9717 SW OAKS LANE 971-7 SW oAK.13 LANE
j_NS?ECTION 1�OTICE f �
Citi of Tigard Building Department
1.3125 SW Hall Blvd. 'Tigard, Oregon 97223
Inspection Line (nec-0-Phone): 639-4175 Buainess Phone: 639-0171
Inspectioni __- _ — --
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out �!' Gas, Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pout/Beam Nech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. `-Mach.
Date Requesotedt Z/. �1 :4M_ ���t __PM
s
Address: 6121 -2
1 21 // (��(�f_f �' f ���Permit t: l/)
Builders,- /C_�_I2• _,,—_ ._ �fL�-
THE FOI,IciIgo coRREc'TIONS ARE REQUIRED:
AL _f'r
Insp+ctart _ �_ �. Date:,
APPROVSI) DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
as �q ww •w +� %�w
INSPj�_11PN NOTICE
City of Tigard Building Department
13125 SO Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _--- ----____-- -- —1—
Footing Plbq. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL,
Post/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Nrn-h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd- -Hoch.
Date Requested% �� Time% AH —PH
Addross%,_=j 7/ 2 Permit 1%
THE FOLL(WING ODRRSCPIONB ARE REQUIRED%
e �.
S r i - ;-_C= 7-2 _ -
r
Inepector%._ -----
-- Date: zL ,G
APPROVED DISAPPROVED APPROVED SURJFrT To ABow
___call For Rainsp.
INSpBCTION NclTICF.
City of Tigard Building Depa,,.uent
13125 BN Ball Blvd. Tigard, OrEgon 97223
Inspection Line (Rec-O-Phona): 639-4175 Bus;.near, Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINALi
Poet/Beam Strurt. San. Sewer Framing -Bldg.
Post/Be= Rech. Rain Drain Intalation -Plumb.
Plbg. Underfloor Water Line / Cyp. -Mech.
hate Reoueeted:� :f> .��( Bd._—Times _ A!1 PM
Address:_ Permit 09�2 - +�
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors
APPROVED T DISAPPROVED APPROVED EUBJECf TO ABOVE
_� Call. For Reinnp.
INSPEITYION NOTICE
city or Tigard Building Departawnt
13125 SR Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phina: 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gas Line FINAL:
Post/Baam Struct. ^San. Sewer Framing -bldg.
Poat/Beam Mech. Rain Drain Insulation -PI.-Mb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
r �
Urate Aequeated>: Time: SAM '
Address. / �/ � '`Y �.e� Permit it,
Builder:�
THE POLIOWING CORRECTIONS ARE REQOIRio:
n
Inspector: Dates�1r`
,/ APPRC/VED UISAPPROVRD -� APPROVID SUPOECT TO ABOVR
call For Reinap.
j1§_P8MIO" IC
City of Tigard Building Department
13145 B11 Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Roc-O-Ptone): 639-4175 Business Phoney 639-4171
lnspectionr_�_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Pout/Beam Struct. San. Sewer Fi_ camp -Bl.dq.
Poet/Beam Mach. Rain Drain Inculation -Plumb.
Plbg. Underfloor water Line l I Gyp. Bd. -Hoch.
Date Requesstt/jeddss .2 � !7�f [ rte` _Time: AM --)(,PH
Address 1 /��� 4�2 1___ Permit #s
CL
Builders �ZeLze,
THE FOLLOWING CORRECTI 08 ARE REQUIRED:
Inspector: _ Dater_ -7
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
MI$_B_9_r19E_NOTICE
City Of Tigard Building Dppartn,,t
13125 sw gall Blvd. Ti ard,
Inspection Line (Rec-O-Phone)r 639- 175 BusinessO /Pi3,ne: 639-4171
Inspection:
Footing Plbq. nnderalab Mach. Rough-in A r
pp /Sdwlk
F,)und. �Tcpt
Gas Line
FINAL:
Poet/Beam Struct. San. Beta=
Framing -Bldg.
Post/Beam Mach. Rain Drain
7neulat:ou -plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Hoch.
