13425 SW 72ND AVENUE-1 r
FILE NO. 468-92
72nd AVENUE SW - 13425 STR OPN PERMIT
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ENGINEERING PERMIT
PERMIT #. . . . . . . : F.IIG92-0005 DATE ISSUED: 02/11/92 By:
PRIM. PERMIT #. : ENG92-0005
SITE ADDRESS. . . : 13425 SW 72ND AVE PARCEL: 2S191DC-00100
SUBDIVISION. . . . : ZONING: C-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
--------------------------------------------------------------------------------
PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE EXPIRATION--- STREET
PERFORMANCE: / / SAN SEW
MAINTENANCE: / / STM SEW
UTILITIES
ALL OTHER
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
i
Remar&s: STREET OPENING, TO INSTALL A CONCRETE SIDEWALK AND TO CLOSE AN EXISTING I
DRIVEWAY APPROACH. f
Permittee: ----------------- FEES ------ ----•----
JOHN SHONKWILER type amount by date recpt
4840 SW DOUGLAS WAY OPEN $ 48 .00 JSH 02/10/92 223081
LAKE OSWEGO OR
Phone #: (503) 624-0917
Engineer:
ENGINEER NOT ON FILE
$ 48.00 TOTAL
Phone #:
------- REQUIRED INSPECTIONS -------
Permittee/Agent Signature: ---STORM SEWER-- ------STREET-----
_ M.H. & C.B. CRB LINE r, 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 & PED CONT
P.O. Box 23397 M.H. & C.O. MONUMENTATION
Tigard, Oregon 9722.3 PIPE I.N & GRD STREFTLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
AIR & TV TEST
FOR INSPECTION, CONTACT: ----GRADING-----
Carl Vieweg #639-4171 (office) --.REPR' S/ADJ,S-- CONTOURS
#780-2647 (mob3 'e) DRAINAGE
----PATHWAYS----- EROSION CNTL.
APPLICATION -- STREET IMPRO" INTENT/EXCAVATION COPY TO:
Z (WHITE)•FILE
OR DI NAS..E NO, 74-14 ® (YELLOW)•INSP.
(INSTPUCTiUNS CN SEPARATE SHEET) (PINK)
NCV bldg.
E)APPL CANT
APPROVED Q9 APPLICATION NO.: —_5.13
NOT APPROVED ❑ f ITN' OF TIGARD, OREGON FEE. AMT.. S 48.00
PENDING FEE Pt•711`. ❑ CITY HALL, RECEIPT NO.: 92-223081
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BvJ.S.H.- _ - _ _ DATE / In /_ _ _ _ _ _c19r
PENDING AGENCY "OK'' ❑ Application and Progress Record
MAINTENANCE BOND
FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED -
PENDING INFORMATION ANNUAL Ij
PENDING VARIANCE ❑ EXPIRATION DATE: _ ----
PERMIT NO 4 (s�_& -��_� DATE ISSUED: --; �� 9Z-__ BY —_ -.
( 1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALI- .—Qoncc'et€-51jeWa land close-
_a driveway �;poach) __ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WI fH CITY REQUIREMENTS.
APPLICANT __2ZL)hn Shonkwiler _4.8_40 .SW Douglas Way Lake Oswego, OR $ 624-0917
NAME ADDRESS CITY PHONE-
CONTRACTOR_ Wickum Enterprises 53833 Columbia Rivery Hwv.. _Scappose OR X.70M -_ 4,3 141—_
NAME ADDRESS CITU PHONE
PLANS BY per City Standards
NAME- - ADDRESS �— CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S 1200.00
DOLLARS
FOR OFFICE USE. MIN
(2) EXCAVATION DATA: 0.04 x S_12M-_4Q-= s —18-90 - --
STREET _ Y DESCRIPTION PROGRESS & INSPECTION STATUS
NAME. SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY
STREET
OPENED
72nd Ave Conc. 1361 51 4" Concrete R TIO —
E
Q
ESTIMATED STREET OPENING DATE: / / - ET -- -- -
ESTIMATED STREET CLOSING DATE: _ / _ / — ED _
_ 1200.00 STREET
(3) SECURITY NO. SECURITY AMT. E __._ _' CLOSED _
SURETY SM REL # 9Z-tZ3ISZk 1 _2_-11-92 FINAL
FIED CHECKOND _- INSPEC_ � .
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT. 1. All work shall conform to City
Standards & Specifications._
Notify Carl I/iewegi City Inspector
z 1 , (635-4171) 24 tlrs. before starting.
3. ORS 757.541-.571 applies; re:
utilities pre].ocati.on etc.
