Permit CI'1YOrn4FAw i . 'i?U,I,LD I'NG ,PE MITT ,' - \\
'� COMMUNITY 'DEVELOPMENT :DEPARTMENT- ` ' = ofieooN PERMIT' ` '. i,1 "
° C; - 13125SW�HaIIB 'P.6, l�UF9.1 'c -
u , ! hrd Bbx'2331a7 TiOeid:Oropon X7223(600) 63G 417b
P �'.�� •r i .a'; ft _ in C. '1 SoLtrif -: LL f 1 1417!'1'1 -
'SITE ADDRESS. ' 10865 ''SW,WALNU Si _ - . _ _-
' ' -L
�' _ - F!ARCEL 1 S 1 HDL= kI V rSr1�
, SUBDIVISION.' - \ . - .. '. • _ ._ ' : _.., " _ - - ' ZONING: R -4. • --
I LOC'J; e o .. - - =LOT., a ..' .
`;RE ISSUE: - . : ,' FLOOR ',AREA' - - -,- ' ,. , r:' E-X TER I ° OR_ WALL CON'S :VRC.�JC,TIOiNr -` -
.:1 CLASS OF WORK.' a'ADD , .FI.RST..'e : 1`660' _ Si f' ` •N' 'S: E:,- ',,''' " ' W' :'
' 'TYPE- OF 'USE.;.
USE.; 'o : SECOND. j -. , . sf PROTEC OPEN'I.S• NG --- - -_,._ `:__
, TYPE OF= C,ONS;r': : 1,.';: � ''THIRD. . ' ' . ,• . ' s;f' N.; ;'S .,' ,E : ,.1
, ;E '''
,j' OCCUPANCY GRP' . ,TOTAL - -- -• - -1EG60 s. 'T .a
f : ', (1 'UC11 r • , S e; L F'I RE' t,kt.l" Y
O[ CUP'ANCY •LOAD 4 -'F'' j 'BASEMENT . ' ' s f AREA SEP RA F'ED'e; '
'i 'S T.iOR.: 1„ - - H s 1.0 t GARAGE a - , sf' ' OCCU -SEP' . R ITED a '' -
'.,, 'BSI+'IT ? :'N _ :- frIEZ Z ? I.1 �; � _ ': � RLQD' SETBACKS - ; '- ', REQUI D _ _ ., -
,FLOOR LOAD : 44'o- - p s f -: . LEFT ft _ - RGH r : - ft' F I'R- SPF ,,L : ' SMOK, DET o : : ''r - - •
• DWELLING UN_ I_ FS e.. , • f= RNT e':,� . : ft REAR " - f,t Fl - AL RM : Y HND I CP ACC = - -..,' -
',• bEDRMS: • ,BATHS: ` ' IMP SURFACE: -. -' :PRO CORR. :N. O'ARK,'INO•°' -
.VALUE:. 4Orb• _
Remark "Si t "pe mit f-'or •te- mpor,ar 'classroom. - 'Will° use treated :woad' • '3 = ,
fAi_tndat ' - F - •
Owner • . •..__. . - 'FEES -- -- ----- —
.- S, LI G -'I _EE —RUEDA �ARl.. H'I'TEC;l"S' ,,' _ a ty 'am ourott- by, 'dat e,
r
c1: a SW ASH ' #21'0 � ,• - -- . '- PRMIT` -$, _ 50.'50 JLF-1 '1l7'/LK3/91`-,
` ,POCK $ .- �:F2 :6'3 JLH''0�, / — c1,:�
;- -, PORTL'_AND'•OR`97204` • ' ' __ - ' F=IRE. $ , 20.20 JLH;'05r /3i/91. ``1,3
Phone, E: 2`4- 017;3. - - _ - ,'"5PCT $ - 5,3 '.JL:'H• X17'/0.3/91` — , ,
- '- T•IF $ ;2884.00, _ _ JLH 0 -=
I, - Corr tr'acto'r - 1 - -, _- __- ' ;
i-• -'RAC I FI C • MOBILE LEAS -I N[3 `,. - - ' • ; •
i t P, O. BOX 1404, - - -• _ ' • ..
{ -_ CHEHAL I'S, , 'WA :'9,4532 - _ • =, • ', #o 2126- 748 -0l21 ., , '` $ ',--2990.06 TOTAL.,',;. ' -. '}' .•' • - - -
Re,g tt,, °, 50832 : z._ y , '
t.,' ', - _ = 'REQUIRED - INSPECT IONS - • —' ' •
s'; '•,- ..This' pereit is 'issued subject to'the' reounations contained;'in the F'aot- /Fo,_tnd 'In' : :sp - , ' . •
.r, -.. Tiyar `Municipal Code State CeSpecialtv Codes and all'other., - F ire Alarm Ins " '
.
