15676 SW 82ND AVENUE I
15676 SW 82ND AVENUE -
i
.,
C17YOF
gnizelli , command
TIFARD
CERTIFYCATE OF
CRYZIN"W
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTAKiNT PERMIT N. . . . . . . t MST90-0®67 ;
13125 SW Hall Blvd. P.O.Box 23397, 1 igard,Oregon 979FA,(tA8IMAtb5
ITE ADDRESS. . . s 15676 SW 82ND AVE PARCEL t 2S 1 12CC.-1200+0
SUBDIVISION. . . . s LANOTREE ESTATES XON1NGs R--12
BLOCK. . . . . . . . . . t LOT. . . . . . . . . . . . . s32
------------------------
CLASS OF WORK. sNEW
TYPE OF USE. . . s SF
OCCUPANCY GRP. t R3
OCCUPANCY LOADt222 4
TENANT NAME. . . t
I
Remark 6 1
Owners
TITAN PROPERTIES
PO BOX 6635
ALOHA OR 97007
Phone #e 6455477
Contractors -- ---_ ------------_.__________—__._
CONTRACTOR NOT ON FILE
Phone Mt
Req M. . t
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Code-, foo the ®roup,
+1,:_cupancyq and tine under which the referenced permit was is%ued.
FIRE DEPARTMENT B .DING INSF:1TOR
BU L491 NO OF P4 LIAL
POST' IN CONSPICUOUS PLACE
l
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Uall Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Phone): 639-4175 Business Phone: 639 171-
Inspection
Footing Plbq. Undoralab Mach. Rough-in Appr/Sdwlk
Found. P1bg. Top Out Gas Line FINAL:
Poet/Beam ,St.ruct. San. Sewer Framing �Bldg
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nates.- Line Gyp. Bd. -Mach. �f
Date Renssetedt Time: �--AM PN
Permit
guilder: �
TNR FOLLOWING OORREOTIONS ARE REQUIRED:
,OCX�/Z •y S �� o �v wKQi� S� _4yQ
'7zV;Z 7 . -PCr rL- 13Lc rgOE oc+cv�Mk
Inspectors i Date
_ ^APPROVED DIBA��PPPROVRD _! APPROVED SUBJRCT To ABOV=
_ ✓\Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection ____jc//y -----__.------_..-------- -----
Date Requested �L Time_. Ai� A.M. P.M.
Address 5�-S L J ✓� _._ Permit #
OwnerLot #
Builder �. 1� -------- —_� --------- ---
The follo"ing Building Code deficiencies are, required to be corrected:
1
Presented to _ ,Vj Approved
Ins ector _ __
p -- -- __-- ---__---- � Disapproved
Date -
CALL FOR FINSPF.CTIc N
YES CJ NO
FNSPECTION,hOTICE
City of. Tigard Rulldiny Departaent
!3125 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone) 631-4175 Business Phone: 639-4171
Inspection:- --
i
Footing Plbg. tlt brnlab Mecti. Rough-in ppr/Sdwlk,
Found. Plbq. Top Out Gan Lino FINAL:
Post/Beam strut. San. Sewer Framing -Bldg,.
Post/Beam Meer.. Rain Drain Insulation -Piumb.
I
P:Lbg. Underfloor Water Line Gyp. Bd. -Mach.
Ditto Requested:_ - 1
Address: 45,1, Permit #:--' /i�'�G3i�
Ru Lider:
T1HS FOLLOWING CORRECTIONS ARE REQUINEU:
X- t L.
Inspector: ` bate:
APPROVED DISAPPROVED 1-_ APPROVED SUBJECT TO ABOVE
T_Call for Reinap.
KWKWAM
�FISFLCTION NOTICE
City of Tigard BuneLnq Department
13125 SN Hall Blvd. Tiy. -d, Oregon 97223
lnnpection Line (Rec-O-Phone))y+ 63�-4175 Buainene Phone: 639-4171
9
Inspection: ���i7i��d..��—---- ------- _—
✓
Footing Plbg. O relab Mech. Rough-in ppr/Sdwlk,)
Poun_. Mg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
1
Plbg. Underfloor Nater Line Gyp.
Gyp. Bd. --Hoch.
Date Requeoteds7 / Times /AM/— PM
Addresss� h Permit
Builder: —-
THE FOLLOWING CORRECTIONS JRE RE;U:RED:
nn /
Inspector:
APPROVED DISAPPROVED APPROM) SUBJECT TO ABOVE
Call for Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaea,t
13125 IN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buninesss Phone: 33 4171
Inspection:
Foot-ing Plby. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing Bldg.
