10195 SW HILLVIEW STREET .o
GENERAL, CONSTRUCTION NOTES
1. Ail construction is to comply with C,ty of Tigard standards
and those &pproved by the Unified Sewerage Agency of
Washington Co. , board of Directors, Resolution and Order
No. 91-10. work is also to comply with the Standard
Specifications of American Public Works Assn.
2. Contractor rhall Install and w intain erosion control
— CON}T,FclC7- 15W L.i_ oF- ZNCI-I
,ter Washington County Erosion Control Hardl►ook dated
November 1999. Erosion Control measure *hall c,znaist
of a gravel entrance p1 ted at locatioq shown as "Existing
— Z!VSTAZ-,L /- ,rLAT TOP Access" on plan near station 3+80, and shall conform to
— �,Q�Nr ;5LT EAsE/yF_/vT J"O Ci TY Pf TrGr1�D
Figura 3-2 shown.
3. All pavement surfaces and vegetation are to be replaced
/ as soon as possible upon completion of manhole connection
and installation of sever line.
�N& 4. Traffic control along 100th Ave. and Asir Ave. shad
Q —f /-C R8 , consist of placing standard 29" cones or tubular cones
to delineate work area and placing "Construction Ahead"
_ / 1 1 advance warning sign as required by City of Tigard, and
N the "Manual on Uniform Traffic Control Devices for
" rU
±�t'E r9' � I� � Streets and Highways".
�..► S. Elevations are based on City of Tigard records for rim
y Powce I� elevation on existing manholes 3-5 and 9-5 and are knoifn
REMOVE 6 rR2--65 E
1` to be on U.S.C.G.S. datum.
/ X I EX/5T/NG 6. Locations of existing underground utilities are only
/ r�,/ ACGE55 / 8l��LT-uP l�M�N7 apprnximata alld will be verified on the ground no more
r ti/ �I /� 4T�1ati.vT /N �A✓o ` SNBVLDdrRS than 49 hours prior to commencing work by contacting
an authorised utilities notification service.
7. All construction is also to comply with the Ceoeral Carditioe attsrhed
/ LOT 2 3 / ' LOT 2 �f LOT 2� yp� �� hereto and made a part of these plans as provided by the City of Tipcd.
Only the follows. item numbers teed apply: lb. 2,3,5,9,11,13,14, ..6,22,
23,26,29,30, and 31.
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Erosion Control Plans Figure 3-2 1
Technical Guidance Handbook Gravel Construction Entrant= COMMUNITY DEVELOPMENT
- - DES/GN AFF
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t y " r , I I I tIl III .IIf �I IL.I .1,1 iIi SII
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GENERAL. CONSTRUCTION NOTES
I . All construction is to comply with City of Tigard standards
and those approved by the Unified Sewerage Agency of
I Washington Co. , Hoard of Directors, Qesolution and Order
No. 91-10. Work Sallso to comply -th the Standard
Specifications of American Public Works Assn.
2. Contrar_cor shall install and maintain erosion control
CO4/S7 ? 7 l7 ZAIC,Y per Washington County Erosion Control Hardbook dated
November 1989. Erosion Control measure shall consist
ARY of a gravel entrance placed at location shown as "Existing
— I/VSTAL L /- fL 47 TOP M,4lVhr, F Access" un plan near station 3+80, and shall er+nfor■ to
— G/P,�NT /5 GT E�1S�Mt"SVT 7-o C/T4' vF T/�a/�D ►'inions 3-2 shown.
_ — 3. All pavement surfaces and vegetation are to be replaced
/ ca soon as possible upon completian of manhole connection
( ����• and installation of sewer line
�iNk 4. Traffic control along 100th Ave. and Ash Ave. shall
Q c I? consist or elacing standard 28" cones or tubular cones
p ",
N advance warning sign as required by City of Tigard, and
S 1 to delineate wo.k area and plAcing 'Construction Ahead"
_ r4 _ ,
�/A•' C,(.-
11
the "Manual on Unite. - Traffic Control '.evi�ea for
-o -- — — — — —' — -- — ) E A i i• l = -, "i Streets and Highways
� C
I O�
/ U 1 u> -1 - -- - ( - - / 1 5. Elevationo are u,.sed on City of Tigard rer_o.ds for rim
/ �"'i �� o°►"ER R /� B-Jr �' 1� elev.tion on existing manholes B-5 and 9-6 and are known
'" I 1)) REMOVE 6 rREE S F0,c E /
1, to to on U.S.'.,'.G.S. datum.
/ EX157/NC 6. Locations of existing underground utilities are only
approximate and will be v rified on the round no more
I flGGE55 B!//�7-!!P GEMevT ,
/ 'i•% T C OHNPC f��Ut,ts P P fl"
V
SNO[/LDlF,PS than 48 hours j' prior to commencing nock by contacting
eBM6lvr AIV ,1N,0- an authorized utilities notification service.
LfYEA.
7. All construction is also to comply with the General Conditions attached
LOT 23 Lo-r 24 25 hereto and awde a part of these plans as provided ry the City of Tigard.
Only thefollowsnj item rxAbers need apply: No. 2,3,5,9,11,13,14,20,22,
j I 23,26,29,30, and 1.
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ElnSlr)n Control flansFigur!3.2
Technical Guidance Handbook Gravel Cunstn:ctiun Entrance - � DES/GN BV D/4T�
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-- —I"L I.S DUE PO 'tHE QUALITY OF' —_ —. � _�.:,,, ■■r!■y■ ■■f
No 36
THE ORIGINAL DOCUMENT. ___ _ _ — ___ ._ _ _ _
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IF FILE NO. 437-91
HILLVIEW STREET - 1.0195 ST OPN PERMIT
.DEFINE:entrct=case->eng definition incorrect.
