11454 SW TWIN PARK PLACE f
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c
L1454 SW '.WIN PARK PLACR
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MMxqr��
INSPECTION NOTICE
City of 'Tigard BLdding Department
P O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time--A.M.�P.M.
Address Lo5- -j'L- permit
Owner Lot
Builder
The folinwiri; Building Citie deficiencies are required to be coirect9d. 610 c P--
VVA
Presented to proved
Inspector ❑
Date Disapproved
(74LL FOR REINSPECTION
0 YES El NO
ff W W W wxw_x=!��W__APWA
CERTIFICATE' OF
CITYOFTIFARP (,CCUPANCY
CWTM PERMIT N. . . . . . .4
COMMUNITY DEVELOPMENT DEPMTMW 0110M
13125 SW FW1 Blvd. P.O.Box 23397,TIpW,Or"m 97223(503)6394176
;7 DATE J99UEDv 08/15/90
SITE ADDRESS— a 11454 SW TWIN PARK Pl-. PARCELS 15134DU.-09106J
SUDDIVISION. . . . I TIGAkD PARK ZONING1
BLOC,Kx . . . . . . . . . a LOI*. * . o . . . . . . . . . t7
CLASS OF WORK. sNEW
TYPE OF' USE. . . vSF
OCCUPANCY ORP. vR3
OCCUPANCY LOADvIIS 4
I V NANT NAME. v
Remarks#
Owners ---------------------------------------
DON MORISSETTE BLDERS9 INC.
P 0 BOX 19524
PORTLAND OR 9*7219
Phone #'a '583-T449314
Contractors
DON MORISSETTE BLDERS, INC.
P 0 BOX 19524
PORTLAND OR 91/219
Phone He 503---620--7538
Reg H. . 0 35533
Occupancy of the above -:lie-retired httilding is hereby giv4-rt, 'And certifies
the compliance with the . tjktq 01' Oregon 13pecialty Codon for ttle group,,
occupancy, and use under which the -referenced permit wAm tinstied.
F71 REDE_ 1:,_AWt_ _C4-_F, 4HILDI—HU—INSPECTOR
POSI IN CONSPICUOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-0175
Type of Inspection
Date Requested �� Time A.M._ P.M.
Address . Permit
Owner_ Lot #
Builder 7�"'J`''—'— ------The following Building Code deficiencies are required to be corrected:
Presented to _ --- ___ Approved
Inspector L Disapproved
Date - —
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ---jZ6 --.
Date Requested__ _., _ Tim .M. P.M.
Address � Permit '-__-U_��
Owner ______ Lot #_
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ _ _,r— —yg)pproved
Inspector ; Q^ Disapproved
Date
CALL FOR REI PECTION
O
DYES ��
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397 i� Y
Tigard, Oregon 97223 ..,
Phone: 639.4175
iz
Type of Inspection --
Date Requested__ Tlm� A.M._ P.M.
Address _ � Pe'mit #_Y
Owner / Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
Presented toApproved
Inspector / _ ❑ Disapproved
Date
CALL FOR REINSAV770N
❑ YES ❑ NO
ar..
W w s w w w Fwwjw��
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Nt ��? rte!"
Date Requested— 7U Time_ A.M. /—P.M.
Address J1 J Permit # 4: Z
Owrer -- Lot
Builder --, /- �- — -- -- —
The following Building Code deficiencies are rrquired to be corrected:
iyc ETJ C'Li/� L°� %�✓SZ 469
`/?i /yniL Sy(2
11,J< C T— - a-"1
Presented to Z2 pproved
Inspector Disapp,oved
i-
Date re'�. — --
CALL FOR REINSPECTION
❑ YES 0 NO
0
j iNSPECTION NOTICE_
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Pho e: 639-4175
Type of Irk pection '
Date Requestcd G TlM. P.M.
Address -_ v Permit *e? –ya ZQ
Owner _( ��'/�G `1'r Lot
Builderlz2 2_f
The. following Building Code deficiencies are requ he corrected:
Presented to approved
Inspector _ _
----- - —___ � � disapproved
Date
CALL FOR REINSPECTION
0 YE: ❑ NO
■r w w w w w w w w
INSPECTION—NO=TICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested — Q
Address '�
_ Time A.M.___P.M.
