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8275 SW ROSS STREET-1 PURL- IN P4 ' OC 2X6, 1650 MSR 2X6 SOLID BLOCKING <FROM PURL IN CUTOFFS) NAIL. THRU GABLE END RAFTERS TRUSS W/ (e)RXG, elOOMSR THIS END ONLY ON EA . SIDE OF THE POLE 2XIO DF 111 RAFTER­ eX6, 1650 MSR RAFTERS Lm THIS END ONLY X8 DF SEL STR RAFTER 12 i ON EA SIDE OF POLE SII A- PREFAB . ENGINEERED TRUSSES 9 ' PURL IN 9 ' -9" PJ R L 1 I'l TOE NAIL TO EA . TOP CHORD IM ' PURL IN A - END WALL COLUMN __'_i_N_TERIOR EI.-C'U"MN 6X6 HFIR #e 6X6 HFIR #e (TYP 2) ( TYP 1 > 1 O THRU RAFTER TO PURLINS CT'(P> A J 0 CORNER COLUMN 0 6X6 HFIR 112 4TYP 4> 6X6 HFIR #I CTYP 4> RXG E A V E GIRT 8 'X9 ' SLIDING DOOR 90 9 . A MAX . 30 , R-2 0601 A RAFT 2X8 DF SEL STR RAFTER RX6XlG ' BLOCK2X10 DF 01 RAFTER 010XI ' SCREWS EVERY lal EA SIDE FASTEN TO GIRT OR FURL IN 4-e0of 1A ­ EA SIDE METAL SALES PRO-PANEL II OR EQUAL . 0165'-+- GRADE E STEEL SIDING & ROOFING, FASTEN W/1 ' CAD . -s F_r.T 10 N_ A a EX6 BLOCK END RAFTERS PLATED SCREWS 010 e laloc W/ 4-20c1 ENDWALL COLUMN EA SIDE RIDGE: CAP- FASTEN W/ 1 O 1! STITCH SCREWS A a-a0d <EA RAFT> ALTERNATE RIBS FOAM CLOSURES 12 2X3 T BRAC SECTION THRU ENDWALL 3 T 2x W t-OCK 4-e0d4EA SIDE) 4-LaDd N'll. EA . SIDE Er BLOCK 01 6 C ALTERNATE A CLOSURES 30 R7 ES ;S- . 2X OCK W Lo P4 d EA S ID E BLOCK a 6 ,OC ' 3/8' BOLT 4, 4-20D<EA . SIDE) eX3 THRU TRUSS . DO Nn-i DAMAGE T BRACE TRUSS PLATE RX6 BLOCK Wo'a- I odl THRU EA TRUSS.S FACE EX6 GIRTS w/2-god EA ; END 1650 MSR ee 3/161 12XGX9' BLOCK W/ 6-20d UNDER THE TRUSS, EA . SIDE 11-1/4'rMrN 1-1/4' MIN EGDE DISTANCE 2X10 PT SKIRT BOARD WIZ-eftl EA END Z4 ' DIA CONCRETE GRADE BACKFILL 41 L M&W nuiLia iNo SuppL_.Y STEGE f�IAI`�lC3CIL_ a 24 'X30IX101 CLOSED BUILDING ROOF LOAD i L I VE 25 . OPSF STRUCTURAL. POLES FULL SAWN, ROUGH SIZE DEAD LOAD 2 - OPSF GRADE PER PLANS . TREAT TO . 60 RET . W1 CCA WIND LOADI 90 MPH EXP R TYPE C . 04110 qSUILe ALLOWARL-ES STRUCTURAL FRAMING , MIN . 02 DOUGLAS FIR OR FOUNDATION PRESSUREil5oopSr FIR LARCH USED AT 19% MAX , M . C . OR MSR S-F LAT . SOIL REARINGo 13OPSF NAILSo GALVANIZED DESIGN BASED UPON 1981 POLE DESIGN FOR LOW RISK BUILDING W1 INFREQUENT RUILDINU DESIGN 19438 _U SIC rte ' '1 Ir ��lt11l1 �1 r � r �l � il � � � �f� ► r � ll � � I +�11 � � ! ; ; � 1 [I' 111���I �-III 1�'� �1 { I o f Ij� l { I 11 111 1 { r i11 I� � ill III 111 111 I I i I r I r 1 r r i r i i r r t I � I r I r r r r I r r r ori . . . _ I � I I I � I < < I I ! i � I I I 111 iii ISI iii i ! i { ! I i � � � � ..�.�...,: . _ m . .. ..,,... .