ENGINEERING PERMIT
PERMIT #. . . . . . . : ENG91-0042. DATE ISSUED: 08/05/91 By:
PRIM. PERMIT #. : ENG91-0042
SITE ADDRESS. . . : 10195 SW HILLVIEW ST PARCEL: 2S102CC-02000
SUBDIVISION. . . . : FRELEON HEIGHTS NO.2 ZONING: R-3.5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :23
----------------------------------------------------------------------------------
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: STRLr:T OPENING, TO INSTALL A PROPOSED PUBLIC SANITARY SEWER MAINLINE TO
SERVE THREE SEPARATE OWNERSHIPS.
Permittee: ---------------- FEES ---------------
EMPIRE MECHANICAL, INC. type amount by date recpt
11338 S.E. VALLEY VIEW OPEN $ 148 .00 CRD 08/02/91 216008
CLACKAMAS OR 97015
Phone #: (503) 77'1-2608
Engineer:
X
$ 198 .00 TOTAL
Phone #:
-•------ REQUIRED INSPECTIONS -------
FermitLee/Agent Signature: ---STORM SEWER-- -----STREET-----
M.H. & C.B. CRB LINE & GRADE
PIPE LN & GRD SUBGRADE
PCKFLL & CMPCT L;ACF ROCK
AIR & TV TEST LEVEL COURSE
City of Tigard, Oregon WEARING COURSE
13125 S.W. Hal]. Blvd. ---SAN. SEWER--- TRAFF & PED CONT
P.O. Dox. 23397 M.H. & C.O. MONUMENTATION
Tigard, Oregon 97223 PIPE LN & GRD STREFTLIGHTING
Phone # : 639-4171 BCKFLL & CM?CT WALK/APRON/RAMP
AIR & TV TEST
FOR INSPECTION, CONTACT: ----GRADING----•-
Carl Vieweg #639-4171 (office) --REPR' S/ADJ,S-- CONTOURS
#780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROSION CNTL.
APPLICATION - STREET IMPRO\ -MENT/EXCAVATION q copy ro:
ORDINAL E NO. 74-14 P9 (WHITF)• FILE
(YELLOW) •INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY
(BLUE)-APPLICANT
APPROVED Ap z-
APPLICATION NO.: _ CJ
NOT APPROVED CITY OF TIGARD, OREGON q 1
F E E AMT, $ ------
PENDING FEE. PMT CITY IIA)-.1,
RECEIPT NO.:
PENDING SECURITY ❑ PURL IC WORKS DEPA R TMEN T Hy -._�
PENDING AGENCY ''OK" [j \14011,010 11 and Progress Record _ -- - - - - - -
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION MAIN SER AUI;feBOND
PENDING VARIANCE ❑ ANNUAL'
-- _ EXPIRATION DATE
PERMIT NO.: 'x_931-`� I -
- _ DATE ISSUED: L %1BYs. Q,y�
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTAL)_
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
��or s
APPLICANT _ '�mpirE NArianioal. Inc . 1 � ,. i,. Vallee View. C:lackamas� Or 777-2609
AS ADDRESS Imo— PHONE
CONTRACTOR __nl ire Fiechanical Inc . 1133 3 Valley View. Clackamas,
__gr .
C
A AD y -.._PHONE
PLANS BY_%lifford C;;� ' ,; 10195 Hil view ,;t. Tigard , c p on A 67 -54fl4
A50—k E's-s -
CIT �r�.IiONE'
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S --2j,700. 00
DOLLARS
(Z) EXCAVATION DATA. - FOR OFF) $-Ey�� W MINS
0 04 X S Lic_1L-- = $._1137
STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED -- y
TYPE LENGTH WIDTH DEPTH ITEM S QUANTITY ITEM DATE REMARKS/TYPE BY
Ash 1 I S'rREFT -
--
2PEN _
INSP C-
-_ R 'TION
Q
U
ESTIMATED STREET OPENIr'G DATE:-
ESTIMATED STREET CLOSING DATE: /_ -_ / T
- --- E
_�_--- -=-,- D
(3) Y NO.U, 8 SD) SECURITY AMT: a 3-1sx2___ sTRE=T
CLOSED
SURETY Co. � v FINAL
CERTIFIED CHECK CASH 0 BOND q _ _ INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL - -
FEATURES; EXCAVATION LOCATION AND EXTENT. SPECIAL �ROVISiONS ; CONDITIONS;
1 I , .tNATE�CGN/t/Ec�7 I f I LAFy r�I 1 0 �T) t`-440 _
/PE X17 MANN r 9 , Vic,._ >L; 1,
'
�. ,' _ ...3T
77
r
7
NOTE THE CITY OF TIGARD DOES NOT. HEREBY GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. _
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECUrI TIES. TO COMPLY WITH ALL PERT-NENT LANES AND
CONSTRUCTION SPECITICATIOIVS PERTINENT TO CONDUCT Or THE WORK. AND TO SAVE HARMLESS THE CIT' AND
EMPLOYEES AGAINST ANY/INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
'
APPLICANTS SIGNATURE .moi.rJ�l�f�'� _ L% s • / �6 S
------- DATE
7 7-
RELIANCE IN$ tRANCE COMPANY
PHILADELPI, °ENNSYLVANIA
ia� UNITED LW Y,JINSURANCECOMPANY
FEDERAL WAY,WASHINGTON
PLANET INSURANCE COMPANY
FEDERAL WAY,WASHINGTON
CANCELLATION NOTICE
'ro: ' Obllpee/.,
P0. 23397
12420 S.W. MAIN
j TIAMD, OR 97223
RE: Principal/
Addres8 EMPIRE MECHANICAL, INC.
P.O. BOX 66257
PORTLAND, CH 91266
BondNo.: _ U186 88 61
Bond ryp�. .,,. TrREET OPENING .PERMIT #437—1
EltectiveOita:
r. You are hereby notified the captlpQned bond is cancelled In accordance with the cancellation provisions
contained therein or in applicable laws or regulations.This notice is malle6to you on
6-24-92 ai ;Gs!,Ybe effected on or about
8`1-92 or if such eWCtive date does not provide for a sufficient number of days
+ notice, as required, then upor the earliest date permitted. The Issuance of this 0ancellatlon Notice
shall not,hbweYiLr,extend th,l effective date of cancellation if such bond has been cancelled upon an
earlier date under the provis ons of said bond.
