11712 SW 129TH PLACE i
11712 SW 120'"H PLACE -
TIFARD CERTIFICATE OF
CITYOF
OCCUPANCY
COMMUWY DEVELOPMENT DEPARTMENT anew PERMIT #. . . . . . - s MST90-0140
131260WHWIBlvd P.0.sox 2=7.pond,0rWn 9P@t*NWP"75
tic/31790
SITE ADDRESS. . . : 11712 SW 121yTH PL PARCEL.: IS133DD--01800
SUBDIVISION. . . . : VILLAGE AT SUMMER l..AKF PARK 2 ZONING: R- 4. 5
5LOrK. . . . . . . . . . i LOT. . . . . . . . . . . . . 1 S7
____._______.---______..____.______.____-__._.-
(:.I_AS10 OF WORK. tNEW
TYVIE UF USE. . . :SF
OCCUPANCY GRP. LR3
CICCUPANCY LOAD,-.2LO 4
TENA 4T NAM=.
jON MORISSETTE
DUN MORISSETTE BUILDERS) INC.
P13 50X 19324
POR'FL.AND OR 97219-0000
Phone #. 503-244-9314
Contractor:
D014 MORISSETTE BUILLI)ERS,
15555 SW SANDY RD.
#201
OSWEGO OR 97035
Phone #z 620-7538
Ray #. . -. 35533
(JCQ1Ap0nC-Y Of the above refecenced building Is hereby given, and certifies
the compliance wito the St Ate Of Oregon SP@ctaltY odes for ',he group,
ovc-i-jparjc,y, and mse under which the rofer-enced permit was issued.
BUILDING CTC.1
FIPE DEPARTMENT 7i:i
L "iT 0 riAl_.
L i --E r6-
POST IN CONSPICUOUS ^!ACE
i
INSPECTION NOTICE
City o''Tigard B,Jlding Department
P.O. Box 23397
Tigard, Oregon 97223 ¢
Phone: 639-4175
, �-
Type of Inspection .a � _�"._�< <-�il.. ��• � �
Date F ayuested /e/3i/f c Time—A.M.--P.M.
Address 71 Z 9 �� _ Permit #9ry -4/40
Owner Lot #
Builder Al,n.The following Building Cr-de deficiencies are required to be corrected:
Presented to Approved
Inspector �— �_ Disapproved
Date
CALL FOR REINSPECTION
❑ YEa 0 NO
e
-IM
City of. =igard BaLldiag Department
1312S BA Ball Blvd, TLgard, Oregon 97223
Int.pection Line ( -O-Phonals 639-4175 Business Phones 639-4171
Inspections
I
Footing /,Plbg. Underslab Koch. Rough-inAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL: •��
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Sd. -Koch.
Date Requesteds^ 3/`.:Z A) Time AK PK
Addresst /�t�/7/.a— /� l> /- ` Permit 1t. /
Builder: j2,T7
TB= FOLLOWING CORRECTIONS ARE REQUIRZDe
i
i
1
1
�1
_ 1
Inmpactor3 � DaN$
APPROVED DISAPPR APPROVED SUBJECT TO ASOVE
Call For Reinsp.
i
INSFEMON NOTICE
City of Tigard Building Delartaent
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 8 inose Phone: 639-4171
Inspection: --
looting Plbg. Underslab M04. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor ^Nater Line Gyp. ad. -Neuh.
Date Requested:
Address t )7/Y .�- �.� t1 Permit #s
guilder:
THE F0LL0WING CORRSCTIONB ARS RSQUIRSD:
1
ItIj
Inspector: jf9 / Date:_ /O' �".7 [
-A—APPROVSD 0I8APPR0 APPROVED BUR"CT TO ABOVE
Call
for Reinip.
INSPECTION NOTICE
City of Tigard Building Department
P.O. Eox 23397
Tigard. Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested 92) Time A.M. P.M.
