9955 SW GARRETT STREET FILE NO. • '
ARR •
- r
F
CITY OF TIGARD
EXPENDIZURE; RE 7JEST
Zhis form is a multi-tise form. Appropriate receipts must be attached. Docinuentation
1 is important for all pLnTxases. Staple documentation to form.
VENDOR NO.: DATE: `i�
PAYABLE 'ICS: Me��c�� �re u,.�-��r RD� ID BY: _---4
�Qrp ,1 9l ZZ-S _- * Apprrnred request due Wedne.=.day
10:00 AM to A/P for &,ec'.ks by
Friday.
�DMISCI�,iANIz�S EXP04PT7UZF.S:
Date _ Dr--xription, Invoice No., etc. Account No. fUMA nt
vc
'�--,4_V u Oe ,, , o� �ss�r c to -Z.?--0c)o Is 3 50
-W �l -- ------
9 l-ID'S -I9
_ 350
Mileage $0.255
APPROPRIATION BAIANCE: AS OF: SIGMIURF.:
(Up to $25.00) Section Manager _ -_--- Purch. Agent --- —
($25.01-2,500.00) I! !^cinn Manager
($2,500.01-7,500.00) Dept. Head
($7,500.01-15,OOn.00) City Administrator - -- - ------ - --- ---
($]5,000.01- ?) Local Contract Review Board
`)ce/1501F
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CITY OF"' TfGAHU F41 It"I Of' F-`AYMENI RECE1(:1 NO. Z1)1 0877;..,
CHECK AMOUNT 0. 00
NAME WILLER A SONS CGI i(-1 11M(:1ITAT 14. 1710
R T F.),G P3860 SW MIDDLF.TC)N PD. PAYMENT DATE 01/18/91
SUDD I V I B I(IN
SHCAWOOD, OR 97,223-
PURPOESE OF PAYMF.-.-N"I' AMOLIN-1 PAID f-`L.fRrvsr. or PAYMU NT" nMOUNT P(AD
I il. 00
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1!�
APaI,.',k AT10N - STREET IMPRO. cMENT/EXCAVATION COPY TO:
ORDINANCE NO. 74-14 WHTE)-FILE
(YELLOW)• INSP.
(INsTRUC"TIONS ON SEPARATE SHEET) (PINK.)-OTHER AGENCY-bldg
(BLUE)-APPLICANT
APPROVED APPLICATION Nn.: —_ ++ti/2�--
NOT APPROVED ❑ CIII• 01"I IGARD, OREGON FEr' AMT. s _-1.9.00
PENDING FEE. PMT. ❑ CITY HALL RECEIPT f10.�• Zbg")7 Z
PENDrNGSEt'URITY ❑ P(JdLICWORKS DEPARTMEh'T BY -- _. DArm
PENDING AGENCY "OK" G Application and Progress Record ` - _ —
MAINTENANCE BOND /R
PENDING INFORMATION D FOR STREET IMPROVEMENT/EXCAVATION AS REuuiRED � `-
ANNUAL ri
PENDING VARIANCE ❑ EXPIPATION DATE:
PERMIT NO 'i-= ! I DATE ISSUED1 /
' BY '
1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL 5anita ewer T
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS,
APPLICANT Miller & Sons Contr. 23880 S.W. Middleton Road Sherwood(_ OR 1625-65F2 -
NAME ADDRESS CITU �/l`0 nn PHONE
CONTRACTOR -__ ME
(SA , — _
NAME ADDRESS CITY --
PLANS BY_ ___per City Standards &- Specifications_ _
NAME ADDRESS CITY
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): t __ 350.00
DOLLARS
FOR OFFICE USE: MIN.C
(2) EXCAVATION DATA: _ 0.0.1 x S-259-.W = f 14.00
STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY ITEM DATE REMARKS/TYPE BY
STREET
OPENED
Gam.-tt Street See Attached INSPEC-
R TION
Q
ES'IMATF-D STREET OPENING DATE:_ / —L.- _ F'S
E!7TIMAT'ED STREET CLOSING DATE: / / T
E
350.00 _ STREET
(3) SECURITY NO. —_` SECURITY AMT.: $_ -.. LLOSED _
SURETY CO.: 1150 Dz ctilrn-PSC$Q.`_(Q}�j]er 1 FINAL
�I III
_._]NMCHECK X CASH ❑ BOND INSPEC,
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1 , Notify City 1nsMtor Earl
SITE: Vieweg (#639-4171) 24 hours
Y �� � 19955 S.W. Garrett St. ) 1 1
dot I Istarting work.
2. A1.1 work must comply with City
CURB - f - �. ' r )� _ Standards & Specifications.- _ - - 3. Excavator must comply with
ORS 757.541 to 757.571.
4. Traffic control must be provided
for at all times. --
1 I II 5• A hard surface patch must be
1 I
_ applied immediately upon
closing_trench.
(5) NOTE THE CITY OF TIGARD DOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERL
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THF. STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND 10 SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLIC'%NTS ACTIONS
APPLICAN-S SIGNATURE
DATE —1------ - —
9' I ,
APPLICAYION - STREET IMPROVI .RENT/EXCAVATION COPY TO:
LE
ORDINANCE NO 74-14 ® ( •
® (YYELLOELLO W)-INSP.
-OTHER(INSTRUCI IONS ON SEPARATE SHEET) ® (BLUE))-APPL CANTNC`/—b1C19.
APPROVED X APPLICATION NO.: /
NOT APPROVED J CITY OF TIGARD, OREGON FEC AMT.: $__14-00 _.
