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PFI2014-00009 y n CITY OF TIGARD PUBLIC FACILITIES IMPROVEMENT PERMIT = COMMUNITY DEVELOPMENT Permit p: PF12014-00009 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 04/30/2014Parcel: 2S102AA05500 Jurisdiction: Tigard Site address: 12215 SW MAIN ST Subdivision: KINGSTON Lot: 19 Project: Across from Post Office Project Description: 1 Sidewalk trip hazards. Owner: FEES CHOI,WOO Y&MAN JA Description Date Amount 2323 NE 165TH DR PORTLAND, OR 97230 PHONE: Contractor: PHONE: FAX: Applicant: PHONE: Total $0.00 Please sign below to indicate acceptance of conditions and return a copy with the proposed work schedule along with names and contact information of responsible parties before beginning work. Permittee/Applicant Signature: Issued By: Special Conditions(See Attached) Note:THIS PERMIT DOES NOT COVER WORK ON PRIVATE PROPERTY Conditions for PF12014-00009 Type: Condition Name: Status: Severity: CURB JOINT 5' MIN. SEE NOTE 5 ROW ROAD ':•'':,,. ._?'. „;.•. I I I=1 11=1 I o I iTi 11= 2" OF 3/4"-0" BASEROCK COMPACTED SUBGRADE SIDEWALK ADJACENT TO CURB 5' MIN. ROW 677-7 " 1 2% ROAD ..;. .. III=III=III=III=III= -III=III- 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 LONG. 3. EXPANSION JOINTS 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. 1/2" RADIUS. 5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY. 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 SCHEDULE 40 DWV (ABS OR PVC) PIPE AT 2% SLOPE. CONTRACTION JOINT TO BE PLACED OVER PIPE. CITY OF11GARD APPROVED BY: NO SCALE OREGON AGUSTIN P. DUENAS, P.E. � CAPITAI.CONSTRUCTION AND CITY ENGINEER CONCRETE DWG. NO. TRANSPORTATION DIVISON TIG S.W.HAI-J.BLVD. ^O TIGARD,OREGON 97223 SEPTEMBER 2009 SIDEWALK 1 ' 1 VOICE:(503)639-4171 FAX: (503)684-7297 APPROVAL DATE �_ A -,a RECEIVED City of Tigard APR 17 2014 � OF TIGARDT, Public Facility ImprovemenCI Improvement PLANNING/ENGINEERING (PFI) Permit ti CC 20/ y- 00o 3 L( General Information: FOR STAFF USE ONLY Property Address/Location(s): AAJ2 i n S f Engineering Case No.: 7 Fee: N ' lot uu ^^ Receipt No.: *Applicant's Name:_ k1n b YL) Al 44 �f V I Date: Address: haw -S Application Accepted: '� B •613 City/State: -T/!�2,�/2 iOk Zip: Primary Contact: 44-�C> REQUIRED SUBMITTAL Phone: ��? ��Fax: INFORMATION 1 -Mail: Professional Engineered Plans are required for. p I} • Street Widening Contractor's Name: © y • Subdivision Infrastructure CCB# Expiration: • :Main utility line extension: 0 Storm Drain,Sanitary-Tigard Address: 0 Water-Tigard Water Service Area City/State: Zip: (includes Durham,King City and a portion of unincorporated Washington Phone: Fax: County) "Note:See Engineered Plan Plans By: Submittal Checklist attached. Address: For all other work:Submit scaled sketch of the City/State: Zip: work to be done. (see attached minimum sketch Phone: Fax: requirements and provided sketch area). Updated:6/18/2013 �yy 1:\CURPI_I\Masters\Land Use Applications\Public pacdit Description of work: /' +— f ImProvement.do" Estimated value of work(within the public right-of-way): $ Is work related to a LAND-USE DECISION? YES F—] NO KK If so,please specify (MLP, SDR, SUB,etc.) case#: Is the work related to a BUILDING PERMIT? YES F—] NO Rr If so, please specify(BUILDING PERMIT) case #: City of Tigard 1 13125 SW Hall Blvd.,Tigard, OR 97223 1 503-718-2464 1 www.tigard-or.gov Page I of 5 APPLICANTS: To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the"Required Submittal Elements"box. NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work. *When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of this form or submit a written authorization with this application (Detailed Submittal Requirement Information sheets can be obtained,upon request,for all types of Land Use Applications.) BY SIGNING BELOW,THE APPLICANT(S)SHALL CERTIFY THAT: ♦ The above request does not violate any deed restrictions that maybe attached to or imposed upon the subject property, ♦ If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. ♦ All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such statements are false. ♦ The applicant has read the entire contents of the application,including the policies and criteria,and understands the requirements for approving or denying the application. SIGNATURES of each owner of the subject property. DATED this f 1 day of ,20 vv� Applicant/A orized Ag64es Signature Owner's gnatur Owner's Signature Owner's Signature City of Tigard 1 13125 SW Hall Blvd.,Tigard,OR 97223 1 503-718-2464 1 www.tigard-or.gov I Page 2 of 5 Agnes Kowacz From: Ray Woolf Sent: Wednesday,April 30, 2014 1:16 PM To: Betsy Galicia Cc: Agnes Kowacz; Branden Taggart Subject: RE: Message-12215 Main ST I contacted Mr.Woo. When he comes in his permit can be issued. We will not require a bond. Ray From: Betsy Galicia Sent: Wednesday, April 30, 2014 11:25 AM To: Ray Woolf Subject: Message-12215 Main ST Ray, Mr.Woo Echoi came in to ask what the next step for him to do is. He applied for a PFI permit#PF12014-00009, he says he now as a contractor which is F& L Quality Concrete Ph#503-753-0038. The permit still says in review but he is ready to start the work. Can you please call him to let him know what he needs to do. Mr. Woo's Ph#321-947-1170. Thank you, Betsy Ruef Permit Technician Assistant City of Tigard I Community Development 13125 SW Hall Blvd Tigard, OR 97223 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 1