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CITYOF TI��RD Tcrry IMPIP0 CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT of"*" OCCUr)ANCY
13125 SW Hell Bard. P.O.Box 23397,Tigard,Oreyon 97 (WJ)08064175 171 �77 1-TFRMIT SUP91-0211
DArF ISGUED: 0,3/03/98
11775 SW GREENBURG RD PARCEL 1Sl35DC-00500
'UDDIVISION. — O T1(5ARDVILLE PARK ZONINGs C-P
ill-'OCK. . . . . . . . . . a LOT. * . . . . . . . . . . . r
---------------
CLASS Or WORK. #ALT
TYPE OF USE. . . 1COM
OCCUPANCY GRP. -DO
OCCUPANCY LOAD 812t'
I F.NANT NAME. . . t
RemilArki; i convert residence to commercial offices, move -tit rm. 'rip., paici
10/ 11.,/91 ; I/s needs to be comploated prior to occ; also no medical or devital
tollants will be allowed in anis building unless applicant p ovides additionfAl
off-site barking through shereo parking agrefement
JUDY WEBER
J .1840 SW LINCOLN STREET
TIGARD OR 97223
;'-1hune #-, 5987-9198
Contractor:
RON JOHNS
! 1)93C-, 1.31-: WASH cr
U111 I AND OR 97223
1--hone #j 667-9137
Peq 41. . : 154532
Occupancy of tlie above referenced building is het eby given, 4nd certifies
the domplianco with the Gtats- Of Oregon 133porialty Codec for the grol.11li
cy, and use unoer which the roferenc.-k-cl f)ef"Mit was i%6LteCj.
- IRE DEPARTMENT D I N(t.�FCTVR'
DO I LE)I N r F I C C 1ALW
POST IN CONSPICUOUS PLACE
rTnTFi HANDICAP PARKING DOES NOT MEET 'PHE NEW A.D.A. LEGISLATION. T11E
CITY OF TIGARD !1AS NOT SEEN CHARGED WTT11 ENrORDEMENT OF THIS ACT
AT THIS TIME. ADDITIONAL PARKING WTI.,L SY PPQIJTPED IF THE BUILDING
IS USED FOR A MEDTCAT. OR DENTAL OFFICE.
1
i
I
INSFECTIQ11 RMICE
City of Tigard BuilAing Department
13125 GW Ball Blvd. Tigard, Oregon 97223
Inspection Line lRec-O-Phore): 639-4175 Business Phonn: 639-4171
Inspection: "
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out man Line FINAL:
Post/Beam Struct. San. Sewer Framing al
d
Poet/Beam Mach. Rain Drain Insulation (-4:
u`mb�f
Plbg. Underfloor Nater ine Gyp. Bd.
Date Requested: 22 // ..� _T1me: ��AM PN
Address: �K.iL I'sylnit 4:
-111
Builders 111 � _-
TME FOLLOWING CORRECTIONS ARE REQUIREDs(
ILIr
i✓:-L�J�L1JG �_ .._t qtr
-t�C]
_ 7 _
n
i
Inspector: -' Ld _ _ Date: _
APPROVED DISAPPROVED 4--/APPROVED SUB.IE(R' TO ABOVE
f cell. For Reinap.
Il1iPLCTIOM MO's
City of Tigard rvoLldlny Department
13125 811 Hall ilwd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelao Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Bream Struct. San. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb
Plbg. Underfloor Nater Line Gyp. Rd. -Mach.
Date Requestedt �.2 G, ice-- Times AK PM
Address _ ��/ill?LG�La Permf.t fi %t/
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ii
Inspector Dates
�-APPROVED — — nISAPPROVED — APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard enildiM Department
13125 BW Bell Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phones 639-4175 Business Phones 639-4171
Inspections._
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINALs
Post/Beam Stract. San. Sewer Framing Bldg.
Post/Beam Hoch. Rain Drain Insulation /j
Plbg. Underfloor N4ter Line Gyp. Bd.