Post/Beam Rain Drain Insulation -Plumb.
Pllxq. Underfloo. Water Line Gyp. Bd. --Nech.
Date Requeuted: �I Times _AMM J�PH
Addrees:__1�1 ll< ";� -- — Permit
THF. FOLV 44ING CORRECTI ARS REQUIRED:
Inspector: ______--- -----_ Dates: ---
APPROVED DIBAPPROVRD APPROVRD SUBJECT To ABOVE
—_Call For Reinsp.
INSPECTION NOTICt,
City of Tigard Building Department �
13125 SA Rall Blvd. Tigard, Oregon 97223
Inspeeccion Lino (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab !(coh, Rough-Lit Appr/Sdwlk
Found. Plbg. Top Out Oas'Line FINAL:
Poet/Beam Struck. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain IL.julation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Raquested:/ _�� Time: AM _ PM
Addresse 740 h d PermitTBuilder
HE FOLLOWING CORRECTIONS ARE REQUIPED:
Inspeectopill,,, v Date:
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departnent
1.3125 SH Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)1 639-4175 _usineae Phone: 639-4173.
Inspection:
Footing Plbg. Underelab Mech. Rough-in 7►ppr/Sdw
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struck. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain insulation -Plumb.
Plbg. Underfloor Water Line Gyp.
/l Gyp. Bd. -Hoch.
Date Requested'__--- / G — y[! Time: AHc"Za�rPH
Addreee:________� Permit fit/� lJUI�7
J
Builder:___„:;2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 ,d H c
i
N
Dets:,��C7
APPNOVtO DISAPP1AMn APPRrNED ;MRAK..It 110 AJIM
wll For Reinep.
IN$PL5'�'TION NOTICE
City of Tigard Building Departieant
1312S Sit Ball Blvd.. Tigard, Oregon 97223
Inspection Line (Rec:-O-Phone): 639-4175 BusineRa Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb..
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: //l j� Time: �_AM PM
Address:_ _ [ZP 1:(2 hd Permit s
Builder:_, •-.� _ �._ -- —
THF. FOLLOWING CORRECTIONS ARL REQUIRED.
Inspector:_,_ Date:
E APPROVED DISAPPROVED APPROVED SUBJECT
TO ABOVE
-- Call For Rainsp.
t ■
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 /
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �� Time— A.M. P.M.
Address 57 7� 9.2 d � Permit # L�-edea 7-
Owner _ Lot #
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to ___- _ �J Approved
Inspector ❑ Disapproved
Date
CALL FOR E_NSPECT
FJ YE8 0 NO
�Ia W ■Ir
INSPECTION NOTICE
City of Tigard Building Departme
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 71
Date Requested � �'ZSL A.M. �s P.M.
Address 7 7� h Permit #,( �
Owner_
Lot #_
Builder
T'Se folkwing Building Code deficiencies are required to be corrected:
Presented to _ I fit-Approved
Inspector __ (( \\ __- _ Ll Disapproved
Date �...1�
CALL FOR RENSPECTION
O YE$ ONO
UVRENUM
INSPECTION NOTICE:
City of Tigard Building Department
P.O. Box. 23397
Tigard, Oregon 97223 '/ 1
Phone: 639-4175
Type of Inspection .i -
Date Requested. l/`['�U Time _— A.M._ P.M.
Address z 76 CI __ .___ Permit #l7Q
Owner ___ _ e Lot #
Builder ._____t -- -- -•
The following Building Code deficiencies are required to be corrected.;
Presented to __ _ ji3-Approved
Inspector Disapproved
Date ---- -..--
CALL FOR REINSPECTION
0 YES ❑ NO
WWI W1 WIN—AME-111FALNUW-1111IF
INSPECTION NOTICE
t{ct
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested__ .Cf.= ` QU T"me �` A.M. P.M.
Address __�__' 7r< h d Permit #
Owner— _-- --__--- Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _T Ap;+roved
Inspector _ _. Disapproved
� J
Date -_-- -_--
CALL FR RFUNSPFCTION
I ❑ YEi ❑ NO
W W I
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397 VVV
Tigard. Oregon 97223 r
Phone: 639-4175
'rype of Inspection
Date Requested me A.M.
