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�-- SW 009TH DAKOTA •--3� DATE: 9/7/9s REVISED
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OCCUPANCY OF TIGARD
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PERMIT #. . . . . . . : MaT'3 a-G�:;:S f
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 03/26/96
1317.5 SW Halt Blvd.Tigard,orapon 67223•8ig9 (503)639-4171
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1 PARCEL.: 1�135UE+_GOTS 1
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!jITE ADDRESS. . . C k,,..:93 SW NORTM IiWKO'fA a
. � MLF'r'��...Qiit+�l Z C'tPd I hila a R....�4. `,`i �
;UBD I V 161 ON. . . I +
BLOCK. . . . . . . . . . _ _ LOT. . . . . . . . . . . . .
a i",LWSS OF WORK. :NEW
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TYPE OF USE. - * :aF
OCCUPANCY GRP. r5u.?.,
()CC;UPANC:Y LOAD:
Remarks: PATH I •
Ownerc
ROYAL OAKS DEV. CO
1 L0,)f, SW ASPEN RIDGE DR
T'IGARD OR 972,24
Phone #: 6�9 4F.3E`1
Contractor-n — •.___..._.w_._. _._.__.. _._._.._...._.__.... ._..__.... ._
ROYAL. OPK5 DEVELOPMENT
1.2096 SW ASPEN RIDGE DRIVE: �
T I GARD OR 97224
r. Phone #: E.39-4E369
Req it. , s 67111
This Cot-tificate grants Occupancy o.` the abova refer-e"cecl b�.lildittr9 Or portiat
thereof and confirms that the bI.ril(iing has been inspected for• compliat�nc_e with
anti Lite udder
the C,tatP of C1rergon Specialty Codes far the gr sup,
which the referenced permit was iaa"r?ci,
1i . L.1)INC I T , R BUILDINGOFFICIAL
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I POS i' IN C(7NSP I CUOUK? F'L_.WL';E
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line CeilingPlu
Post/Beam Mech. Shear/Sheath Framing Mech
Plbg.11 -1/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Bedm Struct. Mech. Rough-in Gyp. Bd.
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San. Sawer Gas Line Appr/Sdwlk Cge,n .
Other:
Date: ' A.M. P.M. Entry:
Address:
Tenant: Ste: MST: _ .
BUP:
Con;Own: —_ —_ — _ _ — MEC:
P00:
ELG: -_.__.
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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i Inspec J�iG Date:
_APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NO i ICE .
Inspection Line: 639-4175 Business Phone: 639-4171
' ' Footing Rain Drain Cover/Service FINAL:
t :
Foundation Water Line Ceiling -Plumb.
Post/Bearn Mach. Shear/Sheath Framing Mech.
w Plbg.Und/Fir/Slab Plbg.Top Out Insulation Elect. i
Post/Beam Struct. Mech, Rough-in Gyp. Bd. Bld
San. ''ewer Gas Line Appr/Sdwlk einsl
Other:
Date: __ Z^ A.M. _P.M. Ent
Address: "
Tenant: ----.. Ste:-- MST: �3
BLIP:
Con/Own: MEC:—
PLM:
ELC: �—
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: --- --- --- ------------- Date: �zeO
PPROVED DISAPPROVED/CALL.FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling P umb.
Post/Beam Mech. Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. � � y� 4
San. Sewer Gas Line Appr/Sdwlk
Other: _ w
Date: `?J --� A.M. �P.M. � Ent ac 0
Address:
Tenant:_ _ Ste:___ MST 7_S_ 03 ,
BLIP: _
Con/Own: _ _ MEC:
PLM: .
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: •c� _ _ Date: 3
_APPROVED «DISAPPROVED/CALL FOR REINSP CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL: t ' ' E �t�a�'+
Foundation / Water Line Ceiling lum ' 1W
Found
Post/Beam Mach. Shear/Sheath Framing
J Ql' 41
C lt?
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other.
} Date: � -- A.M. P.M. Entry:
{ Address:
Tenant: Ste: MST: I r 033 , ,
-
BUP:
Con/Own: ___. MEC:
PLM: —
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: -- — Date:
_,APPROVED v//DISAPPK-VED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
' Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling C.
i
Post/Beam Mach. Shear/Sheath Framing -Mach. {+
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. I
San. Sewer Gas Line Appr/SdwI', Reins.
_ •n
Other: �
Date: _ lA.M.—P.M. Entry: DO.I
Address:
Tenant:— _-_ _ Ste:__ MST-.
BUP:
Con/Own: -- - - MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
�i-
Inspector: _J�isDate: r!
_APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
� R�
i Inspection: ,Nt e`1d S .�
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Plbg. Top Out Elec Rough-in FINAL:
_ _.. A
San. Sewer Gas Line -Bldg.
Ibg. Underfloor Rain Drain Framing
Alarm Water Line Insulation / -Mech.
V� Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ a�— 5 — Cl Time-.6A PM
Address: C1'�(o 3 - SLU /L.IC��LT�I L���� •`_ y
Builder: /e.3)_ Permit#: (lilSTri�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L x,t 1 kms' �.t Ca 0 ,L4/Yl �G' Lvt 11�'n
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CC/ f—a��ti ars
Inspector, 'rte Date: --
_APPROVED _DISAPPROVED _APPROVED SUBJ CT TOA OVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
f"F II Inspection Line: 639-4175 Business Phone: 639-4171
t 11 Footing Rain Drain Ccver/Service FINAL: p
Foundation Water Line Calling -Plumb.
osUBeam / Shear/Sheath Framing -Mec'i.
Plbg.Und/Flr/Slab Mg.Top Out Insulation -Elect.
ost/Bearn Str ct. Mach, Rough-In Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ��S�/ (p - n
A.M.�P.M.__ Entry:
Address:
i
Tenant: cj S- 04- - Ste: MST: _ j3
—
Con/Own: BUP:- -- - -- - MEC:
PLM:
ELC:
THE-FOLLOWING CORRECTIONS ARE OUIRED: ELR:
2TL! Cl'
Inspector: Date: L�
RPROVED .—DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171
Inspection: •
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab MP--h. Rough-in FirFolace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarmter Line Insulation -Mach. e
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:K AM PM
Address:/ Z (3
Builder: Permit #: { C 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In pectoraDate l
" PPROVED `DISAPPROVED _APPROVED SUB J CT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: (0,39-41
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
•
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. an. Se Gas Line -Bldg.