_ /�^,7/, '� l i
Owner Permit #
Builder Lot #
The following Building Code deficier.cies are required to be corrected:
Presented to
Inspector— -y VApproved
Date _Z-
`�+ EJDIlepproved
CALL POR REINSPECTIUIV
❑ YES ❑ NO
3
Rd E�
INSPECTION: NOTICE
City of Tigard Building Department �(r
P.O. Box 23397 ))
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Qr�1. � tau,
Date Requested Time A.
Address u e/S`f ��'1�� /fl�^/� �°i Permit *AU '�0 -20
Owner
Lot # _
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ - r"pproved
Inspector
I Disapproved
Date --Vel
CALL FOR REINSPECTIOA'
❑ YES F] NO
4
INSPECTION NOTICE
City of Tigard Building Department v
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date. Requested
/^_�_ ' --� T�imeej, A.M. P.M.
Address -11- -- _ Permit
Owner 4 Lot #
Guilder ' -'�- - --------�..
The following Building Code deficiencies are required to be corrected:
T
Presented to __ — – __ Approved
Inspector ___- ___ _ - __ ❑ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
x
INSPECTION NOTICE �,jy-� ✓�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 839-4175
Type of Inspection —."/ — —
Date Requested__ ��� e7 Time—A.M._ P.M.
Address - _ �3ti1_ - Permit #! 7�-
Owner Lot # —
i
Builder
The following Building Code deficiencies are required to he corrected:
I
h
Presented to ._ _._ 4Approved
Inspector _ _ Disapproved
Date - — -- - .
CALL FOR REINSPECTION
❑ YES 0 wo
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection — �� —,— --
Date Requested Time•M. P.M.
Address _ �- -F='2 -�� Permit # n Q
Owner . _ _ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Py 0;114 -ZM4
DOSS
4Ti
'36"o 0
Presented to — Approved
Inspectc,r -- -- ( I Disapproved
�e
Date --
CALL FOR REINSPECTION
❑ YEs ❑ NO
C17YOF 71FA RD - I A MA.raTi:�R F:�E:F�MI'f
CITYOt•TWARD PERMIT N. » » » » » . » MST90-••0070
COMMUNITY DEVELOPMENT DEPARTMENT \ ortsooN I-`R.T.M. PERMIT N. : MST90 0070
13126 SW Nall Blvd. P.U.Box 29397,Tigard,Ur"on 97?29 j 76
DOTE' ISSUE::D: 04/1.3/90
Sl IE: ADDRLS 6. . . : 11454 SW 'TWIN PARK PL. PARCEL.: IS134DC-.09100
WFID1:V1:SiI(IN. . . . .. TIGARD F,ARK, rcJNINCia
BLOCK. . . . . . . . . . a L..01. . . . . . . » » . . . .
_. _..._._._....._._.. _ _.... _._. ..._....._.._..__............_.._..._... BUIL..DING ......._. ._..............._........
......_..._.....,....
RLISSUEI DWELLING UNITS: 1 DASiE:ME::NT. . „ » » . » » :0 sf
C LAF-313 OF- WORK. :NE:W BEDRMS::3 BATHS:2 GARA(.L. . . . . . . . . » :420 S
TYPE OF USE.. . . :SF FLOOR AREAS-••..__...._.__._..__--- REQUIRED 4:iE:T!`LACKS-•.....-•-----_._._.__.,..
TYI::,E OF' CONST. -.5N F'IRST. . . . : 1.51.`3 sf L.E.F7'. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . o0 S F RGNT. :20 ft REAR. . :34 ft
GTORl:E S. . . . , . . .0TIIIFtD. . . . :0 Sf RE(7lJ1RE:.D_._.-_.............___._... .._...____..._.....