Address
-Y.:2 Z2 e;:;l12 /Time
Permit
Owner / Lot #
Builder— 4)��
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector Disapproved
Date CS L
2SEC
CALL F04 Ei, TION
0 YE8 1-1 NO
INSPECTION NOTICE �.
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9/223
Phone: 639-44175
Type of !nspection ` c cf—
Date Requested E l/ Time A.M._ P.M.
Address _._ ,� 7& Ad Permit
Owner Lot #
Builder
The followintI Building Code deficiencies are required to be corrected:
I —__----- -_ ---- ------- — _-------- —
Presented to _ _ I TrApproved
Inspector I I Disapproved
——-----------
Date 7—
CALL FOR REINSPECTION
1 YES C) NO
INSPECTION NOTICE
City of "Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 7✓��Cf _
Date Requested 7 Time A.M.
P.M—Permit #a-
Address
Address y
Lot #_
Owner --'--
Builder ------_--c! t� — —-
The following Building Code deficiencies are required to be corrected:
I
___ ] Approved
presentedt --- _�
1 � Disapproved
Inspector -
Date –
CALL FOR REINSPECTION
[, YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested % _ r Time _ A.M. P.M.
Address f � _a� 7i Permit
*2L-10(101
Owner _� Lot #
Bullc'4r
I
The following Building Code deficiencies are required to be corrected:
�cGt. /' T —
Presenter) to
Approved
Inspectorc Disapproved
R Date 7,5"— y
CALL FOR WINSPECTION
YES ❑ NO
■I wt/ ® � I� � � ■ �
INSPECTION NOTICE
City of Tigard Building Department
P O. Box 23397
Tigard, Oregon 97223
Phone! 639-4175
Type of Inspection Footing and wall _^
Date Requested `I-11-90 Time xx __ A.M.__P.M.
Address 15676 Six 82nd_ Permit #_90-0067
Owner�_ __— — �_, Lot #
Builder John–con ner _
The fulluwing Building Code deficiencies are required to be corrected:
Presented to� _____ �A-X- roved
Inspector Disapproved
r
Date --
CALL FOR REINSPECTION
17 YES C) NO
ClTY OF TIFA R® MOISTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0. . . . . . . : MST90-0067
13125 SW Hall Blvd, P.O.Box 23397,Tigard,Oregon 97( 603)839-4176
PRIM. PERMIT #. .- MST90-0067
I. /, DATE ISSUED; 04/03/90
SITE ADDRESS. . . 15676 SW 82ND AVE PARCEL: 2SI12CC-12000
SUBDIVISION. . . . : LANGTREE ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :52
-------------------------------- BUILDING --------
REISSUE:MST90-0043 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :353 sf
TYPE OF USE. . . :SF FLOOR AREAS-..---.--._-_.._..-- REQUIRED SETBACKS----_.__.._.._._.
TYPE
ETBACKS--------- --
TYPE OF CONST. :5N F71RST. . . . :950 sf LEFT. . : 11 ft RIGHT. :5 ft
OCCUPPNCY GRP. eR3 SECOND. . . :698 sf FRONT. 00 ft REAR. . :33 Yt
STORIES. . . . . . . a0 THIRD. . . . :0 sf REQUIRED----------------------
HEIGHT. . . . . . . . :22 ft TOTAL.-----•---: :1648 sf SMOKE DETECTORS. !Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 75570 PARKING SPACES. . :(a
Remarks:
--------------------------------- PLUMBING
SINKS. . . . . . . . . . ni FLOOR DRAINS. . . . :0 BACKFLOW PREVNTI,''— UP)
LAVATORIES. . . . . :3 WATER HEATERS. . . : I@@ TRAPS. . . . . . . .. - _ . .. . .:0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :N CATCH BASINS.. . ., „ •. . .• :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . .. . ,. ., ,. :0
DISHWASHERS. . . . : 1 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . ::0
GARBAGE DISP. . . : I RAIN DRAIN (ft) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS- 0.
