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12480 SW 68TH AVENUE ADDRESS : ,Z, Ve:rjL, C-- vecordsVnicroflmltargetslbuild+ng doc JIIWr ma.,tn:,l. '.....� ..•.ti.N�ne^"th1 FaMMORM30- Csaw I r ` ti � SfINJ�c, lU•.r� .n -A1. . _ LEGIBILITY STRIP O 2 3 4 5 6 '� 8 14 12 �3 � 4 i6 � 7 i8 � 9 2 i ' 0""'' �"" O 2 22 2'3 24 25 26 27 28 29 310 ? i I of "Oki 9 got Cie _ r ,1 Z1, ,u j V . 4 • - - - - Iv tie I d ( 1 _ Ci J\ 00 tA�-� ` �• 'moi - - - �d -",•l/ .. -. 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V.tiN -- DATE- 12480 SW 08"' :1\ NU1- wiwo NUMBER .01 tiC 1h' '01 A t 4 14 17 , 22 ..•.r ....wnwnrww.........2222.-.....++.•...w.•......... .......... ... . 222.2.. _.. _....-. .......-2_222.. _.. _ LEGIBILITY STRIP u i 12 13 a 16 17 ie 19 20 21 22 23 24 25 25 27 25 29 30 �- 9 5 b E Z H�Nt syloz r i i l CMZ I , his- 4. w f�N,1<j1tiK C� i fo ol --jk t r SGAt-E Y APPROVED 9Y DRAWN 8Y / 7 DATE 7,��'"'/ �" � / . , - DRAWING NUMBER I'� � -3 ��t � ► r 1 � �r'.�l 1 it 241 r if •� / r,I �� �' f .,Ir/ ./1"• �.+f J • L m LEGIBILITY STRIP o I 2 3 4 5 6 7 8 co 10 11 ; 2 13 14 16 17 16 19 20 21 22 23 24 25 26 27 28 29 30 , b f HONI GWOZ ��l���li ! !� lll11li ! l� 1� 1111lIll � li��.�.ii�� � I� �.�! + li �alli � � li��.lilil � l � � � lilll ! ► i alli ! 1 I � I ' � � � I . 1 1 � i , , � � � 1 ! 1 � oz i ililll lii � lill � iill . Il , llllil � l . l ��illlilil I ! Il11I I ! I ! I � , , . . I 1 i � , , I 1 , 1 ; � . i � i ili ! IlI11lM . 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I MA14 14 17 • 22 LEGIBILITY STRIP 2 3 a 6 7 e 9 ! o ! ! + 2 ! 3 14 ! 6 ! 7 1e i 2 -- i rs 9 G � 22 23 24 25 26 27 28 � � .� ZI I I UI 6 ® 8 HON1 s41oz l��il�1-..il.._I.t.l �,iil,iL�.Lilili► � Lil.EI � Li_(iIlI � I � �� i � i�. � I � I � IiI L� I � I � 1�i.i �ilil i � I � ( � Iili [.1 lT„III11.1111III1lId ITO, II11IIi � ( + I IIl , I , � . � . I . I I ! ► I , , j oz Vii _ iliL ��. �_al� � ( � � I 1 ADDRESS: � .. AVE& J L J i.\records\microflr.l\targe:s\building,doc U C C � O u7 N _ N C :0 Cl p E , c o ca ro w O m c rn o8m `° O Q in (7 U J 0) 4 3 Z = c o�c N V a � c•7 �� N Q> Q� O7 Q� CA Q� T (D 0 Z1 vLa a a a C, 7 N O 4) =J M 00 T- C) o a m a a a a M Q � m a v o m a a a V) 2 U co O Z F- F- F- U' _j -moi a C O °i N F- Q COD O U �y M C7 N M f7 M [7 CL 03 ad PJ ao t 3 a 4 i) ^N, �✓ N iJ V Q y mOmi m O co co co n. r v a J a]7 N c a v n a E c a c� c , w a oc a a �C) y S c C C Q- V tJ U LLL m c 51) N ry� O qa `� ro T O LL CJ Q Li d ti LL LL a! O c t70 o d O 00 Ni O 00 00 N j= d _> U U U U V U U U U m m m m m m m j m \ ) 2Tj $ G 7 G / G / \ \ \ § j \ j § k£ < < -i ~ � & 5 CL / R e e � \\ � 00 N o ci a. < \ < \ < a < _ = a M CY) u £ ui ( ° ~ -1 -J _j 5 F e d F- c c @ \0 \ 2 \ Un a \ \ 7 2 N § f 0 @ > j v k k k C 2 c I ) § 7 wc; / $ ) E o o E e § ° § ° \ \ ƒ e § § u J o 0 J ) � \ ) \ \ § ] z 2 � $ � $ 3 d d § § § } \ § m $ 2 c ) 5 § 5 OL d e / r � }\ � � C) ƒ E 7 § S § 2 2 2 9 a $ ƒ ƒ ± ± f f a- m m a £ 2 , % ~ S CL 3 ? @ 44 m � E © k k & f k k § k f k S 2 q § 9 §/ q A $ > j V 2 m Cl) o a a � C71- Lon\ / 2 2 ± ƒ ` k a { / t - 2 / k o t f & © Q \ 0 7 2 � \ ) E- � CT) o C ` i f k a 9 2 / c@ J E « § \ \ e m 2 R m 2 e 8 @ & § 00 $ § § § § ) § ) § u n- 2 a Q- ¥ a a + a �02 /\/ ®sur I\ice }\\§ LU o cr0 z �oo=u uzm z /\§[± z mcauo } £ } \ / C \ i % � )k 00 (D CII) CD i \ ) Aa m a cr) � £ � / \ % 2 0 ¢ �/ � 2 \ § § k r $ � � $ @ � 2 > o 2 Q \ \ c + � / V) � § � \ # b } k \ f LLJ f ) # f § } Cl � f3 $ \ / E u m E n f b ° q ° 2 k $ & 0 r- t � § 5 / � \ . ) ; CL _ D _� ) \ CN 0 0 C ƒ ƒ $2 } §/ 2 y 2 C 6 CL$ fƒ « ± 7 ƒ 7 ƒ � a / 0- ( m 5 K m 5 K 5 d e H 2 � � \ LA k k $ 7 7 a 7 7 7 7 7 o ® w - 0 k § § 2 § § & 4 \ 4 4 m > ) L) Q � k V [ / \ \ 7 ) o / § / a » } B ® 2 % R t a r £ g t \ 2 k cl « a o L.L % * ) \ \ § \ c S 2 § I t 2 § § E t m � { # ) 2 ) ) � k / ) ƒ E Q E / q ® 2 a /2 / G $ S °2Lo 2 w f n- \ § E § E ) ) ( § ) � « 2 3 2 2 § § 2 2 w 2 2 N d O Z mm m m a_ m a_ o m a s a � z M -0 v o v = J M O O O N aa. Q ¢ Q ¢ ¢ a N a �j 0 d (1 a_ a_ a.. a_ a_ d Q IT O m (L a) M M M o_ = a 0 a W C3 m FJ- VJ- kJ- j FJ- _jFJ- (�.7 m c 0 To r C N� N CP (Q Q c0 V rn rn a) 0 f] V) N >_ D V Q d 10 G it F- V7 C c) J «_• 0 > N a O n C W T n C O E D N C N C LL o c c a a U v n O 4 co L j c b v� r a � a ti to iL LL U LL r C7 m n m m m m m m m m m TRAFFIC IMP;\CT FEE Installment Payment Application and Discl,.)sure Statement In the Matter of the Traffic Impact Fee for n4�� r e- Tax Map 7S1 /AA _ Lot Numbers) 8,/0C Building Permit 4 U Site Address —/ay 0 SGJ 68ly �-� Subdivision �(� Case File a SD(ZU-0009 TIF Land Usc District Billing Address To the City of Tigard: Ir. accordance with the provision of OregLDn Revised Statute 223.208 and Washington County Ordinance No. 379 which relates to the imposition of a traffic impact fee for the financing of major collector roads and arterials of Washington County, I HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND SEVERALLY, tc pay my traffic impact fee, as has been determined by Washington County Ordinance No. 379 in ZO semi-annual installments of the amount financed together with one-half of one year's interest thereon at a rate of 5-/(o annual percentage rate on the unpaid amount owed. The lien date is the first clay of the month following the date the application is signed. The first payment is due six months thereafter and at six (6) month intervals thereafter for a period of lb years. Each installment payment will include principal and interest. If I neglect or refuse to pay any part of the installments provided herein, including interest, within one (1) year after the same shall have become due and payable, then the whole amount of the unpaid assessment shall become due and payable at once and shall be collected in the manner provided by law including foreclosure on the above-described real property. The traffic impact fee, annual percentage rate of interest (_7/6%) and finance charges which I agree to pay are as follows: HIGHWAY TRANSIT 1) Amount of Traffic Impact Fee. . . . . . . . . . . . . . . 15',Z1/.00 LN0.00 2) Amount Financed. $ 5 11. O0 yyp,0 3) Equal Semi-Annual Principal Payments. . . . . . . .. 6z _. to X00 4) Interest on Balance at Rate of. . . . . . . . . . . . . . �• /(��� f I understand that the amount owed, as stated above, shall be a lien on the above-desc il,e subject property pursuant to Washington County Ordinance No. 379 Section 6 (D) anA CE` 223 .230 DATE this cQ day of A6,E4 ,:2,' z 19 97 igna of ropeertt Owner Signatu of Property Owner ignatupg of Property Owner STATE OF OREGON ) County of Wes44nr1t-on ) V� This instrument was acknowledged before me this day of �L�r�� 19 l-; } f// t�rfC1 u , r /fOy T LLF cam[ ,['i [.f-/, �[I/l�� (Names) . O I61AL AI. ,) Il A L DIXBON J \�`�7�RY� /7 NOTARY Pl1ALIC.UPIE(3(?V i' 7✓ �MMSIONNO r,22� Notary's Signa ure COMMISSION EX°;RE5 APR.n,1907 � My, Commission Exrires: .:_irt\viola\financr.tlf CITY MJF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . BUP9 4-000 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE ISSUED: 01/11/94 639-4171 OAAC PARCEL: 1 S 101 AA--08100 ::i I'T L ADDRESS. . . . 12480 SW G6TH -PK+4- - #S. A SUBDIVISION. . . . : ZONING.- BLOCK. . . . . . . . . . ONING:BLOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE: FLOOR AREAS------- - F:X-fER I OR WALL CONSTRUCTION- CLASS OF WORK. :NM e04 FIRST. . . . : 1275 sf K: S: E: W: TYPE OF USE. . . :COM SECOND. . . : s f PROTECT OPENINGS?