008 Attention: Building Department Copy to: Project Name: . Pacific Crossroads Corporate Center Project Number: 106244 BUILDING C Attached items: Description: 1 Permit Application 2 sets Permit Set Submittal - A0.1, A1.1, A1.2, A3.1, A3.1, A4.1, A4.2, A5.1, S1.0, S2.1, S4.1, S5.1, S5.2 1 set Specifications 2 sets Structural Calculations 1 copy TVFR Building Survey 1 copy Energy Code Summary 1 copy Stormwater Report 2 sets A1.1, C1.0 & C1.1 X For your use _ For approval For your review _ As requested Remarks: Signed: Betty K. Sheppeard • Mailed _ To be picked up X Delivered via MDG • P: \106244 \wp \trCity of Tigard- Building Permit-C.1.wpd • CITY OF TIGARD ' __ . 41/ ' . BUILDING DIVISION - - PERMIT #: BUP7008-008 ;7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ill 8t2000 Phone: (503) 639 -4171 4 ' '� ', 4v. Inspection Requests (24 Hrs.): (503) 639 -4175 ' I Imo: `� INSPECTION WORKSHEET FOR DATE: 1//2520083 TIME: 7 :01 AM PAGE: 18 SITE ADDRESS: MOW SW PFAFI :1_E ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: . ' TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORRCE ITER DESCRIPTION: Buil�din C. New 6,050 sq ft office building. DEMO CREDI TS FROM 1`i1JP2007 -00579 & 680 PLIED 0 THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 50;4- 299 -3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC'. . , PHONE #: 50.961 -x 949 Inspection Request Scheduled For: Date: 11/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message . . 299 F=inal inspection 016492-01 503307 - 6366 N , Corrections/Comments/Instructions: J __Apjc6A.,. i I sz_41 -- --e-t a -. x, A MAMPII'' AM IlErnro , ( ,..9---" c .---- s,... '''k 0-4.--tf‘- v% 1/4.--"-- c t . } 1(6/14'r/ rj PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS (l FAIL n CALL FOR INSPECTION. El ADDITIONAL FEES ASSESSED • Inspector: / D a t e. / Phone #: (503) 718- CITY OF TIGARD• • BUILDING DIVISION PERMIT #: I UI� c c 000t;7 q___... . • 13125 SW Hall.Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639 -4171 u- A � Inspection Requests (24 Hrs.): (503) 639 -4175 ___. `--.. � INSPECTION WORKSHEET FOR DATE: ' 110412008 TIME: 7:0AM PAGE: 3 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC: CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CL N TER DESCRIPTION: Building C. New 5,050 rq ft office building. DEMO CREDITS FROM BUP2007 -00570 & 580 APPLIED TO THIS PERMIT. • OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503209-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503958 -6840 Inspection Request Scheduled For: Date: 11/24 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 070447 -01 '503-307-6366 N Corrections /Comm nts /Instruc .o. ,I „Afic f.. _ `_, r Q * . • . °' P ! - Q- 5 r /IL/at (g- ) . 0■A/ :ANA ntUt tr/If) - 1'5 '‘,.., \N "Fir: sf"e(, 1 1 PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . 1 / 7 . - 1 . Inspector: Vbt ti ll t/" ..----'\ Date: Phone #: (503) 718 - /A . ., ,-,, CITY OF TIGARD BUILDING DIVISION - PERMIT #: BUP2008.00067 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7118/2008 Phone: (503) 639-4171 ' ":41llstlifl Inspection Requests (24 Hrs.): (503) 639-4175 ...„, . ,-,.... INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7:02AM • PAGE: . 2 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP .CENTER DESCRIPTION: Building C. New 5,050 - sq ft office building. DEisii0 CREDITS FROM BUP2007•00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503..29-3190 CONTRACTOR: .PACIFIC CREST STRUCTURES INC PHONE #: 503-968.8949 Inspection Request Scheduled For: Date: 11/24/2008 Pour Time: . • Code # Inspection Description Confirm # Contact # Message . 299 Final inspection 078447-02 503. 307-6365 N ‘ ' Corrections/Sommeiiits t fLO/Nfcl ' 6, f 4• II '7,%/Os‘ 15\ke3 ' .., A A ,(q 0 . 0( & tl k A .4 1" I - 1 • W1/4t-i i 1 D -6) » a-- - 4 lopt,),,,,c v,i.i . , , _. • _... A A .2 _ __,,,....A , • 4 - i . 0-.ANN giAjk ....i 5- - \ea tevvg-- 41.r 3e. . e6-49P-d- 3 ' LA • i \4i 7 r%_,..k SUL-AAA rv...V , c , • Wrigilnlnl ' I - 14Ltdc 1 cir 3 -1(\z,S1.5 .-;--» roe. cA\e—RuJic-‹Q. • PASS/ D PARTIAL APPROVAL 0 CANCEL - fil NO ACCESS .FAIL 1 1 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: i 1/j4/1) V Phone #: (503) 718- 24e4) ..-- CITY OF TIGARD BUILDING DIVISION _ PERMIT #: BUP2008-00057 13125 SW Hall Blvd., Tigard, OR 97223 41, _, DATE ISSUED: 711812008 Phone: (503) 639-417 , 1 ,- Inspection Requests (24 Hrs.): (503) 639-4175 ...,,,-- .„ '1,1.; /0 (3 INSPECTION WORKSHEET FOR DATE: •1aI/2008 TIME: 7 PAGE: 1 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: I 'AC F r CROSSROADS CORP.CENTER DESCRIPTION: uilding 0 New 5,050 so It office building. DEMO CREDITS FROM B1JP2007-00579 & 580 A .. 10 THIS PERivilT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503_799.3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503..968_894g 6rt Inspection Request Scheduled For: Date: 1101/2008 Pour Time: Code # Inspection Description Confirm # Contact # Mes .. g:. 299 Final inspection 078395 503 Y 0 Correction-. Vr fents/Instructions: 4 - De., 0 40 - 60 o s o ' Oeihia(-rns , 1 1 0 • ' 1 oo0 0 0 o o c i . Aw_v_ _ __- - _ • , 5D-2. 4' • - p - _..... i - . O•tr • _ . 1 ot..._ "Ilk ' - in... cr - OREM' • - vv) J s ak54-7.. o I - - - • , - - c - - - - - z ) . c - _ _ _ • • i . 0 • . , _ , k _ . 7 , , IFI N I 0 • 7 4 i --( j r1) c AI or i}k ,..... 1a)/41 k ‘,1,k) IP ft: R tdv— • ,. • ' IF AMIW I M. - 1-v- ' -.S2 , _........ 1 _ Mdt i zu..) r ,. ,/ - • —......„-r4 _________________ J ' , - \ / ! A 6 , /.. b. / i 1 \ • a. —.-■ - kk_.(2-e.IS r tM gli .- E7 iit ,f 7 ...-. CA.41( a 4 VL- % • lio-f /2“/L-r— 0 PASS / / 0 PARTIAL APPROVAL 0 CANCEL El NO ACCESS • FAIL PASS ' /0 I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 1 0 Inspector: '--,...- --',' • A ..............