Address 7/.2— Permit
Owner Lot
Builder i2t,�2
The following Building Code deficiencies are required to be corrected:
U
dip
Presented to T/A
Inspector Approved
Disapproved
Date
CALL FOR REINSPECIYON
ED YEs I J No
A
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 Permit # _
i
Owner _ Lot #
Bui�der
The following Building Code deficiencies are required to be corrected:
r
,r
Presented to
�Vi
pproved
Inspector Disapproved
Date
CALL FOR REINSPECTION
[� YES �O
f,
Ii
f
I
INSPECTION NOTICE t�
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection '/u -�'�
Date Requested. 7' Time A.M. P.M.
Address Z,2yPer ins t
Owner v _ Lot #
Builder__.1 ----
The follovvinti Building Code deficiencies .rs required to be corrected;
di' '�►s =v" 5'�t'k����.Q (.�t��nil��,'r
1
i
I
Presented to _ �pproved
Inspector �% J, [] Disapproved
Date
CALL FOR REWSPFCT10Y
C7 YES ❑ NO
i
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 1 ( Z S<<-) �-G> ' 1> Permit q6
Owner Lot #
Builder `��'� �°41/II�J� �r D - -7
Ue following Building Code deficiencies are required to be corrected:
I
i
E
Presented to —� 5rApproved
Inspectol' D Disapproved
Date �
CALL FOR REINSPECTION
C.] YES L] NO
J
INSPECTION N6TICE
Gty of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectiaZ-Apu.L
Date Requested —� -3 _ G Time_X A.M.—P.M.
Address _�L! 7 �L 7� Permit # D yQ
Ov;ner — __ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ __ tA' pproved
Inspector ❑ Disapproved
Date " 1-3- 20
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
f Ti Building De artmErit ��`
City o Tigard �
g p
P.O. Box 23397
Tigard, Oregon 97223
Phone, 639-4175
Type of Inspection
Date Requested �1 1 C Time'L_A.M. P.M.
Address _ZZ '7 112?-'�: ,Lr�y �–� Permit
Owner 4 Lot #
Builder ;,7 —
The following Building Code deficiencies are required to be corrected:
Presented to _� Approved
Inspector /! _ Disapproved
Date
CALL FOR REINSPECTION
IX- IES ❑ NO
i
Ii
II
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 10,
Phone: 639-4175
Type of Inspection
Date Requested ' Time A.M. P.M.
—1 -L
Address 4L� Permit *211;
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
:5'.4 /–Ir-AV.,,v k_ErQs
Presented to
Inspector
L Disapproval
Date
CALL FOR RVAISPECTION
Cl YES 1-1 NO
INSPECTION NOTICE /, f
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of InspectiopU1
Date Requested r� Time A.M. X _P.M.
Address Permit #%—/- ya
Owner— Lot #
Builder 12/17
The following Building Code deficiencies are required to be corrected:
i
Presented to _
f4-Approved
Inspector " -.. Disapproved
— pproved
Date
CALL FOR REINSPECTION
❑ YES C7 NO
w
P
INSPECTION NOTICE
City .:t Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection / /VM A.-
Date Requested ' 90 Time _.,A.M. P.h'.
Address -j211,2 J'2 g � Permit #—�&Q 1VO
Owner Lot #__
Builderi
5cltiv,n.hV crs
The following Building Code deficiencies are required to be corrected:
Presented to Approved
Inspector f /��� _ C� Disapproved
CALL FOR REINSPEr YON
❑ YES 0 PSO
INSPECTION! NOTICE
City of Tigard Building Departmrnt j
P.O. Box 23397
Tigard, Oregon 97223 f
Phone: 639-4175 I
Type of Inspection
Date Requested 7 ' d-5 9D Time oU A3.1—P.M.
Address //711 S W ia. Permit # g0 0-'Y6
Ownu Lot #
Builder
The following Building Code deficien.9s are required to be corrected:
- — -- 04
i
I
_ _ I
Presented to Approved
Inspector �[� ��G� (J Disapproved
Date _'2-
r___ '�� —
CALL FOR REINSPECTION
❑ YES ❑ NO
i
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
Type of Inspection
i•
Date Requested Time 1-A.M. P.M.