-----------, TYPE OF CONST. :5N THIRD. . . . : sf N: S: E: W; OCCUPANCY GRP. :B2 TUTAL -- - -; 1&75 sf k".TDF CONST:A F T RE RET?:'r OCCUPANCY LOAD: 13 BASEMENT. : sf AREA SEP. RATED: STOR. : 1 HT. : 14 ft GARAGE. . . : sf OCCU SEF'. RATED: BSMT? : MEZ Z? : REQD SETBACKS--------._ REQUIRED——----------------- 1"'LOOR EQUIRED——------------_-_- FLUOR I...OAD. . . . :50 ps f LEFT: ft RGHT: ft FIR SPI<L: SMOK DET. . : DWELLING UNITS: FRNT: ft REA; : ft FIR Ai-RM: HNDICP ACC: Y BEDRM.S_r: BATHS: IMP SURFACE: PRO CORR: 'ARKING: VALUE::. $ : 15000 Hemarks: Tenant Improvement- office space SUITE "A" Owner-: -._______-__--_-__.___________.______.______._____.____..____.__ FEES HAY/AL FUEWY @ GRIFF FRANKLIN type amoLrnt by date r•ecpt 4900 MEADOWS RD PRMT $ 110. 50 - 12/c9/93 93-24701L F'LCK $ 71. 83 _ 12/26/93 93-•24701 LAKE OSWEGO OR 9703c5 5PCT $ 5. 53 - 1 ='/28/93 93--24701 : Pyrone #: 635-1035 Contractor: _-----------_....---------------- OWNER --------------------------- C'Iione #: $ 187. 616 TOTAL 1,eq #. . . ---- --- ^EQUIRED INSPECTIONS ------- This persit is issued subiect to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other l n!.u 1 at i on I n S p applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This pereit will expire if werk is not started ii-rsp CeiIng Insp within 180 days of issuance, or if work is suspended for sore Final Inspection than 180 days. ; ,e).mittee 5.., .gnat y s-r r e. " ci Ley : Call for- inspection - 639-4175 1 INSPECTION NOTICE City of Tigard Building Departaent 13125 SM Ball Blvd. Tigard, Ore4un 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 63 17 Inspections_ Footing Plbg. ttnderslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struct. San. Sewer Framing jIldg.Post/Beam Mech. Rain Drain Insulation Plbg. Underfloor water Line Gyp. Rd. Dame Requestedt__q F //II �' (.y,�_TLMI AN PM Addrese: jV J` l •P`rmit Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: �� ✓ Data! ,_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Ca'-1 For Meinop. NI SPECTION NOTICE City of Tigard Building Departmaen 13125 Eft Ball Blvd. Tigard, Oregon 972 Inspection Line (Rec-O-Phone): 639-4175 Business Ph 639-4171 Inspection: --_ Footing Plbg. Underalab Mech. Rough-in Appr/84Wlk Found. Plbg. Top Out Gas Line TInLi Post/Beam Struct. San. Sewer Framing -Hldq_ Poet/Beam Mech. Rain Drain Inaulation �-P�umb. Plbg. Underfloor Water �.Ine Gyp. Bd. -Hoch. Date Requueteds II / Times ( n AM PH PerwLt ifyP !q-O-nO3 Builder:' W WIt-1 - Dpi - `7 t,71 THE FOLLOWING CORRECTIONS ARE REQUIRED: In"ctor: ----- Dater PROVED DISAPPROVED APPROVED SUBJECT TO ADM _Call Fuc Reinsp. CITY OF TIGARD BUILDING PERMIT PERMIT SUED: : BUP194­0003" COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/11/94 13125 SW H.!1:ii A.Tigard,Oregon 9722398199 (5 nr-V'/ a,t4 PARCEL: 1SI01AA---08100 SITE ADDRE'.3L;. 12480 SW 68TH vPrP,'V4V-' #5. LA SUBDIVISION. . . . : ZONING: FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . REISSUE: FLOOR EXTERIOR W(4LL CONSTRUCTION— C'LASS OF WORK. FIRST. . . . . 1200 sf N: St E: W: TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OP'ENINGS?----------------- I'YPE OF' CONST. :5N THIRD. . . . : sf N: S: E: W: OCCUPANCY GRP,. , B2 TOTAL-----.---: 1*200 sf ROOF CONST:A FIRE RET?:Y OCCUPANCY LOAD: 12' BASEMENT. : sf AREA SEP. RATED: STOR. : 1 HT. : 14 ft GARAGE. . . : sf OCCU SEP. RATED: BSM T') : MLZZ? : REOD SETBACKS­------- REOUI RED------------ 17LOOR LOAD. . . . '50 psf LEFT: ft RGHT : ft FIR SPKL: SMOK DET. . : DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICPI ACC: V BEDRMS: BATH',-3 IMP SURFACE: PIRO CORR: PARKING- VALUE. $ : 7500 Remav­ks : Tenant Improvement— office space SUITE "B" lJwnev-: FEES RAY/AL FUEWY @ GRIEF FRANKLIN type amoi-trit by date recpt ,1900 MEADOWS RD PRMT $ 68. 