13729 SW ESSEX DRIVE 4
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13729 SW ESSEX DP. -
CITE'' OF TIGARD
DEVELOPMENT SERVICES
1312.5 SW Hall Blvd., Tigard,OR 97223 (503)639-417?
Plan Check 0
CITY Or TIGARD
Mechanical Permit Application Recd By
13125 SW NAL! BLVD. Commercial and Residential Date Recd_
TIGARD, OR 97223 Date to P E
(503) 639-4171, X304 i Darr,o DST
Print or Type Pelmet 0
Incomplete or illegible applications will not be accc,p+ed called
='TT
1.. Dearnptlon) Tahte 1A Mechanical Coos _ OTY PRICE MUT
Job SVW A01311 s S~ Al Permit Fee
Address I1 C 'S�v '- I//Y -0 -0- 10.00
Bw y► C40Ira }} 0) Supplymenta! 300
-- -- d
to"amd t1w•aaq 1.) Furnace to 100.000 BTU 6.00
Owner � md.ducts&worts
2.) Furnace 100,000 BTU. 7.50
ind.ducts S veins
Cgw3t•n zip Prron• 3.) Floor Furnace `--- 6
.00
kid.Vern_
wrtf•Ifrr nrlm•d rx,..,..,! t_) Suspended heater,wap heater 6.00
or fFoor mefrnted heater
Occupant M"'•'o^ +• 5.) Vent not u1d.in -
3.00
Calvsur - appliance permit
p"O^• 6.) Baler or comp,heat
Pip.air Coad. 6.00
--- to 3 HP;absorp unit to t OOK BTU
1'! 7.) Boder or camp,heat pump,air cord. 11.00
115 HP.absorp and to 500K BTU
Contractor ` I^ rn 9) Boder or
pump. 15.00
Attach copy of C , ' f 2-W _1530 H absorp unit.5-1 r W BTU
1 r 9.1 Boder or CON, ,heat pump,air cond. X50
rllfTefn Licenses (yrs - ,f I 30-50 HP.absorp and 1.1.75 mit BTU
CMVL1k Uaa e( 10) Baler or comp,hRat pump.ar li;r 37.50
( ,50 HP;absorp unit 1 75 rrd BTI I
I COTTuor kft o a Oaa 11.) Ar handling unit to -'� 4
,50
�
Architect �( �- 10,000 CFM --
12.) Air handling and 7.50
_ 16.000 CTM
or 13) Non
portable 4.50
evaporate cooler
h15uf•
C
jP
Engineer M - 14) Vern tan cxx,nected 3.00
zip P
to a single duct —
��esatbe wrwk New O AdditionJ_ - ARerabon O Repay U 15.) Jenblabon system not ------ 450
to be done Resldentlal No`+�dential O S drx 'din applianm permit
Addrhonal Desorption o! _ 16) Hood served by --
mechanical exhaust 450
t T) t3orrr_sbc urcureratom - 750 —
I
Exotuig use of t B) Commercial or industrial
budding or property _ type incinerator I
19) Clothes dryers,etc. 450 I
Pr000sed use of -- its ----— -- —q 50
building or property 20) Other un
Type of foal-al O natural gas LPG O eledrtc—0 -- 2 t) Gas plpang one to our outlets 200
I
l I hereby ar-knowledge that I have read thrt application,that the 22) More than C '��—
per outlet (each) _0
Information .vven is coned,that I am the rnwrner or authorized agent of
the owner,uiat plans subnWed are in compliance with Oregon State — QTY.SUBTOTAL
laws
I Signature of C1MmerlAgent Date �` 'SUBTOTAL
5%SURCHARGE
Cantillet Person Name l Phone PLAN R IEW 25•, OF SUBTOTAL
r
TOTAL
ev
71 echpmt-tloc
"7ev 7/'96 'Minimum pemnit fes a$25—.5%surdnatge
RECEIVED
AUG o 6 1997
COMMUNITY UEVELUN tNI
Home Layout O
10
t 4
.-E...-
........