Address %J 7���` f Permit
Owner Lot #
Builder l_ LI L U LZ l C Sc i t c= _
The following Building Code deficiencies are required to In corrected:
&/
�ylc/ll / /moi/>XIZm"T�
I
i
Presented to -IN-Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
0 YES IJ NO
CITY OFI TIFA RD -
M A S'r Ery PERMIT
C,Tyio RD I*)ERMIT MST90-0140
COMMUNITY DEVELOPMENT DEPARTMENT oftem PRIM. PERMIT f4. : MST30-0140
13125 8W Hall Bkd P.O.Box 23307 T%IaM,Orepn 9t 6/1.75 DATVISSUED: 07/1.3/90
AITC ADDRESS. . . 11712 SW 129TH PL PARCEL: 1S133DD-01800
SUBDIVISION. . . . VILLAGE: AT SUMMERLAKE ZONING:
BLOCK. . ,. . .. . .. . . . LOT . . . . . . . . . . . . .
----------- --------------------- BUILDING
REISSUEg /GA DWELLING UNITS:13 BASEMENT. . . . . . . . :0 4 sf
CLASS OF WORK. :NEW BEDRNS:3 PATHS:8 GARAGE. . . . . . . . . . :00017 s-f
TYPE OF USE. . . :SF" FLOOR AREAS---------- REQUIRED RETBACKS----- ------
TYPE OF CONST. :5N FIRST. . . . :68 9 sf LEFT. . 02ft RIGHT. :09 ft
OCCUPANCY GPP. :R3 SECOND. . . :i'4 of FRONT. .-7Y ft REAR. . : ft
STORIES .. . . . . . :2 THIRD. . . . :0 IS sf REQUIRED--------------------
HEIPHT. . . . . . . . :20 ft TOTAL------:42 SF SMOKE DETECTORS. :
FLOOR LOAD. . . . :40 psf VALUE. . . . . $a 84564 PARKING SPACES. . :
Remarks:
---------------------------- PLUMBING
SINAS. . . . . . . . . . :2 FLOOR DRAINS. . . . :0 BACKFLOW PPE:VNTRI-.).
LAVATORIES. . . . . :31 WATER HE . . . : 1 TRAPS. . . . . . . . . .. . . . ...
TI.UB/LHOWERS. . . . P11 LAUNDRY TRAYS. . . :0 CATCH DASINS. .. . . . . . :
WATER CLOSETS . . :@ SEWER LINE (ft) . = GREASE TRAPS. .. .. ,. .. . . :
DISHWASHERS. . . . : 10 WATER LINE (ft) . :@ 0 0 T 1-4 E R 1: I XT 1.1 R r.-- 0
GARBAGE DISP— :0 RAIN DRAIN (ft) . : 10
WASHING MACH.. . . : SF RAIN DRAINS- 4
--------------- MECHANICAL -------------- ------------------- FJJ.,:S
FUEL TYPEE ----------- UNIT HTRS. . :0 type amount b y date rec pt
t3/ I VENTS . . . . . :41 PAYM $ 100. 00 JLIA 04/26/90
MAX INPUT :0100 BTU VENT FANS. . :01 BPRT $ 388. 00
FURN ( 100K . . :0 HOODS. . . . . .. 10 HPLC $ 252. 20
FURN )-100K . . sO WOODSTOVES. : B5PC * 19. 40
FLOOR TURN. . . . : CLO DRYERS. : 1 S I'D C $ 600. 00
BUIL/CMP 1 3HPg OTHER UNITS: 1 SSDC $ 250. 00
GAS OUTLETS:3 PARK $ 250. 00
Owners ---------------------------------- MPRT $ 39. 00
DON MORISSETTE 11 P L C 9. 75
DON 110,Rl`:`)SE'TTE 1-'AJILDF-.:RS INC. M 115)r-I C 1. (Vi
PO BOX 19524 PPRI 122. 50
PORTLAND OR 972l') 0000 P15PC 6. 63
Phone #c 503--244 9314 PAYM 1849. 43 JLH 07/13/90
Contractors
DON MORISSETTE PLDERS, INC.