50 12/28/93 9_3­24701E PLCK $ 44. 53 12/28/93 93--24'7012 I-AKE OSWEGO OR 97035 5PCT $ 3. 43 12/28/93 93-2.'47012 Phone #: 635 --1035 L o n t r-act o r- -.---_----------_—_.------------- OWNER --------------------------------OWNER i ,I-i one R $ 116. 46 TOTAL REQUIRED INSPECTIONS This permit is istjed suuj,,.:E to the regulations contained in she Fr,8rning Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Inso-tiAtion Insp ------ applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. Thit permit will expire if work is not started BLisp Ceilng Insp within 180 days of issuance, or if work is suspended for more Final Inspection thar 188 days. Ilet-inittee Signatt-tt-e - Call for inspection 639-4175 .j tttw CITY OF T I GARD CEROCCUPANTIFICATE OF CY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . .. 131.1P94-10100. 13125 SW H&H Blvd.Tigard,Oregon 97223o8199 (503)639-4171 DOTE 1�36UED: 04/01 /94 &,Ak PARCEI. : 1c--')101AA"-08100 '')!TE ADDRESIS. . . 1;...480 SW 68TH #S. (I ,UBDIVISION. . . . IONINGi L0 r,'V. . . . . . . . . . . LUT. . . . . . . . . . . . ., OF WORK. :ALT OF USE. . . n COM )CCUPANCY GRP. :N-. ]CCUPANCY LOAD c 1 3 ENAN'T NAME. . ,- ITE "A Pelazwks . ien,ant Improvement- cffice spare SUITE A 1)w 11(3 r: .-- ——--—-- - - - ------ -.-- 14AY.'At- FUrWY @ GRIFF FRANRLIN f'.300 MEADOWS RD .AKE OFS G 3 'WEO OR (4705 ' 'hone 4f: 635- 103n I)WNEP 0110fle Occupancy of the above, referenced building is hereby given. Anel certifies lhe complianct, with the Stp.kte Of Orr egan Speis�,alty Ccldefor the group, Occupatmy, and 1.1se under which tht, referenced permit waw issued. f'I RE DEE'AP7ME.iV'T D I G 1 (11 OR 7" II_rrint0 L POST IN CONSPICUOUS PLACE CrJ w. LD CITE' O F T I GARD CERTIFICATE OF OCCUPANCY COMMUNI'T'i' DEVLL.GPMENT DEPARTMENT PE-*RMI T 3F. . . . . . . : BUP94--0003 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 DATE f SSULD: 03/11 /94 aW Li tj I V1 44 #S. B IS101AA-081.00 I TE ADDRE%SS. 1 j.�A 8 V11 ' S'A JBD I Y I S I ON. ZONING: . . . . . . . . . . . LOT. . . . . . . . CLASS OF WORK. :A[-.T TYPE OF USE. . . :CUM OCCUPANCY GRP. zEtc' OCCUPANCY LOAD: 12 TENANT NAME. .. . :SU I TE "F3" Remarks : Tenant fmPyuvement-- Offce space SUITE 01801 Owner: RAY/AL FUEWY @ GRIFF FRANKLIN -4100 MEADOWS RD LARE OSWEBU ON 97035 #: 635-10:*.1�71 OWNER Lj�-,wupancy of the albove referenced building is hareby given, arid certifip% the compliance with the State Of ffi-,4gon Specialty Codes fut- the group, upatir�c y, And use 1.1ndor which the reforenced permit was issued. VA RF DEPARTMENT OLL DING 4")PF.:CTOR L Il IFF T C IAL Posr IN CONSPICUOUS r,,I..ACE CITY OF TIGARD . . . . . . BUIL.'.�iNG PIE Rh',., i t)L'P,93-�_ I COMMUNITY DEVELOPMENT DEPARTMENT Df-'r' L l'iSUiED '0q/24/'►a 13.125 SW Hell Blvd.Tigard,Oregon 07223.6109 (503)639-4171 AUC PARCEL-: I.S.01AA--08100 1r3D1VI y QN. • . UNIN15 . b • . . n • LU ( . x • » • . n • . • • x . '!3)UE: F'LDUI'3 IaRi-_I.1S-._.._.. "-F C7(.� Jt'Q!- . :NEW FI►�S-Y. . . . -24r75 sf !V; S: z!-IR E : J.FI±q Of-" L.15L:.,. . . xCON SLCCINU. . . • S PROTLLT UF'I:.NINGS" 'I='r OF CONST. '5N THIRD. . . ,. .I R17. . . s f N: G:Y E:Y W a ^_UP(';^•IL'Y Gr�P. c UiR TOTAL 2475 s f f 2OOF C ONS V P, F r rF-, RF,_" '1' UPONC;Y LOAD:25 BASLM1=N'F. : s f nREA SEP. RATED: _013. w ! !J I; Sf ULCU S11P. RATED; Z Z':' : RE:C,D SL I L;}-tf_'Ka-__.___.___- R1 QU I RED—-.�•___.__ ...__.___w _ ,.i71)F7 i_C.1Wi.:. . . . .tOF, I_.LFT' ft RC7NT : t t =.l ft '.:�-'I!L.: SMQI; UF:T. W—ELL,iNFa ilNI't': F RNf-: t`•t REAR, fit FI FR AL.RM: HND ICIr,." ACr:. ' ` 1:,.01p;; Bi", I Mrr SL'rgr qt.'F.:: I RU COIRR.z PARK I N1 LIJE. R; 8910v, mai -ks : New ofd: ,e budding she11 only ; - r-J_.S t:ytae =_1maLknt by caLit V'RMT $ 403. 