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6655 SW VENTURA DRIVE-1 FILE NO. 486-92 VENTURA DR. - 6655 STR. OPN. PERMIT I r COPY TO: APPLICATION - STREET IMPRO`'-MENT/EXCAVATION (WHITE)-FILE (YELLOW)-INSP. ORDINAh._E r10. ;4-14 X (PINK)-OTHER AGENCA01C_Ig. RI (BLUE)-APPLICANT jINSTRUCTIUNS ON SEPARATE.SHEET) `� APPLICATION NO.: "-3�----"' APPROVED ® _��6.00 NOT APPROVED U Gl7'Y Old'TICARD, 0111'-(SON FEC AMT.�f- Zz&7 Z_ CITY HALL RECEIP Z PCN DING FEE. PMT. © �„/�/}' - DATF_�L PUBLIC WORKS DEPARTMENT - ;r"G — — — — — — — — — — PCNUING SECURITY C -' PENDING AGENCY ''OK" ❑ .lpplication and Progress Record MAINTENANCE BOND • r R AS r�uu PENDING INFORMATION ❑ FCR STREET IMPFIOVEMENT/EXCAVATION nAS CJtir?E EXPIRATI N DATE: —1---- PENDING VARIANCE ❑ _ - — PERMIT NO _._� _yL- DATE ISSUED � / f_���=— , BY (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL SANARYITSEWER-C CiON AS DESCRIBED HEREIN, IN FULL. ACCORDANCE WITH CITY REQUIREMENTS._97223 f 244-5612 APPLICANT _ Michael R. La`y.}�.on - 6655 SW Ventura Dr. ��g=& OR _CITY - -- 'a-` ~RC95 NAME r1 97045_ # 656-7000 - i Coffman Excavatiorl� P.O. 8�_6W__---0re-�tY, O CIYV- PHONE CON CRACTOR _____--- n EAC— ADDRESS PLANS BY per C't Standards. �. ._—._ _—_.---._. ADDRESS NAME_.. ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S ],50.00_ -- DOLLARS --�. MIN, FOR OFFICE USE: 0.04 X S _1r�Q.QQ--= f--�� (2) EXCAVATION DATA: _- — - DESCRIPTION PROGRESS & INSPECTION STATUS STREET — ITEM DATE NAME SURFACE CUl' GIJT CUT MATERIAL INSTALLCD REMARKS/TYPE BY LENGTH WIDTH DEPTH ITEM A QUANTITY STREET PEN D R Sr10N Ventura Dri a - see attac ed - _ E -- Q 4 L -- E ESTIMATED STREET OPENING DATE:— -----J--- 1 — T E ESTIMATED STREET CLOSING DATE: _ - D STREET -_-- `-: 150.00 CLOSED (3) SECURITY NO. ----.--- SECUPITY AMT.. -- FINAL S /I I� bo\j SURETY CO.: NECAfM ❑ INSPEc W �CCH BOND ' SPECIAL PROVISIONS i CONDITIONS (4) PLOT PLANINDICATE SITE PERTINENT wHYSICAL 1, Notify Ins Ct0 arm.-• FEATURES: EXCAVATION LOCATION AND EXTENT. �ieweq (#639-4171 24 hrs. ore 1 I SITE: 6655 S.N. I I N _starting work. I i VENTURA DR. , II 2. I'l] work. shall conform to City ' -- I Standards & Specifications APB - - �•- - - - - - - - ._ I •t - 3. ORS 757.541-_571 a 1 re:-- VENTURA VENTURA — -' Utility Co. 's prelocation, etc.) _4. A hard surface patch is required at the end of each days work. I I � � a W PERE (5) NOTE THE CITY OF TIGARD DOES NO'r HEREOF, G,YANT PERMISSION Tri APPLICANTS TO CONDUCT WORK RIGHT-OF-WAY JURISDICTION IS THAT OF WASHING 'ON COUNTY OR THE STATE Or ORrGON. THE APPLICANT AGREES TO DEPOSIT THE RIQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONST CATIONS PERTINENT TO CoNlUCT OF THE WORK. AND TO SAVE EMPLOYEES AGAINSTANY ON E'r INE CITY AND NY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS DATE APPLICANTS SIGNATURE j/�G��4 •.