Permit SITE WORK
PERMIT
CITY � TIGARD
PERMIT # ^ SIT96-0031
DATE ISSUED: 06/11/96
COMMUNITY DEVELOPMENT DEPARTMENT
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~ 13125 SW Hall Blvd Tigard, Oregon 97223.8199 (503) moo��r,
� ' ' PARCEL: 2S113AB-00800
SITE ADDRESS...: SW 74TH AVE
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S BDIVISION 'c�� ZONING I P
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BLOCK. . . . . . . . . . : LOT 'r :
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TYPE OF WORK: ALT PHv� : N RESO. NO.:
E CV VOLUME: 0 cy -GRADING? : N VALUE...$: 500
FILL VOLUME: 500 cy / LANDSCAPING?....: N
ENG FILL? : N SITE PREP?......: Y
SOILS RPT REQD?: N STORM DRAINS?...: N
IMPERV SURFACE: 0 sf
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Remarks: Site and grading permit to level area of approximately 500 CU yards
around an existing building.
Owner: — — — FEES
JOHN DUNCAN type amount by date recpt
16055 SW 74TH AVENUE PRMT $ 25.00 JH 06/04/96 96-280181
5PCT $ 1.25 JH 06/04/96 96-280181
TIGARD OR 97223 EROS $ 26.00 JH 06/04/96 96-280181
Phone #: 684-0044 ERPC $ 8.45 JH 06/04/96 96-280181
ERPC $ 8.45 JH 06/04/96 96-280181
Contractor: PLCK $ 6.50 B 06/11/96 96-280447
OWNER
Phone #: $ 75.65 TOTAL
Reg #..: 13125
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Erosion Control
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 permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
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Permittee Si ature: �r `
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Issu�d By: _��' /
Call for inspection — 639-4175
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Commercial Building Permit Application e
'City of Tigard
13925 SW Hall B Tigard OR 97223
lvd.
,
/11
9 -4171 I
(503) 63 f 0
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Jobsite Address: X0 S . W S.W. 74TH Avenue Tigard
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tenant:
Suite #
e Only
Valuation: Planck/Rec #
Owner A John A. /Janice L. Duncan 2— 1 Q
Map ...8.::.1.7... L #,
Address: P. O. Box 230097
.: Appr ovals. >Required..:.
Tigard, OR 97281 -0097
h n
684-0044
P e.
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Contractor:
,..064„
Address:
Type of const: f '�e1 J 0b )' (7 S
Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License #
of current Oregon n license) Sq. ft. of project:
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Contact name & Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer:
Previous use:
Address:
Note: Plumbing & mechanical plans
must be submitted at time of
building permit applcation.
Phone:
JOB DESCRIPTION: To Level around the existing building .
k 1),_,,,,,,,,,,_ 6 eci- -064
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A _ t Si nature & Phone number
PP g
Received by: Date Received: (9-1421 (4°
Permit # Account Description Amount Amt. Pd. Bal. Due.
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Bldg. Permit (BUILD) _ 2-5
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) /-
Bldg:
Plumb:
Mech:
J
Plan Check (PLANCK) C 5 � i O _ `e • SD
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R) _
Mass Transit T1F (TIF -MT) _
Commercial TIF (TIF -C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF -IS) _
Office TIF (TIF -O) _
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire Life Safety (FLS) _
Erosion Cntrl Permit (ERPRMT) _ 26 -v )
Erosion Planck/USA (ERPLAN) _ L
Erosion Planck/COT (EROSN) _ ,
TOTALS: b:/5 r
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