1/12, J'.1 01/24/ NLCK t 261. <)5 ji-1 09/24/ +51 IC i T,, ti2,0. r�y. .J I-, JI; (61_.)x//24, 1 If"1: 565 1. K.0 H 09/a,4/9.. r7UTFI L C)hISS?sit IC C Igrti 1��: ��,I�: tJ ;,1 C I: ! a�)l�f•.I,aa Y, .;U I 1:.. I! 1 lip, r . . . RE:GU I REL' INSPECT 1 ONL .er tub ect he a piati:r.s containeC :r thi � J :c. i �- g' Insp ;a Nunsr:Qa: »cdr, Etate c` "e. 5pecialty CoM aid all otht !'cyst; /' nam Insp j .=dbiF l r.iYS, A., i•ark i1 t',F :CAF 1^ a_cc dance with 1:r,a m L n g Insp pri:,Etl pia-s. `his persil. r.iil rrpire it worts is net started Raaf �)a11ng 1, T) thin 160 Cat's sf issuance, sr :` dcrG, is suspended for tore In:s'-;lation Ins,_) 1)k la 1. 1 1.r.! i1 -...._.�._._...._...... __ .._._....... y p .N o a rd Insp -- _. 1ppi'/,�dwli; ln�;p -final lnapa,�t ion t. r— i -c-n-4 1 nn _.. 639..41. l`=? G] L LC J PL,RMIT SWR93-17'r CITY OF TIGARD P E IR m IT COMMU14ITY DEVELOPMENT DEPARTMENT IWITL- 1315YUIL-D.- 131 25 SW Hail Blvd.Tigard,Oregon 97 22398199 (503)639-4171 1,,:,ARCEL: ISIVIIAA-08100 A A- -!l!", r7 L, J ZONING: 4.`1-47' NnIIE. . . . . .. Nu. . . . . . . . . . . 1:-"l XTURF UN I I S. . 11 01" M IM, NEW ),",4 L I N 0 UN 17',3. OF USE. . . . . NO. OF BUILDINGS: IMR:-'5111 SLjPl OUL. . New s,-ipll only ) type Amount by date re F,rl 1Y1 T $ 00 JH 09/24/1-)3 INSP S 45. 00 JF1 41t',--ACt 01-. �orrq.or-r-nR one # 00 vr r j 1,,"-'J,1U1RL!:) fN1A.1LC T .1(Y App-licant agrees to wit z11 tll^v rues and rqulat,�sis, Se'%t— c Ll-,.f ird Sewa;e Elye The perut exp.res 109 days frog 'watt issues., The total at:.?t paid will be farfe,.ted if the ati txpires. T`le -',jenty does -at ;,.aranti,e the accuracy of the -: a sewer laterals. If "Int 5w, -, ,101 lo.'atte at the 2rasurelevit ever, the :�stai.lvr ! ,aN -,-osprc— ,,7 fp.rt ir all directmic frog the distance giytt, V r;1 s.- :Lated, t�p 4rstaller shall pL!rchasp Kill install a lateral. r1spectior L, 41 '15 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT . ;._JMDING PER111'r 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PERM 1T #. . . . . . ,. : V-11-119 D;:'ITE ISSUED: 09/24/94' ZONING: '_'i-ss OF V D! N10BIL1!()ME Srify, OFF' U (,(Im WASHIPL IYIA '(-1. . . . . . BAC"%F LOW DREVNTR S. :UPANC FLO.Jr2 1'r%A;''r,,.. . . . . . . . . . WATLR :iEATV:RS. I CATCH LP'JN1)"('Y TRr i'�•;. 1K5. . . . . . . . . . . URIM4Lfi. . . . . . . . . . .. . .. f A T 0 PI tE r, 7LO/sPOWERS. SEWER LINE (ft . . :x,00 .,...T',:,. WPI) C P I.-T NE (fit ' ,..,'00 RAIN DRAIN (ftl . . . . -.w uffi�: v builAlrim roll. c)nl,/ , /N":-, t'y Pcy AIT, _I,Tit by (J,At to `Al JH 5 rI('T I , T1 `_S 'PlIalt ;5 :LS.Fd subject 14 the 1,egw';'&ticns contained in the Pough in I ti F,1-j r 3l If .;z --- Mjm ' 0 �_'J,,M/U Tj --?i C)cipa octj ;'�tp a Ore. Specialty Codes aid all Wet, P;..cable 18".% ril. be cv'r it accordance with pptuted r- I%vrl .s %t start?d k Rain IWPJ4TI 1111ij.) �F 155j,,rTP, V ;f wr-K i- li',Spendt'_! for scre P.'-iT-1ki1Iq n A I rl T.c)n ........... ....... I r 4 7 r r. j�125SWIial,� PLNCK/RECT # CITY OF TIGARD PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT Tigard.OrcaonM21 (503)639L4171 PATE ISSUED Q', JOB ADORES YoS`'-' �'F' i7� {' TAX MAP/LOT SUB: W ?vy--V> &1t4�_ LOT: T-L (�I G(�J�� LAND USE: VALUATION: --z OWNER ( SPECIAL NOTES NAME: ��"� � `� ;'UvZ�� (Ltfr{_ �f,N,cLtvj REISSUE OF: ADDRESS: LAST REISSUE: L- 41ee Dew r�J� Q FLOOD PLAIN/ PHONE: _ S=1�? _—�— SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED SD2C?j_pG,pg NAME: _! 