�"�' _-J�� Y H 1 a WWON aC44 LO C ' Qp O mM1 A, •`V �DA iii h. •°0 1^ °`�i �n = _ 00 J EI1002. 66E90' 1 m u J �iJ° ° N r- OEI r-o, O � \ ♦y .ORZ Q. W `�801bS Ih2n O ,b 1 !0� o � .O W ,uj 60 1 1 ti 04' 1 -- -- V Z i O SO,102 Pd ?/ 0 a .5141 � E U _ ♦�y W0 1r O O 1q O ¢y tv p2i' O N i9SOZE 8 u --- -- 01 M ,1q 1p 1 D _ V j9O O T H ltSZ $ W�, -- W Plea r a W -'!941 � o• Q ---'- 0� i N it 0 H �° � n. 2 a W 0 0 , ,Zhl W all 165 O �W W 90 m O�Z 9O mhi ` N �^ 1 rL • N O�� o $ .E! 0'11 OE - hu - W ( bill b o _ �' o ati ,R Is m °0 1ef1 `�o l] Q o om to i' E 1 RSI Q ° ° 4, 129 O LL. O I J \ B CD p ^ Z 1 0 o r o � ti 1 O o e 2 N LU I t y� o gZl nO zAft • o •$ -a m0 S?O rO b'G r0 a,C) oO MIN. 3" AG IN 2 LIFT5 5,nw cur STREET STREET AREAS OUT OF STREET AREAS — ' - —� EXISTING - SECTION RESURFACE NG ' • '• °• • CLASS A . • ' BACKFILL ' O E._ p CLASS B 3/4!-0 GRANULARQ BACKI"ILL - 0' - tL e 1^ 7 O 10 . 6 .o p• o •6 . t V m W 'n' •° p°, Vk no a, • e ., 1—� •oma - •o oma . • � PIPE BA5� BACKFILL IN-!lTREKj AREAS L IFS/W IS AGAINST CURB, FILL ROC,% TO BACK OF 31W 2.IF 1/W 13 VOT AGAIN.-IT CUR9, FILL ROCK 2'BACK FROM CURB PIPE BEDDING AND CITYOFT11FARD BACKFILL DETAILS OREGON OF516N PAY APPMWED F5Y IJLLsWN F,Y — GA SALE DATE DRAWING No. NT5 MfVw,�x..;M. ..,::v�wa.Awa"sr�cn�i+u+oMba+MM,rsa.: ,-: i. r if I --BUILDING SEWER PIPE, SIZE AS SPECIFIED PLANT FABRICATED TEc FITT'NG ON SEWERS 18" AND SMALLER. BACKFILL 2X4 FIELD TAP ON EXISTING SEWFRS AGAINST PWG I0 AND NEW SEWERS LARGER THAN I PREVENT PLUG THAN Ib". I BLOWOFF & SECUPE _ ZY4 IN PLACE WITH ---SEWER MAIN TRENCH BACKFILL. I OR LATERAL PLAN I EXTEND AT LEAST GROUND 12"ABOVE SURFACE SURFACE — MINIMUM SLOPE FOR 6" PIPE: 0.010, FOR 4"PIPE - 0.020. —*AIY10E CONNECTION MARKER MAGNETIC TAPE GREEN ■/BLACK LETTERS (WASTEWATER) GREEN w/BI Apt LETTERS (STLIRIA DRAIN) PLUG 3/4"-0 PIPE ZONE MATERIAL • �--- SUPPORT TEE WITH AS SPECIFIED B DOING GRAVEL, 1 WaMUN ?'0" WIDE Sl DE BUILDING SEWER «w a��,� 'cow Dwg. Na. 300 COMPLETE RUBBER SLEEVE (ASTM C-443) INCLUDES A MOLDED SEGMENT THAT IIuLDS IT IN PLACE. 2. STAINLESS STEEL_ BAND (9/ 16' SERIES MO) .� SECURES UPPER HALF OF RUBBER SLEEVE C -HE PVC HUB. +, 3. PVCHUB (ASTM 3034 SDR 35) I DRIVE INT(i CE"TER OF RUBBER SLEEVE AFTCR SLEEVE IS PLACED IN HOLE. 3 2 i ,CONCRETE PIPE NOTE: ALL INSERTA-TEE HOLES SHALL BE MACHINE DRILLED. ----- unffled I NSERTA - LDRAWING TEE "' ,: 'NO. .)60 - Y PVC SADDLE (TEE) I� I STRAP RETAINER RIDGES \ I 4- RUBBER GASKET SEWER PIPE FTA 'NL=SS STEEL STRAP • PVC SADDLE SHALL BE ASTM 3034 SDR 35 • PVC COMPOUNDS SHALL BE ASTM DIT84 WITH CELL CLASS OF 17454-6/C OR 12364--C ■ ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F4TT r STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/16" WIDTH BAND, 5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. INSERTION HOLE SHALL BE CORE DRILLED. PVC GASKETED unum { SADDLE DRAM►{NG N0. 