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14362 SW 134TH DRIVE FILE NO. 515-92 134th DRIVE - 14362 ZT° nPN PERMIT ....,,LA.waet +Mty°+"`rM'rW Wy(1tiK�tbli'.'xN8f811+EV4 i ENGINEERING PERMIT PERMIT #. . . . . . . : ENG92-0062 DATE ISSUED: 09/04/92 By. PRIM. PERMIT #. : ENG92-0062 SITE ADDRESS. . . : 14362 SW 134TH DR PARCEL: 2S109AB-04400 SUBDIVISION. . . . : THREE MOUNTAIN ESTATES ZONING: R-7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :37 -----------------------------------------•---- PERMIT 'TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE AGREEMEN': DATE: / / GRAD;EROS ASSURANCE, EXPIRATION--- STREET PERFORMANCE: / / SAN SEW MAINTENANCE: / / STri SEW UTILITIES ALI, OTHER TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Remarks: STREET OPENING, TO INSTALL CONCRETE SIDEWALK AND A DRIVEWAY APRON. Permittee: ----•------------ FEES -------•------- DAVID FLEMMING type amount by date recpt RT.3, BOX 538 OPEN $ 52 .00 JSH 09/04/92. 231355 HILLSBORO OR 971.24 Phone #: (503) 647-.!813 Engineer: $ 52.00 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 & PED CONT P.O. Box 23397 M.H . & C.O. MONUMENTATION 'Tiga- i, Oregon 97223 PIPE LN & GRD STREETLIGHTING Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP AIR & TV TEST FOR INSPECTION, CONTACT: ----GRADING----- Carl Viewe; #6:19-4171 (office) --REPR' S/ADI, S-- CONTOURS #7c10-2647 (mobile) DRAINAGE ----PATHWAYS- -- EROSION CNTL. APPLICATION -- STREET IMPRv "MENT/EXCAVATICIN COPY TO: URDIN A .ENO. 74-14 ® (WHITE)•FILE (YELLOW)-INSP. 1 (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY—blCaCj. �� (BLUE)-APPLICANT APPROVED X APPLICATION NO.: SU NOT APPROVED Ll CITY OF TIGARD, OREGON FEE AMT., S 52.00M �— PENDING FEE. PMT. ❑ CITY HALL RECEIPT q I• -7-1135S_ FENDING SECURITY [� PUBLIC WORKS DEPARTMENT BY -- �J/� PENDING AGENCY "OK" ❑ application and Progress Record MAINTENANCE BOND FOR STREET IMPROVEMENT/EXCAVATION As RE OUl"ED PENDING INFORMATION ANNUAL ❑ PENDING VARIANCE ❑ EXPIRATION DATE'- PERMIT NO.: DATE ISSUED: __�1 1 '7I ,3Y _- (1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ _CONCRET _ DRIVEWAY APRON ANDSIDEWALK AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIRLMENTS. APPLICANT David Flemni�Rt. 3 Box 538 Hillsboro, OR 97124 # 647-2813 NAME -- - ADDRESS CITY- ----- CITY PHONE CONTRACTOR__=SA4E NAME ADDRESS CITY PMON6 PLANS BY _ ____Let City Standards NAME ADDRESS CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ -1399-00 DOLLARS FOR OFFICE 113E. MIN. (2) EXCAVATION DATA: 0.04 x S _ s_52...00 STREET _ DESCRIPTION _ PROGRESS & INSPECTION STATUS NAME SURFACE I"UT CUT CUT MATrRIAL INSr'ALLED IT'::M DATE REMARKS/TYPE BY TYPPELENGTH WIDTH DEPTH _I*1EM Q QUANTITY STREET _ r'P 'N 134th Pr.i e - SL-:? ttach T _ R SP U ESTIMATED STREET OPENING DATE. _ / / S E,';TIMATED STREET CLOSING DATE. E D _ (3) SECURITY NO. _ _ SECURITY AMTSTREET .: S _ J '00.00 CI OSE FINAL SURETY CO.: _U- -_ > I --- INSPEc. 