Plbg. Underfloor C—ffa—i n-TYrai Framing -Plumb. k
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. �4A Elect. •
•
Date Requested:__ �� J � ,c� �, Time PM
Address: J �d �0 G
Builder: s0 �� "f (�� d -1, Permit �,-o q23 `
THE FOLLOWING CORRECTIONS ARE 9EQUIRED:
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Inspector. � Date:_ �
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 ;
Inspection: I I
Footing Susp. Ceiling Sprink. Rough-in Nppr/Sdwlk
and ' Plbg. Undwslab Mech. !dough-in Fireplace
Post/Beam Struct. Plbg. "fop Out Elec. Rough-in FIN11:
Post/Beam Mech. San. Sewer aas Line -BlrJg.
j Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underllr. Insul. Shear Wall Gyp. Bd. -Elect. •
Date Requested: - w _TOWAM PM
Address:
Builder: Permit #;
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G
Inspector: Date:� �V�J
APPROVED DISAPPROVED PPROVED SUBJECT TO ABOVE
�' l� —Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
,i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbg. Underslab Mach, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: i
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
w
Alarm Water Line Insulation -Mech.
Uoderflr. Insul. Shear(Wall I <Gyp ed' -Elect.
Date Requested: Time: AM PM
Address: �� 3 A .._1--C- l~
Builder: Pel mit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: �. � — Date: / /// ,/.-;,(
—APPROVED _DISAPPROVED ___APPROVED SUBJECT TO ABOVE
Call For Heinsp.
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cn*Y OF TIGARD BUILIING INSPECTION! NOTICE '
hspection Line (Rec-O-Phone): 09-4175 'Business Phone: 639.4171
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Inspection:
Footing Ous,p. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Pbg. Underslab ech. Rough Fireplace
Post/Beam Struct Plbg. 1'op Out Elec. Rough-n FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. ° 3
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: Time��AM PM A
Address: ._� r (➢-'� _ - a-0 �_
Builder:_ Permit #:
THE FOLLOo,'ING CORRECTIONS ARE REQUIRED:
v' �. L,4 ✓� - T't�.VJ
Inspector: Date:�
,APPROVED —DISAPPROVED d=APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
lbspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Mech. Rough-r
Foundation Plbg. Underslab n Fireplace
Post/Beam Struct. Plbg. Top Out ��v' Elec. Rough-in % FINAL:
Post/Beam Mech. San. Sewer �as Lin -Bldg.
Plbg. Underfloor Rain Drain ramin � -Plumb.
Alarm Water Line I ulatiory� -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:4AM PM
Address: /, �. tU
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
✓'� t.17 yy1 T LN`1- C 1A.U J
Inspector% Date:
,AF �F;c• X DISAPPROVFD _APPROVED SUBJECT TO ABOVE,/
/ lCall For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 6394175 Business Phone: 639-4171_x'`
Inspection: .L�i-�1 lie f,(. �) li,��_ CSI rC17�Q� •
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Ro_ uu h.'n ` Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain ramin ��'�' L -Plumb. r
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall :yp. Bd. -Elect.
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Dat(-. lequested: �- a � Time AM PMC-41 ,
Address: 1�'Z e—
Address:
tfU�y (zti Permit�
r: ' l_ •�c`c%l— #: / 7 C� �3�
,THE-FOLLOWING CORRECTIONS ARE REQUIRED:
6, Z-f4 la' x.ke
i (✓r�/7��� �%L"''J�����Y�--�+r> �Xt�r'�r /--a-fr it,1.��:> �b /`Y�' (t�
Inspector: Date:
t APPROVED �TROVED _APPROVED SUBJECT TO ABOVE
`— all For Reinsp.
yam% .>7'h'A•r-' /3 c�4•t'�t. 'TU y�1,�4"[�s e� u�'F�r�- ,(4>vFr_.
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CITY OF TIGARJ BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171'I
Inspection: ' •
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg,
Plbg. Underfloor Rain Drain _`ramrn -Plumb.
Alarm Water Line Insulation -Mech. • e
Underflr. Insul. S ear Wa Gyp. Bd. -Elect.
Date Requested:-�c �l� Time: AM PM
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Address:—
Builder:
ddress:Builder: _ Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Gym �%�yGc.2>U✓�
Inspector: Date:
APPROVED OVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Ro_ ugh-In Fireplace
Post/Beam Struct. Plbg. Top Out .Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain ins Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Incul. e r Gyp. E3d. -Elect. • s
Date Requested:__ �- I�I-� Time: AM PM-,ct.
Address: _??� ' - ��Jx E�
Builder: Lfa I _Parmit ft: C ,sQ (2
THE FOLLOW NG CORRECTIONS ARE REQUIRED: _3,x,5
Inspector: �. -lam % Lr' r Date �Z
APPROVED DISAPPROVED —_APPROVED SUBJECT TO ABOVE
_ Call For Reinsp. -
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 —�
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Founoation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. bg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
•
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
[late Req,!ested: c I• - rl Time: AM +—PM
-- -
Builder:_ Permit N: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�In pecto ri� /l� `--._— Date:
A�#'PROVED ,DISAPPROVED __APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
,,p �,. "�n'�(!;"�dl�' '+"'�.,, #' '"�! r:�kk, tp,?pPrx �; .., -vsr r ,u�r.. �,M +rept,�hk �'t�'�?s'"4,�,wq�c•7;� ,,r4 r'.,
'{„• \ ,• , Y �lI K�'C � ! Int
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ELECTRICAL_ PERMIT
1
CITY OF TIGARD DATE PERMI I SSUEDI:C 1;_'/2653
7/95
(COMMUNITY DEVELOPMENT DEPARTMENT
r 13126 BW Hall Blvd.Tigard,Oregon 97223.6199 (603)630-4171 P'ARCE'L : 1 S 135DB--GOT01
SITE: ADDRE13S. . . 51A I'AORT11 DAVOTA ST
SUBDIVISION. . . . : h1LC`)5 -0001 ZONING:R-•4. 5
BI._OC I'.. . . . . . . . . . . I._.0*1`. . . . . . . . . . . . . : 1
;5 Project Description: Residential 1. 500 sq ft.
---------------------------- ---------------
.. .___.. ___...__._ __
-- RESIDCN'fIAL IINIT- -_ -_.-TEMP' SRVC/FEEDERS--.-.- --- MISCEL.L.I�NEOUa-- --
1000 OF OR LESS. . . . : 1 0 - LOO 'Amp. . . . . . . : 0 PUMP,/IRRIGATT ON. . . . 0 �
EACH ADD' L 5005F. . . : 1 ER'01 - 400 anip. . . . . . . : 0 SIGN/OU'f LINE LTG. . : 0
LIMITED E:NERGY. . . . . . 0 401 600 amp. . . . ., . . : 0 SIGNAL/F'ANCI.. . . . . . . .. 171
' MAN(`. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LARFI_ i 10) . . . 0
CIRCUITS-----..-- --ADD' L INS1=,FCTION5 -----
0 - E'00 amp. . . . . . .. Q► W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201, 400 amp. . . „ . . 0 1.st W/O SRVC OR FOR. . 0 PER HOL!r. . . . . . . . . . . . 0
401 600 Limp. . . . . . : 0 EA ADD' L DRNCH CIRC: Ir IN PLANT. . . . . . . . . . . : 0 �
4 617.11 - 1000 Amo. . . . . QIREVIEW SECT I011-•-___._______.__.___.