Data Requested: z--//� ',I
-� �— Timet AN PN
Address: 217
Permit #s, &
Builder: �^
THE FOLLOWING( RBCTIONS ARE REQUIRED:
✓SII---�.[��e��_..jA6j��� _ '�Inspector:—Date —=-167�--[�001_
_APPROVED K DISAPPROVED -�` APPROVED SUBJECT TO ABOVB
/ff�� _Y,h_Call For Reinap.
�1INK&MW .#
l
INSPE('TION NOTICE city
city of Tlgard Bul.lding Departaent ( ,,r
131x5 Sit Hall B1v]. Tigard, Oregon 97223
Inspection Lino (Rec-O-Phone): 639-4175 Buniness Phone: 639-4111
Inspection: _._._-----------
Underalab Mech. Rough-in Appr/Sdwlk
Footing
Plbg. g
Found.
Plbg. Top Out Gas Line FINAL°
Framing -Bldg.
Post/Beam Struct. an. Sealer
Post/Beam Hoch. Ra n Drai
Insulation -Plumb.
Plbg. Underfloor Nat Gyp. Bd. -Mach..
/ l _ Timet AM
Date Requeetedt �'' _
l �( �
Permit i t _.1L---�----
Addreee: —�-
Builder:— 4
THIO FOLLOWI"RRECTIONB ARE PBQUIREDt
Date:_Z�'_
inspectors _�-- —'
APPROVED DISAPPROP'
VRD APPROVED SUBJECT TO AROV
Call For Reinsp.
r
1NOPT aLq"—A?TICE
City of Tigard Aulldfng POp-artmOnt +
13125 a91 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc--O-Phone): 639-4175 Bunineen Phone: 639-4171
Inspection:-------. �.-.e--
Footing Plbg. Underalab Hoch. Rough-in Appr/SdWlk
Found. Plbg. Trip Out G4s Line FIRAL,,
at/Beam Struct.. San. Sewer rram.ing -81dcq.
ost/!vim B�ea�Ma�ft: Rain Drain Insulation -Plumb.
�`hq_Underfl.00� Water Line Gyp. Bd. -r ch-
Date Requesteds // rC
PH
Address: Permit
Builder:_ _�
THE FOLLOWING CORRECYION3 MU REQUIRED:
�F`r'/'r��'=<,►-r- ICG/�-' c./�r��' / �^-1 /�:�� _�C� _..__
Dates[
J
i
APPROVEDISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Roiskap.
OWE 4"T W felt :SAI IN '�If CAI9
INSPECTION NOTICE
Cit, of Tigard Building Department
P.r. Box 23397
Tigard, Oregon 97223
// Phone: 639--4J1775
Type of Inspection
Dpte Requested
Time�.—._- A.fl4.�_ P•ht•
Permit *9a-&
`-
Addres
Lot
Owner— — ---
Builder, LZ
The following Budding Code deficiencies are required to be corrected:
— .kLApprovod
?resented to —
Inspector _— --- — — ElDlppprovA
Date, -._.._
CALL FOR REINSPECTION
❑ yEs ❑ NO
INSPECTION NOTICE
City of Tigaru ullding Department
P.O. Box 23397 J
Tigard, Oregon 97223
/I Phone: 639-4175
Type of Inspection V—
i
Date Requested 122Time—L�� A.M. P.M.
Address ��7 ��C � ��` Permit # D Jd
Owner__ Lot #
—i
Builder ._,,[,L1�C�-✓ _
The following Building Code deficiencies are required to be corrected:
Presented __ Approved
Inspector [] disapproved
Date /") /
CALL PO CTION
0 YE8 ❑ NO
C[TY0FT1&,i.. ,ARDP'V.'R 111, 11 S'T'9 0 �J L 9
ffyOFTWARD,
COMMUNITY DEVIFFLOPMENT DEPARTMENT OR100N
13125 SW HM Btvd P.O.Bcv 23397,Tiqwd,OnoWn 972n(U)S)09-4175 7 DAT'E: ISSUED: 10/24/90
9' ).? ')W OAKS Llq PORCE-L.- 2S.1. 1 .11. 11 til, 13
'1U1.4DTV1'STON-- z- SA'T'I'L.ER '"'ARV. ZONING:
1:+1...0 IC;K. . . . . .. . . .