P 0 NOX 19524
PORTLAND OR 97219
V1ionp 0: 1,503-620-7b38
Rep ". . : 35533
$ 1949. 43 TOTAL
This permit is issued subject to the rejulatim- contained in the REQUIRED INSPLCTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOUnd Insp Mechanical to
applicable laws- All work will be done in accordance with approved Wt-r• Proofing Bsni Plumb 'Top OLIt
plans. This pertit will expire if work is not started within 189 Plost/Peani Trisp Framing Insp
days of issuance, or if work is sus days.I dCrawl Drain Fireplace Insp
# Psnilt Slab ".]As Line Insp
Permittes Siqlaturetp. PIrn/underslab in Insulation Insp
PLM/Underf 1 oor Gyp Board Insp
I s s t.t e,d P y -------I--.............. Ftno Drain Bsm9t Rain (train Insp
Call for inspection 639-4175
ITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s 90--.2026-10
CHECIk', AMOUNT s 16-719.17
MOR ISSETTE. D014 CASH AMOU141 a (:I.()()
ADDRESS PAYMENT PATE 1-3/91)
SUBD 11)14,s 3'ON
LAKE" OSVJEGo. OR 9 7 0-:15-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
--*---Te-6,.—00 L 7.4"'.50
11EFC.HANICAL PE 7.9. Qc) ST . EA.11U) PEP '7.977
PLAN CHECP FE 20.Z-. 4"i -,,'T'F;.,EET Sr)C CIQ
FARKS SDC, s2.51.). 00
10TAL. AMOUNT PAID 2
SEWER CONNECTION
C17YOF 71A RD PlEA01.1-1,
My SWR892648
4MID
COMMUNITY DEVELOPMENT DEPARTMENT ONOON
13125 SW Hdl BNd P.O.Scm OW,T*M.OMW 9" -`RI N
p.M0.1 75
1)A T E ISSUED: (D6/28/90
SITEE nI)DRE.'13S. — 1.1.71.2 SW i2q,ri-i v.,i 1-:4.)P Cl L I... ISI 233D-1)
A
iUP')IV:I:SION. . . . VILLAGE: AT SUMMERLAKE.' 2 ZONING: R-4. 5 PID
f-I I OCK . . . . . . . .. . a 1-01
...................
r*1:-NANT NAME.,. . . . . :
USA NO. . . . . . . . . . ..41647 F'IX*I*(.)RE UNITS. . . :
CLASS 01:7 WORN.. . . g N F'.'W I)WE1 I ING UNI'T'S..
TYPE OF' USE. . . . . ..5F.
NO. ('')F' BUI1 DINGS: I
iNsrAi-i- TY1'-`E. . . . .-11USWR I N P E RV 13 U R F-A C E'.
(Jwl-le.r..
DON 11ORISSETTE tyE)e 'A M(3 I't 1.1 t by date -r e C 1:)t
PO 14(.')X 19524
PRMT $ 35. 00 MAN
PORTLAND OR 00000--0000 PR MT $ 1250" 00 MAN
Ph c))-i e it: 0 0 0 000---(4000 1-:'A y 11 $ 1085. 00 J I H
corlt-raeto-(. . ........................................ .............
DON PIORISSETTL 141-DERS, INC.
F, C) 11C)X .1.9524
PORTLAND OR 9/219
Phone 0.- ',-';03--620----'?538 $ 12 8 5. 0 0 TOTA L
Reg 0. . : 35533
This Applicant agrees to comply with all the rules and regulations REPUIRED INSPECIIONS
of the Unified Sewage Agency. The permit expires 120 days from ............ "."W"".....
...........
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 feet in all directions from .........
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit anu the Agency will install d lateral.