HEIGHT. » . . » . . . : 18 ft TOTAL--•- -- : 1519 sif SMOKE DE:'TE:CTURS. :Y
FLOOR L0A1). . . . ..40 pS f VALUE. . . . . $ '71:358 PARK.111G SF1ACES» . :0
Rema•rk.s:
................_...._._...._.._.._..___...,.........._....._-.._.___.._..__.._._....._.... PLUNB.ING
S1.N1'.S. . . . . . . . . . : 1. F•L..(: 0R 1)RAIN1.3. . . . :0 BACKF"L..OW FIRE:VNT•RS. . :0
1._AVATORILS. . . . . 12 WATER HEATERS. . . - 1 TRAPS. . . . . . » . . . . . . . :0
TUB/SHOWERS. . . . :2 I...AUNDRY TRAYS. ,. . :0 CATCH BASINS. . . . . . . :0
WAT•E:R CI_.09L TS. . :2 SEWER LANE:. (ft) . :0 GREASE: IRAPSi. . . . . . . ..0
DISiHWASHE:Rra. . . . : 1. WATER LINE (ft) . : 1.00 OTHER F IXTURE S. . . . . ..0
GARBAGE. DIST'. . . : I RAIN DRAIN (ft) . :0
WASHING MOCI-1. . . : 1. L1 F" FAIN DRAINS. . : 1
_.__.._..._ _....- _.._._...... rIEC:HANICAL. _._._..._._._._.._._.. .._._.._ -......_.._........_..._......_.._...._....._.. FEES ._........_......._................._.... ..
F'L.IE:L_ 'T'YF'E5 -- -- - UN.T.T HTRS. . :0 type An)0U1 t- by date recpt:
/GAS/ / / VENTS . . . . . :0 PAYM $ 100. 00 JL..H 02/20/90 1107:3W.;
MAX I:NPUT:O IiTU VENT FANS. » :2 PRMT $ 349. 00
F URN ( lWJK . . -.1 HOODS. » . . . . : 1 PLCK $ 226. 85
F1)R11 )--1.001, . WOODSTOVES. :O 5PCT' $ 17. 45
FLOOR F'URN. . . . a0 "" 0 DRYERS. : I STDC; $ 600.00
DO 1.1.../CMF:' ( .3HP,.0 OTIAE::R UNITS-.0 SSDC $ 250.00
GAS OUTLETS: 1 PARK $ 250.00
OwrlerI ................................._.._........_................................................................_......._......_. PRMT $ 33.00 /
1)0N M0RISIGE::TTF.:: BLDE:RS-1 IN, PL.CK $ 8. 25
P 0 BOX 1.9524 SPCT $ 1. 65
PRMT $ 111. 50
PORTLAND OR 97219 51.1C.T $ 5. 88 ! /
Phr:trte+ N: 503-E?44...9314 PAYM $ 1759. 58 JL.H 04/1:.3/90
Covitrac:tr)r: ................................_.._......._......__ .. _. _.. ..........
DON MORISSETTE BL.DEF., , INC:..
F' 0 BOX 1951:4
PnRTL.AND OR 97219
Phone b: `50:3 244--9314
Reg M. . : 35533
$ 1853. 58 TOTAL
This permit is issued subject to the regulations contained in the -.....-... REQUIRED IMSF•,LC:TIONS - -
Tilard Municipal Code, State of Ore. Specialty Codes and all other Foot/fot.tt•td It-tsp Fireplaee Insp
applicable laws. All work will be done in accordance with approved Post/Beam Irtsp Gas Lime In!,p
plans. This permit will expire if work is not started within IAB Crawl D•raii7 IrISlllat:i.01'1 11-ISP
days of issuance, or if work is Suspended for more than 189 days. P 1 m/t.trtd s 1 a b 1 its p Gyp Board I its p
I F:1 M/Uno
der flor Rai.rt ' ^airt ]:nrcp
T ermi.ttee Si.gt7att.trP�. { Me,chartic:al Irisp Water tie Irtstp
PlUmb Top OUt App•r/a-,wlk. Irtsp
IS S t.t e d By.* .......... _..._..__.._..._ ._........_._.......__ .._..__. .._. 17'r a nt i rt g 1 rt s p M e c h a rt i.c a l F'i n a l
Call for it7spectiot•t 639-••4175
C'1YOF Tt��RD C. .WER CONNECTION
-)E:. VIL'IRMIT �'
CrTYOF TWARD R ITH 1 0 - - - - . . . - S W R 90-00 8
COMMUNITY DEVELOPMENT DEPARTMENT 01160N A I-,r.:.RMj. T it. : MST90 0070
13125 SW Hall BW. P.O.Box 23397,Tigwd,Oregon 97Z9 4{M1A
?94)76
i.iill_ 1 ')(3ULD. 04/13/90
SITE ADDRESS. 11454 SW TWIN VIARV 1-11 1.131,34DC . 91.00
SOBDIVISION. . . . . TIGARD VIARK ZONING:
BLOCK. LOT'. . . . . . . . . .. .. . . 7
TENANT NAME. . . . .