--------------- MECHANICAL -------------- ---------------- FEES ------ ---------
FUEL TYPES--._....._-_._.._- -_--.. UNIT HTRS. . iO type Amount by date -recpt
/GAS/ VENTS . . . . . :0 PAYM $ 40. 00 JLH 02/16/90
MAX !NPUT:0 BTU VENT' FANS. . :4 PRMT $ 361. P0
TURN ( 100K . . : I HOODS. . . . . . : 1 PLCK $ 40. 00
TURN )=100K . . :0 WOODSTOVES. :O 5PCT $ 18. 05
FLOOR FURN. . . . ..0 CLO DRYERS. cl STDC $ 600. 00
BOIL./CMP ( 3HP:0 OTHER UNI Tsto SSDC $ 250. 00
GAS OUTLETS: 1 PARK $ 250. 00
Owners ---------------------------------- MISC $ 30. 00
TITAN PROPERTIES PRMT $ 39.00
PO BOX 6835 PLCK $ 9. 75
5PCT $ 1. 95
ALOHA OR 97007 I-IRMT 1; 132. 30
Phone Na 645547*7 ci ri r T $ 6. 63
Contractors ----------------------------- PAYM * 1698. 88 JLH 04/03/90
CONTRACTOR NOT ON FILE
Phone Ns
Peg 0- 1
$ 1138.88 TOTAL
This permit is issued subject to be requlations contained in he ------- REQUIRED INSPECTIONS --------
iiqord Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Insp Gas Line Insp
plans. this pe-mit will expire if work is not sta,,1-0 within 160 Crawl Drain Insulation 1115p
days of issu; ,ce, or if work is ,uspended for more th 189 days. Plm/undslab Insp Gyp Board Insp
64PLM/Underf loor Rain
6drain Insp
.6
, &, 11,?chanical Insp Water Line Insp
Permittee Signati.tre: Plumb Top Out Appr/Sc1w1k Insp
IIISLIPC! Byl ................... Framing Insp Mechanical Final
Call for inspectioy - 639-4175 --- I
C11YOFTIGARD SEWER CONNE*C0M
T1A46 I::'ERMIf
;CffYOF RD 1:1 F_R 11T.T 0. . . . . . . .. SWRqo---oo75
COMMUNITY DEVELOPMENT DEPARTMENT MOON
13126 SW Hall Blvd. P.O.Box 97,T19mid,Oregon 97223� F'R I M V'LR MIT 0 1113 0067
M
)�)M4176
63 41 /j. —DATE' ISSUED: 04/03,/130
SITE ODDRE 1`567C, SW 821,11) 01,4. PIARCEL: 2S1.12CC1200011
SUBDI V].SION. . .. .. ;: LONGTREE ZONING:
DLOCN.. . . . . . . . . . « 1_01
TENANT NAME. . . . .
L)SA NO. . . . . . . . . . :40642 FIXTIJRE (JINITS. . .
CLASS OF-- WORK_ .111-'--:W DWI"LL 1'.NG UN ITS. . : 1.
TYPE OF LJSE.. . . . . «SF=:SF= NCI. 0F' IR L)I I DINGS-. 1
INSTALL TYP-L. . . .. ..D U(:,,WN flVERV SLJRFACE.
Remarks:
(3141,11eV. ----------- FEES
I ITAN V'ROF-ERTIES tYI:)e 4k 1110 L1 11 t 13y date -r e c,P t
1:-'0 14OX 6835 V'R M T $ J.250. 00
1:11 ST' $ ;35. 00 35. 00
M_(:IHA OR 97007 F,A Y 11 1.28`i. 00 ,LAA 04/03/90
I.Ifiorie #s 6455477
Caritracto-r:
CONTRACTOR NOI ON FILE'
11 c))-I e 1083.00 TOTAL
RE14L1TRLD INSV'EC'I TONS
This Applicant agrees to comply with all the rules and regulations !.-)ewer Irispecticarr
of the Unified Sewage Agency. The permit expires 120 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sever laterals. If the sever is not located at the measurement
given, the installer shall prospect 3 fret in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sever" Permit an e c Nil I tall a lat
e Y,n)i t t e e S i 1-1 iA t(.k 1,e
ISSUed By:
—----------
Call far irlsPeetiori 63941.75
i',T TleMENT RECEIPT MO. : 90-00012
OF 11GARD - PC-.CL'.TF'T OF PAY
C115U, AMOUNT : Cr CIO
1`4AME TITAN PROPERTIES CAbH AMOUNT d 299,21.88
ADDRESS PAYMENT' DATE.' x 04/0
SUB I V 151 ON
ALOHA, OR 4-%(_)0 7 15676 5W 921-Jr.) AVE
PlAPPOSE OF P�iYMENT AMOUNT PAID PUPPOSE (7F- PAYMENT AMOUNT F*lD
on F,I,..Ul,,ISfNb PEP,11F 1 513
qll. L
MED4ANICAL PERMIT 7117.00 :31' . EAJIL.D PERMIT' TAY 57' 1,--.26. 61
FA.rJ,l CHE(>- FEE '719. 75 SEWER ViA
-J-WEE INSPECTION 715.CIO STREET SIX 600.00
so c 2130 00 ST(JPM DRAIN SOC 250. 00
10TAL (41130,11' PAID 29e7�.HO
+�
CITYOF TIGARDPLAN CHECK APPLICATION
(Cff ARD PLAN CHECK N /c
COMMUPERMIT q NITY DEVELOPMENT DEPARTMENT WAGON --
S 0
17125 S W Hall Blvd..-1.0.Box 27787,Tlpard,Oregon 97227,(503I639J175
IDATE ISSUED
J
_ �_,� ;�a Gam.
