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13030 SW 115TH AVENUE .. ♦ r o yI''J/ r n �i e A L 1 1 / r 1 • • CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 1312:SW Nall Blvd.Tigard,Oregon 972,398199 (503)839-4171 L^f: I'— J 11J -J CITY OF TIGARD — RECEIVIT OF VIAYMENT RECEIP'T NO. ci 3-24;�157 4 CHECK AMOUNT 2,"35. 00 NAME SHULTF3, MITCHELL. CASH AMOUNT 0. 00 ADDRESS 13030 RW 115TH AVE V,AYMENT DOTF 07/23/93 SUBDI01SION TIGARD, OR 9-722-3— PURPOSE UP PAYMENT OPIC)LINT V,A 11, V,URPOSE OF V,AYMFNT AMOUNT FIAID 01200. 00 SEWER INSVIECT 3t, 00 a- Ln c EWER r-,ERMIT OTAL AMOUNT PAID 00 APPLICATION - STREET IMPROVEMENT/EXCAVAT JN `\) COPY TO: (WHI rE)-FILE ORDINANCE NO. '74 14 LN (YELLOW)•INSP. C J -'�-�I (PINK)-OTHER AGENCY I`! • , (INSTRUCTIOS ON SEPARATE SHEET) I � (GLUE)-APPLICANT APPROVED Al APPLICATION NO.: (G'04 _ NOT APPROVED ❑ C17'Y OF TIGARD, OREGON FEE AMT.: s ? e1Q.Q0 ._ . -NDING FEE. PMT. ❑ CH'Y llALL RECEIPT NO.: IS -44 7 i PEN DING SECURITY ❑ PUBLIC WORKSDEPART41ENT BYDATE `7 5/ �S' PENDING AGENCY ''OK'' ❑ 1pplic.+tion and ProgTrss Record f►/! - - MAINTENANCE BOND ft PENDING INFORMATION 0 FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED -" ANNUAL U PENDING VARIANCE ❑ EXPIRATI N DATE: / PERMIT NO.: _ 53" .;1_ DATE ISSUED: 3 (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL S1_NlTAM1 Sf:l&R.t: TAD?__- AS DESCRIBED HEFEIN, IN FULL ACCORDANCE WI-T H CITY REQUIREMENTS. APPLICANT Mitchell T. Shults 13030 SW .115th Ave. Tigard, % 97223-28613 598-8579 NAMF ADU ESB CITY -- - _- - - CONTRACTOR All-West Plumbing 620P-M� NAME ADDRESS CITY ♦NONE PLANS BY per City_ Standards & Specifications NAME ADDRESS v- C'T`• PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 250.00 _ _. DOLLARS FOR OFFIC_—E _—�— - - MIN. (2) EXCAVATION DATA: _ n.oa x s � •tX1 = _10.00 STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED TYPE LENGTH ITEM SATE REy1ARK5/TYPE BY 1•IIDTH DEPTH :TEM A pUANTITY STREET - - - SEE ATTA HED •- INSP c- — —' - IT TION F U - U _ ESTIMATED STREET OPENING DATE.- � � - S ESTIMATED STREET CLOSING DATE: E - --- D _ (3) SECURITY NO. 250.00 STRFEr SECURITY AMT: $_ CLOSED SURETY CO.: _ FINAL -- ___.�_ CASH_ a BOND--7 INSPEC. - (4) PLOT' FLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/COfIDITIONS. FEATL RES; EXCAVATION Il OCATIQN AMD EXTENT. g'j 1. ) soa attached special SITE: 40�-t- `'2 *�\ (a� _ _ 1 1 jonl itions/provisions. _ I I 3030 SW 115th AVE v 1 4 - .S.W. 115th U.1 CD 1 ( I I J (5) 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 THF STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIP:S, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OI- THE WORK, AND TO SAVE HARMI_E!:5 THE CIT-1 AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS, APPLICANTS SIGNATURE —_._ __ DATE -- / INSPECTION NOTICE - city of Tigard Building Dopartaeat 13125 BN Ball Blvd. Tigard, ©reclon 97223 Inspection L'Ine (Rec-O-•Phone)t�639-41'75 Business Phone: f39-4171 Inspection: 1 / � - 1� -.0 Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing --Bldg. Post/Beam Mech. Rain Drain Ins•..c�Lon -Plumb. Plbq. Underfloor (later Line Uyp. Bd. -Mach. Date Requsatodt .�O G1 'jimso pM ( I Permit asg 3 Aaa:-e a.:_ i Builders_ ?_•�i�P`Z���!� Z�`)�j JGtiy�Cl-Yy THR FOLLOWING OORRECTIONS ARE RBQUIRRDt 1117 ci ct I- v) V-- J r_ ` LJ - - J Inspectors Dat,( -APPOOM DISAPPROVED APPROVED BUBJh-T To ABOVt Call For Reinsp. BOB'S SANITARY SERVICE, INC. J@ DI RM 0EDEE 11919 N. Jantzen Dr. Suite 143 8237 PORTLAND, OREGON 97217-8195 (503) 286-2930 CUSTOMER T�t�ls-- �ztsr�rrGt3a'r€ L 7 RR TARFN BY 4�A V - ADDRE 1 J� 1 1l515-1L7 DAY WORK 61 ` TY l CONTRACT �.�� � ❑ EXTRA J UIJ NAME AND Ta I I TJ00 E 'VMCT —_- i U C.) A) Y CL -n TOTAL MATERIALS TOTAL LABOR liJ - in tire event of-defoull, —� pay all reasonable costs including, but not limited 10 1110"Myslees wftfrTsTsaRt-to-itm — any outstanding, due and payable. TAX DATE COMPLF.TEO WORK OROCRFO BY TOTALAMOUNT = [� No ono home [) Total amount due [] Total billing to Signature _ for above work or be marled after tlsoaLTtftl M'9a laz f hereby ecknowfsdps the aauCompletionslectCompletioncompletionan of work Clw.esu uCl. of the above described work i IIISPsc�rldl Mdrsce City of Tigard Madding Department � 13125 611 WI Blvd. Tigard, Oregon 97223 i Inspection Line (Rev-O-Phone)t 639-4179 Business Phonef 639-Al'y' } Inspections � F t �( I 7ootinq Plbq. anderslab Koch. Rough-in Appr/SdwIE i found. Plbq. Top Out Gas Line FIMALt i Post/Roam Strur-t. Sen. Se"r Framing -Bldg. Post/Beam Mach. Rain Or+in Insulation _Plumb. Plbq. Underfloor stater Line Gyp. Rd. -Koch. Date Rsauestedt / 1 Times AK � i Address ° —� Permit #I PH Buildort 1 TAR POLI.ONINO OGnP2 :'TO!IS ARE RRWZRRDe I 4� r I 4 CC V7 r _J D W -� Inspeetebst e� j APPwOVRb DIAAM►fAOVlD _ MPRovRD BVIONCT To AWWN call Por Abinrp. Special Conditions/Provisions: 1. All we rk shall conform to City of Tigard, Oregon, Standards and Specifications. Note (tie attached Detail Drawings (U.S.A # 300, 350, 360, and Tigard # S-2) applicable hereto. 2. Notify City Inspector Letha Thoma_ (#639.4171) 24 hours before starting any w6,-k. 3. An annexation agreement is required to be executed prior to connecting to the City's sewer system. 