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15045 SW 79TH AVENUE FILE NC,- �U6-92 79th AV'SNUE - 15045 STR OPN PERMIT �I 4 P i,'1 ENGINEERING PERMIT PERMIT #. . . . . . . : ENG92.-0051 DATE ISSUED: 07/21/92 By: PRIM. PERMIT # . : ENG92-0051 SITE ADDRESS. . . : 15045 SW 79TH AVE PARCEL: 2S112BD-02000 SULJIVISIGN. . . . : DURHAM ACRES ZONING: R-4 .5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :37 -----------------------------------------------------------•-------------------- : ERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE :AGREEMENT DATE: / / GRAD/EROS ASSURANCE EXPIRATION--- STREET PERFORMANCE: / / SAN SEW MAINTENANCE: / / STM SEW UTILITIES ALL OTHER TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ Remarks: STREET OPENING, TO INSTALL A (TEMP. ) A.C. DRIVEWAY APPROACH AND TO EXTEND AN EXISTING CONCRETE CULVERT THEREAT. Permittee: ---------------- FEES -------------- HOSS PAVING, INC. type amount by date recpt 22500 S.W. QUATAMA RD. OPEN $ 9 .00 JSH 07/21/92 229715 HILLSBORO OR 97125 Phone #: (503) 681-8029 Engineer: $ 9.00 TOTAL Phone #: ------- REQUIRED INSPECTICNS ------- Permittee/Agent Signature: ---STORM SEWER-- -----STREET-..---- M.H . & C.B. CRB LINF & GRADE PIPE LN & GRD SUBGRADF; 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 Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING Phone #: 639-4171 BCKFLL & CMPCT WALK,APRON/RAMP AIR & TV TEST FOZ INSPECTION, CONTACT: ----GRADING----- Carl Vieweg #639-4171 (office) ---REPR' S/'ADJ,S-- CONTOURS #780-2647 (mobile) DRAINAGE ----PATHWAYS---- EROSION CNTL. APPLICATION - STREET IMPRO` 'RENT/EXCAVATION COPY TO: ORDINANE NO. 74-14 (WHITEWFILE t (YELLOW)•INSP. (INSTRUC--IONS ON SEPARATE SHEET, (PINK)-OTHER AGENCY-bldg. ® (BLUE) A�P''P�LICANT APPROVED !% APPLICATION NO.:S-171 -- -- NOT APPROVED [ CITY OE TIGARD, OREGON FEE AMT.. S 9.00 PENDING FEE.PMT. CITY HALL RECEIPY NO. 92-229715 PENDING SECURITY PURL lCWOR KSDEPARTMENT BY J.S.H. _ DATE 7/ !21 92 — — — — — — — — — — — — — — — — PENDING AGENCY "OK" Application and P-ogress Record MAINTENANCE BOND M PENDING INFORMATION - FOR STREET IMPROVEMENT/EXCAVATION AS HFUU141LU ❑ ` ANNUAL Li PENDING VARIANCE ❑ EXPIRATION fAE: PERMIT NO. Z- DATE ISSUED: �_I z�l _ _.. BY. (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL (TEMPS A. DRIVEWAY RON AND _ MEND 12" CONC. CULVERT AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _ROSS PAVING IN '._ 22500 S.W. QUATAMA RD - HILLSBORO, OR 97124_ # 681-8029 — NAME - ADDRESS CITY PHONE CONTRACTOR - SAME -- ------ - --—� NA ---ADDPESS CITY PHONE PLANS BY PER CI'T'Y STANDARDS & SPECIFICNTIONS - NAME ADDRESS CITY --PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST). $ -_225.00 _ DOLLARS FOR OFFICE USE. MIN. (2) EXCAVATION DATA o.o4 x f 226-QQ ■ i —.