10715 SW HIGHLAND DRIVE FILE No. 523-92
HIGHLAND DRIVE - 10715 STR OPN PERMIT
ew:v,LbuwVlb+aiiC 1i 7y4d1VN� . ..r a .. .,ns„inlp'EII .
1
1
ENGINEERING PERMIT
PERMIT #. . . . . . . : ENG92-0080 DATE ISSUED: 11/10/92 By:
PRIM. PERMIT #. : ENG92-0080
SITE ADDRESS. . . : 10715 SW HIGHLAND DR PARCEL: 2S110DO-12000
SUBDIVISION. . . . : SUMMERFIELD 110.13 ZONING: R-7
BLOCK. . . . . . . . . . . LOT . . . . . . . . . . . . . :689
PERMIT TYPE. . : SOP PUBLIC TMPRV QUANT. (LIN FT) VALUE
AGREEMENT DATE: / / GRAD/EROS -*** $
ASSURANCE EXPIRATION--- STREET " $
PERFORMANCE: / SAN SEW " $
MAINTENANCE: / / STM SEW _ " $
PATHWAYS _ " $
ALL OTHER -***- $
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Remarks: STREET OPENING; TO REMOVE, AND REPLACE, A DEFECTIVE ( 41x 12 .5' )
CONCRETE SIDEWALK SEGMENT.
i
Permittee: ----------------- FEES ---------------
DON CRANFORD type amount by date recpt
PO BOX 1167 OPEN $ 5.00 JSH 3.1/10/92
92-233568
MCMINVILLE OR 97128
Phone #: (503) 835-7373
Engineer:
$ 5.00 TOTAL
Phone #:
------- REQUIRED INSPECTIONS -------
Permittee/Agent Signature: ----STORM SEWER-- -----STREET-----
_ M.H. & C.B. CRB LINE & GRADE
PIPE LN & GRD SUBGRADE
BCKFL.L & CMPCT BASE ROCK
AIR & TV TEST LEVEL COURSE
City of Tigard, Oregon WEARING COURSE
13125 S.W. Hall Blvd. ---SAN. SEWER-- TRAFF & PED CONT
P.O. Box 23397 M.H. & C.O. MONUMENTATION
Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
AIR & TV TEST
FOR INSPECTION, CONTACT: ----GRADING-----
Letha Thomas #639-4171 (office) --REPR' S/ADJ,S-- CONTOURS
#780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROS-ION CNTL.
n!eklaVsu�dla'.dMYl,t kn !fibs'�/'xdfr�i'M�,'G$9A:'iN�ri'giYYl/,IAWYEIN'�.4.PK�k�.Yb/dlr�7u{'�iSuF"'�.MJ�'eu�A. gip...
APPLICATION - .STREET IMPRO'" MENT/EXCAVATION COPY TO:
OR ISI N A. ..E NO. 74-14 (WHITE)-FILE
� (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) X (PINK)-OTHER AGENCYbldg•
$j
(BLUE)-APPLICANT
APPROVED ® APPLICATION NO.: Y
NOT APPROVED [J CI I Y O I IGARU, OREGON FEE AMT. S- _ 5.00
PENDING FEE. PMT. ❑ CITY Y HALL RECEIPT N
PENDING SECURITY ❑ PUBLIC WORKSOEPA4TMENT I�r__Yg- DA�E 11_1
PENDING AGENCY "OK" ❑ APPGCatlon and Progress Record MAINTENANCE ®OND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED U
ANNUAL 2
PENDING VARIANCE CI EXPIRA7 ON DATW_J--
PERMIT NO : 5_Z 5``1 Z --- DATE ISSUED 1 �_�h L � :_---- BY
( 1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR ANOX ._Remove- and ReDl���__4'-_g_12�5'
Concrete Sidewalk Section AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT __Mr. Don Cr ord PO Sox 1167 McMinville, OR 97128 # 835-7373
NAME -- AUDRESB—._-__. CITV�.. PHONE
CONTRACTOR .-. (Same)
'PVA ME __ CIYV --- --4- PRONE .__ .
