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CITY OF TIOARD
COMMUNITY DEVELOPMENT DEPARTMENT SIGN PE RM I T
13125 SW Hall Blvd Tigard,Orogon 17223*8199 (503)630-4171 PERMIT M: 5GN95--0161 f
DATE ISSUED. . . . : 10/24/9�+`{�_
EXPIRATION DATE: 0 /�/7�
PARCEL. . . . . . . . . s 25112DD•--01600
40
ZONE. . . . . . . . . . . : I -P
BUSINESS NPME— t WALHOOD SIGN SVC
5I UN LOCATION. . : 15495 SW 5E C?UO 1 A PKWY
APPLICANT/AGENT . PACIFIC REALTY ASSOC;I A'1 ES
BUSINESS "TAX NO,
tic:.ea�:s rmm::.:•�m:a rs r:am:7v:e-xu::v�.awe=-�zsc-.���v::zamrt �n�x�re r_:�a���a+:.ar_�cssr�W::�:vtm�-t-m tir.:x_a-
91CNI
PERMANENT (X) FREESTANDING f ) FREEWAY ( )
TEMPORARY ( ) WALT.. (X) E.LUCTRON I C ( )
OTHER ( > BILLBOARD t ) BALLOON ( )
SIGN D I MENS I ON5. . . . . . : 15"X 11' 6
TOTAL. SIGN AREA. . . . . . 1 16 sq. ft.
WA1.,L AREA. . . . . . . . . . . . : :384 Kq. rt.
WALL FACE (DIRECTION) : E
SIGN HEIGHT. . , . . . . . . . a 1E ft;.
PROJECTION FROM WALL_. : 5 in.
ILLUMINATION. . . . . . . . . : IIUT
DESCRIPTION OF SIGN: Copy : Llnit.11obe Tr,#.kvcl
MATERIALS. . . . . NEON
E.XIviT1NG SIGNS. . . . . . . . 1
,LECTRIC.AL_ PERMIT RE:QUIriEl): YE13
BUILDING PERMIT REQUIRED. NO >,
ADMINISTRATIVE EXCEPTIONS. : N/A
PERMIT FELE e 4 10. 00 I
APPROVED BY:
�'frRM I l TfwE. S I.IiNA PURE;.:
:y
DATE: 10/24/95
-.. -rtn^.•n-¢.4R#M+nae..as.aws aa....»..+m...n.r,atm. --. .-. __.._ .,-..:,r;--n —...�. ... _ i.-';3"�81lnu�net.,tef!�_ _ *mr..pT]p.R�A •,- - -
I „�., q RIPAA�.1b1pRt;
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit #
Phone (503) 639-4171 Date Issued C' 1 ��
CITY Af TIOARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: r 4. Complete Fee Schedule Below:
AA
I
Name of Development r71c� j„ty� AAKI Number of Inspections per permit allowed
Address �,✓r �^� j Service included Ityms Cost(ea) Surn
e City/State/Zip [��'f-6 GTl `6 9 2 4a• Residential•per unit °
—L"— 1000 A9 It or lege $11000 _.
T � `^�� End,eddAarol 50(1 sa It or
Name (or name of business)
portico thereof $25 00 1
Limdso Energy $2500
Commercial Residential❑ Each Manul'd Horne or Moddar 2
Dwelling Service or Feeder utas 00
29. Contractor Installation only: 4b.Services or Feeders
P, Irntallntwn.alteration,or relocation 2
Electrical Contractor��d2e)T i S) I�' S lie- 200 Amps or lass $6000 _ 2
r� p_OV C- 201 amps to 400 amps SAO 00 2
Address I ��,•�..r 401 amps to 600 Amps $12000
2
City L State Zip _ 601 amps to 1000 Amps $180 00 _ 2
Phone No. 6, 20 Over 1000 Amps or volts $34000
Contractor's License No. Reconnect only _Y $5000
Contractor's Board Reg, No. l6i Cltrb 4c.Temporary Services or Feeders
�r Installation.Alteration,or relocation 1
Signature Of Supr. EIeC'n s 200 amps or lose $50 Oo
2 License No. Pham o. 201 amps to 400 amps $7500_ - 401 amps to A00 ampe $10000
Over 000 amps In 1000 volts
2b. For owner Installations: see W above t
4d. Branch Circuits
t Print Owner's Name New.aheralron or extension per panel
Address a)The tae for branch encode with
purchase of service or bodes Me.
