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Permit CI1YOFTIGARD SITE WORK PERMIT COMMUNITY DEVELOPMENT D Q TMENT PERMIT # SI T94 -0016 13125 SW Hall Blvd. Tigard, Oregon 97223•8 50 199 B3924171 DATE ISSUED: X5/03/94 PARCEL: 19136DA -01000 SITE ADDRESS...: 11564 SW PACIFIC HWY SUBDIVISION • FRUITLAND ACRES ZONING: C —G 1 BLOCK • LOT •4 TYPE OF WORK: NEW PAVING? • N RESO. NO.: EXCV VOLUME.: cy GRADING? •Y VALUE...$: 0 FILL VOLUME.:1174O cy LANDSCAPING? •N ENG FILL? °Y SITE PREP? •N SOILS RPT REQD?:Y. STORM DRAINS?... :N IMPERV SURFACE.. : sf Remarks: 11,740 CU YDS ENGINEERED FILL Owner: FEES MARK LAWRENCE type amount by date recpt PO BOX 1720 PRMT $ 238.50 JG 05/03/94 — PLCK $ 45.00 JG 05/03/94 — BLAINE WA 98230 5PCT $ 11.93 JG 05/03/94 — Phone #: 206 -332 -5800 Contractor: N —B HATCH CO PO BOX 4684 PORTLAND OR 97208 Phone #: 227 -5006 $ 295.43 TOTAL Reg #.. : 63024 REQUIRED 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 Fill Inspection _ applicable laws. All work will be done in accordance with Grading Insp approved plans. This permit will expire if work is not started Final Inspect ion within 180 days of issuance, or if work is suspended for more than 180 days. Permittee Signature: • Issued By: .i / Call for inspection — 639 -4175 b Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 / S 5 S. ul. Job Address: � s to Add L i # �4 Suite • L� S S n n. v s� Tenant: i Va uat o n: R A� C E L E Owner: L} �/ - : : : : :< :<:> Address: m C r I ess M r>7 Ar ►� ............... . oR L Qv 2 P E 15 c D r to A -� 5 PE AGE r�r W - 7 O A ° 8 3 Z - E 2 1. rN I B I - 00 0 3Z 8 - Phone: co 3 oe z ._ E ng_nee Contractor: A c r. g /7 T N - 5 14A -c N C , GEIVtI 4L. Cav ,c-‘25 Address: P O. BOX 4 (o 8 4- Type of const: R3R . O • 9 7Zo8- 4684 - Occupancy Bass: Phone: 2 2 7 - 5 Sprinklered? Yes No Contractor's License # - (attach copy of current Oregon license) Sq. ft. of project: _ Story (1st, 2nd, etc.) Architect/Engineer: WAKee 14SSo G . Proposed use: Address: - //Cep 5. W. - .4GLEN • BL l/D, Previous use: SeAVE27 0 i 9 7a Note: Plumbing & mechanical plans must be - submitted at time of Phone: - 43 4/0 - - - . building permit application. COMMENTS: S f2cJG -/-624L 'F L L_ ( /l Z00 CL). 7 1 99 ) / - "3410 p^l ant Laws Phone number Received by: 04\`,1 Date Received: ctkLI 4 Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK). ao Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Oev 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— -.._ - �� _._w A NT).r Fire District (FIRE) TOTALS:-: Page No. 1 CASE HISTORY FOR CASE NO.: SIT94 -0016 MARK LAWRENCE 11564 SW PACIFIC HWY 04/10/97 Action Description Rea/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • • SITA007 Application received / / / / / / 05/03/94 JG SITA010 Plan check by / / / / 05/03/94 PASS DS 05/03/94 JG SITA020 Check for prcl. restrict. 05/03/94 / / / / 05/03/94 JG SITA080 (F) Issue permit / / / / 05/03/94 PASS JLG 05/03/94 JG SITA107 PERMIT EXTENSION REQUEST / / 03/26/96 03/26/96 EXTENSION GRANTED UNTIL AUG 1, 1996 PER 12/26/96 JT DAVID SCOTT SITB700 Erosion Control / / / / / / 05/03/94 JG SITB710 Fill Inspection / / / / / / 05/03/94 JG SITB720 Grading Insp / / / / / / 05/03/94 JG S1TB799 Final Inspection / / / / / / 05/03/94 JG • • • • Case summary for Case No.: SIT94 -0016 Date: 04/10/97 OaSITE WORK PERMITadaddaaadadaddadadaddadaddaddad adaddaddad&Aaaaadadaaddadad`ia4 o :SIT94 -0016: PROJECT:GRADING /FILL : STATUS:I : UPD:02/27/97: :JT : ° o PERMITTEE:MARK LAWRENCE PRIM..: - ▪ ° o SITE ADDRESS:11564 SW PACIFIC HWY JUR...:TIG: ° OaDESCRIPTION OF PROJECT ( 1) aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac o 11,740 CU YDS ENGINEERED FILL ° ° per Tom Plescher, "this permit has to be signed off by geotech engineer ° o plus inspecton reports" 2/26/97 jeanne ° Oa ag o CLASS OF WORK: ° o TYPE OF USE : PAVING' •N- RESO. NO.: • ° o ZONING -C -G • - • GRADING' •Y• VALUE.$: 0: ° o EXCV VOLUME.: 0:cy LANDSCAPING' •N• ° o FILL VOLUME.: 11740:cy SITE PREP' •N• ° o ENG FILL' •Y• STORM DRAINS' •N• ° o SOILS RPT REQD ?:Y: IMPERV SURFACE..: 0:sf ° OaNOTES ( 3) aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa aaaaaaaaaaaaaaaaac o 0 o 0 o 0 a aaadaddaaataaaad aaaaraaaaaaard aaaaddataaa aaaaaaaaada `daaaaaaaaaaaaaaaaaataaaaaaaai _ Memo field #1 11,740 CU YDS ENGINEERED FILL per Tom Plescher, "this permit has to be signed off by geotech engineer plus inspecton reports" 2/26/97 jeanne Memo field #2 None Memo field #3 None TOTL VAL: $ 0. Related cases in project group 1951 SGN91 -0050 VAN AMERICA, INC. BUP92 -0063 VAN AMERICA, INC. SIT94 -0015 MARK LAWRENCE BUP97 -0015 MARK LAWRENCE MEC97 -0022 MARK LAWRENCE ELC97 -0093 MARK LAWRENCE BUP97 -0011 MARK LAWRENCE SIT94 -0016 MARK LAWRENCE