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ? 600 VOLT NOMINAL. . :
Reconnect only. . ., . . : 0 SVC/FDR > - PJ.5 AhIPS. . : CI-..A!3S AREA/SPEC OCC.
Owner,: -_.__..__e___.__.___________.__...___----- ----________.___.__.-- FEES ---__---_-_.__-.__ a
L.ADD HILL ELECTRIC type amount by date rer.pt
PO BOX 341 PRMT $ 1.35. 00 CJS 12/27/95 95-274311
i; 5PCT E 6. 75 CJS 1::/27/95 95-271431. 1.
SHE RWOOD OR 97140
Flhone
Contractor:
I-ADD H T LL CONST. ELECTRIC f 141. 75 TOTAL_
PO BOX 541
...-.----- REQUIRED INSPECTIONS
--
SHERWOOD OR 97t4O Ceiling Cover Elect, I Set-vice
Phone #: Wall Cover Elec•t' I Final
Reg #. . :
1. ,.
This permit is issued subiect to the reoulations contained in the
l Tigard Municipal Code, State of Ore, Specialty Codes and all other E'ermittee Signature
applicable laws, All work will be done in accordance with
approved plans. This Dersit will expire if work is not started
within 180 days of issuance, or if work is suspended for soreF/ '..eSG1%/�1i��
than 160 days. lss�ked By
........._..._-_._.__._.._______..---..-Ob1NER INSTALLAI`ION ONLY
The installation is being made on proper-tv I own which is riot intended for
sale, lmase. of rent.
OWNER' S S I GNAT LIRE: DATE e
__..___._____..__._-__--•-._-_-CONTRACTOR INSTALLATION ONI...Y-----•-•-----------------------_.
b`
SIGNATURE OF SURER. ELEC' N: DATE.
LICENSE NO:
Call far inspection - 639-4173
i
........... j
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # Q5-.d71?(J _
Permit # FZC4t-t--,,G.53 _
Phone (503) 639-4171 Date Issued /, ,) ? - 95-
FAX (503) 684-7297 Issued by c4r,,xer"
ClTX OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
i 1. Job Address: 4. Complete Fee Schedule Below:
I
Name of Development P L3� l`1 S — g Number of Inspections per permit allowed
Address dA r 07 tj Service included: Items Cost(ea) Sum
City/State/Zip 116-rt,,tQ , 0 fZ 4a. Residential•per unit 4
1000 sq It or lose $11000 I U2,OD
Name or name of business PCJWJ- 0114�S 0�fi !. D Each a eeof sq 11 or r 1
( ) portonnt thared �_ $25 00 -
Commercial❑ Residential M Limited E.nerify $2500
Each Manurd Homs or Modular 2
Dwelling Service or Feeder $tis 00
2a. Contractor Installation only: 4b.Services or Feeders
Installation,ahershon,or relocation 2
Electrical CQntractof 81 14 I Lli- £ i£C T 200 amps or leas $6000 _ 2
Addr@SS e7 'y 201 amps to 400 amps $8000 2
401 amps to 600 amps $120 DO 2
Ciity - State__'irg . Zip sol amps to 1ono amps $18000 — 2
Phone No. 1er���ja.�>f 3 ovtr 1000 amps or voMs $34000 2
Contractor's License No._ 9• -K71(_ Reconnect only $5000
Contractor's Board Reg. N0. 1?S _ 4c.Temporary Services or Feeders
^ Installation aAerahon,or relocation 2
Signature of Supr. Elec'n �. l 200 amps or less $5000 2
License No,�//S C, One ,a'A o 201 amps to 400 amps 00 2
_
401 amps l0 800 stops $1D0100 00
Over 600 amps to 1000 volts
2b. For owner Installations: Ilse'b'above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per panel
Address a)The tea for hranch circuits with
Cit Y State Zip purchase of eervke or boder be. 2
Y -- p Each branch cnrwt _ $5 DO _
Phone Nn. b)The fee for branch circurto without
The installation is being made on property I own which is purchase of"twice or Awder Aw. 2
I not intended for sale, lease or rent. Fust branch circuit $3500 2
Each additional branch araiA $5 00
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (it requ.►red): Fach pump or urignuon circle $40 00
Fach sign or oulluw hghling $4000
Signal circuit(s)or a limited energy 2
Please check appropriate Item and enter fee In section 58. panel alleraW.i or a,nsicn $4000
4 or more residential units in one structure Minor Labels(10) $100 DO
_ Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per insperhon $3500
Per how $5500 _
In Plant $5500
Submit 2 sets of plans with application where any of the above 1 )
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ _ `r
5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ _
AUTHORIZED IS NOT COMMENCED W"1i1N 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
CON 1AENCED. ❑ Trust Account N
Balance Due $
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CITY OFTIGARD BUILDING INSPECTION NOTICE
Inspection C Line�Rec-O-Phone : 639-4175 Business Phone: 639-4171 lnspecti�on:_�04_L � bL t� �� -�-►�, E-A s�- \
'D -
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk •
Foundation PJbg. Underslab Mech. Rough-in Fireplace
(A' ) ost/Bea r�i St— ___ Ibg. Top Out Elec. Rough-in FINAL:
-POSUBeam Meeh..'�)San. Sewer Gas Line -Bldg.
Plbg. Underflocr Rain Drain Framing -Plumb.
Alarm Water Line Irsulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:__ (I ej ( J,� Time: AM PM
Address:_ GJ
Builder: Permit #: S7 U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
2�,�.�,.
I -
I
I
Insp tor:
Date: I
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp
I
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.y
CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone- 41
InspeLriw X, --)�/�t�c
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
/Beam S`tr . Plbg. Top Out Elec. Rough-in FINAL:
st/Bearn a er :werGas Line -Bldg.
Ibg. Underfloo in raid Framing -Plumb.
Alarm afar Li Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 1965---
Time: AM _ PM
Address:__ j1 Aj
Builder: 1/ 1jc" �1Permit #:
1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-elsS FT /36 ?� Si accts o.0 AbS rte' C
n/z /SUS T-� yyi'c�2
i�C 45- T- P17 s j
Inspector: Date: l�
APPROVED _— SAPPROV D `APPROVED SUBJECT TO ABOVE
Call For Reinsp. 72—
t
1
CITY OF TIGARD BUILDING INSPECTION NOTICE '
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Eati , Plbg. Underslab Meeh. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Unocrfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: j I-3 9 5 Timo: AM
Address:_
Builder: Permit q:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
V 5-
Inspector: Date: 1111og ��
APPROVED DISAPPROVED - D SUBJECT TO ABOVE
_Call For Reinsp.
