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14335 SW 103RD AVENUE PILE NO. � 103rd AVENUE - 14335 STR OPN. PERMIT { c C1717Y OF "ZGARD DCP NDIlUPF RF72U1.ST `phi-, form is a multi-use form. Appr.)priate receipts uust be attached. Do=,,,vntation important for all piuTcse3. Staple docimentation to form. vBrDOR tae. : _ LV1'1T: _! ;� - 1 1� 1 1 1 PAYABLE : R�L�12rct 1�, '�h�1�v► r L 1 l N.n C G N s _ IZEQU 1`FD BY: ©r, °t-7 z7-3 T. * Approvea request due Wednesday 10:00 AM to A/P for checks- by Friday. MIS=AITa)US M)IMrI.=: Date Description, Trtvoice No., etc. Aocowit No. A�t 2S _ ---fZcreek I mileage $0.255 - — APPROPRIATION BAIANC" - AS OF: -- - - SIGNAILJI2E: (Up to $25.00) qec-tion Manager _ _ — Purc-h. Agent _— -----�-- (?25.01-2,500.00) Division Manager _�_ ($2,500.01.-7,500.00) Der-t. head ($7,500.01-15,000.00) City Administrator ($15,000.01- ?) Local Contract Review Ward -/1501F I APPLICAT'.ON — STREET IMPRO` 'AI`NT/EXCAVATION COPY TO: LE ORDINAi'�,'ryE NO. 74-14 (WHITE)OLOWW))-•INSP. (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY (BLUE)•APPLICANT APPROVED A APPLICATION NO.: 493 NOT APPROVED CITY OF TIGARD, ORL.GON FFc AMT. S ­Ip,vo -- PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO. .. _9/-2174 18 PENDINGSECURITY ❑ PUBLIC WORKS DEPARTMENT BY -._; � 1— — — _ - 9— / I7 /9- — PENDING AGIENCY "OK" Applicatio''.and Progress Record MAINTENANCE BOND X..-_. PENDING IN"ORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS HEIJUIREU ANNUAL. PENDING V ARIANCE Cl EXPIRATION DATE: PERMIT NO _-_ ���'~q�_ DATE ISSUED. ___ �7 yL-_ , BY -_-- 1 APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ _ _Concrete Drivewax______ Approach AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT Rick Krahn 8811 SW 71st Place Portland, OR 97223 246-1028 NAM[ ADOR[SCITY PHONE CONTRACTOR _ NAMC • Kt-�Lt►� ADDRESS 'iTYJ� PLANS BY Per City Standards/Specifications _ _ NAME ADDRESS CITE- PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): f _— 50.00 — DOLLARS -- - -- _-- _���-- FOR OFFICE USE. --- MIN. (2) EXCAVATION DATA: 0.04 x t STREET DESCRIPTION PROGRESS do INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY _ TYPE LENC,TH WIDTH DEPTH ITEM SI QUANTITY _ STR;?:ET 103rd Ay (see at ;ached 6' ESTIMATED STREET OPErIING DATE: ST ESTIMATED STREET CLOSING DATE: / E STREET (3) SECURITY NO. SECURITY AMT: S 250.00 CLOSE SURET Y CO.: _ FINA'. _____ KKK XMD CHECK X CASH O •OND INSPIC. r Z4 1 (4 �; -Z T PLAN INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVA•iION LOCATION AND EX. 'NT. 1. Notify City Inspector I E• 14333 SW ].03rd — Carly i�weg # 639._4171 1 Z 24 hrs. prior to beginning work. 2. ORS 757.541 - .511 applies _ I` -- (Utility preloction, etc.) CURB _ 3. Traffic control shall be for by the contractor. ----- I I I I (5) NOTE THL' L'TY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF WAY 'URISDICTION IS THPT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT .BEES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITI ALL PERTINENT LAWS AND CONSTRUCTION SPECIFI,-ATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY IN.IURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. ` APPLICANTS SIGNATURE ,' DATE � � / 7 � �, i ..-..� .-..-mow- 1R'T"""R"".R^'•'^-t�^r".'..^*,•F^'p--'1'-^..T,•"-•„'�•'*�'^+-.r++yrs..^�T++7+a-+^�.