Clty StateZip _ Fach branch cirnid $5 00 _
Phone No. h)The lee for branch circuits wifhouf
The installation is being made on property I own which is purchase of service or Metter Me. 2
First not intended for sale, lease or rent. Additrr.hional
circuit lb $35 00 2
EArh ddAicrtabfandi prpld $5 00
Owner's Signature_ _ _ 4a. Miscellaneous
(Service or feeder not included) 2
3. Flan Review section (it required): Fach pump or irrigation nide $4000 _ ?
Each sign or oidline lighting $4000
Signal crmud(a)or a limder'anergy 2
Please check appropriate Item and enter fee in eectlon 58. panel alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) W_ $10000
Servica and feeder 225 amps or more
_System over 600 volts nominal 4f. Each additional inspection over
Classified Area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Par'rarwI'on $3600
Per hour 1166.00
In PIAn1 $5600
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. Jr, Fees:
NOTICE
5o. Enter total of above fees $
5%Surcharge(.05 X total lase) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED ❑ Trust Account>r
$
Balance Due
1
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9---------------
. Ilf
CITY OF TIGARD �
;,'OMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tlgard,Orogon 97223.8199 (503)839.4171 PLUMBING PERMIT
PERMIT MI. . . . . . . : PLM93-02SB
639-4171 DATE ISSUED: 11/2/93
PARCEL.: `S 1. 12DD-01600
SITE ADDRESS. . . : 15430 SW SEQUOIA PKWY
SUBDIVISION. . . . : ZONING: T-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
^----------------•-----------------------------•-----------------------
CLASS OF WORK. - :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : �
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. . :R2 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES-------------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . :
I_-AVATORIEb. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . : SEWER LINE
WATER CLOSETS. . : WATER LINE_ (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft) . . . . :60
Remarks : Construct concrete tilt--up wall bldg. TIF: Total : $14, 081 . 00, Mass
Trans : $1, 060. 00, Industrial : $13, 021. 00
Owner: ---------------______.____.__-.--•----._____________..---- FEES ---------------
PACIFIC REALTY ASSOCIATES type amount by date recpt
PRMT f :30. 00 JH 11/22/93 -
SPCT $ 1. 50 JH 11/22/93 -
Phone
Cont ract or: _.-_----__--__.---.-----.----------
DEAN WARREN PLUMBING
3111 SE 13TH
PORTLAND OR 97202:Phone ff: 236-4150 ! 31. 30 TOTAL
Req #. . : 00172
----- - REQUIRED INSPECTIONS -----This permit is issued subject to the regulations contained in the Rain Drain I n s p _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This pernit will expire if work is not started _ —
within IN days of issuance, or if work is suspended for sore � _than IN days.
Permittee S1.gnaituree
Issued By:7
Call for inspection - 639-4175
VALUE I
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Page No. 1 CASE HISTORY FOR CASE NO.: PLM93-0250
PACIFIC REALTY ASSOCIATES
.15495 SW SEQUOIA PKWY
04/22/96
Action Description Psq/ Schd% find/ Acti,ni Notev Disp by update Vpd
my
Code Bent Done Dane Date ,
i
PIMC060 (F) Issue permit / / / / 11/22/92 PASS JLH 11/22/93 JH
PIMC730 Storm Drain insp / / / / 11/19/93 this inspection for interior rain drainn PASS TLP 12/01/93 TLP
//conductors
no bub cast iron 2 per bay water
tested..
PLMC735 Rain Drain Insp 11/22/93 / / 11/16/93 PASS M3 11/30/97 MRS � .