350 UfA I .DEFINE:t.,ntrct=case->erg definition incorrect ENGINEERING PERMIT PERMIT # . . . . . . . : ENG92-0023 DATE ISSUED: 05/01/92 By: PRIM. PERMIT #. : ENG92-0023 PARCEL: 1S125DD-06200 SITE ADDRESS. . . : 6655 SW VENTURA OR ZONING: R-4 . 5 SUBDIVISION. . . . : WASHINGTON SQUARE ESTATES NO.2 BLOCK. . . . . . . LOT. . . . . . . . . . . . . :70 ---- ----------------------------------- ---------------- PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE r AGREEMENT DATE: / / GRAD/EROS ASSURANCE EXPIRATION--- STREET PERFORMANCE: / / SAN SEW MAINTENANCE: / / STM SEW UTILITIES ALL OTHER TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ Remarks: STREET OPENING, TO CONNECT TO THE PUBLIC SANITARY SEWER SYSTEM. ---------------- FEES -------------- Permittee: MICHAEL LAYTULJ type amount by date recpt 7.. 5655 S .W. VENTURA DRIVE OPEN $ 6 .00 JSH 05/01/92 22675 TIGARD OR 97223 Phone #: Engineer: ENGINEER NOT ON FILE $ 6.00 TOTAL Phone # : ------- REQUIRED INSPECTIONS ------- Permittee/Agent Signature: --STORM SEWER-- ------STREET----- M.H. & C.B. CRB LINE & GRADE -- PIPE LN & GRD SUBGRADE BCKFLL & CMPCT BASE ROCK AIR & TV TEST LEVEL COURSE City of Tigard, Oregon WEARING COURSE 13125 S.W. Hall Blvd. - SAN. SEWER--- TRAFF & PET) CONT P.O. Box 23397 M.H. & C.O. MONUMENTATION Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING Phone # : 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP AIR & TV TEST FOR INSPECTION, CONTACT: ----GRADING------ Car]. Vieweg #639-4171 (office) --REPR' S/AD,J,S-- CONTOURS #780-2647 (mobile) DRAINAGE ----PATHWAYS---- EROSION CNTL. CIW OF TIGARD InTrmrnw, RP = nliir, form is a multi-use form. Appropriate receipts must be attacher. DocLmentation inportant for all purpos,(,--• Staple documentation to farni. VaiDOR NO. : _ - ---- DATE: M PAYABLE TO: ��,��e� 1 � �u� pry N - � � � RD: rcm-rm 13Y: — -- • 6.50 ;,t,�, S .0 —.. -.T Approved request due Weckiesday "- ---- 10:00 AM to A/P for checks by Friday. MISCELLANEOUS E)TENUI'l 2S: Ao=int No. Amount Date Description, Invoice- No., etc. ►r)- z z 000 Mileage $0.255 �r APPRoppiATION RATANCE: — AS or: _ SI.GNAIvRE: - -----_.--._--- --- (Up to $25.00) Section Manager _ —_—_-- Purch- Agent - ($25.01-•2,500.00) Division Manager _ - --- ($2,500.01-7,500.00) Dept. }lead _ ------ ($7,500.01-15,000.00) City Administrator ($15,000.01- ?) Local Contract Review Boal - r- l.t��Ql� i uX7'►-F- t ✓� �^e. eg-S-LA \ ( t V2"Ov l � i -.