8396 SW LANGTREE STREET ger s s
ld
00
w
s
N
a
LE
rt
h
m
m
rt
I
I
— 8-296 SW Langtree St -
CERTIFICATE UF
CITYOFTIGrARD OCCIJPnNCV
COW MUNITY DEVELOPMENT DEPARTMINT 0008F 7Wj t',-..RMTT M. . . . . . . I MST90 -17.ttk_")
13126 SW HWI Blvd. P.O.Bac 23397,DPM,Or0W 97,W("43"76 \-I--—
SITE A(J1)REGG. . . 1 63')6 ',iW LANGTREF ST PARCELs a"S112CC-09600
SUBI)I V I S I ON. . . . I LANGI FqErz' ESTATES' CON INGi R12
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . .
CLASS OF WORK. tNEW
7YPE OF USE. . . tSF"
O(7CUPANCY GRP. oR3
OCCUPANCY LOAD:220 4
TENANT NAME. . .
Remarks :
Jwnerp
TiTAN pRopcwrIES
DO BOX 6835
,,'aLOHA OR ')71W7
1-hone #t 6456477
TITAN PROPERTiEtj
[,(I IAOX 6835
OLO14A OR 97007
V-1hoy,e #; E,4564';7
P-q #. . . IkO558
Uuci pancy of the abovL- -eferenced bitilding is hereby given, and rertifie,,
the compliance with the State Of Oregon Specialty Codas for the grutlp,
occupancy, and use under which the referenced permit was issued.
r
pW17MEp4I N,
BU D I N GFICIAL_
POST IN CONSPICUOUS PLACE
wn � e>. ew �' w e• a' � �
r1
n IN8_PECTI99J19TICE
// 1}� city of Tigard Building DePRttaent 7
13125 871 Hall Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footi.nq Irlbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
slate Rrquestedt �� _—_---_Time: V _AN PM
Addreses
Permit 1: --
THE FOLLOWIpa eap SCr1G.,8 )RE REQUIRED:
Ine, drn ����� �'Gra�✓�`� r
---- —
Inepector: Date:
_
APPROVED I,I8APPROVED A^PROVED SUBJErT TO ABOVE
Cell For Reinep.
1 NSPBCT I UN_NOT I CF /"�
City of Tigard Building Department
13125 till Ball Blvd. Tigard, Oregon 97223
Tnspection Lina (Roc;-O-P no): 639-4.175 Business Phone: 639-4171
Inspection:,___
Mxti:g PlbY Undorol.ab' Mech. Rough-in (, Appr/Sdwlk
Rounti. Plbg. Top Out Cas Line FINAL:
Post/Ream Struct. Sail. Sewer Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation -Plumb.
1bg. underfloor Water Lino gyp. Bd. -Mech.
Jets Requested: `� Time: _. r AM l/ PM
Address.-_,_ C -- Permit I:
Builder:__ _
TRS FOLLOWING CORRECTIO`1S ARE RRQUiRED:
"i
041
i
s
Inspectors '< Date:_?
APPROVED DISAPPROVED APPROVED SUBJRCT TO APrVE
_____Call For Reinsp.
w ms s :mw HIM :mr
M&AMON NOTICE >�
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec• .:-Phane)e 639-4175 Business Phone: 639-4171
Inspections---
Footinq Plbq. Underelab Mach. Rough--in <� Appr/Sdwi
Pound. Plbg. Top Out Can Line FINALt
Post/13-;= Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insolation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: n_ Timet ^,AM PM
Add resn:'0 (.49 �{ G�� �-1 tom` Permit 1: 2- _
Builder:
THE FOLLOWING COPMECTIO148 ARE REQUIREDt
inspector: �/ Dates
r
APPROVED nTsAPPRJVED APPROVRD SUBJECT TO ABOVE
Call For Reinap.
a>+ ■s ase wr nsr � � uuR w:
I
3s.SPRCTIJN t�OTIC� J•t="It De .-
_.dam
City of Tigard BuildincT pa 1i•.�
131?5 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phon l): 639-4175 Busineas Phone: 639--(Ir
Inspection:----,_ _—_ ------ _ -
Footing Plbg. Undersl `Mach. Rough-+d Appr/Sdwlk
Found. Plbg. Top Out ( ads FINP.Ls
ne
-Bldg.
pont/Beam struct. San. Sewer Framing g
i
Post/seam Nwch. Re.n Drain Insulation -Plumb.
