Permit / TIRD ��'� BUILDING PERMIT
.
' COK�K�����FY DEVELOPMENT DEPARTMENT - PERMIT #.......: BUP91-0133
13 125 Swmmowu p�.mwom�.r�"up°�* 97223 (503) 639-4175
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SITE ADDRESS— : 14650 SW 97TH AVE PARCEL: 2S111BD-02700
SUBDIVISION....: ZONING: R-4.5 •
BLOCK..........: LOT.............:
. _
REISSUE: FLOOR AREAS --- EXTERIOR WALL CONSTRUCII ON-
CLASS OF WORK. vADD FIRST— ..:16669 sf N: : S E: W:
TYPE OF USE. ..:ED ^ SECOND...: sf PROTECT OPENINGS? ---
TYPE OF CONST. :5N THIRD....: sf N: S: E: W:
OCCUPANCY GRP.:E1 TOTAL------: 1660 sf ROOF CONST:B • FIRE RET?:Y
OCCUPANCYLOAD:83 BASEMENT. sf AREA SEP. RATED:
STQR. HT. :10 ft GARAGE...: sf OCCU SEP. RATED: .
BSMT?:N MEZZ?:N REQD SETBACKS REQUIRED - ,
FLOOR LOAD. ...:40 psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET..:Y
DWEZ_LING UNITS: FRNT: ft REAR: ft FIR ALRM:Y HNDICP ACC:Y • .
BEDRMS: BATHS: ' IMP 'SURFACE: PRO CORR:N PARKING:
.
VALUE. $: 4500
Remarks: Siting permit for temporary classrooms. Will use treated wood
foundation.
Uwner: - ---- -------- FEES
SELIG-LEE-RUEDA ARCHITECTS type amount by date r�ecpt
213 SW ASH #210 • P RMT $ 50.50 JLH 07/03/91 -
PLCK $ 32.83 JHL 695/31/91 213224
PORTLAND OR 97204 FIRE $ 20.20 JHL 05/31/91 213824
Phone #: 224-0173 5PCT $ 2.53 JLH 07/03/91 - '
TIF 3 2884.00 JLH 07/09/91 -
Contractor: - SWM � �75.�0 JLH �7/09/91 - '
PACIFIC MOBILE LEASING
P. O. BOX 1404
CHEHALIS WA 98532 - -
Phone #: 206-748-0121 S 3365.06 TOTAL
Reg #..: 50832
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Foot/Found Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp _ .
applicable lams. All work will be done in accordance with Misc. Inspection
approved plans. This pernit will expire if work is not started Final Inspection
within 18% days of issuance, or if work is suspended for core
than 18W days.
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Permittee Signature: 4,4,14/
Issued By:
// Call for inspection - 639
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CITY 11.F TIGARD 13125 SW Hall DNd. PLNCK /RECT #
Pd PERMIT # / (",g
COMMUNITY DEVELOPMENT DEPARTMENT Ti�rd . Ore 0„8 on , 9 g 97223 7/ �
(503) 639-4171 DATE ISSUED i
Tw�.0 T aS ‘oei
JOB ADDRESS: _ 14650 SW 97th Avenue TAX MAP /LOT
SUB: LOT: LAND USE: -mac"
VALUATION: $4,500.00 iv L
OWNER SPECIAL NOTES °c`
NAME: Tigard - Tualatin SD 23J REISSUE OF:
ADDRESS: 13137 SW Pacific Hwy - LAST REISSUE: U
-v
Tigard, OR 97223 FLOOD PLAIN/
PHONE: 503/620 - 1620 SENSITIVE LAND:
T
D �
X C
CONTRACTOR Pi' APPROVALS REQUIRED
NAME: Pacific Mobile Leasing PLANNING: L
ADDRESS: PO Box 1404 ENGINEERING:
Chehalis, WA 98532 FIRE DEPT: z
C
PHONE: 012 �/1 OTHER: 'y' /G - i(� --
CONTR. BOARD #: 50832 'P t E: 5/8/92
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: NA LIST /SUBCONTRACTORS:
MECH: NA BUS TAX
ARCH /ENGINEER CALCULATIONS: c Z ' `
m c.41
NAME: Selig /Lee /Rueda AIA TRUSS DETAILS:
ADDRESS: 213 SW Ash St OTHER:
`sons iae^a
Portland, OR 97204
PHONE: 503/224 -0173
PROPOSED BLDG. USE:
COMMENTS: • Foundation & Ramps for Modular Classroom
CUP 4 1" .- 0 3 Al,E4b To B6 saris ;%sscl
• 1
APPLICANT SIGNATURE
Received By:
d'I&J Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10 -432 00 Building Permit Fees _50.5 (
10 -431 00 Plumbing Permit Fees
10 -431 01 Mechanical Permit Fees )
10 -230 01 State Building Tax (5 %) 2.53 2.53
2
Building t%r'_
Plumbing
Mechanical
10 -433 00 Plans Check Fee V.85
Building .32.85
Plumbing
Mechanical
10 -230 06 Fire ,�, 0 6 20.20 2).20
30 -202 00 Sewddn(ection
30- 444 00 Sewer Inspection
25- 448 -02 'Commerrcia Tt0 Fees
25- 448 -04 It!lykrial T,I.FIees
25- 448 -06 Institji'onal TIF Fees 2,369,6 2,369.0
25- 448 -03 Office TIF Fees
25- 448 -01 Residential Traffic Fees
25- 448 -05 Mass Transit TIF Fees 5'6.00 — Sf5 O O
52 -449 00 Parks System Dev Charge (PDC) 3 7'5'
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)
790,06 Z957 03
TOTAL 5-503
nm /3587P.WPF
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: 2 ���� / / _ !.0 /_� /Iii. i
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ! J 1 - -L / Time: AM _PM
Address : 4<4 L g 7 l ( // t C� ek 9/ / U / A
Builder: p J h! 1- /iL.�j ���� .