1r .QS f1u�o �i� Qlt1/� cn� _ _ PLANNING: •� 1'201-cA213 ADDRESS: ENGINEERING: FIRE DEPT. PHONE: OTHER: E. CONTR. BOARD P: _ EXP DATE: n ITEMS REQUIRED SUBCONTRACTORS: PLUMB: !' e I LIST/SUBCONTRACTORS: MECH: I I--1 BUS TAX- ARC"/ENGINEER CALCULATIONS: NAME: D `/�E �� TRUSS DETAILS: ADDRESS: OTHER: PHONE: -2- n_ h PROPOSED BLDG. USE: nfjl�� Sf'/9C'6� COMMENTS: "mds mue.4 be APPLICANT SIGNATURE Received Py: __ Date Received: �� � PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit fees 10-431 00 Plumbing Permit fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) _ - �•/,7 Building Plumbing Mechanical 10-433 00 Plans Check Fee _ Building Plumbing Mechanical _5Wt2 10-230 06 Fire 30-202 CO Sewer Connection 30-444 00 Sewer Inspection _ _ 5 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 (SSOC) 74-445-0I Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/3587P_WPF i UN1F1ED SEWERAGE AGENCY OF WASH ING71DN COUNTY _E'ATL RE UN 1 T RAT 1 NGS J TOTAL TOTAL F 1 XTUR[: VALU(= ��11 EJ 1�l NUMBER NUMBER BAPTISTRY/FONT 4 BATH ` TUB/:SNpWER 4 I — JACUZ/WHPL 4 CUSPIDC9R/WATER ASP 1 D 157-IWASHER COMMER 4 DOMEST 2 DRINKING FOU14TAIN 1 L FLOOR DRAIN — 2 INCH 2 3 INCH 5 — 4 I F(CIi 6 GARBAGE DISPOSAL DOM (TJ 3/4 HP) 16 "— C Aw (TO 5 HP) 32 I NO (OVER 5 HP) 48 OIL SEP (GAS STA) 6 SHOWIER — GANG I — STALL 2 S 1 NC — BAR 2 Z � — BRADLEY 5 COMMERCIAL 3 — SERVICE 3 WASHER, CLOTHES 6 WATyR EXT 6 WATER CLOSET G URINAL 6 N value this ten EDU - this tenant a Run. fx value - bld Run. EDU - bldg. / Sewer ermi t 11 3 p~j DATE 1 NS P TOTAL CD BUS 1 NESS �p EDU ADDRESS Iac77 LTU )(il� (W/ PERMIT NO, y_ TAX MAP/LOT J COlJNTED FROM 73-25 R83 City of Tigard PLUMBING PERMIT Planck/Rec. # 13,125 sw Hall Blvd. APPLICATION Permit # i-i wi P>-Ol i (, Tigard, OR 97223 (503) 639-4171 ►X _ m qm« scxiption ORS 81421-610 QTY PRICE AMT Job •� { �C, 5L,/ b FIXTURES Address 7.5o �S c va'� glory .50 Tub or lubr>howor m'j. 7.50 Shower Only 7.50 Water Closet _ 7.50 QWrler 7 ! Dishwasher7.50 wbp ge Disposal ` Washing Machine 7.50 ^r^ Floor Drain .50 G Water Heater 50 Occupant «• Laumiry Room ray y Urinal 7.50 Mr• _75—their Fixtures(Specify) .50 7.50 TSU 7.50 �.q tip.... - .... MISCELLANEOUS Contractor — Sewer 1st 100' 30.00 Z ••�« _ u Sewer-ea.A dit. 100' 15.00 3U ate(Serwce 1st 100' 20.0 re.y actnowlodge that I have read this application,that the Water Service ea.Addit.200' 15.OU information given is cxrr"-,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with State laws,that I Storm 6 Rain Drain 1st IOU' 30.00 am registered with the Construction Contractor•+:Board,that the number Stam E Rain Drain Addit. ilk.' 15.00 given is crAT9cL (If exempt from State rogistration,please give reason - below I Mobile Home Space 25.00 Back Flow revenbon Dovice or Anti-Pollution Devioe 7.50 v+•• 1y Trap or Gusto IT6 Connected to a Fixhve 7.50 Describe work new U addition 0 alteration repair 0 etch Ei—in — 7.50 ) S 6 to be done residential O non-residential ej 40.0 Insp of Exist. Plumbing per hr 40.0 Specially Requested Inspections per hr Existing use of Rain Drain.single family building or property dwelling 15.00 Residun0al backflow prevention devices 15.00 Prc,.osed use of building or property ct '(-xcept resr onfral backnow 1' prevention devices) N H NOTICE 'Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE Ct r G �• AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF W CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -j FOR A PERIOD OF 1F10 DAYS AT ANY TIME AFTER WORK IS PL 4N REVIEW 25 K OF SUBTOTAL Ll COMMENCED. TOTAL Spacial Conrttions— ---- -- _— — Daly,is;urvj by �! MECHANICAL ✓ CITY OF TIGARDPERMIT FEPERMIT #. . , . . . . : ME:C�u o A 02'87 COMMUNITY DEVELOPMENT DIFFIB '�A€NT DATE= ISSUED: 1`/1x2/93 13"x25 SW Hall Blvd.Tigard,(Oregon 97223.81 9�( 03) 3 - 171 AuC- PARCEL: iS101AA--00100 SITE ADDRESS. . . : 12460 SW 68TH €'Ri4Y- SUBDIVISION. . . . : TONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK— :NEW:NEW FLOOR FURN. . . . : L--"VAP COOLERS: TYPE OF USE. . . . :COM UNIT HEATERS. . ,. VENT FANS. . . OCCUPANCY GRP. . :BI= VENTS W/O APF'L. VENT SYSTEMS: STORIES. . . . . . . . : 1 BOILERS/COMPRESLORS HOLDS. . . . . . . : FUEL TYPES- __.._._...