P1bq. Underfloor Water LiY.e / P•
Bd. -Mach.
Time: ----PM
Data Requosteds_ _ .
Addrens: �.�� Permit i: L
Rullder:
THE rounWINa CORI.SCTIONS APE RNUIRRDs
Tneperto s__._----_-- ------
APPROVED DISMPROVTtD APPROVED SUBJECT TO ABOVE
ca--1 For Rei.nsp.
asr �r wr � ,.r ■w aar : aer
�.�EC�I.ON NOTICE
CIL; of Tigard Building Df1Part'sent �
13125 BA Ball Blvd- Tigard, oreAlon B ass Phoma
Inspection. Line (Rec-o-Phone):
Inspection: ----
plbg, Underslab Mech. Rough-in
Appr/Sdwlk
rooting
Plb�. Top Out
Gan Line FINAL:
round.
Post/Beam Struct. San. Sewer
Framing -Bldg'
plumb.
Post/Beam Mech. Rain Drain
Inwlation -
-Mach.
plbg. Underfloor Mater Line Gyp. Sd-
_�� FN
^- —----
Date Requested Time:__�
Ps'Mit
Address:
Builder:
i9i.' rOLLOW/N RSLTIONS ARS `SQUIRED:
------------
r
Date
Inspector,: -- ----
AFPROVRD DISAPPROVED APPRMISD SUBJECT TO ADM
Call For Reinsp.
as � � wr � ww ats rsr w
'rwsPLCTION ►ip7ICk' It
City of Tigard BuLldir+q npt,�parnt
Tigarl, OrOgon 97223
1 25 3M Hn l ltltrd.Inspection I.ine (Roc-lt-Yhone)t 639-41','; Buoinenn Pit 6�Q X171
Inspectiont��_-.__
Footing
Plbg. Undarslat, Mech. R( 91t-in Appr/Sdwlk
Pound.
Plbg. Tap Out Gas Line FINAL:
Framing,) -nldg.
Poet/Beam Stru^t. Srn. Sewer
Post/Beam Mach. Rain Drain
Ineula'_i.on -plumb.
Plbg. Underfloor Mater Lina
Gyp. Bd. -Koch.
TIMI PN
Date keyueatedlzlo-
Ruilder:
THE
/ ---
'- C Permit 1s_ _JL—) -
Addreaer.
FOLIAIWING CORRECTIONS A" REQUIRED: -
Date:
Inspector:_ ---- ---�'
M APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE
-�'c Call For F,innp.
�$pJj,�TION WOTICF
('+:y of Tigard Building Department
131ib BR Hall Blvd_ Tigard, Orem 97223
Inspection Line (Rec-O-Phone)t 639-4175 Bueinees Phone: 639-4171
Inspection:
Footing Pl.bg. Unleralah ( Mech. Rough-in Appr/Sdwlk
Found. Plbg. fop out as Line FINAL:
Poet/Beam Struct. San. Sawor Framing -Bldg.
Post/Beam Mech. Rain brain Insulation Plumb. u
P!bq Un.ierfloor Nater Line Gyp. Bd. -Koch.
Date Roqueettzd:_ _ _,L —Timor AM _,--_PM )
1 ermitBill Ider.
i= _t_r
!
THE FOLLOWING COIRF MONS ARE REQUIRED:
Inw <•tnrt .` ._ —..___��� Dater_
FOVBD _! DISAPPROVED ^y APPROVED SUS"CT To ABOVE
-__Call For Reinep.
