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10360 SW MEADOW STREET
FILE NO. yy MEADOW ST. - 10360 STR. OPN. PERMIT .e crrx OF TIGAr20 DWEND17URE RDQUL'ST 'niLs form is a multi-u.�-,e form. Appropriate receipts nest be attached. [kxmmientation c inportant for a].1 purposes. Staple documentation to form. VO4MR NO. . DATE: PAYAULF TO: _ Cti C' l rr7. RFJCx=7.'ED BY: 19 a0 C A ZV `1.17-.3 i * Approved request due Wednesday 10:00 AM to A/P for checks by Friday. MISMIANDOUS E}CPENDrAHE y: !Oche Description, Invoice No., etc. Aunt No. Amount 0 -7--Z 000 $ Z3�rCCi Miley $0.255 APPROPRTATION BALANCE: _-- AS OF: Y SIGNATURE: (Up to $25.00) Section Manager _ __. Purch. Agent ($25.0172,500.00) Division Manager ($2,500.01-7,500.00) Dept. Head ($7,500.01-15,000.00) City Administrator ($15,000.01- ?) Local Contract Review B(jard r..- �/1501.E 1NSPECTJ NOTICE City of Tigard P ling Departaent 13125 Sw Hall Blvd. _fiord, Oregn:. 97223 Inspection Line (Rec-1G-Phone): b39-4175 Business Phone: 639-4171 Inspection: 1-11 1C., 1 Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam StrUet. Sen. Sewer Framing -Bldg. Poet/B am Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: ` L II _-Timet _AM __-__PM Address: 1� _��L 1 v. IYIE'C�clC i. J Permit Cl Builder: C L C oi: THE FOLLOWING CORRECTIONS ARE REQUIRED: orncj I�Zw,� — cc _rA — - i I �q Inspect.or: j��{,� D�te:��__ SAPPROVED DISAPP D APPROVRD SU&MCT TO mm Call for Itrinsp. From the desk of.- Steve f:Steve Drimmel c A7 J, -i bcwr E ,,\1� �k x V- f uvht6h me*y 0 r c\J"(- on ?i.ge �Vxrc h2x� mv)cvAtt. art 4-4-R) -�S x ev�Jy 1 (N YYW`v 1 -,w rAewtu ,, S� RECEIVED PIANNA(. S E P 05 ?;�91 ANNIMEN 1NgpE MION N01ICE ry of Tigard B• ing Departer±nt 13125 SN Ball Blvd. jard, Oregon 97223 Inspection Line (Roe-O-Phone): 639-4175 Businees Phonez 639--4171 Inepection: � �1, —.. -- -- —_-- looting Plbg. Underelab Mech. Rough-in C App. dwlk Found. Plbg. Top Out Gas Line FINAL.: Poet/Beam Struct. San. Sewer Framing -Bldg. Pont/Beam Mach. Hain Drain Insulation -Plumb. Plbg. Underfloor Watex Lime Gyp. Bd. --Mech. Date Requestedi / C3 — SI —`11 _—Time. �_AM 144 Address. U 3�^�' - t�Cx11�_ Permit #t Builder. G\�� (� ,G4<_ THE FOLLOWI�+NG CORRECTIONS ARE RWIRUS 2I in r44 Vc t rt , ("O f S c •• i LI Cl _r C F4�71� LOX- 15 <_�gq Inspectors_ � /.L e`r Date: t --/ APPROVED DISAPPR __ APPROVED SUBJECT TO ABOVE �a11 For Reinsp. APPLICATION -- STREET IMPRO" MENT,'EXCAVATION [(BLUE) PY TO (WHITE)-FILE ORDINA' E NO /4-14 (YELLOW)-INSP. (PINK)-OTHER AGE (INSTRUCTIONS ON SEPARATE SHEET) A PL CANTNCY–B], APPROVED x ! APPLICATION NO.:NOT APPROVED CTIA'' OF TIGARD,OREGON 1 FEE AMT.; f 9.20 PENDING FEE. PMT, [] CITY HALL. RECEIPT NO.: . 91 — (..&5;L — PENDING SECURITY ❑ PUBLICWORKS DEPARTMENT BY DATE DATE PENDING AGENCY "OK" Cl 1pplicalion and Progress Record _ r MAINTENANCE BOND PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIReD ANNUAL PENDING VARIANCE Cl EXPIRATION DATE. _ w PERMIT NO '44I"9_1. DATE !SSUED g LLbl 9�_ BY (1) APPLICATION 1 , HEREBY MADE TO EXCAVATE FOR AND INSTAI..I_ __Concrete_.,Dr11yew4y-____ Apron AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS APPLICANT D3nie1S.•__C.QQ Conn4U--_ ___ 11436 SE 90th #324 __ j::t land, o__R,__.97266 786_-2138 NAME ADDRESS CITE PHONE, CONTRACTOR____A r8)___. __. --___-.- ADowess- --- CIT PLANS �__.._..�►io-iiti ,kmt PLANS BY---Per_.0 _Standards&.$;goi�ication4 _ _______ ..____ NAME ADDRESS city �JT�NONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 230.4. _. DOLLARS EOR OFFICE USE. (2) EXCAVATION DATA: 004 x f ZILML_ = f _.2U__...