-._...._._:----••^-r-r---r----'�T-r-r-•ooTr•.+r._._.-....._....,r.__--„►__r-,,,,...�-,-"'R-'Tq.Ic""K".-.��^;"*r.'^Tp"'^".+*'R..'-_�^'-^�^..-v^-a.-++.-.Tr-'^'-'�+T�'��"'�"--'^'.-;....,_,�..cr..�.._...�., APPLICATI.ON - STREET IMPRO%'-MENT/EXCAVATION COPY TO: OR DINAI. _E NO. 74-14 (WHITE)-FILE (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) ® (PINK)-OTHER,AGENCYbldg. IN (BLUE)-APPLICANT APPROVED ( APPLICATION NO.: -✓ -3, NOT APPROVEG C;I I l Of IIGARD, OREGON FEE AMT.: S_ S. 6.00 PENDING "EE. PMT. (] C.I I1' HALL RECEV' Z 9Z_ Z(e75 Z- PENDINC. SECURITY ❑ PUBLIC WORKSDEPARrMF-NT Bim__ DATE_ s i l I `.�Z- PENDIN; AGENCY ''OK'' ❑ Apph(,ltion and Progrrss Record — — — — — — — — MAINTENANCE BOND PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIREU -i- ANNUAL. ❑ PENDING VARIANCE - ❑ EXPIRATI N G TE:, PERMIT NO -4- Y_Z -- , DATE ISSUED: -- BY: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL __. WTTARY SEWER co6pmTTrw.---_ AS DESCRIBED HFREIN, IN FULL AC�7ORDANCE WITH CITY REQUIREMENTS. APPLICANT Michael R. Layton 6655 Sw Ventura Dr. _ Ti.gardk QR 97?23�—_ >� 2<14_5 412__ NAM[ ADDRESS CITY PHONE CONTRACTOR Coffman Excavation P.O_. Box 6j87 Oregun City, Cg 97045 W __ _# 656-70 __ -- NA WT-- ADDRESS CITY PHONE PLANS BY - per City Standards NAME ADDRESS ^— CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST); E $ 150.00 DOLLARS FOR OFFIC[ USE: r MIN..._.. (2) EXCAVATION DATA: 0.04 x S STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY �- -- STREET _ -- ---- 1. PE,NED >`S 92 IDIS fL° y -Ventura Drive l�y - I 7FION Lai !i(:Ldi:Y ad - �, E -Vi Li Qj II E ESTIMATED STREET OPENING DATE:__- / / S ESTIMATED STREET CLOSING DATE: - / / T E D- (3) 'SECURITY NO. _ .�_ SECURITY AMT.: $ 150.00 STREET,__.. CLOSED _ SURETY CO.: _ FINAL m- awCHEF IS CASH ❑ UOND (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CO DITI IONS: FEATURES, EXCAVATION LOCATION AND FATENT. 1, Notify City Inspector Carl Vieweg (#639--4171) 24 hrs. before 1 i SITE: 61655 S.W. 1 N starting work. ( VENTUR�DR. , ' 2. All work shall conform to City - - — �Re Standards & Specifications VFMURA VENTURA �� � 3. OPS 757.541-.5'11 apply (res Utility Co. 's prelocation, etc. ) 4. A hard surface patch is required at the end of each days work. (S) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANT: TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQ:IIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLX75S THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT :-ROM APPLICANTS ACTIONS APPLICANTS SIGNF r:u E .r 1 LC DATE �L�♦ / ,..� CITY OF TIGARD - RECEIPT OF PAYMENT RECECHECIPT' NO. :9c 1Sb?00 CASH AMOUNT 0. 