--- . Date: 1 y ne #: (503) 718- 2 r_ 2...)4 .... CITY OF TIGARD BUILDING DIVISION - A _ PERMIT #: OUP2008-00051 13125 SW Hall Blvd., Tigard, OR 97223 DATE 7/18/2000 Phone: (503) 639-4171 *dipplit 1# Inspection Requests (24 Hrs.): (503) 639-4175 AO 112. • INSPECTION WORKSHEET FOR DATE: . 11/20/2008 TIME: ?:00AM PAGE: 36 SITE ADDRESS: 08050 SW.PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: . PROJECT NAME: PACIFIC CROSSROADS CORP CENTER DESCRIPTION: Building C. New 6,060 sq ft office building. DEMO CREDITS FROM BUP2007-00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503.968_8949 Inspection Request Scheduled For: Date: 11/20/2000 Pour Time: 9 Code # Inspection Description . Confirm # Contact # • Message 266 Masonry 078281-01 503.-666•4723 Y Corrections/Comments/Instructions: C__/Vi (j F.e.6.4- (k Oc" ` 51 C vk doS o re— . . . , . . • . . . I I PASS PARTIAL APPROVAL ?.."--- Ell CANCEL • • Ej NO ACCESS I l FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED • ... . Inspector: ZS Date: Rbiladag Phone #: (503) 718- 2 ‘/ 2 3 . -..,,,,,--.„: . • . . . CITY OF TIGARD . , A , . BUILDING DIVISION PERMIT #: I ; P2008 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2000 Phone: (503) 639 -4171 ://v ,,�'�I I Inspection Requests (24 Hrs.): (503) 639 -4175 1 `__ INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7 :00Am PAGE: 34 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTE: as DESCRIPTION: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM c UP2007•00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 -299 -3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503..958_894g Inspection Request Scheduled For: Date: '11114/2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 266 Mrtsoniy • 078031 -02 503 - 566.4723 Y - Corrections /Comments /Instructions: li.S ior Aevrovi 3 /�h. S Ate ,• uJjIl n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [j] FAIL iii ____ CALL FOR INSPECTION E1 ADDITIONAL FEES ASSESSED Inspector: 73S Date: / /zl/nt,a4 Phone #: (503) 718- /2c/ -2 CITY OF TIGARD , ■ A BUILDING DIVISION PERMIT #: SUP2008 -00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639 -4171 ICI; . Inspection Requests (24 Hrs.): (503) 639 -4175 .....� s ° -.,. INSPECTION WORKSHEET FOR DATE: 11/14/2008 TIME: 7:00AM PAGE: 12 . SITE ADDRESS: 08060 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM C3UP 2007 - 00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 603.988.8949 Inspection Request Scheduled For: Date: 11/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 07809401 503+307 -5385 N Corrections /Comments /Instructions: c5e..e- ?e,P0 a 4 / dCTde "41-. \v"9Q,vi# To AKA; ✓IP.P -r 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /OS Date: "/il/' O8 Phone #: (503) 718- 2 /9 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2008-00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639-4171 ' 4714Pillili Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 'illionooe TIME: 7 PAGE: 23 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM BUP2007-00579 & 500 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299•3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503_988.8949 Inspection Request Scheduled For: Date: • 11/1012008 Pour Time: Code # Inspection Description Confirm # Contact # Message AAA 265 Masonry 077854-01 503-666-4723 y Corrections /Comments/ Instructions: AL .- 1 Ak k U./4 ii 4" PASS /PARTIAL APPROVAL D CANCEL E NO ACCESS fl FAIL Li CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: 33 Date: MAka eg Phone #: (503) 718- 42442-3 CITY OF TIGARD . BUILDING DIVISION PERMIT #: BUP2008-00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/20of Phone: (503) 639-4171 ,x, Inspection Requests (24 Hrs.): (503) 639-4175 ,,, , --. INSPECTION WORKSHEET FOR DATE: 1102008 TIME: 7 PAGE: 47 SITE ADDRESS: 08050 ..SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5,060 sq ft office building. DEMO CREDITS FROM BUP2007-00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503.968_894g Inspection Request Scheduled For: Date: 11/6/2008 Pour Time: moo Code # Inspection Description Confirm # Contact # Message 265 Masoniy 077720-01 503-6564723 Y ( 0 i y P Corrections/Comments/ Instructions: 50 / - - / 3 - ot,' W es + Wa // 3L) Co t in ,\0,1-vxv 411 litete/5 1/ ' El PASS PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS n FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 7 Date: 6A6u06 Phone #: (503) 718- 2/2 3 CITY OF TIGARD ' BUILDING DIVISION • PERMIT #: RUP2008 -000 ,7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 ' `'f I INSPECTION WORKSHEET FOR DATE: 1.1 /3nooa TIME: 7 : OOAM PAGE: 29 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: nild 3 New 5,050 sq ft office building. DEMO CREDITS FROM BUP2007- 00573 & 580 JED`TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: € 03- 298.3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 501 -96 &89,49 Inspection Request Scheduled For: Date: 11/3/2000 Pour Time: 11 Code # Inspection Description Confirm # Contact # Message 265 Masonry 077541 -01 503 - 656.4723 Y Corrections /Comments /Instructio s: _\/ ._:::-N(,--.. 1 ,/, -- 1 ---- 144-e_z____) sTR e, S a ce ICJ • (.....) 1 i 44e e_opetet,.(- K 0 C __J p/_-_51 . e✓I, 0 T C- T tO�-c — irk - 2) ( t ---. 'D — a ■ ' 1 - ; . .■ ot4 f 74.1.