Case File 7562 SW AshOrd Street -
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INSP¢-Cf�ON NOTICE 4 I
City of Tigard Building DeParto:ent
131-25 SR [tall Blvd. Tigard, Gregor 97223
Inspection Line (Roc-O.-Phones 639-4175 Business Phone: 639-4271
Inspections_
Footinr Plbg. Underolah Hoch. Rough-in �p`r/Sc_wlk�
Pound- Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sen. SewAr Framing .-Bldg.
Post/Ream Mech. Rain Drain Insulation -Plush.
Plbg. Underfloor water Line Gyp. Bd. -Hoch.
Date Requostei:-`— b— _—Times _ � � ��AM — PM
Addreee: 7��Z i. — Permit 1: ey�-_3�r4--
THE FomowiNO mmacTtoNS ARE RRQUIRED:
Inopecto �_ __...... Date:
PROVED T_ DISAPPR D ---- APPROVED SUBJECT TO ABOVE
Call For Reines.
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CITYOFTIFARD CERTIFICATE OF
W.WRD OCCUPANCY
DOTE ISSUED. 06/054.1-91
51TE ADDRESS. . . 736a SW ASHPURD ST PARCEL- 26112CA-06600
13LrH7.W. . . . . . . . . . x LOT. . . . . . . . . . , . . : 12
' --- -------------~--------------------'---------------------------------------
| CL4IS OF W8RK. xNEW
| t'/u� OF USE. . . xSF �
nCCQPANC" GRP. xR3 �
�
gX,CUPANCY LOAQ»225 4
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T11WANT NAME. . . : |
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Romarkex
Owners
RENAISSANCE DEVELOPMENT
DEV[LOpMENT
2098 8TH
�
WEST' LINN OP 971-47,8
k1»nne 01 503657573C,
O'Contractorx
RENAISSANCE DEVELOPMENT
DEVELOPMENT
� 2018 9W STH ST
�
WEEST L}NN OR 97068
Phone #: 657-5739
Reg #. . - 49955
8ccopanc� of the m -rive referenced building is hereby p'ven, and certifies �
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the compliance with thm State Of Oregon Specialty Codss fop the group,
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nc�'+pmncy, and ut * under which the referenced mit wao i mmued.
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FIRE DEPARTMENT �
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�-1NG-- - —' '-----
�~~^ ~��FI-CIA— L—'
POST TM CONSPICUOUS PLA[[
1NS�+,�L�ION NOTICE
City or Tigan" Building Department
13125 fs" Hall 0"d. Tigard, Or�gou 97223
IneF x-tion Lille (Re. ,_Phone' : 639-4175 aineea Phone: 633-4171
Inspection: _
rooting Plbg. Onderelah
Mach. Rough-in Appr/Sdwlk
Round.
Fllxq. Tap Out Gas Line
PIKALr
Post/Beam Struct. San. Sewer -F "'1
Framing Bldg.
1-..^r/Beam Mach. Rein DrainI -nsulation --Plumb.
Plbg• GrArtloor. Nater Line
Gyp. Bd. -Mach.
Date Requestedt � /
_ ^--Li! �Timn c AN __PM
Address: �7� �,
Permit #t---�- 1a
Rullder: �
7
THE 1^OLLOWING CORRBCfIONS ARE RRQtlIRRDt
a
Inepector:
APPROVRD D18APPROVRp —
APPROVED SuRJRCT TO ABOVP,
__Call For Reinsp.
INSPECTION NOTICE
City of Tigxxd Building Dopartmmt
13125 SW Ball Blvd_ Tigard, Oreqor 97223
Inspection Line (Rec-O-Phone, • 639-4175 Buainess Phone: 639-4171
Inspections
rooting Plbg. Underslab Mech. Rough-in A Bdw
g pp!/ lkJ
Pound. PILg. Top Out Gas Lina rINALt
Poet/Beam Struct," San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Tnaulation -plumb.
Plbg. tlt.derfloor water Une Gyp. Bd. �/�_ J-Nech.