�I�PECTION_NOTICF
City u! Tigard Build!nq Departammt
13125 FW Ball Blvd. Tigar1, Oregon 97223 l
Inspection Line (F3c-O-Phone): 639-41"5 Business Phone: 6 -4171
Inspect ton a
Footing Plbg. Undorelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ! Gas Line FINAL:
Pont/Rextm Struct. San. Sewer Framing -Bldg.
Pont/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
—� �+
Data Aequasteds_. (^ � '/� r1 O 'fit �AN Ph
Address:� CT -�7 CO 1 "r01t #t
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I nspectpr: Data t _
__ _APPROW.D _ _ADISAT^ROVED APPROVED BUWRCT TO ABOVE
Call For Relnap.
M
INSPECTION NOTICE
City of Tigard Building Department
P,O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
'Type of Inspection __._
Date Reque.ted Time �.. A.M.
Address _ ✓rr2 .y Permit
Owner _.._--- Lot
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to -
- -- ,.�. --- ..�''1 Approved
Inspector ____ Disapproved
Date
CALL FOR AEUNSPECTION
El YES ❑ NO
INSPECTION NOTICE
City of Tigard Billding Department
P.O. O u 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection"4:2"_ ar�_��.v�_
Dane Requested__ Z `� /Z_ Time A.M. P.M.
Address Permit #._�6--j 1,1
Owner
Builder ___.__.
The following Building Code defieierdes are required to be corrected:
0
Presented to VApproved '
Inspector
-7 Disapprovedbate
CALL FOR REINSPECTION
❑ 'YEs ❑ No
:�is�
INSPECTION NOTICE
City of Tigard Bu:'ding Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection
Date Requested — Ti �-,
P.M.
Address Permit
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
_ I
Presented to -_-_--4AL�FOR
Inspp-ior rr ',•U C�isapproved
Date EINSPECTION
❑ YES ❑ NO
{
MASTER PERMIT
PERMIT #. . . . . . . 1 11 ST9(d 0129
C'TYAFTIOARD (moiLAD PRIM. PERMIT M. : IIST90-01r-9
C DATE ISSUED: 09/12/90
COMMUNrrY DEVELOPMENT DEPARTMENT oneft
13125 SW Hell Blvd, P.O.Box 23397,TOM.Oregon 97223(603)&W-4176
" 1-1:i'.C. .INU I k PARCELt 2S11PC-'Q---Q9600
, !�W L i.,
U B 1)1 V I'S TON. . . . : LONGTREF
ZOH INC.`,
PL 0 C,K. . . . . . . . . . : LOT. . . . . . . . . . . . . :28
BUIID I N t -------------------- -------------...-
REISSUE- GA DWELLING UNI19: 13 BOSEMENT. . . . . . . . :0 4 sf
CLASS OF' WORD.. :NEW BE DR I I IS-.3 14 0 TH S-6 GARAGE. . . . . . . . . . 5 sf
TYPE OF USE. . . -.SF POOR REQUIRED
TYPE OF* CONST. u5N F*1RS'T - . . . r8R G s5f LEF-T. . :52 ftRIGHT. .-03 ft
O('.11CUPA.!q(,'Y GRP. :R3 SE(.,'OND. . . -.98 sf F,R 0 NT. -*7 Y ft REAR. . : ft
S T 0 R T.E S. . . . . . . ..(.2 THIRD. . . . :0 15 sf REQUIRE D
HEIGHT. . . . . . . . .*20 ft 10TAI_. 8 0 15f SNOKL DEI EC TORS. u
F"L 0 0 R L 0 A 1). . . . ...40 psf VALUE. . $: /4550 PORK I NG SP 0 C E.13. .
R,e M a-r P.s.
-.......... PLUMBING ......
INKS. . . . . . . . . . :2 1:71 UOR DRAINS. . . . :0 BAC,'KI:71 OW PRt.--:V14TRS.
I AVATORIES . . . ., :31 WATER HEATERS.. . . : 1 TRAPS. . . . .. . . I. . . . . . .