I '-- apoli�abie' laws. -All work,,wi done ,ir. accordance with ':- •, a, - c-. t±ii i o:ri ' � `'T:' °_� "
. approved plans: " -_, This 'peroit ,will expire ,if work' is not started . ' Final 1 Inspect i On - - - .: -. ` •." within 180,'days .'of Issuance: .or it 'work' is suspended _for''nora r - - :
- than.-48p' days. • - ^ ' . . •
_ in i t t e'er' Sl'',Cli t i- tr`e.,: ' " - , • _ . , `' ..f , t }_
-- - �(. ',r li Vii''
- ' I s.s i_t'e.d (;'' B,y • - " , _- _ . - - - , ,
Call 'f arc. inspe'ctio.n 6;39-7.4'1 , ,
• .
•° -. a:. ,• _
'• ' 'f µ _ '- _ / , { f,' - iii' ' I, L. I' •,f *, L- ,
;• • ry - ;'' .- . - i h l _ - 44 . •
. . 4 • i
CI q I 3I 25 SW Hall Blvd. PLNCK/RECT # S - 3
TIGARD OF PO Box2lJ97
COMMUNITY DEVELOPMENT DEPARTMENT Tigard, Oregon 97223 PERMIT # ///'1.32
(503) 639-4171 i DATE ISSUED c awft U.
6'4,6= e ,4.00/ o
JOB ADDRESS: 10865 SW Walnut TAX MAP /LOT
SUB: LOT: LAND USE: ��
VALUATION: $4,500.00 ' ■
Z �,
OWNER SPECIAL NOTES °c-` m
I
NAME: Tigard - Tualatin SD 23J REISSUE OF: G
ADDRESS: 13137 SW Pacific Hwy LAST REISSUE: q
v
Tigard, OR 97223 FLOOD PLAIN /
PHONE: 503/620 - 1620 SENSITIVE LAND:
D m
x o
CONTRACTOR APPROVALS REQUIRED
NAME: Pacific Mobile Leasing PLANNING: C'
ADDRESS: Po Box 1404 • ENGINEERING:
Chehalis, WA 98532 FIRE DEPT: o rt
PHONE: 206/748 -012 - ' , Al ,J m
` OTHER: ! `F� ��'' m
CONTR. BOARD #: 50832 E'P :ATE: 5/8/92
ITEM REQUIRED
SUBCONTRACTORS: PLUMB: --- LIST /SUBCONTRACTORS:
MECH: _ BUS TAX: TZZ o
u3r - f
ARCH /ENGINEER CALCULATIONS: > - 8 01
NAME: Seli /Lee /Rueda AIA
' TRUSS DETAILS: N
ADDRESS: 213 SW Ash St. OTHER:
TOPS 14200
Portland, OR 97204
PHONE: 503/224 -0173
PROPOSED BLDG. USE:
COMMENTS: Foundation & Ramp for Modular Classroom CoND /t /Da S 0. moigeoiae. Afoot,
- ro So sA%'S'5b Cue9/ oZ
•
APPLICANT SIGNATURE
Received By: /fi Date Received: 53i
I
if NLL I DESCRIPTION
AMOUNT AMOUNT PD. BqL. Dl
10 -432 00 Building Permit Fees _S0•..51) --
c7b ..Sa
10 -431 00 Plumbing Permit Fees
• 10-431 01 Mechanical Permit Fees
10 -230 01 State Building Tax (5 %) 2.53
n 2.s3
Building
Plumbing
Mechanical
10 -433 00 Plans Check Fee 328 3 32.83
Building _
Plumbing _
Mechanical
10 -230 06 Fire
7-0.20 20.2.E
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 4369.00 --
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 4990.06 �J097 A 2
nm /3587P.WPF
,I 06 -26 -1991 03 :52PM FROM MBS— Aumsuille TO 916847297 P.02
a /I fa`✓/ C -, �5 vl PREFABRICATED STRUCTURE , z 97— &z9 /3 gR
'?"'' COMPLIANCE CERTIFICATE (Manufacturers Copy)
State oregon
• ‘,:z-
,i f Oregon
Codes Agency IMP()1t.TAN 1" NOTICE
Manufactured Structures and Parks Section This Compliance Certificate verifies that thts attenuating been
1535 Edgewater NW, Salem, Oregon 97310 inspected ana fwd ht complitutes wish •appticable Oregon
(503) 373 - 1235 FAX (503) 373 101 4i' codes by the C...r of Oregon I3ttildhag Codes Agency.