Date Requeetedt_ L =Time, d "l PH
Address: r �� Peretit �t
Builder:
THP. FOLLOWING CORRECTIONM ARM RMQtlIRMot
n A L k-C VC r, ` I l l S L C t i"t 1-4�t
1 ►i�
:nepector: i ( �. L.LC C. 1 L
�r Dater
_APPROVED _ DIBAPPRO \ 7[l APPROVED BUBJSCT TO ABOVE
Cali For Reinsp.
INSPECTION NOTICE
city of Tigard Building Ekepartnent f�
13125 811 Ball Blvd. Tigard, T
Rec-o_ �n 97223 1. �..�/
Inspection Line
( Phone): 639-4175 Business Phone: 639-4171
Inspect 10,1:
Footing Plbg. Undereleb `4
Mech. Rough-in Appr/Sdwlk
Pound.
Plbg. Top Out Gas Lina
FINAL:
Poet/Beam Strurt. Sen. SO,•rec
Framing -Bldg.
Poet/Ream Meeh. Rain Drain
Insulation -Plumb.
Plbg. Underfloor Hater Line
�Yp_ qd_ -Mech.
Datfl Requestedi_ /
sI Timet AH PM
Address: ,2
i Permit
Builder: c: f
THE FOLLOWING CORRECTIOMS ARE REQUIREDt
Inspector:
Dater Z
APPROVED DISAPPROVED
-— APPROVRD SUR.7RCf TO ABOVE
Call For Reinap.
INSPECT ON NOTICE r
City ofg Tigard . ildingTigard Oregon tnt
13125 BII dell Olid, Tigard. Oregon 87223
Inspection Line (Rec--o-Phone): 639-417:. Business Phone: 639-4171
Inspection=
Poot t ryg
Plbg. Undetsiab Hoch. Rough-1.n APP r/Sdwlk
Found.
Plbg. Top out: Gas Line FINAL:
Post/BPam Struct. San. Sewer
Ps•aming -Bldg.
Poet/Beam Hoch. Rain Drain
Inoulatlon -Plumb.
Plbg. Underfloor Hater I.1-ne
I gam' Bd• -Koch.
Date Requested: _._i/ 20"j /
_ Timet AM x PN
AddrPse:_ �L—
Permit #t L'
Builder: i-;P1 62 -t � /
THE FOLLOWING 00RRECTI0l1! MM REQUIRED:
_-- Le
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Inspectors 1.�/C ✓
Dates _
11PPROVED DISAPPROVED APPROVED SUB.I!'CP To ABOVE
Call For Retnsr.
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M.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-41175
Type of I nspection ._. �/4 G�!`I r/6/AJ
Date Requested / Time - A.M.Len::-f P.M.
Address _�/USc��G1��� 7J b 2 o05ermit
Owner _ _ Lot
Builder it) C. 4�
The following Building Code deficiencies are required to he corrected:
� 'll
Presented to � --- -_—^_
�pproved
Inspector ❑ Disapproved
Date. _
CALI FOR REINSPECTION
❑ YE= ❑ No
INSPECTION NOTICE
City of Tigard Building Department /
13125 SW Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phc:ne:
Inspection:__
Footing Pibg. Underelab M Rouyh-in Appr./Sdwlk
Found. _ .. _ Plbg. Top OutFINAL:
toot/Beam Struct San. sewer raminq L n -Bldg.
Poo(£Laaa:r-MaeA,�Rain Drain Insulation -Plumb.
/ Plbq. Underfloor'.eater Line Gyp. Bd. -Hoch.
Date Ae:Iueeteds r / Time: AM PH
Addresses Permit
Builder:� �e
TBZ FOLLOWING CORRECTIONS ARE REQUIREDt
Inspector: Date:! G f
`APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVEj_
Call For Reinap.
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SNAP-4 TLON[_N ICE �j �•
City of Tigard Building Dapartaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-.Chone): 639-41.75 Business Phone- 639-4171.
Inspection:
Footing Plbg. Underalab Moch. Roue',-in nppr/Sdwlk
Found. O Gas Lim FII!ALr
Post/Beam St::uct. San. 8 Framing -Bldg.
