12900 SW PACIFIC HIGHWAY FILE NO.
PACIFIC HWY. - 12900 STR. OPN. PERM=-
City of Tigard
I
INSPECTION REOUEST
for
INSPECTION TI ME : •iy?• PERMITA`
NO. . —_
DATE: -17DATE: -Zi2-17 DATE ISSUED:___LL_
OWNERS NAME : -&,b
ADDREOS : _ Ste, L<J
ICONTRACTOR :.____ __
TEST: Air p, water [j , Victual 0 Laboratory []
RESULT: Approved 01 , Disapproved [ , Pordlnq rj
SKETCH'
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INSPECTOR DATE
COTF Attar.h sunP rr.entaI test data hereto
01
APPLICATION - STREET IMPRr '=MENT/EXCAVATION COPY TO:
ORLGLUE) -
)IN.-,,.CE NO. 74-14 ( FILE
((V ELLOW) OTHER AGENCt'BLUE) -INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINKI APPLICANT
APPROVED APPLICATION NO.: _ zl
NOT APPROVED CITY OF TIGARD,OREGON FEE AMT.: S_ Z_`�,
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.: -_ — a+3Z-7 '
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT By . -�� ___ DATE_M ( IO / 7�
PENDING AGENCY "OK" ❑ Application and Progress Record
MAINTENANCE BOND M
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION ASREQUIRED u
ANNUAL O
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: Zo? S� ^-� DATE ISSUED: UG'_Cj S'.__ HY
(1) AI'P41 TI�OjN� IS HEREBY MADE TO EXCAVATE FOR AND INSTALL e-t._or�—
DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT '—1 L9G0 3 .'." C If — Li TCQL
NAME ADDRESS --c IIT—vq-- PHONE
CONTRACTOR AIR'- I I fob S,t,) � (039-(p9p9
INAME ADDRESS C Y 4HONE . /
PLANS BY is v4_t# J,C-- l -Z-90-c- . A _ (L -f(Gj �� -'(n'S9 -�-
NAME -- ADDRESS -- 17 ---iP—H•=0—'N-E�
ESTIMATED IMPROVEMENT TOTAL. VALUATION ( COST): E 1JOc
---_= __ ---
DOLLARS
(2) EXCAVATION DATA: Prop OFFICE ug0e N
0.02 OF , E s- 1 �
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKSJTYPE BY
TYPE LENGT WIDTH DEPTH ITEM & QUANTITY
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STREET
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ESTIMATED STREET OPENING DATS:—.. ,I C7 E
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ESTIMATED STREET CLOSING DATE: I L L 3/ / 7 T
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(3) SECURITY NO. SE URITYAI T.: S CLOSET —
SURETY CO.: c �S+ FINAL
_CERTIFIED CHECK U CATH O •OND INSPEC,
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL 8PECIAL aROVISIONS /CONDITIONS:
FEATURES, EXCAVATION LOCATION AND EXTENT.
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(5) NOTE, THE CITY OF TIGARD DOES MOT, 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 SAVE. HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY IjJUR V OR bA AGE WHICH MAY RrSULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE DATE
�'
APPLICATION - STREET IMPRC -MENT/EXCAVATION COPY TO:
n (WHIT'S) - FILE
OR DIPJA,.�E NO. 74-14 L n IBLUE� -INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (FELLOW) -OTHER AGENCY
f��y✓����,''(�� )PINK) - APPLICANT
IPPROVcD �
APPLICAT NNAPPROV[D ❑ GITY UI I'IGARU, UREG __.4F MT.: S.___�—_____
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENTBY ____-_____ DATE__.-L.-W-�_-
PENDING AGENCY ''OK'' [3 Application and Progress Record r
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED �-
ANNUAL
PENDING VARIANCE n EXPIRATION DATE: . 1
PERMIT NO _ DATE ISSUED: —_..-L---�- _ - By: --- - -- -- -- -- ---
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT
- -- -- - - _ - --- -
NAME ADD-R-ESS ---- ----------C�7y PHONE -_--
CONTRACTOR
-
N - - - -
NAME ADDRESS - ---'-`-"
CITY - PHONE --
PLANS BY
. __ - CITY
CE . _ -__--__ADDRESS -
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $
DOLLARS
FOR OFFICE USE:
(2) EXCAVATION DATA: N.
- 0.02Xf = f__
STREET DESCRIPTION_ PROGRESS & INSPIECTION STATUS
NAME SURFACE CUT CUT CU' MATERIAL INSTALLED ITEM DATE RI::MARKS TYPE BY
—_- TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY /
STREET -
-- OPENED
INSPE - `
R TION
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ESTIMATED STREET OPENING DATE:_ � LS
ESTIMATED STREET CLOSING DATE: / / T --
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(3) SECURITY NO _- SECURITY AMT.: S _ _- �..- c�osET
SURETY CO. ED
- FINAL
CERTIFIEOCHECN !i _ CASH ❑ SONO INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL v r SPECIAL PROVISIONS/CONDITIONS'
FEATURES: EXCAVATION LOCATION AND EXTENT.
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(S) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO^APPLICANTS TO CONDUCT WORK WHERE
r RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
F THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL. PERTINEN r LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMI-ESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE _ DATE 1 /
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S — OME OFFICES: BLOOMINGT N, ILLINOIS
.. ... STATE FARM INSURANCE COMPA Ll H
CITY OF TIGARD
Date Amount
dollars
NemoCash
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Address <�� .J I i
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Bldg. L7 St.Opng. r C7 Bus,Lit
Pl6g. Cj Pubctns. - Bike lie. Ej
Flcll. E] Copes - Sew.Serv.
Sewer - Filing � Fine&F.
ASSMt. Other E] toning -
for:
Permil #
CITY OF TIGARD
MNIfCN�M�AINi.NO��111110N[A♦
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13271
Q
4
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HARRIS-MCMONAOLF. ASSOCIATES
RNUINF.NRR-1/URVIQiORM
8006 N.W.COMMiCitCIA7.E3TRIOAIT
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TIN.f ",ah,OR6cinN 0722,4
Pcc.rcrRoNio (508; 68W3468
October F , 197
City of Ti;;a.rd
Dept . of Public Works
City i1all
Tigard , Oregon 97223
Attention: John Hagman
Dear John:
'itilizinr the City's topo. maps, the CRAG intensity-duration
curve for bast Washington County and the rational formula for
caicul.ating storm runoff the following data was developed for
Bob fludson's proposed culvert:
Drainar,e area -------•-------- 100 acres
Runoff factor ----------------- 0.40
Inlet time ------_-_._._____._-_ 30 min.
Storm frequency ------------- 25 year
Intensit,y -------------------- 1 .42 in/hr.
Q = CIA = (0.40) ( 1 .42)( 100) = 56 .8 cfs
Using the Manninr; equation to size a conduit we find the following:
Diameter/Type Reg• Slone
$a6 Ott.�► sac` p- 3611 CMP -------------------------------- 0.021) ft/ft.
/.SCJHt�J,
J6" cone �-
- --------------------- ------ 0.007
(,✓�ln�t� �l7se
30" CMP --------------------------------- 0.065
3011 cone - ---------------------------- 0.019
The above will provide Mr. Hudson some latitude in sel.ect.Lng
the most economical culvert .
Sincerely yja+t . ,
Jam(�s R. Harris, P. E.