P114C799 Final Inspection / / / / 04/26/94 PASS TLP 0.7/21/94 TLP
p1mcao0 Cane Finaled / / / / 04/26/94 PA.^,.^. 'f LP o"7/21%9.1 TIX
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CIT' OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171
M
11,37e
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Page No, 1 CASA HISTORY FOR CADS NO-1 sWR92-0194
PACIFIC REALTY ASSOCIATES
15695 9W SEQUOIA PKWY .
04/22/98
Action Description Req/ 9chi/ Ind/ Action Noted
Diep by Update Upd
Date BY
Coate
Sent Done Done
9WRA007 Application received / / / / 03/14/92 06/02/92 JHJ
8WRA010 Plan check by / / / / 06/01/92 APPA THJ 06/02/92 JHJ
gWRA080 (F) Issue permit / / / / 06/30/93 PASS JLH 08/30/93 JH
/ / / / / / 06/02/92 JHJ
SWRA 705 Sewer Inspection
SNPA720 Cane Finaled / / / / 09/08/93 PASS MS 09/08/91 MRS
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:7. . ,.'�.,.•� r. 7 1'r"y" +Rn�•.�yw�,.+.,.y,�yftn+r^1n.n�-�c+ p� . '+.•.' „N* a„. , ...nw,rwrr +tif .r
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 3W Hall Blvd.Tigard,Oregon 97223.8109 (503)639.4171
1
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a
4
131 Z5 SW Hal DW. PLNCK/RECT =
CllY OFTIGARD PO Box 23397 PERMIT o
CONIMUNMDEVELONNIGN7DEPARTMENT r1prd.Oregon 97M
("3)63"171 DATE ISSUED _
o�,ld;may z�s
JOB AJROS: W A-A'lde " TAX MAP/LOT ii1f:I 2-11 12,
ct�vwbM ts �baO
■
SUB: LOT: _ LAND USE:
VALUATION: P4aQ-C2—
OWNER SPECIAL NOTES !•
i
NAME: REISSUE OF: _
ADDRESS: „�5►► 5 Sv s�ia LAST REISSUE:
O27_�4 _ FLOOD PLAIN/
PHONE: _(,,,2 ,4 (o3o 0 SENSITIVE LAND:
CONTRACTOR APPROVALS REQU I R[Q S� Cf� _ jCsS
NAME: _�,tPLANNING:
MGRESS: 15 11 1 Sl sw— Gif 4 L3o�a� o • Su��c zob ENGINEERING:
�l1Z2-4 FIRE DEPT:
PHONE: 7 (-1- rnLo O OTHER: -
CONTR. BOARD 41 3 ZS EXP DATE:
_ 1
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: — LIST/SUBCONTRACTORS:
MECH: BUS TAX:
gRCH NGINEER � .� CALCULATIONS: _
NAME: Au De-r,s w TRUSS DETAILS:
ADDRESS: GApjg _ OTHER: _
oz.
PEONE: ���`t—ai�2 o
PROPOSED BLDG. USE: spa s,.A,.--
COMMENTS: ,:: iZ - gZ —gOQ S ACord irons mu-4-1 he -SAA .f_
f1Or
—
i
APPLICANT PIGNATURE
Received By: Date Received:
�1
R
PERM I T .T ACCT ra DESCRIPTION AMOUNT AMOUNT PD. SAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees __ w
'0-230 01 State Building Tax (5x)
i Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
,r
Building —
Plumbing
Mechanical
10-230 06 Fire
_ 30-202 00 Sewer Connection cwt Q D
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees 1
25-448-03 Off`ce 11F Fees
25-448-01 Residential 'Traffic Fees
25-448-05 Mass Transit TIF Fees J�9jQ-00 ..-
52-449 00 Parks System Oev 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/3587P.WPF
Page No. 1 CASH HTSTOPY FOR CASH NO.: OUP93-0241.
