8787 SW SPRUCE STREET-2 SPRUCE STREET - 8787 STR. OPN. PERMIT
C ZT OF TIGUO
E PIND17URE RDWEST
11ii_s form is a milti-use form. Appropriate receipts must be attached. Documentation
L.; important for all purposes. Staple docume ;ration to form.
VaiMR N0.: _ D7-.TF.:
PAYP.r-. E TO:Te-fxI LA SA REMJESTEn BY: i e
r) _ `�`i In 3 __ * Approved request due Why
10:00 AM to A/P for checks by
Friday.
MISCUAANFrxtS I-XPEND=1RF'S:
Date Dcmcription, ^Irnroice No., etc. Aco xint No. Amcwnt
<��5����.1'..e�t'��SL�
Mileage $0.255 -- - ------ ---_- ------
s
APPROPR=ON BALANCE: / �4 __ AS OF: _ SIGNAA 12F,:
(Up to $25.00) rection Manager — _ Purc-h. Agent
($25.01--2,500-00) Divi-cion Manager
($2,500.01-7,500.0o) Dept. Head
($7,500.01-15,000.00) City Admin stzator
($15,000.01- ?) Local (Mntract Review Board
1/1501F
APPI A-.ATION -- STREET IMPR0k1, -MFNT/EXCA%/ATION COPY TO;
1 ORDIN -E NO 74-14 (YELLOW)FI INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY_gLDC
(BLUE)-APPLICANT
APPROVED X APPLICATION NO.: _.1O_
NOT APPROViD J an'Y OE TIGARD, OREGON FEE AMT. S 14.40 _
PENDING FEE. PMT. [l CITY HALL RECEIP' NO : _C�-Z 14 S♦g
"ENDING SECURITY PUSL IC WORKS DEPA R TMEN T 13Y _� DATE. 417 1 14-Z 4�=
PENDING AGENCY ''OK" C] .Application and Progress Record —
MAINTENANCE BON M
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED —
ANNUAI_
PENDING VARIANCE EXPIRAI1OV DATE
PERMIT NO : } DATE ISSUED �?1�4 / r�.L BY
--
(1) APPLICATION IS HEREEY MADE TO _XC'AVATE FOR AND INSTALL _ - _-- Y APR
- �- _ DRIVEWA �----• -------
- AS D['--CRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS
APPLICANT _ T_ENLY PROPERTIES_ CORP. 2209 N7E CORNELL RD. HILLSBQRQ, OR 47124v_I 6 3-01.85
NAME ADDRESS CITY
CONTRACTOR (SAME)
NAME ADDRESS --- w PHONE
PLANS BY PER CITY STANDAR)S/SPECEFICATICANS _ _.
NA-.E ADDRESS CITY
v rl'IONE
FSTIMA TED IMPROVEMENT TOTAL VALUATION ( COST): S —360.00
DOLLARS
(2) EXCAVATION DATA: Iron DEVICE USE MIN.
o.oa x s 360.00 = s 14.40
STREET _DESCRIPTION PROGRESS & INSPECTION STATUS
SURFACE i CUT CUT MATERIAL INSTALLED
NAME TYPE _ GTH WIDTH DEPTH ITEM d QUANTITY ITEM DATE REMARKS/TYPE BY
STREET
OPENED
SPRUCES See attachsr R TION
' E -
Q
ESTIMATED STREET OPENING DAT[::.-+.--.—, / 8
ESTIMATED STREET CLOSING DATE / / � E
--- -- -- _ _._— .------_�--�-�'�'— STREET
(3) SECURITY NC.
SECURITY AMT! S ---360.D0 CLOSED
SURETY CO.: - _._ —. 17INSPEC. ( C C,v, J
�015� .lit cll x r_A3H O •OND '
(4) PLOT PLAN: 'INDICATE SITE PERTINENT PHYSICAL' SPECIAL PROVISIONS / CONDITION.;:
FEATURES; EXCAVATION LOCA71ON AND EXTENT. 1. Notify Carl Viewgg, City
N Inspector (#639-4171), 24 hours
II 1 i site: 8787JNVvuce St. ( , ___Prior to starting work.
1 I work area 1 1 2. All work to comply with City
CURB r'- - - �• r I\ a Star-oards & SLecifica?.gna.
S. W. SPRUCE 3T. E 3_ Excavator must comply wish
� — � 757.541-.571 (Re: utility
,,pe _Y„ _ _ _ _ _ _ _ _ _ `4 prelocation, e,.c, )
' 4. Traffic conLCOI to be provided
1 I I I r for by applicant.
1 ► I I I I - _
I
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO COkDUCT 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 ANri
CONSTRUCTION SPECIFICATIONS 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.
i
APPLICANTS'SIGNATURC�- � �,���_ DATE / / (
i
CITYOF TIGARD - RECEIPT OF PAYMENT RECEIPT NO.
