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11635 SW 98TH AVENUE MAN NO 5CAkt 4q(, IV, 6 �,0sire 105 F1#13 Al CwRAOE- CONC GRAPE RINGS, AS HE O'D 5.W. SCOTT CT Iur f rRA c 7- "A 20, 12 /0 OTET _C 4 900 W/r/i r#Ri1,.)r 49Wak mA41YDLF RINC-5 f ECCENTRIC CONf',S ce- 7- YAR/ABLE DeP711 r Au 3,qCeF1i_,L_ CLW- FXC77EP_ IN 6"LIFTS IZcsl 6 C3 -0 19 f 69 V _ 4118-111 I.D. C"A"Oul COIVSTP LIC-r- 360 4-F 8_.-VC' 4" 1/8 11E/V11 ul v) Il 0 MECHANICAL PLUG�� Zk 0 CONSTPUC7 MANHOI-F N LT) W1 TH GASKf'r 7f ' I \1 15-' FA 5,F_MEA1 T_ INE OI/ER E-XISTIIVG 5/-1 ul +. �,N'. I - rl ;?! c\j N IL $1 aQ Q) y)Irv% 001b&rA h- 30 , r PLAN SCALE Ito ' 60 4_- 0 _R V CLI_ 5f CONNECTION SCALE A/0 7-f 5 • MARX- ALL SERVICES WITH 2X4 EXTENDING 0 36" OF 314" MINUS GRA VEL CC141EP r_09 ALL MAINS, WKIE SURFACE --AC RUBBER GASKET ALWrCR A4//V',M LIM Z4 " ABOVE- FINISH GRADE. 0 MAINS 5HALL BE Tf5rEO AT 15-0 P,5/ FOR f HOUR. 5MOOT11 f 5t'1WjI_c1RcjLAR • A4-L WORK TO CONFORM TO AR WA A VV' WA 0 ALL ic-IFFIA165 WILL 3,C CFME1V7_-Z111E0. 5 TA N4?,4 FP M4 V#OZ FOURIW AGA/NST"1-5) TANDARP5 0 7. W.D. 'HILL INSTALL AIL COiOPFI? SERVICE5 PRIOR 7'0 31-ACKTOPPIAIG OF STREETS, 1NSPrL-__CT0RS CC.PY -0 L7 • AL L SERVICES /7 23F MFCHANICA� ' ,y PZLIG-f-D. 9 • (:0/VTqAC7_0P SHALL NOTIFY ALL AFFECTED 'S' T BE ENDORSED $ . C-he, 1 ALL SPACEStAUS t171LITIZ-5 BEFORE CONSTRUCTION BEGIN5. PRIOR TO APPROVAL 1F THESIE PLANS • PVC 04,02c- TO BE SR 3034 OR 9CrrZe PUBLIC WORKS DEPT. 09M BRASS CAP IN NE C(IRB INFE195FC7701V PLANNING DEPT. DATE---- BUILDING DEPT. DATIZ_ s w 01VID0111 CT: NO Z-1-ELl 4 TION A 11A IZA 13 Z COUNTY HEALTH D-EOi- CATE CALLED AS 73 CITY ADMINISTRATOR By DATE_ ON07-Ifly 7116,AHD WAV_RD,,,5FR1CT ( FWD) PHIOR TO TIGARD WATER DIST_ Fly DATE_ COMMENCING CONSTRUCTION. ALL XORA' WILL BE GENERAL TELEPHONE 13Y. DATE.- lIV51>f-C 7t_;C� A/VO APFROVED BY F Vy D. U S A By QATt— DATE- - OPOURFD CONCRETE TYPU5T,91,00K5 AT LEAST 8 5Q. FTN. W. NATURAL GAS OF 13fAQ11V*G SURFACE AT EACH TZ-F, BFNO, AND 43Z041-Of_F 40CAT101y. LP. G. BY--- DATE---- J T. T. R. 9 4 V) PAY WIDTH - 7 L-j kn MIA( Of 19 2 CLASS "8 FUL, DEPTH eINDER 5TREEF J -0�tw -INC, PIPE ZONE" F X Qz 188 COMPAC I-ED GRANULAR + BA 6 TO 3 FE_i_7 PVC FIIJf AND W 5rRfEi AREA COI�PACTFD NATIVE SAICKFAL /vz,) 15//Ouzz��Fp 8 E-ro OF 5 7 18 4 _T '"k H'VL' _0111REMENrS (". NSTRUCT 360 L-F A5Z 49LOIN6 Ri 180L_ 0 11E lAi 1A 0 0 0 Ln f Lo 10 1E. E-XIW' 17q6O MID 'CHANNEL 0 RIM Iskj ,:in Lo L0 (N (\I 0 1?. IN (IN) /79.80 Ln 4- + CONS 3TANDAIlqi95 DWC75 pp � r "I I I � 0 + + + cQ + 0 + 0 T­ 0 .YJ ' LN 0i Y + 0 SUBJLCT TO CHANGE PROF/I-E SCALA VERT" HoPz DATE Flt E 3 . 6 33 -Is 61v SANITARY E SEWP PLAN CONSTRUCTION PLANS S7-f-Vt SCOTT q/A 4 SHEET Rs ,4- Zt4klA46#64C e t4Af001o4r4CS GEORGE SCOTT FOR TL 1200 ( MAP ISI 35CD ) FA OF (J703) LOCATED IN iJ-11- �)W 1 /4 SEC 35 5 Y 014 rfi- SCALE- WON CITY. 01?16- 0N W. OES(,RIPTION J-11 M41N JZ'ffZ_7_ 0 656490f T1S A RIWI WB & Ni WASHINGTON COUN T Y I TY OF TI GARD ORE GOtj RFL//5/0A15 V1 , NOTE: IF THIS MICROFILMED b11 1 2 3 4 5 6 7 8 9 12 DRAWING IS LESS CLEAR THAN THIS NOTIC61--1T IS DUE To -_Df QUALITY OF THE ORIGINAL DRAWING. de 62 9,1 LE 92 r.2 1►2 EZ 22 1,2 02 61 01 1-1 91 sl ip I EI 21 11 01 6 9 1 q s 1p E MARCH 30 1 992 241( FILE NO. 93th AVE. - 11635 STR. OPN. PERMIT f Tigard Branctr 24.22 0301230 NO. 9 U 7 3 8', r UNITED STATES NATIONAL BANK 01 Oregon Tigard. Oregon CITYOF nF/QRD 2/_6/86 "07380 "$370. 