CITY OF TUALATIN
18880 SW Martinazzi Ave
Tualatin, OR 97062
Phone: (503) 692-2000
Fax: (503) 692-0147
Project Number:
Project Name:
Project Address:
Project Tax Map Number:
Tax Lot Number(s):
Property Owner(s):
Property Owner's Address:
Property Owner's Phone Number:
Contractor's Name:
Contractor's Address:
Contractor's Phone Number:
Proposed development is in the:
Floodplain
and/or
Floodway
Existing ground elevation at site
FIRM date:
Base Flood Elevation, NAVD 1988
Signature of Owner:
Date:
Special conditions of permit (to be completed by City):
Permit issued by:
Date:
FLOOD HAZARD
AREA DEVELOPMENT
PERMIT: APPLICATION
FHADP #____________________
October 11, 2018
The lot is located within a special flood hazard area with a base flood elevation of ____ (NAVD 88) from
FEMA panel 41067C054_F adopted in 2018. No-rise of the floodplain is allowed.
Any electrical, heating, ventilation, plumbing, and air conditioning equipment and other service facilities
shall be designed and/or otherwise elevated or located so as to prevent water from entering or
accumulating within the components.