UNI—TEP )WA UI__INSURANCE COMPANY shall not be responsible thereunder for any acts
or defaults coMmitted or loss 4curring after the effective date of cancelldlon, nor for any losses not
1 discovered In accordance with the provisions of such bond.
P Surety. ST�II1_ �,T� INSURANCE COMPANY
�j GIGER A Attorney-in-Fact
N7LATN A^KNO L GM (Please sign duplicate of this Notice and return to Surety!
OV
i r
Da' Ej.... __110 -
_.L _------
I
ACCEPTANCE COPY
C�
_ ....._�,",,...�.�.._-�...._..+.,r•�.,,,,,*,.....�,,«.-.......-r'�,....--e...r..w.-•-r-.r+^f+.,..«.-,...�n».•..-.r-a+r..-,s-mmn►a+l'rr�+r�^...-.,.,.,�. -
WHI"fE
APPLICATION - STREET IMPROV" 'ENT/EXCAVATION co( rrE
)-FILE
OR DI NAN,.- NO. 74-14 (YELLOW)-INSP.
(PINK)-OTHER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) [A (B'-UE)-AAPPLICANT
APPkOVE'D A APPLICATION NO.: V � ---
NOT APPROVED 11 CITY Y OF TIGARD, OREGON FEF AMT.: $ .-1116.
`L)t� ---
PENDING FEE. PMT. I I CI1A HALL RECEIPT NO.: 1 '— 11 X ,'
PENDING SECURITY PUBLIC WO,RA'SDEPARTMENT BY =- - DATE� IL--ILL
PENDING AGENCY ''OK" 1pp[ication and Progress Rcco:d MAINTENANCE BOND N _-------
PENDING INFORMATION !J ANNUAL
STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: _ - --
C_ ,)
PERMIT NO.: �-� ( DATE ISSUED: _S�__1.,1-1 Wit____ BY: --� '{ _--_-.—_--
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL —_ ---- ------- -----
_ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
•1�. Valley
APPLICANT -Empire Mechanical Inc. 11338 :- View. Clackamas 0r. 777-2608
NAMIE DDRESS CITU PHONE
Empire Mechanical Inc. A11338 S.E. Valley View. Clackamas, Or. . 777-2608
CONTRACTOR r NAM! D ! CIT — - PHONE
Clifford Cabe 10195 S.W. Hi7_�1view St. Tigard , Oregon 639-5484_
PLANS BY_ NAME ADDRESS C T rv_ PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S _ 3 ,7nn' Cn —
DOLLARs
— —
- FOR 0FPIC.,11.�+}�� (-MIN.
(2) EXCAVATION DATA: _ _ 0.04 X sJAZ---
- STREET L — DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REI`AARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY
STREET
. V'. . Ash r` 1 --
- — INSP
�TION
Q
1-1
F.
ESTIMATED STREET OPENING DATE: / �r�— — 'T `--
ESTIMATED STREET CLOSING DATE: _L /}_--1--- — E
7 - STNFET
(3) NO
bb-(01SECURITY AMT.: S��__ CLOSED
SURETY CO.:Itl��t�' t'o.�i ,C. SAS. Lo. �7 FINAL
- 72 ' Stu
TIFIEP CHECK 11 CASH 13 90N0 A
--
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDI IONIS:
FEATURES; EXCAVATION LOCATION AND EXTENT. IVQ� 4 1n I, �y�L1pb'C Tc e"
EX C.411,4 e �C oAlm5er
I 1 y
1
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I
(`1) NOTE THE CITY 11 OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT YORK 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 W TH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS P"RTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS -THE CITY RND
EMPLOYEES AGAINST ANY IN,JRY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
17
l l t /
APPLICANTS SIGNATURE DATE
J �_ ``•."� T. V. & REPAIR REPORT Date- _- --- -------_--
z
T S R CORPORATION • P.O. Box 70343 Eugene, Oregon 97401 • (503) 484-1774
a
of Oar�� CITY/DISTRICTT1 _ LOCATION__.f OO S
LEGEND CONTRACTOR_ G /' 8�C- OPERATOP___._-Z-)0
BP = Broken pipe SANITARY-- ___ STORM
CC = Circumferential crack
LC = Longitudinal crack
G =: Break in grade
IPTL - Leak aMH
= Protruding tap G sST = Service top ZSt_ = Service left PIPE SIZE PIPE TYPE JOINT LENCTH MH NO
�R = Service right
R - Roots
U Unpassable TEEIWYE PROBLEM TAPE TEE/WYE PROBLEM TAPE
FOOTAGE FOOTAGE
MANHOLE DATA JOINT GROUT GALS FOOTAGE JOINT GROUT GALS FOOTAGE
MH no
depth - - -
type - --
leaks S f
Lr
condition _ 0 - ----
Recom. Rehab..
MH no.---- -/
depth _-- - -�_
type -- ---
leaks -
condition-- A _ - —
Recom. Rehab.
11,11 H-
PIPELINE DATA —_
cleanliness G.o�. {�
�— — - --
alignment (-' c—ID -- — — —__-- _--
grade -_C-L0, ----
age
LA) -.
condition `� r)
%est. leaking ioints
other __ --
TOTAL FOOTAGE T V. -_ -S -S
TOTAL FOOTAGE CLEANED PAGE N
TOTAL JOINTS TESTED _
TOTAL JOINTS GROLITEO -� TAPE _ RUN
/4a" /0.-1 S
TAD CONSTRUCTIGN LOW PREbSURE AIR TEST N° 2119
245 15th St. SE
Salem, OR 97301 Date_
503-581-6G23 Page__,_ /-of—__pgs
Mob 931-2334
r'roject: #E 7/CV H ZM - LSD _ _
Contractor: ------
Inspecting Agency:
Inspector: ---------- --
Pipe Reqd.
