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15390 SW 79TH AVENUE ~ p FILE NO. 471-92 '79th AVENUE - 15390 STR OPN PERMIT .DEFINE:entrct=case->eng definition incorrect ENGINEERING PERMIT PERMIT #. . . . . . . : ENG92-0008 DATE ISSUED: 02/27/92 Ey: PRIM. PERMIT #. : JNG92-0008 SITE ADDRESS. . . : 1539C SW 79TH AVE PARCEL: 2S112CA-11801 SUBDI`IIS10N. . . . : RENAISSANCE WOODS ZONING: R-4 .5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :44 --------------------------------------------------------------------------------•- PERMIT 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 SANITARY SEWLT, LATERAL (AND TAP THE EXISTING SANITARY SEWER MAINLINE) . Permittee: ---------------- FEES --- ----------- DECAL CONSTR.& PLUMBING CO. type amount by date recpt 10206 N. MIDWAY OPEN $ 14 .00 JSH 02/27/92 223849 PORTLAND OR 97203 Phone #: (503) 285-2146 Engineer: ENGINEER NOT ON FILE $ 14 .00 TOTAL Ph.:-ne #: ------- REQUIRED INSPECTIONS ------- Permittee/Agent Signature: ---STORM SEWER-- -----STREET•----- __ M.H. & C.B. CRB LINE & 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 FOR INSPECTION, CONTACT: ---- GRADING-•---- Czrl Vi?weg #639-4171 (office) --REPR' S/AD,', S-- CONTOURS #780 -2647 (mobile) DRAINAGE ----PATHWAYS.---- EROSION CNTL. APPLICATION - STREET IMPRO -MENT/EXCAVATION COPY TO: (WHITE)-FILE ORDINA .E NO. 74-14 (YELLOW)-INSP. AGENCY-bldg, (INSTRUCTIONS ON SEPARATE SHEE"r) (BLUE)APPL CANT APPROVE.0 ® APPLICATION NO.: 514 — NOT APPROVED ❑ CITYOF TIGARD, OREGON FEC AMT.: S 14.00 PENDING FEE. PMT. ❑ i CITY HALL I RECEIV Vff PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE 'Z_ / ZT/ 9z PENDINGAGENCY ''OK'' ❑ Application and Frogress Record MAINTENANCE BOND +► PI- JDING INFCPMATION L7 FOR STREET IMPROVEMENT/EXCAVATION AS REQUI"FLI ANNUAL G PENDING VARIANCE ❑ EXPIRATION DAT _ - 1Z719Z PERMIT NO 4 7IjZ DATE ISSUED. BY: _ _ (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ SANIT Y SEWFY LATERA"___ TAP THE EXIST. SEWER MAIN AS DESCRIBED HEP EIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT - DECAL PLUMBING 10706 N. MIDWAY PORTLAND OR 97203 # 285-2146 CITY PHONE NAME ADDRESS CONTE= _TOR (SAME) - ---- -- - — NAME ADDRESS CIT I=—`----- PLANS BY - PER CITY STANDARDS & SPEC_IFICATIONS - -- - NAME - _--AODRES4 CITPHONE EoTIMATED IMPROVEMENT TOTAL VALUATION ( COST): 5 350.00 FOR OFFICE USEi CMIN. (2) EXCAVATION DATA: 0.04 x s_.35Q.00__= s_.14.-00--- _ STREET _ _ DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CU'r CUT MATERIAL INSTALLED ITEM DAIr R.-MARKS/TYPE BY TYFE LENGTH WIDTH DEPTH ITEM A QUANTITY STREET _ OPCN -- INSP C- 79TH AVE. A.C. Y C.R. & A.C. R E TION — Q E ESTIMATED STREET OPENING DATE: ESTIMATED STREET CLOSING DATE: __ —J / ED STREET (3) SECURITY NO. SECURITY AMT. t _354,9 .