__ I I ) I I I _� I I i � a.,�... � N *0*#*ll%_.l illmor sow* i NOTE o 12 IF THIS MICROFILMED DRAWING IS LESS CLEAR THAN THIS NOT IGir-IT 'IS DUE TO THF QUALITY OF THE ORIGINAL P RAW ING. oc 62 IR P, 92 c? ze 12 02 6 1 F3 I IL 1 191 1; 1 b c 1 711 II 01 6 b It 9 s NOLAN M A Y _ lQQ9 rhes document & the disclosures there- in are submitted with the mutual under- standing & agreement that the re,:ipient ,cul not disclose the same to others, nor epro- II duce nor manufacture using this document or ?a0�0 the inforrna' on contained therein without prior written authorization by TOM BENSON INDUSTRIES and further that all rights to this I12 ql It document & the discl:,sure & construction��1 ��__ details therein are the exclusive & confiden- tial property of TOM BENSON INDUSTRIES, CONTRACTOR NOTE We will fabricate to dimensions shown unless indicated other- wise. Verify all dirnensions. aSrq° C9JC TOM BENSON INDUS I RIES will NOI be responsible for any errors and or work that oc- curs from the use of these drawings by other trades. I , r METAL I:Z6tV uIN11E rAINYFU _ N(xz�� I ;rel N.B.H. Not By `Benyon' MCTAL 30 N.T.S. Not To Scale -- -1. -- 12 a bhEN O.D. Rough Opening Dimension �I_q _ 1 0.A. Over-ATI Frame Size — —� ,` �, V.L. Visible Daylight N -Trenra�l.uctzNY PAop Lt - _ - ___--- --- -----_..— - 14CMPS r _ -- - L'O - --- (JcENT Door Opening I 9 O.H. Opposite Hand i IM�I. �Bt,XluglNe(� 4114u, HSTAL J or ,ETD . 5InIN�' IG o I�rfi eel 1:71,11160 III I I' 12'.U'i , 12'-0 -r - - I II "0 I t „5VAT 10 Wr_-f--? EL -VATICH G.�_GU'Yu L�VAT1 vr{ EA 57 _E 1�.e_ Va7 i�.)N I O <..Cbl.li '�8" . I' O"— ��GAI I/���s I�,Orj _ -:,.CAIP_ I%Pj" - I' �I �.XIS11NC7 dIzYUJE1-� !tVC�1.1-x,1.G �eNcl� + �— o1ialNvE { RET"T 1014 --� I REV DATE DESCMIPTION EXIS'(Itdlt i� I -----a •2pl Zpl I , 175' + EXISTING? l�IZN — 11'N [] USTgIEB INC,. EXIe?I'�/ C.O`/�r�� � SINCE `92R R.V. !0,&RV-INL0 'To lamaPeMoUSH 4, til -- - — 12,a.1 l� I:ENG N - -- 1 1 ) I gKI�jTIrlb �.T F-IIls41 qa ' x 13ESU N VII. Raleigh Street � NUJ 24 x?� 1 I �l't1C�� y �-- -•----� � . IOL e*zN r�-�_�- �I , �--"--1 ,4N- & Portland, Oregon 97209 �' �KI�o1'INri ( 503 ) 228 -7611 2,•c".,e�t fuTUKE W 2n' -- -�-_ ca�Xs� ii coHC, t•An -- 19461.11 CL"C. 0 .•P�`7 , ' JOB NAME ,( LANs H& 1 -- GONG. U puM�II E l_. I10 LLD HOMA N I SI I LOCATION NF_W 51 I-tlhN IST �a1zx�N 11 �2-4���,Q��T. WAIL �=ENct=_ LAWN y I ARCHITECT .4 I�If CONTRACTOR H VA4 I Cf4_"rbV;1 pol,o,.o K LA4*1C.-ITO"I 1=11`10E --- 1 . I � LAWN '" — 'f -___—__- -- .--�•----1--1t f�Xlf�1'INfo Cit Gt�4�.. I�tlNc� JOB NUMBER I LIABILITY: The City of Tigard, Oregon, or it'S employees, shall not be responsible for SHEET TITLE discreliancy` which m,v appear herQnn e I-Tpr I rl .DATE �_ . I I _ T �t E IAPPROVED FOR CONSTRUCT!ON DRAWN BY..+4LE � It' � �I CITY OF TIGA',=CD C., CHECKED BY PERMIT N0, _— SITE ADDRE,. O IlY SCALE �Sa.lN SHEET r C' v nrOF I r7I¢;r�'rrG�-,:. .N' $owl �.�, r �s (1F�111111 11111 1111111 till�Illll�l�l 111111rr11111�1�11I':: ...I�1�111 IIrI11 I�II11 111I111._I�IRIii1 Iltlill IIIIIII III IIt 111 fIl Ill III 111 X11��ll1 111 Ill �It �l� tyl I►l , �wrs �K M. : .,:*.;. •I j r�_ .. + r ! I I NOTE: IF THIS MICROFILMED ( ---? 