3t..lU[Xa • k .cH CASH U oOND '. (4) 'LOT PLAN: INDICATE SITE PER T INENT PHYSICAL r SPECIAL. PROVISIONS / CONDITIONS. FEATURES: EXCAVATION LOCATION AND EXTENT. 1. Notify Ci v Insp gctoc C�1 Viewed 639-�I171 24 hrs. before_ )1 X X SITE: —starting work. j X 1.4:62 SW 134th Ur. a 1,( 2. All work shall conform to City -•W►' X - 1 Standard & Specifications. _ 3. ORS 757.541-.571 (Utility Co. 134 th DRIVE r- — - --- - - \' prenotification, etc.) applies. t4 I I ( I 1 (5) NOTE THE CITY OF TIC�ARD DOES NOT, HEREBY, GRANT`PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURIC-DICTION 15 THAT OF WASHINGTON COUNTY OR T'HE STATE OF OREGON. THE APPLICANT AGPrEES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND l'.i HARMLESS THE rITY AND EMPLOYEES AGAINST I%NY IIIJU'TY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ArTIONS w ir j_ Ci 4P P L I C A N 1 S S 1 GNAT UR E ` �� DATE ?0.4900 5000 N 43 w 0 28 , 3403 700 p b /.99 AC tpW '� WN 0_21 101.41 ^ t, 7 ., 00.60 � 27 _N• I �* 4800 5100 ` 3600`~ v 23-74 V ! O 1,. 29 111. m (cs N 4 I N 44 � N be„7 N MAP W �:� 102.1T✓ ZT L N 9BA9 3800 y 102.(3 5200 ''�•, ; 3700 g�fd. E o. 4700 m� 45 `�� 0 31 0 :. A�pVNEW c9'' 40'j �'�' ° 'M IJT'he9�•4 � . 2500 tv yb.2e ✓/ ! b1.0e 19.14 g 1 ° .ti 5300 o e x600` 1 m 46 L m, 1&ALPINIEV� ` 104.0 o I ! „ '� 39`� � 'O t� ee.*0 5019 2400 , 6.79 �. $4 800 o �-'` 4#0 2.06?.06 dC. 7 Io1.92 Sapp !, 32 s 450o M O o e,lb INITIAL PT, C N- a7 2 ''• O 116.97 (c5 C, 90.2 �i• 38 g 4000 2300 109_21 6 1v_+.79 5500 in 33 �.. 6.2e 4400 48 ty 121.39 -- eo.eo w0,37 4100 2200 G it \�j r^ 4300 n eU• 679 140,37 O ift oa 36 � 4200 2.100 e, e c e �eo sn 35 in - A P. 15t.73 q.' 2000 a 1, ,, 0 in \ \e' 3 19 0 0 0 ?� _ — 0 6 x43.; -- —, 1 1700 12 It \ 2 a plip a 94 AC . \ \ eoe ; 1800 1600 It 86 AC. It ` pf e t I r \ lN in �.:•, \ , N 20 N n ICS 10,8 eq •1 •p1 69AG. \i4 `I) Lljr o y, N R/W -�-5' MIN.----'�. f CURB JOINT SEE NOTE 5 -a- ?% ROAD e e • I=II - "�2 OF 3/4"-0 COMPACTED SUBGRADE SIDEWALK ADJACENT TO CURB R/W S MIN. 6• i i ROAD II ISEE NOTE 5 _ I 2" OF 3/4"-0 COMPACTED SUBGRAUE SIDEWPiLK AWAY FROM CURB NOTES : I. CONCRETE SHALL BE 3000 PSI. AT 28 DAYS , 6 SACK MIX , SLUMP RANGE OF I I/7- TO 3 2. PANELS TO BE 3 FEET LONG 3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES , UTILITY VAULTS ,WHEELCHAIR RAMPS , 9 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 BF A TROWELED JOINT WITH A MIN. 1/2"RADILIS. 5 SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY . OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES . 6. DRAIN BLOCKOUTS IN CURBS SHALL BE EXTENDED TO BACK OF SIDEWALK WITH 3"DIA. PLASTIC PIPE AT 2 % SLOPE CONTRACTION JOINT TO BE PLACED OVER PIPE. WASHINGTON COUNTY DEPARTMENT OF LAND USE CONCRETE SIDEWALK AND TRANSPORTATION DATE CIVIL ENGINEER DRAWN APWA NO. WASK COUNTY NO. 17,(� �,./���•�-_ A 69'3 NONE CS 305 3Q" -- "E 0" MAX_ _!2' - 0" MIN. DRIVEWAY R/W LINE ___Tw -CONTRACTION JOINT 6 OPTIONAL SIDEWALK LOCATION (SIDEWALK EXPANSION JOINT B EXPANSION JOINT �+ CURB JOINT ,I S A �Jn► 3 '0 6 '0MIN. -0" MAX. 6'- 0" MIN. - 0' MAX. 3 ' 0- SIDEWALK ADJACENT 'P'0 CURB FACE OF CURB - SIDEWALK AWAY FROM CURB PLAN 1 I/2" EXPOSURE USE EXISTING EXPANSION ELEVATION S—B JOINT OR SAND PLACE: CC LD JOINT. SEE OWG. NO. CS-306. STREET — 6' T' COMPACTED SUBGRADE ��. 