S.W. 72nd Avenue
-r------- — — ---- - --- 4_Traffic control & pedestrian
control shall be provided for
I� by the contractor.
work area
l l I I I
5. Debris shall be removed from
I (13425 S.W. 72nd Ave. immediately.
I site
(SI NOTE THE 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 SECURITIZES, 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
_ _ 1Pt�lI� 1
APPLICANTS SIGNATURE 4 A) �� DATE I
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�5' MIN
I CURB JOINTSEE NOTE 5
IV I 1
ROAD ---
I
�'2" 0F 3/4"-0
(COMPACTED SUBGRADE
SIDEWALK ADJACENT TO CURB
R/W
6�
- 5 M I N ---
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ROAD
SEE NOTE5 1
I
2 OF 3/4"-0
COMPACTED SUBGRADE
SIDEWALK AWAY FROM CURB
COTES
I CONCRETE SHALL. BE 3000 PSI AT 28 DAYS 6 SACK AIX , SLUMP RANGE
OF 1 1/2 TO 3
2. PANELS TO BE 5 FEET LONG
3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES ,
UTILITY VAULTS ,WHEELCHAIR RAMPS , % AT SPACING NOT TO EXCEED 45 FT
4 FOR SIDEWALKS ADJACENT TO THE CURB 9 POURED AT THE SAME TIME AS THE
CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN I/2"RADIUS.
5 SIDEWALrI SHALL HAVE A MINIMUM THICKNESS OF 6 INCH,--'S IF MOUNTABLE
CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY .
OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES .
S. DRAIN SLOCKOUTS IN CURBS SHALL BF 'rTENOED TO BACK OF SIDEWALK WITH 3 DIA. PLASTIC
PIPE AT 2 % SLOPE CONTRACTION JOINT TO BE PLACE) O'!ER PIPE.
NM
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WASHINGTON COUNTY
DEPARTMENT OF LAND USE CONCRETE SIDEWALK
,r AND TRANSPORTATION
DATE -CIVIL ENGINEER DRAWN APWA NO. `MASH. COUNTY NO.
AFA_b B N0NE CS - 305
FA OCURS
O ° DRAINAGE BLOCKOUT
WIDTH OF STREET 3" I.D. PLASTIC PIPE
/ WITH COUPL'NG
FA
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ROAD 1°
�T—
MAX. tO
d
e
r
. .
I
BASE COURSE _
e
" 00
9
L FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE
CURB CS-300 SHALL BE USED.
2. CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 PS.I. AFTER 26 DAYS
EXPANSION JOINTS .
A. TO RE PROVIDED
1) AT EACH POINT OF TANGENCY OF THE CURB
2) AT EACH COLD JOINT .
3) AT EACH SIDE OF INLET STRUCTURES.
4) AT EACH END OF DRIVEWAYS .
3) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 FEET
B. MATERIAL TO BE PRE - MOLDED, ASPHALT IMPREGNATED, NON--EXTRUDING,
WITH A THICKNESS OF 1/2 INCH.
3. CONTRACTION JOINTS .
A SPACING TO BE NOT MORE THAN IS FEET
B. THE DEPTH OF THE JOINT SHALL BE AT LEAST 1 I/2 INCHES .
4. BASE ROCK -2"-0 OR 3/4"-0 , 96 % COMPACTION. BASE ROCK SHALL BE TO
SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH , WHICHEVER IS GREATER
b. DRAINAGE BLOCKOUT - 3" DIA. PLASTIC PIP
A. 1.D. PLASTIC PIPE WITH COUPLING.
B. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE COPE DRILLED OR CURB
SAW CUT VERTICALLY IB" EACH SIDE OF DRAIN 9 REPOURED TO FULL DEPTH OF CURB.
WASHINGTON COUNTY CURB NON — MOUNTABLE
`- g- DEPARTMENT OF LAND USE F
AND TRANSPORTATION OR USE ON MEDIANS
DATE CIVIL ENGINEER DRAWN APWA NO. WASH COUNTY Na
"_ a k' LV; 18 ( MOD.) Cs - 301
Crry OF `l'IGP.RD
E)TI NDIIURE RWJEST
"Adf; form is a multi-use form. Appropriate receipts must be attached. Documentation
important for all per. Staple documentation to form.
