9295 SW ELECTRIC STREET-3 ADDRESS:
9' q�cq-;�LAI &Accor-.'e, _
i:\records\microflm\targets\building.doc
INEP59ri( f 110TIC�
City of Tigard Building Departse t
131125 EB Ball Blvd. Tigard, OcOgun 97223
Inspection Line (Roc-O-Phone)t 639-4175 Businass Phone46 -..4171
Inspection,
,►Doting Plbg. Undorelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Twp Cwt Gas Line PIMAL:
Post/swam Struct. Nan. ,ewer _ Framing B'.d
9•
Post/seam Mach. Rain Drain Inanlation -Plumb.
Plbg.. Underfloor Nater Lim, gyp. Bd. -Meeh.
Date Requestedt �- - �^
Time-� AM �pN
Addroos: ez
(mit
Builder:
"HE POLLOMIM COMNCTIONE ARR PITQUIRSD:
1I
Inspector: /'I
APPRCWED D'.SAPPROV6D APPRO•JED SUBJECT TO AikWet-/-�
_Call For Reinsp.
APPLICATION - STREET IMPROVEMENVEXCAVATION COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY
(BLUE)•APPLICANT
APPRf ED ® APPLICATION NO.: &D-3
NOT AF PROVED 11 CITY OF TIGARD, OREGON FFE AMT.: S 52.00
PENI)IIIG FEE. PMT. Cl C.I'i'V HALL RECEIPT NO.:
PEND104GSECURITY ❑ PUBLIC WORKS DEPARYMENr BY S__ DATE 7 /•- ly-/43-
PENVING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION As RlnUIR6O eK "
ANNUAL, f7
PENDING VARIANCE 13 EXPIRATION DATE.
PERMIT NO.: __'U1 -9.3 DATE ISSUED: BY: ____ !-A S,.
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND MSXMIL -BIMix of
line_b lateral connection_ AS DESCRI D HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
iiOb awre"
APPLICANT . RissFut Rooter 9295 SW Electric St. Ti9ft-d, 0R 97223544-3341
— "NAME` ADDRESS CITY — PPON& •
C O N i R A C TO R ReScwROOt*C ^►717 SW Nimbus Beaverton# CIS 97005-644-.3, 341
'.iiT►_I�'_ DD _"__cit. —
PLANS BY� P!w City 8tAL04 § & gmificatiom
NAME� — AS Y!)T---- '— - CITY - --AFI O N B
ES'1(MATED IMPROVEMENT TOTAL VALUATION ( COST): S 1300„00�.
DOLLARS
(2) EXCAVATION DATA: \ FOR OFFICE USRI
0.04 X X
STREET DESCRIPTION PROGRESS & INSPEC'nON STATUS
NAME SURFACk CUT CUT r CUT I MATERIAL INSTALLED ITEM DATE REMARKSJTYPtS BY
TYPE LENGTH; WY TH DEPTH ITEM & QUANTITY
OPENED
Electric St G Rk 1
QU
{ ESTIMATED STREET OPENING DATE:___ L-_Lr — - s
ESTIMATED STREET CLOSING DATE: TE
STREET
(3) SECURITY NO. ------- SECURITY AMT.: E CLOSE
SURdTY CO.: FINAL
CASH O 80040 INSP C.
(4) FLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS I CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. W=IL shall cQnfom to City
standards & epecificatiam and
44 p OVed attached details.
_w In
2. RPaDa1C Of mainline is regLaiced
CURo o �,,; `. _ _ _ _ ,. _ _ _ _ �' 1� _ _ with like materials.
WoQX. 5T I I
' I 9�.�15 Ft-E•GC�I L � � � -
1 +
(S) 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 ACRE^•_'S TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO 'SAVE HARMLESS THE CITY AND
EMPLOYCES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE: -..� ~� �: �a DATE / I
s
I . COWLETE RUBBER SLEEVE (ASTM'C-443)
INCLUDES A M01,DED SGCMENT THAT HOLDS
r
IT IN PLACE.
2. STAINLESS STEEL BAND (9/16- SERIES 300)
SECURES UPPER HALF OF RUBBER SLEEVE TC THE
PVC HUB.
3. PVC HUB (ASTM 3034 SDR 35)
_ DRIVE INTO CENTER OF RUBBER
SLEEVE AFTER SLEEVE IS PLACED
IN HOLE.