M�1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: "\/�� Cj h k
Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:�__ &�/-3/ L_Time: AM PM
Address: Z cJ -77 4, r ��
Builder:,32- f Permit #: 5 CJ .j 7jj
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4,,Al_ L�1 �/`� 0..J -�✓1
Inspector: �� t_� Date: / -f-31 �S
_APPROVED DISAPPROVED &PPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
40
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: C 5--Time:4 AM PM
Address: ' `1 7 j &11-I -7x i
I
Builder: Permit #:��'J
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Izee t,
I .
Inspector: ����j s. Date: Z
_APPROVED DISAPPROVED1 PPROVED SUBJECT TO BbV\E
Call For Reinsp
r ) �
• rt.I.rlM4ud..
ER PERMI
CITY OF TIGARD PERMMiT AB#. . . . . . . .
TM ST95-0335
COMMUNITY DEVELOPMENT DMOWINT DATE ISSUED: 10/12/95
13125 SW Hall Blvd.Tigard,Oregon 97223.8109 (503)030.4171
PARCEL: 1S135DB--GOTOl
SITE ADDRESS. . . : 09293 SW NORTH DAKOTA 5T �
SUBDIVISION. . . . : MLP95-•0001 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
BUIL.DING --_-___-------.-.------__-_-_.--------------
REISSUE: DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 Sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:?, GARAGE. . . . . . . . . . :440 sf
TYPE OF" USE. . . :SF FLOOR REQUIRED SETBACKS-------
TYPE OF CONST. :5N FIRST. . . . :668 sf LEFT. . : 10 ft RIGHT. :35 ft
OCCUPANCY GRP. :R3 SECOND. . . :554 Sf FRON•l'. :.'0 ft REAR. , :36 ft r
STORIES. . . . . . . :2 F'I NBSMENT:0 sf
HEIGHT. . . . . . . . 4 ft TOTAL-___.__._: 1'21 s F >MOI!I DETECTORS. :Y
FLOOR LOAD. :40 psf VALUE. . . . . t : 86174 PARKING SPACES. . : I
I
Remarks : PATH I
___--•----._.._.___._---.___.___ _____ ____ PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW F'RFVhdTRS. . : l
1 LnuATORIES. . . . . .3 WATER HEATERS. . . : 1 TRf1F' .. . . . . . . . . . . . . . :0
TUB/3HOWERS. . . . :'c: LAUNDRY TRAYS. . . :1/1 CATCH BASINS. . . . . . . t0
WATER CLOSETS. . :3 SEWER LINE ( Ft ) . :0 GRE:A9E TRAP'S. . . . , . . :0
DISHWASHERS. . . . : l. WATER LINE (ft ) 100 OTHER FIXTURES. . . . . :0 -,
GARBAGE DISP. . . : l RAIN DRAIN (ft ) . :O
WASH T NG MACH. . . : 1 SF RAIN DRAINS. . : 1
-----------•----- MECHANICAL_ -- - _.___.__._.________._.__.._...._.._._.--•--•._-_-- FEES
FUEL 'TYPES-_.-.-___--__.._ _. UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF $ 1590. 00 B 10/12/95 95--c 11604
MAX INPUT:O STU VENT FANS. . :3 SWM $ 1 A0. 00 B 10/12/95 95-`71�,04
TURN ( 100K . . : I HOODS. . . . . . : 1 SWM $ :100. 00 U 10/12/95 95-271; 04 ,
TURN ) -100K . . :0 WOODSTOVES. :0 BI='R•T ;94. 00 B 10/12/95 95-.x'71604
FLUOR FURN. . . . :0 CLQ DRYERS. : 1 BPl_C" $ ,2,56. 10 BON 09/07/95 95-2702,38
BC]II_ /CMF' ( ::;I1F':0 OTHER UNITS: 1. BJPC $ 19. 741 B 1.0/12_/97 95--`716k74
GAS OUTLETS: 1 PARK $ 50i7l. 00 B 10/12/95 95-27.1604
Own er ly1PRT 1, 40. 50 � 10/11_/95 95-�_71604 ,`c'
_ _ y
ROYAL OAFS DEV. CO' _. . Mt-LC $ 10. 13 B 10/12/95 95-x'7160+ fi
12096 SW ASPEN RIDGE DR M5pC $ 2. 02. B 10/t2/9C 95-271604 "AAM
'
3STH $ 225. 00 B 10/12/95 95--271604
i a �
TIGARD OR �172�'+ P'SP'C 9• 11•. 25 B 10/12/95 95•--271604
Phone #: 639-•4869 EROS 4 40. 00 B 10/1 95 95-271604
Contract;cit— -_._.___.__._.________._._______._..__.__-FRPf.; E 1;,. N0 B 1.0%12/95 95-2`716 04
ROYAL OAKS DEVELOPMENT ERPC S 13. 00 B 10/ic./95 95-271604
12109-6 SW PSPF_.'N RIDGE DRIVE
.l
1 TIGARD OR 97224
Ph ane #: 639--4869
Reg #. . : 67.111
3394. 71 TOTAL_
This permit is issu?d subject to the regulations contained in the ------ __... REQUIRED INSPECTIONS --- --
Tigard Municipal Cede, State of Ore. Specialty Codes and all other Footing Insp Top OLlt
applicable laws. fill work will be done in accordance with approved Fol.rndat ion Insp Framing Insp
plans. This perm: will expire if work is not started within 188 Post/Beam Strl.cct Gas Line ?nsip
days of issuance, or if work is suspended for more than 188 days. Post/Beam Meehan InsUlat icn Insp
Crawl. Drain Gyp Board In!.p
Permittee Sj aturee L �-... _ F=11m/1.mdslab Insp Rain drain Irsp
PLM/Underfloor Water Line Insp
Ist,t_ied By : •,_, Mechanical Insp Water Service In
Call for inspection - 639--4175
f
CITY OF T1 PERMIT
. . .
F'FRMIT #. . . . , . . SWR95-084
COMMUNITY DEVELOPMENT �— NT DATE ISSUED: 10/12/95
13126 3W Hall Blvd.Tigard,Onpon Y7223•8199 (603)639.4171
PARCEL: 1 S 135DB—GOTO I
SITE ADDRESS. . . : 09293 SW NORTH DAKOTA ST •
SUBDIVISION. . . . it MLP95•-0001 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LO*. . . . . . . . . . . . . 1
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELL_T NG UN I TS. . : 1.