+wr..•mer.,.�r..-..�r+^.�.�r^--^-•^+ APPLICATION - STREET IMPRO' -MENT/EXCAVATION COPY TO: ORDINAI.,-'E NO. 74-14 (WHITEFILE (YELLOWWS-[NSP. (INSTRUCTIONS ON SEPARATE SHEEP) (FINK)-OTHER AGENCY (BLUE)-APPLICANT APPROVED 1 APPLICATION NO.. 41 NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.. s 147 p'Q p PENDING FEE. PMT. ❑ CI I Y HALL RECEIPT, 11—41741 � y� PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY_-= DATE l 17•�-i•/—_ PENDING AGENCY "OK'' Application and Progress Record MAINTENANCE BOND sr PENDING INFORYIATION El FOR STREET IMPROVEMENT/EXCAVATION As HEQuivEU ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE: PERMIT NO.: 44� �y DATE ISSUED _ _L_ry l—_�- BY. (1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL[_ -.olicr+-te Drivewa _-_Approach__ —_-- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY R,EOUIRE".IENTS. APPL;CANT -__Rick_Krahn 8_311 SW 71st Place E-,c,rtland, OR 97223 246--1028_ NAME - ADOR[ff CITU-�� _ PMONE CONTRACTOR Kratton const. N -MI- ADDRClf — PHONE PLANS BY Per City Standards,/Specifications NAM[ AODREff i CITY --- PHONE ESTIMATED IMPROVEMENT TOTAL WALUATION ( COST): $ -__ 2K-00 _ DO!.LARf POR OFFICE USE MIN. (2) EXCAVATION DATA: ' o.on X t50.t - s 10.00 STREET DESCRIPTION_ PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM B QUANTITY — STREET -- — �— OPENED 14.17-1 y INSPEC- , 103rd -'.v nue see it ached TION .�-- Q — U ESTIMATED STREE— OPENING DATE: / E ESTIMATED STREET CLOSING DATE: _� E _ -- ---- — _ D STREET (3)(3) SECURITY NO. _- SECURITY AMT.: $ 250-00 CLOSED _ SURETY CO.: _ _ _ I"INAL y CASH U _ BOND INSPEC. �{ (4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL i SPECIAL PROVISIONS/C— NUiTIONS: I - FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify City Inspector Carl Vieweg A 639-4171 1 SI E: 14.335 SW 103rd I 1 Z �_ 24 t,.cs. prior to beginning work. 2, ORS 757.541 - .571 a lies CURB - -' (utility p!:eloct on, etc. 3. Traffic control shall be *--- -- -—-- provided for by the contractus. �I (S) NOTE THE CITY OF TIGARD DOES NOT HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STAT—r OF OREGON, THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERI INENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY r',t DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE CITY OF TIGARD - RECEIPT OF PAYMEN'! RECEIPT NO. :91 -2171ini3 NAME NRAHN, CASH AMOUNT htZl ADDRESS 8,811 SW 71C-T F'L PAvMCNT DATE: e9/1'7/91 SUBDIVISION PORTLAND, OP 4 722:._ RURPOGE OF rl(E .;Ir-NT AMCIUN` PAID PURPOSE OF PAYMENT AMOUNT' PAID CUSTOWE-R DEP 250. 00 PUBLIC IMPROV 10. 00 448---91 103110 AVI.: OTAL AMOUNT 260. 00 RICHARD K. KRAHN 22 • ' KRAHN CiONXi AUCTION 19-M513250 9811 SW 71ST PLACE , PO LAND,ORE�')N 97223 1` r . fix sl Dollars %ro 9 %%S MAY no V"Rdeogh Hill.stow% ryt M SSIti IM11.td.1111 472M Ellr.g ---- : 32507L552$: 03,,- 5 LL22511 Pe 2222 INS°EC1'ION_NOTIC3 City of Tiga.d W ding Department 13125 ON Ba11 Blvd. lard, Oregon 97223 -nspectior: Line -O-PItono): 439-4175 Businr.iB Phone: 639-4171 Inspection: ' 5- —�`=fi�A LJC� Footing Plbg. Unders.lab Mech. Rougl.-in <,, Appr/Sdwlk _� Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer oraming -Bldg. Post/Bf-am Mech. Rain Prain Insulac.ion -Plumb. Plby. Und-3rfloor Wrter Line Gyp. B(i. -Hoch. Date Requested:i _ Times _ AH PH / � 4 Adarean: I C4 3 3;; C •I(l !