Dy.- ........... ......
............ .......
CAII fc)'P 639-4175
....... ........ ............
PLj%N CHECK APPLICATION
CRID
ITYOFT16APLAN CHECK It
COMMUNITY UNY DEVELOPMENT[�!I OA PERMIT I! St 96 -a/� DATE ISSUED y
nmsw w.eat.��o.s«mss,n�.�oR•v� .�•
�_� 5 w : -ars l • TAX MAP/LOT js/-_33 QQ /R'06
70B AOORESS: --� -•r,•� LAND USE:
SUB: �: _ . . •
ALUATION: SPECIAL NOTES
OWNER A/ REISSUE OF:
NAt1E: . LAST' REISSUE:
ADDRESS: -� FLOOD PLAIN/
SENSITNE LANO:
PHONE 24 APPROVALS REQUIRED
. PhA1yNIAiG: ---
OONTRAMR ENGINEERING:
WAKE: FIRE DEPT _
ADOROMS: OTHER: - -
ITEMS REQUIRED
PHONE: LIST/SUBOON7RACTORS: '
BUS TAX:
.ARCH/ENGINEER1 C ITS CALMLATIONS:
NAME: Tn l F"n —
TRUSS DETAILS:
ADDRESS: PARKING PLAN:
LANDSCAPE PLAN:
9 3446
ouMIG OTHER: _
�
ComE
QTS:
hY ESAMOUNT AMOUNT P0. BAL. DUE
ACCT PERtaT R �_ 3 8T
rnG�/ye 10-432 00 Building Permit fees 3L• a
57)
ILO_431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees L==
104300, Stat.L Building Tax (5%)
Building
Plumbing .'GL
neck /1 �
10-433 00 Plans (heck Fee
Building
Plumbing
Meth 9' 7 �" h'd
30-202 00 Sewer Connection - 3 t�d
30-444 00 Sewer Inspection oa b 0•
51-448 00 Street System Dev Charge (SOC) S�
52-449 00 Parks System Dew Charge (POC) _ AU 0
31-450 00 Stol-m Drainage Syst Dew Chrg (SSOC) �__
10-230 09 TRFO x --
10-230 06 washington C:ounly Fire Ill-(95%) ,.
ID-220 00 Amart/Wedgewood
TOTnL 33_If_q Z
4 1
APPLICANT S NATURE n
�, Oa Le Received.
CITY OF TIGAPD RECEIPT OF' PAYMEWRECEP-1 Ni]. syG 21.10 4 1
GHEU;:' AMOUNT I CIO.00
NAME.* : DON MOR ISSETTE CASH AP11:11-INT t Cl. 00
ADDRESS 4 PAYMENT DATE' t 0,4/26/90
SUBDIV 15 1011
PURTLAND, OR 97:"19- 11712 SW 129TH Ft
PURP,(ISE OF PAYMENT AMOUNT Pt,411) PUPPOSE 01" PAYMUNT Afir.)UNT Fl(aID
F-,-L-f TT.-,T-4 E y(i
Tffi-4. AMOUNT PAID 100.00
CITYOFT167ARD
PLAN CHECK APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK
13125 S.w.HMI BAv&P.O.Box nn?.Tow k OMV.. (sm)63%4115 PERMIT # '•; j ��--
;'
DATE ISSUED
JOB ADDRESS: I_�12.. S (ze, P TAX MAP/LOT P) )
SUB: VlLA-r �,►^� bK�OT: S 7 LAND USE-.