UU14/91-40WERS. . . .. - J.1. I-AUNDRY TRAYS. . . -0 CATCH FIASTNS. . . . .. .. .
WATER C.L(')SF.** I'S. . -.0 SEWER LINE (ft) . -.00 GREASE 'TRAPS. . . . . .. .
DISHWASHERS. . . . :. 1.0 WATER LININ. (ft) . -,0 0 OTI-1 F R F'1 XT U R E S. 0
GARFIAUE DISP. . .. -0 RAIN DRAIN ( -ft) . - 10
WASHING MAr;H. . . i SF` RAIN DRAING. .
MEUPNICAL FEES
1JNtT HTRS- :0 type aMOU11t by
y date r e c.,1.)1.-
VENTS . . . . .. :4 1 CIAYPI $ 100.100 JLH 03/30/90 .108 1.46
MAX INPUTsO100 14TLJ VENT F'ANS- -,0 1. DPIRT $ 358. 00
F'URN < I OOK . . :0 HOODS. . . . . . .iW HPLC $ 2132. 70
F-URN )-1.00K . . v0 WOODSTOVES. : D 5 P C; $ 11. 130
FLOOR FURN. . . . .. CL.O DRYERS. a STDC; $ 600.00
BOIL/CMC-'' < 31-4): 011*111.-'R (JNI:TSv1 13 S D(1- * 250. 00
G A 8 0 UTL ET S n 4 PARK $ i5:;0. (a 0
OwIle.r. ...........---- ;(:" $ 1`.•;. 00
PROPERT:IF.::(,'; R1 11 ;39. 00
1:)0 P 1)X 6 83 5 11 P I-C: 9. 75
11115P(" 41 1. 95
ALOHA OR 97007 1''111 T t 140. 00
Plioiie #n 6456477 m 7. 00
Co11t-ra(2to-(-. ....... .. F.,A Y M 1; 250.09) JLH 06/i.'�8/-)W
'TI'T'AN P R 0 P E.RT I E S PAYN 1571. 30 JLH 09/10/30
PC) 1A 0 X 6 8:3 5
01-OHO ON 9,?00;;,
I:111olle 45647
Reg 0. 305'58
$ 1-921. 30 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPE(JIONS
Tilard Municipal Code, State of Ore. Specialty Codes and all other F'o o t/f v i.t ri d T.ri s p Plt.tnib Top OLtt
applicable laws. All work will be done in accordance with Aeproved Wt-r Proofing Usni F:'-r A m�L vi g I vi s p
plans. This permit will expire if work is not st;rted within 190 Plast;/Bean) 111sp F-i-pppiace flisp
days of issuance, or if work is so� for more "31pJ9 days. Crawl D-ral,ii Gales Livie Iy1sp v r-*11ni/uii(1sI,ab 11st.tIRtioll 111%p
-f
P(- ,Mi.ttae Sigilab.1e ............
r1LM/Uiide-rfIoo-r iyp boa-rd 111sp
Ftiig Drain Psni7 t Raiii d-rAiri Insp
By - ....... e.(:,11 A 1-1 j.C.,a I 111 C;P Wate-r I irle 11-1qp
for 6.39--417F)
-------------
i
I
i CITY OF T Y SARp — REt'.E I F,C OF PAYMENT RECEIPT NO. :90-204666 i
!, CHECK AMOUNT t 1571 . 30 I
I
TITAN PROPERTIES CASH AMOUNT t ►'►.OG
F•f r 1 PAYMENT DATE a 0 /12,"7()
SUBDIVISION
i
I f
OF PAYMENT AMOUNT P(A I D PURPOSE OF PAYMENT AMOUNT PAID
TPERM NST70 0129 '758. CIO Fl_UME{ING PERM �._.__. 140.00
1f i 4 WIN 1 CAL PE 39.00 ST. ElJ I L.D PER 26. 85
r I hl r:FIEi:F;
F17 15"'. 4!, STREE=T 3DC: 600.00 I
i
i
l_AN(3TT.EE ST
,,;-100NT PAID _ — 1571 .W
PON
--- � -.------ --- S E:WE (; C U N hl E C T ION
PERI*I1'T'
!/
rCIT'YOF TIGARD ��EFt1*Ir.T a. . . . . . , a swr,�30- as 3��
cn T RD
COMMUNITY DEVELOPMENT DEPARTMENT oamoo« 11Rlhl. PERMIT M T90--6)129
13126 SW HYI Blvd. P.O.Ba 23307,Tlpud,Or"on 946PP,4175DATE ISSUEDa 06/28/90
SITE ADDRESS. . . -. 8396 SW LANGTREE ST PARCEL- 2S:i l.1%.'.1:.(w 09(:00
SUBDIVISION- - : I._ANGTREE.
