ENG2003-00068 % a "gore
CITYOF TIGARD PUBLIC FACILITY IMPROVEMENT PERMIT
PERMIT#: ENG2003-00068
„ , r , DEVELOPMENT SERVICES PRIM. PERMIT#: CUP2003-00001
..��! 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22/03
SITE ADDRESS: SW NO ADDRESS PARCEL: 2S102DD-00100
SUBDIVISION: EDGEWOOD ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
PERMIT TYPE: CAP
Remarks: PUBLICE FACILITIES PERMIT(PFI)TO INSTALL SANITARY SEWER LATERAL WITH CLEANOUT IN THE
FUTURE RIGHT-OF-WAY. CLEANOUT IS FOR THE HYDROSTATIC TESTING OF THE PRIVATE LATERAL
AS REQUIRED BY THE BUILDING DEPARTMENT. THE CLEANOUT IS CURRENTLY NOT IN
Owner: FEES
Description Date Amount
Total
Phone:
Engineer:
Phone:
Permittee/Applicant:
CITY OF TIGARD
13125 SW HALL BLVD.
TIGARD, OR 97223
Phone:
Permittee/
Applicant
Signature:
Issued By
SPECIAL CONDITIONS: (SEE ATTACHED)
APItICATION FOR
PUBLIC FACILITY IMPROVEMENT (PFI) PERMITAA
AvgitivitJ
IA
Engineering Department '` "
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 624-0752 CITY OF TIGARD
FOR STAFF USE ONLY
General Information:
Engineering
Property Address/Location(s): 13560 SW Hall (New Library) Case No.: vZOrv►-s 00-0
Receipt No.: Ar/.9-
Date: S /0 3
•
*Applicant's Name: City of Tigard Application Accepted By: M" •-/,c,
Revised 4/15/02
Address: 13125 SW Hall Blvd.
City/State: Tiaard OR Zip: 97223
Primary Contact: Greg Berry I REQUIRED SUBMITTAL INFORMATION
Phone: 503 718-2468 Fax: 503 624-0752 Professional Engineered Plans are
required for:
Contractor's Name: Hoffman Construction Co.
CCB# 28417 Expiration: 4/'04 • Street Widening
• Subdivision Infrastructure
Address: 805 SW Broadway 2100 • Main utility line extension (Storm
City/State: Portland OR Zip: 97205 I Drain, Sanitary and Water)
Phone: 503 221-8811 Fax: 503 221-8934
**Note: See Engineered Plan
Submittal Checklist attached.
Plans By: Kurahashi &Associates Inc
Address: 15580 Jav St For all other work: Submit scaled sketch
of the work to be done. (see attached
City/State: Beaverton. OR Zip: 97006 I minimum sketch requirements and
Phone: 503 644-6842 Fax: 503 644-9731 I provided sketch area).
Description of work: Connection to existing sewer. Plans attached.
Estimated value of work(within the public right-of-way): $ 200
Is work related to a LAND-USE DECISION? YES NO
If so, please specify(MLP, SDR,SUB, ect.) case#: CUP 2003-09e'1—(70001
Is the work related to a BUILDING PERMIT? YES n NO
If so, please specify(BUILDING PERMIT)case#: BUP 2003-00211
- -.. - 1 1
M F \° a it \ ` ' j:� lhir y l
A r + I/�\ l6?'/NF / / 14 / I �/,_401.� //• / / //
a �r � � s �ll,/ .%- ../.0„,,, / fr.
A 0, 1I . }v l'IW■�UI.lIIIP V/iIl \ A -. \ . 1 I 1 _Ammon Pin
.tip w/i� * eh. Q / /arpolZt /j—ro
IP1 ,
II
A.., .�.... _z tieiii_ - .� A_ , ,_� � ,� /
wn%
J F. 1
// -\\ I
6 f1R1. — — -- Ill, I� 0/
i .
PPS I A , ,.. ei 0 - E A \
1.5 fiR6, r , \ 14 OAK _-.14 ,OLDER 4"48 R I \
1 „�' q,7 ,
WI� a d '. ,�_ , BEd T. I _ _Se
11 1(.7)// ft ---=
` l� I ' I I / VEGETA irN I ' /V (// ,fj et 1/s _LT1 I I
, _ - _ .. litN i, . , o , ) . /
1G 1 I ,1 a s I % l \ L ,520h •1 )
o --r/7-r-----).--- _ _...< --- -----/ ! / t i - ',-; ,. )
PPS I V i+ ��` 1.b / a / 5 71 f �. I /rER /
i I A'' /, 1/t_
/ / ApPrc,
, .
, s ,
Imo ! - ;z••F 5 - or._ - ..4
12HT. iAG
$AN/TARY NOES ( // N - . _ /�'% ,
Q IvsrALL INS UTIA la-AND O vne-cr rD eosins six s-osrAIL tL► i f if �=
s INSTALL 1549 �� 7 \ `\ •'r I01DCL-LST_-,_ pplia �� ;;s>_ � kr '�� �
O 3 \ ,� i ,r[; ocu__ �420gySr" \ ;�.., T /
-'‹ -'Ali /
J INSTALL !00 if t 6'PVC ' \ _ _ - " • _, -,
S- aa? ^-mss«_ ,�(}� ,� -«'._ '''` _ .
O INSTALL aEwwr sa-OETAit "ADE _ _ "'-'�--�'l To Locus? �o LQcu \ -�\` ` �\ \
E lJ7.6D4 _ l4 DECD _ — -\ _ — ''" -;__ ` \ �,z\ \
O5 INSTALL I00LFLr6-PVC _ / \" = ia'Gu-z \ N \ \ \
S- aa? J 1./ 'a`c£L)AR a, �O?C{ �� ` \ \ \ \\s\
!,
OINSTALL azimut's�OCTAL n I-- r .1 �.h\ \ \\ \ \.` '
Rev- rD GRADS •,
O INSTALL 6414'IF or 6'PVC
S-a0!
O INSTALL 45'W?
O INSTALL 2&77 if O' 6'PVC
S- aot
0 INSTALL 225'6U V
OIVSTAlL Q4?IF Or 6'PVC
S aot
0 av$1A L armour SEF LL?AL A
RIv- TO GRADE
E- 1.1m169
hitxnac Q INSTALL saw LF 0r 6'PVC
S- a0!
ming
INSTALL 4r o 117
0 comcr iv OULDIVP cLE Ncvr New Tigard Library