Permit CI OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SITE WORK
13125 SW Hall Blvd. Tigard, Oregon 97223~8199 (503) 639-4171 PERMIT
PERMIT # : SIT94-0028
639-4171 DATE ISSUED: 08/09/94
PARCEL: 28112AC-01600
SITE ADDRESS...: 14975 SW 74TH AVE
SUBDIVISION....: FANNO CREEK ACRE TRACTS ZONING: I—P
BLOCK..........: LOT.............:17
TYPE OF WORK:NEW PAVING?... ...... :Y RESO. NO.:
EXCV VOLUME.: cy GRADING?........:Y VALUE...$: 25500
FILL VOLUME.: cy LANDSCAPING?....:Y
ENG FILL?......:N SITE PREP? ^Y -
SOILS RPT REQD?:N STORM DRAINS?...:Y
IMPERV SURFACE..:00 sf
Remarks: Skoutes Warehouse SDR 93-0009: Applicant request Site Development Revi
ew
approval to allow construction of a 12,000 square foot warehouse building. ZON
E:
I—P (Industrial Park). WCTM 2S1 12AC, tax lot 1600 (SHELL ONLY!) ONSITE WATER
QUALITY FACILITY!!
Owner: --- — FEES
JOHN SKOURTES type amount by date recpt
17010 SW WEIR ROAD PRMT $ 175.00 — 08/09/94 —
5PCT $ 8.75
BEAVERTON OR 97007 PLCK $ 113.75
Phone #:
Contractor:
OWNER
Phone #: $ 297.50 TOTAL
Reg #..: --
REQUIRED INSPECTIONS —
This perait is issued subject to the regulations contained in the Erosion Control
Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavation Insp
applicable laws. All work will be done in accordance with Fill Inspection
approved plans. This permit will expire if work is not started Grading Insp
within 180 days of issuance, or if work is suspended for more Strm Drain Insp
than 180 days. Final Inspection
Permittee Signature: `u 0 u^ w
Issued By:
U �� Call for inspection — 639-4175
Commercial Building Permit Application
City of Tigard
13 SW Hall Blvd.
Tigard, OR 97223 -
(503) 639 -4171
Jobsite Address: 1 Lv /91+ .
r / Off Use Onl
Tenant: � s Oh V � -f Suite #
OD
Pianc c/Rec
Valuation: if),
_
Owner:
tTe Y. 'av �
Map'8 T L #..:
/7011
5'w
Address: �
Approvals ::Requ ed ,; ..::.; . :. : :':.:...: :.:::
Pann
Phone:
.0eGINVL °#K-
oe
En
Contractor: a,�.�revs/ : 147'i /0 1 ''10 `O K._ 9
v....,..,47.- ,
Address: 1
if
Type of const: I\)
Occupancy class: 1 2_
Phone:
Sprinklered? Yes t N�o
Contractor's License #
(attach cop of current Oregon license) Sq. ft. of project: ./ 2/-a--&D
name & phone: Story 02nd, etc.)
Proposed use. . e �s2
Architect/Engineer:
Previous use:
Address:
Note: Plumbing & mechaniical plans
must be submitted a time of .
building perm application.
Phone:
JOB DESCRIPTION: UA41e
Applicant Signature & Phone number
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
rs ..
5 1T q �;'�` Bldg. Permit (BUILD) 0 ® `r°
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) vas-
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) / /3 . 5
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 (WQUAL)
' Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntri Permit (ERPRMT) • •
Erosion Planck/USA (ERPLAN) _ .
Erosion Planck/COT (EROSN)
TOTALS: q7,