FED T--
_. ........ --.._4 -
-..........__.............
4 -
_. .........._._.._.
Windows _ Windows DorrsWails Roof Floors _
70 `� 12-
CITY OF TIGARD r'1_Fr-,TrZTCAL. PERMTT
DEVELOPMENT SERVICES P17.RMIT # : ELC170517
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/31/97
r,nRCEL. J:-S'.04CC- H3154
7i1
.1
1,r]T f 7' r 17 7 n T E_7, NO. -
V T 1. 1 . . . - r""
I I T LA-71!T ZONMG� �'Z 7
o!-r.7 r
. . . . . . LOT. . . . . . . .. . . . . . Jt Jr,I 7D ICT TnH
I".
oJc,(:.IA; Dt_,7.cT,jp1- ion : Add two (2) branch circuits,
............ -------
Pr751Dr7NT101.. IJNIT Tr.Mr-, ' RVr./F7rr)r-"r? 73 M 173 C E L.L n N C rl I.!
1000 r5r- on LESS. . . . tr 0 200 amp. . . . . . . : 0 r`_!MP/1RR1GAT1ON. . . . -
c.n. c i i n t)n' L "'0 it)7)1 0 _0 i 4110 amp. . . . . . . : 0 c31(,,,,!/01JT LINE I- Tr,,, .
L',*,M I T C T) r-N"L R rj'Y. . 0 401 6.00 amp. . . . . . . . 0 SIGNAL/PANEL.. . . . . . .
101/ SVC,'1'7DR. . 0 GO I #-atmps 1000 V ul, 'S, 0 MINOR LABEL ( 11,A) . . .
__----SERVTCF/rEr.-'DFR.-_____ CTRCYT7'_-, L INSPECTION
. . . . . . . 0 W/'r.RV10E OR rr-.rDER: 0 r--r-P INSiPECTION. . . . . . .
:;'01 400 amp, . . . . . . 0 1st W/O SRVC OR FDR. I PER HOUR. . . . . . . . . . .
1401 C'00 . . . _ ' () E'(') ADD' l._ SPNCH rTnr» I IN rLAINIT. . . .. . . . . . , . .
SVII 1000 AMP. 0 REVIEW F-)ECTTON--'L'--------'--'- ---
I 00C)f amp/volt. 17j to Rf*�!3 tJPJTT!'
). . . . . . .. . : GOO !JOLT Nomv\ini_
Rec,otiriect only. . . . . : 02 SVC/FDR 2*25 AMPS. . : CLASS AkEA/SPEc ncc.
Owrl(-`i. : - 1 . . . - .. . FFE!-i
MICHAEL DCLOSO t y v)E, amcit-kTit by dat e rec pt,
1-�"7_*q SW FqGFX DRTVF
I- r,RMT $ 40. 00 Cr-73 07/3'1 /r?-!
'TTnnPD OR 97c 27e 5r,CT $ 2. 00 GEO 07/31 /97 '17- 2:97E135
f_-:HnEN1X rLErTRIC (70 t 4 00 TrTni-,
7779 SW TECH CENTER DP.
PEOL11RCD TNSPECTTONS
OR R )'1 i 11 F1 P c-f, * I
f-r -groia)fl (7.iivi' 171ec A,' I
lloT)r 66A 0 1 e
14,u #. 00052'L
This permit is issued subject to the regulations contained it the Tigard Municipal Code, St,,te of Oregor. Specialty Codes and all cthe
applicable laws. All worn will to done in accordance with approved plans. This permit will expire if wcrh is not started within 180
lays of issuance, or if work is suspended for tore than 188 days. ATTENTION: Oregon law requir,s you tr follow the rules adopted by
the Oregon Utility Notification Center. Those rfles are set forth in DAR 952-961-0018 through UAR 952-001 1987. You may obtain 3 cq
of these rules or direct questions to 01K by cal' "17-1987.
