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PFI2013-00027 a CITY OF T'IGARD PUBLIC FACILITIES IMPROVEMENT PERMIT s COMMUNITY DEVELOPMENT Permit#: PFI2013-00027 e 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 07/22/2013Parcel: 1S136DB00100 Jurisdiction: Tigard Site address: 11543 SW PACIFIC HWY Subdivision: 2000-025 PARTITION PLAT Lot: 2 Project Pacific Realty Associates LP-Sidewalk Replacement Project Description: Adjacent to 11543 SW Pacific Hwy.,replace 20'of sidewalk on SW 71 st avenue right-of-way.Additional 10'of sidewalk replacement on SW Pacific Hwy.right-of-way to be reviewed and permitted separately by ODOT. Owner. FEES Description Date Amount PHONE: Contractor. QUADRUS,INC. 4647 SW HUBER ST. PORTLAND,OR 97219 PHONE: 503-293-8931 FAX: 503-293-8934 Applicant: PAUL BENDER 4647 SW HUBER ST. PORTLAND,OR 97219 PHONE: 503-293-8931 Total $0.00 Please sign below to Indicate acceptance of conditions and return a copy with the proposed work schedule along with names and contact Information of responsible parties be eginning work Peimittee/Applicant Signature: LLtJ,L� Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY J t RECEIVED JUL 222013 City 0•f Tigard CITY OF TIGARD ent I FI) PermitPublic Facility Im rovem General Information: FOR STAFF USE ONLY P ppeerrty Address/Location(s): �/+�,5��,'{n3 S Uj EngineerinP - I C �r'rr�tw, 2 1 Z2 3 Case No.• f I'I�O�3-CK7.�2-� Receipt No.: (: Q //''''�� Date: -7 v *Applicant's Name: uAyfw rZ��- QApplication Accepted By: Address: 5O✓ ,e✓ Sk-VerAQ Revised 7/1/10 City/State: Civ „�•��. K Zip: 921 1 Primary Contact: �_Ubu` REQUIRED SUBMITTAL Phone: d 3 Zq 3 9R 3) Fax: S-03 25(3 8534 F77INFORMATION POL 11'I CD V" 1A 1-,t S 1(16.c,o 1Y1 Professional Engineered Plans are required for: Contractor's Name: (tis f ZKJC- ©Q ! • Street Widening CCB# Vy �0 Expiration: ` ZL11(4 • Subdivision Infrastructure Address: q(oL 1 w �kv6e v S • Main utility line extension: City/State: Zip: Q'I Z't Q 0 Storm Drain,Sanitary-Tigard A Q 0 Water-Tigard Water Service Area Phone: Sd 3 Zy S 3 �i Fax: ��3 2 q 3 U q 3(+ (includes Durham,King City and a portion of unincorporated Washington County) Plans By: **Note:See Engineered Plan Address: Submittal Checklist attached. City/State: Zip: For all other work:Submit scaled sketch of the Phone: Fax: work to be done.(see attached minimum sketch requirements and provided sketch area). Description of work: I:curpin\master\land use application\PFI app.docx Estimated value of work(within the public right-of-way): $ t SAO. 00 Is work related to a LAND-USE DECISION? YES ❑ NO If so,please specify(MLP,SDR,SUB,etc.) case#: Is the work related to a BUILDING PERMIT? YES r-] NO If so,please specify(BUILDING PERMIT)case#: *NOTE:Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for the work. City of Tigard 1 13125 SW Hall Blvd.,Tigard,OR 97223 1 503-718-2464 1 www.tigard-or.gov I Page 1 of 4 DEVELOPMENT ENGINEERING FEES 1. Public Facility Improvement(PFI) Permit: Part 1: All non-water system improvements Engineer's estimate X 5% (less $300.00 submittal fee) Engineer's estimate X:2%Plan Review 1 - . Part 2: All public water system improvements _ Engineer's estimate X 12% _ Total'Permit Fee =` art 1+ Part 2 t PFI Permit Fee Exemptions: There will be no permit fee charged,or_assurance'required for the following types,of work: • Sidewalk or driveway repair(less than 20 lineal feet) • Relocate or replace mailbox �\ • Ditch cleaning that does not involve regrading. • Weephole repair • Curbrepair or replacement(less than 201lineal feet) • Lawn sprinkler,system installation or repair' • Street tree pruning or planting • Planter.strip landscape maintenance • Test wells 2. Addressing Fee: The fee for this service is.