VENDOR NO. : 11--_ _— -- DATE: A-
PAYAB E TO: �'"`< • Jo1n v� S,nOV�VFW��EY RBQUL's'TID BY:
APPrrnred request e Wednesday
-, ��-� 10:00 AM to A P for checks
l'F4Z5 fe-W Z A.v� / by
Friday. —
MISCQLAND S E)T ND1:'ILII2L5: 1
Date Description, Invoice No., etc. Account No. Amount
_ 1�E-FV►•�D , o� 5Uz` ce o� issur g 10 -ZZ�C� $
sMt��
WrrAT, CIO
Mileage $0.255
�■dam
APPROPRIATION BAIANCF.: AS OF: -- SIGNAIURE:
(Up to $25.00) Section Manager. V Purch. Agent ----
($25.01-2,500.00) Division Manager($2,500.01-7,500.00) Dept.Dept. Head
($7,500.01-.15,000.00) city Admin_istratcr
($15,000.01- ?) rascal. Contract Revzew Board
150LF
Q.
CITY OF T I GARD '- RECEIPT OF DAYMENT RECFm'1 PT NO. .92
CHECK AMOUNT : 1200. 00
NAME C�HONIiWII_ER, JOHN CASH AMOUNT 0.
PAYMENT DfiTE c/1 1
.'IDDRESS t SUDDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE 01= PAYMENT AMOUNT PES I D
CUSTOMER REPO -- -- 1200- 00 -
i 4'/O 1 k , .a .7s- 4/y�'oo-
�
ourna
1 , 67 10 2,5 yyl v0s
40 0us �o�� Pr
PERMIT #46G-92
70'TAL AMOUNT, P,H I D - - - -> 1 00. 00
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oCSCRIP XON: �,Aa
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APPLICATION - STREET IMPRO " MEN'T/EXCAVATION COPY TO:
ORDINA, -ENO. 74-14 ( WFILE
(YEL,EL�GW)-)NSP.
(INSTRUCT'IONS ON SEPmRATE SHEET) (PINK)-OTHER AGENCY bldg.
(BLUE)-APPLICANT
APPROVED Q9 APPLICATION NO. 1 .
NOT APPRGVED ❑ CI I YO[ I IGARD, OREGON FEE AMT.: S 48.00 -
PENDIn'G FEE. P •I 1. rJ CI I'll, HALL RECEIPT NO.: 92-223081
PENDING SECURITY PUB[.IC WORKS DEPARTMENT BY _J.S.11• DATE 21 10 / 92_
PENDING AGENCY "r K" ❑ APPllcation and Pr)gTess Record —
MAINTENANCE BOND M
PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED - —
ANNUAL ❑
PENDING VARIANCE q ❑ EXPIRATION DATE:
1'
PERM ,
NO. tCi "_'17,_ _ , _ �s-------•wl...
- . D -ATE ISSUED. = I_- _L_ _ :-_ BY: _— •; JLl
h ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL Co,ic['etQ Sidewalk (dn�cl _
a drivewdy approach) _ AS DESCRIBED HEREIN, IN FULL ACCORIANCE WITH CITY REQUIREMENTS.
APPLICANT John Shonkwi Lec - 4840 SW Wuytaa Uay Lake O,gweyo, OR ;;_6_24-0917
NAME ADDRESS CITY PHONC
CONTRACTOR .__Wickum Enterprises 53833 Columbia Rivery Hwy. Sc,appose OR 97056 543-5101
NAME AVORESS CITY PHONE
PLANS BY __ per City Standards_
NARE- ADDRESS CITY _ PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 1200.00
DOLLARS
- --- --- ----__—_.---_ — -A r___--_—_—
FOR OFFICE USE• CMIN
(2)_EXCAVATION DATA: 0.04 x 51200.00 = s 48.00
STREET _ DESCRIPTION PROGRESS do INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM BI QUANTITY
STREF-T -
__ Q P I,N E U _
'72nd Aveconcrete IN TP C-
E -- — -
ONQ
ESTIMATED STREET OPENING DATE:.--_ E_�-.�. � —_ g
ESTIMATED STREET CLOSING DATE: �__- / `—_ E
1200.00 STREET
(3) SFCURI fY NO. _ _ SECURITY AMT: S -. CLOSED
SURETYWR �f 9 L-��31�Z, • -11- L_ FINAL
.3
ERTIFIED CHECK _�, FOND INSPEC
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDI ONS:
FEATURES: EXCAVATI011 LOCATION AND EXTENT. 1. All work shall conform to City
f Standards & Specifications.
1 I I
� I `� I 2. Notify Carl Vieweg City Inspectoc
I 1
1 I (639-4171) 24 hrs. before startin
- 3. ORS 757.541-.571 aWlies; re:
UAB - ' - - -- - - - - - - - - - - _
S.W. 72nd Avenue -
Utilities pcelocation etc.
