14630 SW 79TH AVENUE w S w w 99' tw lw "r e
14E30 SW 79th Ave.
CIT1r'COF TIGA W
OPEWN
September 7, 1988
Mr. Robert Gillmor
14630 SW 79th
Tigard, OR 97223
RE: 'ICTM 2S1--12BD Tax Tot 1000
uIll Permit 8817033
Dear Mr. Gillmor,
A permit has been approved for the placement of approximately
100 cubic yards of fill material on the above referenced property.
The following shall apply:
1). Streets shall be kept free of dirt and debris
2). Fill material shall not be placed higher than the
flood leve, rim of t:he catch basin located on the
eaQt side of SW 79th Ave.
If you have any questions, please call 639-4171.
Sincerely,
Brad Roast
Building C,fficial
13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -- - -- ----
PEPM11' NO. : S1801.763
CITY OF TIFA RD o"
CCI TY:OF TWA RD
(_4 �
COMMUNITY DEVELOPMEtIT DEPARTMENT TSSUED . 9/ aies
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,1503)6394175 P1--,'IM . PM'T* .NO . 881763
JOR- ADDRESS : 1.4630 SW 791'H AVE
'TAX MAP/LUT 51.19: LJ : UK !
LAND USE :
L01 SIZE :
WORK MASS : SITEMORK
USE' TYPE: STN(*.',l E F A. K.H.-Y
YARDS . 1.00 VAI LIF
TWIEKPId . APF'.A !
F"Il L 7 : YE5
L-'Nt-,TNL,'EPF::D FIL.L.7 ; NO
r;AV I NG,'? NO
(;14A1)1NG'7 : NO
I ANDS('Al-'IN(;7 : NO
SITE 1"MEPAPATION7 : NO
15*TOPM DRAINS" : NO •
I I F 9
Gillmar 1.'.,EPMT 1, $1'5 00
W .14630 ow 79th Move! 1.1-AN Wk--'Vlr:-*W
Et.J 1.4 @L I-(J tar 9*72V,3
PHONE. 150,A) 639--,P6,51 STA*rL: I AX 75
DEVEL.(.)r,mEvr (,HAPGFCi
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RE(I.E.IPT NO .
This permit is issued subject to the regulations contained in Title
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances The issuencp of this permit does not wove restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become r.un and
void If work is not storied within 180 days.or If work is suspended or
abandoned lot a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
tka,A.
Perinittee Signature
( I CA[ I— FOR INSPEC'TION 639--41. r!)
Issued By ��'(J I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
ff # # #
CITYOFTIFARD PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT CE'YOFTIGx RD PLAN CHECK N
1s1zssw"WI end. P.o.6ok233g7 OREGON PERMIT N
onyon (�031BW4175 PATE ISSUED
JOB ADDRESS: r�/�� -.ti �w Tom'
SUB: _ TAX MAP 'LO'T 5/•-�� B^ /o o
LOT: LAND USE:
VALUATION: -
NAMOWNE: SPECIAL NOTES
NAME: .�- ._- ,._ _ ._
ADDRESS: - REISSUE OF:
LAST REISSUE: _
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
ADDRESS: ENGINEERING-. -
17IRE F)EPT _
OTHER:
PHONE: - -
I1EMS_ REpUIRED
ARCH/ENGINLER LIST/SUBCONTRACTORb: _
NAME: BUS TAX:
ADDRESS: _ CALCULATIONS -
- ------ __ TRUSS DETAILS: -
_ PARKING PLAN:
PHONE: -- - - _ LANDSCAPE PLAN
OTHER:
COMMENTS: - -
PERMIT N ACCT ;y DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees --
_.__-_^_ 10-431 01 Mechanical Permit Fees -- -- -- - -
10-230 01 State Building Tax (5x) --_-" ---
Building
Plumbing
MHch i -
10-433 00 Plans Check F"ee
Building -
Plumbing
Me c h -----
--..__-.---_ 30---202 00 Sewer Connection --
30--444 00 Sewer Inspection - --- ------
51-448 00 Street System Dev Charge (SDC) ----- ---
52--449 01 Parks I System Dev Charge (PDC) _ - ---
52-449 02 Parks I1 System Dev Charge (PDC) --- -
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) - -
10-230 09 TRFD - ----- --- ____
10-2.30 06 Washington County Fire #1 (95x) -!-
10-220 00 Amart/Wedgewood --- -
TOTAI_ _ -
REC M --
APPLICANT SIGNATURE -`- --
Received By: Date Received:
ht/3587P/18P - -
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