- STREET __— DESLoIPTION PROGRESS A: INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY --^—T STREET —� - SEE AZTAC ED - R PION Q L U ESTIMATED STREET OPENING DATE: / --L— — ET I+` ESTIMATED STREET CLOSING DATE: ED ski STREET (3) SECURITY NO. - SECURITY AMT.: $ 225.00 — . CLOSED SURETY CO. _ FINAL 'xxx I0� k CHFCH—X_— CASH O •OND INSPEC. (4) PLOT PLAN: NDICA-rc .SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS: FEATURES; EXCAVATION VGCAT;0N AND EXTENT. 1- Notifv City Inspector Carl Vieweg (639-4171) 24 hrs before starting 1 I I I work. 2. All work shal onform to City - ` Standards & Specifications. 3. ORS 757.541-.571 (Utility Co. -- ----------- ---- - -- - - - prenotification, etc. ) applies. 4. Traffic control must be provided ` for by contractor. I I i +—work area � I 5. Erosion control must be provided II SITE: 15045 S.W. 79th IV4. for contractor. (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TOAPPLICANTSTO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION .S THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON, THE APPLICANT AGREES TO DEPOSIT THE PEQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT CSF THE WORK, AND TO SAVE_ HARMLESS THE CITY AND EMPLOYES Ar'AINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIO'vS. 1 / APPL CANTS SIGNATURE �` DATE 1._—__�—.—L� F 4 (! p t. 0 Cn w CIO 8 Ll V► I \ 8400 6390 �) 4' II n O 3 7='8380 � `�.. 8360 Z 8z'b P360 8?5' v- � I I 8340 y 8335 t r 832 I _.- 15029 � - J 15035 n � � CD � N � � , 0 CD A 0 0 2 C 15041 I U r p C C 15050 ( M 8275 15063 Q I 556 15072 N 15089 15094 5378 15121 X 15-18 — 390 15143 Z 1 !04 �� g 1 4 5 _ I CCD CDN 1516- p 15152 82 C C -4 O v� _ m z v w N I�v 15174 M 0 _ A\ �lp 15196 CD " W I 15210 N O I O 0 O W O I 0 I Qf Qi 15232 N w 15254 I I 7ON DR 15270 0 I rm a►. . ,i �j, U'• S isle �. w w 6 O U 11M1p t J L - 15267 THURSTON CD Litu+ a m s t" 15245 N 0 to v IP i� 15352 D m m V% 15230 m 15223 � E ..} 1521 1 2 1 -- A�1ENU -1 CL Q' IE343 r � L u+ 'N 890 7695 � C" 4, n N0 ---�N 7855 0 Lo it m to a �-.— 7650 OLQ \ r 7610 o I S• /--- s�G 11215 7770 7775 p p _ 1 D l 0 ,� 1 5201 is 7 7 6 5 •T 7458 1521 OaO� U 7474 5200 `1 A 1 7497 /BA AC-_ I l B6 AC. SEE MAP m 2S I 1280 56 N N \ C I 2600 .94 AC I r' 49 a J V -1 N 2500 i N .9.T AC M ---• J P/.54' 2300 2400 .54 AC g i 500 44 -- 2200 55 AC. 2100 0 39 AC. 9 c 2000 ,93 AC. qp SEE MAF' v I 2S 11208 37 R 40 4100 s 7() 1 7L Ac 000 0 7 ncol AB 00 N / � � � � � h'^Sr' 7 00A. vt 1 � 684 7297 CFI,N* of TIGARD U002/002oziooz PROPOSED EDGE OF SHOULDER 2"CLASS � C"A.C. PROPOSED EDGE 4" 2"-0 OF PAVEMENT SLOPE VARIES W I w < W� aC 0 at w w W � 4 f O J Z t 0 ,_ w =� # TYPICAL SECTION W < A.C. DRIVEWAY { h " _ O 0 v PROPOSED EDGE er OF SNQIILDER 4" 2" p PROPOSED EDGE 1 1 I 1 OF —PAVEMENT g1 OPE VARIES W i N TYPICAL SECTION �- x x GRAVEL DRIVEWAY 1 a = a PROPOSED EDGE TYPICAL PLAN OP SHOULDER PROPOSED EDGE OF PAVEMENT A.G. CR GRAVEL DRIVEWAY 4� • �.