PENDING FEE. PMT. ❑ CITY KALI. RECEIPT _�j—
PENDING SCCURITY (� PUBLIC WORKS DEPARTMENT BY _7 DATE
PENDING AGENCY "OK" ❑ Applicatinn and Progress Record
PENDING INS�ORMATION (] MAINTENANCE BOf{D_s
FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED x
ANNUAL
PENDING VARIANCE ❑ _ EXPIRATION DATE: —_—
PERMIT NO 4c 1 DATE ISSUED: BY
( 1 ) APPLICATION IS HEPEBY MADS. TO EXCAVATE FOR AND INSTALL _Sanitary ,er VIQ – -
_-_____._._ AS DESCRIBED HEREIN, !N FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT -___jjj&z_& Sona_contr. -23880_S.W. Middleton Road Sherw�ood,_OR #' 625-6562_.._____
NAME - ADDRESS CITY 97140 PHONE
CONTRACTOR
NAME ADDRESS CIT
PLANS BY Per City Standards & Specifications �_____
NAME-.. _ _ ADDRESS —__--" COW—
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S
DOLLARS
(2) EXCAVATION DATA: FOR OFFICE us[: MIN.
_ _ 0.04 x : 350.00 =s
STREET — DESCRIPTION __ PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUTCUT MATEP.IAL INSTALLED ITEM r%TE REMARKS!iYPE BY
TYPE LENGTH WIDTFI DEPTH ITEM A QUANTITY
STREET
PEN
_ Garrett Street See Attached R TION
U
ESTIMATED STREET OPENING DATE:. __—L _-�.. ES
ESTIMATED STREET CLOSING DATE: __ _ / E
- _ — — D
--___ STREET
(3) SECURITY NO. _ SE:CURITY AMT f 35700 _ - (:LOBED
SURETY CO.: Me _DroWn parkerINSPEC.
(QWIl@rl--- _ 1-I N A L �r L 91 r ei C�.tl /1
XX*X=CHECK )( CASH _ OO N_D--
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL V3^ SPECIAL PROVISIONS/CONDITIONS
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify City Insr_ector Carl_
a SITE: Vieweg (#639-4171) 24 hours
(9955 S.W. Garrett St.) ) I
1
1wo� ) ( 1 —prior to starting work.
2. All work must comply with City
Standards & Specifications.
}X(7)C( 3. Excavator must comply with
-- --�� —err =r= — ORS 757.541 to 75 7.571.
_ 4. Traffic control must be provided
for at all times.
( I 5• A hard surface patch must be
I I applied immediately upon
closing trench.
(`)I NOTE T'HE CITY OF TIGARD DCES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORM: WHERE
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TC' DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATION._ PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CIT1r AND
EMPLOYEES AGAINST ANY IN!URV OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
i
!? ( / /
Al�PI (CANTS SIGN Al URE OA yyEE__
MIN. 3" A c IN 2 LIFTS -------
STREET ARE,IS I OUT OF STREET AREAS
5Aw ciir ------w - --
EXISTING -_
sEcrloN RESURFACING
2'OF 31A:'-O''--�,
°• • CLASS A
• �• � � BArKI:ILL
CLASS B
314=O GRANULAR - :• �/ V
BACKFILL
43 \ O
N ° a• ° , ' •� ' oa
C o ° n Q
a\`V a • n o
-T-�- D
.40
.40
m . 0 •' o
PIPE BASE
BACKFILL_ IN STREET AREAS
I. IFS/W IS AGAINST CURB, FILL ROC TO
BACK OF S/W
2.IF S/W 11 NOT AGAINST CURB, FILL ROCK
2'BACK FROM CURA
'IPE BEDDING AND
CITYQFTIGAIu BACKFILL DETAILS
OREGON UF51c3N JyY -JTPr-R.ovFO ny DkAWN fSY
GA R E3
-F GATE DP-AJ�JING Nd.
�_ NT5 81301 `3 S-2
LONG RADIUS j
`.� _ ;� LONG RADIO'1iENDS NOT BENDS ..S SERVICE
GREATER THAN 450 �/ CONNECTION
• REQUIRED < PIPE
20'MIN,
PREFER 30°
TRUNK, MAIN, OR WIRE SERVICE TO
LATERAL SEWER
—"~ TRENCH WALL 1 I CONTINUOUS 4s4
�--� OR 2% 6" 'i EE FRAME.
Iv
MUST ExT No FROM
SEWER TO UNDISTURBED
EARTH.
OF � ���/' •,
4"■ 4" BRACE
•-200 TO 700 COMPACTED GRAVEL
BACKFILL TO UNDISTURBED
.\ . EARTH, MINIMUM 2'-0" WIDE
MAIN, TRUNK, ORI A R' MAIN, TRUNK OR LATERAL.
LATERAL SEWER (B
USE ONLY WHEN WORKING AREA
PROHIBITS USING (A)
COMPACTED GRAVEL UNDER 12#.
COMPACTED GRAyLc. OR CONCRETE
�4 ENCASEMENT BETWEEN 12- AND 16',*
f, DEPENDING ON SOIL CONDITION
CONCRETE ENCASEMENT OVER 161.
OVER 12' USE CAST IRON AND
COMPACTED GRAVEL IN LIEU OF
CONCRETE ENCASEMENT.
I *MAY GO TO 24' DEPTH IF THE T
TRENCH ABOVE THE PIPE IS ISI,
LIMI TED TO 30" ACCORDING M r r• COMPLETE
f BACXFILL CALCULATIONS. --CONCRETE
I �l ENCASEMENT
i VERTICALPOUR BASE FULL
(CONCRETE �L '�.,�'i ��;•, WIDTH OF TRENCH
ENCAJEMENT)
TO BE USED ONLY
WITH PRIOR AGENCY
APPROVAL . ��— „•.1.�.
�• Ml
by *�
SIDE SEWER
CONNECTIONS Uf
Onifl*d Soworap*AvoncY
I.
7
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