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APPLICATION - STREET IMOROVEMENT/E.XCAVATIOAI „t,1d D � COPY TO:
(WHITE)•FILE
ORDINANCE NO. 74-14 r, Y. ' 3 (YELLOW)•INSP.
(INSTRUCTIONS ON SEPARATE SHEET) ; � �® (BL E))APPL CANTNCvb1CJ(j.
APPROVED APPLICATION NO.:
NOT APPROVED ❑ CITY Y O IIGARI), OREGON FEC AMT.: f $
FENDING FEE. PMT, ❑ CITY IIALL RECEIPT NO.: - ,'-I (, 1L- 4-
°ENDING SECURIT)' ❑ PUB L IC WO R KS DE PA R TMEN T BY _ DATE -'t" -
PENDING AGENCY ''OK" ❑ Application and Prop,Tess Record —_
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION A% REQUIRED
1 ANNUAL Ll
{ 'ENDING VARIANCE ❑ EXPIRATION DATE:
1 _
1 PERMIT NO.: DATE ISSUED: / /�� , BY:
(11 APPLICATION IS HEREBY MADE TO EXCAVATE FDR AND INSTALI. A SIDE SANAIEWE:R (BLDG.) SERVICE-&
A SIDE STORM SLWE:R (BLDG) Sk:R1b bESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT -__Glen M. Lhotka 11130 SW GCeenbu ry Rd. Tigard, Or 97223 _639-9652 _
NAME ADDRESS CITY PHONE
CONTRACTOR- Marshall Excavatirxq, Inc. 13770 SE Kanne Rd. Portland,GR 9_7_23_6
NAME ADDREST CITE— —PHONE
PLANS BY _ _ _ per City Standards 6 Specifications -
NAME ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL. VALUATION ( COST): E _1,500.00
DOLLARS
FOR OFFIC Ug
(2) EXCAVATION DATA: 0.04 x s �� •� �•�
= i
1 STREET DESCRIPTION - PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE. Lt NGTH WIDTH DEPTH ITEM & QUANTITY
i STREET
OPENED _
_arr'teiibury LAO atoll: ed R TION -
E
/ Qt B
1 ESTIMATED STREET OPENING DATE: -
ESTIMATED STREET CLOSING DATE: / E
D _
_�- -_ -- ----- - =-- --�_ STREET -�
(3) SECURITY NO. __ SECURITY AMT: $ x•00 _ CLOSED
SURETY CO.: --. --_--___ -- - _ FIN A.
--- CFRTIFIED CHECK _,_I C-/.SH C_ BOND IN SP
(4) PLOT PLAN: INDICATE SITE PL'-R-rINENT PHYSICAL - SPECIAL PROVISIONS j CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT.
SITE: 11310 SW Grectribury Rci• see attached special conditious,
II ' ( work area I t � details arxJ —
( I - t — urawirvgs/neaps. f
S. �;��G RD. - a MLP 93,-0015 relates hereto. `
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(5) NOTE THE CITY OF TIGARD DOES NO., HERFEY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DFPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULTFROM APPLICANTS ACTIONS.
APPLICANTS SIGN4TURE ��' , DATE
I. a
-79i 17r,-yR
1
Special Conditions/Provisions:
j1. All work shall conform to City of Tigard, Oregon, Standards arid Specifications.
Note the attached Drawings and Details. p
2. Notify City Inspector Letha Thomas (#639-4171) 24 hours before starting any work.
3. Access-to and egress-trom parcels of land adjacent to the work area shall be
maintained at all times. Pedestrian safety shall be provided for by the contractor
at all times.
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f 4. Removal/replacement work and damage repair work shall be promptly initiated and
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completed to the City's satisfaction. No work shall be considered complete until
it is accepted by the City. The City reserves the right to cause testing and
certification of work or repairs to be performed, to the City's satisfaction, at
permittee's expense.
5. Erosion control shall be provided for by t;ie contractor.
6. ORS 757.541-571 applies (pre-notification for location of underground facilities
etc.). ,
i
7. It is the sole responsibility of the permit holder to provide for proper n ht-of-ent
? (and/or easements) prior to starting work. Proof of right y ry
9 ry (and/or properly
a executed easements) shall be provided to the City, The City shall in no way be
construed to be liable for the permit holders failure to obtain or provide for proof
of right-of-entry (or easements).
8. All easements deemed necessary by the City, to facilitate operation, maintenance
and access to new public facilities or to enable public usage of sidewalks, etc.,
shall be properly prepared, executed and provided to the City prior to City release
of any work assurance funds arid prior to City closure of the project permit.
9 A sewer connection permit is required to be obtained from the Cit 's Buildin
Division prior to connecting to the City's sewer system. y g
} 10• Utility relocations, modificatiors or repairs, which may be necessa shall be
I performed in a timely manner at the permittee's expense, ry,
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@UILDING ftj
SEWER PIPE, SIZE AS SPECIFIED
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PLANT FABRICATED TEE FITTING
ON SEWERS 18" AND SMALLER.