�...�..�--- SLOPE VARIES pe G R.to -f'UNLE43 OTHERWISE NOTED — SEE DWS. NO. DW-202 i } � TYpICAL SECTION 4t ,ALTERNATE 1 WASHINGTON COUNTY DRIVEWAY DETAILS FOR ��-�DEPAR-T MFNT� OF LAND USE ' ~ — AND TRANSPORTATION NON - CURBED AREP CIVIL ENG{NCER WN APWA NO. WASK C70UNTY NCL DATE NONE_ ��_ 20� �� ---_-- r✓ �-�S -------- �5��ls ,tr..1 `7���v�._- -------- -- _ ,C/.ta.,u l_ wo�Gy�✓ ts����r v /tC '0 50 350 Soo ___ ______ _��___-- --- _ _ _.__ - -•- �- �o C.CJ(_ Z8y a 4 � � �alur _t oqe- CM OF 171GARD DMENDITURE RDWEST "Idfl, form is a nulti-u--e form- APPr0P--'iate rOCIAPts mist be attached. DOcuMentation ' j TPortant for all pit-poses. Staple doct'soontation to form. VENDOR No. DATE: PAYABIE TO: RUXEMM BY: roved request t reWedrxesday /P r 10:00 AM to A P r checks by Friday. MISCMANIMUS EXPENDICIURES: Date Dr---,criPtj.on, Tirvoice No. , etc. Accamt No. Amount C--v uob Am L L 't No. -7-C)C>C 7t 9-L-,zT9-7 I S '2/ IM I$ Mileage $0.255 APPROPR=ON BALANCE: AS OF: KaWIUE: (Up to $25-00) Section Manager. Punch. Agent ($25.01--2,500.00) ($2,500.01-7,500-00) Dept. Head ($7,500.01-15,000.00) City Acbdnist-rator ($15,000.01- -':1) Local Contract Review N-vipi ,.1501-F -ATION - STREET IMPRO` HENT/EXCAVATION COPY TO: ® (WHITE)-FILE ORDiNAtN�E NO. 74-14 (YELLOW) (PINK) OTHER AGENCY—bldg (INSTRUCTIONS ON SEPARATE SHEET) BLUE) APPLICANT APPROVED APPLICATION NO.: NOT APPROVED [] CI I l ')I' I IGARD, OREGON FEE AMT.: E y.00 — PENDING FEE. PMT. ❑ Ci7'l' HALL RECEIPT NO.: --92-22971.5 D PENDING SECURITY [] PUBLIC WORKS DEPARTMENT _ -BY IT.v.f; U:_ - - _ -TE 7/121 /- - - - - __ S -- PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND --- PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRUD ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE: __ --- PERMIT NO [ _c1Z---- , DATE ISSUED 1- __L---I BY. (" ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL TE1NP. A. DRIVEWAY APRai _AND EXTEND 12" COND. CULVERT AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT -_ HOSS PAVING INC- 22500 S.W. QUATAMA RD HILLSialO, OR 97124 J # 681-8029 NAME ADDRESS CITU PHONE CONTRACTOR - - SAME - �_. --- --- - NAME ADDRESS CITY _PHONE - PER ZCIT PLANS BY - _ Y STANDARDS & SPECIFICATIONS - ---,E-,T- NAME T ADDRESS Y PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 225.00 ,- DOLLARS FOR OFFICE UiE..__ MIN. (2) EXCAVATION DATA: _ 0.04 X S_.22,5.,QQ__- = S-.21_r10 _____,_ STREET __- DESCRIPTION PROGRESS & INSPECTION-STATUS NAME SURFACE Cu. CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE T BY TYPE LENGTH WIDTH DEPTH ITEM_ & QUANTITY -- ��- STREET � A1TAC.' IE[: INSPEC- y.w. 7 I —� R E TION — Q ESTIMATED STREET OPENING DATE: / __—_ T -- ESTIMATED STREET CLOSING DATE: ___ E STREET s e[G1r l.lE ��L (3) SECURII Y NO. SECURITY AMT.: :_22,5.00 _ . CLOSED 7-22-!'Z SURETY CO.: _ _____-__ _ - FINAL qq t� �MOIIL�CH[CN X- CASH ❑ •OND INSPEC. 