3 /I
2
7-7.Zj
CONCRETE PIPE
T
NOTE: ALL INSERTA-TEF MOLES SHALL BE MACHINE DRILLED.
unified
INSERTA - TEE - twm�
DRAWING NO. 360
fl
I (`
—BUILDING SEWER PIPE, SIZE AS SPECIFIED i
:PLANT FABRICATED TEE FITTING
ON SEWERS 18" AND SMALLER. BACKFILL 2X4
FIELD TAP ON EXISTING SEWERS AGAINST PWG TO
AND NEW SEWERS L,11GER THAN 1 PREVEW PLUG
THAN 181 1 BLOWOFF A SECURE
2x4 IN PLACE WITH
TRENCH BACKFILL.
SEWER MAIN ���� 1
.OR LATERAL
1 ,
EVENO AT LEAST
GROUND �12 ABOVE SURFACE
SURFACE
MWIMUM SLOPIE FOR
G"PIPE a 0.010, FOR
4"PIPE• 0.020. CONNECTION
MARKER:
MAGNETIC TAPE
GREEN w/BIACK LETTERS (WASTEWATER)
GREEN w!
7�
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MIN. .5 A G IN 2 LIF15
STREET AREAS I Q.ur 4F STREr AREA:i
SAW CUr
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sEtriow RESURFACING
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PILIE RASE
BACKFILL. IN STREET'AREA)
L IFS/W ISA"INSr CURB, FILL ROCA TO
BACK of$/W
2.If S/W Ls NOT AGAINST CURS, FILL ROCK
2'BACK FROM CURS
PIPE BEDDING AND
CITYOF TIIFARD BACKFILL DLTAI LS
OREGON oes*m by APPMOVE0 ESY DMAWN E>Y
GA p-Es
SCALE _ -_17A.TE DU2AW ING NO
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OREGON
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CITY OF T I CARD
COMMUNITY DEVELOPMENT DEPARTME14T
13125 SW Hall Blvd.Tigard,Oregon 9722.3aM99, (503)039.071 �-LUMB.r NG PE RM I V
H.-RP11-1 it. . . . . . . j PL.M'4,.:
o;:�9—4171 DATE ISGULD- lZ^1122114:�
0929'1 SW LLE Rlf_" ST
5ulill)I V I S 1 L1,N. . . . : fLLLC � RIU OLD. rJ10 'FIGARE)VILLL 2 ZONING; CBD
. . . . . . . . . . ., LO-! . . . . . . . . . . . . . ..56
C WORK. 1L_.T GWWA6L 1).1"-." M011ILt ViamE '61
utjE. iLOPI WAE�HIIIJB MALH. . . . . . . . bACKFLOW PHEM\V ki�i-
0CLO, ;ALY :3RP. Fz: FLALJIU(�. V10411411,. . . . . . . . . . . . . . . . . . . . . .
T'U R I E. . . . . . . . :2 WATER HEA'rER5. CATCH BASIN ,. . . I . I . i
I - 0 AUN 1)14.' T RtAV'-i. E�F RA,*tN DR0,INL.
91NK9. . . . . . . . . . .. URINALuo . 4 . . . . . . . GREASE "'RAPS, I
L 1 v W,0 F?I C.,15. . . . . ; 01 l-1F_'P F I X 1-LJRE'3. - - .
'i ULI/SHOWF—H,. . . . z SLWV9 LINE (ft ) . . . . :4 )'
WA I LP CLAAL T G. WWfER LINL_ (ft ) . _
0 1`ia`IWd S' IE HS. RAiN DRAIN (ft ) . . . .
F'TaHER type ni,o 1-int bV Hatt~
SW IZLELTRIC 1='R,41' 30. Oi/1 JH 07122/91"
UH 1)72P_3,'
#:
REWdUE ROUTE.R
SW NIMBUS
_—LAVER-rbN OR 9700b
Phrl71e #: 42-f+3 111,L: . 30 101"I_
#. . 1 44,4677
Fri OUIRED INSPLCTWNc
nis ptrilit is issued sd*t to the reguiations contathed In the Sewer I.nspecti.on
'-gird ffunicipAl Code, State of ()re. Specialty Codes and all other F InLi". ivlspaCtion
opplicabip laws. Al' work will be dune in accordance with
f-,pproM plans. This porsit will expire i- tirrM is not started
'It'L7 18# ctys of iss,.,arce, or J worK i!, suspMed for tore
Ar A days.
Gal .1 f C.". I nspvct ion (;.394 1 r'j
WOMEN
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :93--24.?5,'--'6
CHECK AMOUNT a 31. 50
AME a RESCUE ROOTER CASH AMOUNT c 0. 00
DDRVSS PAYMENT DATE e 07/22/92
SUB)"IVIelON
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
,LUMBING PERM 30.00 ST. BUILD PER
295 SW ELECTRIC ST
TO-!Al- AMOUNT PAID So