Post/Brain Mech. Rain Drain Insulation -Plumb.
Pibg. Underfloor water Line Gyp. R'.1. -Mach.
Date Requeated t_,FTimes] PM
Addrescr � ]
�
Bui.lderr_ _—_
THE POW"1,10 CORRECTIONS ARE REQUIRED:
Inspector
APPROVED DISAPPROVED --_, APPROVED 81113JECT TO ABOVE
Call Por Reiner
INSPEcrloN_t____
City of Tigard Building
fng Deparissseot
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Lin (Rec-O-Phnne)s E39-4175 Buoinees Phones 639-4171
Inspections_--y-.`JSci �Z1��
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mw--h. Rain drain Insulation -Plumb.
Plbg. Underfloor linter Line Gyp. Bd. -Neth.
Date Requesteds_ 02 _ Times
Addrees: _ Permit
Builder:-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dates,4'Z 7
APPROVED 01SAPPRMO MPROVED SUBJECT To ABOVE
Call For Reinsp.
.�... .:...-
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INSP CTI14—NOTIeg
Cl.ty of Tigard Built"-ng 09purtment
3
13125 SF Ball Blvd. Tigard, Or f
ig Oregon 472?.
Duninese Phone: 34-4171
Inspection Line (Rec-o-nisons): 639-•417b
Inspoctions
Footing Plbg. Underelah Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beem Strutt, Framing -Bldg.
Pont/BAam Mech. `�`R pre��) Ineulat+_on
-Plurab.
Plbg. Underfloor Gyp. 8d. -Neth.
Data Requeeted:_
/ Times AM -_PH
Address: permit s ��n�li _
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: bates
ttOVRD DISAPPROVED
APPROVED 9UBJECI' TO ABOVE
__
__Call For Reinsp.
/ �NSPB4fIQN NJTICE tir'
City of Tigard Ruildlaq Dopertinw.t *'/
13125 M Ball nlvd. Tigard, Or gon 7:2' �y
Inepact`on Line (Ree-O-Phone): b-1, 4175 ner r lv ••�: iia -,4.71
Inspection:-_ —. -- ---
Footing Plbg. Underalab Mec'. u7h APPCj,.&,1k
Pound. Plbq. Top Out Gas Line 71RALt
Pont/Ream Strutt. San. Sewer PramLnq •Ado.
Post/Beam Mech. Rain Drain Ineuletion -Plumb.
Plbq. Underfloor stat it Line Gyp. Bd. -Iteah.
quente .02 J 6 Time- 718 PM
Date RM d•
Address:^_/ ](DOS Pe.mlt /:
Builder:
THE FOLLOWING CORK MONS ARR REQUIREDt
I
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Inspector Datot
APPROVED _— DISAPPROVED A1Pr4m BUSOO7p TO AdDVIY
_Call For Rainsp.
�NZi�CTI6N._NOTIGE ,
City of Tigard Building Dep&rtnent -�
13125 SW hall Blvd. Tl"PnL+, Oregon 97223
Inspection Line (Rec-O-Phone): 639• &175 Business Phone: 639-4171
Inspection:_ - _- —--- --- —---
PactLng P1bg. Undorelab Mech. Rough-i, Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sen. Sower Framing -Bldg.
Post/Beam Mech. Rain Drain IneuIat,inn -Plumb.
I
Plbg. Underfloor hater Line Gyp. Bd. -Nech. /6�Z_
Date Requeeted:_ -�1 _ _ Time: __AM _( PM
s �
Address: Permit t:
Builder:
THE FOLL*IWTMG CORRF-TIONS ARE REQUIRED:
Inspector= Date.