TYPE OF USE. . . . . :SP NO. OF BUILDINGS: 1
INSTALL. TYPE. . . . :BUSWR IMPURV SURFACE. . .- : sf �r
Remarks: PATH I
Owner,: ____.___--___._____.._._.._.______—.---_____.___-------- -.__-- FEES
ROYAL OAKS DF V. CO type amol.rnt by date r-ecpt �1
12096 SW ASPEN RIDGE DR PRMT t 2200. 00 B 10/12/95 95-271604
INSP -31 x. 00 B 10/12/95 95-271604
TIGARD OR 97224
Phone #: 639—•4869
i
Contr^actor
CONTRACTOR NOT ON FTI_.r
Phone #: f 2235. 00 TOTAL.
Rey
REQUIRED JNSPECTJONS
This Applicant agrees to comply with MI the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance gioen. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will i stall a lateral.
i
Permittee Si nat .11 e :
I s s i_red By: _.
Call for- inspection - 639--4175
• I_.��x.yn....,wwwwi«ey......w.v....w.rw.rwaw .. ,.,....,..,....._.....,...
Residential Building Permit Application '
city of Tigard
13125 SW Hall Blvd-
Tigard, OR 91223
(503) 639-4171
Jobsite Address: 0
,MCpy -ao J C6,el-i j / Omce Use—Only
Subdivision*,Y N` Lot#
Contact Date __!—/ _Initials
Valuation: '�� - Result
New Construction Only: (Square Footage) Planck/Rec # t
Permit# �� J �D
House: 19 a� Garage: _ y 5 0 Reissue of f
Map & TL# 5 —
Corner Lot? Y �) Flag Lot? Y (`i Zone i
Plat #
Owner: ROY"- 6A U
Approvals Required
Address: I �-O� ��'• �- � I
Planning Setbacks Solar -_
Engineering
Other
� Phone: v ) �3 q - `1 �� 9
Items Required
Contractor: R0 104 L aj4 a
Subcontractors —
i Address: _L4_.0O or 6 S w It S( R i dC. — Truss Details
Other
Notesd' { 5e d•�—
Phone: (;��_�6�ei
Contractor's License # _ I t 1 1
(attach copy of current Oregon license) (__ �,- ,, '► _
Contact Name: _5-A ' P III
Contact Phone. L�D"i ) 6 3�--N�.�`�
ArchitectlEngineer: _L,p, R`. TA
Subcontractors:
Plumbing: _ N ARM 6 rt21 PL. _ Address: ----- - ---
i
Mechanical: ,moi Nv T_f C Ft ii Al I N E- —
i
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: ��NG► ra m i �Y-- - —
Acolicant Siona� Applicant Phore number
(,
Cate Received
Received by: _�_
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) a,3 ` '�"�_
Plumb. Permit (PLUMB) 2i
P Mech. Permit (MECH) 6*2 �U
State Tax (TAX) 32 9a' _ ✓�Z'
Bldg: /9, 10
j
Plumb: Z
Mech: US
i —
I
' Plan Check (PLANCK) n2
Bldg:
Plumb:
Mech:
i Sewer Connection (SWUSA) ��h 2 2 C1 1)
Sewer Inspection (SWINSP) }�� 3.i-
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) 0/7u
Mass Transit TIF (TIF-MT) 12Y /
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) —_
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS1 _
Erosion Cntrl Permit (ERPRMT) 0 _
Erosion PlancklUSA (ERPLAN) 1� / 3
Erosion PlancklCOT (EROSN) �/3
vF
TOTALS: ,
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CITY OF TIGARD BUILDING INSPECTION NOTICE
O-Phone): 639-4175 Business Pone: 639 4171
Inspection Line Line�� / ry
Inspection
P
Footing Susp. Ceiling
S rink. Rough-in Appr/Sdwlk
Foundation
Plbg, Underslab Mech, Rough-in Fireplace
FINAL:
Post/Beam Struct. Plbg. Top Out Elec. Rough-in -Bldg.
Post/Beam Mech. San. Sewer Gr+ Line
-Plumb. �r
Plbg. Underfloor Rain Drain Framing
Alarm
Water Line Insulation -Mech.
,ear Wall Gyp. Bd. -Elect.
Underflr. Insul. _ .w
:/A'+� Time: AM PM
Date Requested:
Address:
Permit
Builder: -----
THE FOLLOWING CORRECTIONS ARE REQUIRED: (i
--------
=L�
I
d
Date: G
Inspector:_ ---
APPROVED —DISAPPROVED ,APPROVED SUBJECT T ABOVE
Call For Reinsp.
�.....nZ .. -_.«-- � _--�.__._...-.__w......A.,—.._.._.w.....vn�T-� +T..-......-,1...w.•w.w.....�r+_•-...-+�+�1.�.+1r1w.f.,nws.y— .-..��W.M"'Nf A$•Y
. APPLICATION - STREET INIPROVEMENT/XXCAVATION COPY TO:
(WHITE)-FILE
JRDINANCE NO. 74-14 (YELLOW)-INSP.
I (PINK)-OTHER AGENCY bldg
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE.).APPLICANT
APPROVED APPLICATION NO.:
NOT APPROVFD Li CI I Y OF I IGARD, OREGON FEC AMT.: :_ 50.00
PENDING FEE. PMT. ❑ C.I I Y MALI. RECEIPT IN 0.: i_�1aJlt—L V
PENDING SECURITY p PUBLIC WORKS DEPARTMENT BYDAT�_ = - 1-2 _
PENDING AGENCY "OK" ❑ application and Progress Record MAINTENANCE BOND M _---
PENDING INFORMATION p FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL C:
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: ._6.{ y a DATE ISSUED: ------.---. __ , BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL � _ui{l Ykl`1dAli__APftCX�A-Adt)�
(EXTRDU AN EXISTINqCULVGR'1' AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
�I APPLICANT __Royal Oaks► D eVelopMent Co. 12096 SW Aspen Ridge Dc. Ti and �?2�4__ 639-48Cti9
NAME ADDRESS CIT PHONE
CONTRACTOR John Eraah Co. 7795 SW 165th AVIS Beaverton, OR 97007 ___ 549-3371 _
NAMW ADDRESS _ CITY PHONE
PLANSBY___' per City Standards & Specifi .atiol_W
NAM9 ADDRESS CIT - — PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 1,270.0')
DOLLARS
FOR OFPIC ,.us MIN.
