12535 SW 128TH AVENUE APPLICATION - STREET I APROVEMENT/EYCAVATION COPY TO:
N (WHITE)-FILE
ORDINANCE NO. 74 14 yi E ,YELLOW)-INSP.
Y" E (PINK)-OTHER AGENCYbIdg.
(INSTRUCTIONS ON SEPARATE SHEET) /' A;C Q( (BLUE)-APPLICANT
APPROVED 91 APPLICATION NO.: �A�NOT APPROVED ❑ CI I ti 01' I.GARD, OREGON FEL AMT. E 14 JIM 37'20
PENDING FEE.PMT. 13 CITY HALI, RECEIP NO.: —11 ` Z 5?kgs
PLN'IIrIGSECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE 10 1 13
PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE POND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRI.I:
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: — 4CMA
PERMIT N7.: —�4�- 9� DATE ISSUED: _�-1 1�1�'`_�_._ E'Y: r(1 ) APPLICgLTION IS HEREBY MAj'- TO EXCAVATE FOR ANLL INSTALL CX CRFkE SIDEWAL'.{(k�e.�' .
kLM044- I
__- I S DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Jauues 'N. Forarster 12L)J5 S�y 128th AVU Tijaro, OR _�l1e3 # 590-3_533
N\ME ADDRESS ~�— CITY PHONE
CONTRACTOR __Ple CoriCrate P.O. Box 231064 Tigard, vEt— 9 2 3.___�,2�967B
NAME ADDRESS CITY PHONE
PLANS BY der City Standards_ and_Specifications
-- NAME —� ADDRESS CITY PHONE
ESTIMA".'ED IMPROVEMENT TOTAL VALUATION ( COST): $ 930.90 —__.—
DOLLARS
EXCAVATION DATA: -- FOR OFFICE E
(2) : .MIN
_ 0.04 x s •00 < a_ 7.20
^nTREET DESCRIPTION PROGRESS & :NSPECTIIN STATUS
NAME SURFACE CUT CUTCUT MATERIAL INSTALLED ITEM DA rE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
OPENED
128th Ave. - 1L.;_.i,.' `.: i _ INSPEC- _
R TION
— E
Q
U
E
ESTIMATED STREET OPENING DATE: 1 ..._-J S
ESTIMATED STREET CLOSING DATE: E
D
00 STREET
(3) SECURITY NO. 930.
SECURITY AMT.: S __ cLOSED
SURETY CO : __ FINAL
I t RTII ILD CHECK CASH_ ❑ BOND t INSPEC.
(4) PLOT PLAN: INDICATE ;ITE PERTINENT PHYSICAL i— SPECIAL PROVISIONS /CONDITIONS
FEATURES; EXCAVATION LOCATION AND EXTENT.
1 m I _
S.W. 128th Avenue -- -�------_- -
( s work area
N
SITE: 12535 SW 128th A .1 )
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAV JURISDICTION IS THAT OF WASHIrvGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WIrH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO .ONDUCT OF 'EHE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY '.ESULT FROM APPLICANTS ACTIONS.
'1
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APPLICANTS SIGNATURE DATE
SPCOial Conditions/Provisions:
1 . All work sha l conform to City of Tigard, Oregon, Standards and Specifications.
Note the attached Detail Drawings .
2. , Notify City Inspector Lotha Thomas (#639-4171) 2A, hours before starting airy work.
3. Access-to and ogress-from parcels of land adjacent to the work ;rca shall be
main,ained at all times. Traffic and Pedestrian safety shall be provided for by the
contractor at all times.
4. Removal/replacement work and damage repairworkshall be promptly initiated and
completed to the City's satisfaction. No work shall be considered complete until
it is accepted by the City. The City reserves the right to cause Costing and
certification of work or rcpalrs to be performed, to the City's satisfaction, at
permittee's expense.
5. Erosion cc Itrol shall be provided for by the contractor.
6. ONS 757.541-571 applies (pre-notification for location of urderground facilities,
etc.).
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WALNUT
/STREET
INSPECTION NOTICE
City of Tigard Building Department
13125 .-,SI Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underalab Mech Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
past/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Lige Gyp. Bd. --Mech.
Date Requestedt /Gi /I __Times AM __PM
Address G�J , n _-_ Permit
Bu i 1 de r:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Data: ��CJ
APPROVED DISAPPROVED PPROVED SUBJECT Tio wBOv4
__Call Pay Reinsp. --��
SE 1/4 AVE 1/4 SECTION 4 T2S R I W W.M.
WASHINGTON COUNTY OREGON
SCALE 11' = 100'
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CURB JOINT
5' MIN. SEE NOTE 5 ROW
—
POAD
` 2- OF 3/4--0" BASEROCK
COMPACTED SUB RADE -�
SIDEWALK ADJACENT TO CURB
- 5' MIN. -= ROW
2%
ROAD
-'`E NOTE 5
-2- OF 3/4•-0" BASEROCK
COMPACTED SUBGRADE
SIDEWALK AWAY FROM CURB
NOTES:
1. CONCRETE SHALL BE 3000 P.S.I. AFTER 28 DAYS, 6 SACK MIX, SLUMP RANGE
OF 1-1/2' TO 3".