APP 7n)
DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY OF I'IGARD RECE.Ir"I' nF PnYMEt 'T KLl*XjP'f' NO. a 9 1 -P0944 9fA
CHcCK AMOUNT v 4043. 02
RENAISSANCE DEVEi—OPMENT CASH AMOUN'T a 11). q.10
PAYMEN1 DATE
SUB0 I V IS I ON
75f)j? A"AiFORD ST
(R7 PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAI 1)
PERM 530. 50 PLUMBINU PERM 170. 00
�� f--HANICAL F-`E 40. 50 ST. BLJJi,D PER 37. 06
ON FE 2.5 14. 9 6 SEWER U9A, 1500. 00
35� 00 STREET SDr (100. 00
WE F4 IN�,)PFur 500. 00 f'OTORM )DRAIN SDC 375. 00
0011c.) SIX`
PAID /4043. Or-'
PLUM
i' Ni PERMIT
Cr �AtBPERM71 . . . . . . . Mc
T90-036
COMMUNITY DEVELOPMENT DEPARTMENT OnooN
13125 SW Hall Blvd. P.O.Boa 23397,Tigard,Oregon 97223(6(YJ)839-4175 / DATE I SSUED c 02/01/91
SITE ADDRESS. . . t 7562 SW ASHFORD ST ✓ PARCEL a 2S 1 12CA-08600
SUBDIVISICIN. . . . t RENAISSANCE WOODS ZONINGt R-4. 5
BLOCK. . . . . . . . . . t LOT'. . . . . . . . . . . . . v12
CLASS OF WORN.. . :NEW GARBAGE D I SPOSALS. . a 1 —
TYPE OF USE. . . . :SF WASHING MAC:H. . . . . . . it BACKFLOW PREVNTRS. . :O
OCCUPANCY ORP. . :R.:3 FLOOR DRAINS. . . . . . . t0 TRAPS. . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . # I CATCH BASINS. . . . . . . :0
FIXTURES-------------- LAUNDRY TRAYS. . . . . . 91 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . t2 GREASE TRAPS. . . . . . . :0.►
LAVATORIES. . . . . 15 OTHER FIXTURES. . . . . 90
TUB/SHOWERS. . . . i SEWER LINE_ (ft ) . . . . :0
WATER CLOSETS. . c 3 WATER LINE ( ft ) . . . . : 100
DISHWASHLR9. . . . tI RAIN DRAIN (ft ) . . . . :0
Remarks :
OWNERi ------------------_._-----.-__-.. --____—__r_----_ -.FEES-------_—_.___.___
RENAIrSiINCE DEVELOPMENT PAYM f 100. 00 JLH 10/1.8/90 206012
2'043 I.ALDEN ST BPRT $ 530. 90
BPLC f 344. 83
WEST LINN OR 979r)B BSPC f P6. 53
Phone 0: 5036571,5739 STDC $ 600. 00
SSDC: $ 375. 00
l l rrmbirig .-ontrartor, -- --_—_-------- PARK $ 500. 00
MPRT t 40. 50
N E4m p . AGI E1 I MPLC f 10. 13
G�cirire2. 03
/ 1
u` - � �_ _ MSPC f 2. 03
5
City : � �.��o' ..t+t� Mate: PPRT f 170. 00
a
Rey PAYM $ 2508. 02 JLH 02/01 /91
REQUIRED INSPECTIONS
This permit is i :s-led sr_ibifart to the reg--
r_ilations contained in the Tigard Municipal Fant/found Inisp Gyp Board Ins1p
Code, State 01F Ore. :specialty Codea and all Foot.1found Insp Rain drain Insp
other applicable laws. All work will be done Post/Seesm Struat Water Line Insp
in accordance with approved plans. this s ,Fo /Beam Meehan A
' '' ppr/8dwlk Insp
permit will expire if work is not started Plm/undslab Insp Mwr_hanical Final
within 180 days of issuance, or, if work is PLM/Underfloor, Plumb Final