!7 t
-1WNFR TNf.-TnL1...nTT0N ONLY-
o'. W i � Lit' I !sy In'9(!e f.)[; oport T ut,4y-, k0licli i 5 r)o 1; i n1;
,117 P' 5 5 1 CiNt' DATE
TNT)T1)L.L0T1nPJ rINLY
-ell Y o
I f -4 1 � 1 4 1 1 1 -f-1 1 1 1 4 4 1 1 4 t I 1 1,4 14-1 1 +-1 4 1 f--1 f 4 4 4-1 -1 4 4_I.+4.1 1 1 -1 1 t 1 .1 t t I f
r'7'"1 f -7 r •,i1
JUL-31-97 THU 01 ;34 PM PHOENIX ELECTRIC FAX N0, 603 684 3611 P, 02/02
CrTY OF TIGARD Electrical Permit Application Pian Chad
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Rede
:write to P.E.
Phone(503)639-4171,x304 Print or Type Date to DST
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit tf 40
Fax (503) 684-729'7 Called
1. Job Address: 4. Complete Fee Schedule Below.
Name of Development Number of inspections per permit atiowed
Name(or,lame of business)M -lar-N Service included: Items Cost Sum
Address `1 2*t�J- � 4L Residential-per unit
Q� 1000 sq.ft.or les- $110.00 4
City/State/71P Each additional 500 sq.it or
portion thereof $25.00 1
.ommereial ❑ ReSldential Umaed Energy $25.00
Each Manurd Home or Modular
D
2a. Contractor installatiot r only: welling Service or Feeder 568,00 2--
(Attach copy current ficensea) 4b.Services or Feeders
Electrical Contractor Installation,alteration,or relocation
200 amps or less S80 00 2
Add ss ��'✓ 201 arr,ps to 400 amps ge0.0p 2
City, Stine CY, Zip 401 amps re 600 amps -- $120.00 2
Phone N - 5 -S�\\ sot amps to 1000 amps ._ $180.00 2
.lob No. Over 1000 amps or Malta _ SW-00 2
Ere: Cont.lice.No. Exp-Date w Reconnect only 550.00 _ 2
OR State CCB Reg. No.�y ]��5� Ex .Date de.Temporary services or Feeders
COT Business Tax or Metro N .' =p Date Installation,alteration,or relocation
200 amps or less sao.00 2
Signature of Supr. Elec'n .7 201 amps to 400 amps 575.00 2
401 amps to 600 amps $100.00 2
License N0 `� 144 as Over 500 amps to 1000 vel':;.
Exp.Datp„_ sae'b"above.
Phone No
---� 4d.Branch Clretub
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch dreufta with
purchase of service or
Print Owners Name _ _ t eeor fee.
Address_____.__� Each branch circuit 56.00 2
- b)The fee for branch circuits
City_ _ State __ ZIP. b)
purchase of
Phone No. _ service or tsedar tee.
First branch circuit 535,00sgsz2
The installation is being made on property I own which is not Each additional branch circuit S5.00 2
intended for sale,lease or rent. 4a.Miscellaneous
Owners Signature (Service or feeder not included)
Each vump o•imgation circle Sao= 2
Each sign or outline fighting s40.00 2
3. Plan Review section (if required):* signal circuit(s)at a limited energy
panel,alteration or extension $40.00 2
T'
Please check appropriate item and enter fee in section SB. Miner rebels(10) S1100.00—""
4 or more residential units in one structure 41.Each addftionai Inspection direr
Service and feeder 225 Amps or more cite allowable in any of the above
Svsiem over 600 volts nominal Per inspection WS.0-
T___Classified area or strucrute containing special cr;cupancy Per hour '— $55.00
as descnbed in N.E.C.Chapter 5 In Plant 1 155.00
Submit 2 sab of plans with appllcatien Where any of the above apply. S. Fees:
Not required for temporary construction senrleam So.Enter total of above tees $
5%Surcharge(.05 X total fags) f
NOTICE Subtotal $
Sb.Enter 2541.of line Na for
PERMITS t3ECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Man Revew if ragulMl(Sec.3) $
NOT COMMENCED WfTHIN 190 DAYS,OR IF CONSTRUCTION OR WORK btotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ]��
TIME AFTER WORK IS COMMENCED. Trust Account r-=,;�-�,31.bi. �-00
Total bBl817Ce 17UR :
CITE' OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CEPTIFICATF OF
1312.5 SW Hall 81/a. Tigard,Oregon 97223.9199 (503)$39.4171 OCCUPANC Y
PERMIT 0. . . . . . . s h1ST95- @ !(v:.