(2) EXCAVATION DATA: 0.04 x $
f �•oo = s50
•�
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM 6 QUANTITY
STREET
Nocth Dakota SLS see d C<1;..Ylr:' INSP -
R TION
E
Q
— lJE —
ESTIMATED STREET OPENING DATE;---- / S
ESTIMATED STREET CLOSING DATE: ED
`^ ).r JU.��� STREET
(3) SECURITY NO. ---- SECURITY AMT $ _ CLOSED _
SURETY CO,: I(oJi l % I�f�lJ1 u( I! t I i? FINAL
�—+T ��Irn cHEcic tp� t cA4N n eoNO INSPEC.
w. —-----
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. N
SITE. 9293 SW Nur.th - see attached -
1 I Dakota St. I !
I I work area ! I
(MLP 95-0001 qWl i.eH)
_
IS. W. NORTH DAKUTA STRCL'T
I I I
kr
1
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(5) NOTE THC CITY OF TIGARD DOES NOT, HEREBY, 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 DEPOSIT 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 RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE'S✓1� "`�� ` } +�j-- DATE__ /
)
CITY OF TIGARD — RECEIPT OF- PAYMFIv1 RtLf_1.pf NO. 96 /0 �
NAME , ROYAL OAKS DEVELUP111 N f CO CHEL fly HMUUN i 1,j��l, 60
ADDRESS : 1;=O96 SW ASPEN RIDUE UFS. L:Nali HMUUN I I[l, Wo
PHYI+'ItfJ I UH l.. 1Lltli�.5/yb
TIGARD, OR 97224-- SU1301 V I5.I ON
PURPUSL_ OF PAYMENT AMUUN I P A 1 D POHI-JU ik OF' pHYs`9LIV1 +r
Hf41JUN I I-'H 1 li
I'UBL I C IMPROV 50. 80 CUSTOMER DEPOSITS
1 -70. VIM
w
OITE: Ml-P91ti-0001 FOR RUYNI_
1 U1-AL. AMUUN I P(A 1 il — — — .--) '0. 8 ;
1
EXPL17"fl(N -- AMOUNT
ROYAL_OAKS DEVELOPMENT CO. _ _— — 2904
12096 SW.ASPEN RIDGE DR.
TIGARD,OR 97224 PH.(503)6339-4669 24-22-1230-36
ky
AOUNT — --
�O DOLLARS CHECK
DATE TO THF ORDER Of
DESCRIPT100 CHECK AMOUNT
Il CITY - NUMBER
Oil
— ------ — AUTHORIZED SIGNATURE
U.S.NATIONAL BANK OF OREGON
TIGARD BRANCH, TIGARD,OR 97281 --
11'00 290411' 1: 1, 230002201: 036 0 10 3 421311@
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Special Conditions/Provisions:
1. All work shall conform to City of Tigard, Oregon, Standards and Specifications.
Note the attached Drawings and Details.
2. No''`y ;ity Inspector Letha Thomas (#639-4171 j 24 hours before starting any work.
3. Access-to and egress-from parce,s of land adjacent to the work area sh ,I be •
maintained at all times. Pedestrian safety shall be provided for by the contractor f
t at ali times.
4. Removal/replacement work and damage repair work shall be promptly initiated and
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
i
permittee's expense.
5. Erosion control shall be provided for by the contractor. j
6. ORS 757.541-571 applies (pre-notification for location of underground facilities,
1 etc.).
7. It is the sole responsibility of the permit holder to provide for proper right-of-entry
(arid/or easements) prior to starting work. Proof of right-of-entry (and/or properly
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). 1
8. See- �4#a��cd `bra F�L Ca►� � 1�p�ca� �c�a►\ '� �o��
f
9.
10. Utility relocations, modifications or repairs, which may be necessary, shall be
performed in a timely manner at the permittee's expense.
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30'-0- MAX., 10'-0- MIN.
>y
EXISTING DRIVEWAY
VARIES WIDTH VARIES 4•Mjw,'
(SEE ) _MATCH GRADE <%a
VARIES
_ MATCH WIDTH
A
R UNE
EXPANSION
JOINTS ••
CONTRACTION C �Lj
JOINTS SIDEWALK
Ln CURB J01 S _ _ C
CURB
A FACE OF CURB
5'-0' MIN. 5'-0' MIN.
3'—O- 15'-0" MA)t 15'-0" MAX 3 —0"
PLAN
4
USE EXISTING EXPANSION JOINT
OR ';AWCUT AND PLACE COLD 1-1/2- EXPOSURE
T.
ELEVATION B-B f s
W
STREET —#�• ..—`;
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2. OF COMPACTED 3/4--0- AGGREGATE 4
i
1. CONCRETE SHALL BE COMMERCIAL MIX.
2. CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2- RADIUS
ALONG BACK OF CURB.
3. EXPANSION JOINTS SHALL BE 1/2- PREMOLDED ASPHALT IMPREGNATED
MATERIAL OR EQUAL. EXTENDING FROM SIJ13GRADE TO FINISH GRADE
t RESIDENTIAL DRIVEWAY
REFERENCE APPROVED BY DRAYM BY
CITY OF MARD WASH. CO. DW2o0PA11.D'NC CAB
DREG+ SCALE DATE DWC. n7L
PITS 7-9-93 .!OETAl1.S\rtMD-DW.DWC
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--- -- — �. w 6 CC VERT B 3 - A'5
aARS MCRZ.. IN CURB
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3 OF£NNG AT 4!P w
GUTTER SLOPE: 5%
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SECTION A-A SMT" B-B
3,
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N
PIPE
MS.
TYPE W DIANS'cTER
STT.NOARt) i _. i.T/8" in"- 12"'
v 11 CX]V�T�F: 9'►411 � CUSS 3300 _
2) l!5£ FRAAE: 9 iitATE DETAILS fRCld OVA
2'- 3-3/9"
' STD. DRWG. FCR 6tMM A&Pr-C•E.
3) *CTAL1. STEPS WHEN DISTAWT FROM • REOLJK2£S 2 GRATES
TMP CIF GRATE TO FLD+YL1E OF PPF. SEE ORAMNG 4&390
IS GREATER THIW 33'.
NATE, ALL PASST mar H rATcH BASINS
i
GUTTER & CURB INLET CATCH .
1 BASIN DETAILS
-- UnifiedSewerage Agency
DwC. No 17U
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r1iRkN�jNp.prF�wi1� _ :.,.-. .c..• ......ew...,...•.w..wr.._. .,.. . ..,ti..,. .,...,..
• CONCRETE SHALL BE CLASS 3300
A II 4, • 1 A
• GROUT BETWEEN TOP OF CATCH BASIN
AND BOTTOM OF CMB AND GUTTER
SEE DETAILS FOR FRAME AND GRATE--
-�, ( '
INSTALL WEEP HOLES WrrH z
G,-v MESH SCREEN FOR .�
' S ( AM DRAINAGE ' v
v a
' a
36,• MIR -J 6" I _ � fi` �F_MIN
tom—SECTION A-A —1 f
SECTION 6-8
FRAME IMM"x. 2" X 2" STEEL(ASTM A-39 ANILE
3 _[QV SDE FRA1. I.) ALL COilETiS OF GRATE BARS TO
BE WELDED WM I/4" ANS E-7024
WELDING ELECTRODES
2.) INSTALL STEPS WHEN DISTANCE FROM
N
TOP OF GrRATE TO FCC7WLPJE IS
;^� •N GREATER THAN 3.5
ZZ F x
X 2OTEL(ASTM a1TTE 3 CMUH BAS14
711 _ •2
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CE:NTFE BAR WIDENED TO 4" FOR STRENGTH
SECTION C-C
)wq No. 160 f
nKied SewerageAgency
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MIN. 3• A.C. IN 2 LIFTS
STREET AREAS OUT OF STREET AREAS'
SAW CUT I s`
6• �
EbSTING SECTION,
ol
RESURFAONG
OO O 0000
Op ° ° O ° ° 00
O p O O p O O °O O
00 p O°
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0 Li
GRANULAR BACKFILL 1 ° °° o ° O o /
o p p / C
0 0
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N •
CN
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PIPE BASF
i� BACKnu IN STREET AREAS
1. IF S/W IS AGAINST CURB, FlLL
ROCK TO BACK OF S/W.