VALUATION:
OWNER �'`� SPECIAL NOTES
NAME: _nth"-► WVzoS Imo -. REISSUE OF:
ADDRESS: _ 1 5�_ LAST REISSUE:
Z FLOOD PLAIN/
SENSITIVE LAND:
PHONE: - 24a- 9-1 I`t
APPROVALS RE Uf�1 IRED
CONTRACTOR PLANNING:
NAME: ENGINEERING: _
ADDRESS: _ VIRE DEPT
OTHER: -
PHONE: ITEMS REQUIRED
BUILDERS BOARD M: _ EXP DATt: - 70 LIST/SUBCONTRACTORS:
BUS TAX: _
ARCH/ENGINEER _ CAL.CULATIONS:
NAME: rLI C 1 TRUSS DETAILS: _
ADDRESS: OTHER: M
PHONE _ — S—� --COMMENTS: � tz.?Is S 1 8��
SUBCONTRACTORS: PLUMB: t _ MECH:
PERMIT H ACCT N DE RIPTION AMOUNT AMOUNT PD. DAL. DU
10-43?. 00 Building PermitlFee _
10-431 00 Plumbing _rmitj Fee
10-494 01 Mechanicala it as
10-230 1 State Build ng/Tax (5%)
Building
�. Plumbing
Mech .!
10-433 00 Plans Check F e �,$ 0 4,122—Sc'
Building l
Plumbing
Mec ,
30-202 00 Sewer Connection / U
30--444 00 Sewer Inspection .
51-440 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PDC) n
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10--230 06 Eire
RI C N TT 5 i5
AI'I'L C SIG T L.
Received By: Date Received: _ �Z-7-e/
cn/3587P/18P
j;RADiNC/F.ROSiON c QN'l Rill, INI-QHMA 1—1(►LI
GENERAL CONTRACTOR NAME&ADDRESS: CASE-FiLE NO.: —
S` - i�"1 1 I L PERMIT NO.:
7 `d!- L ` APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR I_�- / `-
NAME& ADDRESS:
A aLA0 OJT--R a'jNAME AND ADDRESS:
TELEPHONE NUMBERS:
APPLICANT' V AMOL-yl-s a PROPERTY DESCRIPTION:
OWNLR �� � M L'1215�Ir " STREET A_ DDRESS AND CROSS STREET/LOCATED
GENERAL CONTRACTOR:
i 1 I -;j ' ," 1�cI * C)I
17.XCAVATTON CONTRACPOR: t _ Ork�21- -
STT6/IOB: _ LEGAL DESCRITION:
24 HR/AFT'FR HOURS EMERGENCY TAX LOT NO.:
03NTACT PERSON,TiTLE,TELEPHONE: 1/4 SECTION-
SITE SIZE,ACRES:
1
DISTURBED/W0RK AREA,ACRES:
LOCATION& ADDRESS WHERE SPOILS
LEAVING SiTE WILL BE TAKEN SITE RUNOFF DRAWS TO:(CIRCLE ONE)
(NOTE:PERMITS MAY BE REQUIRED) (_A_jr_ ASIN DITCH PIPE CREEK
(CIRCLE ONE) PRIVATE PROPERTY
URLiC kIGI- OF WAY
EROSION/SEDIMENTATION CONTROL (ESC)ML'-ASU ES
MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUiREMEN j'S
DURING CONSTRUCTION: FOLLOWING CONSTRUCTION:
SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE
STABiL17ED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC
PERIMETER RUNOIT CONTROL FACILITIES
CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE;,'L SiLT AND DEBRIS
COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER —
OTHER
PLAN FOR EROSic"('ONTROL PREPARED AND SUBMITTED iN ACCORDANCE Wml-M.CHNCAI.GUIDANCE HANDBOOK-.
EROSION CONTRCl,PLAN DRAWING,AS REQUIRED.HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER. SCHEDULUSTAGiNG FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASORES.AND
APPLICABLE STAIIDARD NOTES.
1 HAVE.READ AND Wll,l,COMPLYWITH TTIE ABOVE AND WiLL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY
TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE
OWNER SIGNATUREAPPLJCANT SIGNATURE
01.11CLAL USE ONLY.
RECEIPT DATE ACCEPTED
FEF NUMBER W _� RECEIVED 6Y-- - _-
P.O.Bax 19524
Portland,OR 91219
i ? 12111S P�'
(503)244-9314
Tb-,Foundation For A/(ordable Home
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