___—_ STREET __DESCRIPTION PROGRESS & INSPECTION STATUS IJAME SURFACE CU's CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY _ TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY _ STREET —_ P NED INSPEC- _ Meadow S • (.Sea Attar ed R TION E -- – — Q ESTIMATED STREET OPENING GATE: / / S T ESTIMATED STREET CLOSING DATE: STREET (3) SECURITY NO. ----- SECURITY AMT: $ 230, -LOSED SURETY CO.: . 'G HECK lie AT (4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS j CONDITIONS: � FEATURES; EXCAVATION LOCATION AND EXTENT. Lily_= InsWci.4rSar1 -- ViewegL4.39-4171)_2.4_Hrss__--- 1 ( 1 1 I ) ► I _ ._. .he o-s�4 In ;ng IduCk.. 1 I I -21 Q85, 757,541--r--,17 lies CURB '1 �, _ _ _ _ _ .. .. _ _ _ _ _ .'� \� _ _ ___.__Su1ti.lity Co. prenotification, 1 etc .) —5 - 3) All work shall conform to City I ,�, , ( _ _ _ _ _` ✓/ _ _ _ ;3dards andecificalions._ Thaflic Control and erosion 3(,0 d S�, I i �— �__�N:rolto lag ,provided_for V fix, the c_nnhractor. (S) NOTE THE . I I 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 SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS OND CONSTRUCTION SPECIFICATIONS PERTINCNT TO C014DUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST A JURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE i �,_ {%'� DATE L9 j .-._..�._....-.^.---.-+.rrweT--•-_.-...R.-� T..I...r..su:"'.....:.*nr•rne^+.*•.^.'•..te..�nnr..-+w-...,..�r^rnuv..�•n.fe•.nw,.-.......•«.-�..� APPLCCATION - SI REET IMPRO' 1ENT/EXCAVATION $(BLUE) W TO: WHITE)-FILE i ORDINANt, E NO. 74-14 YELLOW)-INSP. PINK)-OTHE-R AGENCY—Bl(3g (INSTRUCTIONS ON SEPARATE SHEET) -APPSLIICANT APPROVED APPLICATION NO.: -- NOT APPROVED ❑ CII ' 011 FIGARD, OREGON FEE AMT.: s 9*20 -_ PENDING FEE. PMT. ❑ GI 1 11A1,1, RECEIPT NO.:'___-_.1-t- PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BYE—=_.I-�/L'' DATE. PFNDING AGENCY ''OK" ❑ Application and Progress Record MAINTENANCE BOND PENDING INFORMATION LJ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRCA) J ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE: ---- ?ERMIT NO. _`1''`�_,-" __ DATE ISSUED: _ ' I_z�'I_91_-- , BY: Conc (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ _ __rete Dr "I F_ -_ - Y..- -- ------ ApCon___ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. I APPLICANT D-3niel G. Cocak Cynatr. 11436 SE 90th #324 Portland, OR 97266 /-786-2138 NAME - _--- ADDRESS CITU PHONE PHONE CONTRACTOR O —_ _. --- --- --- NAME � ADDF ESS CITY - ---PFTONE PLANS BY-_k*r City Standards & Specifications �_— MAME ADDRESS CITU PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 30.0Q DOLLARS FOR OFFICE USE: C'MIN. (L) EXCAVATION DATA: 0.04 X s STREET _DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM 9 QUANTITY STREET `'1-So `1 I INSP C- Meadow St. i AttaC ,,- — R TION C'. Q E. ESTIMATED STREET OPENING DATE: _.� I ESTIMATED STREET CLIJSING DATE: / / ED STREET (3) SECURITY NO. - -_ SECURITY AMT.: $ 230.00—� . CLOSED _ SURETY CO.: FINAL C HF.L k`}, CASH J BOND INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS: FEATURES. EXCAVATION LOCATION ANUEXTENT L) Notify City Inspector Carl Viewea (1639-4171 24 firaw 1 . 1 I ( 1 ___Won starting wor$,,. 1 I 1 2) OI7S 757.541 - .57'- applies �� ` _ _ _ _ (Utility Co. prenotification, Uae I - — — — — — ._ — — • ' — — — -�... etc.) ; ------- ��- U ''-= �-- 3) All, work shall conform to City standards and apec:ifications. �4 �I I� I� r � — -fi" '•►�� (�.._ 4) Traff.iC control and erosion 1 ' 3 ''�' k, 1 I I coatcol to be I2rovided for I I I r/1 7 I I y thecontract'tor, �. (�7) NOTE THE CITY OF TIGARD DOES NC, "REBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAI ASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSI7 .