MH # to MH # Size Type Length Time Start P.S.I. End P.S I. Results
/00 / ,S' 3.5 A110 Cass
Aw
Test performed by
TAD CONSTRUCTION
GENERAL CONDITIONS
RE: � ���� -�_l�' .11_ >L 1Y
1. The City's standard specification for traffic control
is "Manual on Uniform Traffic Cont:rcl Devices For
Streets and Highways" , U.S. Dept. of Transportation,
F.H.A. , 1988 Ed.
2 . Traffic control shall be provided for by the
contractor in accordance with the City's standard
specification and, also, in accordance with a City
( job specific) approved traffic control plan. A copy
of the approved traffic contrc L plan shall be
available at the work area.
3 . The roadway shall not be closed to traffic, at any
time, without having first obtained written approval
from the City Engineer. The permit holder is
responsible for provision of timely notification of
traffic flow disruptions to area wide Emergency
Services (Tigard Police Dept. , Tualatin Fire & Rescue)
and to Tri-Met and Tigard School District.
4 . Advance warning of imminent traffic disruption shall.
be provided to the general motoring public by
placement of an advance notification 4ign at each end
of the construction area 77 h:,urs (:yin. ) before
initiation of construction work.
5 . Access to existing properties shall be maintained at
all times, including normal delivery service and mail
service and if not, shall be calige for work stoppage
until effecti,,.►e access is established .
6 . Traffic control devices, flagpersons, etc. , shall be
in place prior_ to initiation of con3truc.tion work and
shall be effectively maintained.
7 . No work will be permittees on the roadway during the
hours of darkness, nor be ::ween __ to
a.m. , nor between . v to _ p.m.
8 . Minimum travel lane width shall be
feet; pedestrian travel shall also be provided for.
_ 9 . The City reserves the right to add. to or modify
traffic control requirements as may be necessary to
effectively control traffic and to assure public
saf9ty.
10. Before initiating any construction activity, the
permit holder shall contact
( #639-41'71 ) to establish a place, time, and date for
a preconstruction meeting.
�r
^_ 11. The penftit holder or his contractor shall notify the
City's Inspector at 639-4171 twenty-four (24 ) hours
prior to commencing work, twenty-four (24) hours
prior to any staged inspection (see attached listing)
and a'`ter completing work covered by the permit.
12 . A copy of the permit and all attachments, and a copy
of the approved construction plan and all amendments
shall L9 P-ailable at the work area. All work shall
conform to the permit terms, conditions and provisions
and to the City approved permit plans, and approved
plan amendments and to the City's standards and
specifications and to these General Con-4-- tions.
Changes to any of the aforesaid must be approved by
the City, in advance of work performance.
X _ 13. Maintenance of the work area and approach roads is the
responsibility of the permit holder. The work area
and approach roads shall be mainta:.ned in a clean
condition, free from obstructions and lazards . A copy
of the permit holders Certificate of Insurance shall
be available at the work area.
14 . The spreading of mud or debris or storage of materials
or equipment of any kind upon any public roadway is
strictly prohibited and violation shall be rause for
immediate cancellation of the permit. The City may at
any time order immediate clean-up and stoppage of work
to accomplish clean-up.
i_ 15 . Effective erosion control is required. Erosion
control devices must be installed and maintained
meeting the D.E.Q. requirements . The City may at any
time order corrective action and stoppage of work to
accomplish effective erosion control .
16 . Property dist»rbed by construction activity shall be
seeded with a standard grass mix; shrubs, flowers,
barkdust, existing signs, pavement markings,
mailboxes, etc . shall be ree8tablished, reinstalled or
replaced, with like kind and material.
_ 17 . Effective drainage control is required. Drainage
shall be controlled within the work site and shall be
so routed that adjacent private property, public
property and the receiving system is not adversely
impacted. The City may at any t.me order corrective
action and stoppage of work to accomplish effective
drainage control .
_ 18 . Excavator(s ) must comply with O.R.S. 757 . 541 through
757 . 571; excavator( s) shall notify all utility
companies {or line locations 72 hours (min. ) prior to
start of work. Damage to utiI.ities shall be corrected
at the ;permit holders expense.
_ 19 . Contractor must verify all existing utilities for both
vertical elevation and horizontal location prior to
start of work (pothole before digging if neceseary) .
Should conflicts arise and redesign or relocation of
facilities be necessary, it shall be done at the
permit holders expense. Changes must be approved by
the City in advance of work performance. Contractor
shall coordinate the work with affected utility
agencies .
_ 20. A temporary hard-surface patch (Cold mix A.C. cr H..t
Mix base paving) shall be placed on trenches within
roadways at the end of each days work. No trench, on
site or off-site, shall. be left at any time in an un-
safe condition. The permit holder is responsible for
and is liable for hazards or damage �•c2,ulting from the
prosecution of the work.
_ 21 . Work provided for under the permit shall include
repair of existing facilities (roads, ditches, etc . )
as may be necessary, in the City Inspectors opinion,
to overcome deterioration or damage which occurred in
conjunction with the work authorized by the permit.
Corrective work shall be done at the permit holders
expense.
_ 22 . One as-built mylar drawing showing all new public
improverients, including any revision made to the
previously approved construction plans and, also, any
improvement which may impact an existing public system
or facility, Blial . be provided to the City by a
registered civil engineer along with an engineers
certification of installation compliance ( form
attached) .
23 . A sanitary sewer system air-nest and (V.H.S. ) T.V.
test report and one set of blueline "As-Builts" (Of
the storm and sanitary sewer systems) is required to
be provided to the City (ATTN: John Roy, field
Operationq office) for review and approval prior to
connection of any buildings to the sanitary sewer
System.