Date Requesteds �- dz , ri AN 7 PM
Addresas // / -- (,�� .�(�� � i L'11.1 PerlYit i 777
IJ
Builder s
J�
TBS FOLLOWING CORRECTIONS ARE REQUIRED: I L
__ \ .�► .1 / 1
l
f -
61 JJ /•
f
Inspectors Datet :_
APPROVED 4_ DISAPPROVED APPROVED SUBJECT TO ABOVS
t CR11 For Reinsp.
�� .! � �o-'f-'
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Gil! � ��/ �yl�(�/LZ��y�IL.�...� �/�f7/[-i7
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1
sI" vTUALATIN VALLEY FIRE & RESCUE
rrnll AND
BEAVERTON FIRE DEPARTMENT _
FIRE MARSHALS OFFICE.
S R (503) 526-2469
POSTED:
j
OCCUPANT
CONTRACTOR BLDG. PERMIT �t i
PROJECT NAME, PLAN REVIEW 0
LOCATION
JURISDICTION; 1= Be. 2= Du, 3= K.C; 0 5= Tu, 6= Sh, 7= Wi, 8= CC 9= WC 0= MC
COVER FINAL. SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
❑ Framing ❑ Separation Walls
Sprinkler System
❑ Shaft ❑ Fire Dampers
(Overhead/Underground)
❑ Alarm System ❑ Hood' Extng Systems ❑
❑ Conference
Spray Booth ❑ Ceiling Cover ❑
Other
4
10 16
Z-)
1 J-07
T-t/, 0 .
t�
tvw.(
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n8te; _ i ,
�j Inspector; (N �
}�P�CTION NOTICE may` ��
City of Tigard Building Department
13125 ne Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-4171
r
Inspect ion o_
Footing Plbg. Un<lerslab Hoch. Rough-in Appr/Sd k
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. in h% Insulation --plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: 41 -/A) �1 / Timeyt _AN PN
Address� �r� l►i t7 _f/t k �'i� #3 `I/ -14
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
110
Inspector: _ ,— Datet ,/-.;?
___APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVX
Call For Reirsp.
i
INBPECTION NOTICE
City of Tigard Building Department
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
9n
Inspection: _ " f2 t s'_z ri
Footing Plbq. Undermlab Mach. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Gas Line FINAL:
Post/beam Struct. San. Sewwr Framing -BLdq.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina f Gyp. Bd. -Hoch.
Date Requested: �='1 d� �! Times AM _PM
Address: _ G' rG t /
i
Builder: �"
THE FOLLONI �RRECTIONS ARE REQUIRED:
Inspector• ._� ��--_ Date:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
Call For R®inap.
APPLICATION - STREET IMPROVEMENT/EXCAVATION l L��J 1 COPY TO:
ORDINANCE NO. 74-14 J (Wllll"E)-FILE
I , (YELLOW)- INSP,
(INSTRUCTIONS ON SEPARATE SHEET) (PINK) -OTHER AGENCY-BICIg
(BLUE)-APPLICANT
APPROVED (_'7 APPLICATION NO.: —
NOT APPROVED ❑ (TI ti OI' I IGARU, OREGON FEE AMT.: $ 87.28
PENDING FEE. PMT, ❑ CI Y HALT, RECEI T p.: I — 7Zc_)za$ _
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BYDp-E tl - 171 /2L
1 /f j -
PFNDING AGENCY ''OK'' ❑ Applic,ltion and Progress Record
MAINTENANCE BOND N.--- _�—
Pr'NDING IP' ORMATION 0 FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL
PF NDING VARIANCE 13 EXPIRATION DATE
PERMIT NO.: DATE ISSUED: _
5 —s{ --- - �� -1,� 1 Ls � BY: -
( 1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ sLdewal x�ran �anairt_ a..l"
BtCeet improvements AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT --. Judy_Weber 11LAO SW Lincoln AVC. Tigard, (DR _97223 wk.-281-1912-H-598-9198
NAME ADORE�BCITY - PHONE
CONTRACTOR_ -" _ 1
UnkriOw _
NA E--- ADURFlS-- ----_ --"--CITY - --� _-- —�_-- PHONE
PLANS BY _Burton Frl�ineerigq - 302 rL ard Plaza Tigard, OR y.1223 539-6116
-- ADD E A Clfv-- PHONE
ESTIMATED
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ ��,lfil•(3U __ /
DOLLARS
FOR OFFIC , -MIN,
(2) EXCAVATION DATA: 11112.,no 87.28
0.04 X S_ - $- --------
STREET _ DESCRIPTION PROGRESS_ & INSFECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH 17EPTH ITEM G QUANTITY _
STREET
L,Lncol.r1 9t f (see- :3ttacn ) INSP C-
R TION
E
Q
U _
ESTIMATED STREET OPENING DATE: E
ESTIMATED STREET CLOSING DATE: E
2,182.00 STREET
0) SECURITY NO. —" SECURITY AM i _ CLOSED _
SURETY CQye.-- -- FINAL
w-rror> CHECK �'i�ara , soNo INSPEC.