-. CLOSED SURETY CO.: _ - - FINAL 7 - ( 'X XHfCH �( CASH 13 SONO INSPEC. (4) PLOT PLAN: INDICATE SITE PEP1 IIVtI:T PHYSICAL -- SPECIAL PROVISIONS /CONDITIONS: FEATURES; EXCAVATION LOCATION ANI` EXTENT. 1. Notify City Inspeector Carl Vieweg (#639-4171) 24 hrs. before- work efore - work area i 1 I starting work. } I (site: 15390 SW 7tH 1 Ave. ' 1 2. Traffic control is required to be - Xx , ( _ provided for by the contractor. 3. ORS 757.541-.571 applies; re: S.W. 79th Ave. x x -r- - ------ -- utility's prenotification, etc. 4• Contractor must determine mainline elevation at tap point before 1 cutting roadway. I _ 1 5. A hard surface eJ tch is reg�ired at the end of each dayq_work. NOTE THE CITY OF TIGARD DOE:' NOT, 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 e'ONSTRUCTION SPECIFICATIONS PERTINENT TO CONnUCT OF THE WORK, AND TO SAVE HARMLESS THE CIT*' AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. ' 1 ` /7 APPLICAIITS SIGNATURE '7 DATE M N U) `I L►Ilii _ L M* S `° rs °r. 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O M� o co 0 Q) N N „v N [J W r• ^/ Z n _^ e� N �) W ,{ O) 8b n 001 0 (Op N r �LC'IL O ?8 n M N r' n Q N^ / ze 8 v 001 o N---�;— /j `j r 00100 qm p p d N ►C:y ;� N O ♦ r O N O N i O n ia) n I - Liv v Ile Zsr ! 9z W LC IY .—_ z9 09'64 `bq• GO`-- Z if ^C) If) Phi \ dF �` n (7 d nz i I- - � P, Z. NoisdnHI 'M'S II In —� � QL-- p� 0p f 9C CCI 9C'CG f9'GC 9G GC &'9C ri O CJ .Z : 8 ~wti 31106 f / , J r� �` (Jf�� F rl 4 `tl 1 n/ O ``J J t I ., \� In J 1 v 1b,-W o 1' aF O O 00 8 t- 1? o 5' o vv MN _ Oe n Of. e — Q ps X6C CC C 9 9 19 ,L9 9 94 CC CC 9D GC 99 CC 11M 16 9C V l01 p dd ` 77O()11 ,.�i� 1�� 1 L ��► 11 'AAL# 1` 111 L � N L ^ � MIN. 3" A C IN 2 LIFTS -- STREET AREASI OUT OF STREET AREAS SAw cur EXISTING SECTION ``a RESURFACING ' Q. ' + � BACXFILL i CLASS 0 _ .3/4!-0 GRANULAR U i BACKFILL 0 U • / lL O ' 0 0 0 ' o o � Q�N •n J— a-s� D � rr i O. O .d W tT o '• o PERE OA:)� BACKFILL IN STREET AREAS ti I.IFS/W 13 AGAINST CUPS, FILL ROC.t TO BACK OF S/W 2.IF S/W IS NOT A(AINST CURB, FILL ROCK 2•BACK FROM CURB PIPE BEDDING AND CITI(OFTI�ARD BACKFILL DETAILS i OREGON UESIr_,!J LiY APPROVE( E rDVA JN 5Y GA RES `)ICALF- 0AE- D12-AWING No. -- NT,5 13�30l `' 6-2 i IF J BUILDING SEWER PIPE, SIZE AS SPECIFIED *I l� PLANT FABRICATED 'iEE FITTING / BACKFILL 2X4 ON SEWERS [Sty AND SMALLER. —AGAINST PLUG TO FIELD TAP ON EXISTING SEWERS 1 PREVENT PLUG AND NEW SEWERS LARGER THAN 1 BLOWOFF 9 SECURE THAN 18 . 