__ _ i-o C_ / >7`l LPL, L ilia lL..ur: t-1 ' Ci C& C���-- n PASS i';'tal11■11111 11 ./. RTIA - ' ' Pe ❑ CANCEL n NO ACCESS ❑ FAIL. FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � .. Date: 4 1112-5- Phone #: (503) 718-Z-6 • . ,.. CITY OF TIGARD . . ..: A. , BUILDING DIVISION PERMIT #: BUP200 8-00057 13125 SW Hall Blvd., Tigard, OR 97223 ff DATE ISSUED: :iti mow Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 -- Al . ,--- - .. INSPECTION WORKSHEET FOR DATE: 10/31/2008 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: . SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: ILL' - C,OSSROAD::-.1 CORP.CENTEF DESCRIPTION: [ Ctlew 5,050 sq ft office building. DEMO CREDITS FROM BUP2007.00679 & 680 APf lED THIS PERIvilT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURE-1 INC PHONE #: 503-969-8949 . Inspection Request Scheduled For: Date: 10/31/2008 ‘ Pour Time: pi Code # Inspection Description Confirm # Contact # Me- -ge 275 Framing 077418-01 603-307-6365 Y 1/‘1 % ( 115 Corrections/Com ents/Instructions: e-r e 4:14)614„,t - ir t-e.,- z. -f-il1A\1A\ Tz11\i-vtt9 , .Ji PASS ' PARTIAL APPROVAL 0 fl NO ACCESS pi FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: vu c At e „ Date: Vlb -7 - 6 Phone #: (503) 718- 21 CITY .QF TIGARD ' . • BUILDING DIVISION PERMIT #: I uP_ O08_0 057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 70 i 3 /2l 08 Phone: (503) 639 -4171u Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' 1. INSPECTION WORKSHEET FOR DATE: 10( 28/2008 TIME: 7 :01AM PAGE: 22 SITE ADDRESS: 08050 SW PFAFF: E ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: - PROJECT NAME: PACIFIC CROSSROADS CORP.CE:N T ER DESCRIPTION: Building C. New 5,0f$) sq ft office building. DEMO CREDITS FROM L3UP2007 -00579 & E80 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 - 299.3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968-8949 Inspection Request Scheduled For: Date: 10/28/2008 Pour Time: 9.08 Code # Inspection Descr'ption Confirm # Contact # Mes . ge 285 Masonry 07 7248-01 503. 6656 -4723 I MO Corrections /Comments /Inst ctions: /Y / ' - tv.- ,240t..-0".....e___ S Al -L=7\11_, ,e/d . c , . --:-:. ‘;‘,.•,,, _. ,, , Ai ❑ PASS Or • ' IAL APPROVAL' ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 & Date: l C 20 r Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: BUP2o08 -00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639 -4171 c � t i� Inspection Requests (24 Hrs.): (503) 639 -4175 .. ':� 1.!.. _ INSPECTION WORKSHEET FOR DATE: 10/2412008 TIME: 8.45AM PAGE: l SITE ADDRESS: 08050 SW WAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORD CENTER DESCRIPTION: Building C. New 5,060 sgft. office building. DEMO CREDIT'S FROM BUr2 )0/ 00674 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 03-299 -3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 603.968._8949 Inspection Request Scheduled For: Date: 10/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 240 Exterior sheathing 077173 -01 503 - 307 -6365 N Corrections /Comments /Instructions: J" 0 \ : C �� s ' , " 4a r,s5 — Atfl'‘ c) S tic) .s es. 51w.c 24ie 1> (-42.)A1,,u_ Zia° c- 0 tztiv ,,vv, criu-4-4-4,4..t 1 .. Yv 0. L v3 m 10 ace KA Lies )C UJc \ G- �o r Col u vr• y C_c: \v 1nS ) t P Ue -) is \t \\c) C'Jow..- S &i^ a ‘ e- k .- ' h. r, ANpafrii, PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 'Z'S Date: /Ca=1c e, Phone #: (503) 718- 2 . ,,, . .. .. . . , ..._ .. CITY OF TIGARD . . . .. . BUILDING DIVISION PERMIT #: I3UP2008-00057 13125 SW Hall Blvd., Tigard, OR 97223 , . DATE ISSUED: 7 /19/2000 Phone: (503) 639-4171 A, eltl Inspection Requests (24 Hrs.): (503) 639-4175 - - INSPECTION WORKSHEET FOR DATE: 10/24/2008 TIME: 1:01AM PAGE: 26 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP CENTER DESCRIPTION: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM 13UP2007-00519 & 680 APPLIED TO THIS PERIvilT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 603,.,799.3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 6.03,9613_894g • Inspection Request Scheduled For: • Date: '10/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 260 Roof nailing 071117-01 503-301-636.5 Y Corrections/Comments/Instructions: • - •,, . (1:ASS fl PARTIAL APPROVAL 111 CANCEL 1 NO ACCESS FAIL fl CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED ..._ FAIL Inspector: 0_5 Date: 2Yeie Phone #: (503) 718- 2 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: t'JP20013-00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7t18f2000 Phone: (503) 639 -4171 ,�, i? Inspection Requests (24 Hrs.): (503) 639 -4175 �!: . "': INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME: °t:l)"1AM PAGE: 45 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 013050 S'tA' PFAFFI_F ST LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORE PA(: :IFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5,050 sq ft offic:e building. DEMO CREDITS FROM BUP2007 -0079 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: .503_299_3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: .503_9%8949 Inspection Request Scheduled For: Date: 9/29/2008 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 076002 -01 503-307-6365 Corrections /Comments/ Instructions: 7t.2 c o etZ.c v e O kee, Vic. S4- t.R ❑ f ---- ! L n NO ACCESS ONAL FEES ASSESSED Inspei S e3. Phone #: (503) 718- - 3 CITY OF TIGARD BUILDING DIVISION PERMIT #: BI.JP200B-00057 13125 SW Hall Blvd., Tigard, OR 97223 .. . . DATE ISSUED: -au 18i2008 Phone: (503) 639-4171 ..tilt Inspection Requests (24 Hrs.): (503) 639-4175 ------^-- ---• INSPECTION WORKSHEET FOR DATE: 9/22/2008 TIME: 7:OOAM PAGE: 18 SITE ADDRESS: 0805'0 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM 13W2007-00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: c., Inspection Request Scheduled. For: . Date ' 9/22J2008 Pour Time • 11:00 Code # Inspection Description Confirm # Contact # Message AO - .49° 220 Slab 075733-01 503-307-6363 N Corrections/Comments/Instructions: • Si7.2.4-i o. C a .^ r a c f li d) r) jot----S 46 ii7e , - ri b $ee.dd • PASS de D CANCEL NO ACCESS _ fl FAIL 0 CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED Inspector: Z3 Date: oZ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION • . PERMIT #: BUP2008-00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 „J.J.