2" OF 3/4" MINUS SECTION A-A NOTES I. CONCRETE SHALL HAVE A 14INIMUM BREAKING STRENGTH OF 3000 PS.I. AFTER 28 OATS , 6 SACK AIIX, 2• CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/21, RADIUS ALONG BACK OF CURB. 3 EXPANSION JOINTS SHALL BE 1/2" PREMOLDED ASPHALT IMPREGNATED MATERIAL OR EQUAL , EXTENDING FROM SUBGRADE . 4. SEE DWG- NQ CS-30(; AND NO. CS-305. TO FINISHED GRADE WASHINGTON COUNTY ,6=&�,;_;DEPARTMENT OF LAND USE RESIDENTIAL DRIVEWAY AND TRANSPORTATION DATE CIVIL EN91HEER DRAWN APWA NO. � �T �— ?�. • '�� Aea 6.6s N(;'NE '"!� COUNTY Na DW- 200 04 OF CURD WIDTH OF STREET DRAINAGE DLOCKOUT 3" I.D. PLASTIC PIPE WITH COUPLINQ I R C" 1/2' R • ROAD 1° i • II 2 ,� MAX: — BASE COURSE e • a � I FOR DESIGN SPEEDS GREATER THAN 40 MP4 THF: EMERGENCY MOUNTABLE CURB CS-300 SHALL BE USED. 1 2. CONCRETE TO HAVE A BrEAKING STRENGTH OF 3000 PS.I AFTER 29 Dim$ f EXPA14SION •lnl4TS . A. TG SE PROVIDED 1) AT EACH POINT OF TANGENCY OF THE CURB . 2) AT EACH COLO JOINT . 3) AT EACH SIDE OF INLET STRUCTURES. 4) AT EACH END OF DRIVEWAYS . 5) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 43 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 IV INCHES . 4 BASE ROCK - 2 0 OR 3/4"'0 , 93 % COMPACTION. BASE ROCK SHALL BE TO SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH , WHICHEVER IS GREATER 3. DRAINAGE BLOCKOUT - 3" GIA. PLASTIC PIPE . A. I.D. PLASTIC PIPE WITH COUPLING. B. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE CORE DRILLED OR LvRB SAW CUT VERTICALLY 18" EACH SIDE OF DRAIN 9 REPOURED TO FULL DEPTH OF CURB. �V!'ASHINGTON COUNTY CUR© NON - MOUNTABLE LEPARTMENT OF LAND USE v FOR USE ON MEDIANS AND TRANSPORTATION DATE CIVIL ENCNEER DRAWN APWA NO. WASK COUNTY Na L�An 1�•.. 18 ( MOD.) CS - 301 L CITY OF Z IGARD EXPENDITURE RI2(Wf —� ....i�, form is a multi-use form. Appropriate re0--ipts must be at-taehed. D cLMw--station important for all purposes. Staple docxnnentation to fonn. VENDOR NO. : - _ --- DATE: C7��" Tn: k �J-s v PAYABLE; AI3� �� �y11�9—_ F2FJC2(IL'SI'ID BY: — �0 ------ ►l�s _��"l?12♦ _ _ * Approved request Rue wednesday 10:00 AM to A/P for checks by Friday. II MISCELIAN DUS EXPENDIU RE,: - Date Description, Invoice No., etc. Account No. --. Amount v c_ c _ZZOC�_ 1 3C�, --_ _ _----- MrAL M i 1 e,lge $0-255 --�`— APPMFPdAT'ON BALANCE: AS OF: - _ SI:QMlURE: (Upt to $25.00) Section Ma-eager _ Purc1 i. Agent _ ($25.01-2,500.00) Division Manager ($2,500.01-7,500.0o) Dupt. Head _ ($7,500.01-15,000.00) City AdministraL-.,I- ($15,000.01- ?) Local Contract Review Boat /1501F r �urtt'41t!'+W+.�nMN ...`"�_IMILiM4C1Wkl'NiYK#AYTfA'M1tlt�I.W Wl4^1cWiWMh'wCtu:.aMNNaMSTmeeYMwb.v�wmwLLYb.l�w.