Permit I
CITY OF TIGARD SITE WORK c....---"-- RERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # • S I T94 -0015
13125 SW Flail Blvd. Tigard, Oregon 97223•8111p3 (p34.(13,1171 DATE ISSUED: 03/31/94
PARCEL: 1S136DA -01000
SITE ADDRESS...: 11564 SW PACIFIC HWY
1 SUBDIVISION • FRUITLAND ACRES ZONING: C —G
BLOCK • LOT •4
TYPE OF WORK:NEW PAVING? •N RESO. NO.:
EXCV VOLUME.: cy GRADING? •N VALUE...$: 0
FILL VOLUME. :1000 cy LANDSCAPING? •N
ENG FILL? •N SITE PREP? •N
SOILS RPT REQD?:N STORM DRAINS?... :N
IMPERV SURFACE.. : sf
Remarks: TEMPORARY STOCKPILING OF 1,000 CU YDS. PLANS TO FOLLOW FOR STRUCTURAL
FILL.
Owner: FEES
MARK LAWRENCE type amount by date recpt
PO BOX 1720 PRMT $ 117.00 JG 03/31/94 —
SPCT $ 5.85 JG 03/31/94 —
BLAINE WA 98230
Phone #: ;1P6=-332 -5800
3 b 0
Contractor:
N —B HATCH CO
PO BOX 4684
PORTLAND OR 97208
Phone #: 227 -5006 $ 122.85 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 Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature : 4.4.--
(f
Issued By: -
Call for inspection — 639 -4175
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Commercial Building Permit Application
City -of Ti
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Fruitland Acres Lots 3, 4, 5 as
Jobstte he description.
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Address:
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Tenant:
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Permit:. �;;; >:.;. i 3>
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Owner: Mark Lawrence . �^
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Box 1720 ' > : :: '> >`s: : ::': ;:s €: € ::
Address: P.O. �> �AprirovaTs�Ae4ured�>.::.;:.; :::::::: ::::.:.;�::; >.::::::: :.�:::.::::
Blaine
WA 82 0
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>Plan
(2 06) 332-5800
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Phone:
'`nee .
Contractor:
N-B Hatch Co.
Address: P.O. Box 4684
Type of const:
Portland, OR 97208
Occupancy class:
Phone: (503) 227 -5006
Sprinklered? Yes No
Contractor's License # 63024
(attach copy of current Oregon license) Sq. ft. of project:
Story (1st, 2nd, etc.)
Architect/Engineer: No'^e., Proposed use:
Address: Previous use:
Note: Plumbing & mechanical plans
• must be submitted at time of
Phone: y 1i building permit application.
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COMMENTS: - - - _ _ „ . - I I _ . „ - - • - -
T- d Gael -ecb nee..
i President (503) 227 -5006
N-B Hatch Co. by: / r�2^""' - , ( )
Applicant Signature & Phone number
Received by: Date Received:
2/14/00 Activities for Case #: SIT94 -00015
3:13:58 PM
. Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SITB799 Final Inspection 2/19/97 TLP PASS TLP 2/26/97
SITA080 (F) Issue permit 3/31/94 JLG PASS JG 3/31/94
SITA800 Case Finaled 2/26/97 TLP PASS TLP 2/26/97
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