DATA; ISSUED: 06/al/96
F IARG'EL.s ;?S J 04CC-4J3154
ADDRESS. . . a 13721) SW ESSEX DFS
SUBDIVISION. . . . ; HILLSHIRt~ ESTATES NO., 3 ZONINGsR-7 PD
BLOCK. . . . . . . . . . s 1..11T. . . . . . . . . . . . . .. 154
CLASS OF WORK. s AE'W
'T YF=E O USF. . . a SF
OCCUPANCY GRP. owW A3
OCCUPANCY LOAD s c"'
Ownera ___w._.__.._ _..._ .._.._ _.. _.. __...__._.._._.___.....___._......_..
SKYLIGHT HOME BUILDERS
P U BOX x:315.
LAKE OSWEGO OR 9*7035
Phonp #s 636-2994
"ontracter.
SKYLIGHT HOME BUILDERS CO
P a BOX 2315
LAKE OSWEGO OR 97035
Phone Ott 503-636-2994
Peg ii. . : 34086
Thi -q Certificate grants occi.tpancy of f hp above referenced building crr portion
thereof and confirms that the building has beon inspected for compliance with
the State of Ore4.lon Specialty Codes for the grolip, occupancy, and use under
which the refer-enced permit wais isfued.
BUI1__17INti I , PECTOR BUILDINu or IC j Ai...
POST IN CONSPICUOUS PLACE
OF
MASTER PERMITCITY TIGARD PFRMTT #. . . . . . . : MS795-- ►406
COMMUNITY DEVELOPMENT DEPARTMENT
DATES ItSSUE'D: 12/0"/95
13126 SW Hall Blvd.Tigard,Oregon 117223.8198 15031630-4171
f='l-'al'1C,'E1_: 2S Z 04CC-•H,?,154
1'i.:_ iiDDf E15S. . . : 137:"3 SW EFi517i( I7f2
i-13DIVISION. . . . : HILLSHIRE E=STATES NC7. 3 70NINE: R-7 rr
BLnf--N. . . . . . . . . . . L_CIT. . . . . . . . . . . . . : 154
Remarks: PATH I
---•---------------------------------------- BUILDING -------------------•---------------------------------------------
REISSUE: STORY 2 FLOOR AREAS---- ----- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------- -----
CLASS OF WOW..-NEW HEIGHT........ : 33 FIRST....: 1792 sf GARAGE.....: 670 sf LEFT.......... 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND..., 2473 sf FRONT.........: .'O PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINSSMIENT: 0 sf RIGHT....,,...:
OCCUDANCY GRP.:A3 BDRM: 5 BA-�H: 4 TOTAL------: 0 sf VALUE..$: 286676 REAR....,.....: 99
-----------------------------------•-----------------•--------- PLUMBING ------------------------------------------------------------------
SINKS.........: I WATER CLOSETS.: 4 WASHING MACH..: i LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 6 DISHWASHERS...: 1 FLOOR DRAINS_: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS,. : 0
TUB/SHOWERS.,.: 5 GARBAGE UISP,.: 1 WATER HEATERS.: i WATER i_INE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS.. : 0
OTHER NXTURES: 0
--------------------------------------------------------------- MECHANICAL --------------------------------------------------------------
FUEL TYPES----------- FURN ( ION ,.: 0 BOIL/CMG ( 3HP: 0 VENT FANS.....: 7 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS.,: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP,: 0 BTU FLOOR. FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...; 1
