Loading...
12256 SW 135TH AVENUE FILE NO. 312A4 0 135th AVENUE - 12256 SIR. OPN. PERMIT CITY OF 1'.IGAP.II IXPENDIU RE RI]QUEST 'This form is a multi-use form. Appropriate receipts must be attached. Documentation is inWr•ant for all purTxres. Staple doamnentation to form. VLNDOR NO.. — -- 1I DATE. --'-3 — PAYI�RTs r 1te evv%e �rx� �A RPWESI'E7) BY" - 1"Zz� �mer �A�rc ©recap all ZZ3 __^ * Approved req a Wednesday 10:00 AM to A/P for checks by F1-id Y. MISQ,iANDOUS EXPENDITURES: Date Description, Invoice No., etc. Account No. Amount cF tJ'b $ c-o�LA"r -Zz000 0 ,-' O-rM 44- 90-z.D+019 'It7L'AL O° $ `o•_.. Mileage $0.255 APPROPRIATION BALANCE: -- --- AS OF: SIGMA`1JRE: `--- (Up to $25.00) Section Manager T_ _ Pain). Agent (;22;..)1-2,500.00) Division Manager($2,500.01--7,500.00) f)ept. head ($7,500.01-15,000.110) City Ariministrator ($15,000.01- ?) Local Cmtiact Review Board )ke/1501F ... ....., __..,._..---'---•....�,a�°�r'!'r'ITf m•T7�gA1R^r. ,.._... - ,._..�....._r!•pT-.5...r-^r--•n-•�ner�rnv��"r;�TT11$ti' _.. .. . t,rrL1CA.TION - STREET IMPRO' 'MENT/EXCAVATION �CO�Y TO: ILE ORDINAL% E NO 74-14 (YELLOW) • -IN (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) (FINK)-OTHER AGENCY (BLUE)-APPLICANT APPROVED . APPLICATION NO.: 4I N01 APPROVEDCITYOF IIGARD, OREGON Lt J FEC AMT.: f "7-. PCNDING FEE. PMT. ❑ CITY HALL RECEIPT NO.: ___ClP__ Zb 7-404S PENDING SECURITY PUBLIC WORKS DEPARTMENT BY _—�.ti=_ DATE 7 / PENDING AGENCY "OK'' ❑ Appli(ation and Progress Record I r MAINTENANCE BON,(��(t_ ___,_� PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RE(jUIRE1) ANNUAL PENDING VARIANCE EXPIRATION DATE. PERMIT NO, -�7 Z _9 DATE ISSUED: L�+�—L� BY. ( 1) APYLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL -��"'1- -�'< •`��< '_—_„ -^'�___ LC� _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. j v 04 1 AZ creEMct� APPLICANT _.j /_ ___ ?r- NAME ADDRESS CI-` PHONE CONTRACTOR -s�';''"1-1 _ -, N ME ADDRESS CITU PHONE PLANS BY _ s ME ADDRESS _.� CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 1c DOLLARS ---_�. (2) EXCAVATION DATA: FOR OFFICE USE: 0.04 x s S'rREET I � DESCRIPTION PROGRESS & INSPECTION STATUS NAME `-UR'ACE CUT' CUT CUT MATERIAL INSTALLED IT DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM !� Q_UAPITITY STREET' P N -� - R TION U E � ESTIMATED STREET OPENING DATE: u 1 y. / / l r g 7 EST!MATED STREET CLOSING DATE: _ / �7 `/CJ E STREET (3) SECURITY _ SECURITY AMT: S _ /OO, CLOSED SURETY CO.... _ '^FINAL .3 -q I ""It IEDCHEc CASH - - •OND INSPEC. O� — (4) PLOT PLAN: INDICATE SITE PERTINENT I'HYSICAL v ^SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. /7 T i � e1 d 1 1 1 5110 (5) NOTE THi' TY OF TIGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-( JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE r ANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS vN'�' COI ION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK AND TO SAVE HARMLES° THE CITY AI.O EMP_ j' _•:S AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICAN'rS ACTIONS. APPLICANTS SIGNATURE DATE-4 i. APPLICATION - STREET IMPRO! '-MENT/EXCAVATION COPY TO: ORDINA`,..'E NO. 74-14 (WHITEWFILE (YELLOW)•INSP. (INSTRUCTIONS ON SEPARATE SHC T) (PINK)-OTHER AGENCY lilb(BLUE)-APPLICANT APPROVED ) APPLICATION NO.: _ +1 _7 NOT APPROVED Ll CI I l OF I IGARD, OREGON dd 9, U FEE AMT.: f q^ A. PENDING FEE. PMT. [� CI IY HALL RECEIPT O.- ZLSL4O8 PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY � DATE 7 / /- /20 PENDING AGENCY ''OK" ❑ Application and Progress Record MAINTENANCE BOry_� PENDING INFORMATION ❑ M _ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ANNUAL PENDING VARIANCE ❑ EKPIRATION DATE: PERMIT NO.: __ 321-10 DATE ISSUED: _ L�1��� _ BY: _ �"- — (1) AP LICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL -- O AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. Ov2 ' I��f-�Mf� APPLICANT 4..j In CI* jLeLcty 22. 1-1 1-.4-1 T� � NAM[ ADOR[S CITU PHONE CONTRACTOR -f'�"/E _ N MF AOOR –� CITY ---- -- - _ -PHONE PLANS BY J_ :� CITY �--_'..___►F1Dj$— ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S DOLLARS --- =OR OFFICE Ua TwN ^��,��+ 'MIN (2) EXCAVATION DATA: F0.04 X f STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATE RIP4L INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH IT K a QUANTITY STREET - R E Q _ U _ ESTIMATED STREET OPENING DATE: Y �_-9 / r% f0 E c S ESTIMATED STREET CLOSING DATE: —1 t Y Zf / ��L�— g -- =_= —�� - -•- � _ _ D 1 I ev (3) SECURITY NO. SECURITYAMT.: i _ /DOS cTioeF SURETY CO.: _ _ _ FINAL / f_F.RII FIEO CH[C CASH)K •OND INSPEC. 3�0 l) Q1�• u/ �1'�/ � "-v -_ (4( PLOT PLAN: INDICATE SITE PERTINE T PHYSICAL _ SPECIAL PROVISIONS/CO DITIONS: _ FEATURES; EXCAVATION LOCATION AND EXTENT. I I SI to (% 1 --1Z?5L sw 'URS - ' — — — _ _ _ — — • I _ _ -- I I I I 1 I I 1 (5) NOTE THE CITY OF TIGARD DOES NO' HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF WA, JURISDICTION IS TNA'. OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE DATE 761610 / / �.1.,oo rE il tit c ,Ar 7 it 11 CpTC I-I ��iJl� Q �t/ftJ C /i :••t H .t.j J STD.?M S T.L,p I9100 2SI -4A$ .OR CURB PLACEMENT SEE DWG, 6 _ 6„ NO. CS-304 AND NO. D—IC14 \ 2'—3 3/8" —t EXISTING PIPE MIN MIN A is USE OVERil7E FRAME AND GRATE \ M;0 EXIST. GRATE LOCATION INSTALL 3/8"x 4" DOWELLS AT 6"O.C. B I B REMOVE CORNER !— 0 EXISTINGcc FRAM[ AND GRATE w� � SEE DETAILS D-107 S D-108 SECTION A - A EXISTING DITCH INLET RAISED TO MAKE PLAN VIEW _QVER51ZE CATCH BASIN DITCH__ 1 I BOTTOM I cr LL I I I � �J F R 0 N T ' EXISTING ELEVATION B - B E 'ISTTING ELEVATION A - A CONCRETE TO BE 3000 PS.I.