4 _ "7 67 r..rte___-_�. v 9 10 I ( 1 2 DRAWING IS LESS CLEAR THAN Tills NOTICE;"2T IS DILE TO .�^ Tif QUALITY OF THE ORIGINAL _.DRAWING. a OE 6Z BZ LZ 9Z SZ tiZ EZ ZZ I OZ 61 HI LI 91 51 bl f.'1 ZI 11 01 6 9 1 9 S b E Z I""&'" II!111UII un1 unl n1111IIIIu1161111111�11141111111#1111111111111 loll IIII III flul11111111111111111111dttt1111tiffl!1111111111111111111111111"�UtuI IIII IIIAll IIIII I)Ut1l11111III III IIIlIII ll11111 wl1 whillI uul If,ll1111I1111I1ill i N1j6Al llllallll6lool iflul o 1kwhin 2 4 MAY 7 1992 IW We W W W W l I I O8275 SW ROSS ST s � I.NSPBCTION NOTICE �'� � �� City of Tigard Building Department 13125 M Hall bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)): 639-41775 Business Phone: 639-4171 Inspection- Footing P1bg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line AINALs \ Post/Beam Struct. San. Sewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:-.3/ __Time: AM --PM Addreass Builder:_� L'S THE FOLLOWING CORRIMIONS ARE REQUIRED: Inspector:___ _ _ bates _ PPROVIlb __ DISAPPROVED APPROVED SUBJECT To ABOVE Call For Reinep. TON NOTICE � /• City of Tigard Baildiaq O-P—rt-97223 13125 SW Hall. Blvd. Tigard. Br ese Phone: 639-d]7l. Inspection Line (Rec-o-PhanA}s 639-4175 Inspection:_ ---- — plbg. Underelab Mech. Rough-:n Apl�r/sdwlk Footing Plhg. Top Out Cam Line FINAL: Found. /�r V�� -Bldg. sewer Framing san. Poet/Beam struct. �_---r_:----"•� Rain Drain Ineul-Itlon -plumb- Post/Beam leech. plbg. Uni rfloor Nater Lin. Gyp. Bd. -Koch. —PM �7 Tim's: Data Requested: �-- �� - �r� 9 Permit t+ )L Address: Builders e 4-e_ TH% FULLOWINO CORRECTIONS ARE REQUIRED: -- _x"0!9 / -------------- Date:_ Inspectors—_ ---'- —�� -- DIsAPPR D APPROVED SUBJECT TO ABOVE --APPROVED __—____ -- Call B,)r Rein9p. INSPECTION_NOTICE /CSI City of Tigard Building DBpartsent 13125 B11 Ball Blvd. Tigard, Oreqon 97223 Inspection Line (HOC-0-Phone): 639-•4175 Business Phones 635-4171 Inspsctionc Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -plumb. Plhg. Underfloor Water Line „Mech. Cyp. Bd. Date Requented: __Times _X AM _pM Addr"sn: _'�j�� Permit iery� Rudder: THE FOLLOWING f.'ORRECTIONS ARE REQUIRED: I Inspectors Detee- ------1�_- APPROVED -- DISAPPROVED APPROVED SUBJECT TO PROVE Call For Reinsp. BUILDING PERMIT CfTY0FTIGARD A6 CrTYFTMRD IDERMIT #" . . . . . . . BUP9 I COMMUNITY DEVELOPMENT DEPARTMENT ; 13126 SW Hall Blvd. P.O.Box 23397.TigaM,oregun 97223(503)6 94176 DATE ISSUED: 164/18/91 I L i 4DD[(LjLj. "i 6W kLJDb ST PARCEL: L-'S112CB 00700 is UBD I V I S I ON. GOOD ACRES ZONING: Pi-OCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . : 1 REISSUE: FLOOR EXTERIOR WALL CONS T RUCTI ON--- CLASS OF WORK. :NEW FIRST. . . . -720 S N: L: W: J YPIE OF USE. . . :ACS 'SECOND. . . : s PROTECT fYPF- OF CONST. :5N THIRD. . . . :720 sf N- S: E: WS OCCUPANCY GRP. :141 TAL-------: 1440 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: BASEMENT. : Sf ARE04 SEP. RATED: S T 0 P : 1 11 T. : 13 ft GARAGE. . . S f OCCU 13EP. RATED: BSMT : MEzz?. REOD SETBACKS------ -- REQUIRED------------------- PI.