16605 SW 72ND AVENUE FILE NO. ?yZ-bb
72ND AVENUE - 16605 STR. OPN. PERMIT
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John Hagman
City of Tigard
P.O. Box 23397
Tigard, OR 97223 '
RE: Permit. to Modify Access - SW 72nd
Regarding the pending referenced permit., the County requests that since
County forces will be performing the work, that the City consider a
waiver of fees and bonding for the permit.
Thankir�j you in advance for your consideration.
L ren D. Meinz, PE
Operations Engineer
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Department of Land Use And Transportation,Operations and Maintenance nivlslon
2470 Southeast River Road Hillsboro,Oregon 97123 Phone:503/881.7037
WASHINGTON
COUN'FY,
OREGON
July 7, 1986
City of Tigard
Engineering Department
P.O. Box 23397
Tigard, OR 97223
RE: Driveway Permit
Enclosed is a permit application for proposed construction wor'< on SW 72nd
Avenue, at the existing driveway into the Durham Quarry Site.
The existing driveway is 22 feet wide and the County proposes to widen it
to 36 feet to improve access for larger vehicles. The street is a curbed
street and therefore about 16 feet of curb will have to be remuved as part
of the construction. The existing driveway ramp is 5 feet wide and the
new ramp extension will be the same as the existing.
County crews will perform the actual construction involved, not a contractor.
Please forward the permit to mP when approved.
L ren D. Mainz, PC t •l:�pPrw•�! Cat, 10 , CL '�
Operations Engineer . �'M -=•---_--�--
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Department of Land Use And Transportation,Operations and Maintenance Jivielon
2470 Southeast River Road Hillabnro,Oregon 97123 Phone:503/681.7037
APPLICATION - STREET IMP R(' 'MENT/EXCAVATION COPY TO:
ORDINANCE NO. 74-14 WHITEWFILE
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h(BLUE)-APPLICANT G
APPROVED APPLICATION NO.: 2-7�
NOT APPROVED El CITY OF TIGARD, OREGON FEC AMT.: _ ._
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBL IC WORKS DEPARTMENT BY _ DATE_
PENDING AGENCY "OK'' ❑ Application and Progress Record _
MAINTENANCE BOND +II
PENDING INFORMATION 1-2 FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED --
ANNUAL
PENDING VARIA14CE ❑ EXPIRAT ONDAT 4E"IC _
PERMIT NO -� L-16 DATE ISSUED: LLn [_. ' BY ��" "
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALLWiVr ryuK +.M - -
AS DESCRIBEU HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT 04%LtD•-_MOr. QF.Ru&+5: v y Z4_70 6:E R►dE� RD,, I1.1_��tl�_ 971 Z _
NAME ADDRESS CITY- �" O14E
CONTRACTOR 5SME, _ kel - 03'7
N AML ADDRESS CITU—'---..----- PON 4E SLI
PLANS BY _ ___
NAM` ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): s
DOLLARS
(2) EXCAVATION DATA: FOR OFFICE USS: - - - MIN
o.m 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
Sw _ Wl STREET
P N _
APP `H R TIION
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ESTIMATED STREET OPENING DATE:-!t E
S
ESTIMATED STREET CLOSING DATE: / / T
E
(3) SECURITY NO. _._ SECURITY AMT STREE'r CLOSED
SURETY CO. _ FINAL
EI+1 EDCMtcK LASH foND INSPEC. L�� /c Imo„
(4) PLOT PLAN' INDICATE SITE PERTINENT PHYSICAI. SPECIAL PROVISIONS/CONDITIONS
FEATURES: EXCAVATION LOCATION AND EfTENT.
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(5) NOTE T"L CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORfC—WHERE
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITCES. TO COMPLY WITH ALL PERTINENT LAWS ANn
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR OPMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE DATE
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