24 . The permit holders Engineer/Inspector shalt submit
daily inspection reports, on a weekly basis, to City
of Tigard Inspector Carl W. Vieweg. (see Developer -
Engineer Agreement Note 4 5 . 11
25. The Cry's Inspector. may, at his discretion, require
previsic.n of tests and or reports from the permit
holder, permit holders engineer or contractor to
validate claims of material or construction
adequacy/compliance. Such tests/reports shall be
provided at the permit holders expense.
:,' aaT.'.;t•. ..,... , .. ... �:�8hiidilNlr•.. .. , +,,Ar x„ur�ii�i�:na: ;�i ..:.�'ru,:.:�,.
_ 26 . The permit holder e*.iall provide a copy of a property
executed Release and Waiver document to the City for
each ownership disturbed by construction activity, as
evidence of disturbance resolution and owner
satisfaction.
27 . Existing monuments, property corners, and survey
markers shall be protected. Replacement shall be at
the permit holders expense.
28 . The Engineer shall notify the Washington County
Surveyor when the initial and final lift of asphalt
have been placed.
29 . The permit holder shall provide to the City inspector,
in wi ,tino, the games and 24 hour emergency telephone
number if two (2) persons who have authority to
resolve problems, take corrective action and, in
general, will be responsible in case of any emergency.
The permit holder shall notify the City Inspector, in
writing, of any/all assignment changes.
30. The permit holder shall cause his contractor to
provide to the City Inspector, in writing, the name
aad 24 hour emergency rPl ephone number of a designated
"Competent Person" responsible for construction safety
as per OR-OSIiA, Chap. 437 , Div. 3 Construction, Sub-
division P •- Excavations . The contractor shall notify
the City Inspector of any/a' 1 assignment changes .
M . It is the sole responsibility of the permit- holder to
provide for proper right-of-entry and/or easements
prior to starting work. Proof of right-of-entry or
properly executed easements, shall be provided to the
City. The City shah in no way be construed to be
liable for the permit holders failure to obtain or
provide for proof of right-of-entry or easements .
d j/dcx.26.met
Cl
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s91-2160-08
CHCCK AMOUNT 148. 00
NAME CASE, CLIFFORD CAS14 AMOUNT 0. 00
ADDRESS 10195 SW HILLVIEW STREE'r PAYMENT DATE s 06/KV 1)1
SUBDIVfSION
TIGARD, OR 97223— 100TH & ASH AVENUE:—�
PUPPOSE OF PAYMENT AMOUNT Pri I ii PURPOSE OF PAYMENT AMOUNT PAID
PUBLIC IMPROV 148. 00
STIREFT OPENING PERMIT
10TAL_ AMOUNT PAID 148. 00
"- E � �c'e „ggay of :'+ x{'• l�W�ti 'rr !-': 11 i �'t{ slT l{ 1 r ' --
�• Iii"� i 1 V,� � ��ir� } `{'rL,�S �*si ��S ,,.�`N rW' .vr� �t� ?fit F `��SV ka 9 gF 1� ���t�r r [ir'3, r�y!Sm
,�t�'di7 rvw
^ 6ii�� J �;�t+�.
t�:.l �i�r,P .Er rrlflra{�, 4i.J �i� r�h`'���"tr�"`�t n 4P.'`�'� SIb "i A}F.i4'�',E�,r ��F�+.� �It^� �r�'��'�4y,ti n.! +r 1+{iit''i",4�� p "sl �•: P s.
p I ,'ft Til m ';; tr 3�(•td� .;.�, tti .t t���, r,!''�p;Jr �r I :;r�I !`'' �na���"�li 71,.�i1..7 ����,{�r,7#�i!! � �di�'`r.,;' i�l�� w�1��tt� �S�f�+�� p, l '�� .
W. Bank'
ff61-049467893 02/02/91
REM;IER CLIFFORD C CABE 100
PAY DOUL-ARS AND 00 CENI'S
CITY OF TIGARD `
TO THE
ORDER �J,
OF
Issued M Ameri�in Express Tra*4 Related Servlcos GorrKy�ry,inc..Englewood,
Ffrsl Intestate Flank,DTD,Los Arvin",Cablorntn
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I
STREET OPENING PERMIT
1 PERFORMANCE BOND BOND NO.1-1166 88 61
KNOW ALL MEN BY THESE PRESENTS that we, EMPIRE MECHANICAL, INC.
COMPANY , as Principal, and U __ i T ,
,1, C -
as Surety, are jointly and severally held and bound
unto the City of Tigard, Oregon, in the sum of '1aJ._F THOUSAND SEVEN HUNDRED
AND NO/1-00------ ------- Dollars ($3 . 700 . 00
for the payment of which
we jointly and severally bind ourselves, our heirs, executors,
administrators, successors and assigns firmly by these presents.
THE CONDITION OF THIS BOND IS SUCH:
That whereas the Principal herein has made appplication to the city
Engineer of the City of Tigard for a permit to INSTALL 2 SANITARY SEWER LINE
within the 'City of Ti and right-of-way of �77�� -APS.
T
(IiT7T�IN" .. NT ADJACEN `PtILRETO) 1�'1'igard, Oregon, under the provision of
Ordinance No. 74-14 and 76-11 Code of the City of 'Tigard, and whereas said
application was approved by the City Engineer of said City and a permit
issued, subject to and upon certain conditions, directions, stipulations,
'terms, provisions and requirements provided for in said permit, a copy of
which permit is attached hereto and hereby made a part of this bond to the
same extent and effect as if written herein and specific reference now made
to all the terms, provisions, specifications ai-iJ requirements set out,
declared and provided for in said permit;
NOW THEREFORE, IF THE Principal herein shall faithfully and truly
observe the terms, provisions, conditions, stipulations, directions and
requirements of said permit and shall in all respects, whether the same be
enumerated herein or not, faithfully comply with the same and shall assume
the defense of, indemnify and save harmless the City of Tigard, its officers,
agents and employees from all claims, liabilities, loss, damage or property
directly or indirectly resulting from or arising out of the operations or
conduct of said Principal or any subcontractor in connection with performance
or conduct of the work under said p _rmit, and shall in all respects
faithfully keep and observe all of said terms, provisio►►s, conditions,
stipulations, directions and requirements, then this obligation is void,
otherwise it shall remain in full force and effect.