(4) PLOT LAN: INDICA ESTE ERTIN PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEA ORES; EXCAVATION LOCATION AND EXTENT. I. PILL work s1k311 conform to the
Site: 11775 Srl Greenbury Road City aJravEx9 construction flan.
1 — work area (fronts L,MCO I r t)
2. SDR 91-0009 appl it a
I I I 3.wnrk area fronts an Lincoln
Street (only
SW Lincoln Street -
I I ( I
I
(s) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT`PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO rONDUCT OF TIRE WORK, AND TO SAVE HARMLESS THF PITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE: 4 I `-'r 1 r ( DATE—
/�
IB6RjCTI0N NOTLCB
City of Tigard Building Departn"t
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspectic.: Line (Roc-O-Phons): 639-4175 nusiness Phone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/8dwlk
Found. Plbq. Top Out Gan Line FINAL=
Poet/Beam Struct. San. Bawer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested:_ Z� imLee _A*14AAFM
Address: . 7 2,
Builder:_ �' �► �- —_ G— �J
THE FOLLOWIMp CDRRECTIONS ARE REQUIREDs
6tvt-+ A'.�, I
�� D�i� Cyr-�.✓�►�� I
i
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y�
i
Inspectors
Y Dates
APPROVED �v DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
I1IBPECTIOM IIOTICE
City Of Ti9wsd BeilQleg Department
13125 M Hall Blvd. Tigard, Oregon 97223
Inopection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspections_
Footing Plbg. Undersiab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. Sari. Sewer Framing -Bldg.
Post/Beam Hoch. Rain -rain Insulation -Plumb.
Plbg. Undorfloor water Line `$yp. Bd. -Hoch.
Date Roquesteds _� _—Timet AM .x PM
Address Permit #s
Buildor:
THE FOLLOWING CORAECTIONS ARE REQUIRED:
i
Inspector:_
Deter
`APPROVED DiSAPPROVEp _ APPROVED SUBJECT TO AROVP,
,__—stall For Reinnp.
INSPECTIONOOT-C9.
City of Tigard Building Department
13125 SII Ball Bled. Tigard, Oren 97223
Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing 111bg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top (hit Can Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain (Insulation) -Plumb.
Plbg. Underfloor. Water Line Gyp. Bd. -Koch.
Date Requesteds ZL l'/ Timet rZ�� PK
Addresa:-- � it 1
Builder: >.? / �1?' 4173.3 .Z
THE FOLLOWi*] CORRECTIONS ARE REQUIRED:
Inspector:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Relnap.
SNOPEGTIOII NOTIC,��
Cltp of Tigard Building nepartgsaut
13125 BA Ball Bled. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171
lnspectiou:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post./Ream Struct. San. Sewer
Framing -Bldg.
Poet/Seem Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requestedt
Timet __AN pN
Address:—_t1 /_ Permit is_7%-C:>['_11
Builder: V
THE FOLLOWING COR.RBCTIONS ARE REQUIRED:
Inspectors
.__APPROVED -_- DTRAPPROVRD APPROVED SUBJECT TO ABOVE
__gal) For Refnsp.
MM-110 no-Ica
City or Tigard Building Departsiwet
1312S SIM Hall sled. Tigard, Oregon 97223
Inspection Line (Rer_-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINAL[
Post;Beam Strurt. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain insulation -Plumb.