ZONING:
BLOCK. . . . . . . . . .. .I LOT. . . . . . .. . .. . . ., . :i28
TENANT NOME. . . . . I
USIA NO. . . . . . . . n . 141683 FIXTURE IJNITS. . . a
(.',L-ASS OF' 1,40RK. . . INE:W DWELL. UNITSi. . a 1
'T'YPE OF USE. . . . . ISF* NO. OF' BUILDINGS- 1
INSTAI...I_ TYPE:. . . . ..BUSaWR IMPERV SURFACE. . : asf
Renia•rk.s
l:lwner a _.._.__ .___.._________.__..__.._.._._._._.___.._....__.__._ _. _.______._...___.._._..___ FEES _....____.__............._ .__..
TITFihI PROPERTIES type amount by Nate rel 1
FOCI BOX 6835 PRMT $ 1250. 00 / !
I NSP $ :35. 00 /
AI...CINA OR 97007 PAYM 1285.00 JL.Fi 06/c28/90
Phone Mw 6456477
C,.cmt•ractore
CONT'ROUTOR t,PT ON FILE
1: hone NI $ 1285. 00
Req 11. .
_-- --- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit. expires 120 da;s fruw
the date issued. The total amount paid will be forfeited if the
permit expires, The Ayency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measureran4.
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.
r'e•r m i.t t e e S i y r1 a t u'r'e= __. .__._.___.........
T s S u e ci N Y a �..._.._.
Call for inspection — 639-4175
I
CIIYOFT167ARD
PLAN CHECK APPLICATION
COMMUPIITY DEVELOPMENT DEPARTMENT PLAN CHECK M _
11111SW Hall lllvd..P.O.9oM 23397,Tigard,0-9.97223,J503)639-4175 � PERMIT N
�o b L-0 DATE ISSUED
,/JOB til RESS 41V
3 �V�C TAX MAP/LOTSUB � ' Xl_Ol - �--- — I-AND USC:
OWNER �\ -- _._____. — SPECIAL NOTES
NAME:
I_ N e_ REISSUE OF:
AUutti 5::_T LAST REISSUE: _ --
__—. FLOOD Pl_AIN/
SENSITIVE LAND:
PHONE _—
APPROVALS REQUIRED
CONTRACTOR PLANNING:
NAME i _— ENGINEERING: —y
ADDRESS: _ _ L=IRE DEPT - —
OTHER:
PHONE: _ --�- —_—__ -- y--- ITEMS REQUIRE?
(iUEIDORS BOARD M: EXP GATE: _ LIST/SUBCONTRACTORS: _
BUS TAX:
ARCH/ENGINEER CALCULATIONS: _
NAME : — _ — TRUSS DETAILS: —
OTHER:
COMMLN1S:
S[IBCONTRACT(.•RS: PLUMB: !1--__. f�� — MECH:
PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10--432 00 Building Permit Fees .� +b'. 3Sk—
_ 10-431 00 Plumbiny Permit Fees 1✓ ��/u, _ — /v0 _._
10-431 01 Mechanical Permit Fees rf, _ j; y ___-
10-230 01 State Building Tax (5X) , F-,
Building
Plumbing _ �0
Meeh
10-433 00 Plans Check Fee Y7 ✓
Building
Plumbing
Mech J, 7) ✓
30-202 00 Sewer Connection
30--444 00 Sewer Inspection_
51-448 00 Street System Dev Charge (SVC)
52- 449 00 Parks System Dev Charge (PDC)
31--450 00 Sturm Drainage Syst Dev ( nm) (SSDC) d
i0-230 06 Fire
IOTAL 3dri ?
