Grading & Erosion Control Permit Application Application Date: Permit Number:_________
City of Sherwood Community Development Division
22560 SW Pine Street, Sherwood, OR 97140 Phone: (503) 625-4226 Fax: (503) 625-0629 Land Use Approval:_________________
24-hour Inspection Request: (503) 625-0545 E-Mail: building@sherwoodoregon.gov Web: www.sherwoodoregon.gov
JOB SITE INFORMATION AND LOCATION
Job site address:
City/State/ZIP:
Project name:
Cross street/directions to job site:
Subdivision:
Lot no.:
Tax map/parcel no.:
DESCRIPTION OF WORK & INTENDED USE
PROPERTY OWNER
Name:
Address:
City/State/ZIP:
Phone: Fax:
APPLICANT
Business name:
Contact name:
Address:
City/State/ZIP:
Phone: Fax: :
E-mail:
ENGINEER
Name:
Address:
City/State/ZIP:
Phone: Fax:
E-mail:
CONTRACTOR
Business name:
Address:
City/State/ZIP:
Phone: Fax:
CCB lic.:
Authorized
Signature:________________________________________________
Date: ______________________________
EXCAVATION
Total Volume:____________________________ Cu. Yds.
Max. depth:______________________________ Ft.
Total Disturbed Area:____________________Sq Ft/Acres
FILL
Total Volume:____________________________ Cu. Yds.
Max. depth:______________________________ Ft.
Total Disturbed Area:____________________Sq Ft/ Acres
NOTICE
All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
apply:
CONDITIONS OF PERMIT
Grading to conform to Appendix J of the 2007 Oregon
Structural Specialty Code, as adopted by the City of
Sherwood.
This permit is valid for mass site grading only. It does not
cover any construction for roadways, underground utilities,
or public improvements. Construction for any public
improvements will be permitted only upon approval of Final
Engineering Plans. Work performed on the construction of
any public improvements, will be at the applicant’s own
risk. Work under this permit does not guarantee approval of
future permits.
Issuance of this permit does not imply any City approval of
the site plan. Permit is valid for six months.
A copy of the Service Provider Letter from Clean Water
Services is required prior to issuance of Grading permit.
All Erosion Control measures must be installed and
approved prior to any site work. Call the City of Sherwood
Inspection line at 503-625-0545 to schedule.
GRADING & EROSION CONTROL PERMIT FEES
Please refer to City of Sherwood current fee schedule
Fees due upon application
Amount received
Date received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete