14915 SW 72ND AVENUE 0
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SIDEWALK PLAN.
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FOR
A&B HEATING '
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-rrtE�•�wIr4 lTC►M I ��OV� _• CHl:ClCED BY C ' .� ` ' Festloke
7145 S. W. 'Vorns Rd. PLANNING
i qord, Oregon 97 Q3 SURVEY.NG
04Ta F-O X1`7, REVISIONS
EN��INEERING
T �t '�� • 503-684-0652
ST . 0�'Tv . iv
PERMIT y.. . 227-- � ,� JOB NO. .�,C J.J. C '
BRUNING 4G-105
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a.
FILE NO.
72ND AVE. - 14915 STR. OPN. PERMIT
Cl' 'OF TIFARU
C�
EXPENDITURE REIMBURSEMENT REQUEST
This form is a multi-use form. Where appropriate receipts must be attaci -d.
Documentation is important for all purposes. Staple documentation to form.
VENDOR NO: DATE:
PAYABLE TO: ^ ��o 17. e yj. Requested by:
6'1? a« F [ cI,1 ..A�
— I4915 S,t.v, 7z"— I'avG �d�I -,ci1z23
r,
......................P.....................................................
MISCELLANEOUS (parking, books, subscriptions, dues, memberships, etc. ) :
Date Descri tion Account No. Amount
Z Z I-S!T 0-ZZO
....................................r..n............................... ......c
GENERAL MEAL EXPENSE:
Date Description Amount
Account Number to be charged :y` _ Total
c............n............ ...............................
MILEAGE :
Date )escripti.on: ( Include end/start readings and total miles) Amok-int
Account Numb _ Total_ __ miles x . 20
.w............................................................................■
APPROPR[ATiON BALANCE: AS OF': _ Signature_ _
APPROVAL:. ( if $25.00 or under may be re imhe,rsed throug`i petty cash) :
(up to $50U.OU)Section Manager Purch. Agent _
( 000.01-$5,90(1 nn)Gept . Nead/Purch. Agent
Dial _
A & B Heating and
Air Conditioning
14915 5 W 72nd
Portland,Oregon 97223
Dal(503)684-3355
Lir, No 31339
May 20. 1986
City of Tigard
Engineering Division
P.O. Box 23397
Tigard, OR 97223
Dear John:
Please consider this letter a request for final inspection of the sidewalk
at: 14915 S.W. 72nd Av. , Tigard, OR. When the inspection is complete,
please release the funds hel as a completion bond. please send check to:
Project 72 PartnQrship at the same address as above.
Thank you.
v
FEA/ja
I
lcov
is .-e— aG -.:i v1S�
r
APPLICATION -- STREET IMPR :MENT/EXCAVATION COPY TO:
ORDINANCE NO 74-14 ) (WHITE)-FILE
(YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY BLDG
(BLUE)-APPLICANT
APPROVED me APPLICATICN NO.: 256
NOT APPROVED CITY OF TIGARD, OREGON FEE AMT.. f $24&Q
13
`
PENDING FEE PMT. 13CI I Y II.NI.I. RECEIP �4"4
PENDING SECURITY Q PUBLIC WOFi KS DEPARTMENT BY__-0- DATE— /Z�.L . z-- l c4S�
PENDING AGENCY ' r K" C] Application and Progress Record -
MAINTENANCE
PENDING INFORMATION Q FOR STREET IMPROVEMIIENT/EXCAVATION A% RF:UUIReU A
ANNUAL
PENDING VARIANCE ) � EXPIRATION DATE. ____._one year
17-1227-85 7_ _/_85__-
85 John Ha -
PERMIT NO DATE ISSUED---771___1_ ___ 8y: gman._
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL Concrete sidewalkto cit y
standards AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT A & B Heating & Air Conditioning 14915 SW 72nd Tigard OR 97223 �t�4-SSSS
NAME A1J[1RESS ----"_� CITY-- -- -- - PHONE
CONTRACTOR
NAME
PLANS BY Westlake Consultants/ I..c. 7145 SW Varns Rd. Tigard OR 684-0652
NAME ADDRESS CITY
ESTIMATED IMPROVEMENT TOTAL. VALUATION ( COST): S 600.00
(2) EXCAVATION DATA. roR OFFICE�USE MIN.
_ 0.04 x f__X1111.(]f) __ - f _24_0U
STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS_
REMAR
NAME SURFACE CUT CUT CE. KS/TYPE BY-
^� TYPE UT MATERIAL INSTALLED ITEM DAT
LENGTH WIDTH DEPTH ITEM A QUANTITY
--
STREET
QPENIED
/2nd AVC. 6/0 ft R TIO -
R 'TION
m/1. m/1 r
Q
ESTIMATED ST-BEET OPENING DATE. / / E
ESTIMATED STREET CLOSING DATE: - / / T -
E
SECURITY NO. SECURITY AMT.' Z _ STREET
-bDO.QQ__. CLOSED
SURETY CO _
FINAL
--- --- BOND C INSPEC.
(4) PLOT PLAN INDICATE SIYE PERTINENT FHYSICAL SPECIAL PROVISIONS /CONDITIONS'
FEATURES; EXCAVATION LOCATION AND EXTENT. All Work Shall conform to City
standards. v
1 1 1 I _S�d1� ky lnspector(639-4111) ,
-44w] pr�jjr to yopyrotp, ifir-
1 I 1
CURB - ' �� _ -- _ - _ - - _ _ _ �� form inspection.
(SEE ATTACHED PLAN)
1 ( I 1 1
I 1 1 1
IS) NOTE THIL CITY OF TIr.ARD 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 -AVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICAN 'S ACTIONS
I
APPLICANTS SIGNATURE
DATE / 1 /
PLEASE TAKE THIS TO THE CASHIER FOR A RECEIPT
NAM: L A'? ,'7 �- k _ DATE:
6. HcAvv-�t,
ACCT. d� DUVWPTIO N _ AMOUNT
10-220 _ Ratundable Performance Bond Deposit s
10-435 Sign Flermits FLOP TU s
10-436 Public: Sewer Plan Check/Inspection F,e s
10-436 Public Storm Plan Check/In3pection Fee s
10-436 Street Dedication/Public Improvement Fee. s
10-436 Street Opening Permit 2 4 0 0
10--437 Subd;rision Applications:
S MLP $
10-•440 Zoning Applications:
ZC CPA ZOA PD SDR Misc
SCE CU _ SLPy $
21-442 Street Light Fee $
10-451 Document Sales:
Engrg. Planning _ Bldq, s
10--451 _ Street and Traffic Signs $
TOTAL s
(o Z4,
(1045P)
CITY OF TIOA RD N o. 9144
12755 S.W.ASH
P.O.BOX 23397 Date it ��'
TIGARD,OR 97223
Name _
Address
Lot
Block/Map Subdvi i n/Addr ss/ ,,, ,-�A
Permit�'S , Bldg. Plumb Cash ChT eck
Sewer Other Other Rec. S
Acct. No. Description Amount
10.432 Building Permit Fees
10.431.600 Plumbing Permit Fees
10-431.601 Mechanical Permit Fees
10-230.501 _State Bldg. Tax __-
10-433 Plans Check Fee
30.443 Sewer Connection
30-444 Sewer Inspection
541-448 Stroet Syst. Dev. Charge 1
52.449.610 Parks I Syst. Dev. Charge
52.449-620 _Parks II Syst. Dev. Char
31.450 Storm Drainage Syst. Dev. Charge
10.430 Business Tax _
10.434 Alarm Permit
10-227 Bail
10.455• Fines-Traffic/MisdlParking
10.230- CPTA TrafficlMisdlVic. Asst. _
10 456 Indigent Defense
30 122 401 ,ewer ServicelUSA
;,k0'122.402 SeNer Service/City 30% _
;10-123 Sewer SevicelCily Maint. _
30-1?5 Unmatched
31-124 Storm Drainage _
40-479- Bancroft Prin. FML
y
FD
*k -4:9
ACCO NTING
A�
PROJECT 72 PARTNERSHIP 1183
12085 SW 135TH 894-3355
PORTLAND, OREGON 97223 /rte
��5� X036
PAY EA THE L ��/L �j�L�� s �r,3' 70
� ORDER OF/�•-
(KX LAR5
71prd Brm h
unktd stags NU10al Bank
of ae P O. 2710 ,
Tlprd,UK 97M
j R1 P 4rinn P ani' n i r. n in 7 5 S LII' L Lg 3
Westlake Cogsultonts Inc.