1.)SA NO. . . . . . . . . . 140648 FIXTURE UNITs. . . a
CLASS OF WORK. . . cNEW DWELLING UNITS. . 11
T'YP'E OF USE sSF NO. OF DUILDINGSal
11413TALL T'YK'E. . . , sBtJSWR IMP'ERV St.)RFACl'.. . :Sf
Reniavks;.-
(Jwvier: FEES
DON MORISISETTE INC. type amount by date -re(:pt
0 Y40X IW524 F,RMT f 1250.00
.T.NSF' 35. 00
r:10RTLAND OR 9721.9 PIAYM $ 1285. 00 JLH 04/13/90
Flhone #v 503---244-.9314
C011tractarl
DON MORISSETTE BLDERS, INC.
V, 0 BOX 19524
11,()R T1 OND OR 97219
11:11-1c)v1e #- 503-244-931.4 $ 1285. 00 TOTAL
Req 35533
REOUIRE'D Ih1SsV1F--:C1'IONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit (,:pires 128 da'Ys fT(A
the date issued. The total amount paid wAl be forfeited if the
PeTMit expires. The Agency does not guarantee the accuracy of the
sada sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase .........
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
1:1 e-r ni J.t is e e 13 i q vi a i,1.1 r e ........
flnsl-tr.-,d By:
Call for il)!.�pec-,tioi-i 63''3--417:)
OF TIGAPD OF PAYMENT RECEIPT NO. , 90—X00.177
DON MORTSSEI'TE
ADDRESS C,'ASH AMOUNT 0. 00
PAYMENT DATE.
OR P-721 SUB DIV IS I ON
11454 SM l(oiliq f:,qpk
PURPOSF OF' PAYMEJIT AMOUN,r i D F'lJPfTjSE OF PAYMENT AMOIJNT PAID
4'-") 00 PLLJMf!fr,lU3 PEFMIT 1 1 7.50
rlF(_.'HANlCAL. PERM17 00 ST . DIUM) PERMIT TAX 15-% 2:4. 9F3
Pl..AN CHFr-l;: FEE
�-,FWER I NL,',F-'L C_T I ON 1:713. 1 U SEWER L15A 12,551).00
75. 00 STREET SIX: 600. CIO
Fra,RVS 'r3DC 2!rjO.00 STI)RM DPA IN SDC
APIOUNI P()10 ".'044. 58
A705 Foot/found Inep 05/09/90 KS APP
° A710 Poet/Beam Inep 05/2l/90 KS APP
" A']17 PLM/Underfloor 05/16/90 MS PASS
A'120 Mechanical Insp 06/27/90 KS APP °
" A'722 Plumb Top Out 06/07/90 MS PASS °
" A125 Framing Insp 06/27/90 KS APP °
A'730 Fireplace lnsp 06/22/90 KS APP °
° A735 G,�s Lino Insp 06/27/90 KS APP °
° A740 I,-au].at ion Inep 06/27/90 KS APP °
A745 Gyp Board Insp 07/05/90 KS APP
HISTORY: DISPLAY PENDING HOLDS ADD-ACTION MU?_TIPLE-CASE ESC
Display all actions for case
OAMASTER
:MST90-0070: PROJECT:TIGARD PARK STATUS:I UPD:04/13/90: :JLH: °
PERMITTEE:DON MORISSETTE BLDERS, INC. PRIM. . :M9T90-0070:
SITE ADDRESS:11454 SW TWIN PARK PL
oa CASE HISTORY $$$Ag$$$$A$AhhAAAAAAAA$$Req/Sent$Schd/Due$End/Done$ABy$Stat$$$C
A007 Application received 02/20/90 JLH PASS °
A010 Plan check deposit paid 02/20/90 JI.H PASS °
A020 Plan check by / / 02/28/90 RLT PASS °