PACIFIC RFALTY ASSOrykf£S
15495 SW SEQUOIA PKWY
04/22/99
Action Description Req/ Schd/ End/ ACt.i(Ai Notes Disp By Update Upd
Code Sent Done Done Date By M
BIJPC007 Application received / / / / 07/70/93 O9/30/93 MAA
RIIPCO20 Plan check by / / / / 08/30/97 APPR MB 08/30/93 MAA
I OUPC040 Check for prcl. restrict. / / / / 05/16/92 YT1F VRG 08/30/9) VR6
I DUPC100 (F) Issue permit / / / / 08/30/93 PASS JLH 08/30/93 JH
1 RUPC705 Foot/Found Tnap / / / / 09/13/93 PASS TLP 09/13/91 TLP
BUPC105 Foot/Found Inap / / / / 09/14/93 ftgs west perimeter ftgs, 1 on a wall APP GO 09/14/93 GES
(13 total, marked on builders plan)
SUPC'725 Slab Inep / / / / 09/16/93 APP O8 09/24/93 OSS
BUPC726 Tilt-up Pill Inep / / / / 04/01/94 ALL TILTUP PANELS ARE SPECIAL INSPECTION PASS TLP 04/15/94 TLF
SEF FILE FOR REPORTS
BUPC740 Framing Insp / / / / 02/04/94 this inspection for two hour firewall 88 TLP 02/08/94 TLP
DUPC742 Roof naiing Insp / / / / 11/12/97 PART TLP 11/15/93 TLP
PUPC742 Roof naiing Tnsp / / / / 11/18/93 LAST S£CTTON COMPL£TF. PASS TLP 11/22/93 TLP
BUPC750 Insulation Insp / / / / 04/01/94 CEILING INSULATION PA88 TLP 04/15/94 TLP
BUPC960 Case Finaled / / / / 04/01/94 PASS TLP 04/15/94 TLP
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August 30, 1993 r
r,y
CITY OF TIGARD ,
0
Dennis Woods OREGON
Mackenzie Engineering
PO Box 69039
Portland, OR 97201-0039
Dear Dennis,
i This is to inform you that the Building Division will approve the two shell permits for buildings #225
and #226 at the Pacific Corporate Center as shown on the plans submitted in August, 1993, with the
following conditions:
1. The courtyard area between the buildings, showing the access walkways, is incorporated and
attached as a part of the approved plans.
2. Additional nailing as shown on sheets Al and A3,and the Ramset"Tru Bolts" called at detail
12/A6 are incorporated as part of the approved plans.
3. Disabled access to the building shells complies as shown. However,as individual tenant plans
are submitted, additional doors may be required to be made accessible, pursuant to Sections
3106(b)2 and 3 of the Oregon Structural Specialty Code. This add,tional access can be
provided in one of two ways:
s�
a) providing additional walkways leading from the accessible parking to the entrances t
required to be accessible, or
b) providing additional accessible parking immediately adjacent (or immediately across
the vehicular driveway in the case of the east side of building #225) to the entrances
required to be accessible.
Pursuant to our discussion, it may be advisable for the project to pursue additional building
perimeter walkways to allow for greater leasing flexibility with respect to the accessible entry
requirements.
4. Two sets of revised plans, incorporating the walkways described in #1 above, the red-lined
changes described in #2 above, and any other revisions made with respect to 03 above, shall
be submitted to the Building Division to provide a complete set of micro-filmable plans.
If we can be of any further assistance, please call me.
Sincerely, 1
David Scott, P.E.
Building Official
cc: Pactrust
JlWd9225.22r,
13125 SW 1-lall Blvd„ Tigard, OR 97223 (503) 634-4171 TDD (503) 684-2772 —
,.
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CITYOFTIFARDSITE. WORK
AND PERM I T
(,`OMMUNrff DEVELOPMENT DEPARTMENT PEP11IT #. . . . . . . : SIT92--0015
13126 8W HWI Bbd P.U.Ba 23397,n PM,O►pon 91 (603)630.4176
i! DATE ISSUED: 06/03/9-2
SITE ADDRESS. . . : 15495 SW SLUUOIA PKWY PARCEL: 26112DD-01600
SUBDIVISION. . . . : ZONING: T F�
BLOCK. . . . . . . . . . • LOT. . . . . . . . . . . . .