7�1../" L (4) PLOT PLAN: INDICATE SITC PERTINENT PH'.'SICAL _— SPECIAL PROVISIONS/ CONDI IONS: FEATURES, EXCAVATION LOCATION AND EXTENT. 1_ *OtlfV City Lospector Carl Vieweg (639-4171) 24 hrs before starting I work. I I I + I 2. All work shal onform to City - — I Standards & Specifications. 3. ORS 757.541-.571 (Utility Co. --- - ---- ---- — -------- prenotification, etc. ) appl ien. 4. Traffic control must be provided for by contractor. I L + 1 t 1 work area I I S. Erosion control must be provided + v�. I I + SITE: 15045 S.W. 79t1; for by conttastor. (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO COVUUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIPED SECURITIES. TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT rO LONDUCT OF THE WORK, AND TO SAVE HARMLE.S THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICAN I'S ACTIONS 1 APPLICANTS SIGNATURE DATE_i r.. J L� LNSPPCf1ON NOTICE city of Tigard Bu"ding Departoent 13125 SW Hall Bled_ ard, Oregon 97223 Inspection Line (ROC-o-Phone): 63v-4175 Business Phone 39-4171 Inspectio►u` Footing Plbg. Underelab Mech. Rough-in r/Bdwll�.! Found. Plb,. Top Out, Gas Line FINALt Poet/Beam Strurt. San. Sewer Framing -Bldg. Poet/Beam Mech. RaU D•'stn Insulation -Plumb. Plbg_ Underfloor WaterLineGyp. Bd. -Koch. Date Requeetedt 1 s� Tues _7,e AN PK Addreaa:_—_� �(1C/ (� Permit #t _ Builder• THR FOLI,WING CMRREMIONS ARE REQUIRM I i tnspwtur:—� -- Datol_ APPPOVED DIS D APPROVED SUBJECT To ABOVE G11 For Minep. I CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. :92-2 9715 CHEECK AMOUNT 234. SIN NAME : HOSS PAVING INC CASH AMOUNT 0. 0Q1 ADDRESS : 22500 NW QUATAMA ROAD PAYMENT DATE 07/: 1/92 HILLSBORO, OR SUBDIVISION 97124-- PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID CUSTOMER DEPO _ 225. 00 PUBLIC IMPROV 9. 00 7jZ 6 C TOTAI- AMOUNT PAID - - - -> 234. 00 HOSTS PAVING INC. 2984 0(lATAMA RD. 881-9019 �fill I-SBORO, ORFGON 97121 RANO 217� � p DANCH 1't i PAY TO THE n ORDER OF-0; ��! �� ( lQ Aa - -- DOLLARS U.S. BANK UNIT4110*TATSIll NATIONAL"ANN OF OnEOON FOR-�. 1-110 84 : 1210002201: i 74 00 i0 3330 CITY OF TIGARD STREET OPENING PERMIT APPLIATION DATE 71,)11�2- �rJr.»5 t • Af# fANTS'NAME ADDREFS J50 L6 -7 9 T� r� , 0-e . C117APg ZIP PHONE 'i<?,3 �"i,"oC, £c r • CONTRACTOR'S NAME _1` 55 �a_y r,� /n ADDRESS o�6 0'V A),W 1 ►l�sl�w. ort 97/.24/ ZIP PHONE L5o 3) 68/_60,;,�V • PLANS BY 01A. ADDRESS ZIP PHONE • DESCRIPTION OF WORK PROPOSED TO BE DONE: �t,�,���i �nt t 3/y - . /4• ESTIMATED VALUE OF WORK (within public right-of-way) : $ • WORK LOCATION/SITE ADDRESS: r � 1 Aw 7, • IS THIS WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (MLP, SDR, ETC.) NO. t�u • IS THIS RELATED TO A BUILDING PERMIT? IF SO, SPECIFY (BLDG. PERMIT-) NO. dP-.r (OVER)