�.ur..+...r..+w..ra .rw,ww.rr...w...rrru.......u-.......-�. •••-: INSY$CT City of Tigard iding Department I1l�y 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businene Phone: 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: /�-%� Tisat /O ^AN PM Address: Cv�� _ Permit Builder: i TM FOLLOWING CDORRECTIONSQUIR&D: 1- ,e c_. e /s Inspectors • • + Jates or APFFANM DISAPPROVRD P APPROVRD SUMCT TO AB NZ Call For Rainsp. f INSPECTION NCYrICC -- 3 CLtr at Tigard Building DP,.. ent Ins 23125 811 8&11 Blvd- Tigard, Inspection Line (Rno�,.phone)t 639-4175 Off. 97223 Business Phones 639- 171 Inepwcrtionr / looting Plbg. Underelab �/Sd-i� Nech. Rough-in Aplottnd Plbq, Top put Oas Line Poet/Beam 8trvct. fINALr Sara. 8ewror Framing Poet/Beam mech. -Bldg. air; Drain insulation -Plumb. Plbq. Underfloor B i J Nater Line Date R - Oyp. Ud. -Mech. j--- _ Timet __AM 1lddreer a -- Builders Permit T" POLLOWIN0 coPRSCTIONS ARE UIREDS a ,a� - o- ---- Inepectorr — (, Dater APPROVID DIBAPPROVEU APPROVIID 8UBJ=C`r TO ABOVR I Call for Reinep. CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :92-231355 CHECK AMOUNT 135,72. 00 1\j()ME FLEMMING. DAVID CASH AMOUNT 0. 00 ADDRESS PAYMENT DATE 09/04/92 SUBDIVISION PURIDOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PPID PUBLIC IMPROV :5=. 00 CUSTOMER DEPO 1300. 00 STREET OPENING PERMIT TOTAL AMOUNT POID 00 DAVID FLEMMING GENERAL CONTRACTING RT. 3, BOX 538 647-2813 1684 HILLSoono. or, ME 24m. tR'VTro4 n V- 12 --------------- $ !F@F V To THE Ro" F SECURITY ECURITY PA—C&PI-C sull"I L –BANK 23�8iSunset S""_, Soolt-5,Tmubn Yawl, Nlf 1, 2 3000 LE;5o: AMA: September 2, 1992 Mr. David Fleming CITY OF TIGARD Rt . 3 Box 538 OREGON / Hillsboro, OR 9712.4 RE: Street Opening Permit (14362 S .W. 134th Drive) / Dear Mr. Flemming: / Attached is an application for a Street Opening Permit . This must be signed by the party that is to be responsible for the work proposed to be done within the City' s right-of-way. After appropriate signature, please return the completed application along with the items checked ;below for further processing. +� Permit Fee in the amount of $ 52 , 00 Certificate of Insurance (of the contractor who will. perform the work) . Assurance Bond in the amount of $ 1_, 300 . 00 (form enclosed) . Detailed Construction Plan . Detailed Construction Cost Estimate . Other Please keep in mind that this does not constitu,-e an approved permit; at this point it merely constitutes an 'pplication for a permit . If you nave questions or wish to discuss anything related to this, please call me at 639-4171 . Sincerely, 5c, Joh.i S . Hagman , Engineering Technician _��S Z- -S� 4 13125 SW Hcll Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 __ __ �• '"'' I V� 'APPLIC,'. I ION - STREET IMPRO MENT/EXCAVATION COPY TO: LE ORDINA E NO. 74-14 [i9 (YELLOWHI FI IN (YELLOW) INSP. (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHFR AGENCY-L ® (BLUE)-APPLICANT APPROVED ® APPLICATION NO.: NOT ♦.PPROVED ❑ CITY OFTIGARD, OREGON FEE AMT.: S 52.00 PENDING FEE. PMT. ❑ CITY HALL. RECEIPr NO.: _ PENDING SECURITY ❑ PUBLIC WORKSDEPARTMF"-, By DATE_ I PENDING AGENCY ''OK'' O Applicalion and Progress ,record _ MAINTENANCE BOND t PENDING INFORMATION ElFOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED -- ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE PERMIT NO.: DATE ISSUED: _I—_1 , BY: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ CONCRETE DRI 1- APRON_ - -_ SIDEWALK AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS- APPLICANT EQUIREMENTSAPPLICANT __David Flemminq_Rt. 3 Box 538 Hillsboro, OR 97124 # 647-2813 NAME ADDRESS CITY PHONE CONTRACTOR— - SAME - NAME ADDRESS -__.____�- _____.__--_ PLANS BY_ - - per City Standards NAME - __ _�____- - ._��—__ ... __ _ ADDRESS CITU_ --- � HONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ —1,300.00 DOLLARS (2) EXCAVATION DATA: FON OFFICE USE MIN 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 h QUANTITY STREET _ OPENED 134th Dri e - see � ttache - INSP C- - -- R TION E •— - — Q U i ESTIMATED STREET OPENING DATE:_ / / E -- S ESTIMATED STRCET CLOSING DATE: / / T —� E STREET 3) SECURITY NO. SECURITY AMT.: E 1,300.00 CLOSED SURETY CO.' � � _ FINAL ___-__ X`XIFYYF�00l CHECK _-_-- CASH U BOND t fNSPEC, (4) PLOT PLAN: INDICATE SITE Pf RTINENT PHYSICAL �u SPECIAL PROVISIONS / CONDITIONS FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notlf �y_CityInspector Carl`- View_eg (#639-4171) . 24 hr9_._hc 1 X SITE: kX ��362 SW 134th Dr. al 1 starting work. -ww__ ( \t� _ _— 1 �i I' 2. All work shall conform to C� InA _Standard & Specifications. S• I 3. ORS 757.541-.571 (Utility Co. ��k' - -- — r --134 th D+-�RIVE ---- 1— -- ' prenotification, etc. ) applih_ LTI (S) NOTETHE CITY OF TIGARD DOES NOT. HEREBY, GRANT PERMISSIOp -O APPLICANTS TO CONDUCT WORK WHERI RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR E STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, lr., COMPLY WITH ALL PERTINENT LAWS ANL CONSTRUCTION SPECIFICATIONS PERTINENT TO F.ONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY ANL EMPLOYEES A lt,INST ANY INJURY OR DAMAGE WHICH MAY PESULT FROM APPLICANT'S ACTIONS APPLICANTS SIGNATL —. DATE _. � A=ZBMNT NITR DEPOSITOR AND TRUSTEE ON SAVINGS OR nEPOST.T This agreement is for the purpose of fulfilling the requirements of Street opening Permit # , dated between the City of Tigard and David Flemming ane is entered into by the Depositor David Flemming and trustee . The undersigned depositor and trustee do hereby assign the right to the City of Tigard to determine at its dis-retion the payment of all funds of securities held by as trustee in the amount of $ 1 300 .00 in Savings Account No. or Deposit No. in accordance with and for the purpose of Bond;.rg public improvemei s described in the above stated Street Opening Permit . It is understood and agreed that the trustee