$50.00 per,address. - SAMPLE Minimum Sketch Requirements North Arrow Propeity Lines&Dimension q Slope of Property Street& Street Name(s) Existing Building,,Structures q Utility& Street Light Poles . Proposed Work Existing Curb or Edge of Pavement Trees Existing S/W or D/W Apron Existing Utility Locations (sewer,water,storm) 1' Cityof Tigard 13125 SW-Hall Blvd.,Tigard,OR 97223 503-718-2464 www.tigard-or.gov Page 2 of 4 w SKETCH AREA: Cl 0 > r, S W cp 4-2 N V-1 o • v t N City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 1 503-718-2464 1 www.tigard-or.gov Page 4 of 4 SAMPLE SKETCH: Edge of Pavement I r -qQ— Ditch Streetlight I -- ----------- —C--- A Redn Dritt I 1rGM um� 0 1 a I i ►� I N, Existing House I I :r I Existing Q I 1"r Driveway cit I 1 IL i � TI a. 0, c� b� ■ � � Existing Shop \%I6 � U ■ y 1 Power: I I 1 a 0 0 I I� 95, ■ I -----WopeityLine ------ -- I I I Fire Hydrant irHydrant(FH) � � I Scale: 'I � I I � I I I I � I � I I Minimum Sketch Requirements (Put"n/a"if Not Applicable): North Arrow Property Lines&Dimension Slope of Property Street&Street Name(s) Existing Building,Structures Utility&Street Light Poles Proposed Work Existing Curb or Edge of Pavement Trees Existing S/W or D/W Apron Existing Utility Locations(sewer,water,storm) Ci",of Tigard 1 13125 S\X'Hall Blvd.,Tigard,OR 97223 1 503-718-2464 1 www.tigard-or.gov I Page 3 of 4 '� 77T���""" { jos'_"•- •� �, '� ,,� 1,�''SZ.a���• !-Aw �' r• '`*..r 44 AFFORDABLE r x: 1 41" -•��+�f i \ - =ice` t. A- } Tim Lehrbach From: Paul Bender <paul@quadrusinc.com> Sent: Tuesday, July 23, 2013 8:48 AM To: Mike White Cc: Tim Lehrbach Subject: FW: US Bank Tigard Drive-up 11543 SW Pacific Hwy, Tigard, OR sidewalk A email copy for your records Thanks Paul Bender Quadrus, Inc. 4647 SW Huber Street Portland, OR 97219 503-293-8931 paul@quadrusinc.com From: NELSON James A <James.A.NELSON@odot.state.or.us> Date: Tuesday, July 23, 2013 8:24 AM To: Paul Bender <paul@quadrusinc.com> Cc: 'Zen Dutson' <zen@tigard-or.gov>, TOMINAGA Andrew S <Andrew.S.TOMINAGA@odot.state.or.us>, TURNER Stephanie <Stephanie.TURNER@odot.state.or.us> Subject: RE: US Bank Tigard Drive-up 11543 SW Pacific Hwy, Tigard, OR sidewalk Good news Paul. Please use apprprate signage for pedestrian traffic. City permit will be fine with ODOT From: Paul Bender [mailto:paul quadrusinc.com] Sent: Tuesday, July 23, 2013 7:18 AM To: NELSON James A Cc: mikew tigard-or.gov Subject: Re: US Bank Tigard Drive-up 11543 SW Pacific Hwy, Tigard, OR sidewalk James—thank goodness the curb is in great shape and we do not have to replace it. We will have no problem working both State and City sidewalks from the private planter area. Thanks Paul Bender Quadrus, Inc. 4647 SW Huber Street Portland, OR 97219 503-293-8931 Paul@guadrusinc.com From: NELSON James A <James.A.NELSON@odot.state.or.us> Date: Tuesday, July 23, 2013 7:13 AM To: Paul Bender <paul@quadrusinc.com> 1 Cc: ' Zen Dutson' <zen@tigard-or.gov> Subject: RE: US Bank Tigard Drive-up 11543 SW Pacific Hwy, Tigard, OR sidewalk Hi Paul, can the side walk be removed and replaced from private property? If so ODOT will accept City of Tigard permit as the work will not affect 99W. From: Paul Bender [mailto:paul@quadrusinc.corn] Sent: Monday, July 22, 2013 4:58 PM To: NELSON James A Subject: US Bank Tigard Drive-up 11543 SW Pacific Hwy, Tigard, OR sidewalk James—We have a small (10' X 4'.5") section of sidewalk, on Pacific Hwy. (11543 Sw Pacific Highway)that we need to replace. We are in for permit with the City of Tigard,for a small section on 71st Ave. Michael White (City of Tigard) had given me your contact information, on how to proceed on getting approval,to replace this trip hazard. Thanks Paul Bender Quadrus, Inc. 4647 SW Huber Street Portland, OR 97219 503 293 8931 paul@quadrusinc.com OR CCB#88404 2