I Yf:�E OF' WL.1FtK:NE:W PAVING?. . . . . . . . . :Y PESO. NO. : r I
E:XC:V VOLUME.. : Cy i:iRADIhIC . . . . . :'>< VALUE.
FILL VOLUME. : cy LANDSCAPING?. . . . :Y
ENG FILL?. . . . . . :Y SITE. P REP 7. . . . . . .Y
SOILS RPT REOD?:Y STORM DRAINS?. . . :Y
IMPERV SURFACE. .. : 147840 sf
f
Remarks: Site 9ruAdint), storm lines, sewer- linr_s, urs kltilities, paving & '
landreat�e. �'
Owner: _.___________.______________.__________ __.._.__,__..___ _____. FEES
PACIF=IC REPT TY ASSOCiATES type --aino1.1nt by date r•erpt
SSDC $ 15680. 00 JLH 06/01:.3/92 - 1
PPMT $ 698. 00 J1._11 06/0;:,/91:
PLM( f 453. 70 JLH 06/0:3/92 - it
,hone! #: SPCI 14. 90 JL.l1 0fl, 0:3/f?
'ontractor:
i GREEN
i 51 1,`.`i SW SE_OUO I A BLVD, SUITE RCAVA
IUARD OR 97224
h-wonN #: 624-7717 i-OfOL.
41328
--_-- - RLOUIRED INSPECTIONS
''lis Perot is issued subiect to the regulations contained in the Erosion Control
''igard Municipal Code, State of Ore. Specialty Codes and all other Fi l 1 Inspection
cel icable laws. All work will be done in accordance with Gr ad i n q I n s p _ _ _
aoproved pians. This perait will expire if work is not started Paving Insp
.Anin 188 days of issuance, or it wort is suspended for tore Stem Dr^Ain Inspi
:hen 188 days, Landscaping Insp
F=inal InspeLtir.n
,ermittee 5ignctt
-..�___..4.___.— _.._. ....._..� .. .._. _....._......_._.. aa�
lsslalerl By :
Call f'or inspection - 639-4175
M,
f'
13125 5W IUP UMW. PLNCK/RECT # _
CITY OF 'rIGARD ��o�s 391 PERMIT #
COMMUN[[lCD[;VFCOPMENTDEPARTMENT (503)639+171 DATE ISSUED
/ � �1 TAX MAP/LOT —
Joe ADDRESS: .1�
SUB: LOT: --- LANG USE:
VALUATION: k L� #* APPROVEQ TO ISSU
SP CIA TES 60A, f __
NAKE: � �� � _ REISSUE OF: -
ADDRESS: _ _ _ _ IAST REISSUE:
FLOOD PLAIN/
PHONE: --� _— SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: !�( ' �,r P � — PLANNING: S12992
ADDRESS: _ _ ENGINEERING:
FIRE DEPT:
PHONE: — � OTHER:
_ 1
CONTR. BOARD Ie: _ EXP DATE:
ITEMS RE UQ IRED
SUBCONTRACTORS: PLUMB: — LIST/SUBCONTRACTORS:
MECH: BUS TAX:
f NGINEER CALCULATIONS:
WE: � � TRUSS DETAILS:
ADDRESS: __ OTHER:
PHONE:
PROPOSED BLDG. USE: Y4;r�X s � -
COMMENTS:
St6
APPLICANT SIGNATURE
Received By: gate Received: _.
