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Permit ' CITYOFTIGARD � DEVELOPMENT SERVICES PERMIT � ��~��~-^ ^~^�^~^ ��^^~^��� PERMIT #.......: SIT98-0042 a��'A�. y3�5 SW�W�v��m�OR87�3�3>�9�/7l DATE ISSUED: 11/20/98 | ' PARCEL: 2S101BD-00105 SITE ' ADDRESS...: 12805 SW 77TH PL SUBDIVISION....: ZONING: I—L BLOCK..........: LOT.............: JURISDICTION: TIG CLASS OF WORK.. :NEW : PAVING?.. ....... : Y RESO. NO.: TYPE OF USE :COM : GRADING? • Y VALUE...$: 20000 EXCV VOLUME: 754 cy LANDSCAPING?....: FILL VOLUME: 0 cy SITE PREP? • Y ENG FILL?......: STORM DRAINS?...: Y SOILS RPT REQD?: IMPERV SURFACE: 0 sf Remarks: Site work for construction of a 5,074 sq. ft. manufacturing building. i Ownert FEES __ | ROY GOECKS type amount by date recpt 12805 SW 77TH PLCK $ 91.33 DLH 10/06/98 98-309756 TIGARD OR 97223 FIRE $ 56.20 DLH 10/06/98 98-309756 PRMT $ 140.50 DEB 11/20/98 98-310994 Phone #: 5PCT $ 7.03 DEB 11/20/98 98-310994 i EROS $ 80.00 DEB 11/20/98 98-310994 Contr ctor: ERPU $ 26.00 DEB 11/20/98 98-310994 GFC CONSTRUCTION INC ERPC $ 26.00 DEB 11/20/98 98-310994 170171CANAL CIRCLE LAKE OSWEGO OR 97035 Phone #: 685-9702 $ 427.06 TOTAL REQUIRED INSPECTIONS This periiit is issued subject to the regulations contained in the Erosion Control Tigard Municipal Code, State of Ore. Specialty Codes and all other Excavat ion applicable laws. Al} work will be done in accordance with Grading approvedplans. This permit will expire if work is not started Paving Insp within 180 days of iemmco, or if work is suspended for more Strm Drain Insp , than 180 ays. ATTENTION: Oregon law requires you to follow rules Culvert/Catch Ba __ adopted by the Oregon Utility Notification Center. Those rules are San Sewer Insp set forth in ORR 952-001-0010 through ORR 952-001-0080. Your may Manhole/Cleanout obtain copies of these rules or direct questions to OUNC by calling Final Inspection (503)246-9187. � ' - Issue Permi ttee Signature: '-~ �" -.. -- ^-� - // / ++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p.m. for an inspection needed the next business day +++++L++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ | � . | . Pc4n1-1 /0 a/ C Recd By TY OF TIGARD Site Permit Application , Date to P.E. / Date Recd /at &P,,P 9.3125 SW HALL BLVD. Commercial: Complete ENTIRE form �� a ,�9� • �GARD, OR 97223 Residence: Complete SHADED areas ,�� Date to DST � ilis i I NK- (503) 639 -4171 x304 1 � 1 Permit* S' /T9,�''- e4 f Related SWR # � I Called 2 fl- /`t.¢lc- 119A? Print or Type / /�' Incomplete or illegible applications will not be accepted Project Na 3 ` i i Utilities (Complete all that apply) J obe r1 r 3a : Address A J ss _ t „ � t Storm Sewer ' * (ASZr Linear Ft. r N ,I e , s ` Sanitary Sewer v s' '�?. ��t� Linear Ft. 'Iti owner Mailing Address "° Fresh Water `' I� Linear Ft. '3 + #- City /State '' Zip Phone Catch Basins i ~fi r :— '''. ' - G2 ©- t —::-- # General .i Name Clean Outs Contractor = . # Pnorto permit ' Mauing Address Describe work to be done: is uance „ , * 3 � 3� °� ew.A on❑ A ionD Repair �� �'"'� N dditr Iterat 65py al � t -� � � * � rho=nse are Ci / ` 1 ' Zip Phone N * ,, • ; .Additional Description of Work: * - gi: rf F' 0 v � s •� * 4€ � i s e ill � 4 9'� Ea ' � . s c� l �F: expired in COT S t e C Co B oa rd Lic # Exp Date s* database DSO ,.� , ' g', .. ,,t`rq�' / t a of j Y>f�c3 t ' ( � ij�;,,.A &- Nam tKValu Protect., i r s f �[�� lJepee �I Valuation ,- I . r - � � �:' x+ . � Architect Mailing Address Plans; Requ ired See Matrix on back k 1'3 6 (0 l3` ' _ T he foliowing,ymus applic City/State �� ((�� Zip Phone ; Site,plan with Vicinity Map Par °'( `? ilt [r E`y cit.. rj-moc■ 22J , ”. :411; ,rShowm )AD A compli e, ADA ) & Li gh Plan , Name' nd �Grading Plan a d etails La ndscaping ting; Pl amil Engineer Mailing Address Erosion Control Plan and 5 Retaining Structures r detaiis including calculations City/State Zip Phone Site- Utility Plan,and details So R e port (showing connection to i (if required) �K z Ili approved syst em) .a , ".. Excavation Volume I hereby acknowledge that I have re a d t applic t hat he 5 (Soils report required for >5,000 cu. Yards information g iven'i s cor rect that I * am the o n w er or a u ; nt of the owner an that plans sub are ;in c o mpliance ..45.4. cu. yds. age , , _ ,O,re laws _ _ iN ,:�,__NR, �,,:, . :: Fill Volume ,Srgnatureof Owner/Agent . ! Date (Soils report. required for >5,000 cu. Yds.) y 1 O cu. yds. I * E �i `Z Will the fill support a structure Contact PersonlNameg s g T' Phone , (Engineer required if answer is yes) YES❑ NOS '" , Retaining structure? (check one) DRock FOR OFFICE USE ONLY �� 11^^ D CMU Notes: Q,to I M1- _ - � CSt� S� M �T4 Cther p Concrete p� „ 0• , • ?(, I � cc. �{ J I a�O � S Total new impervious area including all �� �� Land Use - ase # t �- `'�j�� Map/T #9 buildings, sidewalks, and paving Sq. Ft. ��� ' � coz O►�S b r0 siteapp.doc 3/98 f�GN kW 9/, 3 n. ' - . srorar_ D ion - 1— FL$ 5,, /y 7,s3 ,a, q2 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX sgnature f the su rvisin &ectrician before plan review will be conducted th e app1tcant to request additna1 ptan sets fcr dstributon purposes (Copy for Cntractor City, Total # of TYPE OF SUBML1TAL Ptans KEY: Submtted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building NOTES: .......... ........... I: \dsts \maxtrixl .doc 07/06/98