:91-214348
u
NAME : STEPHEN WETTER CHECF; AMOUNT 374. 40
ADDRESS TENLEY FrROPERT I F S INC CASH AMOUNT 0, 00
PAYMENT DATE 06/14/91
P O PDX 414 SUBDIVISION
HILLSEORO, OR 97123-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF F'AYMFI\I"I'
AMOUNT ['A I D
PUBLIC IMFrROV 14. 40 CUSTOMER DFPO 360, 00
STREET OPENING PERMIT
425-91
TOTAL AMOUNT PAID -- - - -) 374. 40
'4YnOlit.KtlkW�w;,rlr.lSW�1f N+ u•••YSiYIK1{WLiN�YIMYYYYY1fLMiYYW101NM.lMNN)' LWIr N1.�." ..___NN!YY•• rYYul1�l�E� G -'11: ....
EXPL.ANATION AMOUA� 14 12 225
17:10
TENLY PROPERTIES CORP. - - 2611
CONSTRUCTION ACCOUNT
P O BOX 414 (5021244 2025
LLSBORO, PEGON 97123
PAY
lze,
AMOUNTIV //Yj . - —'— DOLLARSI
OF 4;1
CHECK.E TO THE ORDER OF DESCRIPTION —CHECK AMOUNT
NUMBER
G -f 4
s Com:
��AMC T STATE)NATIONAL BANK IN Oregon
NO C u�'
NORTHH HILLSBORO BRANCH �
P O BOR 189 HIU.SBORO,OR
000 26 1, 1,11' 1: 1, 230002201: 22 .3- 0446 2 S SII•
I, 1
PROPOSED EDGE
2CLASS C"A.C. OF SHOULDER
A 2%0 PROPOSED EDGE
J SLOPE VARIES OF PAVEMENT
0 w — 7
o �
H W cc
v W O .,I-
O 7 �
Z
W W LL W
0 O d 0 0 Z
d O 31
4 TYPICAL SECTION
cc
A.C. DRIVEWAY
I
rl� a o
PROPOSED EDGE
Lae 2 �f4 00OF SHOULOFRPROPOSED EDGE
SWPE VARIES OF PAVEMENT
� 1
1 a
N 0TYPICAL SECTION
x r _j y 4 -
W JI J
I GRAVEL DRIVEWAY
I IJ � _
(� V 1 O
4•
TYPICAL1 PLAN PftOPOSEO EDGE
OR SHOULDER
PROPOSED EDGE
A.C. OR CRAVEL DRIVEWAY OF PAVEMENT
SLOP411ARIES �� -
*UNL.ESS OTHERWISE NOTED GR+10°Jo
SEE DWG. NO. DW-202
TYPICAL SECTION
LTER►-14'ATE M
"WASHINGTON COUNTY DRIVEWAY DETAILS F
FDEPANTMENT OF LAND USE �k
�-^
AND TRANSPORTATION NON — CURBED AREAS
DATE CIVIL ENGINEER AIPW_O, WASKCd�NO
!1P7/8 4'Z — —;gt� NIONE DW— 205
Q.
zl ELEV. SAME AS CROWN ELEV.
� � r!. I SHOULDER CROWN i
�017 ROAD
3 MIN. g40o I ROAD SURFACE
c�
I
a BOTTOM OF D11CH ELEV. -�
MAY BE ADJUSTED BY INSPECTOR
NOTES:
'.SEE DWG. NO. 205 FOR ALTERNATIVE
2.IF AC DRIVEWAY IS TO BE CONSTRUCTED, USE 2" OF CLASSod'MIX
ON APPROVED BASE
PROFILE
CONCRETE HEADWALL REQUIRED
WHEN USING CORRUGATED METAL
OR PLASTIC PipE
PIPE SHALL EXTEND A MIN. /
I' PAST TOE OF FI L L
+. DR OF RIVEWAY
4
ti 3�A '"-0 ROCK
�r�Ir=lq�Ui3 _ui_ei RIN?ul.a
CONCRETE PIPE OTHER THAN CONCRETE--jIIII` .
PIPE SIZE TO BE DETERMINED I PIPE, AS APPROVED
BY INSPECMA AT THE JOB �SITE ( 10" MIN.)
PIPE TO BE LAYF-D AT EXISTING GRADE 'x DITCH •- NO SLUMPS
CROSS - SECTION
WASHINGTON COUNTY
W
QRIVEWAY FOR STREETS
DEPARTMENT OF LAND USE
AND TRANSPORTATION WITHOUT
CURBS
DATE CIVIL 6Ma11NEEIR DRAWN APWA NO. I WASii COLNTY Na
L&7A .�..�.._ RLy bas NONE QW — 20
ry
75.20
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