Plbg. Undecrloor Nater Line Gyp. Bd. -Mech.
Date Requested: �� ��!>" 1 l _ Time: __AM __PM
Addreses_� Permit P.
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1':✓ ��^ -e'er� ...C�,.�.��
tnepectort_ /j Date: '/Q '/,(J cj
APPROVED DISAPPROVED ^� APPROVED SUNTECr TO ABOVE
--call_Call For Reinsp.
IN5PSCTI0 NOTICE-
City Of Tigard Building Departaent
13125 ON Ball Blvd-Tigard, Oregon 97273
Inspection Line (Rec-O-Phone) 639-4175 Business Phone: 639-4171
i
Inspection:
Footing Plbg. /U erolab Mach. Rough-in Appr/�dw1k
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Lower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Under[locr Hater Line Gyp. Bd. -Meeh
'into Requested: /o . Time: AM —�PM
YT /
Address: Permit
TBE FOLLOWING CORRECTIONS ARE REQUIREL:
Z!L. G '1 1.1.-Ft Lje L l L1t/ At - —
Inepector:_� Dater__L1
-_-__1PPROVED DISAPPROVRD !1PPr)VLD GUBJECT To AB:M
'�_ Call For Rainap.
HAM I CAL
CITY OF FIFA RD ;AJ PERM I T
TM
CITY ' AD PERMIT #. . . . . . . MEC.91-0234
COMMUNFTY DEVELOPMENT DEPARTMENT 00140"
13126 SW Hell Blvd. P.O.Box 23397,TOW,Onegon 75 77 DATE ISSUED: 1121/06/91
SITE ADDREf7')E-;. . . : 11775 SW GREENBURG RD PIARCF-L : IS135DC-00500
SUBDIVISION. . . . : TIGARDVILLE PARE( ZONING: C—F'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
LLASS OF WORK. . ALT FI-OOR FURN. . . . FVAP COOLERS
TYPE OF USF-:. . , . COM UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRE'. . :P2 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : I 1-1011-ERS/COMPREISSORS HOODS. . . . . . . :
FUEL- 0-3 HP. . . . DOMES. INCIN:
: /Gnc-;/ 3.-15 HP. ('011ML. INCIN.-
MAX INPUT: BTLI 15-30 HP. REPAIR UNITS:
F I RE DAMPERS?. 30-50 HP. . . . WOODSTOVES. . .
GAS PRESSURE. . . : 504- HP. . . . CLO DRYERS. . :
NO. OF AIR HANDLING UN T TS OTHER Ul-:,TTS.
FURN ( 100K BTU: 1 10000 cfm: Gsis ou'l-LETS.
FURN ) =100K BTU: > 10000 cfm:
Remarks : REPLACE GAS FURNACE WITH SAME
Owner : FEES
,JUDY WEBER type amount by date t,eupt
111-340 SW LINCOLN STREET PRMT $ -:25. 00 JLH 1010S191.
5PCT $ 1. 25 JLH 10/08/91
TIGARD OR 97223
Phone #: 5987-9198
Contr-actor:
R NS SOU -e
SE WASH CT
POR" W D OR 97223
Ph '1 667-91,37
$ 26. 25 TOTAL
Re 54532
------- REQUIRED INSPIEC"rIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lot. All work will be done in accordance with
approved plans. This permit will expire if wort; is not started
within IN days of issuance, or if work is suspended for more
than 180 days.