- 11. INSPECTION WORKSHEET FOR DATE: 8/29/2008 TIME: 7:00AIVI PAGE: 16 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: . PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5,050 sq ft office building. DEMO CREDITS FROM BUP2007-00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 03-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: .603-968-8949 Inspection Request Scheduled For: Date: 8/29!2006 Pour Time: 1:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 074862-01 503-307-6366 Corrections/Comments/Instructions: q frte. 4rAl + f.4° k fl MIMI TM Mir!" / bedgA f te4 9j< KIPASS ri PARTIAL APPROVAL H CANCEL EI NO ACCESS FAIL fl CA L FOR INSPECTION P1 ADDITIONAL FEES ASSESSED tiVeY Inspector: Date: q4 Phone #: (503) 718-.2 CITY OF 1TIGARD • • BUILDING DIVISION PERMIT #: BUP2008•00057 13125 SW Hall Blvd., Tigard, OR 97223 ®� DATE ISSUED: 7//802008 Phone: (503) 639 -4171 f Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/26/'2008 TIME: 7:01AM PAGE: 19 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: building C. New 5,050 sq ft office building. DEMO CREDITS FROM M -00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 958 8949 Inspection Request Scheduled For: Date: 11/2£,2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 280 Insulation 07849(101 50:3 307 -6366 N Corrections /Comments/ Instructions: • - 'P/C ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CAL R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / #: (503) 718-2-'4 LY • CITY OF TIGARD 0 _ BUILDING DIVISION PERMIT #: BUP2008.00057 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/20013 Phone: (503) 639 -4171 q (A,, Inspection Requests (24 Hrs.): (503) 639 -4175 . °'I,I.. INSPECTION WORKSHEET FOR DATE: 11/210008 TIME: 7:OOAM PAGE: 19 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP.CENTER DESCRIPTION: Building C. New 5 sq ft office building. DEMO CREDITS FROM BtJP2007- 00575 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503 - 968.8949 Inspection Request Scheduled For: Date: 11/21/2008 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 265 Masonry 07837&01 503 - 65%4723 y Corrections /Comments /Instructions: Tf/(S ti 0 k CI- .s' i -1 eioLY • n PASS �• : 'TIAL A ' ' e ! • ° I ❑ CANCEL ❑ NO ACCESS FAIL /J , L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 21 /al u d g Phone #: (503) 718- 7/2 - _,C r., CITY OF TIGARD • BUILDING DIVISION PERMIT #: BUP2008-00057 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 7/1008 Phone: (503) 639-4171 .4j'4(1. q91 01 .0 Inspection Requests (24 Hrs.): (503) 639-4175 _.4-.. 1.... INSPECTION WORKSHEET FOR DATE: 11/25/2008 TIME: 7 PAGE: 19 SITE ADDRESS: OB060 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORRCENTER DESCRIPTION: building C. New 5,050 so ft office building. DEMO CREDITS FROM BUP2007-00579 & 580 APPLIED TO THIS PERIvIII. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 503 CONTRACTOR: PACIFIC CREST STRUCTURES INC . PHONE #: 503-968.8949 Inspection Request Scheduled For: Date: '11/25/200B Pour Time: Code # Inspection Description Confirm # Contact # Message 2130 Insulation 018490-01 503-307-6365 N • Corrections /Comments/ Instructions: 11"/A 0 PARTIAL APPROVAL [1] CANCEL 0 NO ACCESS 1 FAIL El CAL R INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: ‘' t/ #: (503) 718- L Y ..... ... i ■ ---- CITY OF TIGARD BUILDINQ DIVISION .._ A ' PERMIT #: Bt1P')008-00057 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 7/18/2008 Phone: (503) 639-4171 AIM‘ ;II lt' Inspection Requests (24 Hrs.): (503) 639-4175 O INSPECTION WORKSHEET FOR DATE: 11/2112008 TIME: 7:00Am PAGE: 19 SITE ADDRESS: 08050 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: PACIFIC CROSSROADS CORP LOT #: . TYPE OF USE: PROJECT NAME: PACIFIC CROSSROADS CORP CENTER DESCRIPTION: Building C. New 5,050 sq ft, office building. DEMO CREDITS FROM BUP2007•00579 & 580 APPLIED TO THIS PERMIT. OWNER: CEDAR HILLS DEVELOPMENT, PHONE #: 603-299-3100 CONTRACTOR: PACIFIC CREST STRUCTURES INC PHONE #: 503-968-13949 Inspection Request Scheduled For: Date: 11/21/2008 Pour Time: 2:00 Code # - Inspection Description Confirm # Contact # Message 266 Masonry 078376-01 503-6561723 y Corrections/Comments/Instructions: k ' --- -■11.- -46 o i 0 Ly PASS s..IIII /4 - TI AL A • • !. 0 • '1 I] CANCEL El NO ACCESS 1 6■ - - ri FAIL I /1 , ' L FOR INSPECTION [I] ADDITIONAL FEES ASSESSED Inspector: ---- Date: 2/ rd e Phone #: (503) 718- . IIBuilding Division Memorandum Fire Department Building Survey and Plans TIGARD 0\10 l q,1: TO: Commercial Building Permit Applicants �� -( \GPS o11 G \ '� G G 0" FROM: Brian Blalock, Building Official Q \ � \ \� Q \�' Community Development - Building Division DATE: January 1, 2007 SUBJECT: Fire Department Building Survey and Plans Under the provisions of the Uniform Fire Code with Tualatin Valley Fire and Rescue amendments, a provision of their amendment requires the applicant submit with the building permit application the attached Fire Department Survey and Plans. Instructions for completing the form can be found at the Tualatin Valley Fire and Rescue Web site at www.tvfr.com. At the top of the page, click on Departments and select New Construction under Fire Prevention. The Building Survey Form Instructions are listed under Building Survey. If you have any questions relating to the preparation, or questions relating to a term, please call Mr. John Dalby at 503- 356 -4700. • 'I: \ Building \ Forms \FireSurveyMemo.doc 01/03/07 • APPENDIX III -F Ordinance 99 -01 APPENDIX III -F FIRE DEPARTMENT BUILDING SURVEY AND PLANS SECTION 1 — SCOPE Fire Department Connection locations Under Ground Location and size of water mains used for fire When a building permit is required by Oregon Structural protection (Public and Private) Specialty Code, building survey and plans for use by the fire Above ground and below ground tanks (Flammables, department, shall be prepared by the permit appellant and Combustibles, Chemicals, LPG, Propane, Cryogenics, submitted to building department for routing to the fire etc.) Material within the tank and size shall be department in accordance with the provisions of Appendix indicated. Chapter III -F, at the time of issuance of the permits. Fences with gates (access points) Exceptions: 1. Remodels or tenant modifications where no Interior of the building changes or modifications are made to the items listed in Section 3 of this Appendix. Area Separation Walls Occupancy classifications and occupancy separation walls 2. Group R, Division 3 Occupancies. 