THE FOLLOWING CO IONS ARE REQUIRED:
o L - - . - - _ /- / _ , 1 /1 .. , .
■ 4 d
(.7) a_44.1x,...;,', ..4. ,,,_.,.,"
(
i
i nspector: ,/ Date: 7 / S ,/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
/Call For Reinsp.
. - - ' I , uvIu 1 ; 1 I I -II 1. - - -1. 1 , Er , _
ra ` - i ' m- S.W. .
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° �� � r S.W. 9lj
. , �6. s ic P
7 98th ,n di AV
at:" ._.. g , 01.111101111311111111111111 J I Z •. ` S•W. 7th P6 . ipp � ..- E ii. . , s.w. I )\ _ - 97th , AVE. 5 . A Al
S,W. n 96 1 fE "helt*
III 1111
401 N c
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n o �. = Z S.W.
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C 'ALD - BROOK N O Z ' ( ` , S, W 9 3 r .
•AKTRE ` PL. z
0, : 9./.111c7. g A) z — =7 I
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,, •.1"",1/ r � in :iA -�m* A VE. m - z
s x �r
, , ' �� S.W. 91st AVE. ---� ( 92 n d AVE
/Winn II 0 R
_ , , D __ I l a E IIIIIIRA X
l u . 1.
Ir iffillaPE 2
r , ■ /
oil 7 ,. 74§ s .w. s� g W ,8 9th EJ . . I I 0 i
■ $ ' . SW 8 8th AVE.
DATE: PLANS CHECK NO.:
PROJECT TITLE:
COUNTYWIDE �wAi/ry PveMz
TRAFFIC IMPACT FEE APPUCANT:
WORKSHEET SB/II /LgA /'eaF2tA
(FOR NON -SINGLE FAMILY USES) MAILING ADDRESS:
Z/ 3 sw i5// ST _
/ZIP /PHONE:
RATE PER enAHta l t i 9 7207"
LAND USE CATEGORY TRIP TAX MAP NO.:
RESIDENTIAL $135.00 ZS/ // Pe1) - Ti.. oZ 7a0
BUSINESS AND COMMERCIAL $34 -00 SITUS NO. ADDRESS:
OFFICE $124.00 /440 SA) ' T 4-1/E
INDUSTRIAL $130.00
X INSTITUTIONAL $56.00
PAYMENT METHOD:
CASH /CHECK
CREDIT INSTITUTIONAL ONLY:
BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF USE 'WEEKDAY AVG. TRIP RATE WEEKEND A E TRIP RATE
DEFER TO OCCUPANCY /HST' L 'St ,s /j V !.0 3 AIM
BASIS: CDNSf/et/ em.) Dom A 0,e7 6/ez 'i - sreG,eTc/,e
10/1 /e // C t»t) r4 /' '- z c e-r-s S,ezoin s .ESC / C S/e..oani
1 S /A) rR4 2 t 2 -re ,C36 'C&/ /%4;Q ,/3' as S TG1 .64=iL Z
CALCULATIONS:
Av #' OF -rg /PS x / STti 4. #3 X R ,47 Tip= . •
/.0.3 DC SD k 6 z88`100
PROJECT TRIP GENERATION:
FEE: Z 9 .
f/c�
ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY:
Transit
TIF
Z3 /0
PREPARED BY:
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CC: WASHINGTON COUNTY •
TIF NOTEBOOK
form tif10