16555 SW 72ND AVENUE SAV aNtc MS SSS9T !Mj
CITYOFTIGrARDCfll(OfJ
>tt6ARD
COMMUN TY DEVELOPMENT DEPARTMENT ��+
13125 SW Iia MA. P.O Bac 23397,Tgard,Orpon 97'.2'3 (5W)&W-.:17s PLUMBING PERMIT
i
C� 6139-4171 DATE ISSUED: 05/r:�?1/92
PARCEL: 2G 1 13AC'--OO 1 w 0
SITE ADDRESS. . . : ?W 7,:'ND- AVE
ZONING: T-F'
C,3,1E I V I S T ON. . . . : COUNCIL VIEW ACRES #2 & 1
?LOCK. . . . . . . . • . ;
LOT. . .. .. . . . . . . . . .
.L__-----
CLASS OF- WORK. . :NEWrARBAGE DISPOSAL.S• • = MOBILE: Fit)ME SPACES.
RACKFL_CW PREVNTRS. . : 1
TYPE OF USF. , . . :CUM WASHING ME4CH. . . . . . . : TRAR�. . . . . . • . . . . , . •
OCCUPANCY GRP- - :B2 FLOOR DRAIN` . . . . . . . :
STORIES . . . . • ' 1 WATER HEATERS. . . . . . .. CATCH BASINS. . . . . . . :
r LAUNDRY TRAYS. . . . . . : SF RWI1\1 DRAINS. . . . . :
FIXTURES- ._..__.._.__..__._ _ GREACbL (RAE'S. . . . . . . .
SINKS. . URINALS. . . . . . . . . . . . :
LAVATORIES- - : OTHER FIXTURES. . . . .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . ;700
WATER CLOSETS. . : WATER LINE (ft ) . . . . . 100
DISHWASHE.RS. . . . : RAIN DRAIN (ft ) . . . . ;
Remarks : Constrl_tct new tilt-,.1p I�J.dy. Install `il.dg san swr main line & wate)
line.
FEES
lwner:
ACIFII.; REALTY TRU;T_._____.______._._._.._' type ,amount• by drat;e i`•",�F��
5115 SW SEQUOIA PARKWAY f!RMT $ 147. 50 JLH 05/20/92 —
E'LCK. $ 36. 68 JI_.H 05/20/92
r'
4 '75PICT S 7. A TL.H 0C/^0/92
IGARD [7R 97c -
,.hane #: 6:_4---6300
rOVIN RE I NHA RDT F LUMR T NO
0 BOX 12'9
AEWB1.:.R0 OR 97132 191. Ifs y'TOTAL
".,hurje #: L,20--3754
stela #. . : 01670 REQUIRED iNSPLLFTUNS
Ibis pewit is Issued subject to the regulations contained in the Sewer Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line I n s p
4pplicab3e laws. All work will be done in accordance with Rough-in In.gp
approved plans. This perait will expiry 'f work is not started
Final Inspection
withan IN days of issuance, or if work is suspended for yore .........._.____.__..._.._ _.
than IBfI days. /f .. _...__._... ._...._.___.__ ..
per^m i.t t e r:! 51 y n a t�.�r^a • �G� �� "" _. __-
1 s s'.1eci Fay : _ --
Ca>r11 far inspection - 639•-4175
C17YOF TIGA'
RDCwqRD HU1L.11TIVG PERMIT
COMMUN" DEVELOPMENT DEPARTMENT \ ORIGKM
i
;-:1f".RM I. 1 #. . . . . . . >; PUP�'2-►Zl l w0
13126 SW Hill Bbd. P.O.Bvx 23397,T_QWd,Oropon 77223(603)63x4175
A01.0PARCEL: RS113C-0
3lTE
HDDRESS. .. 1 "�`�I� 7END AVE
SUBDIVISION. . . . : COUNCIL VIEW ACRES #2 R 1 ZONING: I-P
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . • 4 __ ____.____._._..___---______.______
REISSUE: . --___-FLOOR AREAS-- _-- _� - - EXTERIOR WALL CON 7RUC:TIF_
CLASS OF WORK. :NEW FIRST. . . . :44765 s r N: 8: E.- W,
TYIoC.. OF USE. . . :COM SECOND. . . : a'F PROTECT
1YWE. OF CONST. .3N THIRD. . . . : sf N, a» Ezr W:
OCCANY GRP. :BE TOTAL.-'.AL.�-.__.___... 41,"t.5 s f ROOF CONF3T:8 FIRE: RET :Y
U" C
L1CC UPANCY LOAD: BASEMENT. : s f AREA SEP. RATED:
5TOR. : 1 FIT. :26 ft GARAGE. . . : Sf OCC.0 SEF'. RATED:
F.'•SMT^:N MEZZ1 :N READ 5E=.TRACKS---------- REQUIRED--- --
FLOOR Lt.:HD1 . . . : 125 F s f L-EFT: ft RGHT s ft F I R SPI-0.;Y SMOK DET„ . :N
DWE=LLING UNITS: F RNT: ft REAR: 't FIR Al. RM:N HND I CP ACC:Y
IIFDRMS: BATHS IMP SURFACE: PRO CORR:N PARV,INr»
V NLUE:. $ : 716000
Remarks : ConstrLtct new tilt-Up h1c.+.tT. TIF cleferred to occ".'pa+nc:y. Industria]
TIF: Maes Traos it : 4 i , / :'0. LO.