BUILDING
RE I SSUE DW�.-A.LING (JHI1*"-,,.- 1. LAASEIIENT. . . . f
CLASS OF:' WORK,, -,NLW BEDROS:4 F.,i-i I'H 6 3 y GAROGE.. . . . . , " . -.540 of
V,E 0 F USE::. . .ri'— F., f--LOOR RE RLD
T'Y;:T': 01:,- ( 0 N S T-. 5 N FIRS'T. 101:10 r,f L.E.T- 10 f-t- RIGH'T'. : 19 1 !
C C U V`A N I"Y [)R P. «R::3 4-')ECOND. :970 s FRONT . -.00 ft R F:.AR. 1.!'. f I-
-
S'T 0 R 11`1 S. . . . . . 2. . THIRD. :;0 Sf
1-1 r:'T 0 H'I.. . . . .. . . . ..20 ft 'r wr A i.----- «2040 of s il o vE D F:*r E C T 0 RS. aY
1!1,OOR L.OAD. . . . ..40 P;f VALUE.. . . . . 101720 PARK I N(3 SPACES. . 0
R e ni a r
PLUMBING
S 1:N K 13. . . . . . . . . . !: I
FJ-OOR DRAINS. . . . :0 F.1 A(.K F:'L 0 W PR E V N'T R S., . 0
AVATORIES. . . . . ...4 WATER HEATE*RS. . . :1 'TRAPS. . . . . . . . . . . . . . ..0
TJ-JE3/S1-iOWF-R1*.i. . .. . '.3 LVIUNDRY 'TRAYS. . . : I CATCH BASIN :). . . . .. . .. -.0
CLOSETS. .. 1.3 SEWER, LINE (f-t) . :0 GREASE *TRAPS. . . . . .. . :0
D I SHWA13HERS. . . . t I WAI'ER L.I NE (f t) 1.00 011-11-.1R VI X1 U R ki-.15. . . . 0
1-iARBACiE. DISP— S1 RAIN DRAIN (ft) . -.0
WASHING 110(,'11.. 1 Sif:' RAIN DRAINS. .
11JEL 7*YPES.................-- (.)Hfl H'TR9)— :P) t y p cA M 0 Lt 1-1 t 1),,, da-te r e
60" , VE N'TS . . . . . .0 Ayin $ 100. 00 JLH 10/18/90
MAX INVILlf-0 1:41'1.1 VF:I N1' F*AM .;. . -4 1"1[::,R 7, $ 438. 00
FAJRN < 100K . . :0 HOODS. . . . . . .. I B P L(-' 4 284. '/0
TURN > :-10 0 K - -. 1 W()0 1)S J,0 v 1:*S. -.0 B51 $ 21. 90
L
F OOR F:*URN., . . . -0 CLE) DRYERS. r I S I'D C $ 600. 00
DDIL/Uld < 07HE'R (JINTTS.-O 3 Y)(1, $ 13 75. 00
GAS CUTLETS- 1. PARK $ 250. 00
Otoler: 11PRT t 40. 50
R. L.R. HOMES MVILC $ 10. 1.3
1.485',5 SW 1411: 1' ST $ P. 03
PPR T $ 155. 00
113ARD OR 97224 f:1 5 P C �. 75
llslhori(A 0., 620-38813 POYM 20t95. 01� JLH
................ ......................-
RLP 1-40MES
RI(MORD L.. ROPPINS
1.4855 E-;W 141 -31'
11.GA1*T) OR 97224-0000
Vlhovik-- "-. 503-620-3883
2185. 01 r0 AL.