4. Removal/replacement work and damage repair work shall be promptly initiated and completed to the City's satisfaction. No work shall be considered complete intil it is accepted by the City. The City reserves the right to cause testing and certification of work or repairs to be performed, to the City's satisfaction, at permittee's expense. 5. Erosion ^=trot shall be provided for by the contractor. 6. ORE 757.541-571 applies (pre-notification for location of underground la, `ii.ies, etc.). 7. A Sanitary sewer connection permit is required to be obtained from the City's Building Division before connecting to the City's sanitary sewer systerti. dVShull..nap CL cr. F-- V) T H J L' W J ti -Q ,bill I 58111 06Z£I LD N — 09111 � � 002', _ 09 - ,LIII �. gOZll . � �n� \\ 96111 OOZII o lb o 1 �I C, Z11 d y 51ZII 0 -� Aj V IZZII 00f11 \ 4 95ZI1 m I s 7 -- — - eFj/ - 0b1211 \` �� cbu 9bE{ �� 1h -1 3 I0 L 911 M O lw LJ O O b l l l aid 6521 85£bIfvg�vll N QL C.\?'� 719Z1 ybbli I O M o �5 2 U 99tbllbow _ a 3 N 3,-� - — 1 I o �II1505 1 M aC t I i n 09511 M 11515 I` M 1 I tLyll 09911 99L11 09L11 I -90 1 CL r A/i I -- OZLII - Ir "' -,- --- -• 0:,811 6 Z L I I v _ --- I - -ssg� ,ro _ M— I I `I� 09 L 11 coI n Q�� 09911 ----� — _ _ 99L so m ' 1511 \\ J �611 r 1 I y _ - 5 Int � X981 \1 \ 50611 > I � I 3511 w 09611 - _ 2 5 q 611 �\ a hzoZI — — -r-- o NW 114 SE 1l4 SE-CTION 0WASHINGTON COUP � --v SCALEI" =CCNTER of SECTION SEE MAP TSS RiW 2S I 3AC N E R ROAD A -- z ,0 96 4c. 23 - 73 .I0G R 9 00 a 9400 8900 W . 0 Z61 SR_ (C.S Nc. 6423) :s -r �' •-r ` ,9600 9300 ' Z C L 79 J f I 2 9, 5' o 31 � 9000 10000 0• 9900 m UJI ,e1e ?� t?5 • 75 76 ee tiv •,� U) � ` 20o 10100 ���o a,6 9700 w a r 9100 I 74 (n _/e•F eo 63 h V 7684 ± 0 _ . r`3, ;9800 s 0.20 - A '^ 1 p.� �---� � �2 V/ � 427 7.09 63 12 {0200 (O- ^_ P�� 77 em ►� ?P p ,dfi J 6e 1p 73 � 460. o S ci\� J w`C A.�40 Abe 11000 •' r 10300 • 10900 r' solo'72 �0 66 �e R.20 e•oA �-�'6 10800 $ 6 T .e 11100 4 , �•tp0� y I� TRACT ' e a 6Fa 9'' /097 Ac tvD a PEOESTNUW"811(E 10600 ' •* Z. �z T; +� _—'_� " p..ti 49 o S • 60 179 n.t06 o5n0 J 69 11200 6300 mob(C?, 10400 70 e z 65 p��0 cr- so 6200 u. P C k r cn °N° '�' ,o° • a c� `* 23 s ae yT o� 71 �^ L >. r S 1h. TERRACE N e°�°tT e„c+ 6' �4►�bi 6800 24 rN�, ,1300 Rols1 TRAILS DRIVE ',z t :n 22 ' �14( •�• Y 64 w b *� ' 6100 6; _ l 6500 p•50 % 00 o ye a9 I (w) 21 3 4, y1 25 r - e, �' ,� � J / 'Q � Q9 Wil" ► o SEE MAP f '1 a J SBOO 2S 1 Y A I � 12 �1._ •- `b 1700 be 7C'1 0 i i NORTH J. W 1--r—PUBLIC F-smT, LOT LINE LOT 79 0 --/PL'eL I c GENE.515 140.3 SEE OF-TAll- \ ... , , , 0001A6 -- 0+00 o� NJ EXIST. LAT :3 LIN INA Azz w�-�i.