1 'e)-mittee
fLi5".1ed By-
Call for- inspection 639-4175
CITY OF TICARD RECEIPT (IF I-"AYMFNT RECEIPT NO. d 91—2'l 8352
D4ECK AMOUN"t P6. 25
NOML t SOUTHWEST SHEETMETAL. CASH AMOUNT 0. 00
PAYMENT DATE 10/08/41
SMAD I V IS I ON
V'l jPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF POYMENT AMOUNT PAID
'T. .R
M 54AN L PE T.00 S BUILD PE 1 . 25
11773 SW GREENSURG
io'rAL AMIJUNT PAID 26. 85
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CITY OF TIGARD
September 24, 1991 OREGON
Judy Weber
11840 SW Lincoln
Tigard, OR 97223
RE: Traffic Impact Fee and conditions of approval for the proposed development
at 11775 SW Greenburg Road
Dear Me. Weber:
Enclosed with this letter you will find 1) a copy of the Notice of Decision for
Site Development Review SDR91-0009 and 21 a copy of the calculations showing the
amount of the Traffic Impact Fee to be pa+.d prior to commercial occupancy of the
structure at the address noted above. In addition, I wanted to inform you that
I have spener, to Chris Davies about the i,�-lf-street improvements to Lincoln
Avenue and he has confirmed that public improven,ant plan must be submitted to the
Engineering Department for approval prior. to -ons::ruction of any public
improvements. Preliminary plane were submitted with Lne alte development review
application but they are not stamped and signed by a Professional Rngineer.
Initially you will need to submit twe sets of public improvement plane for review
by the Engineering department. Once these have been approved, seven sets of
approved plane must be submitted for review. Those will be distributed to
various agencies. If you have any questions about this process, please direct
them to Chris Davies of the Engineering Department_ (639-4371, ext. 318) .
Most of the conditions of approval for SDR 91-0009 pertain to the public
improvements. However, please note that before the residence can be used for
commercial purposes the landscaping, site improvements (parking in particular),
and public improvements must be installed. Please refer to the Notice of
Decision for more details.
Th- TIF for the proposed new use is $1,345.00. This amount is due and payable,
along with all other remaining tees and charges, prior to occupancy unless you
choose to submit an application for payment of the TIF through an installment
plan. If you would like additional information ab(-._t financing the TIF please
contact me as soon as possible.
Please note that with respect to the TIF you may appeal the discretionary
decisions made in determining the appropriate land use category and the amount
of the fee based on that category. A notice of appeal must be filed in
accordance with Community Development Code Sections 18.32.290 and 18.32.370 and
received by the City of Tigard Recorder no later than 3:30 p.m. on October 3,
1991 . Appeals are heard by the Washington County Hearings Officer. No occupancy
permits can be issued while the project is under appeal.
If you have any questions, or if I can be of further service, please contact me
at 639-4171 ext. 390.
S incere�y,
Vi Goodwin
Permits Coordinator
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 - --
DATE: PLANS CHECK NO.:
--=z
PROJECT TITLE:
COUNTYWIDE '�U -
TRAFFIC IMPACT FEE APP ICANT:
WORKSHEET
!LINGDURESS:
(FOR NON-SINGLE FAMILY USES), Yd / �
CITY/ZIP/PHNE:
RATE PER Ole 19
_ LAND USE Q6jLQORY TRIP TAX AP NO.:
RESIDENTIAL $138.00 /S/ 35oc ?L SOo _
BUSINESS AND COMMERCIAL $35.00 SITUS NO. ADDRESS:
OFFICc12 . _//�f��" SA)
INDUSTRIAL $133.00
INSTITUTIONAL $57.00
PAYMENT METHOD:
CASHICHECK
CREW INSTITUTIONAL.ONLY:
BANCROFT PROMISSORY NOTE 'AND USE CATEGORY DESCRIPTION OF USE EEKOAV AVG TRIP RAT4 WEEKEND VE TRIP RAT
DEFER TO OCCUPANCY /V�/9
BASIS:
GAv!/EkSIPA) dL AN Ek'16571-,�04- A'FSi�E. '� 11V 7-0 A /�3ZG SQ/is c
F07- OFG/C--'_ /G/ry"
CALCULATIONS:
X -rRIP iPA>E X
1. 326, X /G. 3/ X /ZG.00 �7�5�00
/n/A/U 5 ,P15 S/015-4)f/AL �'�cl/7I T E
PROJECT R OE RATION:
ego - 1/380.00 = >� l 3 4/,5-oo y �
o;W L 7 Z)YF 7 FEE: 1913,f14-00.
