Permit a : CITY OF TIGARD SITPE
COMMUNITY DEVELOPMENT D _RTMENT PERMIT # • S I 795 -0031
13125 SW Hall Blvd. Tigard, Oregon 97223081W 23/ 1503# 839 -4171 DATE ISSUED: 09/05/95
jSs / D PARCEL : 2S 1 10DB- -00700
SITE ADDRESS...: Rl T
SUBDIVISION • WILLOW BROOK FARM ZONING: C –G
BLOCK • LOT •10
TYPE OF WORK :NEW PAVING? • N RESO. NO.:
EXCV VOLUME.: cy GRADING? •N VALUE...$: 120000
FILL VOLUME.: cy LANDSCAPING? •N
ENG FILL? •N SITE PREP? •Y
SOILS RPT REQD?:N STORM DRAINS?... :N
IMPERV SURFACE..: sf
Remarks: Grading and grubbing only; No site utilities.
Owner: -- - - - - -- FEES
STERLING DEVELOPMENT CORPORATION type amount by date recpt
LA JOLLA CORPORATE CENTER EROS $ 280.00 B 09/05/95 95- 270133
3252 HOLIDAY COURT, SUITE 225 ERPC $ 91.00 B 09/05/95 95- 270133
LA JOLLA CA 92037 ERPC $ 91.00 B 09/05/95 95- 270133
Phone #: 619 -546 -8841 PRMT $ 483.00 B 09/05/95 95- 270133
SPCT $ 24. 15 B 09/05/95 95- 270133
Contractor: -- ---------- - -PLCK $ 313.95 B 09/05/95 95- 270133
VALLEY PACIFIC CONSTRUCTION
PO BOX 589
DONALD OR 97020 -0000
Phone #: $ 1283.10 TOTAL
Reg #..: 015477
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 Grading Insp
applicable laws. All work will be done in accordance with Engineered gradi
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days. _
774 . ____ _
Permittee Si nature:
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Issued By: 'V4 — – — –
Call for inspection – 639 -4175
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1/21/00 Activities for Case #: SIT95 -00031
4:30:07 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated . Notes
SITA007 Application received 7/5/95 JDA RECD JDA 9/1/95
SITA010 Plan check by 9/1/95 JHF APPR JHF 9/1/95
Si Final Inspection 4/2/96 TLP PASS TLP 4/2/96
SITA070 (F) Ready to issue 9/1/95 JDA PASS JDA 9/1/95
SITA080 (F) Issue permit 9/5/95 BON PASS B 9/5/95
SITB800 Case Fineled 4/2/96 TLP PASS TLP 4/2/96
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