�,' -� Permit 1: �J_7q I Builder: / i 'lam —, THF. FOLLOWING CORRECTIONS ARE P'9QT1IREDs - LI kNk QL+ Inspector:_ _' _ �'�: _ Date:_�__LZ11 APPROWD _ DISAPJ OVED APPROVED SUBJEr 'T TO ABOVE Call. For Rainsp. TNS- CTION NOTICE City Of Tigard `diisg Departncnt 13125 SW Hall Blvd _gard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_�� /�J Footing Plbg. UnGacnlab Hoch. Rough-in `Appr/Sdwlk Found. Plbg. Top Ou:: Cas Line FINAL- Poet/Beam Struct. San. Sewer Framing - g \ Pont/Beam Hoch. Rain Drain 111bUlation -Plumb. Plbg. Underfloor ^Water Lina Gyp. Bd. -Nech. Date Requested: G �l� � -Am PM AddressPetmit #f Bu 11 der:_�___� �yFSc.�v /��` THE FOLLOWING; CORRECTIONS A1,6 R4VDIRBDt inspector: ' _ Dater ��`Z _✓ ..PPROVED SDEJEM TO AMM ."PROVED DIEM Gll /br Minsp. O V ry •- 1 �L I to O �� •� O Q I O Q u M h a n' elm k CO CID "1 d �-A g w ]c _ fIL6o U :o ►6 �tl�ts O v . — In � ~ Otl -T.9 am--- o Q 0 % 1, I cq h M 61 oIOS 0.11 01.0 1 v1• 3 61�10N — -a C►I ;"�� M 61olOS o . 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DRIVEWAY R/W LINE A w CONTRACTION JOINT OP'TIONAI_ cc SIDEWALK a LOCA o ION B (SIDEWALK -XPANSION JOINT EXPANSION JOINT CURB JOINT A-4 3 ' 0" 6' -0" MIN. -0" MAX. 6. - 0 MIN. - 0" MAX. FACE OF CURB SIDEWALK ADJACENT TO CURB SIDEWALK AWAY FROM C1LI;8 PLAN I-1/2" EXPOSUdE USE EXISTING EXPANSION JOINT OR .SAWCUT AND ELEVATION B—B SEEC COLDG. JOINT. STREE306. T . ---- "�"�' COMPACTED SUBGRADE 2" OF 3/4" MINUS SECTION A-A NOTES I. CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 P3.1. AFTER 28 DAYS , 6 SACK MIY 2 CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2" RADIUS ALONG BACK OF CURB. 3. EXPANSION JOINTS SHALL BE 1/2" PREMOLDED ASPHALT 41PREGNATED MATERIAL OR EQUAL , EXTENDING FROM SUBGRADE TO FINISHED GRADE . 4. SEE DWG. NO. CS-300 AND NO. CS-305. WASHINGTON COUNTY DEPARTMENT OF LAND USE RESIDENTIAL DRIVEWAY v AND TRANSPORTATION DATE CIVIL E 1NEER DRAWN APWA NO. WASK COUNTY NO. NONE DW-- 200 i FACE OF CURS WIDTH OF STREET DRAINAGE 5LOCKOUT / 3" I.D. PLASTIC; PIPE — WITH COUPLING i ROAD ' f ' Ij. • z MAX. iD A 1 • . BASE COURSE — 9" — I• FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY M0�--NTABLE CURB C9-300 SHALL BE USED. ?• CONCRETE TC HAVE A SPEAKING STRENGTH CF 3C')O PS.I. AFTER 28 DAYS 1 EXPANSION JOINTS . A. TO BE PROVIDED 1) AT EACH POINT OF TANGENCY OF THE CURB 2) AT EACH COLD JOINT . 3) AT EACH SIDE OF INLET STRUCTURES. 4) AT EACH ENC OF DRIVEWAYS . 5) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 FEET B. MATERIAL TO BE PRE - MOLDED, ASPHALT IMPREGNATED, NON-EXTRUDING, WITH A THICKNESS OF i/2 INCH I CONTRACTION JOINTS . A. SPACING TO BE NOT MORE THAN 15 FEET S. THE DEPTH OF THE JOINT SHALL BE AT LEAST I I/, INCHES . 4. BASE ROCK -2"-0 OR3/4"-0 , 95 % COMPACTION. BASE ROCK SHALL BE TO SUBGRADE O' STREET STRUCTURE OR 4" IN DEPTH , WHICHEVER IS GREATER 5. DRAINAGE BLOCKOUT • 3" DIA PLASTIC PIPE . A. I.D. P; ASTIC PIPE WITH COUPLING. B. DRAINAGE ACCESS THROUG'I EXISTING CURBS SHALL BE CORE DRILLED OR CJFRB SAW CUT VERTICALLY 18" EACH SIDE OF DRAIN 8 REPOURED TO FULL DEPTH DF CURB. ,WASHINGTON COUNTY CURB NON - MOUNTABLE wDEPARTMENT OF LAND USE FOR USE ON MEDIANS ^AND TRANSPORTATION DATE CIVIL ENIGINEER DRAWN APWA NO. WASK COUNTY Na '�1e41 aL-. es 18 ( MOD.) CS - 301