11333 SW GAARDE STREET NILE NO. '31r1� ril�
.114th SW 13910 SI'R. OPN. PERMIT
j
CITY OF TIGARD
FXPE7JDMJRE PJVUF'.c,-)r
'Ibis form is a multi-imse form. fqjpropriate receircs, must be attached. Documentation
is important for all purpoA-- Staple docum-ntation b. form.
VINWR hy). : II UATE:
PAYAW. IM: PHJUF-=l, ) BY:
1,7 G 5
PiML-mmed requi due Wmtw--,day
10:00 AM to A/P for checks by
Friday.
MjSC3'I.IANE0w EXPFNDIIIMM:
Date Description, Invoice No., etc. Accxmt No. Amount
-17 2 000 9 7C)
TOTAL
Mileage $0.255
APPROPRIATION BALANCE: AS OF: SIGNA7T1I*,:
(Up to $25.00) Sedtion Manager purL�h. Agent
($25.01-2,500.00) Division Manager
($2,500.01-7,500.00) Dept. Head
($7,500.01-15,000.00) City Administrator
($15,000-01- ?) local Contract Pi-wiew Board
ke/1501F
AOLICATION STREE! I""I' VEM,ENVEXCAVATION ��/ter ` I,,
PY TO:
d�YT� 1 (WHITE)•FILE
,')RDINANCE NO 74-14 ( jY` YELLOW)-INSP.��� IIINSTRUCTICNS ON SEPARATE SHEET) 1 JPINK)-OTHER At ENC`/`rl•}q
O \ (BLUE)-APPLICANT JJJ
APPROV APPLICATION NO.. 411
J CI Y OF IGARD .. OREGON FEE AMTS _ —»
NOT APPROVED 7
PENDING rEE PMT
PENDING SECURITY CJ PUELICWORKS DEPARTMENT BY DATE—_S / 1�t/
PENDING AGENCY OK" ❑ Appht-ation and ProgTcss Record P. +
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL
PENDING VARIANCE ❑ -- _ EXPIRATI DATE
v 1 --:-++-----Imo---- _
PERMIT NO _` ` p_ DATE ISSIJED. __- +--LLS-1 8Y.
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_
_ (_�_ .__`_ AS DESCRIBED HEREINI, IN FULL ACCORDANCE WITH/,CITY REQUIREMENTS.
APPLICANT 1, Yl�!_A b , ,��p,1I� �- �11' _LL� .--- SJ���t ��,�[+�._S_l� -0SUh-�
NAS DDR ESS ITV PHONE
CONTRACTORt-
a 1 �k► o t
NA
PLANS B Y --_- t C 1� �`�il+�512 i�5_ ar.L l�:-L1 "` �- _ -------. --h ---
A E A DRESS CITY ►10NE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): :
FOR OFFICE USE d MtN.
(2) EXCAVATION DATA: 0.04 X s
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACET CUT CUT CUT MATERIAL INSTALLED ITEM UA TF REMARKS/TYPE By
TY E LENGTH WIDTH DEPTH ITEM 6 QUANTITY
..+.__ STREET
INSP
F TIOP! —
Q
ESTIMATED STPEET OPEP41NG DATE:---'jr!:—L_f-_� L) g
ESTIMATED STREET CLOSING DATE: T �y
E
(3) SECURITY NO. SECURITY AMT S 7U LOSED
SURETY CID Fleas Ttcsf to wt �,I
CERTIFIED CHECK CASH BOND INSPEC. ( -
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL _ SPECIAL PROVISIONS / CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. I I I V
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'/y ._.. u. C ' I.
IANC � / "0 13910 5 W I_ __---- r S
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I51 NOTE 71,4L CITY OF TIGARO DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTrTO CONDUCT aRK WHERE
RIGHT OF WAY JURISDICTION IS THAT OF WAS14INGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGR64S TO DEPOSIT THE REQUIRED AECURITIFS, TO COMPLY WITH ALL PERTINENT L"WS AND
CONSTRLICTION SPFC1le'ICATIONS PFRTINJiNT TO CO HE P.
bUCt OF TWORK. AND TO SAVF HAMLEFS THE CITY AND
EMPLQyrr- AGAINST ANY IN JURY OR AGE WHIq)i MAY RESULT FROM PPLICANIS ACTIONS. 11
N
I Ill 1 ,rI t 1cL� �y'.A
` t 7 _ c__-__�� J
APPI ICANYS SIGNATURE GATE CIS` � �._._ �'"S
REQUEST FOR BOND RELEASE !}}N 1 o 1nin
GI IY Ur 116ARD
' 1V1�Q CG Y
John Hagman � � s ,tune 14, 1990
City Engineering Department cl �
13125 SW Hall Blvd 1
PO Box 23397 S} s
Tigard, Oregon 9722:3
lv�t9
Dear Mr. Hagman,
I have complied with the terms concerning the tapping of the sewer line
for the Gaarde House, and to facilitate the release of the Performance
bond paid to the city of Tigard, L am submitting the following
information.