-OUR LOAD. . . . : p's f LEFT: ft RGHT: ft F I R SPKL: SM,"IK DET. . : DWELLING UNITS: FRNTi ft REAR: ft FIR ALRM: HNDICP ACC: 9F--DR1y!S-. PATH'S- IMF, SURFACE: PRO CORR: PARKING: VALUE. $ : 5400 Remarks : pole barn 720 sq foot Owner: FEES STEVEN MANGOLD type amol-int t)v date recp+ 8075 SW ROSS ST PRMT $ 56. 50 JLH 05/01/91 - PLC'K $ 36. 73 JLH 05/q)1/91 - TIGARD OR 97224 PCT $ -f'. 83 JLH 05/01/91 - Pfione #- 2126-7611 ny OWNER I-'hone #: $ 96. 06 TOTAL Req *11WNER ------- REQUIRED INSPECTIONS This pervit is issued sub'iect to the regulations contained in the Foot/folind Insp 7ioard Municioal Codt. State of Ore. Specialty Coups and all other Framing Insp applicable laws. All work will be done in accordance with Final I n s.rjec!t i on approved plans. This Dersit will expire if work is not started within 18@ days of issuance, or if worm is suspended for tore than 180 days. 11t.mittee Sit .4 yl t I t r e- S S I'Aed Pv I for inlPect ion 6.39-4175 CITY Of-' TIGARD — RECEIPT OF PAYMENT' RECEIPT NCI. a91-212174 rHECK AMOUNT c 96. 06 NAME. MAN(30L.D, STEVEN CASH AMOUNT 0. 0V"1 ADDRESS 827b SW 80,735 ST PAYMEN'll' DATE t 04/18/91 SUBDIVISION TIGARD, OF? 9'7224-- PIURPOSP- OF PAYMENT AMOUNT PAID PURPOSE OF PAYMEN'r qMOUNT PAID 156. 50 ST. SUILD PER PLAN CHECK FE :36. 73 TOTAL. AMOLINT PAIT) > 96. 06 PLNCK REGI # CITY OF TIGARD� 131Lt5WHaIIBIvd. I = 1'O I.-,x 27347 PERMIT # Z— ,J)NIMUNI"1'1' U1;VI?LOPMENI'1)1?►'AR'CMI;N'l' "Iigard,Oregon 9T113 (50])6]9-4171 DATE ISSUED ?,R ADDRESS: </� w__�__�_� �� —_ TAX MAP/LOT , LOT: = LAND USE: — --- — t VALUATION: .�ZZ '.�NER �- SPECIAL NOTES AME: — UC�� �? f� �I- REISSUE OF: �tiDDRESS: L 4 �� ��-� �`�` �T LAST REISSUE: _ t ,��n � -�_` FLOOD PLAIN/ PHONE: ti �C' �C7 �-��� SENSITIVE LAND: ONTRACTOR APPROVALS REQUIRED `I!ME:�-- CC�'r�1 Fad, PLANNING: DDRESS: ENGINEERING: FIRE DEPT: IONF: _ OTHER: AP T Z UC'/ -- ()NTR. BOARD #: __. EXP DATE: ITEMS REQUIRED URCONTRACTORS: PLUMB: _ 10010C LIST/SUBCONTRACTORS: MECH: ���[`r!C� _ BUS TAX: ARCHENGINEER CALCULATIONS: NAME: TRUSS DETAILS: - _., ',DDRESS: � � �� OTHER: �l PHONE: �_�,� 1 ' 1 C PROPOSED BLDG. USE: �� �--_ l — COMMENTS: — — � tll�4�L'; II�C�i=- IZEE ©I - - �C4 ADPL I- (�AP T SIGNAYWRE �' L Received By: _ Date Received: PERMIT # ACCT a DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE u if oon 10-432 00 Building Permit Fees '?� •SU 10-431 00 Plumbing Permit Fces 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) j .3 Building Plumbing Mechanical 10-433 00 Plans Check Fee ��' ��' X60 Building Plumbing _ Mechanical 10-230 06 Fire 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 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) 2.4-445-02 Water Quantity (Fee in lieu of) TOTAL Z' .