will hold such funds or securities in the amount of $1, 300.00 until an authorization or direction for payment is received from the City of Tigard and that the City of Tigard has the right to withdraw Principal Funds with City of Tigard signature only, in the event of Non-Performance. All .fund deposits shall be renewable at maturity and at rates and terms in effect at the time of renewal, and all interest shall be paid to or accrued as directed by the Depositor notwithstanding anything contained herein to the contrary. That account is to remain open until such time as all Public Improvements are completed and accepted by the City of Tigard. Signed and dated at Oregon. Th.rs day of _ _, 1992 . Signature - City of Tigard Signature of Depositor -t. 3 Box 538 133.25 S .W. all Blvd. Tigard OR 97223 _lsboro, OR 97124 Address Address ACCEPTANCE (trustee) The undersigned hereby accepts the funds or securities deposited in the amount of $ 1, 300 .00 this day of , 1992, ann hereby acknowledges receipt of the P=.ssbook Savings Account No. or. the Certificate for Deposit No. _ ; c .- certifies that there is no Passbook issued for this account . It is further agreed that said account will be held for the uses and purposes above stated until authorization for disposition is granted by the City of Tigard. Authorized oignatu.re (trustee) Address `�dkN C4�tsL «` �G��� c CITY OF TIGARD STREET OPENING PERMIT APPLICATION DATE C 222 1 .. S • APPLICA.NTS NAME A l/� 1 ADDRESS JeT-=-t� _ �1 LAS �)y.GC� �Z. ZIP PHONE , &47 —26t 3 • CONTRACTOR'S NAME ADDRESS - ZIP PHONE • PLANS BY ,�4' ADDRESS S ItJ L` '�3 t _ ZIP C17, l PHONE • DESCRIPTION OF WORK PROPOSED TO BE DONE: 4 'k'v L- w • ESTIMATED VALUE OF WORK (within public right-of-way) : $ • WORK LOCATION/SITE ADDRESS: G o r- .3 T 3 'q i 15 • IS THIS WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (MLP, SDR, ETC.) NO/11-1 _ • IS THIS RELINED TO A BUILDING PE OMIT? IF SO, SPECIFY (BLDG. PERMIT) NO. dyum.no (OV F H) i SKETCH: i �11 -----_. - L 6 Al 1 ..:.w.w+..a�+m.�o-wm,.•+rativww�.ru.u•swvrcw.a.w+.u...«.r+...,.r�w.ww.wr:�e+oa�+awr�waarm+r�+��i.,._........_..:....,.....w,.s..w.+,.+�.«•..-..,.,............. .�ti; AM �.oi.i. •y���n Nn ' c,�, Zllk io CW��e '•1 401A I Ve4AAAN - ,� 'hesd�s VAok 11 J f^IW�sc.s�s -- RECEIVED CITY OF TIGARD APR 2 21992 STREET OPENING PERM T COMMUNITY DEVELOPMw APPLICATION DATE_j �— • APPLICANT'S NAME TPA V i 0 FL l /I i y) 1:j ADDRESS '? r ZIP 'j 7 PHONE • CONTRACTOR'S NAME Quo ADDRESS ZIP PHONE • PLANS BYyI f)SCO"AzL�z`S<ni4 ADDRESS5� ...L_1 �� /v w ;�3 r� rj VL f'` ''�'L,�i•tic C 3 ZIP l 7.�Z t o PHONE /d-,t • DESCRIPTION OF WORK PROPOSED TO BE DONE: I, lc • ESTIMATED VALUE OF WORK (within public right-of-way) : $ 7-15 =- • WORK LOCATION/SITE ADDRESS: • IS THIS WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (MLP, SDR, ETC.) NO. • IS THIS RELATED TO A 13UILDING PERMIT? IF SO, SPECIFY (BLDG. PERMIT) NO. of+r Yx (OVER) SKETCH: it / 1 i