PLANS BY - Per City Standards/Specifications _
NAME "--ADDRESS — --�--� CITY ---------
ESTIMATED IMPROVEMENT TOTAL.. VALUATION ( COST): S XXISM-125•00
DOLLARS
(2) EXCAVATION DATA: FOR OFFIC E MIN`.
_ ().()4xS _ - S_5f01Z__ _
STREET _DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT r CUT MATERIAL INSTALLED ITEM DATE.. REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
— STREET
D - --,- `
Highland D_ ive _ see tach R TION
E
Q - -�
ESTIMATED S` BEET OPENING. DATE: �� / ET
ESTIMATED STREET CLOSING DATE: ,_�_... E
(3) SECURITY NO. `__ -.___- SECURITY AMT: X_ `? __. ��OSEe
SURETY CO.: _ FINAL
o►1} L'�'C HECK ✓ CA$4 ❑ SOND INSPEC. ' /I
(4) PLOT PLAN. INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS / CONDITIONS
F"FA.TUFES. EXCAVATION LL.rATION ANU EXTENT. 1. Notify- Inspector Letha Thomas
,'< �.A- , meq __T ____ v( -d 24 hrs. before starting
SI'Z'E: 10715 S.W. 1 , _�t13[ldards & soecj f;cat j onx_
13 g 1-_ Highland Drive ' , 3. ORS 7.57.541 i .571 (Utility Co.
--V,Vf 1\ ____.�. _ ____ —_. ( --xx- pr`e=no 1 ica ion, e c. a`pp'e._
4.- -�- a rian controlmust
�,rryidg�fG _
S.W. Highland Drive � contractor
_ -- -
- - --- - 5. Erosion control must be provided
for by contractor.
N
(S) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION 77 APPLICANTS TO CONDUCT WORK WHERE_
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE ESTATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT rHE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT L-AWS AND
CONSTRUCTION SPECIrICATIONS PERTINENY TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE � DATE (�U ^ 1
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R/W
CURB JOINT I
SEE NOTE 5 I
ROAD ..._ 2
2" OF 3/4---0
COMPACTED SUBGRADE
SIDEWALK ADJACENT TO CURB
R/W
5' MIN. 6�
I
ROAD
III TSE'E
NOTE 5 I
I
2 OF 3/4'=0 I
COMPACTED SUBGRAOE
SIDEWALK AWAY FROM CURB
NOTES
I• CONCRETE SHALL BE 3000 PSI, AT 28 DAYS , 6 SACK MIX , SLUMP RANGE
OF I I/7" TO 3"
2. PANELS TO BE S FEET LONG
3. EXPANSION JOINTS TO BE PLACED AT
SES OF
UTILITY VAULTS .WHEELCHAIR RAMPS, a AT SPACING NIOT VEWAY EXCEEDAPPROACHES
DA45 FT.'
4. FOH SIDEWALKS ADJACENT r0 THE CURB a POURED AT THE SAME TIME AS THE
CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN, 1/2"RADIUS.
5' SIDEWALK SHALL HAVE A
MINIMUM
6 INCHES
CURB IS USED OR IF SIDEWALK 5 INTENDED SASOFPORTION OF IDRIVEWAY MOUNTABLE
OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES
6. DRAIN BLOCKOUTS IN CURBS SHALL. BE EXTENDED TO BACK OF SIDEWALK WITH 3"DIA.
PIPE AT 2 % SLCPE CONTRACTION JOINT TO BE PLACED OVER PIPE PLASTIC
^WASHINGTON COUNITY
WDEPARTMENT OF LAND USE
AND TRANSPQRTATION CONCRETE SIDEWALK
DATE" CIVIL ENGINEER
/ /? _ J, DR/IWN APWA NO. WASH, COGNTy
Na
NONE
CS - 305
F#%.0 OF CURB DRAINAGE BLOCKOUT
WIDTH OF STREET �_ 3" I.D. PLASTIC PIPE
' WITH COUPLING
I" R 6" / 1/2" R
ROAD .o •
MAX. 1O
• •
BASE COURSE •
u °o
9"-
I. FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE
CURB CS-300 SHALL BE USED.
2. CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 P&L AFTER 26 DAYS.
EXPANSION JOINTS .
A. TO BE PROVIDED
U AT EACH POINT OF TANGENCY OF THE CURB .