-0(, nm/3587P.WPF • i CALr I I I '.�T-1►��..�t�; ': � r-t Pt-=i �ac..R-est.-►�. ° I �� �2_ — '� .3is `i 7. 4� � _ SEDC-v�l�•�••- ��'E � ----- A-►vD IZ;, � U, G g7z�l C�`l�h'+-�. �v a� a+t.1 A 1.�' 2.E'.�� G.C�r`��•'�K-�/a'n v'� L`�� A•S f1 (�?4 GA►JET i 1�G'V'!E 2, kA lJ-T\A I NT�=72 f1�. {' i (� M 0 -S NF4K- # I i c'• rc CatC�Ck. Z PC) ld 5 FUR �j T R1 g - ,.__ - 2 � z.PUc✓l5 fX,-VV nnElJ-F x_Gl) _i— Z CI ®F TINA CffBUILDING PERMIT a Y0FTWAjtD PERMIT #. . . . . . . : PUFF?I COMMUNITY DEVELOPMENT DEPARTMENT oRaoow 13125 SW Hmil Blvd. P.O.Box 23397.',Igard,OnWn 97223(SM)6391-4176 DATE ISSUED: 04/05/91 "JA)HL1:36. Waa.PJ aW k0z: a i PARCEL: 2S11:iCB-00'/4 --LIBDIVISION. . . . : GOOD ACRES ZONING: R-4. 5 1�[-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1. RE I SSUE: FLOOR AREAS------- EXTERIOR WALL CONSTPUCTIO1,,1- CLASS OF WORK. :DEM FIRST. . . . : Sf N: S. Ei W: TYIDE OF USE. . . :OTR SECOND. . . : sf- PRL 11--A."T OPEN INUS?------I--,-.-- IYPE OF CONST. :5N THIRD. . . . : sf Ni 5: E- W: 0001'-1ANCY GRP. : R3 17, 'i f ROOF '.'ONST- FIRE RET? : OCCUPANCY LOAD: BASEMENT. : s PRE S`=P. RATED: srm HT. : ft GARAGE. . . : s 0C'CL1 cS'F-,':,. RATED: BFIMI ": MEZ271 REGID SE"rBACKS---------• REQUIRED ---___.__________.__._. FLUOR LOAD. . . . . rsf L L I- I ! I*t HUHT: 1-t I'l.R SPKL: SMOK DET. . r DWLI-LING UNITS* FRNT - ft REAR: ft F. I R ALRM- HNDICP ACC: 3EDRMS- I BATHS- 11',IP SURFnCE- PRO CORR: PARKING: VALUE. $ : 0 Remarks : DEMOLITION OF OUT BUILDING ALI.- DEBRIS MUSTBE: REMOVEL Okvner. FEES STEVEN MANGOLD type an!OtAnt by date reept b�-:,/5 SW ROSS ST PAYM $ 15. 75 JL.H 04/05/ 11 PRM f 15. VIVI 0. 1 m� TIGARD OR 1)7c-',--'4 5P(-'T $ - VDhorie #- Contractor : OWNER/CONTRACT TOP PhuTip 15. 75 TOTAL Req -------- RLUUIREV INSPEL , IONS This otrwit is issued subJect to the row-lations contained in the 7igard Municipal Code. State of 01-1. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This versit will expire it work is not started within 180 days of issuance, or if work is susoinded for sort +kap !Fe days, Perm j.t t ee S i ilTiAt Uri* I S a k)e d BY : Cal I for inspect i on 639--4175 CITY Or TIGARD RECEIPT OF' PAYMENT PF'C.F-lr,,T NO. 191-21168,3) CHECK AMOUNT' 15. 7 5 CASH AMOUNT 0 00 NAME. MANGOLD, SiEVE.N f-',AYMEN*I* DATE 04/05/91AIA')RESS 8275 c:W ROSS ST SUBDIVISION L;. TIC.4ARD, (-)R 97:224- jPURPOSV OF' PAYMLNT Amot.m,r v,f-4 i i) PL,IRPOSE OF PAYMENT AMOUNT PA 117 BUILDING3 PERM BUP91-0072 15. 00 ST. BUILD PFR 0. 5 DEMOLITION PEF4mi,r AMOUNT ["All) .. .. ... 15. 75 �l p �•-, O lI N l�rl K c_l nt 7adoi ffi w rl • l r J�RNS N1�I.y N S ll- IV I � 4 � ru O ALJ V� �4 X41 J ( Q a F1 0 � 'uNVery id Y U l u iy SNS �� 6 Bo m 0 do,, 9 LI- i4 (1 1i U) a/ifiYui � 5� A µ1��' A••.