00 PAY 'M�370. �!�► TO THE ORDER OF CITY OF TIGARD MR. GEORGE SCOTT NOT NEGOTIABLE t 1640 SW 135TH AVE. -- Aulhnn7ed Signetur� j TIGARD OR 97223 AathoniMt S,griatwe CITY OF TIGARD, TIGARD, OREGON MR. GEORGE SCOTT 2/ 6/86 0073' 007 '580 INVOICE NO. REFUND DUE 2/ 6/86 370. 00 T 0 T A L 370. 00 i January 30, 1986 Mr. George Scott 11640 SW 135th Avenue Tigard, OR 97223 REFERENCE: Bond deposit: refund for, Street Opening Permit No. 1.90--84 Gentleman: Enclosed please find a check in the sum of $370,00, being the "Performance Bono (deposit)" for work which was conducted under the terms of the aforesaid Street Opening Permit. This "bond" is being returned to you now that all work has been satisfactorily completed. Sincerely, John S. Hagman Engineering Tech, (JSH:pm/2336P) RECEIVED FEB 5 6161Y OF TIGARD Ci- _-tG.�Qo r EXPENDITURE REIMBURSEMENT REQUEST Ih1s tU[m is a multi-use form. Where appropriate receipts must be attached. Dorumenratlon ir. important for all purposes. Staple documentation to form. VENDORt`�K DATE `` `` PAYABLE TO: _ 1"1 r. �1,�_Ur-C e- � k' - Requested by: .< - .............................................................................. MISCELLANEOUS (parking, books, subscriptions, dues, memberships, etc. ) : Date Description Account No. Amount \at211 r1 c\r- f ' C.r 1GQ- _3 IC�.?�_ ......r...... ........... «�c<c.eat.................................. e. GENERAL MEAL EXPENSE: Date Description Amount Account Number to be charged: _ _ Total _ ...r.....a .......................c.rracc v`c........................_..c==�. M I LEAGE. Date Description: (Include en.;/start readings and total miles) Amount nc—co unt Number: _ Total V miles «�-10 aa...r.............a... .........am.■....................... ........ ......a APPROPRIATION BALANCE: AS OF: =- Signature APPROVALS ( l f 515.00 or under may 1, m1 rs through petty cash) : (ur to 5500.00)Sectton ManaGer `__���J/�� —�Irurch. ' APent 1 �' o Scoff Ce),L) , J'lv r4 Ao rr. o h P to,�� NS � VIA '`7 - iia - 0 suiv A:��/' 6 13 ow ot� h1r4 UL 0 "kPPLICATION -- STREET IMPR( MENT/EXCAVATION COPY TO: ORDINArvCE NO. 74-14 ❑ IWHITEI- FILe (� (BLUE) -INSP. (INSTRUCTIONS ON SEPARATE SHEET) Q I V ELLOWI-OTHE'7 AGENCY L (PINK) -�APPPLIC,AJNT � U APPROVED APPLICATION NO.- NOT APPROVED [] CI I Y OF TIGARD, OREGON FEE AMT.: $ 14� PENDING FEE. PMT (_] CIT) HALL HALL RECEJPT NO.: PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BY ___-__ DATE PENDING AGENCY "OK" ❑ Application and Progress Record — — — — — — — — — — PENDING INFORMATION Ll FOR STREET IMPROVEMENT/EXCAVATION MAINSE EAQIUIRED Li _ A NNLIAL PENDING VARIANCE C] EXPIRATION DATE: / PERMIT NO.: __ Aq1 —'_ ` __ , DATE ISSUED: __ _(_'_5 tY BY: — (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT //�(.' SL<; /3,�_t''' 7 ADDRESS "1L1_R"Z�,.... -- , PHONE CONTRACTOR- 4y �NNAAMM{-[[�"d! clTw ,� ADDRESS ----10S �CIT.V �L��� 6W. 