— 28 DAYS-6 SACK MIX WASHINGTON COUNTY Ot��-- %DEPARTMENT OF LAND USE RAISED AREA O R A I N AND TRANSPORTATION t DATE CIVIL ENGINEER DRAWN APWA NO. WARK COUNTY NQ UL-!l.!►k- � _. _ AEA 6:85 NONE 0 -- 106 NOTES I. 3/4r PREFORMED JOINT FILLER MATERIAL TO BE USED AS SPECIFIED BY ENGINEER ONLY IN CONC. PAVEMENT OR GUTTER, AND TO EXTEND THROUGH THICKNESS OF CONCRETE. 2. CONST. CATC'i BASIN PER DETAIL, BUT WITH DIMENSION W' 710 ACC )MMOOATE LARGEST PIPE DIA. SPECIFIED, 3. CONCRETE SHALL ATTAIN A MINIMUM COMPRESSIVE STRENGTH OF 3000 P.S.I. IN 28 DAYS. 4. IF APPROVED BY ENGINEER, WALLS MAY BE POURED AGAINST UNDISTURBED EARTH, EXCEPT FOR THE TOP 8', WHICH SHALL BE FORMED. S. BACKFILL SHALL BE COMPACTED TO 95% DENSITY THROUGHOUT. 6 OVERSIZE CATCH BASINS I STEPS ARE REOUIREC FOR DEPTH GREATER THAN 4 FEET. INSTALL 2 FT. FROM TOP TO WITHIN 1 FT, OF 3OTTOM. Iy�TYPICAL OR AS SECIFIED BY ENGINEER SLOPE OF PAVEMENT SEE DRAWING 40. CS-304. TT 0 ti w a BOTTOM OF SUBBASE FOR CURB PLACEEMENT SEE DWG. --k- __--2 - U NO. CS-304 a DWG. NO, D- 104. W C+`MIN. X 7[ T141S PIPE DIAMETER DETCRMINES ■ W'- SEE TABLE BELOW. 1O 27■MAX. SEE DRAWING NO. D-100 FOR PLAN 9 SECTION A-A . �! Y P E * W DIA.-PIPE STANDARD I,- 1 le- le s■ W — 8. I OVERSIZE eel-ii/47- SECTION e-3 3/8 7SECTION B—B FOR GRATE TYPE SEE DWG NO. D-103 REQUIRES TWO GRATES. SEE DRAWING NO. D-102, W..STANDARD* S ■OVERSIZE■ ARE WASHINGTON CO DESIGNATIONS. WASHINGTON COUNTY DEPARTMENT OF LAND USE CATCH BASIN ALSO SEE AND TRANSPORTATION DWG. NO. D-100 \'J a DWG. NO. D-104 DATE. CIVIL ENGINEEERS DRAWN APWA NO. WASH, COUNTY NO. !/-17,z&- -_ " xis b aS 1-13 ( MOD. ) D -- 101 - 67 W. - II � � ' I I _ 2 1/2" X 1/2oIL '— S0. EDGE FIAT BAR V N TYR �3--X_2 1/2_X fid'L — 3/1I PLAN. 1 T 1rP •_��_�� I —J 2�2 I/4 X3/8"X 3" BULL SECTION A-A .................... - T'+—PE DIA. PIPE W. I.W. STA 14DARD 10'x-12" I'- 3 I/4' I'- 17/8" 1 OVERSIZE IS"IS"-2T"�� 2'- 4 3/4" 2'- 3 3/8" REQUIRES TWO ORATES i STANDARD a OVERSIZE ARE WASH. CO. DESIGNATIONS WASHINt 47(', N COUNTY DEPARTMENT OF LAND USE FRAM E AND TRANSPORTATION DATE PML ENGINEER DRAWN APWA NO. WASK COUNTY Na I-C ( MOD.) D- 102 Oki t._ r .w�• ,ytt•::'+.,+,;� .ririt.l:u' y+iri.C. ''riu's�'`"�ais'�'•+ui toyt�.,ti..y,:.:iiJ'•...'s,.',.aia1 '~'', t.. ,�.^, �'''v � C. •,,, e,,ttt,t;, r�; It t. ff i,f�(s't• t�,'� ,tit• �' �. .. .. .. .. I .". ,,yhfitttlE•��tty� E. it_ Ott :, � � �- =r � ►— � — ,:+•.il;' CL I Z L t r t E• r-t W H t, u w u-t al W 2 rI c1 i �+ U 0 CL Qt i f w £ L ' Icr•.ba..w.fr..era..�.ar�.r.:s....r.w.� `L u. .^ I ___ � t LL LY .. LL CL. LL 0 L t1 H 41 h Q) LI � l]. 0 ►� wCL UJ cr tl l l 1 :J fi ti CL .i_ I Cl J IL cv i[ b7 ►y W t ' P a `y ,, LL til 0 h_ LJ CLCL 0 CL LUz G' T W C I .. LL I Cl w l u i.a u LJ j LJ t:_ i_. lit Lt.: u. CL F- tL 11 L L: CL t Ct t L F— L t� r1 a t: i