3. Agricultural buildings as defined in ORS Section 455.315. Corridors and hallways 4. Structures housing Group B, F, M, R, S and U Rated corridors shall be indicated Occupancies that are less than 4000 square feet ground Unprotected openings in floors floor area or less than 20 feet from the lowest finished Unprotected stairways, escalators, etc. floor to the highest finished ceiling. Protected stair enclosures Protected shafts (Elevator, etc. ) Horizontal Exits and exit enclosures and extensions from enclosed stairway systems SECTION 2 — BUILDING SURVEY • Location of fire protection system controls See the attachment to this Appendix Chapter for the building Location of fire alarm system panels survey form. Location of electrical main disconnect Note: Upon request the survey form and a set of Location of domestic water shut off valve instructions can be obtained from the fire department. Location of main natural gas shut of valve Location of tanks above or below the floors their size and SECTION 3 — PLANS DOCUMENTATION contents. General Plan information Plans shall contain, but shall not be limited to, the following information: Name and address of the building Type of Construction per OSSC Building Exterior Edition Date of Code and date built Direction arrow (North) Property lines Architectural firm or individual that prepared the plans Building foot print Address and phone #. Access Roads (Required access roads shall be indicated) Fire Hydrant locations • • Fire Marshal's Offices T. %. { l ® North Division South Division East Division 14480 SW Jenkins Rd. 7401 SW Washo Court 624 7th Street Beaverton, OR 97005 Tualatin, OR 97062 Oregon City, OR 97045 Tualatin Valley (503) 356 -4799 (503) 612 -7000 (503) 657 -1365 .Fire -& Rescue Fax (503) 644 -2241 Fax (503) 612 -7003 Fax (503) 657 -7913 Page 1 of 2 Building Survey Report FMZ • (to be filled out by TVF &R) Code Edition: Name of Facility: IACIF IC G-0551 \t S CoR'e0IGI-ATL CENtEsa— Name of Building: tAILDI N G C Address: Owner: CE17' kt2- J1 ' r--"/ t_ai'rv(£NT Telephone No. (5a3) ?4i - 3 l Go Architect: Kt e 5 - t4,2N F - ° ' ? Telephone No. ( 5.63) 24_ _552 - 2 Architect Address: S d E JF t�P.tJD ST.' z _liZ� - 6 _ , _ 0 1? QN q�i� -J i .,k _ : 1 Iiefi4 :.. . ' COMM .,_ DESCRhPTION;; : f .., ',, 1. Occupancy Type IUse 01F-ICE Capacity 5 2. Construction Type v' _ .$ Year Built X0 O a 3. Area (Sq. Ft.) Total 5 ,o S 0 5f - Largest Floor N I .A Basement NI p,,, 4. Stories No. ` Height / Zei,'_ 6‘ High Rise DY 11K 5 a. Exterior Wall Construction 13/244- VE Nee ON \AI 0 e1) STIA:7? b. Opening Protection I v 614-E L2E'b 6. Interior Wall Construction NJ. I x£1 to (L V • vs L(6" lAt p£ R i S -teM 1/- 7. Floor Construction Co N e 'T S "g O N Gre Ps. V. F I 8. Roof Construction L-I- LA' P F � R RI N J l 6 01 dVE(Z I 01 ST 9. Attic Draft Stops No. lv0 N £ ll 10a. Occ. Sep. Wall Construction No. N ON b. Opening Protection I V 6 ha. Area Sep. Wall Construction No. 1,4 b v4 e I b. Opening Protection o N E 12a. Smoke Bather Wall Construction No. k I 0 t.le I b. Opening Protection N 0.1 E 13a. Corridor Wall Construction N Olt€ b. Opening Protection N 0 N E 14a. Corridor Ceiling Construction N Olv E b. Opening Protection N OWE 15a. Shafts No. NON Type I b. Opening Protection N 6 ts f Building Survey Report FMZ : (to be filled out by TVF &R) Name of Facility: P P CLF L< CR dsS7 °ApS a PT' o E 'NtiEtz — C ITEM COMM: DESCRIPTION' 16a. Stair Enclosure No. 1■1 OWE I b. Opening Protection 'I 6 NJ E 17. Stairs No. lv m N c 18. Ramps No. k V NC 19. Interior Finish Class Room A ' o t4 r Corridor Exit Enclosure 20. Exits No. Z Total Width (44" 21. Exit Hardware Type ^� TARN � C � IGE Y V fi H ^ t.L - 1)03- - o — V" A"� C' I 22a. Exit Signs/Illumination N O N E V N p€1'2— T tt lS Rw�1T b. Emergency Lighting Ki e N 1J,1.11pf (L ttt1S 23. Auto Sprinkler Coverage N o t.t.E 24. Standpipe Class/Locations NI o N E • 25. Fire Alarm Type /Coverage 0 N ,E 26. Heating, Ventilation & Air Conditioning Type . IFue1 • 27. Electrical Installation CT1 SIQVt.CE N.451,An-tc1 ON &eRtal 28. Stage/Platform N m N E 29. Hazardous Area NONE 30. Other Comments: • Alternate Materials & Methods ; TVF &R'Use_ Onl ._: Y .. ;:Inspected By: ' ' :Date No. Attachments Reviewed By.. Date • I . Updated ' ... erlee4. oilMeag5 3 , June 24, 2009 Cit of Tigard Cedar Hills Development Att: Roger Stalick 915 NW Terryview Lane Portland, OR 97229 RE: Pacific Crossroads TRAFFIC IMPACT FEE CREDIT APPROVAL SW Pfaffle Street Improvements Mr. Stalick: This is to inform you that your request for Traffic Impact Fee (TIF) Credits has been reviewed for SW Pfaffle Street improvements that were constructed as part of the Pacific Crossroads project. You paid $66,444 prior to July 1, 2008 in an effort to avoid paying the fee increase of $3,987. You did not request your credit refund within 30 days of paying the TIF and therefore are not eligible for the refund under