•. !. 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APPLICATION Y T ARD PLAN CHECK I COMMUNITY DEVELOPMENT DEPARTMENT CIToesowr u+zs sw wr Blvd P.O.Bay zx w,Tip 4 onpon V=(soul M r»S PERMIT / - _ DATE ISSUED JOB ADr*o F4;: U ' u 5 >> 4 r )� 5 cTAX MAP/LOTJ_j] ' 0 03 7p f) SUB: LOT:_ { LAND USE: VALUATION:_ ��M, SETBACKS: FRONT: REAR: - LEFT:_ RIGHT: WORK CLASS: HEIGHT: /_3 TOTAL AREA: - - USE TYPE: FLOOR LOAD: 1ST: CONSTR TYPE: 5- & HEAT TYPE: 7ND: OCCUP GROUP: r11 DWELL/UNITS:- 3RD: OCCUP LOAD: _ NO BEDROOMS: BASEMENT: NO STORIES: T NO BATHS: -�i GARAGE: IMP SURFACE: APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED { PLANNING: REISSUE OF: LIST SUBCONTRACTORS:_ ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: OTHER: SEN LND.t TRUSS DETAILS: PARKING PLAN: j LANDSCAPE PLAN: PLAN CHECK BY: OTHFP: COMMENTS:-, PE MIT 1 f4OCT N DESCRIPTIOIU .^,C9IUL-:T PD. PAL. DUE 0-432 00 Building ,Permit Fees S(__;Z� ------ 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees _ _ `_- 10-230 01 State Building Tax (5X) Building Plumbing Mech _ 10-433 00 Plans Check Fee Bu i I ing Plumbing — Mech _ 30 207 00 Sewer Connection 30--444 00 Sewer Inspection - 51- 448 00 Street System Dev Charge (SDC) - - -- 52--449 00 Parks System Dev Charge (PDC) 31-450 OU Storm Drainage Syst Dev Chrg (SSC)C) 10-230 09 TRFD _ 10-230 OG Washington County Fire N1 (95X) 10-220 00 Amart/Wr-dgewood TaTAI PEC N APPLICANT SIGAInTURF Received By: - ,a_-___._-- -------__-.- lJate Received: cn/3587P/18P Y- I r 13125SwIlauislvd. PLNCK/RECT # _ CITY OF TIGARD a10Oregon x239712) PERMIT # — —_-- COMMUNITY DENE[.OPMENT DEI ARTME:NT Tigard, DATE ISSUED JOB ADDRESS: .�L'� J ' —> J — TAX MAP/LOT _ LOT: _ LAND USE: 'SUB: - - VALUATION: OWNER SPECIAL NOTES -�I� UC- N �- / I� LC) REISSUE OF: _ NAME: 43� ,. (��_�-o - LAST REISSUE: _ I-ADDRESS: �- FLOOD PLAIN/ PHONE: �" LCA - -7 3 SENSITIVE LAND: --_— CONTRACTOR APPROVALS REQUIRM NAME: ` C� ) t� PLANNING: J------- _.- ADDRESS: — __ ENGINEERING: _ _ — FIRE DEPT: ------ PHONE: _ OTHER: -- CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: — MECH: _ -- BUS TAX: ----- - ARCFVENGINEER CALCULATIONS: NAME: _ — — TRUSS DETAILS: — ADDRESS: — _—__ OTHER: — — — PHONE: - PROPOSED BLDG. USE: ----- COMMENTS: _ — —_--- ___---------- ------- APPLICANT SIGNATURE _ Received By: Date Received: _ _—_ ACCT P DESCRIPTION AMOUNT AMCUNT PD. BLU_. DUF 10-432 00 Building Permit Fees ---- — v — 10-431 00 Plumbing Permit Fees — — 10-431 01 Mechanical Permit Fees — - 10 230 01 State Building Tax (5%) — — Building _— - Plumbing Mechanical 10-433 00 Plans Check Fee --- Building Plumbing --_— Mechar,ical - 10-230 0 6 Fire 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 — - °5-448-03 office TIF Fees - — 25-418-01 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_ _ -- nm/3597F .WPF