2X4 IN PLACE WITH -- I TRENCH BACKFILL. SEWER MAIN PLAN OR LATERAL 1 I EXTEND AT LEAST r GROUND 12'ABOVE SURFACE SURFACE MINIMUM SLOPL: FOR F)" PIPE= 0.010, FOR SswICE CONNECTION 4"PIPE _ 0.020. MARKER: TRAP 12-16 GAUGE GREEN LOCATOR WIRE AROUND 2X4 i WG -�� 3/4--0 PIPE ZONE MATERIAL r" AS SPECIFIED r eL.�a .Q=.Yt _ SUPPORT TEE WITH \_ BEDDING GRAVEL, MNIMUM WIDE Sl DE BUI SDI NG SEWER u4fni fied Sewerage AgentY of Washington County 1�io 1 , COMPLETE RUBBER SLEEVE (ASTM C-44. ) INCLUDES A MOLD'-:-D SEGMENT THAT HOLDS IT IN PLACE. 2. STAINLESS STEEL BAND (9/ 16" SERIES 300) I----• �3 SECURES UPPER HALF OF RUBBER SLEEVE TC 7HE PVC HUB. —� 3. PVC HUB (ASTM 3034 SDR 35) DRIVE INTO CENTER OF RUBBER SLEEVE AFTER SLEEVE IS PLACED IN HOLE. i 2 I ..---CONCRETE PIPE I I /7 I NOTE: ALL INSERTA-fEE HOLES .HALL BE MACHINE DRILLED. � TEE unifiedINsERTa ��► PVC SADDLE (TEE) I I I STRAP RETAINER RIDGES I ! ! i - ---RUBBER GASKET S':WE R PIPE STA •;t_ SS STEE'- STRAP • PVC SADDLE SHALL BE ASTM 3034 SDR 35 • pVC COMPOUNDS SHALL BE ASTM DIT84 WITH CELL CLASS OF 12454-6/C OR 12364-C • ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477 • STAINLESS STEEL BANDS SHALL BE 300 SERIES. FULL 9/16- WIDTH Oki), 5/16' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. • INSERTION HOLE SHALL BE CORE DRILLED. I PVC GASKETEG unwed se�w�sras SADDLE ° ° DRAWING NO. 350 _-- -- (>n..(,(�►t,� _ C'iTy ni-i�U,�.eo,Die r�l16 -- ----- _� ;ib AM s r ALk �14dM S i ------V ZIP'74. . NIN - - - - -- - _- - - - . oNe 1 ,� Crry OF TiGAM DMII'Diaymr REQUF.-5r form is a multi-use form. Appropriate receipts imist be attached. D(xxm�entation jq)ortant for all pkaT<xses. Staple docinw-,ntation to form. VO4DOR NO. : DAM- -7 PAYABLE TO: Cj-)Z- -4- T '0RBQLTE= BY: 10 1 - M% 0 Approved request due Wednesday 10:00 AM to A/P for checks by Friday. SCaZ-ANDOUS EXPaMIVJRES: r MI IFMI Date Description, Invoice No., etc. Account No. A=Amt o-rz000 -Z-ZZ3-9tj_T2- -Z. MrAL Mile,ige $0.255 APPROPRIATION aqMCE: AS OF: SIQMTLM: (Up to $25.00) Section Manager Purch. Agent ($25.01-2,500.00) Division Manager ($2,500.01-7jP500-00) Dept. Head ($7,500-01-15,000.00) City Administrator ($15,000.01- ?) LO al Contract Review Board ,1501F V T'ON - STREET IMPRO\'-`4ENT/EXCAVATION • COPY TO: ORDINA,. -E NO. 74-)4 [ (WHITE)-FILE (INSTRUCTIONS ON SEPARATE SWEET U➢ (YELLOW)-INSP. ® (PINK)-OTHER AGENCY-bWg (� (BLUE)-APPLICANT APPROVED / APPLICATION NO.: �)� NOT APPROVED 0 CI I�• OF �(IC.ARD, OREGON PFEE AMT.: i 14.00 ENDING FEE. PMT. CITt' HALL PEND:NGSEi-UNITY RECEIP'TNpf! 91.-zZ,�}7'`� © PUBLIC WORKS DEPARTMENT ey PENDING AGENCY "OK" ee _ -- DATE- Z / Z,/ 97 Z \pplicalion and Progress Record 1 - - - - - - - - - - - - PENDING INFORMATION ❑ FOR STREET IMPROVEMENTiEXCAVATION MAINTSENAQN REBOND >r PENDING VARIANCE ] A14NU1%L _ EXPIRATION DATE: PERMIT NO.: _`� I_' .