WITNESS our hands and seals this _1ST day of AU('USJ, i
19--
EMPIRE MECHANICAL, INC.
7
Countersigned by: -----
N/A
Agent
- ----- _ UNI"ED PACIFIC INSURANCE COMPANY
Address Z�L��-
, '7_1 -,
�r . +rtr�stootor ,cr Attorney--in act
VICK . BEf1NKE
I
I
UNI'rEt3 PACIFIC; INSURANCE COM MANY
HEAD OFFICE FIEDERAL WAY,WASHIAGT'
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS. That the UNITED PACIFIC INSURANCE COMPANY. a cr.,,oration duly organize] under the laws of the
StateM Washington,does hereby make,constitute and appoint
VIC-:I BEHNKE of PORTLAND, OREGON --------
.is true and lawful Attorney-m-Fact to make,execute,seat and deli%,er for and on,t]behalf.and as its act ai-d deed
ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP ------
and to bind the UNITED PACIFIC INSURANCE COMPANY thereby as fully and to the same extent as if such t"xhds and undertakings and other writings
obisgoic y in the nature thereof were signed by an Executive Officer of the UNITED PACIFIC INSURANCE CUMPANY and sealed and attested by one
oe+w of Such of8cars,and hereby ratifies and confirms all that its said Attomay iii-m-Fact may do in pursuance hereof.
Thu Power of Attorney is granted under and by sutltonty cf Article VII of the By-Laws of UNITED PACIFIC INSURANCE COMPANY which
became effective September Y. 1975,which provisions are now in full force and offer reading as follows:
ARTICLE VII —EXECUTION OF BUNDS AND UNDF_RTAKINOS
1. The Board of Dram,&the President,the Chairman of tlro Board,any Senior Vice President any Vice President or Ass Sant Vice President
oc other officer designated by the Board of Directors shall have power ind authority to(a)appoint Attorneys-in-Fact and to authorizo them to execute
or, behalf of the Company,bonds and undertakings, reccgnizances,contracts of indemnity and other writhigs obligatory in the nature thereof,and(b)
to remove any such Attorney in-Fact at any time and revoke the power and authority given to him.
2- Attorneys-in-Fad shall have power and authority. Subject to the terms and limitations of the power of attorney issued to them,to execute
and dMtvw on behalf of the Company,bonds and undertakings,recognisances,contracts of Indemnity and other writings obligatory in the nature thereof.
The corporate seal is not necessary for the validity of any bonds and undertakings,mcagnizances,contracts of indemnity and other writings obligatory
n e w nature thereof.
3. Anorne .in-Fad shall have power and authority to execute affidavits required to be attached to bonds,recognizancee,contracri of Indem-
nity ar other conditional or obligatory undertakings and they shall also have power and authority to certity the financial statenhent of the Company and
to copies of rte By-Laws of the Company at arty article or section thered.
This power of Attorney is signed and seated by locsimile under end by authority of the following Resolution adopted by the Board of Directors of
UNITED PACIFIC INSURANCE COMPANY at a mretlng held on the Sth day of Junb, 1979,at which a rtitorum was present,and said Resolutlon has not
txwv arnended or repealed:
-Resotved that dee signaturwo of such directors and officers and the swell of the Company may be affixed to any such power of
attorney w any certiflcats relating thereto by lacsimtle, and afry such powow of attorney or cervflcate bearing Such fapimtle
Signatures or facsimile seal "it be valid and binding upon the Company and any soon power so executed and certifled by
feimiaile signatures and faplmile seal shall be valid and tinding upon the Company in the futons with respeo to arhy bond or
undertaking to which N is attached.'
IN WITNESS WHEREOF, the UNITED PACIf-1C MURANCE CON-PANY has Caused these presents to be sign+d by Its Vice President and Its corporals
seal to be heretso affixed,this 1.2 t h day at Ala r c h 1991 .-
UNITED PACIFIC INSUFIANCE COMPANY
Stu ;! ,�� _ •:�-�
........
President
VATEOF Washington 1
rxxpm aF King J
On vim 12th day of March ,1991,perscm-mIN4ppG&rod Lawrence W. Carlstrom
to nor known to be use VAce-President of the UNITED PACIFIC INSURANCE COMPANY, and acknowledged that he executed and attested the fore-
going Instrument and affixed the $eal of said corporation thereto. and that Article VII, . 2. and 3 0l iter. By-Laws of said Company and the
Resofuticim 9M forth therein,are still In full force.
My C.on"isalon Expires: a iA s 4 �-
M a y 15 . 19 9 4 w Notary Public In and for State Was i g t o n
flesiding at Tacoma
I. Robert D. Ritzhal.lpt Assistant Secretary 'TED PACIFIC INSUrWiCE COMPANY, do hereby certify that r~,a
above and ung M a true and correct copy of a Power of Attorney t. wild UNITED PACIFIC INSURANCE COMPANY,which is"N Imo,hull
foacts oho eaaat
IN VNTNFW WHEREOF.1 Asara ftereunlo sal Ary hared and affixed the seal of said Company tie j' tiny Of A UG U ST ifD t3 1 .
Assistant Seerslafy
salw� Robert D. Ritz opt
Wu_I&"M aim �r•�••,d
ESTIMATE TO CONSTRUCT 6 INCH SANITARY SEWER LINK
AT S .W. 100th AND ASH ST.