-IE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK. AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST A IF(JURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS q APPLICANTS SIGNATURE �.� `-`�` DATE / --- CITY (IF TIGARD RECEIPT OF PAYMENT F* . r. I r I t j rt. 5 1 ('4�4'1' �411(1111-11 p4f,11"T i7j. C(10' . V .1 J71 Q Flut►PE Gcl • I SLJ RN :v I riE 06, fi-�-6 91 NO. W10 I SUSK)T V 1 S..3 1 ON GRE-SHAP19 R 97233- 107S60 SW MPADC)W ST. PURPOSE (IF PAYMENT AMOUNT PAID PURPOSE OP [:-OYIYIF;.N*r PUBLIC IMPROV 441 9 111 CUSTOMER DFP0 01.110. old.) TGT0l- AMOUNT PAli) 477 sucTION CO. DANIEL G. COOV, cotisv 503 r,67-6620 '.2 (1 19 24-1211230 : No. A20i lgl()o E BORNSlof OR 977.33 s FAY TO THE Ito le—CP OOLLARS jROfH of 01 OZ "'o wanch First t Bmd im NV - p 0,Box 3T7 97015 03*?7 Inters ate i7i&MM3,CX FOR 5t. 3000 113". 4, J 10500 JOHNSON O AVE 10480' N 10450 * 1045 10425 I 10420 ; m 10390 0 10395 ^' - 10400 0 10365 _ f 0 - 10330 a 10325oclo wo � �5� 35'CC_., j 10300 1o3a5 1 G )OppLO .10300 10270 ,s I r 10270 m 1ozs5 I � IQ2ao 1C m 10235 Z 10200 10205— °Do 10 � _ o 10170 D 10175 its � 10145 0 `� L5 O/y�JN 10130 m 10135 i 10100 080 10085 _+ 1060 I rno C) - 10000 j� a S� I 9930 9900 —I -. . 5 W 3U' y 24' - 0" MA_X. 12' - 0" MIN. I� DRIVEWAY R/W LINE w CONTRACTION JOINT 6 � OPTIONAL a SIDEWALK LOCATION B SIDEWALK / EXPANSION JOINT B EXPANSION JOINT �-- CURB JOINT — I r5 N Imo' 3 '0 6'-0" MIN. 12' -0" MAX. 6' - o" MIN. "'12'x- 0" MAX. 3' -0'. FACE OF CURB SIDEWALK ADJACENT TO CURB SIDEWALK AWAY FROM CURB Pl_AN I 1/2° EXPOSURE USE EXISTING EXPANSION ELEVATION B-B JOINT OR SAWCUT AND PLACE COLD JOINT. SEE DWG. NO. CS-306. STREET L6"7- COMPACTED SUBGRADE/ 2" OF 3/4" MINUS SECTION A-A NOTES I. CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 PS.1, AFTER 28 UAYS , 6 SACK MIX. 2. CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2" RADIUS ALONG BACK OF CURB. 3. EXPANSION JOINTS SHALL SE 1/2" PREMOLDED ASPHALT IMPREGNATED MATERIAL OR EQUAL , EXTENDING FROM SUBGRADE TO FINISHED GRADE . 4, SEE DWG, NO. CS-300 AND AVO. CS-305. �WASHINGTON COUNTY W D PA T `` E R MENT OF LAND USE RESIDENTIAL DRIVEWAY AND TRANSPORTATION DATE CIVIL EN91HEER DRAWN APWA NO. WASK COUNTY NO. 7 •_.E_ �-- - AEA 685 NONE DW- 200 FACE OF CURB DRAINAGE BLACKOUT WIDTH OF STREET 3" I.D. PLASTIC PIPE WITH COUPLING I" R 6" 1/2" R ROAD -� • _ LA z.BASE COUR 9., I. FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE CURB CS-300 SHALL OF USED. 2. CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 PS.1, AFTER 28 DAYS. 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) ATF.A.CH END 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 1/2 INCH. 3. CONTRACTION JOINTS . A. SPACING TO BE NOT MORE THAN IS FEET . B. THE DEPTH OF THE JOINT SHALL BE AT LEAST I I/z INCHES . 4 BASE ROCK -2"-G OR 3/4"-© , 9150% COMPACTION. BASE ROCK SHALL BE TO SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH , 'WHICHEVER IS GREATER 5. DRAINAGE, dLOCKOUT - 3" DIA. PLASTIC PIPE A. I.D. PLASTIC PIPE WITH COUPLING. S. 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 wDEPARTMENT OF LAND USE FOR USE ON MEDIANS AND TRANSPORTATION DATE CIVIL ENGINEER DRAWN APWA NO. WAST COUNTY NO. / r-7/aG y�....,, ._ rzL7 y 135 18 ( MOD) cs- 301 wLLJ � a w cn Ir r r Q I I w or CD U d a o o a I Z � � � �- w o I I Ld 3 u -� o �0 o z Cl l M 7-8— u w I ! ►- U w �- a: zc a I w L' r � Q CO t — mw u n I 3 rJ �� Q1 U0 ow a Z p - T. l l� r vii o e m w �- I w 3� I I a ►-a 5 0 w`n w fD Z to d I _�(nI I - m �" 0 It LLJ �o Ix LL w0 �- I� 0Er Co II N U 00 4. m 0 U Ji O 1 0_ m ail == a: U- Ia n_ cr c> i licensed • Bonded • Insured DANIEL G. COOK CONSTRUCTION Corn-rete Contractor 1 DANIEL G.COOK (503)788-2138