'T"l -..lL�c,S- �1 / PHONE PLANS BY `''/ 1 +�( > _--S/ 474//.J_ NAME CITY C __ -__--- � ____ PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): _ (2) EXCAVATION DATA: WOR OFFace-USE: ., �014 IN. 0.02Xs STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED �..y..� TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY ITEM DATE REMARKS/TYPE BY t7►�'1 I CI Cth/LE7E f �J Z< <'C/IJCLF/Z �L M STREET INSP R TION E Q U _ ESTIMATED STREET OPENING DATE:. E �- S ESTIMATED STREET CLOSING DATE- / / T — E --- D I.jl SECURITY NO. _ /�' `--`¢ STREET SEC RI Y AMT.: E i_ cLosE SURETY CO.: 1�,�. N� u.�L ., ,._1r_. FINAL - — CERTIFIED CHECK CASH ❑ BOND tJ INSPEC. _ -.-_- _---mss- _ _ (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL FEATURES; EXCAVATION LOCATION AND EXTENT. SPECIAL PROVISIONS/(CONDITIONS: 1 1 I 1 1 I 1 I 1 CURB L- - - - -- Al �C- - . ♦ - _ — -_--_ --_ -Culla 1 I I I �--- I I I I (S� NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TJ 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 HARML.ERr THE CITY AND EMPLOYEES AGAINST A(N� INJURY OR DAMAGE "ICH MAY RESULT FROM APPLICANTS ACTIONS, APPLICANTS SIGNATURE: DATE CITY OF TIGARD-12420 S.W.MAIN-TIGARD,OREGON 97223 RECEIPT DATE:. AMOUNTS- NAME: MO •-�c_- ----��!- UNT: S_ NAME: 1.'C► �- ., CASH: ADDRESS:_ — CHECK: 3)< i OF M.O.: _ FOR: ACCT. r PERMITS SURCHARGE _ AMOUNT SEWER BILLINGS 40.364 �$ BUSINESS LICENSE 05-331 PLUMBING PERMIT 05-332 $- MECHANICAL PERMIT 05-332 BUILDING PERMIT 05-3 SEWER CONNECTION 40-363 ` SEWER INSPECTION 40-365 _ SYSTEM DEV.CHARGE 25-366 PARK nEV.CHARGE #1 30-367 PARK DEV. CHARGE #2 30-368 --� ZONING ADJUSTMENTS 05-362 TOTALS S S �.S,�C' RECEIVED BY: PERMIT NUMSSRS ASSIONSD: - Number Amount Number _AmeuM Number Amount RECEIPT 19891 LO r— :: C) C) L&J m 2 z c 0 w • W a CL ru 0 0 Er 2 0 0 0 4 C\f w x © J 0 W 2 1r to 2 0 Uru Q 0 02 2 0 O iwrm W 'a LU BOOM u D CL r_ CITY 4 GARD—12420 S.W.MAIN—TIGARD,O' ON 97223 LJ RECEIPT DATE: c % / AMOUNT: $ DOLLAR NAME: 1 'C �" r ' <�- CASH: ADDRESS: —_ CHECK: _ M.O.. • OF FOR: ACCT. i PERMIT! SURCHARGE _ AMOUNT SEWER BILLINGS 40-364 S — BUSINESS LICENSE 05-331 -- ----- PLUMBING PERMIT 05-33'2 - MECHANICAL PERMIT 05-332 �. _— ----------- --- BUILDING PERMIT 05-333 ------ SEWER CONNECTION 40-363 SEWER INSPECTION 40-365 - - ---- SYSTEM DFV.CHARGE 25-VA — — PARK DEV.CHARGE #►1 30-367 --- PARK DEV CHARGE #2 30-368 — - ZONING ADJUSTMENTS O -362 - i L Lj -------------_---- TOTALS RECEIVED BY — — PERMIT NUMBERS ASSIGNED: Number Amount Numbm Amount Number Amount S -- s - S - ---- S- RECEIPT • 19 8 8 9 QUOTE A.P. CONCRETE 110-A-Tf 8/15 Sorrento Road BEAVERTON, OREGON 97005 NUMBED Phone 641-8998 GECP,G� SCOTT SCOTT CRT. TTC%RD, CR r2lems! 3170. -10 .tw..w DIIACM AND prt.R"M,iN.OUR"mm't'AN, DATE CHARGES AND CREDITS SALANCEE BALANCE FORWARD PLACED ROCK CUR? OUT k CURB RFMOVAL ',.,.,LAVl AMOUNT COLUMN A.P. CONCRETE