1 ) Location of property: 13910 SW 114th Ave
Tigard . Oregon 97223
2 ) Name of owner: Ron Soberg
3 ) Address: 13755 SW 116th Place
Tigard, Oregon 97223
4i Phone: b39-4508 (home) bBI-7300 ex 2110 (work)
5 ) Remarks : tin May 18 , 1990 , 1 took out a street opening permit and
left a $990. 00 performance bond with the city for the purpose of
tapping the sewer line on the corner of SW Vi.ewmount and 114th Ave.
The street had been dug up by the Tigard Water District and we were
able to use that hole for access to the sewer line and therefore did
not dig another hole for the purpose of tapping the line. I checked
with the Water District as to whose responsibility it was to patch the
4r -2 asphalt . 1 was told that it was the Water District' s responsibility,
but it wouldn ' t be done until dryer weather. To this date, the hole
F'
has been filled but: not_►a _gbed. Cven though the hole has nrr t Feen-- -
paTched , and rinse the Water District has responsibility for the
patching, I am requesting that my deposit be refunded at this time.
Enclosed please find a copv of the inspectors siqn-off on the
taping of the sewer linr .
Thank you for your prompt response.
r'
�f'ci RF' 11 Vii ,
1
INSPFCTIGN NOTICE
City u. 1-1,d,,.d Building Department
P 0 Box 23397
Tigard, Oregon 97223
Phone 639-4175
z
Type of Inspection
Date Requested
Time P.M.
Address
Owner Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ----------, APPrcivd
Inspector
Date L11 Disapproved
CALL FOR REINSPEC-MiN
YES ❑ NO
y�
14,1
e 71
ol
�J st
APPLICATION STREET IM )VEMENT/EXCAVATION COPY TO
ORDINANCE NO 7414X ( F11 IE) FILE
� (,V141-rjYELLOW) •INSP. ff 1I
(INSTRUCTIONS ONARATE SHEETI )(PINK)-OTHER AGENCYbIrIY�
ty'(BLUE)•APPLICANT
APPROVED y�+ , APPLICATION NO.'--'� 411
NOT APPROVED i❑ ( I I 1()I I IGARD, OREGON FEE. AMT. ! .
PENDING FEE PMT, ❑ (.I 1 Y HALL RECEIP Z LA,1 4 _
PENDING SECURITY P08LICWORKS DEPARTMENT ISY DATE__ .5 )�V
�.
FENDING AGENCY "OK" ❑ \pItludllurt ,ltul PrrtQrrss RCtrnd __ _ _ _ _ _ • •
PENDING INFCRMATION L7 FOR STREET IMPROVEMENT/EXCAVATION MAINSER ANC EBOI�DwI
ANNUAL
PENDING VARIANCE ❑ _— EXPIRATI MD TE.
PERMIT NU ,j �� _ UDATE ISSUED: BY _
I I APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL __.,.*)A(1 CG'�f��rnU'1/
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH
CITY REQUIREMENTS.
APPLICANT L ► 1_�� U . `�JS_�.1G=►'c�-._ _1 � �W ))(i :c 1 V g7L23 (o3y -4�iCr2'.
.—_NAM& f, J 1 ADR[ �c�-- �_f,�Z fYr- _�
CONTRACTOR S .� t� Sit bl
013"Ires
PLANS BY F"y C 1 Ste" + t-4
cIfv
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST). f
_ DOLLARS
(2) EXCAVATION DATA FOR OFFIC[US[CJ oe, z C bcI MIN
_ 0.04 X !
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM 1t QUANTITY _
STREET
_ N
R TIONE
Q
ESTIMATED STREET OPENING DATE _. / - ( / a
ESTIMATED STREET CLOSING DATE - � � E
- - D
(3) SECURITY NO. SECURITYAMT.: 15 `��0 ci.CSE�
SURETY CO _ FINAL
CRTI FEp CHE(,K------- CASH NSPEG. � Zq
2 �7.
(4) PLOT PLAN INDICATE SITC PERTINENT PHYSICAL SPECIAL PROVISIONS / C NDITIONS.