H A030 Check for prcl. restrict. 02/28/90 02/28/90 RLT PASS
A092 (F) Issue combination permit 04/13/90 JLH PASS e
A705 Foot/found Insp 05/09/90 KS APP °
° A710 Poet/Beam Insp 05/22/90 KS APP °
A717 PLM/Underfloor 05/16/90 MS PAPS °
A720 Mechanical Insp 06/27/90 KS APP °
° A722 Plumb Top Out 06/07/90 M; PASS °
° A725 Framing Insp 06/27/90 KS APP °
A730 Fireplace Inep 06/22/90 KS APP °
' A735 Gas Line Insp 06/?'7/90 KS APP °
A740 Insulation Inep 06/27/90 KS APF °
A745 Gyp Board Inep 07/05/90 KS APP
HISTORY: DISPLAY PENDING HOLDS ADD-AC'T'ION MULTIPLE-CASE ESC
Display all actions for case
6AMASTER PERMIT$$A$$$$$$b$.A$$$b$$$$A$$$$$$$$$$$$$$$$$$bAbA$$b$$b.$$b$$$$bbA$$$AC
:MST90-0070: PROJECT:TIGARD PARK : STATUS:I UPD:04/13/90: :JLH: "
PERMITTFE:DON MORISSETTE BLDERS, INC. PRIM. . :MST90-0070: e
SITE ADDRESS:11454 SW TWIN PARK PL
d$ CASE HISTORY $A$$AAAAAAbba$$$$AA$b$$$Req/SentfiSchd/DueAEnd/DoneA$By$Stat$$$t
A007 Application received 02/20/90 JLH PASS
A010 Plan check deposit paid 02./20/90 JLH PASS Y
A020 Plan check by / / 02/2.8/90 RLT PASS °
H A030 Check for prcl. restrict. 02/28/90 02/28/90 RLT PASS °
A092 (F) Issue combination permit 04/13/90 JI.H PASS °
A705 Foot/found Insp 05/09/90 KS APP °
A710 Post/Beam Insp 05/22/90 KS APP °
A717 PLM/Underfloor 05/16/90 MS PASS °
A720 Mechanical Inep 06/27/90 KS APP "
A722 Plumb Ton Out 06/07/90 MS PASS
A715 Framing Insp 06/27/90 KS APF
A730 Fireplace Insp 06/22/90 KS APF
A735 Gas Line Insp 06/27/90 KS APP
A740 Insulation Insp 06/27/90 KS APP
A745 Gyp Board Insp 07/05/90 KS APP
CITYOFTWAIW
� PLAN CHECK APPLICATION _
rnrorncrm / PLANC}1FCK H
/ PERMIT N
COMMUNITY OHF-L01'MEf1T Oso MwTMENT
9"AITS DATE ISSUED
���nsrw.w�e+.dvA.eeau»�,ny.�o.�ve^ r �
L L 5 �� 1 hl f, , t''C. -iAX MAP/LOT 5 �i. 4/06
�-
JOB ADDRESS: _ LOT: LAND USE:
.Wn:
VALUATION: �! c
_PEC_ IAL_ NOTES
OWNER REISSUE OF:
NAME 1_AST REISSUE: —
ADDRESS: ) ��� ---- --- FLOOD PLAIN/
SENSITIVE LAND:
PI{ON[: 1 = -1----- / APPROVALS RF9UIRED_
PLANNING: _
CONTRACTOR ENGINEERING:
NAME: _ FIRC DEPT - --
ADDRESS-. - 01141711: -
---- — LIST/SUBCONTRACTORS: -
131JS TAX:
ARCII/Efl%INFERCALCULATIONS:
t �_
nAt9E: -rR C T l TRUSS DETAILS:
ADDRESS: PARKING PLAN. — -
LANDSCAPE PLAN: _
OTIIER: _—-
DESCRIPTION AMOUNT AMOUNT Po. UAL. DUE
PERMIT N
ACCT b v0
t) 10-432 00 Building Permit Fees _ ; ►7. s v
10-431 00 Plumbing Permit Fees ----
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building /�• +�� _�
Plumbing �_R
Meeh 1-k-`:_--
10-433 00 Plans Check Fee =�-3s, � �
Building
Plumbing ----�—
Mech
v 1411 5_ Q_ �!r h 30-2.07 00 Sewer ConnCetion a 5 Ui
30--444 00 Sewer Inspection51--449 00 ---•1- - ------
Street .ystcm Dev charge ^OC ✓ -- �
52-449 00 Parks System oev Charge (POC) Y J
31-450 00 Storni Drainage Syst Dev Clwq (SSOC) ✓ .2 s;L --�-'�-�
10-230 09 TRFO -
10-230 06 washington COLMLy ! ire f lw(95X)
10-220 00 nmart/Wedgewood
lUTnl_
Rei- It
APPLIcnNT STGfJf�lllRf
Received By : -------- liate Received:
■
c,ItAn1N ./R?R -S-1 c�N'l K�)I, 1NIyIt�1A I IUN
GENERAL CONTRACTOR NAME& ADDRESS:
CASEFILE NO.:
i I
[ ty _ IIERMIT NO.'—
: _ ---_
�..—�
t r,,
APPLICANTNAME AND ADDRESS:
EXCAVATION CONTRAC"LOR
NAME& ADDRESS: f_ �Lf'TZ/1
O NA/M�E) A(N�1�1D S'I 1 1 �F �C 'l IL F-,i'��.�..�_
X'T(A F )77 c�—
TELEPHONE NUMBERS: rPROPERTY DESCRIPTION•
APPLICANT--`7L I 1 �L '"
c L [ _ STREEI'ADDRESS ANU QROSS STREET/L.00ATED
OWNER�;I�\ ""l L'1--("'
GENERAL CONTRACTOR: �Lc
EXCAVATIONCONTRA(1OR:i'JL �A U- -
STTUIOB• — LEGAL DESCRIPTION:
24 HWAT•TEA.N0 JRS EMERGENCY TAX LAT NO.:
CONTACT PERSON,TITLE,TELEPHONE. 1/4 SECTION__
SITE SIZE,ACRES,.-
--DISTURBED/WORK AREA,ACRES:
LOCATION& ADDRESS WHERE SPOILS
LEAVING SITE WILL BE TAKEN SITE.RLQ IOfT DRAINS TO:(CIRCLE ONE)
(AIpTE:p[3ZMI7S MAY BE REQUIRED) ATC_'I-T-�ASTN DITCH PIPE CREEK
._. —
(CIRCLE ONE) PR VAT E PROPERTY
UBLIC RIGHT OF WAY
F�R ONjROL�EjQ-MEASUFRES
MININIRJM ESC.REQUIREMENTS MINIMUM ESC REQUIREMENTS
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILTTTES STABILIZE EXPOSED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOFF CONTROL FACILITIES
CLEARING AND GRADING RESTRI!'ITONS CLEAN AND REMOVE ALL SILT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANI FACILITIES
CONSTRUCTION SEQUENCE OTHER__—
PLAN FOR.EROSION rONTROL PREPARED AND SUBMTI'TED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK-.
EROSION CONTROL PIAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE.INCLUDING EMERGENCY
PHONE NUMBER, SCHEDULEISTAGING FOR INSTALLATION AND REMOVAL_OF EROSION CONTROL MEASORES,AND
APPLICABLE STANDARD NOTES.
I IIAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE.
OWNER SIGNATURE u APPLICANT SIGNATURE i
• • • • • • • • • • • • • • • • • • • • + • • • • • •OFFICIAL USE.ONLY. • • • • • • • • • • • • • • • • • • e • • • • • • • •
RECEIPT DATE
FEE NUMBER RECEIVED