ADDITIONAL NOTES. r FOR ACCOUNTING PURPOSES ONI Y
f
ago-coo I
oa
PREPAHED RY.
CC. WASHINOThN COUNTY
TIF NOTEBOOK
CIINYW TIFARD
OOMMUNDY DEVELOPMENT DEPARTMENT C1fY �
o:nowe
13126 SIV FWI BMS' P.O.Baur 2330'/,1V".Onagon 97223(603)639-4176
PLUMBING PERMIT
PER1gIT #. . . . . . . . PLM91 171166
639-4171 DATE; ISSUED: 09/20/91
SITE ADDRESS. . . : 1 1 '775 SW GREENBURG RD PARCEL: 1 S 35DC•-005 10
SUBDIVISION. . . . : TIGARDVIL_LE PARK ZONING: C-•P
BLOCK. . . . . . . . . . . LOT„ . . . . . . . . . . . . :8
CLASS OF WORK. . :AL.'T _ 4()ARBAGE DISPOSALS. - _ `-MOPS I LE-1-4011E=�SPACES.
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : PACT{FLOW PRE'VNTRS. .
OCCUPANCY GRP. . -B2 FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . :
STORIES. . . . . . . . ai WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES---_---------- - LAUNDRY TRAYS. . . . . . : SF' RAIN DRAINS. . . . .
SINKS. . . . . . . . . . 31 URINALS. . . . . . . . . . . . • GREASE TRAPS. . . . . . .
LAVATORIES. . . . . : 1 OTHER FIXTURES. . . . . :
'FUN/SHOWERS. . . . : SEWER LINE: (ft ) . . . .
W(-iTE.R CL.OSE:TS. . : 1 WATER LINE (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . ;
RemAv-^ <s : Convert resi.denr_ e to commercial Offices, move tlt r^m. Replacing toilet.
lavitorY & kitchen sink-With existing roof r^emaininq.
------------------ Fr:ES
[HI
1Y WESER type amount by date r-ec_pt
11040 SW LINCOLN STREET PRMT f 25- 00 PLL 09/20/91 217709
TTGARD OR 97223 SPCT $ 1. 25 PLL 09/20/91 217709
ITIOne #; 5967-91963
(:ont r,Act or
1ANDARD PLUMBING
PO BOX 1.9205
L'UI1 ,LAND OR 97223
='h ri n e #: 246,.,33A $ 26. 125 TOTAL
Reg #. . : 7309
--'-- REQUIRED INSPECTIONS
—
This pereit is issued subject to the regulator; contained in the Top-out Insp --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection -�applicable laws. All w,.,•k will by done in accordance with
approved plans. This perait will expire if work is not started `-
within 18A days of issuance, or if work is suspended for sore --
than 188 days. �- - ------ ._
p'ermi:tee
Issued By:
Call for insFrertion - 639-4175
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. t91-:?17709
CHECK AMOUNT t ?6.as
NAME t STANDARD PLUMBING & HEAl CASH AMOUNT 0.00
ADDRESS r P.O. BOX 19205 PAYMENT DATE t 09/20/91
SUBDIVISION
PORTLAND, OR 97219- 11775 SW GREEENBURG
PURPOSE OF PAYMENT
AMOUNT PATD PURPOSE OF PAYMENT AMOUNT PAID
PLUMBINO PERM PLM91 25.00 GT. BUILD PER 1.25
II
WIAL AMOIJO PAID
INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lin: (Rwc-O-Phone): 639-4175 Business Phone: 639-3171
Inspection:__
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwl.k
Found. P).bq. Top Out Gas Line FINAL:
Poet/Beam St:ruct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line yp Rd� -Mach.
Date Requested: � ` _ T �AM _—_—PM
Address: � �Z� � (�,�Q>� � ermit t:_ ' 2—
Builder:
TNN -)LLOI WC; CORRECTIONS ARE REQUIRED:
2nnpnolorrl/ ----- -- Date:
APPROVED DISAPPROVET) APPROVED SUR.IRC. TO ABtri/R-
--call Call For Rei nap.