This permit is issued subject to the regulations contained in the REUL)IRED INSF4.1.11ONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other F`oot/fol.trld Illsp
applicable laws. All work will be done in accordance with apprrved Wtr Proof iiiq Fism PlLimb top Ot,tt
plans. This permit will expire if work is not started within 186 Post/Romani 13tr(.%l�t F'"ramiliq I)-)SP
days of issuance, o, if work it, suspended fe"ore 188 d Poc;t/pealll Ile0larl Vire-place IVISP
(.',,,awl Drairi Gar, Liiit? frit-iD
FIL.M/Uiiderf loor Gyp Board Iiisp
t�*trlq Draiii
I SSUP(i Py.,
1 J 'ft:mr'forj.ivs p v c.,t i c)ri 6,3 ---4175
WIN
s W F-'.'R C 0 N N E C'T 1(1)N
C'TY OF TIVA RD
PIER111T 0. SWR90--038/
COMMUNITY DEVELOPMENT DEPARTMENT CREGON
13125 SW Hall Blvd. P.O.Box 23397,Tigard,Oregmn 97223(KI)"-41 76 71
DOTE TSSUED: 1.0/24/90
"ITE "EL
"ITEADDRESS. . . : 9711 SW OAKS LN PARC 8
�IUBDIVISION. . . . : SATTI ER PARK ZONING-.
f?L 0 C K. . . . . . . . . . 3 LOO.. . . . . . . . . . . . .
........... .......... ........... ........................ ......
TENANT NONE.
�)SA N(:1,. . . » . . :43106 IXTURE: UNITS. .
1)W E L L.111 G 1.)N ITS. 1.;I OSS OF,' WOR 14 VW
I'Y PE OF USES. . . » . .5 F NO. OF* BUTLDINGStl
I N 6 TA L L T'YP'E::. D U S W R 1111-.,ERV f,-'WIRFOCE.
I:':e 111a.(,P.S
Owiie-i-. FEES
R. L.. F111. 1.10 11 F"::; typip an1c)(.trit fay date rem. r.)
1481,55 SW 141ST ST PIRMT $ 1 5011.00
1:N 13 F:, qj 35. Wd
'I IGORD OR 97224 r.)y fit $ 15 315. 00 J1 Ff 1.0/24/90
Pfir.)i-ie On 620-388,3
Caiit-ractoru ............................ ...... -
1%,'L-R FILMES
RICHOR11) L. ROBLY11-4(3)
1.4855 SW 141ST
11(.3ARD OR 97224-0" 30
[Allc)iie 0,- 503-620-3883 1.535. 00 TOrOL
16986
RF-ULJIRED JNSPEC-TIONS
This Applicant agrees to comply with all the rules and regulations Sewer Tni:ir)ectiaii .......................
of the Unified Sewage Agency. The permit expires 120 days from
the date issued. The total am�unt paid will be forfeited if the
permit expires. The A;e5cv does iot guarantee the accuracy of the .......
side sever laterals. If the sewer is not located at the measurement
given, the installer .hall prospect 3 feet in all directions from . .......
the distance yivpn. If not so located, the installer shall purcnase
,i "Tap and Side Sewer" Permit and the 41,ency will install ; lateral.
------------
S,k.k e(i E4 n
Call f(-)r nsr)
- iectj.on F,•,:39 4 1.7 5
................ .... ........
PLUMPING PERMIT
11Y OF �'1�,�4 RDcffYOFTWARD PERMIT0. . P1 f--,T-90 0'.3
COMMUNITY DEVELOPMENT DEPARTMENT MOON UA 11: 1 S 9 U F!)a /0
13125 SW HaJ!Blvd. P.O.Box 23397,Tigard,Oregon 97223(503)M4176
T 1)DR r7! S W 0 A K 13 t7K— P H K L,ft-T—CS 1 1.. 1
5AVII-ER PORK ZONING:
SLOCK. . . . . . . . . . 9 L01.. . . . . . . . . . . . . 98
CLASS OF WORK. . :NEW GARBAGE 7
DISPOSALS. . - I.
TYPE: 0 F U 9 E. . . . CSF WASHING MACH. . . . . . . .. I PAC KFLOW PREVNTR,5. 0
OCCUPANCY GRP. . :R3 rLUOR DRAINS)— -0 MOPS. . . . . . . . 0 . . . . . .0
STORIES. . . . . . . . .2 WATER CATCH BASINS. . . . . ,. _ :0
F I X r U R E S LAUNDRY TRAYS- II — — a 1 SF RAIN DRAINS. . I, - . 9 1
SINKS. . . . . . . . . . ul TRAPS. — .. . . .0
LAVATORIES. . . . . :4 OTHER F'ix rURES. . !0
TUEt/SHOWERS. . . . 1 SEWER LINE (ft) - - :0
WATER CLOGLTS. . c3 WATER LINE ( ft) -- 9100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
RemArks..