----------------------------------------------- ------ ELECTRICAL ----------------------------------—-----------------•---------_
--RESIDENTIAL UNIT--- ---SERVICE/cEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIG4S--
1000 SF OR LESS: 1 0 - P.M amp..: 0 0 - 200 ago..: 0 W/SVC OR FDR.. : 0 aJMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L SM.: 7 201 •- 400 ago..: 0 201 - 400 am.: 0 1st W/O SVC/FPR: 0 SIGN/OUT LIN LT: 0 PER HOUR....,. : 0
LIMITED ENERGY.: 0 401 600 amo..: 0 401 - 600 amn.. : 0 EA ADD,. BR n;�: 0 SIGNAL/PANEL,..: 0 IN PLANT,....,; 0
MANE HM/SVCIFDR: 0 601 -- 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amo/volt.: 0 ------------------..------ ---- ------ PLAN REVIEW SECTION ---------------------------------
Reconnect only.: 0 )=4 RES UNITS,.: SVC/FDR)=225 A.t ) 600 V NOM;NAL; CLS AREA/SGC OCC:
----------------------------------------- ELECTRICAL. - RESTRICTED ENERGY -------_-.------------- - ---------------------
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL--------....--- •----------------------------------•----------•-------------------
AUDIO t STEREO.: VACUUM SYSTEM..: AUDIO b STEREO.: FIRE. ALARM...,.: INTERCOM/PAb,NG: OUTDOOR LNDSC LT:
BURGLAR Al-ARM., : 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE S1GNL:
GARAOf OPENEP.,.. CLOCK,,.,....... INSTRUMENTATION: MEDICAL,........ OTHP;
HVAC..........,: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: ---------------------------------Contractor: -------------_- ------------- TOTAL FEES:$ 4726.41
„;(PLIGHT HOME BUILDERS SKYLIGHT HOME BUILDERS CO
P 0 COX 2315 P 0 BOX 13!5
LANE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone M: 636-2994 Phone M: 503-636-2994
Rea A..: 34246
This permit is issued subiect to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other
applicable laws. All Mork will be done in accordance with approved plans, This permit will expire if work is not started within 180
days of issiance, or if work is suspended for more than 180 days.
-----------------------•---------------- REQUIRED INSPECTIONS - __ _.•-----•----------------------------------------------
Footino Insp Plm/undslab Insp Electrical Rough Insulation Insp Apor/Sdwlk Insp Erosion Control
Foundaticr Insp PLM/Underfloor rno Insp Gyp Board Insp Elertrical Final _
Post/Stam Strict Mechanical Insp Lnw Unitage Rain drain Insp Mechanical Finat
Post/Beam Mechan Plumb Top Outeplace Inco Water Line Insp F'lumb Final
Crawl Drain Electrical Servi as Line Insp Water Service In Build in final
r,V-mittee �10nast1.ire : / 1ss1-1P.d Ely :
all for inspect ton •- 639-4175
SEWER LONNEC I ION
P M I T
CITY OF TIGARD PERMIT #. ... . . . :
. . . .