MELD TAP ON EXISTING SEWERS BACKFILL 2X4
AND NEW SEWERS LARGER THAN AGAINST PWG TO
i THAN 18" I PREVENT PLUG
I BLOWOFF 6 SECURE
ZX4 IN PLACE WITH
��- SEWER MAIN TRENCH 94WILL.
-OR LATERAL PLAN
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EXTEND AT LEAST
GROUND
SURFACE 12"ABOVE SURrA`E
MINIMUN SLOPE FOR
G" PIPE= 0.010, FOR
4"PIPE_ 0.D;0.
CONNECTION
MARKER .
MAGNETIC TAPE
GREEN s/BLACK LETTERS (WASTEWATER)
GREEN./gLAcx, LETTER; (STT,XW rrAW)
�.— PLUG
o
3/4""'0 PIPE ZONE MATERIAL
SUPPORT TEE WITH AS SPECIFIED
BEWNG GRAVEL,
kNuk
7-'0" w1DE
SIDE
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BUILDING �
SEWER
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UMfbf ae��spo � I
i «w�r/r>tn Caartn�r
Nv. No. 300
r ,....r.a.e. rrrxMnY ti+nmt e
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,'' • PVC SADDLE (TEE)
I STRAP RETAINER RIDGES
O —
�.-.��� j 1 —RUBBER GASKET
SEWER PIPE f
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N\ -TA*;\7.SS STEEL STRAP
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■ PVC SADDLE SHALL BE ASTM 3034 SDR 35
PVC COMPOMS SHALL BE ASTV D1784 WITH CELL CLASS OF 12454—B/G
UR 12364—C
■ ALL ELASTO►.t:RIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477
STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/16' WIDTH BAND,
5/16' SHOULDERED HEX HEAD, SLOTT D SCREIY AND IS CAD I UM PLATED,
CARBON STEEL.
INSERTION HCLE SHALL BE CORE DRILLED.
PVC GASKETED urdfad
SADDLE UfA
DRAWING NO. 350
77,
kn
Y+f ! h ,x frit t 11 p. I xr �[tlh
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lit, �'reP1,, ,.
.uyl ,( wD lMN4�YiR;y. p
.a�iaialki�• i�r,a ., -.. �,d r ,
�� MENI . COMPLETE RUBBER SLEEVE (ASTM C-443)
T 7H:.7 HOLDS
INCLUDES A MOLDED SEG '
IT IN PLACE .
STAINLESS STEEL BAND t9/ 16" SERIES 300)
7--""' �� SEWRES UPPER HALF OF RUBBER SLEEVE
TC THE
PVC HUB.
3, PVC HUB (AS'[M 3034 SDR 35)
DRIVE INTO CENTER OF RUBBER
SLEEVE AFTER SLEEVE IS PLACED
IN HOLE.
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CONCRETE PIPE
MR
NOTE: ALL INSERTA-TEE HOLES SHALL BE MACHINE DRILLED.
unified
I3FRTA - TEE M
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DRAWING NO. 360MIT
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MIN. 3' A-C. IN 2 LIFTS -
i
STREET AREAS I OUT OF STREET AREAS
SAW CUT—
--6'
EXISTING SECTION •
RESURFACING
O
i O q O 4 p • O O O O / -
O 0 0 J j�
O O
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CLASS B
o BACKFILLCLASS° A ~
o p e p BACKFILL LL.
s.
! 2' - A' — — 0
0 I O O O
O j/ I
GRANULAR BACKFILL ° °° o ° O o co
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CD `� • • . I• •• • ��-..
PIPE BASE
BACKFILL IN STREET AREAS
1. IF' S/W IS AGAINST CURB. FILL
ROCK TO BAr-K OF S/W.
2 IF S/W IS NOT AGAINST CURB.
FILL ROCK 2- BACK MOM CURB. �
PIPE BEDDING AND
BACKFILL DETAILS
FOrURINM mvmrom By DRAMM BT.
CITY OF TIGARD M-406 (NOD.) CAB
SCALE DATE D%Q FILE
OREGON HTS 7--9-93 .t DCTAft S\P'FlMtDSJWC
GENERAL NOTES
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1. TRAFFIC SIGNS TO BE 48' X 48'
o O BLACK ON ORANGE.
2. NO COLLECTOR STREET ;ANE CLOSURES
MIN. I OR LOCAL STREET CLOSUi'ES DURING
THE FOLLOWING "ME PERIODS:
OW LAW
pkw A11D p I
WOO-47:30 — 8:30 A M.
100' I 4:30 - 5:30 P.M.
MIN.
3. THE CITYS STANDARD SPECIFICATION
a� MCC O
FOR TRAFFIC CONTROL IS 'MANUAL
a I ON UNIFORM TRAFFIC CONTROL
z 100' DEVICES FCR STREETS AND HIGHWAYS-,
N MIN. U.S. DEPT. OF TRANSPORTATION,
Lo 1_.__ FI�GGI'L-R FHUA, 1988 EDITION.