these circumstances. I discussed your dilemma with the Washington County TIF Administrator at length. If you believe there was an error in the transfer of information regarding how the refund process works then it is likely that you would have deferred paying the TIF until occupancy. Proceeding on that basis, I can process a refund based on the following: Original fee paid prior to July 1, 2008 $66,444.00 Fee increase July 1, 2008 3,987.00 Credit for street improvements $42,716.86 Less Fee increase - 3,987.00 Refund $38,729.86 Please contact me if you have any questions. Kim ' + cMillan, P.E. Private Development Manager cc: Al Dickman, Sr. Engineering Tech Albert Shields, Permit Coordinator e - 13125 SW Hall Blvd. o Tigard, Oregon 97223 O 503.639.4171 TTY Relay: 503.684.2772 ® www.tigard or.gov . . ;oar C '/ (,_ ‘ _.e 00/000 1 15 "/ 4 4 L4,- C/fa- 7// 7 Gry . _air_A__4__-_n.ty • ,5d3 - 97-3 / _A iee _La-ILL, fiL ce emiile„___alaaLt__24_, u __ pr-A. / , iruz ar :A:,; 6) cf As ; drlY . SI_:-1)..S1-kOk ii 1 dikRato _A ___ ,,,s__61 A i a_x„ Q..,,4k_ ei- H City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Accela System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Accela System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Cedar Hills Development DATE: 7/13/09 915 NW Terryview Ln. Portland, OR 97229 REQUESTED BY: Kim McMillan Attn: Roger Stalick DLH TRANSACTION INFORMATION: Receipt #: 2008 -2319, 2318, 2317 Case #: BUP2008- 00057, 56, 55 Date: 6/30/08 Address /Parcel: Various Pay Method: Check Project Name: Pacific Crossroads EXPLANATION: Refund for TIF fees paid, for credit given for SW Pfaffle Street improvements. .ORMA N. •:R FIrN :�'INF . T. .. . ..R e d'' - - 'vertu ccou "Fee•.bes�r• e >:° �.. - ;:�: ..fµ .. - =�Sx •le. -. sI1D. `.Perrii�'F'ee •: ' :� � �;...... ,. _ ..`- 'Examp . .... ....9:.,.. .... , . _ .... . _ . . , .....gip -... '[B�.� ]. . .... ...... ..... .. ..... -, ., _ .. [TIF - TIF Office 4100000 -43323 $35,244.16 [TIF -MT] TIF -Mass Transit 4100000 -43325 3,485.70 • TOTAL REFUND: $38,729.86 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager its.. .. A A A . .� If under $22,500 Department Manager �y�,= t'ff3 ` .% r If under $50,000 City Manager s If over $50,000 Local Contract Review Board 6 „F,OR ACCELA=SYSTEM'ADM.IN.IST IJS ,ONL Y:•' Refund Request Reviewed: Date: T //:tee 7 By Case Refund Processed: Date: _ By: 1: \Building \ Refunds \RefundRequest.doc 04/13/09 Y5 'f /(o ij'`i " 64.L./ L. r4-A - • .3 91.3, 70 /11s� Tom/ . r7 . , Fee •Tape ' Revenue/GL Account ! Fee Amount Amount Due Updated 7 ,,3/ , 7.2 9 , pk, .• I '{ Qli ill pJ Clcl 2i'_'i'i :Q:j IEUr'F'L��:J r'Ir� F.�.: _ .,:•_Ufji li i.:i ]; :IJUi i _ (FLS) FLS Pin Rv 245-0000-433020 $547.88 $0.002/22/2008 [BULD] Permit Fee 245. 0000 - 432000 $1,871.60 $0,00 7 /182008 [TAX) 12% State Surcharge 100-0000 -207020 $224.59 $0.00 7/18/2008 (BUPPLN) Add Pin Rv ... _245. 0000 - 433000 $326.23 $0.00 7 1182008 (FLS] Add FLSPtnRv 245 - 0009433020 $200.76 $0.00 7/18/2008 (METCET) Metro Cant Excise Tx 245 - 0000 - 229202 $637.40 $0.00 7/1812008 • (CDCBLD) CDC Old Rev 245. 0000 - 433080 $143.50 $0.00 7/18/2038 (CDCPLNI CDC Pin Rev 100- 0000 - 433060 $143.50 $0.00 7,18/20138 (LRPF] LR Planning Surcharge 100-0000- 438050 $42.00 $0.00 7/1 8/2008 • • (ERPROAT] Erosion Control 100 -0000- 207307 5160.00 $0130 7 /182008 (ERPLN) Erosn Pin Rv CWS 100- 0000 - 207308 $52.00 $0.00 7 /18/2008 [EROSN) Erose Pin Rv COT 245 -0000 - 433010 $52.00 $0007 /18/2008 [BULD] Mac Fee 245- 0000 - 432000 $400.00. $.007/18/2008 [Tl- o)TIP- office 210-0000-448003 $19,440.00 $0006/3012008 1 1, 2.5 l •lo(o (TIF -MIT) TIF -Mess Trns ... - . _ ... 210 -0300- 4480 . . .. $1,728.00 . $0130 6302008 1, 1 (4 I . q a Refund - (BULD) Mite Fee 245-0000- 432000 ($40000) $0.0010/2912008 [BUPPLN) Addi Pin Rv 245-0000 - 433000 $400.00 $0.0010012008 Y • : ' • , Tolels:' $26,869:77 $0.00 • . • i:.. .. , I °ees AscocicittaI with 1311P2000-00055 - _ ::;''`; !1. ri 1 . 1. ' :. _ k, !::::''.:*60:,11411h, _ : ': .; • ' • Reitenu Account Fee Amount: Amoun Dtie_ . Updated . • • i (FLS) FLS Pin Rv 245- 0000 - 433020 $547.88 EOM 0 212 2/20 0 8 . [TAX] 12% State Surcharge 100- 0000 - 207020 $224.59 10.00 7/1872008 . (BULD) Perms Fee 245 -0000- 432000 $1,871.60 $0.00 7/18/2008 [OUPPLNI Add) Pin fly 245 -0000- 433000 $32823 $0.007 /18/2008 [FLS) Add FLS PtnRv 004330 $ _ _ 245.00- 20 200.76: . $0.00 [METCETJ Metro Const Excl se Tx245 -BUD 229202_ $637.78 $000 7/1 8/2008 7i/8/21938 [CDCBLD) CDC Bid Rev 24 5- 00 433 080 $143.50 $0.00 7 /18/2008 [CDCPLN] CDC Pin Rev 1 00- 0000. 433060 $143.50 $0.00 7 /182008 (LRPF) LR Planning Surcharge 100 - 0000 - 436050 $42.00 $0.00 7 /182008 • (ERPRMT) Erosion Control 100 -0000- 207307 $160.00 $0.00 7/18/2008 [ERPLN) Erosn Pin Rv CWS 100- 0000207308 $52.00 $0.00 7/18/2008 [EROSN)ErosnPlnRv COT ... 245 -0000- 433010 552.00 $0.007/1820138 [BUILD) Misc f _ 245-0000. 432000 8400.00. $0.00711 82008 1 [iF.o] TIP- Office '210-0000-446003 $19,440.00. 10.0081302008 1 1 L Z3l . (.040 (Tff -MT) TIF- Mess T 0.03 ins 21 00-448005 . $1,728.00 $0.0 0 600/008 l ' % ( . q a ' Refund • [BUILD) Misc Fee 245 0000 432000 ($400.00) $0.001 029/2008 • [BUPPLN) Add Pin Rv 245- 0000 - 433000 $400.00 $0.0010292008 _ - • . Totals; $26,860.15 • $0.00 . . • . fees A,soci,deJ with 0UP2000 -00057 i , ' ' t. -' • • o'a1 • . ` e; . •'F' ` e' ' : ' Revenue . ::Account • ' : Fee Amount • Amount: e U dated • [FLS] FLS Ptn Rv 245-0000-433020 $547.88 50.00 22220 CTR . • [BULD) Permf Fee 245-0000- 432000 $1,874.30 $0.00 7/1 8 /2008 CTR . [TAX] 12% State Surcharge 100. 