FEE'S
Owners
PACIFIC REALTY TRUST type ;.1mu1_lnttry cuts recpt
1511b SW SEQUOIA n','1RKWAY PRMT $ 1973. OO JLH 05/ 14/92 -
PLCF! $ 1c:62. 45 JLH 04/16/9r
T I GARD OR 97224 FIRE $ 789. 20 JLH 04/16/92 226 1 n 7
Phone !t: 6c'4-6300 5PCT L 96. 65 .II...F1 05/ 14/q�, ..
TIF t x'2922. 00 JLH 05/14/92' -
C 1-(tractor : --.__ _...__.... .._... ._ .._�._._.
H GREEN, INC.,
1 51 1` SW SEDI10I A PKWY (7,1J I TE _:00
TI GAR1> OR 970:24
F'hane #: ( 214- 7717 $ :'7065. 70 TOTAL
Rey #. . : 41328
_- --_-- RE'.0U T RELY I NSPLur I ONS -
This permit is issued subject to the regulations contained in the Foot/FOUT)d ln%!
Tigard Municipal Code, State of Etre. Soocialty Codes and all other Rei of Steel l n,,Liapplicable laws. All work will be done in accordarn, with S 1 ab I n s p -- ---
approved plans. This pet-sit will expire if work is nat started Ti Tt--,.ap Wnl InsE)
within 188 days of issuance, or if work is suspended for pare Roof inq n a i 1 n s p T n s p
Than 188 days.
I n s o i l a t i.o n I n s p1
Shear Wall l Insp
(EYP 8u ir•(d 1115p
e!rmittee L.",il.lilaLarr : ���sp1r� �` inal Inspectio
Call for inspecrtion - E,39-4175
T-� A r13123 sw liau afvd. PLNCK/RECT #CITY T IGARD POBox 2397 PERMIT # vy?-Ol!0
COM;+UNITY DF-YE ,OPMENT DEPARTMENT Tigard,Oregon 97223
(503)639.4171 DATE ISSUED 14.0 55-�
JOB ADDRESS: iw�TJJ �SG(�� ,r12—_ TAX MAP/LOT
SUR: LOT: — LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: �L, c ' /, � REISSUE OF: .--- -- --
ADDRESS: LAST REISSUE:
FLOOD PLAIN/
PHONE: — __ SENSITIVE LAND: _—
CONTRACTOR / APPROVALS REQUIRED
NAME: PLANNING: Ajf 0007__ --- -
ADDRESS: —__ ENGINEERING:
FIRE DEPT:
PHONE: _-- — — -----_---- OTHER: —
CONI R. BOARD #: EXP DATE:
ITEMS REQUIRED
Sl!BCONTRACTORS: PLUMB: �_-- LIST/SUBCONTRACTORS:
MECH: BUS TAX: _--_—
ARCH/ENGINEIR CALCULATIONS:
NAME: TRUSS DETAILS: _--ADDRESS: ------- -- OTHER: ----_ ---------------
PHONE:
PROPOSED BLDG. USE:
COMMENTS: _�_..--� �. �1�L.�.�.'L� -- --— --- ----
APPLICANT SIGNATURE
Received By: — -- — Oa le Rece i ved: ___-_----- _ -
PERMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit, Fees
10-431 00 Plumbing Permit Fe,
10-431 01 Mechanical Permit F es _
10-230 01 State Building Tax (5%)
Building
Plumbing _
Mechani,.al
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-2.30 05 Fire
30-202 00 Sealer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Cees
25-448-06 Institutional 1IF Fees
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-,448--05 Mass Transit TIF Fees 4 4,W LKtl
52-449 00 Parks System Dev Charge (PDC) _
31 -450 00 Storm Drainage Syst Dev Chry
(SSDC) _
24-445-01 Water Quality (Fee in lieu of)
2.4-445 -02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WP1
DATE: PLANS CHECK NO.:
yr7- --
PROJECT TITLE:
COUNq'YWIDE ppC7iP115'
TRAFFIC IMPt'ACT FEE APPLICANT:
WORKSHEET ACi�e_p,F& . ---
FOR NON-SINGLE FAMILY USES) MAILING ADDRESS:
c /sirs -S&O ua,4 A?V Y A-7-00
CITYCZIP/PH.7NE:
RATE PER f' R?"Lj� �' �I'7ZZ _—_---
LAND USE CATEGQRY— TRIP TAX MkP NO.:
_RESIDENTIAL _ _$138.00 _Z� A� A i.UT I ZOO —_
X1 5 AND�Q MSR IA __ 5_OQ STTUANO.ADDRFSS:
1cE � - 4 > -ryl,5 71InIE1NDtjaMqA----- 133.00
INSTITUTIONAL $57.00
PAYMENT METHOD:
k�IC
CREDIT ___ _- — -_ wsnnrrloNAL oN1.r:
BANCROFT"OMISSORY NOTE) tAND USE CATEQoRv oc.SCRIPTTON OF USE EImAr AM Ifor p• , 'rEKEf�No AVF 1wP Mn�
DEFER TO OCr-UPANCY C_ MAN F
BASS:
CALCULATIONS:
k1k'bV RV(- telP Pio 7r X 7 6. r P PA_rj W.J _ Ti
3 •�S- � '-�N. 71�5- ,�C � zz6FzlAZ = AZz'?lZ.00
/� PROJECT TRIPGENERATI/O�N:
Ti•7
------- -- 0 tel/ 1L/L/i�/ / rEEV
. Z Z z Z. Q
ADOITIONAL NOTES' — `—-- FOR A COUN TING PURSE S ONt r�
1►I�i�Arv�i T------
17I0.00
PREPARED
1
(:C WAS1/11IGION000NIV
TO NCIT1110A'1K
form tit 10