__.._..... ....... ..... 0--3 HP. . . . :2 DOMES. I NC I N: : /GAS,' / ! 3-15 HP,. . . . : COMML. I NC I N: MAX INPUT: EA TO 15-•30 HP. . . . : REPAIR UNITS:2 I-IRE DAMPERFa''. . 30-50 HP. . . . : WOODSTOVES. . : GAS PRESSURE. . . : 50.1 HP. . . . : CLU DRYERS. . : NO. OF UNITS-- --- ---- AIR HANDLING UNITS OTHER UNITS. : TURN < 100K BTU. <- 1001210 c f m: GAS OUTLETS. : 1 TURN ) =100V BTU: ) 10000 cfm: Remar•I<s : N2w oft'ice building - shell. only ! Owner : _________________------_._______.._.._._......._.._._.._.._.. ..._.______.__-- FEES RAY/AL FUEWY @ GRIFF FRANKLIN type amol_rnt by date r^ecrpt 49VIO MEADOWS RD F'RMT $ 42:. 00 JH 12/02/93 - PLC1; $ 10. 50 JH 12:/02/93 - LAKE OSWE.GO OR 97035 5PCT $ 2. 10 JH 12/02/93 - Phone #: 635-1035 faontra =Lor-: --•------__._____.___.__------______ J. T. ROTH CONSTRUCTION INC 12540 SW 68TH PgRKWAY, SUITE P TIGARD OR 9722:3 ---------•----------_-_-------_._-_- _-..__ F)hone #: 639--2639 $ 54. 60 'TOTAL Reg #. . : ._,1700 _..._.._.._._. REUU I RED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Cre. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be d,ne in accordance with Cooling Un t Insp approved plans. This permit will expire if work is not started Duct Inspection _ within 188 days of issuance, or if work is suspended for more Mi sc. Inspection than 188 days. Final Inspection v~i Per-mittee Siynats.n-e : Call for- inspection 639-4175 (T _J City of Tigard MECHANICAL P ERM IT Planck/Rec. # w c� 13125 sw HI Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-4171 �- •� -6escnpUon - -- rr cal L 1 doh Ii_ Table 3A Mechanical Code CITY PRICE AMT Job 12480 SW 68th-- AVE 1) Permit Fee -0- -0- 10.00 Address Wzo Tigard, Oregon 97223 2) Supplemental Permit 3.'K) Gr if f i t h Furnace to 100, ,flan Fuegy, Ray Fuegy, & Fran Franklin 1) incl.duds8vents 6.00 �• 5 0 3- 3 5-1 i 4 Furnace 100,000 B + Owner 4900 Meadows Road :i�102 2) incl.duds S vents 7.50 �• Floor Fumance Lake_ Oswego, Oregon 97035 3) incl. vent 6.00 "^' •' Suspended ater,wail heater 4) or floor mounted heater 6.00 v Vent not ind.to Occupant 5) appliance permit 3.00 •• zo Repan of ea0ng,re -- 6) cooling,absorption unit rl �� 6.00 •^� i or or comr,Pleat pump,air co J. T. Roth Const fiction, Inc. 7) to 2 HP absorp unit to 100K BTU �) 6.00 �G «- .•v A,"••• iter cr comp,heat pump,a0 SW 68th Pkw,i #11 ir 503- "39- 6 39 8) 301".1- HP absorp unit to 500K BTU 11.00 Contractor , ,,,, er or comp, ax�i t pump,air co Tigard, Oregon a 9) 1530 lip absorp unit.5-1 mil BTU 15.00 �• • b^ der or comp,heat primp,air Gond. _ 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 sero y nc ow go aav t e readthis app ioa ton, t the ­101er or comp,heat pump, air cond. information given is corned,that I am the owner or audn,zed agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submittea are in compliance with State A ran ung unit tr. laws,that I am registered with the Construction ConuncWs Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air Handing unit please givo reason Lelow.) 