2) AT EACH COLD JOINT .
3) AT EACH SIDE OF INLET STRUCTURES.
4) AT EACH END OF DRIVEWAYS .
D) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 FEET .
B. MATERIAL TO 9E PRE - MOLDED, ASPHALT IMPREGNATED, NON-EXTRUDING,
WITH A THICKNESS OF 1/2 INCH.
3 CONTRACTION JOINTS .
A. SPACING TO BE NOT MORE THAN 15 FEET
B. THE DEPTH OF THE JOINT SHALL BE AT LEAST IV," INCHES .
4. '1ASE ROCK -2"-O ORI/411,0 , 98% COMPACTION. BASE ROCK SHALL BE TO
SUBGRADE OF STREET SIHUCTURE OR 4" IN DEPTH, WHICHEVER IS GREATER .
S. DRAINAGE SLOCKOUT - 3" DIA. PLASTIC PIPE .
A. I.D. PLASTIC PIPE WITH COUPLING.
B. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE CORE DRILLED OR CURB
SAW CUT VERTICALLY 18" EACH SIDE OF DRAIN 9 REPOURED TO FULL DEPTH OF CURB.
WASHINGTON COUNTY CURB NON - MOUNTABLE
,mm� DEPARTMENT OF LAND USE FOR USE ON MEDIANS'
AND TRANSPORTATION
DATE CIVIL ENGINEER MWN APWA NO. WASH. COUNTY NO,
�Ll°7/S4 �•�... � �. lmt &-" 18 ( MM) CS- 301
92
A
QTY OF TIGARD
- .YR 2 form is a nulti-use form. Appavpriate receipts milst be attached, Doc�r�tat?on
j- Wcrtant for all PUrp-Ses. Staple do=-.entati.on to form.
VENDOR NO.. _ DATE: ___ I�IbV • 1 v
PAYABLE TO: �r��� �e� ctc�C�r i v\��n� RFJWESM BY:
- -,CL x_111
f?r1 a, -71 Z�K * Approved request Wednesday
10:00 AM to A/P for checks by
Friday.
EXPENDI'Ras: `- -- -
Date Description, Invnim two-, etc. Account No. Amount
Z-Z3 Sr�S �I-A
t
TOTAL
--- $ 1 Z S
Mileage $0.255 —'
■
.APPROPRIA- ON BALANCE: AS OF: _ _ SIGNAIIM:
(Up to $25.00) Sectio n
Manager _ Punch, Agent i
($2.5.01-2,500.00) Division Manager
($2,500.01-7,500.00) Dept. Head
($7,500.01-15,000.00) City AdrunL,trator
($15,000.01- ?) vocal oontxact Review Board
APPLIC I - " STREET IMPROV-MENT/EXCAVATION COPY TO:
IN
ILE
ORDINAL..E NO. 74-14 A (WHITE)- -
® (YELLOW) INSP,
(INSTRUCTIONS ON SEPARATE SHEET) ® (PINK)-OTHER AGENCYb1dg.
(� (BLUE)-APPLICANT
c•
APPROVED 17Cj APPLICATION NO.:
NOT APPROVED ❑ CI'I'I' O 17GARU, OREGON FEC AMT.: : 5.00
PENDING FEE. PMT. ❑ CI I Y HALL RECEIPT NO,: V.
PENDING SECURITY O PUBL IC WORKS DEPA R TMEN T BY �_ DATE— I r
PENDING AGENCY "OK" 0 \)ph(alion and Progress Record
MAINTFNANCE BOND
PENDING INFORMATION ❑ >k
FOR STREET IMPROVEMENT/EXCAVATION As RFOUTAED —_–
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: ____L___
PERMIT NO.: ' < I
—_- DATE ISSUED: BY:
_ I_._^�._.._._...__ �•� 1 i �._-__�.�_r��—
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR ANDWIPP --jriv.-'v� al1d RepI-act' a 4' x 12.5'
Concrete Sidewalk Section AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQIIIREMENTS.
i
APPLICANT _ Mr. _DrA�1 Cr -ord PO Box 1167 McMi_nville,_O_R 9.7128__ # 8.35-7373
NAME ADDRESS CITY PHONE��
CONTRACTOR--. (Sam) __
NAME ADDRESS CITE— ...-_-�YMONE��
PLANS BY _ Per City Standards;Spec i f i c;.+.-.i.I.,1 13_ _ _
NAME —�ADORE5S -� CITE-- PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S }CXRUN 125.00
DOLLARS
FOR OFFIC �E: CMIN.