suspended far more than 180 days. Mechanical Insp Building Final
Plumb Top Out Erosion Control
Framin„ Insp
Fireplace Insp
Gas Line Line Insp
Insr.dation Insp _
Authorized Plumbing Contractor Signature _- -
Call for, inspection 639---4175
Contractor Nous; :
✓'r
MASTER PERMIT
CiTrYOFTIFARDA,�,t I'D E Rl,1I T #. . . . . . . : MST90-03641-11
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C OMMUNiTY DEVELOPMENT DEPARTMENT C11Y0F io�eoon 16ARD DATE I SSUE U: 02/01/91
13125 SW Hell Blvd. P.O.Ba 2a397,Tlpad,Ongon 47223(603)639-4175
Tr' 756c_' 59-777--ORD S VIA RCEL: c'S 1 1 cCA-RS 1
RENAISSANCE WOODS ZONING: R-4. 5
f1LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1c
.. ...w.._-------------«__________. ---__.___. BUILDING ---------------------------------------
;'I-
----•-----------------------------_.-__
'I_ I SSUE: DWELLING UNITS .l BASEMENT. . . . . . . . :0 5f
(�UASS OFF WORK. :NE.W NEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . : 775 S
rYI 'E OF USE. . . :Sl FLOOR OREAS------__-_._.... REQUIRED SE:TBACKS----__-_--_
TYPE OF CONST. :5N FIRST. . . . : 1488 sf LEFT. . :5 ft RIGHT. -5 ft
`')CCUPANCY GRE'. :R_3 SECOND. . . : 1202 s f FRONT. :40 ft REAR. . a 2:7 ft
TORIES. . . . . . . :2 THIRD. . . . :0 s f REQUIRED-
i
EQUIRED--•-------_______._.__I IF I GHT. . . . . . . . :25 ft TOTAL 5 f GMOKE DF TF CTORS. :Y
F1..00R LOAD. . . . :40 psf VALUE. . . . . f: 138058 PARKING SPACES. . .-0
F�emar^ks :
___.__.______._______.__.__._____..____-.__--• PL.UMBING
INKS. . . . , . . . . . :2 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
L-AVA70RIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
IUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1. CP'rCH BASINS. . . . . . . :1P 9
WATER CLOSETS. . :3 SEWER LINE: (ft ) . :0 GREASE TRAPS. . . . . . . :0
D I StAWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . :0
UPRBAGE DISP. . . : 1 RAIN DRAIN (" ) . :0
WASH INC MACH. . . a l SF RA T N DRA I l+' a 1
MECHANICAL ____.____. __ -.. _._____.____._.__ __._ FEES -----------
F IJF!_ T'YPES------------ UNIT HTRS. . :0 t ype ,amol_1nt by nate rer_pt
/CAS/ / / VENTS . . . . . :0 PAYM $ 100. 00 JLH 10/18/90 20600
MAX I NF'UT:0 PTU VENT FANS. . :4 BPRT 4 530. 50
P URN ( 100K -0 HOODS. . . . . . : 1 BPLIIC $ 344. 63 / !
!IRhI ) =100K . . . I WUOL"STOVES. :0 B5PC $ 1:,6. 53 !
F"l..00R FURN. . . . :0 CLO DRYERS. : 1 STDC $ 600. 00
BL)I I..-/CMP ( 3FiP:0 OTHER UNITS-0 SSDC $ 375. 00
GAS OUTLETS: 1 PARK $ 59-10. 20
MPPT $ 40- 50 /
Rl` NAI 5SANCE DEVELOPMENT Mc'LC $ 10. 17.1
c'043 WALDEN ST M5PC. $ 2. 03
PPRT $ 170. 00
ldF"`,1 LINN OR 97068 r-'5F'C, It 8. 50 ! !