OWNER'.
R.L.R. HOMES PAY11 $ 100.00 JLH 10/18/90 2059865
14855 SW 141ST ST BPRT $ 438. 00
EIPLC If 284. 10
11GARD OR 9'72R4 P5PC $ 2 1..9 0
Phone #4-. 620-3A83 STDG $ 60011 00
SSDC $ 37E,"P. 00
Plumbing 1--'ARK $ 250.00
mv,RT s 40. 50
L MPL-C $ 10. 13
t
Name
Address: 5 r
It P. 03
-- _stator___
PPR.1. $ 155.00
e:
Zi Ph one# P5 P C to 7. 75
Req PAYM It 20115.01 JLH 10/24/90
REOUIRED INSPECTIONS
1'his permit i.% issued subject t,) the req-
ulations cont.-,xined in the fig;,.rd ML%V)iCi[)A1 Foot/found Insp Insulation Ins[)
Code, State Of Ore. Specialty Codes and all Past/fieam Struct Gyp Board Ivisp
other mpplivable laws. All work will be done Vlost/BeAm Mechan Rain drain Insp
in Accordance with app(,(jvF.ad plans. This Crawl Drain Water 1. iiie Imap
permit will expire if work is not started PIM/Midslab Insp Appr/Sdw1k. Insp
Withiyj 18R (.Ja),S Of iSSUAI'MP, or if work is 1-'I_M/1lnderfloor Mechanical Final
4
-;LkSpellded for more than 180 days. Ftng Drain Psm' t Plumb Final
Mechanical Insp FlUilding Final
PIL01h TOP Out Erosion Control
F'ramioq Insp Wtr Proofing Firm
Firepialre Insp rlost/Bvam Meehan
x Gas L. ine Insp Additional .
Authorized Plumbing Contractor Signature
Call for inspection 639--4175
Cont rac tor Notes v .......
7,ITY OF T'IGr' RD 1p'f OF: PAYMENT RECCE ir,r NO. 190
Cl IECle,'. AMOUNT a ""620.
CASH AMOUN' O.oc)
1AME RLR HOMLS PAYMENT DATE 10/24/90
ODURESS SUBDIVISION
TWARD. OR 972'a "I' 9711" SW OAI,'.6 I..N
"URPOSE, OF PAYMENT AMOUNT PUPPOSE of PAYMENT AMOUNT PAID
155. 00
�Ul—L1.) Q PEF01 msTgo-0329 00 PLAJI-Aziii4C, PEW-1 31 .66
IECHANICAL FE 40.50 ST. BUILD PCR
1-1-AN CHECK FE 1 O'�4. 83 SEWER USA 154)(7).00
.35.0c) STREET SDC 60().
F WER INSr'ECT 21 710 0 �',JORM DRAIN SDC
SVC
AMOUNT PAID 0
i
CITY OF TWARD O.So.F23-WI Prlxxl[ 3�,E'/ Q�
o, r�a .oma PE12PQ 1' ' 1 5)6394171 t g J 3�
COMMUNITY DEVELOPMENT DEPARTMENT DATE Ir—sum __
71 7
JOB ADDRE S'S- — O/y.�s _
�- •rnx MP/Inr .�
SM3: s A 7 r�� r-- � I�7T: _ a-7– UM USE: – —
VAII.QMON:
SPFXUAY, N
(7G�MF]2 (7I'E�
xr S' REISSUE OF:
ADORESS: !,i — ULST REISWE: _--
FU= FTAIN/
SENS=E IAND:
1�I'i'IZO�IALS RAF C_TTREl)
CIWMCI*OR PIANNING: _ —
NAME: e �•- ENGINEERING:
ADD[2LSS: FIRE DEPT -- -- �.