INSPECTION NOTICE
City of Tigard Building Department
13125 ell Ball Blvd. Tigard, Oregon 97223
Inspection Line (P.ec-O-Phone)i 639-4175 Business Phone: 639-4171.
Inspections _-1,1/
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Gas Line FINAL-
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Pain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requestads _ _ Times __ AM PM
Addreass —� Permit
Builders��
TIM FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors -- --A v--- —
__ Dates S'
1(/PPROVED �q DISAPPROVRD _ - APPROVRD SUBJRCT TO ADOVE
— Call For Reinep.
INBPECPION NOTICE
City of Tigard Building Department
13125 dw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections :2;-/ 'n__ L-<-
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out One Line FIMALr
Post/Ream Struct. San. .. #a, vreming -Bldg.
Post/Beam Mech. Rain Drain Insulatio:• -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
Date Requested: Time: AN _PH
Address: �� ?�� �• Permi
Builder.:
i
THE FOLLOWINfy" RRCTIONS ARE REQUIRED:
a....(..
i
----' ____._---------------
Inspector:
- --tnspactnr: - Date:_� -���-----
-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
--__Cell For Reinsp.
01 - —
TUALA TIN GALLEY FIRE & RESCUE
20665 S.W. Blanton St. • Aloha, OR 97007 • 503/(149-8577 • FAX 642-4814
•
August 28, 1991.
Judy Weber
11840 S.W. Lincoln
Tigard, Oregon 97223
Re: Weber Office Remodel
11775 S.W. Greenburg Road
5989D-354-000
Dear Ms . Weber:
This is a Fire and Life Safety Plan Review and is based on the 1988
editions of the Uniform Fire Code (UFC) and those sections of the
Uniform Building Code (UBC) and Uniform Mechanical Code (UMC)
specifically referencing the fire department, and other local
ordinances and regulations.
Plans submitted to the City of Tigard and forwarded to this office
are conditionally approved subject to the City of Tigard Building
Department requirements and the following items:
1 . Fire Extinguisher Reauirements: Not less than one (1)
approved fire extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square foot of
floor area or fraction thereof. The travel distance to
an extinguisher from any portion of the building shall
not exceed 75 feet. UFC Sec. 10.303
(*) 2A10B:C - Light and ordinary Hazard
4A10B:C - Extra Hazard
(**) 3, 000 - Light Hazard
1, 500 - Ordinary Hazard
1, 000 - Extra Hazard
Note: Where flammable or combustible liquids are used,
"B" ratings of extinguishers may need to be higher and
travel distances shorter. see requirements in National
Fire Protection Association Standard 10-1 .
"Worklne"Smoke Detectors Save Lives
Judy Weber
August 28, 1991
Page 2
2 . Approved Plans on Job Site_ One set of approved plans
bearing the stamps o, the building department issuing the
construction permit and this office must be maintained on
the project site throughout all phases of construction
and must be made available to building and fire
inspectors for reference during required construction
inspections. UBC Sec. 303
3 . Required Occupancy Certificate: Prior to the use and
occupancy of the project (space) , a certificate of
occupancy or other written instrument of approval must be
obtained from the building department issuing the
construction permit. UBC Sec. 307
If I can be of any further ass4.stance to you, please feel free to
contact me at 526-2502 .