E-f R . . . : SWR95-0461
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/06/95
13125 SW Hall Blvd.Tigard,Oregon 97223s8199 (501)639-4171 PARCEL- ::SI.04CC—:i3154
S 1-1 L: i-741'PL)Hk.SS. . . - 1::/#.") SW ELSE A DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 3 ZONING. R-7 F.I.,
MACK. . . . . . . . . . : i.-OT. . . . . . . . . . . . . 154
TENANT NAME. . . . . :
USA Nn. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF' WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS- I
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 'A s�F
P m, rk s - PATH I
Owner, -------------------- FEES ----------------
SKY1 N-33HT HOME BUILDERS type amcil.tnt by date t-ecpt
0 Box 21315 PIRMT $ 2,_'00. 00 JDA 12/06/95 95-273611
TNSP $ 35. 00 JDA 1.'/1716/95 95---273GIJ
L-i-iKE 0'--')WEG() OR 97035
Phone #: 636-2994
Caritt,actor-:
Sl-'.YLIGHT HOME BUILDER; CO
P 0 BOX 2315
LAKE OSWEGO OR 97035
P,hclyie 303-636 -299,4 t 2235. 00 1-OTAL
Reg ft. 34086
REQUIRED INSPECTIONS
This Applicant agrees to c000ly with all the rules and regulations Sewer Inspect ion
of the Unified Sewage AqPnc,r, The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not puarantep he accuracy of the
,tca
.1
If the sewer is not d
side sewer laterals at the measurement
aiven. the installer shall prosoect 3 fee� Xall,direct ions from
0 -st
the distance Oven. If not so located, tyle . "i., purchase
p. "Tan and Side Sewer" Permit and Athe/ i will :rsta"I'lla lateral.
.......... .........
i 'e; in i t t ee S j iiiiat tt-e
kv
ISSI.ted BV -
C a 11 f o v, i n s c)e et i a ri 639-4175
-'5
Residential Building Permit A.pplic3tion
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Only
Subdivision: _Ljjj.. j»:jX frja1jF,1,0 S' Lot1.
6 Contact Date / l _Initials
Valuation: — Result _
New Construction Only: (Square Footage)
Planck/Re, # �
Permit # _zrl'f i-U 4 d 6
House ) Garage: �t' _ Reissue of ? i�7- '
ry Ar�T r
� /� ) Map & TL # lo y C C s-i
Corner Lot? Y lam" Flag Lot? Y U Zone Pk
Owner:
N.or»jnKj)L »2f ro Plat #
Approvals Required
Address: �[�, ,Z�%S -
��►J -1byi �� Planning Setbacks _ Solar
Engineering
Phone: Z9 9 y Other
Items RP wired
Contractor:
Subcontractors _
Address. — Truss Details
Other
v (3i
Phone: Notes _
( 1 y%
-ontractor's License # 3 y U 3 ----
(attach copy of current Oregon f+cense)
:;ontact Name: `A'1 9Q1tpW S M ►'SN T_
Contact Phone:
Subcontractors, Architect/Engineer:
Plumbing: W0&4115r al&20 _ Address: _
Mechanical: v-e L442, N•r t'
(att h copy of current OR Crrntrarrtor's License)
Phone: I )
JOB D S RIPTION �):�%L
;eceived
p is ture Applicant Phone number
by: _ Date Received:
�iepnen.v««r _
Permit# Account Description Amount Amt. Pd. Hal. Due
M) '► �� Bldg. Permit {BUILD) l06,r' 0 •�
Plumb. Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
iAech: "l
Plan Check (PLANCK) _.S ?3 l.� 33�, joJ
Bldg: .J 5✓ .3.3
Plumb:
Mech: /L3•Sy
Sewer Connection (SWUSA) vU C'U
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC) SU U �U U
Residential TIF (TIF-R) w i �
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (T1F••I)
Institutional TIF (TIF-IS)
Office TIF (TIF�O)
Water 1.. ality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
r
Erosion Cntrl Perm! (ERPRMT) �-
Erosion Plan k/USA (ERPLAN) p• L ���ju —
Erosion PlancklCOT (EROSN) .Gi
TOTALS: �^ 3• U
�rwrrrrrrr...
