Building Division Erosion
Control Permit Application
City of
Happy Valley
16000 SE Misty Drive, Happy Valley, OR 97086
Phone (503) 783-3800 Fax (503) 658-5214
IVR 24 Hour Inspection Request Line (888) 299-2821
Schedule Online: www.oregon-epermitting.info
(Same day inspections /cancellations must be in by
7:00am) www.happyvalleyor.gov
TYPE OF WORK
New Construction Addition/Alteration/Replacement
Demolition Other:
CATEGORY OF CONSTRUCTION
1 & 2 Family Dwelling Commercial/Industrial Accessory Building
Multi-Family Tenant
Improvement other:
JOB SITE INFORMATION AND LOCATION
Job Site Address:
City/State/ZIP:
Subdivision or Project Name:
Lot # or Tax Map/Parcel #:
Cross street/directions to remote job sites only:
DESCRIPTION OF WORK
APPLICANT / SITE CONTACT / HOMEOWNER
Business Name:
Contact Name:
Address:
City/State/ZIP:
Phone:
Fax:
E-mail:
EROSION CONTRACTOR
Business Name:
Contact Name:
Address:
City/State/ZIP:
24-Hour Phone: Fax:
E-mail:
CCB Lic: City or Metro Lic:
I will install and maintain erosion / sediment control measures to contain sediment on the construction
site.
Authorized Signature:
Print Name:
Date:
This permit application expires if a permit is not obtained within 180 days after it has been
accepted as complete
Revised 8/16/16
EROSION / SEDIMENT CONTROL INFORMATION
This erosion control permit is issued in accordance with City of
Happy Valley Ordinance 141. You are required to call for an
erosion control inspection before undertaking any construction,
grading or excavation. A final erosion control inspection is
required before occupancy can be granted. The City will
conduct additional erosion control inspections during
construction, and/or require the implementation of additional
erosion control measures if the City deems such measures to be
necessary. Any site in non-compliance will be re-inspected.
Re-inspection fees may be charged on those sites that fail to
take corrective actions in full by the time of the next inspection.
Stop Work Orders will be issued on sites that continue to fail to
comply with erosion control requirements.
EROSION REQUIREMENTS
Silt Fencing………..……….……….………………….
Construction Entrance / Gravel Driveway…………..
Sidewalk Sub grade……………………………………
Mulch / Straw Cover……………….………………….
Stock Pile ……………….……………………………..
Erosion Control Blanket…………..………………….
Steep Grade Protection………………...……………..
Hydro Seeding……………………………………...….
Bio Bags / Filter Sacks in Catch Basins…...................
Other…………………………………………………..
EROSION PERMIT FEES
Please refer to fee schedule
Permit Fee…………………………..
Plan Review Fee…………………… I/P
State Surcharge……………………. None
TOTAL EROSION PERMIT FEE
click to sign
signature
click to edit
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