-
r + -- - - - 4. Traffic cc»ltrol & pedestrian
control shall be provided fo(
by the contractor.
I work area
I I I 5. Debris shall be removed frml
Cr 1 (13425 S.W. 72nd RVI. ) I 1 site immediately.
(`J) NOTE THE CITY OF 1RD DOES NOT. HEREBY, GRANT PERMISSION fO APPLICANTS TO CONDUCT WORK WHERE'
RIGHT-OF-WAY JURIS 'I -TION IS THAT OF WASHIWGTON COUNTN OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT TPt REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE rltr AND
EIAPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE ):ATE --- /
1
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :92-223132
CHECK AMOUNT : 1200: 00
t1:r�ic S�=NKWILER. JOHN CASH AMOUNT 0. 00
PAYMENT DATE 0c/11/92
SUSDI .ISION
0�= _ •�"EtiT AMOUNT PAID DURPOSE OF PAYMENT AMOUNT FTAID
1200. 00
Jl?
'dl�-<4ipNlMa,o
�4
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lool
40NEY Mir AcocxjNT
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-+: i2 40 0l' l 4 4 0 2 1 ir 010 c6o P Q - 0 2��
i
CITY OF TICARD - RECEIPT OF PAYMENT RECEIPT NO. :92-x`2'3081
CHECK AMOUNT 411. 00
NOME : WICKUM ENTERPRISES CASH AMOUNT 0. 00
ADDRESS : 53833 COLUMBIA RIVER HWY PAYMENT" DATE 0'I`9 .
SCAPPOOSE, OR SUED M S I OIV
97056--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PUBLIC IMPROV 46. 011
i
f t)TAL AMOUNT PAID - - -; 48. 00
A'J;'t1b 3T+1��If1��k+1WniLU1ti,lb1J.. v:!wlµ.• •1,, ..;q�.1,...,., .. ,�.' .. .• �, ., ,
WICKUM ENTERPRISES FIRST INTERSTATE BANK OF OREGON 973
513-5101 OR 513-7378 ST. HELENS BRANCH
53833 COLUMBIA RIVER HWY. ST. HELENS, OR 97051
SCAPPOOSE. OR 87058 21-12.1230
�� - pA1E T CONTROL NO AMOUNT
PAY
TO THE
()imER OF
/ WARREN WICKUM
VIRGINIA E. WICKUM
-------------
1'10009 7 3611' 1: 1230001231: 170 00 10 5A 811' - --
s
APPL-ICATION --- STREET IMPRO`"-MENT/EXCAVATION COPY TO:
ORDINAL. .E NO. 74-14 ° p (YELLOW)FI NSP.
(INSTRUCTIONS ON SEPARATE SHEET) [I (PINK)-OTHER AGENCY
❑ (BLUE)-APPLICANT
APPROVED APPLICATION NO.:
NOT APPROVED C.I I Y OF"TIGARD, OREGON FEE AMT., S
PENDING FEE PMT. Cl CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY --- DATE— L /�-
PENDING AGENCY ''OK" ❑ Application and Progress Record MAINTENANCE BOND 0
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RE(JUiREU
ANNUAI_ C]
PENDING VARIANCE rI EXPIRATION DATE:
PERMIT NO DATE ISSUED - / � _ _ BY.
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_
__.. AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT �_ l r L�V�pn_
NAME ADDRESS / -CI*V T--- •NON
CONTRACTOR ' 1 C/1 �1�� .53 R�ADD3 _._S-sem^_
AI14 RESS V ,
PLANS BY _
NAM[------ -AODM ESS - -- CITY _ ----PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): Z -Z'
DOLLARf
(2) EXCAVATION DATA: FOR OFFICE USE MIN.
0.04 X S _- S
STREET _DESCRIPTION _ PROGRESS & INSPECTION STATUS
SURFACE -CUT CUT CUT MATERIAL INSTALLED
NAME_ TYPE_ LENGTH WIDTH DEPTH TEM A QUANTITY ITEM DATE REMARKS/TYPE BY
t( ST'REE7' ~
OPENED -
INSPEC-
R TION
U
ESTIMATED STREET OPENING DATE FS
ESTIMATED STREI<T CLOSING DATE. - / /-_ E
D
STREET
(3) SECURITY NO. SECURITY AMT.: S — _. CLOSEC.D _
SURETY CO.:
CERTIFIED CHECK CASH ;i ■OND INSPE -
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL s----Y� SPECIAL PROVISIONS CONDITI,.)NS
FEATURES, EXCAVATION LOCATION AND EXTENT.
It
I
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT Of %VASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIF-ICATIONS 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 __ DATE