00 NPME : I_AYTON, APRIL BENNETT PAYMENT DATE 05/01/`32 ADDRESS : 7650 SW STEWART SUBDIVISION PORTLAN7J, OR 972-23- AMOUNT PAID P'URP'OSE OF PAYMENT AMCUNT PAID PURPOSE OF' PAYMFNT ^ —'� F-'UBL.0 IMPROV - -� ^W6. 00 CUSTOMER DEPO -_ i50. 00 STREET OPENING PERMIT #436-92 6655 SW VENTURA TOTAL AMOUNT PAID -- - ` __� 156- 00 u� MICHEAL H. LAYTON 6621 APRIL BENNETT LAYTON �7, 7850 SW STEWART 244-6612 I _19l�._ 24 1211230 PORTLAND, OR 97223 PAY TO THE - �� � - -- $ l�e•_U_.��_I ORDER Of DOLLARS R(d7�M0 RM N 9 / rwar� 8 W. or Im Hr'wxh l lnt*Wats PPa WBAm 2m 977x+7717 Bank FnR 1: 123000L231: L28 008260 2L rwa rrrsrn ria rn - _ 4-110 C 4,45P. ;L� 111�e+w�¢ ns. APPLICATION -- STREET IMPROVF:MLNT/EXCAVATION jf)GMp COPY TO: ORDINA NO. 74 14Jplo � LJ (WHITE)-FILE 6p- p (YELLOW) -INSP. (INSTRUCTIONS ON SEPARATE SHEET) r4' ❑ (PINK)-OTHER AGENCY (BLUE)-APPLICANT APPROVED p APPLICATION NO. — NOT APPROVED U (;IIT (►F 1IGARU, OREGON ��-- -- FEC AMT. s PENDING FEE. PMT. p CITY Y IfAI,I. -----_- RECEIPT NO.: PENDING SECURITY p PURI.IC WORKS DEPARTMENT BY PENDING AGENCY "OK" (] .\)II/GI.IIu.,I .Intl 1'ro grrss Rrcurd w _ _ _ — — — — — PENDING INFORMATION p FOR STREET IMPROVEMENT/EXCAVATION MA1 ASE EQUIRE BOND PENDING VARIANCE pANNUAL. EXPIRATION DATE. ___.-____1 PERMIT NO DATE ISSUED: �_ _ / _ BY: _ -- _ (1 )YPPLICATION IS HEREBY MADE TO EXCAVATEFOR OR AND INSTALL --- - AS DESCRIBED HEREIN, IN FULL ACCORDWU CE WITH CITY REQUIREMENTS APPLICANT� !"�1C(% /Q ��-t_f >J ADDRESS ScJ UNIu�_� �N�—_��ir4yf'���Lz3 NO #�'��=56/3- ADDRESS — CONTRACTOR /�1) CITY PHONE �— �! NAS _ - `'! Al)D ess PLANS BY fTY PHONE CITY E':)TIMATED IMPROVEMENT TOTAL VALUATION ( COST): S '" LLARS (2) EXCAVATiON DATA: FDR c?FFICE USF "IN 0.04 x s__ s _- STREET DESCRIPTION____ PROGRESS & INSPECTION ST-aTUS NAME SURFACE CUT CUT CUT MATER'AL INSTALLED ^" _ TYPE LENGTH WIDTH DEP ITEM +t QUANTITY ITEM DATE REMARKS/TYPE BV L'ov Li 6L4 S+ _ C ��. Ii) f�h'.S STREET PENED INSPEC- R TION U _ ESTIMATED STREET OPENING DATE: J / E ESTIMATED STREET CLOSING DATE: —_ / S — — - — E ( 3) SECURITY NO. SECURITY AMT.: - STREET SURETY CO.: — CLOSED _ FINAL CF.RTIFIEDCHECK tl CASH U _ 80NO r' INSPEC. Q.4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL' z� FEATURES; EXCAVATION OCATI N AND EXTENT. SPECIAL PROVISIONS /CONDITIONS 1 ( 1 1 - Nv S+I�c W14tik �Str„r�Q SruA - IS) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK, WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASFJINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT_*G/ftEES TO DEPOSIT THE REQUIRED SECURITIF_S, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTIOPECIPICA TIONS PERTINENT TO CONDUCT OF TFIE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES A�SAINST ANY INJI06AY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURjr _— � ,n