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for Skylight Homebuilders Company _
fax Map -04062S1 4CC Lot Number(s) H3154 Building Permit # MST 95
Site Address 13729 SW Essex Drive SubdivisionJjillshire Estates III
Case File # N/A _ TIF Land Use District R-7 (PD)
To Be Billed To: _Brian Smith c/o Skylight Homebuilders Compal
Address: PO t3ox 2315 Lake Oswego OR 97035 Phone # 636-2994_
To the City of Tigard:
In accordance with the provision of Oregr,.l 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/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND
SEVERALLY, to pay my/our traffic impact fee, as has been determined by Washington County Ordinance
No. 379 in 10 semi-annual installments of the amount financed together with one-half of one year's
interest thereon at a rate of 7.46 annual percentage rate on the unpaid amount owed. The lien date
is the first day 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 5 years. Each installment
paN!ment will include principal and interest
If hwe 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 o �d payable at once and shall be collected in the manner provided by law
including foreclosure on the above-described real prope,t,,.
The traffic impact fee, annual percentage rate of interest ( 7.46 %) and finance charges which I/we agree
to pay are as follows
HIGHWAY TRANSIT
1) Amount of Traffic Impact Fee . . . . . . . . . . . . . . . $ 1,490.00 _ 120.00
2) Amount Financed $ 1,49000 120.00
3) Equal Semi-Annual Principal Payments . . . . . . . . $ 149_00__ 12.00__
4) Interest on Balance at Rate of —7.46 _ _%o
l\We under tand that the amount owed, as stated above, shall be a lien on the above-described subject
property pursuant to Washington County Ordinance No. 379 Section 6 (D) and ORS 223.230.
DATED his _ 6th _day of December, 1995.
Si ' afu of Property Owner(s) _ Signature of Property Owner(s)
STATE OF OREGON ) Name (Please Print)
Address —
County of Washington )
SUBSCRIBED AND SWORN TO BEFORE me this r�day ofG?!�►'t��?V 19 C_l.D__—
OFFICIAI SEAL
CON
PUBLIC
MARTIN
Notary Oregon
NOTARY PUBLIC OREGON g
COMMISSION No 015477
MY COMMISSION EXPIRES LUNE 4 1496 ( /
My Commission Expires.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Lane: 639-4171
BUP
Date Requested AM _PM BLD
Location/ % _ `��r / ._��. �i ^ SuiteE 9�' o z q3
Contact Person Ph _ M
Contractor 1Lee1)1x f� ,'� �7i� ��h f'�— -�(�c% , ~ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Ac( - -`
Foundation NOT REQUESTED A FPS
Fig Drain
Crawl Drain Ins FOUND DURING RESEARCH SGN
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post&Beam (rt-
Ext Sheath/Shear / ,<
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ___� Lr 9� Z•9
Firewall G, � �-
Fire Sprinkler �_-
Fire Alarm
Susp'd Ceiling --
Roof
Misc: - -- ---- - - --
Final
PASS PART FAIL ------ - ---- _--_-_-- _ _
PLUb1E'.NG
Post& Bearn ------------- ---�.-__-_--
Under Slab
TopOut ----�.` ----------- --- _--.�_._-_�__.- --
Water Service
Sanitary Sewer ----- -- ---- -- ----------------- -,
Rain Drains
Final -- -----� �.-- -----_- -�_-.
9ASk PART"-4iAIL --- - - - -�- - - --- --
ECHANICAL
Rough In
Gas Line --
Smoke Dampers
Final - -- -- -_------ --_ _- -
P_ FAIL
,tECTRI AL —�— — --- —
rvice
Roug�Tin�A -`_-__ - -- --- -- -------
UG/Slab -----_-__-_ -- -- -- --
Low Voltaqe
Fire Alarm
ASS PART FAIL
SITr
Backfill/Grading - - ----' --- ------ - --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ -i_-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE __- _-- [ ]Unable to inspect- no access
ADA
Approach/Sidewalk pate - -� Inspector^ Ext
Other -- ---
Final 7
PASS PART FAI'_ OO NOT REMOVE this inspection record from the )fob site.