1 ) Install 158 ft . of 6 in . PVC
labor : lay pipe $ 600
connect to existing M.H. in street 200
backhoe work 800
saw cut street 85
materials : 158 ft . of 6 in . 3034 SDR C $1 . 10/ft . 175
15 c . y. of 3/4"-0" @ $12/c . y . 180
A .C . pave in street , complete 250
2-stub outs C $25 ea . 50
2. ) Install 1-Flat Top Man Hole
labor : place M.H. and connect pipe 200
materials : 1-flat top M.H. complete 700
3 ) Remove 6 Trees
lump sum 300
4 ) Install Erosion Control at Access
furnish and place 6 . 5 c .y . 2"-0" 100
furnish and place geotextile fabric 50
TOTAL $3690
I
,f
�GIN�E �y
a197
ORE oN
30,
FORD C C,P
1
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Uf
UNIFIED
Date - 9_,_L9_'__
SEWERAGE - _
File _IiY of Tiic and
AGENCY
150 N. FIRST AVENUE Project FREL EON HEIGHTS-PLAT 2 _
HILLSBORO, OREGON 97124
(503) 648—8621 Subject
TO CITY OF TIGARD
P 0 BOX 23397
_ TIGARD OR 97223
Item Copies Date Description
1 1 8/9/91 _Approved as noted__construction drawings for
project listed above.
❑ as you requested Remarks
❑ for your Information -----
❑ for your approval
❑ for your review —__----- ----__—_ ----__-- --_-_--
❑ return requested -_----___--
From Walt Haight�Engineering Technician
81-419
1 .o
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�. AST
MCIAILt. IR YTwEET ARU! ,
L IF!/#IN AYAINST CURO, FILL ROC,, TO
HACK OF S/M'
tt.If N/M Il NOT AGAINST CORM.FILL ROCK
t'aAOR/ROM OUR•
CITYOFTI rl'�AkD PIPE BEDDING AND
BACKFILL DETAILS
OREGON oEs�N pV _ AU'►RCveO DT DaM.lN ty
GA R6
��`e VAS-6 t?RILLJIN6 NCI.
NTS 8/'.50/J� S-2
D.E.Q. COPY,
APPROVED FOR CONSTRUCTION
ISSUED 9Y 1CrDATE
ITY OF TI(; ,RDI
CNCR.OFPt(;F_ DY DATE �..�.,.
OPMAT,OFFICE }]Y DATE }
SLOG.OFrICE
GEN.rcL.CO, IlY r T
N.W.NAT 13AS CO
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gTF—*7P.G.E CO. OY CAT[ �..,_.,.
UNIF DS EF ;E .zcNCY •� MOLE co, cY rnntp ._
BY Ig A Mq F -._._....WILT.DIST. Dv D„TE .._..._
-p 9 FIRE DIST. BY DATE _
BY DATE 411 I
INIF SEND.AQENGY Pw—
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A65IC A/ Y V DATE SGAL ,�
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SAW
fiOD 1
1 v'. c,l,R«o.�v119
r
INDIVIDUAL-GENERAL PARTNERSHIP
PERMANENT SANITARY SEWER EASEMENT
KNOW ALL MEN BY THESE. PRESENTS THAT — Rosanne DuY.fv
hereinafter cai.led the Gr9ntora, in consideration for the num of _ '-
OnE' dollars (t $1.00 ) from —the City of
Tigard, hereinafter called Grantee, g,,tnt an cc convey unto the City of Tigard a
perpetual easement for constructing, reconstructing, operating, maintaining,
innpecting and repairing of an underground sewer line and appurtenances,
together with the right to remove, as necessary, vegetation, foliage, trees
and other obstructions on the following described parcel of land, situated in
the City of Tigard, Washington Councy, State of Oregon:
See Attached Exhibit A
I: IS EXPRESSLY UNDERSTOOD that this easement doe= not convey any right,
title or Interest except those expressly stated in this easement, ncr
otherwise prevent Grantors from the full use and dominion thereover; provided,
howe%,er, that such use shall not interfere with the uses and purposes of the
intent of the easement.
IN CONSIDERATION of the p:•emisen, G-•antee agrees that if said Grantee, its
successors or assigns should cause said easement to be vacated, the rights of
the Grantee in the nbove--described easement will be forfeited and shall
immediately revert to the Grantors, their successors and assigns in the case
of such event.
TO HAVE AND TO HOLD the above-described and granted premises unto said
Grantee, its successors and assigns forever.
IN WITNESS WHEREOF, the grantor(a) has (have) hereunto set his (her)
(their) hand(s) and seal(a) this '%; " day of t �c. 19 1i
r (SEAL) (SEAL)
_(SEAL) (SEAL)
STATE OF OREGON )
as.
County of Washington )
BE IT REMEMBERED, thet on thio_ > :rgday of )/,_ , 19
before me, the undersigned Notary Public_ in and State of Oregon,
personally appeared the within-named
who is (sre) known to me to,' l.
he identical indivlduas described in and
who executed the within lnsti"umeKt and acknowledged to me that he (she) (they)
executed the same freely and vo'.untarily.
of.
IN TESTIMONY WHEREOF, I have hereunto set my hand and seal thIa.:� J K`/'day
Votary Public fnr 0 ego
(NOTARIAL SEAL) My Cpmmiseion Expires:
AP,,rnvoe as to legal description this 79 qday of
Title: l• v.c"
Approved this 2°10 day of _, 19
GRANTOR'S NAME/ADDRESS DEPARTMENT OF
Title: Ct 6E/fI'l ey'' —--
1P
EXHIBIT A a
SEWER EASEMENT DESCRIPTION
A strip of land 15 feet wide , lying in Lot 25 of Freleon
Heights-Plat 2 , in Section 2 , Township 2 South, Range 1 West ,
Willamette Base and Meridian , recorded in book 18 , page 26 ,
Plat records of Washington County , State of Oregon;
Beginning at the Northwest corner of said Lot 25 , Freleon
Heights-Plat 2; thence south 1 06100" West along the westerly
line of said Lot 25 , 15 .00 feet to a point; thence
North 89 27 , 30" East parallel with and 15 feet distant from
the northerly line of said Lot 25, 102 .66 feet to a point, in
the easterly line of said Lot 25; thence North t 17100" West
along the easterly line of said Lot 25, . 5 .02 feet to the
Northeast corner thereof ; thence South 89 27130" West
along the northerly line of said Lot 25 , 101 .62 feet to
the point of beginning . Said strip of land contains an
area of 1532 . 1 square: feet .