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100' 4. ACTUAL SIGN PLACEMENT TO BE
I MIN. I ■ ADJUSTED IN FIELD. DO NOT REDUCE
zII 50' MIN. BELOW MINIMUMS WITHOUT CITY—1 APPROVAL
12'
MIN.
■ 5. THE CITY RESERVES THE RIGHT TO ADD TO
■ Q OR MODIFY TRAFFIC CCNTROI. REQUIREMENTS
100 z AS MAY BE NECESSARY TO EFFECTIVELY
— I ■■ MIN' V) CONTROL TRAFFIC AND TO ENSURE PUBLIC
4 FLAGGER ■ ( SAFETY.
u-
100' < 6. NO LANE CLOSURES WITHIN 200 FEET OF
A TRAFFIC SIGNAL WITHOUT PRIOR CITY
M N. p APPROVAL !
p aAoaa Arca
100'
I MIN. LEGEND
o CwLmq t
O TRAFFIC SIGN `
100'
MIN. 12 CJNSTRUCT10N ZONE
p 1 me coanucvm o TRAFFIC CONES OR
ME a APPROPRIATE DELINEATION
DEVICE.
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TRAFFIC CONTROL r
TYPICAL DETAIL.
R0TJ"CE APPROVED BY DRAM BY
CITY OF TIGARD c CAB
SCALwc ME
OREGON KE -os-9a .t DET ATE D/TRAFCONT.nwG
mw
_ W.,
f°'-',�,
3/4• R _ 6"
EDGE
6- 5 ---r �— DRAINAGE BLOCKOUT
i . 3' I.D. PLASTIC
i PIPE W/COUPLING
a• po o o 16'
• � • o ' r
Q CI 0 O O
o 00
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• 9"
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TRAVERSE EXPANSION JOINTS:
1. TO BE PRWDED AT EACH POINT OF
TANGENCY_OF THE CURB do AT OTHER
LOCATIONS AS REQUIRED TO LIMIT THE
SPACING TO A MAXIMUM OF 20 FT.
2. MA7RIAL TO BE PRE—MOLDED VON—
EXTRUDED MATERIAL WITH A MINIMUM
THICKNESS OF 1/2".
i
TRAVERSE CONTRACTION JOINTS:
1. SPAC!.gG TO BE NOT MORE T1; AN 10 FT.
2. DEPTH OF THE JOINT SHALL BE AT
LEAST ONE FOURTH OF THE CROSS—
SECTIONAL AREA.
CONCRETE BREAKING STRENGTH:
1. TO BE 3000 P.S.I. AFTER 28 DAYS.
STANDARD CURB
REFERENCE APPROtif D BY DRAVMN BY
CITY OF TIGARD WAS` CO, C-301 (MOD.) CAB
OREGON SCALE DATE DWG. FILE
N.T.S. 7-9-93 1 DKTA1L5\CUR9-SiD.DWC
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CURB JOINT -
17 -- --- 5' MIN. --- SEE NOTE 5 ROW
-►--
2%
"ROAD
ta: -L]-i
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2" Of' 3/4'-0' BASEROCK
! COMPACTED SUBGRADE
SIDEWALK ADJACENT TO CURB
} IN.
'~- 5' M - ROW i
ROAD
SEE NOTE 5 t
2" OF 3/4*-0' BASEROC'K 1
COMPACTED SUBGRADE -
SIDEWALK AWAY FROM CURB -
NOTES:
1. CONCRETE SHALL BE 3000 P.S.I. AF ILR 28 DAYS, 6 SACK MIX, SLUMP RANGE
OF 1-1/2' TO Y.
f �
2. PANELS TO BE 5 FEET LONG.
3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES, '
UTIUTY VAULTS, WHEELCHAIR RAMPS, & AT SPACING NOT TO EXCEED 45 FEET. I I
4. FOR SIDEWALK ADJACENT TO THE CURB AND POURED A' THE SAME TIME AS THE
CURB, THE JOINT BETWEEN THEM SHALL BE A TROWI :_0 JOINT WITH A MIN. 1/2' RADIUS.
5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS r' 6 INCHES IF MOUNIABLE
CURB IS USED OR IF SIDEWALK IS INTENDED !.z PORTION OF DRIVEWAY.
OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES. �
6. DRAIN BLOCKOUTS IN CURBS SHALL BE EXTEL OED TO BACK OF SIDEWALK WITH 3' DIAMETER
PLASTIC PIPE AT 2% SLOPE CONTRACTION JO NT TO all PLACED OVER PIPE
CONCRETE SIDEWALK
REFERENCE _AFPROVkJ) BY DRAWN BY
CITY O T1GARD w' co. Cs-305 CJe
SCALE DATE DKK 9LE
N.T.S -9-93 1 DETAILS\CClNC-SW.D%C
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