AZ site enforcement agencies shall accept Ns alma= in ac-
cordance with the provisions of OSSC Chapter 50.
• Applicant:M,derrl Buildinv Sy!,terns Mfr. No: H -1 .
Mailing Address: Box Pa B 250 PROVED
City: Tualatin State: OR Zip Code: 9T � ��
Phone:503- 682 -1422 Fax 303- 682 -3685 -'- - 9/
• IN • ToR ATE
DESIGN (RIT1:RJA INSLGNIAlsrnnrr .•\rl'1,1(_ :A ION
TYPE OF STRUCTURE:. 0 r PERMANENT . . APPLICATION FOR: ❑ 'snafu 0 ST
(Sea OSSC Chapter 50) n RELOCATABLE
0 COMPONENT ,.,,
APPLICABLE CODES: ❑ 1 & 2 FAMILY • MANUFACTURERS USE _, : AGIi CY: 1ST:t : ; h; x ; >
BSI OSSC ' :�:;; ;:; ` : ,,......, : ::: :4
� i 4.�Y '� 1 � Q �.,:: : :'
:.ri�l'�`� .� B1
XI OMSC
SERIAL NO.
I1 OESC 91 -993 -1 A c .1 ":; f '"'"'
O OPSC • - - . a ' - - --
PLAN APPROVAL NUMBER /17 - /(0 - 9/ -vYv -SJ ..:...-,...,• � ;::
::.; ;.....f. ....=:;,.;z0 ,.:..:.;.,..
PLAN APPROVAL EXPIRATION ... .. - t:,!µ . , w . °.: °,.
NO. OF O ULES OR COMPONENTS ;:,.:<.<:< "Y :.;:: ^rY ' �:�::
TYPE OFCONSTRUCTION _ -:� .s'x�; :::.:« :Rx;;<k:£:
(See OSSC apte 22) 5N , •Y ".>. °; >:: ;': `, :: ' : s :. :f4 ?: N. : :: •
A Y Ch R r 17 through UP ._ «`' :::s:;,: x
(See OSSC Chapter S through 12) . ^ "�w "" " ,:<
E!
DESIGN TEMPERATURE n R S r ; { ;$ ; f
(Sec OSSC Chapter 53) 17 op : ; '..... :: >•. :� :::::::-.-:<::::••i:(:,;.•;.:;-: ;.
ELECTRICAL SERVICE LOAD 100 AMPS ` " ' . „ 1: ::
FLOOR LOAA Live Load) 7, — ,: ' : ;> • ' .. . : :t :. :
FLT ve Load) . .,; , :x•
; : � :., ., • . , "
WIND' LOAD (Horizontal rod Load) 90 M.P.H. -" ' .:. •;; " ":.
WIND EXPOSURE: EXPOSURE B : z `''"n^ ° :',.j,•' Y•�: •:f•_::.
()) EXPOSURE C °a:X,X.°. >i *� ... :;x; _ ;_,.
(See OSSC Section 231 1 c 0 EX :; �� t �X���m . r .. . x,� `� s�< % ; . �'.
GAS TYPE: ❑ LP GAS 0 NATURAL GAS ": "° ...
—
• -- SEISMIC ZONE: 01 O 2 Zia 2b O 1 :"' -
;, . � 't :. R° ';, e p % A,!'x
'.:.j.
.wa,•,e.Xae,•i? ,e!ekx :.,..,,. ••
SIZE OF STRUCTURE: 28 „•.i R:s>
USE QF STRUCTURE: aassroorn Y'. %'Y.w:�x� yin,• •
INCOMPLETE SYSTEMS: ❑ ELECTRICAL ��. a x•r•x :• k ..;.. ; > «: ' :>•
(Submit a "Notification to ❑ PLUMBING 1 ( ) a ,U t ; 1 ; ti ( ' \. t ' S I•: 4 ) N 1- t
:s:�•x;•i a .4i, a„ ''." •'ee _' .ii' i ' . f
Local Enforcement Agency" ❑ MECHANICAL Y�NSI(#� � ��E��tiK
w >X<t 4.RR � j.,: : �:a• >'a..
form with this application) ❑ STRUCTURAL j r R °' +� x�x��t% • . �'�`:.' .
..��� f� S'. "`'aAit �yw wwiS'u { >; ''+:. y ,n...>,t'LM.x.+eci
C' OF FIRST IN�I'A1.1 �ecasral� a 1;•
LOCATION A'l'ION .s d x• k K• k,: i a:s; :_ � e K ^�sis#:x.xa:
A 11(),11: : :: A . • .. a'� "e x , . ' 44 •,.t..
.FK?W , 'fit .s%: � i ; w o x .: .s ? * : ; ,,w n °:x «•, :�X ts ; ; ;...
. er Jr. High - Ti T2 rd S.D :la: <X.: R ar ^ kx..... mrX�.
OWNER/LEASEE
ADDRESS: 108 �S SW W a l nut :.�3� ° �;; ".: >.:.;; . ��— � R�: '' •,�>,�,r.n.
d'RS::4::q::o:e x•x• +:•`r.r�i •'O::�xKY' •.
f..X.:.,:As:V.C:e:tl>: :N.,,i,',404.tjfa, a:i^^,..,.,p�FT.,.., :: : :.:ry ys i l r :X
City Tigard County A Stat -• R " ttF, „ :, 1�clx;.�.r a:xs xR�.`°w ;a'w ': "'' :.:
,:.ix.: n.
....:...
ry Zip 97223 �. � .. _.�.. p :. � :v �: °�,. >:
,n ?:'•.. :,.,n Jt A y %x:'v Y.<:f: >:<.Yr4:<n:w A•in: •. f.: `%?`�
=id. .MENTr Applicant agrees that Oregon ins' - • � t or Stam wi11� od to il ^ a t mcm :: � rt " w ` shipped ;. , Y , nstall • ';' :::
Oregon and certify mat th ct nral. um ps. m, bunt, o d i v ont or l shipped each h installed is
� J plumbing, echanical, electrical, and flee safety egttipanerht, wmhe�cxhe or meaning= d each mum= txar
en golf Insignia or 11 he ma _plan,, mamas, and maim. Applimt consents all
ll
necessary inspections 'y - in - , i ufectu • or installed in accordance with Oregon app:oved cad - , . to the issuance of Oregon Mat Approvals, Insignias or Stange of Approval.
u we hgnaturn'A r9/r/11. ,0-1,199. y n'sFi L•,-. . • ,
• r r L R , , . . , - .•. -
Applic:ations will not he pranccs 1tiith1)ut an authorized si> nature.
• .r- •
., 05299100301 $3 i .2 �'
DATE: PLANS CHECK NO.:
5= 636
PROJECT TITLE
COUNTYWIDE xZ to 'QT z,g.
TRAFFIC IMPACT FEE APPLICANT:
WORKSHEET sEuazeg leef. vA
(FOR NON -SINGLE FAMILY USES) 7/3 G SA) S
•
CITY/ZIP /PHONE
RATE PER ? 7G4M, l Ae 9 72o
LAND USE CATEGORY TRIP TAX MAP NO.:
RESIDENTIAL $135.00 /5/ 34''G 11 30DO 2 6/ 3049 TL /D/
BUSINESS AND COMMERCIAL $34.00 SITUS NO. ADDRESS:
OFFICE $124.00 /fi96 S " &N) 1t)4i.4Afr
INDUSTRIAL $130.00
X INSTITUTIONAL $56.00
PAYMENT METHOD:
CASH /CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF USE WEEKDAY AVG. TRIP RATE WEEKEND AVE TRIP RATE
DEFER TO OCCUPANCY //1$7'L - se ///Gw 1.03 M
BASIS: Cobsresei *v of m/VE- P rA CGAsSev" l sri+I w e ni9
v // /Of/ C Am //u S 7k) ' Cl.4 S iej',n S. 5,40# c(4 Beep 1
GulGG '� O C R ' u P / , r , ) 6Y STu2) i 'T5.
•
CALCULATIONS: •
4/ of - rehoS X 4 0F5 zu, F4)Z5 �C �A rE /iR/ ' - r/r
0 3 x SD X 14.00 = $Z884'.f
PROJECT TRIP GENERATION:
FEE: 0534400
(
ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY:
Transit
57 57 0.0
TIF
7369.M
PREPARED BY:
CC: WASHINGTON COUNTY
TIF NOTEBOOK
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NEW
PORTABLE W
CLASSROOr1 5 I I w r
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i JAMES D. GRAHAM & ASSOC, NC. - W
l CONSULTING ENGINEERS ,li
2828 SW CORJBETT. SURE 221 V) 4
■NNNO 1 1 I PORTLAND. OR 97201 K)
O' 2.5 5d 1 I Q FA (503) 2 27 -0038 LL
s 1 � ( 503) 24 — ,993
i CONTACT: J. WESLEY BIRCH
PROJECT NO: 91 O 2 9