(2) EXCAVATION DATA -_- _- o.oa x s. � ''� 6.00
_ _
STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEP','H ITEM AI QUANTITY
STREET
D II- /2-q
Highland D ive (see tach ) INSP -
TION )-1 -q.?
Ins ., Sw ym
Q
U _.
ESTIMATED STREET OPENING DATE:__ 1 L_-.. �` E S
ESTIMATED STREET CLOSING DATE: / g
125.W STREET
(3) SECURITY NO. ._.-_ _- SECURITYAMT.: $ _.. CLOSED
SURETY CO.. _ _ FINAL
CERTIFIED( "ECK Ll _ CASH ❑ BOND INSPEC. I)-I�- I ll)D CIrPLb-TIC_
(4) PLOT PLAN: INDICATE SITE PERTINEN PHYSICAL S"ECIAL PROVISIONS/CONDITIONS:
FEATUT; EXCAVATION LOCATION AND EXTENT. 1. Notify .Inspector LeLha Thomas
/,+ ,a� •cA -- hrs. orQ-sra-rYThq
I _ _1011citt confural to City
1 I SITE: 1011% S.W. I I I ukardards & ar-)ecifications. _
% ,_.I 4 Highland Drive f 1 3. ORS 7.57.541 1 .571 (Utility Co.
pue_
S.W. Hi.ahlarici M. ive urovid,d fo,r by contractor.
`- - -� - ----- 5. Erosion control must be provided
or by contractor.
1171, 1 I -
I I I I N
(S) NOTE: THE CITY uF TI(,ARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS 1HAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICAI"T AGREES TO DEPOSIT T"HE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECT► ICA TIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE. DATE /
CITY OF T I CAPD - RECEIPT OF PAYMF-NT FiFf.E I PT NO. :92-233568
CHECK AMOUNT t 130. +r0
NAME: 9 NOR`fHWEgl' CONCRETE CASH AMOUNT 0. 00
ADDRESS a PO BOX 1167 PAYMENT DATE 11/ 10/9P
Mc.M T NNV I I.A.-E, ('IR SUBDIVISION
PURPf. SF OF PA'Y MENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
C;USTCIMER Df~Pfl
125. 00 f"If.ILAL IMPROV .
'r
I
'I
Vy
STF?CL T OPENING 1=4-RM I`I' '523-•92
I OTAf_ AMOUNT F-1011) — -> 130. 00
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1203
ORTHMST CONCRETE 24-22/1230
GRIND14G RRANC;N 017
SPEQMAnNO IN s1oEwAix RFPNR
P.O.SOX 1187 McMINNNIIE OR 17178
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THE
OLLARS
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11NITFf7 STATE!'.NATIONAL "ANN OF OPEOON
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11'00 l 20 3111 I: L 2 3000 2 201: 0 1 7 00 & 7 t,9 SII'
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I L��4�S �e� rN�SSic�e.
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CITY OF TIGARD
STREET OPENING PERMIT
APPLICATION
DATE
• APPLICANTS NAME \)D h (LV ot w�0 V
ADDRESS a / / la ,
v \� C 0` q ZIP ! 7� 1z
PHONE 7
• CONTRACTOR'S NAME
ADDRESS
ZIP
PHONE
• PLANS BY
ADDRESS .—
ZIP
PHONE
• DESCRIPTION OF WORK PROPOSED TO BE DONE:
��"�•,P o �^ 0. l� R ! eye I � G X w f Gy►
• ESTIMATED VALUE OF WORK (within public right-of-way) :$,
• WORK LOCATION/SITE ADDRESS: i 7 % ,5 S F" v L, a
• IS THIS WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (MI-P, SDR, ETC.) NO.
• IS THIS RELATED TO A BUILDING PERMIT? IF SO, SPECIFY (BLDG. PERMIT) NO.
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SKETCH:
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