1"-bone it: 5036575739 PAYM 4 2508. 02 JLH 02/9-11/91
RFh1AISSANCE DEVELOPMENT
,:`17143 WALDEN ST
WF.ST LINN OR 979-'68
11ione f r f.:,`_i7-5739
#. . 1 49955
E 2608. 02 TOTAL
this pereit is issued subject to ,he regulations cont in the ---- --- REQUIRED INSPECT i'10+15 -— --
Tigard Municipal Code, State of Ore, Specialty Co all other Foot/fo!.r1d Insn Fir,eplac:i Inso
avoIccable laws. All work will be done in ace c with approved Post /Beam Str1.lrt Gas; Line Insp
clans. This permit will expire if work i r e w► !Beam Mechan Insi.11aticn Ins:,
-seance, or if work is susi for r tha dP days. P1m/Un_( tab Insp Gyp Boas Insp
_ --- PLM/Under-floor: Rain dr-ail, Insn
m i t t P..p S i g n a t•1 r o • _ . - M e r h a n i r�i l I 1.1 5 p W a t er•. Lire I.n s p
PIl_cmb Top Out Appr/Sdwlk Insp
Framing Tnsp Mechanical Final
'
Call fo— insper.tion - 639-•4175
SEWER CONNECTION
CIT- YOFTIOARD PE RM I T
WYOFTWIRD
13126 SW Hell Blvd. P.O.Box 23397,11gerd,Oregon 97223(15M)639-417b
SITE ADDRESS. . . : 7562 SW ASHFORD �-T PARCEL: 2S112CP--RS1P
SUBDIVISION. . . . .' RENAISSANCE WOODS ZONTNG- R-4. F
RENAISSANCE DEVELOPMENT type aMOI.Ant by date t-eept
50365715,7313
CHNTRPCTOR NOT FILE
Phone #: 1535. 00 TOTAL
This Aoplicart agrees to comply with all the rules and regulations SewPtInspection
of the Unified Sewage Acency. The permit expires 120 days free
the date issued. The
will
| -- —'—' '-- -- be forfeited '~ ' the
| permit ^^p^'~^ The �Agency "=, not
— — --__ ~ oomap,,o
side laterals. �f
given, - — ' ~.^ -
installe
,t all directions from
—
�
the distance giver. If not so i�n�i �all Durchast
Plew-mittee Si at Lly-e
Call fov- inspection 639--4175
|
G9AmNG EROSION CONTROL INFORMATIQN
F
GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.:
Renaissance PERMIT NO.:
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR Same
NAME-.& ADDRESS:
stat "-- — -----
----` — OWNER NAME AND ADDRESS:
Same _
TELEPHONE NUMBERS:
APPLICANT: 657--5139 PROPERTY DESCRIPTION:
STREET EET ADDRESS AND CROSS STREETA OCATED
OWNER- 657-5739 Ashford & 79th
GENERAL,CONTRACTOR: 657-5739 --
EXCAVAIION CONTRACTOR: 682-2885
STIE:/IOB. 657-5739 —
— LEGAL DESCRIPTION:
2.4 14WAFTER FLOURS EMERGENCY TAX LOT NO-
CONTACT PERSON,TTILE,TELEPHONE: 1/4 SECTION:
Randal Sebastian, President_`_ SITE SIZE,ACRES:
_ E38-2000 _ ---
DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS
LFAVhNG SM_.WILL.BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLE ONE)
(NO7F-MMM MAY BE REQUIRED) CATCH BASIN DITCH PIPE CREEK
N,_) Haul. Away
-�-- (CIRCLE ONE) PRIVAjLTRQP_L� L_
—�-- — -� BLIC R1GII I OF WAY)
�U
EROS14N/SEDIMENTATION CONTROL (ESCI MEAUNEX�
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STAB):_IZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY FSC
QERIMETE--_R R—LWq—F CONTROLS FACILITIES
LEING
CARAND GRADIN -"TRIC-nONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANr FACILITIES
CONSTRUCTION SEQUENCE OILIER Landscape
OTI IFR
PLAN FOR EROSION CONTROL PREPARED AND SUBMTTTED IN ACCORDANCE WITH TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PLAN DRAWING.AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE NUMBER, SCIIEDULFiSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES,AND
r, APPLICABLE STANDARD NOITS.
HAVE RF_ADAND PLY WITH TTIE ABOVE AND WILLCONSTRUC T ANRI AINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CON {J STIIi.
OWN FY SIGNATURE -- SIGNATURE -
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
OFFICIAL USE ONLY,
RECEIPT DAII: ACCEPTED
I i r NUMBER RECEIVED BY