13) 10,000 CTM+ 7.50 Non portable 14) evaporate cooler 4.50 onI an concoct 15) to a single dud ) 3.00 -- Ventilation system not 16) included in appliance permit 4.50 wHood serveU-E; 17) mechanical exhaust 4.50 Oris 'be w new v addition a for repair Comma or sinal to be done residen Al t7 non residential( 18) type incinerator 30.00 xisttrtg use of Odier i.e.,woodstarvo.water building or property_ 19) heater,solar,dothes dryers,etc. 4.50 Proposed use of 20) Gas piping one to four outlets 2.00 r) , building or property 21) More than 4 per outlet Type of fuel -of O natural gas IM LPG Q electric Q J Q-C Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUT14ORI.'ED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE �C J IF CONSTRUCTION OR WORK IS SUSPENDED OR - ABANDOWE_D FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN RFVIFW 25%OP SUBTOTAL 5 AFTER WORK IS COMMENCED - - — TOTAL Spedal Condfion- Dato i .m-1 by a.wrurr+rr Commercial Building Permit Application ' " i City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 T11 .4C vu Jobsite Address:1 Office Use Only Tenant: Suite# Valuation: Do 0 ,- Pere # Eve �-- Owner: X6. Va .. �ti ti� Address: App rovalsRhe uired Oct_ Plan ,` -r 3 » . � Phone: SS ' U 3 J Er — Contractor: Address: Type of const'wv,k, _._ Occupancy class: Phone: Sprinklered? Yes No Contractors License # (attach copy of current Omgon ficense) Sq. ft. of project: 1 — Story (f st, 2nd, etc.) Archltec',/Englpeer: Proposed use: F\ Address: Note: Plumbing & mechanical pians -- must be submitted at time of building peimk application. r Phone: Loll Lo- COMMENTS: `mac g lr� C) 141A �L�I n"f lr c,( wAi n 1 _61'f frh r tJ Ire rPe,wwel L Al Ve� Applicant Signatime 8 Phone nw-4--,r Received by: Date Raceived: t Permit # Account Description Amount Amt. Pd. Bal. Du,? Bldg. Permit (BUILD) / �( Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) Watei Quantity (WOUANT) Fire District (FIRE) " TOTALS: ( "'' Commercial Building Permit A cation City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 1 1\ RNKS Office Use Only Tenant' �i L1 C_ r.�J r Su11P, # _ Planck/Rec# : Valuation: fl �' �' Permit # Owner: r- Address: Approvals Required �.�.� 0 Planning —_--- - Phone: Engineering Other Contractor: Address: _ rr �✓ Type of const:\`J c1 1 c C R P Occupancy class: Phone: Sprinklered? Yes Contractor's License # (attach copy of current Oregon license) Sq. ft. of project: \7 v C' Story (1st, 2nd, etc.) Architect/Engineer: Proposed use: OFE \c Address: _ _ Note: Plumbing & mechanical plans -- must be submitted at time of building permit application. Phone: COMMENTS: 12- Applicant Slon ZApplica a e & Phone number Received by:.-- Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due �G Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) 3 State Tax (TA::) _^ Bldg: Plumb: Mech: L 53 Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-P) Mass Transit TIF !TIF-MT) Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) _ Water Quantity (WOUANT) "- Fire District (FIRE) TOTALS: �= DATF. PLANS CHECK NO.: PROJECT TITLE: COUNTYWIDE TRAFFIC IMPACT FEE APPLICANT: WORKSHEET (FOR NON-SINGLE FAMILY USES) MAILING ADDRESS: DRS CITY ,P/PHONE: RATE PER cI ND USE CATEGORY TRIP TAX PJAP NO.: RESIDENTIAL $152.00 ausl ESS-OFFICEAND QQMMERQlAL ;38-00 SITUS NO.4DDRESS: _ _ $140. A) 7R1 L _ _$147.00 SbkC)'ST 000g INSTITUTIONAL $63.00 PAYMENT METHOD: CASH CHECK CREDIT INSTTTUTIONAL ONLY: BANCROFT PROMISSORY NOT LAND USE CATEGORY DESCRIPTION EKDAY f,VG. TRIP RAT WEEKEND AVE TRIP P,. DEFER TO OCCUPANCY I OWE 160-31 iV1f4 BASIS: ,?-PPZ1e4 )7 fWT CALCULATIONS: T/� �. y►?5 7G. S.F. X i(a. 31 —rle�P/AY x `� l�/o.no= �s,�s/.y� ,� S; b�/.oC► PROJECT TRIPO NERATI01" 7�7AL Innen/;r 2V'C FEE: ;q 4L, ADD'TIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY: ROADAMT.: QFiC/('6 T/F TRANSIT AMT' MASS 7e .9 yyo.no �j PRt PARED BY: CC: WASHINGTON COUNTY TIF NOTEBOOK form clrl0