� PEC N
P ICAN
APSIGNATURE
Receivlad By: ' ---------- - -- ._._----- IuaS.c Receivr±d:
cn/3501P/18P - `I
GRADINGILROSION CONTROL INFORMATION .
GENERAL CONTRACTOR NAME& ADDRESS: CASEFILE NO.:
i, e I- _ PERMIT NO.:
APPLICANT NAME AND ADDRESS:
EXCAVATION CONTRACTOR
NAME&ADDRESS: u o b
)S 1�.1_t I��i r�1:�u � r,y, '!• l,,r I�L'._ —AL.c1LLd-}1`LZ 4100 -1
OWNER NAME AND ADDRESS:
._ ;gam►G��
ITLEPHON,NUMBERS:
APPLICANT; _ 41 1': -- PROPERTY DESCRIP'T'ION:
OWNER t' STREET ADDRESS AND CROSS STREET/LOCATED
GENE-.RALCONTRACTOR:__-,!_
EXCAVATION CON'I'RAC'1'OR:-
SI TEpOB: --
LErr•.L DESCRIPTION:
24 IIR/AFTER HOURS EMERGENCY T. .LOT NO.:
CO(J J'A("1'PERSON,'T1'LE,'iF.LGPI 10141*.: 1/4 1/4 SECTION:
--VicSITE SIZE,,ACRES:
' a- L-i dT
DISTURBED/WORK AREA,ACRES:
LOCATION&ADDRESS WHERE SN)ILS
LEAVING SITE WILL BE TAKEN SITE P UE,, DRAINS TO:(CIRCLE ONE)
(N��Tt.:PERMrrs MAY BI.Rl c)uIKr.D) CC H BASIN DITCH PIPE CREEK
i
(CIRCLE ONE) PIUVA3F.PROPERTY
PU LIC RIGHT OF WAY
-RQ1(INJ5 I)1M-- M
N'FATj0N CQNIRQI, (ESCI EASURES
MINI'.i()Dl ESC REQUIRFMENTS MINIMUM ESC REC-UIREMENTS
I O►RING CONST Rl)C'I'ION: FOLLOWING CON TRUCTION:
SEDIMENTATION FACILITIES STABIL.WE EXPOLED SURFACE
STABILIZED CONSTRUCTION ENTRANCE REMOV.; AND RESTORE TEMPORARY ESC
PERIMETER RUNOI T CONTROL. FACILITIES
('TEARING AND GRADING RESTRICTIONS CLEAN AND xEMOVE ALL SILT AND DEBRIS
COVER I'RACTICI-S ENSURE OPERATION OF PERMANT FACILITIES
CONSTRUCTION SEQUENCE OTHER
OTHER _
PIAN FOR EROSION CONTROL PREPARED AND SUBmriTED IN ACCORDANCE WITH"TECHNICAL GUIDANCE HANDBOOK".
EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES COMPLETE,INCLUDING EMERGENCY
PHONE NUMBER, SCHF.DULEISTAGING FOR INSTALLATION AND REMOVALOF EROSION CONTROL MEASL'nF.S,AND
A11PLIC ABLE STANDARD NOTES.
I HAVE READ AND WILL COMPLY WITH THF ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECES;ARY
TO CON fAIN SEDIMF:N'I'ON TIIE CONSTRUCTION SITE.
OWNER S m AT'(1RE APPLI NATURE
OF FICIAL.IJSE-.ONLY.
R1:('F:II'l' DATE ACCEP'T'ED
IEE NUMIIER RECEIVED BY