2. PANELS TO BE 5 FEET LUNG.
3. EXPANSION JOINT'S TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES,
UTILITY VAULTS, WHEELCHAIR RAMPS, & AT SPACING NOT TO EXCEED 45 FEET.
4. FOR SIDEWALK ADJACENT TO THE CURB AND POURED AT THE SAME TIME AS THE
CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN. 1,11" RADIUS.
5. SIDEWALK SHALL HAVE A MINIMUM TH'CKNESS OF 6 INCHES IF MOUNTABLE
a CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY.
cif OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES,
6. DRAIN BLOCKOUTS IN CURBS SHALL BE EXTENDED TO BACK OF :SIDEWALK WITH 3" DIAMETER
>- PLASTIC PIPE AT 2% SLOPE. CONTRACTION JOINT TO BE Pl,;CED OVER PIPE.
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�\ CONCRETE SIDEWALK
REFERENCE APPROVED BY DRAWN BY
CITY OF TIGARD WASH. CO. `s-305 cnn
SCALE DATE DWG. FILE
0WGW N.T.S. 7-9-93 kOETAILS\WNC-SW.DWC
3/4" R g• EDGE
T T
DRAINAG= BLOCKOUT
6" 5 3" I.D. PLASTIC
PIPE W COUPLING
i 16"
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_ 9. --�
TRAVERSE EXPANSION JOINTS:
1. TO BE PROVIDED AT EACH POINT OF
TANGENCY -OF THE CURB do AT OTHER
LOCATIONS AS REQUIRED TO LIMIT THE
SPACING TO A MAXIMUM OF 20 FT.
2. MATERIAL TO BE PRE—MOLDED NON—
EXTRUDED MATERIAL WTH A MINIMUM
THICKNESS OF 1/2".
TRAVERSE CONTRACTION JOINTS:
1. SPACING TO BE NOT MORE THAN 10 FT.
2. DEPTH OF THE JOINT SHALL BE AT
LEAST ONE FOURTH OF THE CROSS—
SECTIONAL, AREA.
CONCRETE BREAKING STRENGTH:
1. TO BE 3000 P.S.I. AFTER 28 DAYS. '
STANDARD CURB
�� VE
APPROD BY DRAM V BY
WA`_ L CO. CS-= (moo.) CA)
CITY OF WARD SCALE DATE DWG ME
a KM 7-g-g3 tDFTAILS\QJRD-STD.DWC
GENERAL NOTES
1. TRAFFIC SIGNS TO BE 48" X 48'
ROADO BLACK ON ORANGE.
AHEAD I I
T 2. NO COLLECTOR STREET LANE CLOSURES
1
MIN. OR LOCAL STREET CLOSURES DURING
THE FOLLOWING TIME PERIODS:
aw vacpnw AHEAD
Q
*20-4 t 7.30 - 8:30 A.M.
100' f 4:30 - 5:30 P.M.
MIN.
3. THE CITY'S STANDARD SPECIFICATION
2 41"D O I FOR TRAFFIC CONTROL IS 'MANUAL
j 100' I ON UNIFORM TRAFFIC CONTROL
MIN. DEVICES FOR STREETS AND HIGHWAYS',
N I U.S. DEPT. OF TRANSPORTATION,
1 FLAGGER FHUA, 1988 EDITION.
a
100' 4. ACTUAL SIGN PLACEMENT TO BE
MIN. ■ ■ ADJUSTED IN FIELD. DO NOT REDUCE
z I ■ 50' MIN. BELOW MINIMUMS WITHOUT CITY
--- ■— —�
APPROVAL-
12' r
I.IIN. r _
■ — J 5. THE CITY RESERVES THE RIGHT TO ADD TO
■
100' z OR MODIFY TRAFFIC CONTROL REQUIREMENTS
■ MIN 0 AS MAY BE NECESSARY TO EFFECTIVELY
■ un CUNTROL TRAFFIC AND TO ENSURE PUBLIC
■ u SAFETY.
FLAGGER
LL-
< 6. NO LANE CLOSURES WITHIN 200 FEET OF
100
A TRAFFIC SIGNAL WITHOUT PRIOR CITY
M N. p APPROVAL.
z
Q nAoaoi MI/O
f70-7A
1 o0'
WIN. LEGEND
em Lhow
ROAD.0D-4 0 TRAF.TC SIGN
100'
MIN. 0 CONSTRUCTION ZONE
Q 1 MAC CCF9STftjCjM o TRAFFIC CONS OR
APPROPRIA _ DELINEATION
DEVICE.
TF2AMC CON MOL
TYPICAL DETAIL
R1rR-w4CE ATIF-ROVM 9Y DRAWN BY
CITY OF TIGARD GA„ CAB
SCALE I DATE DWG nLE
OREGON N.T.S 7-9-93 .r.DET/TRAFCM T.DWG