2. IF S/W IS NOI AGAINST CURB,
FILL ROCK 2' BACK FROM CURB.
PIPE BEDDING AND
BACKFILL DETAILS
RETERENCE APPROVED BY DRAWN BY
M--408 (MOO.) CAB
CITY OF 1�1GARDSCALE OATS owc
OREGON H.T.S. 7-0-93 .tD-TAftS .nwG
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GENERAL NOTES 4 •
1. TRAFFIC SIGNS TO BE 48' X 48'
O BLACK ON ORANGE.
mw omcsvwcrmACAC I I '
2. NO COLLECTOR STREET LANE CLOSURES
1 J0 I OR LOCAL. STREE'`, CLOSURES DURING
MIN. THE FOLLOWING TIME PERIODS:
OWLAW O
ovw*cm 730 - 8:30 A.M.
100' I 4.30 - 5:30 P.M.
MIN. ,..
3. THE CITYS STANDARD SPECIFICATION
n,AW MCA) O FOR TRAFFIC CONTROL IS MANUAL
100' ON UNIFORM TRAFFIC CONTROL
MIN. DEVICES FOR STREETS AND HIGHWAYS
V) I U.S. DEPT. OF TRANSPORTATION,
L) FHUA, 1988 EDITION.
U- F1.AGGER
L_
`= 4. ACTUAL SIGN PLACEMENT TO BE
F 100'
MIN. ■ ( ADJUSTED IN FIELD. DO NOT REDUCE
Z I I ■■ 50' MiN. BELOW MINIMUMS WITHOUT CITY
■— APPROVAL
12'
MIN.
Ins
I 5. THE CITY RESERVES THE RIGHT TO ADD TO
a OR MODIFY TRAFFIC CONTROL REQUIREMENTS
■ 100' AS MAY BE NECESSARY TO EFFECTIVELY
■ MIN. U3 CONTROL TRAFFIC AND TO ENSURE PUBUC
■■ I v SAFETY.
F'LAG-ER
IQ 6. NO LANE CLOSURES WITHIN 20C. FT:E7 OF
100' A TRAFFIC SIGNAL WITHOUT PRIOR CITY
Awua
M N. o APPROVAL
z
I O aAcaai
m•7A
100'
MIN. LEGEND
O o■Lc
o+YE1O Q TRAFFIC SIGN
100'
MIN. ® CONSTRUCTION 7.ONE
O 1X,o, 0 TRAFFIC CONES nR
APPROPRIATE DELINEA'i i0 N
DEVICE
TRAF'F'IC CONTROL
TYPICAL DETAIL
RfFFJ"C E APPROVED eY URANIN 6Y
CITY OF TIGARD GAA CAB
SCALE DATE. DWG FX.E
OREGON N.T.S. —s—A3 I DET/TRAFCXWTDwG
APPLICATION - STREET IMPROVEMENT/EXCAVATION COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 ® (YE-LLOW)-INSP.
(PINK)-OTHER AGENCYbldg.
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)•APPLICANT
APPROVED 91 APPLICATION NO.-
NOT
O.NOT APPROVED ❑ (:1'1'1' OF TIGARD, OREGON FEE AMT. 140.00 �
CI'I l' BALI. RECEIPT
PENDING F:F_. PMT. 11T
rte_
PENDING SECUPITY (J PUBI_ICWORKS DEPARTMENr Bir DATE
--- —— - - - - -
PENDING AGENCY ''OK'' ❑ \pplir.)tion and 1'rogress Record
MAINTENANCE 80ND N _
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED c
ANNUAL U " '
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: I-__� `-' '�. DATE ISSUED: ('` , Ll (J.__ �yJ- , BYE = { r�___
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ _i'EIkE,I* (LL�UILUINc,'� Sl[)E SEWER
LATFRALS & MAINLINE 'PAPS_ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT -Royal Oaks Development Co. 12096 SNI Aalen Ridge Dr. Tigard, OR 97224 639-4869
NAME ADDRESS i--- - CITY
CONTRACTOR.- John Frank 7795 SW 166hh Ave. _ Beavel:ton, OR 97007
NAME ADDRESS _ CITE- PHONE
PLANS BY _ - Per City Standards & SNcificatiorui
NAME ADDRESS CITY FHON!
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): I; i,5OU-00 _._.
DOLLARS __
(2) EXCAVATION DATA: --- — _�_ FOR OFFICE us
STREET DESCRIPTION PROGRESS & INSPECTION STATUS_
NAME SURFACE CUT CUT UT MATERIAL INSTALLED ITEr4 DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
---+ STREET
OPENED
R TION
NOC1 11 Lk31U:t 51 see Lti3C i1 - INSP C- --
E
Q
U
ESTIMATED STREET OPENING ET
ESTIMATED STREET CLOSING DATE: _ ED
---_ -`-__- --_ - STREET
(3) SECURITY NO SECURITY AMT: !g 3'500.00 CLOSED —
SURETY CO.:y' A-Fr,a" [-Cf �r+ FINAL
CERTIFIED CHECK ,CASH ❑ Salloyr INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
see atta�.hed
SI.Tr: W93 SW North Uelk t� SC 1 - - —
I 1 WOO K J1 Ura
(MLP 95-0001 awliee) --
S, W NOWXH DAKC7fA STREET
I --
I I I I Id I I
(rJ� NOTE THE CITY OF TIGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
I;
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO C,EPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
ii CONSTRUCTION SPEC.'ICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
(I EMPLOYEES AGAINST ANY INJJRY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
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APPLICANTS SIGNATURE �'' t C- �! -_ DATE /
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Special Conditions/Provisions:
1. All work shall conform to City of Tigard, Oregon, Standards and Specifications.
Note the attached Drawings and Details.
2. Notify City Inspector Letha Thomas (#639-4171) 24 hours before starting any work.
and egress-from parcels of land adjacent to the work area shall be
3. Access-to a
maintained n all times. Pedestrian safety shall be provided for by the contractor
at all times.
