Permit ._ t.
CITY OF TIGARD SITE WORK
DEVELOPMENT SERVICES PERMIT
_.,/ -!.- I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # S I T98-0009
DATE ISSUED: 04/15/98
PARCEL: 1S126DC -05203
SITE ADDRESS...: 09275 SW LOCUST ST
SUBDIVISION • PP1997 -124 MLP96 -0014 ZONING: R -12
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..: ALT : PAVING? • Y RESO. NO.:
TYPE OF USE •SF GRADING? • Y VALUE...$: 17500
EXCV VOLUME: 0 cy LANDSCAPING? •
FILL VOLUME: 0 cy SITE PREP? • Y
ENG FILL? • N STORM DRAINS ?...: Y
SOILS RPT READ ?: N IMPERV SURFACE: 0 sf
Remarks: Extend utilities into site.
Owner: FEES
BERT LUNDMARK type amount by date recpt
3381 COEUR D' ALENE DRIVE FIRE $ 27.40 DLH 03/25/98 98- 304360
WEST LINN OR 97068 PLCK $ 44.53 DLH 03/25/98 98- 304360
PRMT $ 128.50 GEO 04/15/98 98- 304960
Phone #: 5PCT $ 6.43 GEO 04/15/98 98- 304960
Contract or:
CONSTRUCTCO INC
PO BOX 54
WEST LINN OR 97068
Phone #: 557 -7562 $ 206.86 TOTAL
Reg #..: 000619
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Excavation Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Grading Insp
applicable laws. All work will be done in accordance with Paving Insp
approved plans. This permit will expire if work is not started Strm Drain Insp
within 180 days of issuance, or if work is suspended for more San Sewer Insp
than 180 days. ATTENTION: Oregon law requires you to follow rules San Sewer Insp
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-001 -0010 through OAR 952 - 0011080. Your may
obtain copies of these rules or direct questions to OUNC by calling
(503)246-9187.
• Issued b /,L Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Site Permit Application s ‘'`
13125 SW HALL BLVD. Commercial: Comple ENTIRE fo
•
TIGARD, OR 97223 Residence: Complete SHADED areas S/T9P" 0.0.09 (503) 639 -4171 x304 3/25/9� f
( alitA t4),' [
Print or Type
Incomplete or illegible applications will not be accepted
.
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(Soils report required for >5,000 i!mati i' • i va s> '' ire
( ed fo 5 Cu. cu. Yards g .. .... ... ...::cE, : l?tl a #t4uetoi au #tvi
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required answer (Engineer 4 ed
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Retaining structure? (check one) ® Rock
FOR OFFICE USE ONLY
-
° CMU Notes:
❑Concrete
°Other
•
Total new impervious area including all Land Use Case # . Map/TL#
buildings, sidewalks, and paving Sq. Ft. Mt x —670/Y
fl_. S o 2 7, yd
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•
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 (j,o,u) -- --
B (New or Add) 1 1 -- -- 3 (j,o,w) -- --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- --
B & M (New or Add) 1 - 1 -- -- 3 (j,o,w) -- --
P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
B (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o)
B & M& P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
iii :::::::: $:::::: �:: �:::::.::...
.............
.::::: . .
..... . ....
......::::::::::: :
NOTES: KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f = Fire P = PLM
u =USA E =ELC
<U: §:f : jaded st ::: > ><: w = W =
.................. ...... aside.: t�:;;><: �. St��tits<: ct��::;::<:::<:::<::::<:»><:::: ::::<:::<:: <:::«: >;:,: >:: »..... ash. County F FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with
calculations.
h: matric.Doc