7145 SILI. Vorns Rd.
iigord, Oregon 97223
��1 e 503-684-0652
Nov. 26, 1985 Q `�
Le
John Hagman 1985
City of Tigard CITY OF T/GARD
12755 G.W. Ash
Tigard, OR 57223
Re: A&B Heating and Air Conditioning
Project No. 271-01-85
Dear John:
Our estimated cost for the construction of the sidewalks for the
above mentioned project is $600.00
The person most likely to be Lak!nq out the permit :For the
construction of the sidewalks is:
Frank As^man
A&H Heatine and Air Conditioning
14915 S.W. 72nd Ave.
Tigard, OR 97223
If you have any questions, please feel free to call me.
Since ely
Ran y Clszewski, P.E.
Project Man-lger
RO/ah
— _ _. F_NGINEERING i SURVEYING / PLANNING
WESTLAKE CONSULTAF 'o, INC.
7145 S.W. Varns Ro.
TIGARD. OREGON 97223
DATE
0 N
Phone 684-0652 ATTENTI .
RF
TO -OE-ii
WE ARE SENDING YOU 5(Attached LJ Under separate cover vie the following items:
t I Shop drawings )o( Prints C Plans Cl Samples I-1 Specifications
Copy of letter El Change order F I
COPIES DA TE NO.
DL9CRIP7I0N
THESE ARE TRANSMITTED as checked below;
>kFr)r approval 0 Approved as submitted 0 Resubmlt---_(-.r)[)ies for approval
xFor your use El Approved as noted 0 Submit_ copies for distribution
)(As requested 0 Returned for corrections 0 Retum—corrected prints
L! For review and comment
El FOR BIDS DUE— 19 I I PRINrS RETURNED AFTER LOAN TO US
REMARKS.—__-
V'\
6 Sol syr
4P Via
—
Y\ -------
COPY TO
SIGNED:
ON*M LX If of closures or-
-lot as notv, kindly notify its at o ce
C.0111
October 24, 1985
ATTENTION: Mr. Randy Olszewski
Westlake Consultants, Inc.
7145 SW Varns Rd.
Tigard, OR 97223
RE: A & B Heating Co. Jidewalk
Dear R;indy:
Attached please find on,, set(s) of public improvement construction plans;
said plan(s) having been provided to the City for preliminary review.
Our comments are noted thereon. Please make all necessary revision(s) and,
then, submit five(5) to this office to commence the "formal" circulation
and final review process.
Very truly, /
, ohn S. Hagmd'n
Engineering Technician
c.:: file
WESTLAKE CONSULTAf , INC. f� El`� Tr. �� � k RDu�Q�
7145 S.W. Varns Rd.
TIGARD, OREGON 97223
DATF JOB NO,
10 17L85_�271-01-85 _
Phone 6G4.0652 ATTENTION
John Hagman
RE
rl City _Qif T_i_q x.d-,..._. ____-_—_ _.-- —A.1GR Heating __—�----__
WF ARE SENDING YOU ® Attached F, Under separate cover via -_- —- _- the following items:
I Shop drawings �j Prints (1 Plans C] Samples L. P,)ec l,cations
L-1 Copy of letter IJ Change order
�;OPIES DATE NO. DESCRIPTION
-- ---- -- -. __
5 10/16 Sldewalk plan for A&B Heatin
r
LAI
$44
THESE ARE TRANSMITTED as the;ked below:
X1 For approval 11 Approved as submitted ❑ Resubmit--copies for approval
]U For your use I ; Approved as noted ❑ Submit copies for distribution
— JU As requested ❑ Returned for co 'actions ❑ Return corrected prints
r For review and comment I-I
0 FOR BIDS DUE _ _ 19 L1 PRINTS RETURNED AFTER LOAN TO US
REMARKS---
...
COPY TO --- — - ----•- - - _—_—�.__.—,� , f__.__,1_.. _—.— _ —..
SIGNED:
AMM 130 ice'k.�No lure 11•nelofuraa are not as noted, Alndly notify us at �.
1