..TOB ADDRESS: •i AX MAP/LOT ��-- 12 C< /'r,,.,.p
SIM: _ LH�1ii.,i i1'Ccc, LUT : a _ LAND USE: -
VALUAJ ION: ,�--
OWNER _ SPECIAL NOTES
NAME: Ti7i5�d1L'.>L'�/i'%/f S _ REISSUE OF:
ADDRESS; �r-'L1— �'�1— � 1- LAST REISSUE: N�
FLOOD PLAIN/
SENSITIVE LAND:
PHONE:
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAM. : �`���'�•'�` �.— ENGINEERING: _
ADDRESS: _ _ _ FIRE DEPT
OTHER:
PHONE: _ _ ITEMS REQUIRED
LIST
CASEFILF NO.-
GENERAL CONIRACl'OR NAME& ADDRESS: PERh1Il' ' -
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME& ADDRESS: -
_1i OWNER NAME AND ADDRESS:
TTiLEPIIONE NUMBERS: ATED
'
C,, y�.� 4.11. PROPERTY DI:SCRIf''TION:
77
APPLICANT' ST�t ET ADDRESS AND CROSS STREE7'¢�C
OWNER I. :i 1 1`� % I 6 -
GENERAL CON'IRAC )OR:
EXCAVATION CONTRACTOR--6X--- C.62-U_.-
SI7E/JOBL- LEGAL DESCRIPTION:
TAX LUT NO.: -- - i
24 IIR/ATTER HOURS EMERGENCY I/q SEC'PION:
CO ACT PE SON, 1'1'l TELEPHONE: SITE SIZE,ACRES:
DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SPOILS SITE RUNOFF DRAINS'TO:(CIRCLE ONE)
LEAVING SITE WILL BE TAKEN LATCH BASIN DITCH PIPE CREEK
(NOPE:POMMITS MAY BE hL,�..'fin)
(CIRCLE ONE`PR R GHT -'WADY
W
ERg5IONLsEDDE` AEl0N-CS1NfROI (GSC�MFASLIRES
MINIMUM ESC REQUIREMENTS
MINIMUM ESC REQl11REMENTS 1=OI I OWING CONSTRUCTION:
Ul IRING CONSTRU(7TION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABILIZFD CONSTRUCTION ENTRANCE HI;MOVE AND RES'T'ORE TTiMPORARY ESC
PERIMETER RUNOFF CONTROL
FACILITIES
CLEARING AND GRADING RESTRICTIONS CITAN AND REMOVE ALI_SILTAND DFIRIS
ENSURE OPERATION OF PE.RMANT FACILITIES
COVER {'RAC"1'ICES -
CONSTRUCTION SEQUENCE O 1 HLR
OTIIER -
PLAN FOR EROSION CONTROL PREPARED AND SUBMI-I'fED IN ACCORDANCE WITH"TECIINICAL OUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING, AS REQUIRED,HAS PLAN CONSTRUCTION NOTES C6MPLCI'1?.,INCLUDINO EMER( ENCY
PHONE NUMBER, SCIIEDULFISTAGING FOR
INICATON1DRNVL OF EROSION CONTROL MFASORES,AND
FI )I
I HAVE RFIAD AND WILL COMPLY WITllTTIE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SGDIMIiN
THE CONS 1 RUCTION SITE.
- �.
- � G G OWNFR S AT'URIi APPLI ATS NATURE
DATE ACCEPFED
RECEIPT I1 Y
NUMBER RECEIVED � ----------
IIF --