4. Removal/replacement work and damage repair work shall be prorript;y initiated and
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. Eros�.or control shall be provided for by the contractor.
6. ORS 757.541-571 applies (pre-notification for location of underground facilities, y
etc.).
7. It is the sole responsibility of the permit holder to provide for proper right-of-entry
(and/or easements) prior to starting work. Proof of right-of-entry (and/or properly
executed easements) shall be provided to the City. The City shall in a way be
construed to be liable for the permit holders failure to obtain or provide for proof
of right-of-entry (or easements).
9. A sewer connection permit is required to be obtained from the City's Building
Division prior to connecting to the City's sewer system.
lo. Utility relocations, modifications er repairs, which may tae necessary, shall be t;
performed in a timely manner at the permittee's expense.
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BUILDING SEWER PIPE, SIZE LS SPECIFIED
'*PLANT fFAa8Rl(.4TED TEE FITTING N�
ON SEWERS 18" AND SMALLER. BACKFILL 2X4
FIELD TAP ON EXISTING SEWERS AGAINST PLUG TO 6
AND NEW SEWERS LARGER THAN I PREVENT PLUG
THAN 18". I BLOWOFF a SECURE .�.
Zx4 IN PLACE WITH
I TRENCH BACKFILL.
.—SEWER MAIN
OR LATERAL PLAN I
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EXTEND AT LEAST
ZS
ROUND 12"ABOVE SYIRFACE
11RFAC.E —^ - -
t�
MINIMUM SLOPE FOR ,
6" PIPE= 0.010, FOR
4"PIPE c Q.020. ---SIERVKf CONNECTION
MARKER
MAGNETIC TAPE---5
GREEN ./BLACK LETTERS (WASTEWATER)
GREEN*/B LACX LETTERS (STORM DRAIN)
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PLUG
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3/4"-0 PIPE ZONE MATERIAL
AS SPECIFIED
_- SUPPORT TEE 'WITH
BEDDING GRAVEL„
M"mum 2'0" WIDE Sl DE
BUILDING SEWER
Of WSO**lan unty
Ng. No. 300
R
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Z
® + / PVC SADDLE (7EE)
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STRAP RETAINER RIDGES 1 I
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1 1 RUBBER GASKET
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SEWER PIPE
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75TA' N! SS STEEL STRAP
■ PVC SADDLE SHALL BE ASTM 3034 SDR 35
• PVC COMPOUNDS SHALL BE ASTM D1784 WITH CELL CLASS OF 12454-B/C
OR 12364-C
* ALL ELASTov--RIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477
Y STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/16' WID11H BAND,
5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED,
CARBON STEEL .
n INSERTION HOLE SHALL BE CORE DRILLED.
PVC GASKETED unified
SADDLE ufrA agmcy
DRAWING
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I . COMPLETE RUBBER SLEEVE (ASTM C-443)
INCLUDES A MOLDED SEGMENT THAT HOLDS p? ' •
IT IN PLACE.
2. STAINLESS STEEL BAND (9/ 16" SERIES 300) E
I'-_ SECURES UPPER HALF OF RUBBER SLEEVE TC THE
PVC HUB.
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3. PVC HUB (ASTM 3034 SDR 35)
DRIVE I N70 CENTER OF RUBBER
SLEEVE AFTER SLEEVE IS PL::CED
IN HOLE.
-2
17,
I K{
�--CONCRETE PIPE .�
, 1171/Tl7ll717�� A ; .
G,
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NOTE: ALL INSERTA—TEE HOLES SHALL BE MACHINE DRILLED.
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DRAW I NG NO. 360
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MIN. 3• A-C. IN 2 LIFTS —7
STREET AREAS I OUT OF STREET AREAS
I
6'
E)aSTING SECTI SAW CUT
RESURFACING
2' OF 3/4' -- 0'— —'T�•.
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I O O O O O O O O p O
O O O
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CLASS B
o BACKFILL ° CLASS A =�
° p BACKFILL v
2' — 0•
O O O O /•/ j
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3/4• – 0"' o
GRANULAR BACKFILL ° °O o O Q
O p p j j j/ Ty
0
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PIPE BASE
BACKFILL IN STREET AREAS
L IF S/W IS AGAINST CURB. FILL
ROCK TO BACK OF S/W.
2 IF S/W IS NOT AGAINST CURB.
FILL ROCK 2' BACK FROM CURB.
PIPE BEDDING AND
BACKFILL DETAILS
�k REFERENCE APPROVED B,• DRAWN BY
SCALE DATE DWG. FRF
V N.T.S. 7-9-93 .tDETAILs\PIF'm D-Dm i
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GENERAL NOTES
1. TRAFFIC SIGNS TO BE 48' X 48'
BLACK ON ORANGE.
2. NO COLLECTOR STREET LANE CLOSURES
100 I OR LOCAL STREET CLOSURES DURING
MIN. THE FOLLOWING TIME PERIODS:
1 tp 7:30 — 8:30 A.M.
• I 4:30 — 5:30 P.M.
MIN.
I I 3. THE CITYS STANDARD SPECIFICATION e
t FOR TRAFFIC CONTROL IS 'MANUAL
z sm- X100' I ON UNIFORM TRAFFIC CONTROL
0 MIN. DEVICES FOR STREETS AND HIGHWAYS',
V) I U.S. DEPT. OF TRANSPORTATION,
L) FHUA, 1988 EDITION.
la- FLAGGER
44. ACTUAL SIGN PLACFMENT TO BE
100'
o MIN. ■ ■ ADJUSTED IN FIELD. DO NOT DEDUCE
Z I ■ 50' MIN. BELOW MINIMUMS WITHOUT CITY
■_ _L APPROVAL
12�MIN.
■■ 100�� 5. THE CITY RESERVES THE RIGHT TO ADD TO
OR MODIFY TRAFFIC CONTROL REQUIREMENTS
■ MIN. `S AS MAY BE NECESSARY TO EF FEC ilVELY
■ in CONTROL TRAFFIC AND TO ENSURE PUBLIC
■ c) SAFETY.
FLAGGER lz
a 6. NO LANE CLOSURES WITHIN 200 FEET OF
100' A TRAFFIC SIGNAL WITHOUT PRIOR CITY
MIN. z APPROVAL
p FI A09"
m—]A
100,
I MIN. LEGEND
ac LAW
NOW AWM
Q TRAFFIC SIGN
100'
I MIN. IM CONSTRUCTION ZONE
p coan.,c,o, ■ TRAFFIC CONES OR
APPROPRIATE DFIINEATION
DEVICE
TRAMC CONTROL
TYPICAL DETAIL
MEI"CE APPROVED BY DRAWN BY
cm
CITY OF- TI G A R D AU DATE DWG FU
OREGON KTs 7-9-93 1DET/1RA"CONT.DWIC
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