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MEMORANDUM
CITY OF TIGARD, OREGON
TO: Chris
FROM: Greg
DATE: July 25, 1991
SUBJECT: Cliff Cabe sewer at SW 100th and Ash
Please call him at 220-4614 to ar,-ange for the security required
for the permit .
;.s:1:tW1A{C " 3kyr,7rii,;�.;,yx,+l uw..x:.;.o:Lcr}laiki;.wwsn r -..
'MPORTANT Waal—A-7n�
'MPO �1NT M88A
FOR �_l`a
O.,TE Z-; Z � FCJFa. •TIMEM n
DATE
M
PHONE �-�'Cr _ F� r `/ _ OF-._______—_..-<T.gy�
ARrACODe NUMBER ExTENSIov PHONE_ —!
TELEPHONEDRa�GALL AREA CODE NUMBER
_�.. XTENBIUN
CAME TO BEE yOIj zit EPHON� PLEASE CALL
WIl1 CALL—AGA -----•�--.••.•�•.•—..
WAS TO EBE YOUCAME M GEE yoU
IllN WILL CALL AGAIN
HETLIRNEO yO1 Ni' ll WANTS TO 3EE y011 p
BPE[�AL AT1EM10N
LISH
� pl:T:IIAWEO yOI.1Fi CAU. BPECU4L
MESSAGE
I i 44 !`071^ MESSAGE
SIGNED
LITHO IN U.S.A. -�� SIQNE - ---
TOPS FORM 3(IOPp LITHO IN
TOPE FORM 30ripp
Olt
vAA n,,i
o C�'GTi
4
ESTIMATE TO CONSTRUCT 6 INC?i SAN]TF.RY SEWER LINE
AT S .W. ] 00th AND ASN ST.
]. ) Install 158 ft . of 6 in . PVC
labor : lay pipe $ 600
connect to existing M.H. in street 200
backhoe work 800
saw cut street 85
materials : 158 ft . of 6 in . 3034 SDR C $1 . 10/ft . 175
15 c. y. of 3/4"-0" C $12/c. y. 180
A .C. pave in street , complete 250
2-stub outs C $25 ea . 50
2 ) Install ] -Flat "..'c>p Man Hole
.labor : place M.H . and connect pipe 200
materials : I-flat top M.N. complete 700
3 ) Remove 6 Trees
lump sum 300
d ) Install Erosion Control at Access
furnish and place 6. 5 c . y . 2"-0" 100
furnish and place geotext.ile fabric 50
TOTAL $3690
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Lim
July 17 , 1991
CITY OF TIGARD
OREGON
Mr. Cliff Cabe
1.0195 SW Hillview St .
Tigard, OR 97223
Re: Freleon Heights (Lot # 23-25) Sanitary Sewer Extension
Dear Cliff :
Attached please find three copies of a public improvement plan.
One plan needs to be circulated through the below noted agencies
for review acknowledgement and, subsequently, roturned to this
office. The other two sets need to he dropped off at U.S .A. ' s
office in Hillsboro (at the Courthouse) .
Sincerely,
John S. Hagma
Engineering Technician
X PGE Company X _ Northwest Natural Gas Co.
14655 SW Old Scholls Ferry Rd 220 NW Second Ave.
Beaverton, OR 97005 Portland, OR 97209
Attn: Brian Moore Attn: Scott Palmer
X General Telephone Co. X Tigard Water Dist .
12460 SW Main St 8777 SW Burnham St .
Tigard, OR 97223 Tigard, OR 97223
Attn: Mike Lutz Attn: John Miller
�— Metzger Water District _ Tualatin Valley Fire & Rescue
6501 SW Taylors Ferry Rd Beaverton City Hall, 3rd Flr.
Portland, OR 97219 4755 S .W. Griffith Dr.
Attn: Jesse Lowman BeEiverton, OR 97005
Attn: Mr. Gene Birchell
NOTE: I will have Mr. Birchell
sign the plan upon your returning
it to me. J.S.H.
13125 SW Hall Blvd.,P.O.Bax 23397,Tigard,Oregon 97223 (503)639-4171 ---
---
Page 2
TCI Cablevision of OregonI.J. S . West Communications
3500 S.W. Bond Ave. w� 421 SW Oak, Rm # 5-N-15
Portland, Or 97201 Portland, OR 97204
Attn: Linda Peterson Attn : Jackie Lollar
X Columbia Cable of Oregon State Highway Division
14200 SW Brigadoon Ct . 2131 SW Scholls Ferry Road
Beaverton, OR 97005 Beaverton, OR 97005
Attn: Craig Eyestone ATTN: Lee Gunderson
Tigard Post Office Wash. Co. Land Use & Trans ;.
12210 SW Main St . Courthouse
Tigard, OR 97223 155 N. First. Ave.
Attn: Steve Kaufman Hillsboro, OR 973.24
Attn: Ron Aase
State of Oregon
Division of State Lands
1600 State St .
Salem, OR 97310
Attn: Bill Parks
_ USA Corps of Engineers
Portland District.
Permit Evaluation Section
319 SW Pine
Portland, OR 97204
Attn: Richard Johnson
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I I INLETS/OUTLETS AS
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Unified Sewerage Agency
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NOTE:
THIS TYPE OF MANHOLE SHALL
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LOCATE MANHOLE COVE
B FRAME UPSTREAM OF \
MAIN SEWER LINE FLOW
AS SHOWN.
STEPSAN
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MAIN SEWER LINE
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-- -
SET FRAME --RISER RINGS VARIABLE
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ECCENTRIC MANHOLE TOP.
PREFORMED PLASTIC GASKET
STANDARD 4E
MANHOLE RISERS
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STANDARD MANHOLE V
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Unified Sewerage Agency