�. —� i .•�— � -moo - w�a---_ter w .i�_w-raw �` -:�e��--'=ate— � •—— _ �i ��ll►7 I IIBUILDING SEWER PIPE, SIZE AS SPECIFIED 1 PLANT FABRICATED TEE FITTING ON SEWERS 18" AND SMALLER. BACKFILL 2X4 FIELD TAP ON EXISTING SEWERS AGAINST PWG TD AND NEW SEWERS LARGER THAN I PREVENT PLUG THAN 18". 1 BLOWOFF & SECURE 2X4 IN PLACE WITH I TRENCH BACKFILL. SEWER MAIN .OR LATERAL H L•A N I v I _EXTEND AT LFAST GROUND 12"AUOVE SURFACE SURFACE MINIMUM SLOPE FO,i G" PIPE= 0.010, FOR 4"PIPE : O.020. ----.'3ER11(� CONNECTION F4ARKER MAGNETIC TAPE GREEN w/T3LACK LETTERS (WASTEWATER) GREEN w/BLACK LETTER] (STORM DRAIN) —�_ P WG 3/4"-0 PIPE ZONE MATERIAL SUPPORT TEE WITHAS SPECIFIED BEDOING GRAVEL, sammuM "0" wim S I DE a ct BUILDING SEWER J c.7 J 11M f lb sa A4*.K-r I of W.d,tngtonn Coun{r (7wrj. No. 300 • - PVC SADDLE I STRAP RETAINER RIDGES I I I - RUBBER GASKET SEWER PIPE. i rTA'`. _ESS STEEL STRAP w PVC SADDLE SHALL BE ASTM 3034 SDR 35 A PVC COMPOUNDS SHALL BE ASTM DIT84 WITH CELL CLASS OF 12454-B/C OR 12364-C 0 ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F 4TT ■ STAINLESS SYEEL BANDS SHALL BE 300 SERIES, FULL 9/16' WIDTH BAND, 5/16' SHOULDERED NEit HEAD, SLOTTED SCREW AND IS CADIUM PLATED, CARBON STEEL. a INSERTION HOLE SHALL BE. CORE DRILLED. V) J U' W PVC GASKErED unWad SADDLE age DRAWING N0. 350 1 . COMPLETE RUBBER SLEEVE (ASTM-C-4431 INCLUDES A MOLDED SEGMENT THAT FIOLOS / IT IN PLACE. 2. STAINLESS STEEL BAND (5/ 16" ;ERIES 30C) ("--� SECURES UPPER HALF OF RU86ER SLEEVE 7C .rIE PVC HUB. i 3, PVC HUB (ASTM 3034 SDR 35) DRIVE INTO CENTER OF' RUBBER SLEEVE AFTER SLEEVE IS PLACED IN HOLE. 3 1 2 / ---CONCRETE F' IPE ZZ1Z7111J�����1 NOTE: ALL INSERT, ,-TEE HOLES SHALL 13E MACHINE DRILLED. T J C C-7 UIN fled I NSERTA -- TEEsomrageUfA (jagency DRAW I Nr NO. 360 MLN. ,3•' A C IN 2 LIFT.5 f STREET AREAS 1 OUT OF STREET_AREAS sAw cur 1 EXISTING SECTION _ , 4 .�SURFACING / • � e ° CLASS A `'/ ' , •. v• /� BACKFILL a r• � • v CLASS 8 3/4'1--0 GRANULAR - U BACKFILL 0 ,v • - z W N o W bi C o o •A + o Q- N ~o Q _,_ p o . Q s �. •� • � W V :d -• e O m - e • • o S— _-o• - •e O - PIPE "ASS QACKf1LL IN 3TREEAREAS L IF 31W 13 AGAINST CURB, FILL ROC:k TO BACK OF 31W n 2.IF 3/W i 3 NOT AGAINST CURET FILL ROCK Z'BACK CROM CUI;,'l J PIPE BEDDING AND w CITYQF T1.6A- RD - h BACKFILL DETAILS OREGON DESIGN FAY APPROVE-:01'i" DVALJN �Y � GA R_f3 X1t1_E_ DATE IJAAI.1!!�G No --Z-_. NTG 8l 30l 66 S-2