� - DATE ISSUED: - `_LZ71 BY: _-+-� (1) APPLICATION IS HERESY MADE TO EXCAVATE FOR AND INSTALL. SAN i'iAkY SEWS LATERAL d ---a ff:dRAAZ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. 1 APPLICAN F --DECAL PLUMBING 10206 N. MIDWAY POit'I'LANC) Ok 97203 � 285-2146 NAME ADDRESS CONTRACTOR (SAME) "T`' PHONE - - NAME PLANS BY PER CITY STANDARDS & Sp CITY CITY PNOIVE NAME ADD�gSs ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): Z 350.00 CITY i_-_ PHONE DOLLARS (2) EXCAVATION DATA:A - FOROFFICE USE - -�'-"'-�--- -` 0.04 X S,�_`J(]_(X) MIN= f� - ST AMEM ION- PROGRESS & INSPECTION STATUS NAME SURFACMATE%ZIAL INSTALLED TYPE- ITEMITEM DATE REMARKS/TYPE BY & QUANTITY - STREET 79TH AVE. N D ` t t I1 I�. & A.C. INSP C- E TION t Q ESTIMATED STREET OPENING DATE: / lE ESTIMATED STREET CLOSING DATE: -- / S -- - _ T --- _ (3) SECURITY NO. SECURITY AMT: S civ, STREET SURETY CO.: _ - C:LaSED �x'HtCK z_ - CASH 11 BOND 7 INSPEC. 10-y (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL FEATURES; EXCAVATION LOCATION AND EXTENT. SPECIAL PROVISIONS/CONDITIONS: i • Notify City Inspec,tor Carl Viewe,j I work area 1 I (039-4171) 24 hrs. before (site: 15-390 SW 7tH tartiny work. 1 I I --.� Ave. ; r i _ Traffic control is required ,o be (URB- - - - - - - - -- "x ._ - - , _ - —provided for b the contractor. S.W. 79th Ave. x ORS 757.541-.571 applies; re: -r-- x x __ utility's pronUtification, etc Contractor must de - - - - termine mainlines elevation at tap point before I Z - I ,, 17 �~ c.'utl:iny roadway. I I 5. A hard Surface patch is required at the end of each d _ (5I NOTE THE CITY Or TIGARD DOES NOT, HEREBY, GRANT PERMISSION a+mss work. 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, 10 COMPLY WITH ALL PFRTINENT 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. I � APPLIZANTS SIGNATURE i _ '. 7 � DATE {- CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. :92-223849 CHECK AMOUNT : 364. 00 NAME : DE.CAL CONSTRUCTION & CASH AMOUNT 0. 00 ADDRESS : PLUMBING CO. PAYMENT DATE 02/27/92 10206 N. MIDWAY SUBDIVISION PORTLAND,, OR 97203- PURPOSE OF RAYMEN-I AMOUNT RAID PURPLiCF OF PIYMENT AMOUNT PAID CUSTOMER REPO 350. 00 PUBLIC IMPROV 92--471 14. 00 TOTAL AMOUNT PAID - 364. 00 r:. •+�iMNF►i�lFH>'W'i1Mrh'NvM11WWW1W1}ki. . ,,r.4•tairfNM:AIU!A1fidM�'Stu{�Ii�I�MM1�U1tu!r1MLMw5Ny1j�S1+NiNMd+fHtl1i�1�M!'MM.::r::•.•, 1016 DECAL CONSTRUCTION & PLUMBING CO. 10206 N. MIDWAY 285-2146 PORTLAND, OR 97203 / 2 24-u;/1230 A ttv_ or o SECURITY PACIFIC BANK SI John 011 ce 1(1,72 1110 NorQi CNcapo Ave,Portland.0R 912f7d /� ,r 11600 Lo &6#8 1: i24000L651: 32026213no