0000207020 $224.92 $0.00 7/18/2008 CTR •• [BUPPLN) Add Pin Rv 245-0000 - 433000 $327.99 $0.00 7/18/21308 CTR [FLS] Add FLS PlnRv '245-0000-433020 $201.84 50.001118/2008 CTR ; ' [METCET) Metro Cons! Excise Tx 245-01300-229202 $638.54 $0.007 /182008 CTR [CDCBLDI CDC Old Rev 245 - 0000 - 433080 $143.50 10.00 7/1 82008 CTR . [CDCPLNI CD 060 C Pln Rev 100 - 0000433 $143.50 00.00;7/team CTR ,: [LRPF)LR Planning Surcharge 100-0000. 438050 $42.00 $0.007 /182008 CTR - (ERPRMT) Erosion Control 1000000-207307 $160.00 $0.007 /182008 CTR '' [ERPLJd] Erosn Pin Rv Cw5 '100-0000-207308 $52.00 $0.00 7/18/20138 CTR C [EROSN) Erosn pin Rv. COT 245-0000 - 433010 . $52.00 $0.00 7/1 82008 CTR • pup] Odic Fee . 245- 0000 - 40 $4 320000.00 50.00 7/1 820 08 CTR { • [TIF -0] TIF- Offi 210-0000- 448003 $22,140.00 $0.006/302 CTR ' t Z, t "'!00.84 [TIF -MT] TIP -Mass T 410. 0000 - 44800 Tms 11 .968.03 $0.00.613012008 C*4, • X1 p 1 Refund - [BUILD) Misc Fee 245 -0000- 432000 ($400.00) 1 ' � [BUPPLN) Addi Pin Rv 245 -0000- 433000 $400.00 $0.0010292006 CTR • Totals: $0.0010292008 CTR 1 / $20,806.78 $0.00 : • , 1..% ov r O . l ig CITY OF TIGARD FEE AND PAYMENT HISTORY m .: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TEGARD BUP2008 -00056 - 8020 SW PFAFFLE ST Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due [BUPPLN] Pln Rv 245 -0000- 433000 $890.31 $890.31 $890.31 2/22/08 CreditCard 2720080000 $0.00 0000000585 [FLS] FLS Pln Rv 245 -0000 -433020 $547.88 $547.88 $547.88 2/22/08 CreditCard 2720080000 $0.00 0000000585 [BUILD] Permit Fee 245 -0000- 432000 $1,871.60 $1,871.60 $1,871.60 7/18/08 Check 2720080000 $0.00 0000002534 [TAX] 12% State Surcharge 100 -0000- 207020 $224.59 $224.59 $224.59 7/18/08 Check 2720080000 $0.00 0000002534 [BUPPLN] Addl Pln Rv 245 -0000- 433000 $326.23 $326.23 $326.23 7/18/08 Check 2720080000 $0.00 0000002534 [FLS] Addl FLS PInRv 245 - 0000 -433020 $200.76 $200.76 $200.76 7/18/08 Check 2720080000 $0.00 0000002534 [METCET] Metro Const Excise Tx 245 -0000- 229202 $637.40 $637.40 $637.40 7/18/08 Check 2720080000 $0.00 0000002534 [CDCBLD] CDC Bld Rev 245 -0000- 433060 $143.50 $143.50 $143.50 7/18/08 Check 2720080000 $0.00 0000002534 [CDCPLN] CDC Pin Rev 100 -0000- 433060 $143.50 $143.50 $143.50 7/18/08 Check 2720080000 $0.00 0000002534 [LRPF] LR Planning Surcharge 100 -0000- 438050 $42.00 $42.00 $42.00 7/18/08 Check 2720080000 $0.00 0000002534 [ERPRMT] Erosion Control 100 -0000- 207307 $160.00 $160.00 $160.00 7/18/08 Check 2720080000 $0.00 0000002534 [ERPLN] Erosn Pin Rv CWS 100 -0000- 207308 $52.00 $52.00 $52.00 7/18/08 Check 2720080000 $0.00 0000002534 [EROSN] Erosn Pin Rv COT 245 -0000 -433010 $52.00 $52.00 $52.00 7/18/08 Check 2720080000 $0.00 0000002534 [BUILD] Misc Fee 245 -0000- 432000 $400.00 $400.00 $400.00 7/18/08 Check 2720080000 $0.00 0000002534 [TIF -O] TIF -Office Odom., y33,3 210 -0000-448003 $19,440.00 $19,440.00 $19,440.00 6/30/08 Check 2720080000 $0.00 0000002318 6 u,v2 O 0 - 0003'4, Revenue Payment • Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due [TIF -MT] TIF -Mass Tms *00000..- W25 -0000-448005 $1,728.00 $1,728.00 $1,728.00 6/30/08 Check 2720080000 $0.00 . 0000002318 [BUPPLN] Addl Pin Rv 245 -0000- 433000 $400.00 $400.00 $400.00 10/29/08 Check 2720080000 $0.00 0000003731 Refund - [BUILD] Misc Fee 245 -0000 -432000 $- 400.00 $ -400.00 $- 400.00 10/29/08 Check Refund 2720080000 $0.00 0000003730 Totals for Fees $26,859.77 $26,859.77 $26,859.77 $0.00 Receipt # Payment Method Check # Pavor: Receipt Date Receipt Amount 27200800000000000585 CreditCard PETER R STALICK 02/22/2008 $1,438.19 27200800000000002534 Check 1003 CEDAR HILLS 07/18/2008 $4,253.58 INVESTMENTS INC 27200800000000002318 Check 6041 ROGER STALOCK 06/30/2008 $21,168.00 27200800000000003730 Check Refund 10/29/2008 $- 400.00 27200800000000003731 Check 1003 CEDAR HILLS 10/29/2008 $400.00 INVESTMENTS INC Total Payments: $26,859.77 Balance Due: $0.00 CITY OF TIGARD FEE AND PAYMENT HISTORY • II a .. 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 I [CARD BUP2008 -00055 - 7910 SW PFAFFLE ST Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due [BUPPLN] Pln Rv 245 -0000- 433000 $890.31 $890.31 $890.31 2/22/08 CreditCard 2720080000 $0.00 0000000584 [FLS] FLS Pln Rv 245 -0000- 433020 $547.88 $547.88 $547.88 2/22/08 CreditCard 2720080000 $0.00 0000000584 [TAX] 12% State Surcharge 100 -0000- 207020 $224.59 $224.59 $224.59 7/18/08 Check 2720080000 $0.00 0000002533 [BUILD] Permit Fee 245 -0000- 432000 $1,871.60 $1,871.60 $1,871.60 7/18/08 Check 2720080000 $0.00 0000002533 [BUPPLN] Addl Pln Rv 245 -0000- 433000 $326.23 $326.23 $326.23 7/18/08 Check 0000002533 $0.00 [FLS] Addl FLS PInRv 245 -0000- 433020 $200.76 $200.76 $200.76 7/18/08 Check 0000002533 $0.00 [METCET] Metro Const Excise Tx 245 -0000- 229202 $637.78 $637.78 $637.78 7/18/08 Check 0000002533 $0.00 [CDCBLD] CDC Bld Rev 245 -0000- 433060 $143.50 $143.50 $143.50 7/18/08 Check 0000002533 $0.00 [CDCPLN] CDC Pln Rev 100 -0000 -433060 $143.50 $143.50 $143.50 7/18/08 Check 2720080000 $0.00 0000002533 [LRPF] LR Planning Surcharge 100 -0000 -438050 $42.00 $42.00 $42.00 7/18/08 Check 0000002533 $0.00 [ERPRMT] Erosion Control 100 -0000- 207307 $160.00 $160.00 $160.00 7/18/08 Check 0000002533 $0.00 [ERPLN] Erosn Pln Rv CWS 100 -0000- 207308 $52.00 $52.00 $52.00 7/18/08 Check 0000002533 $0.00 [EROSN] Erosn Pln Rv COT 245 -0000- 433010 $52.00 $52.00 $52.00 7/18/08 Check 0000002533 $0.00 [BUILD] Misc Fee 245 -0000- 432000 $400.00 $400.00 $400.00 7/18/08 Check 2720080000 $0.00 0000002533 [TIF -O] TIF -Office y /QiioO- (33023 210 -0000-448003 $19,440.00 $19,440.00 $19,440.00 6/30/08 Check 2720080000 $0.00 azipAool-Deas . Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due [TIF -MT] TIF -Mass Tms y /ODQA2• 93525 210-0000-448005 $1,728.00 $1,728.00 $1,728.00 6/30/08 Check 2720080000 $0.00 • 0000002317 [BUPPLN] Addl Pln Rv 245 -0000- 433000 $400.00 $400.00 $400.00 10/29/08 Check 2720080000 $0.00 0000003729 Refund - [BUILD] Misc Fee 245 -0000- 432000 $- 400.00 $- 400.00 $- 400.00 10/29/08 Check Refund 2720080000 $0.00 0000003728 Totals for Fees $26,860.15 $26,860.15 $26,860.15 $0.00 Receipt # Payment Method Check # Pavor: Receipt Date Receipt Amount 27200800000000000584 CreditCard PETER R STALICK 02/22/2008 $1,438.19 27200800000000002533 Check 1003 CEDAR HILLS 07/18/2008 $4,253.96 INVESTMENTS INC 27200800000000002317 Check 6041 ROGER STALICK 06/30/2008 $21,168.00 27200800000000003728 Check Refund - 10/29/2008 $- 400.00 27200800000000003729 Check 1003 CEDAR HILLS 10/29/2008 $400.00 INVESTMENTS INC Total Payments: $26,860.15 Balance Due: $0.00 CITY OF TIGARD FEE AND PAYMENT HISTORY i 1 2I : _ I 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TLGARL3 BUP2008 -00057 - 8050 SW PFAFFLE ST Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due [BUPPLN] Pln Rv 245 -0000 -433000 $890.31 $890.31 $890.31 2/22/08 CreditCard 2720080000 $0.00 0000000586 [FLS] FLS Pln Rv 245 -0000- 433020 $547.88 $547.88 $547.88 2/22/08 CreditCard 2720080000 $0.00 0000000586 [BUILD] Permit Fee 245 -0000- 432000 $1,874.30 $1,874.30 $1,874.30 7/18/08 Check 2720080000 $0.00 0000002535 [TAX] 12% State Surcharge 100 -0000- 207020 $224.92 $224.92 $224.92 7/18/08 Check 2720080000 $0.00 0000002535 [BUPPLN] Addl Pln Rv 245 -0000 -433000 $327.99 $327.99 $327.99 7/18/08 Check 2720080000 $0.00 0000002535 [FLS] Addl FLS PInRv 245 -0000- 433020 $201.84 $201.84 $201.84 7/18/08 Check 2720080000 $0.00 0000002535 [METCET] Metro Const Excise Tx 245 -0000- 229202 $638.54 $638.54 $638.54 7/18/08 Check 2720080000 $0.00 0000002535 [CDCBLD] CDC Bld Rev 245 -0000- 433060 $143.50 $143.50 $143.50 7/18/08 Check 2720080000 $0.00 0000002535 [CDCPLN] CDC Pln Rev 100 -0000 -433060 $143.50 $143.50 $143.50 7/18/08 Check 2720080000 $0.00 0000002535 [LRPF] LR Planning Surcharge 100 -0000- 438050 $42.00 $42.00 $42.00 7/18/08 Check 2720080000 $0.00 0000002535 [ERPRMT] Erosion Control 100 -0000- 207307 $160.00 $160.00 $160.00 7/18/08 Check 2720080000 $0.00 0000002535 [ERPLN] Erosn Pln Rv CWS 100 -0000- 207308 $52.00 $52.00 $52.00 7/18/08 Check 2720080000 $0.00 0000002535 [EROSN] Erosn Pln Rv COT 245 -0000- 433010 $52.00 $52.00 $52.00 7/18/08 Check 2720080000 $0.00 0000002535 [BUILD) Misc Fee 245 -0000- 432000 $400.00 $400.00 $400.00 7/18/08 Check 2720080000 $0.00 0000002535 [TIF -O] TIF -Office i X00- 0i4 210 -0000- 448003 $22,140.00 $22,140.00 $22,140.00 6/30/08 Check 2720080000 $0.00 0000002319 e -GdoS 7 . Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # . Due [TIF -MT] TIF -Mass Tms %pow- y3j $ 210 -0000 - 448005 $1,968.00 $1,968.00 $1,968.00 6/30/08 Check 2720080000 $0.00 0000002319 [BUPPLN] Addl Pin Rv 245-0000 - 433000 $400.00 $400.00 $400.00 10/29/08 Check 2720080000 $0.00 0000003733 Refund - [BUILD] Misc Fee 245 -0000- 432000 $- 400.00 $- 400.00 $- 400.00 10/29/08 Check Refund 2720080000 $0.00 0000003732 Totals for Fees $29,806.78 $29,806.78 $29,806.78 $0.00 Receipt # Payment Method Check # Pavor: Receipt Date Receipt Amount 27200800000000000586 CreditCard PETER R STALICK 02/22/2008 $1,438.19 27200800000000002535 Check 1003 CEDAR HILLS 07/18/2008 $4,260.59 INVESTMENTS INC 27200800000000002319 Check 6041 ROGER STALICK 06/30/2008 $24,108.00 27200800000000003732 Check Refund 10/29/2008 $- 400.00 27200800000000003733 Check 1003 CEDAR HILLS 10/29/2008 $400.00 INVESTMENTS INC Total Payments: $29,806.78 Balance Due: $0.00 Dianna Howse From: Kim McMillan Sent: Thursday, June 25, 2009 4:04 PM To: 'Roger Stalick' Cc: Dianna Howse Subject: RE: Pacific Crossroads SDR2007 -00005 Roger, At this point you just wait for the check to be issued. Dianna Howse will be following the process from here and mailing the check to you when available. Kim Kim McMillan Development Review Engineer Direct: 503- 718 -2642 Fax: 503 - 624 -0752 From: Roger Stalick [mailto:stalickco @comcast.net] Sent: Thursday, June 25, 2009 3:37 PM To: Kim McMillan Cc: Al Dickman; Mike White; Albert Shields; 'Peter Stalick' Subject: Kim: Thanks for the phone call today and going to bat for me in this matter. I appreciate all that was done by you, Al, Mike, and Albert. The $38,000+ really helps pay for other unanticipated costs of Pacific Crossroads. Please let me know the rest of the procedure and I will follow through. Thanks, Roger 1 11 1 1 11 e ° Building Division Request for Refunds TIGARD • TO: Phyllis Harris FROM: Dianna Howse L„ DATE: July 15, 2009 . SUBJECT: Refund Requests for the week of 7/6/09 Please process the attached expenditure requests and return checks and this memo to me for disbursement: • Refund Date Check Date Check Date of Case # or Refund Check Routed Mailed Payable To Receipt # Receipt Description Amount (Finance) (Building) Cedar Hills Development 2008 -2319, 6/30/08 BUP2008- 00057, $38,729.86 2008 -2318, BUP2008- 00056, • 2008 -2317 BUP2008 -00055 • If you have any questions please contact me at x2430. Thank you. I: \Building\ Refunds \Administration \RouteCheckRequests.doc 01/16/07 • Community Development TIGARD WILL CALL / PICKUP Fill out this form completely and attach it securely to the document(s). Bring it to the WILL CALL / PICK UP area at the Permit Center Counter and file alphabetically by last name of individual or company name. TO: 6 . SQL /C& • COMPANY NAME: C7i9/2.- /} /f/ S 25EV, DOCUMENT NAME: efis--- FROM: tic/ ,rs, /SE DEPARTMENT: e+ 6 DATE TO WILL CALL: FEES DUE: AIIIPP or ATTACH FEE INFORMATION (ACCOU _ ___ •jr�r C. Document will be returned to the A ,,,,,-, . ,.. 'f < �7. up within 5 business days of the j r TO WI '/ RECEIVED BY: {/ tti ✓ MUST BE SIGNED B THELCERSON LISTED ABOVE RECEIVED DATE: V 7-2s---O . RETURNED TO ORIGINATOR DATE: I:\ Buildin \FounARtcSlip - W ilICall.doc a A RE CEIVED JUL 2 8 2009 CITY OF TIGAR PCANAIIN3 /ENGINEERIN 1