FEATURES, EXCAVATION LOCATION AND E_'XTENT. `
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(5) NOTE TML 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 O^EGON.
THE APPLICANT AGRE TO DEPOSIT THE REQUIRE SECURITIES, TO COMPLY WITH ALL PERTINENT 1.AWS AND
CONSTRUCTION SPEUFICA IONS PERTINENT TO COY,UCT OF THE WORK, AND TO SAVE HARMLESS THE CITE AND
EMPLOYEES AGAINST ANY NJURY OR )MAGE WHI!.#1 MAY RESULT FROM PZCANTS ACTIOIS
� y
APPLICANTS SIGNATURE ' t ' 'E✓ oArE L,711 J/ _ ! J G�
I .F � I
=1_ Cz�F: MF.:NT ...tr., p•�r rail_'
F IJEI.'i C
r,M(.lLINT. F ga 1 i
- - RONALD D. SOBERG
MARY M. SOBERG 0219
'3 rHw GAARDE HOUSE
13755 SW 116TH PL 639-4506
1 TIGARD. OREGON 97223 C j t) 2422 165
------ - -1230
lie 7
_511 zV JA ej
U.S. BANK
1GTH a SUNWFT•RANCH 1
3:60 NW 7EaTH AVE EpaTLANO,Oa�7EE�
IJ NI1lO•1AT•,{NATIONAL OANN OF C7A•OON
Fo.r --
+: i 2302 201: 16S 0060 484 ' 0219
- -
RONALD D. SOBERG
MARY M. SOBERG 0218
e THE GAARDE HOIISE
13755 SW 116TH PL. 6394508 / t)w 24-22 1230-165
9
TI RD,OREGON 97223 YY
U.S. BANK �-
.ESTH a su ET saANCH /
3!140 NW 1E TH AVE VOaTLANO,Oa•7EEE
UNITFO{TATE9 NATIONAt OANN OR Oa•OON
Fur es
7 ..
1! IPlrnn ani• 1rc n rn i INE „ I --- --
I
i
•� LONG RADIUS j l
BENDS NOT - - LONG RADIUS
BENDS AS SERVICE
GREATER THAN 46° �/ CONNECTION
_ REQUIRED— ` PIPE
20 MIN. f �
TRUNK, MAIN, OR PREFER 300
LATERAL SEWER WIRE SERVICE TO
TRENCH WALL CONTINUOUS 4714"
-" OR 2"t C TEE FRAME.
MUST EXTEND FROM
NC•+ ��ee+p►''E SEWER TO UNDISTURBED
EARTH.
+�` F fir.:.• �
• o�
4"s 4" BRACE
-200 TO 70° COMPACTED GRAVEL
BACKFILL TO UNDISTURBED
•• ' EARTH, MINIMUM 2'-0" WIDE
~ MAIN, TRUNK, OR (A ) MAIN, TRUNK OR LATERAL
LATERAL ;EWER �8
USE ONLY WHEN WORKING AREA
_.
COMPACTED GRAVEL UNDER 12'. PROHIBITS USING (A)
COMPACTED GRAVEL OR CONCRETE
ENCASEMENT BETWEEN 12' AND 16',*
DEPENDING ON SOIL CONDITION
CONCRETE. ENCASEMENT OVER 16'.
OVER 12' USE CAST IRON AND
COMPACTED GRAVEL IN LIEU OF
CONCRETE ENCASEMENT.
*MAY GO TO 24' DEPTH IF THE
TRENCH ABOVE THE PIPE IS 1 Ali
LIMITED TO 30" ACCORDING TO �I
BACKFILL CAI.CULATION3. COMPLETE
CONCRETE
ENCASEMENT
fl
Ai.
,' 11
VERTICAL _ POUR BASE FULL
(CONCRETE r� �' .) /WIDTH OF TRENCH
ENCASEMENT)
TO BE USED ONL'.
WITH PRIOR AGENCY r �,
APPROVAL. �—
a,�
- SIDE SERVER
CONNECTIONS Uf
Unlfl4d Sewer-go Agency
1 y,
1
MIN. 3'' A C IN 2 LIET5
_STREET AREASI OUT OF STREET AREA-
aAw cur— -
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BACKFILL. IN STREET AREAS
L IF S/w Is AGAINST CURB, FILL ROC•% TO
BACK OF!/W
2.IF S/W IS NOT AGAINST CURB, FILL ROCK
t'BACK FROM CURB
PIPE: BEDDING AND BACKFILL DETAILS
OREGOA 01751GN 6y AP'M-OVEO BY DRAWN Pay
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