0111EIZ:
I'i�.7P1E: �`/•) ITEIi'S I2FX�OIRID
BUI1DERS BOARD 1: C. --. EXPDNTF�-
T LUST/ -
BUS TAX:
ARCI E NGINL'ER C AlicUU 'IONS. -- -
NAME: c c 2I 'ff=S DE MS: _
AD[Y2ESS: 011M Z: __-- ---
Pf 10NE: — ---
03NMENTS: _ ---
---- Pry: r>�: 777A,
ti= T
PEST 7F` AOC..0 DE SCRTFI'ZC7N AMOUM AMOURr PD. Mi. W9
/o , ; . s `i 10--432 00 Building Permit Fees 4,5; , 3b ,.
10-431 00 Plumbing Permit FAes
10431 OIL Mdnnical Permit Fees go• ;
----- 10 230 01. State Building Tax (5%)
Building
Plumbing �2L
Med,
10--433 00 Plats Check Fere ` � _f �. /f 3
Building
bq, 1�
Plumbing —
Mez h
30-202 00 Sourer Ommertion 7 U
30--444 00 Sewer Inspec:tian j��
51-448 00 Stx.np-+. System Dov Chatge (SDC)
52-449 00 Parr System Dev Chat 9-- (PDC) 9.5L
31-450 00 Stcxrm Drainage Syst Dev 0" (SSDC) .3') S
10-2.30 06 Fire
APPISC'�1NT SIQQIZURE
Proeio__a. By Date Rooeivod: rU
:eE/35E37P_WI�F
Jtnn11Y(�ffiIZ ,SION CONTROL INFORMATION 7 TL 'v 1r_
GI-NERALCONlRAC:OIZ NAME& ADDRESS: CASEFILE NO.:._..__._.�_
2 -,, - T PERMIT NO.:
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR -
NAME& ADDRESS:
OWNER NAME AND ADDRESS:
TELEPHONE:NUMBERS: /� --- -
APPLICANT: ) -7 rr u^� PROPERTY DESCRIPTION:
OWNER;
STREET ADDRESS AND CROSS STREETA OCATED
_ �_ � -
G04M- AL CONTRACTOR, _ -
r_XCAVATTON CONTRACTOR:
SITEjJOB
LEGAL DESCRIPTION:
24 tWAFTER HOURS EMERGENCY TAX IAT NO. <<�7
CONTACT PERSON, T E. XPITQOE: 1/4 SECITON:
_ �r SITE- SIZE,ACRES:
DISTURBED/WORK AREA,ACRES.
LOCATION&ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO:(CIRCLEIM
(NOTE:PERMITS MAY BE REQUIRED) CATCH BASIN DTTCII PIPE _CREED
(CERCLT•ONE) PRIVAn PROPERTY_____)
'— PUBLIC RIGHT OF WAY_-
EROS10NL�i✓DIMENTA7 ION CONTROL (ESCI ASURFS
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUC,`TTON: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE:EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY FSC
PERIMETER RUNOFT CONTROL FACILITIES
CLEARING AND GRADING RESTRICT UN'r, CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CON`;',,RUCI`ION SEQUENCE OTITER—_--
OTHE:Z_
PLAN MR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH-TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRU:'I701I NOTES COMPLETE.,INCLUDING EMERGENCY
PHONE:M)MBER, SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND
APPLICABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILLCONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TC 1,-ONI'AIN SEDIMENT ON THE CONSTRUCTIONS E.
OWNER SICNATIIRF APPUCAIqT SIGNATURE
OITICIAL USE ONLY
RECEIPT DATE ACCEPTED
11:[=. NUMBER RECEIVED BY
iTy OF TIGARD RECEIPT OF PAYMENT RE(-,EirT NO. :90-205986
114AM EL RLS. HOME1,-; Cl+ ":: AMOUNT 3 200.(Xi
GA'', AMOUNT -
PAINIT DATE
TTUARD, Op U b �1910N
t-or,
PURF'OSE OF PAYMENT AMOUNT PA I D PURPOSE Or- PAYMENT AMOUNT PAID
-AN (K).00 FILAN cwul-,. FE I(v 371R 00
1 , FAL. AMOL)NT PAID