i
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PERMIT I ACCT it DESCRIPTION AM�OUDNT� AMOUNT PD. BAL, DUE
10-432 00 Building ,Permit Fees 629,rs 0 �=
10-431 00 Plumbing Permit Fees _--
i
_ In-431 01 Mechanical Permit Fees -
10-230 01 State Building Tax. (S%) A-90 ■
Building _
Plumbing
Mechanical
10-433 00 Plans Check Fee �_- V 3•
r
Building
4-
r 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 ,lo
25-448-03 Office TIF Fees
2.5-448-01 Residential Traffic FeesJk
25-448-05 Mass Transit TIF Fees _
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
24-445-01 Water Quality (Fee in lieu of)
i
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL /6186__.�, a0
n "587P.WPF
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Page No. 1 CASE HISTORY FOR GSE NO.: SIT92-0015
PACIFIC PEALTY ASSOCIATES
15195 .9W SEQUOIA PKWY -
04/22/96
Action Description Rey/ Sctui/ ATdJ Act i m Notes
Disp fly Update TTpd
Dais BY -
Code sent Done Dani '
•
06/01/92 JNJ
SITA007 Application received / / / / 06/14/92 AppR JHJ 06/01/92 JHJ
9ITAolo Plan check by / / tl6/01/92
-16/()1/92
6/OL/92 J1iJ
SITA020 Check for pre]. restrict. / / J / PASS JLH 06/031,2 JLH
SITA060 (P) Issue permit 06/03/92
0@/16,193 JH
STTA060 (P) Issue permit
06/16/!3
SITA101 PERMIT EhiENSTON REQUEST / / 06/16/93 / / pernit 4att=ded fur 160 days per Dave PASS -LH 06/16!93 JH
Boott
/ 06/09/92 PASS MS 06/11/92 MRS
3XTA740 9tzm Drain Lndp pA99 MS 06/15/92 MRs
9ITI1740 Strm Drain Insp / / 06/12/92
06/1.6/92 PASS MS 06/17/92 MRS
9ITB740 8trm brain Insp / / / / PASS MS OB/26J93 MRS
SM750 San Sewer Insp / / / / 06/26/93 2 sewers building 226
9ITB 750 Ban Sewer Insp / / / /
09/02/93 no test main newer FAIL MS 09/02/93 MRS
PASS MS 06/12/92 MRS
STTB77L Misc. Tnepection
/ / 06/11/92
BI'P8770 Misc. Inspection
/ 09/24/!7 211 water line PASS MS 09/27/93 MRS I 1
i
PASS M9 07/07/92 MRS
9I78799 Final InsFection / / / /
07/01/!2
LP
5TTB600 Case Finaled / / 07/01/92 PASS MS 07/25/94 O
nTTH600 Case Finalt'd
07/14/94 07/14/94 JC
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-� DATE: PLANS CHECK NO.:
S/?- Z- S-�5 �
PROJECT TITLE:
i COUNTYWIDE 'PACTeusr et-b6: ZZ s
TRAFFIC IMPACT FEE APPLICANT: DcHms woab-S
WORKSHEET <#Zic/sg;fi, -f Assocs.
(FOR NON-SINGLE FAMILY USES) AILING ADDRESS:
3 1Q.3t)X 69n39
CITY/ZIP/PHONE:
RATE PER 22.rf lq,,d OC 9'12 it II
CATEGORYLAND USE _ TF IP TAX MAP NO.:
RESIDENTIAL _ $138.00 CTM 251 1 Z, T L- G0
BUSINESSA COMMERCIA $35.00 SITUS NO.ADDRESS:
DEEIGE 1 SE621J014 OWWY .a 171 G
INDU5TRIAL $133.00
INSTITUTIONAL $57.00
PAYMENT METHOD:
_ ASH/CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT(PROMISSORY NO I.AND USE CATEGORY DESCFUPiION OF USE :EKDAY AVG. TRP RATE
DEFER TO OCCUPANCY /yo"fY) 3.85 Ill
BASIS: —~ 1
CALCULATIONS:
7"C% S•. � �� X l 33.0 � -TiF
Z.� s X 3. d's X A ( 3 3.oa = lq,D�1.,3d' = A /y,af
PROJECT TRIP OFNEF.ATION:
�Tt7T4L A/YlOC1iV71�U� ME:
/ 8 Old
ADDrMNAL NOTES. FOR ACCOUNTING PURPOSES ONLY:
i emss re t4xs.,r
00
� Nt�S�tiAc T/G
-- PREPAFi��
CC: WASMNGTON COUNTY
TIF NOTEBOOK
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