Sincerely,
Gene irc
Deputy Fire Marshal
GB:kw
cc: Tigard Building Department
Ron Johns
Ernest Goble
C17YOF TIFARD CITY ID BUILDING PERMIT
COMMUNFTY DEVELOPMENT DEPARTMENT 01IN010" PERMIT #. . . . . . . .. DUP9 1-0211
13 126 SW HWI Blvd. P.O.Box 23307,TO d,Oregon Of (600)630••4175
tF.r7T--
1 ! ADDRESS. 11775 !-:)W GREENBURG 9D PARCEL: 15135DC-007500
HHDIVISION. . 1-103ARDVILLE PARK ZONING: C-P,
IaL .. . . . . . . . . . LOT. .. . . . . . . . . . . . :8
RL 1 SSUE : FLOOR AREAS- EXTERIOR WALL CONSTRUCTION
CLASS, OF WORK. iAL*r FIRST. . . . : 1326 Sf N: S: E: 1HR W: 1HR
TYPE. OF USE. . . ICOM SECOND— : Sf PROTECT 0PEN1N6S?-----------
1 ',11E OF CONST. :5N THIRD. . . . : s N: S: E- W:
(0 CUPANCY GRP. t82 TOTAL--: 13P6 S f ROOF CONST: FIRE RET? :
OCLUPANCY LOAD: 1 BASEMENT. - Sf AREA SEP. RATED:
- 0R. . I HT. - I , ft GARA13E. . . r
OCCU SEP. RATED:
FA'jM'f " ,N MEZZ7:N REOD
F L-')OR LOAD. 50 psf LEFT: f t RGHT: ft FIR Sr-,KL:N 113MOK DET. . :N
DWELLING UNITE: FRNT: ft REAR: ft FIR ALRM:N HNDICF, ACC:Y
BLDRMS: BATHS: IMP SURFACE: PRO CORR:N PARKING:
VPLUF. $ : 20000
Remarks Convert residence to commercial offices, move t1t rm.
(')Wrier: FEES
11JL)Y WEBER type amount by date recpt
111,340 SW LINCOLN STREET PRMT $ 140. 50 JLH 08/06/91 21605)1.
PLCK $ 91. 33 JLH 08/06/91 216051
1i,jArRl) OR 97223 FIRE $ 56. c--,O JLIA 08/06/91 11605.1
I 1ic,Tie #: 5987-9198 5 PC T $ 7. 03 JLH 08/06/91 216051
i oritractor- ------
k0t,l JOHNS
I `)', SE WASH CT
1 ,oFOLAND OR 97223
1,horie #: 667-9137 295. 06 TOTAL
Peq 54532
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Framinq ITISP
Tigard Municipal Code, State of Ore. Specialty Codes and all other Roof nailrit;
q Insp
applicdti't laws. Pll work will be done in accardanre with I T1 S'A I At i 0 n I n S tA
approved plans. This permit will expire if wprk is not started Firewall Insp
within 188 days of issuance, or if work is suspended for sore Gyp Board Insp
than 181 days. SUSP Ceil"q Insp
Final Inspection
/000, ......
Siqnstire:
V
I "51-1ed By t
Call for inspection 639-4175
f
r
CITY OF TIGARD Liz L
Building Permit No.
COUNTYWIDE
TRAFFIC IMPACT FEE Planning File No.
PAYMENT OPTION FORM
Tax Map & Lot No.
_ - z
Date
Project Name
T realize that I must make a decisiDn 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
EllCredit Voucher ` L
IBancroft or Installment Payments ��G , lea—
and/or
The ordinance allow] for deferral of payment of the TIF until.
issuance of the occupancy permit if the TIF is greater tr.an $5, 000 . 00
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 t:1e TIF will be recalculated based on
the prevailing rates at time of payment . Please be advised that TIE
rates may increase up to six percent each July ist . This rate
increase: is not subject to appeal .
OWNER-APPLIC' C'0 r,,PAc Tr,,,, (;WNER/APPLICANT
CC : Building Permit File lopan\vio1a\tif02
Payment option Notebook
Add reas ��! Permit No, 0
Pi
Name of Occupant �_ C.I y �.� Permit cha.jd
16�1 17-� 1
_.— -- ----- — Paid
- --- — — .— ---- -- Date coxnected_
Type of Building_ Inspecdon fee_
Service Rate-- q p
— —__ Paid by _—__.-Date_
Contractor Assessment_
Size of connection
"'oe-oz
,,,000,�
o ","0000,000
71-16.
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DRAWING IS LESS CLEAR THAN
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THIS NOT ICE-i 'IT IS DUE TO
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D RAW I NG,
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