10000 SW JOHNSON STREET MENO. 395-90 �.w.�.�M-,...�-............. ,_._.,,.,.�,.__...___.. . . .._....�
JOHNSON STREET - 1C000 .9"P. OPN PAt
ERM T
I
4
APPL'CATION - STREET IMPRO� RENT/EXCAVATION co(WHITETE
(W )•FILE
ORDINANCE NO. 74-14 (YELLOW)-INSP.
(PINK)-OTHER AGENCY—bldg
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)•APPLICANT
APPROVED ® APPLICATION NO.: 4140 --
1 a
NOT APPROVED [] CITY O! IIGARD, OREGON FEE AMT. E — - Ur
PENDING FEE. PMT. El Cr
HALL RECEIPT �- ZVEY.
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT Bv_ DATE-
PENDING AGENCY "OK" ❑ Application and Progress l.ecord MAINTENANCE BOND w
PENDING INFORMATION U FOR STREET IMPROVEMENT/EXCAVATI)N AS X
ANNI'AL.
PENDING VARIANCE ❑ / EXPIRATION DATL�
PERMIT NO.: .,.-/
�395-90_ --__ DATE ISSUED: ...-/_L?31 _'DL BY �'--`
—
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _- strept- _.01 (For S n. Sew.
Connection) AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICAN r David L. Leary Const. Co.. 1.0020 S-W, Johnson_ St. Tigard,-_QF, 97223_ t-639--.6255
---- NAME" ADDRESS CIT` PHONE
CON-9ACTOR__—. (Same) - -- -- clTv- - Pfion€
NAMF A[+URlSS
PLANS BY _ _per .City_Standards S cifictions _ - CITE
I'IAME ADDRESS
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): >b _-750.Dn--- - --
DOLLARS
- --_"—"— -
FOR OFFICE U'.4\: MIN.
(2) EXCAVATION DATA: — 0.04 X$-T11.-'X -= $--30.02
STREET _ _ DESCRIPTION PROGRESS & iNSPECTION STATUS
SURFACE CUT CUT CUT MATERIAL INSTALL EI� ITEM DATE REMARKS/TYPE BY
NAME TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY
STREET
_ PEN D
hnt. (Se( Attach d) —� RE TIO -
Joson _ -
— _ E TION
—J—t 6
ESTIMATED STREET OPENING DAZE ------------ T --
FSTIMA rED STREET CLOSING DATE: ED
STREET
(3) SECURITY NO SECURITY AMTS 750.00 CLOSED
FINAL Z
EgMp XjM CHfc.K x CASH U DOND is INSPEC.
(4) PLO f PLAN INDICATE SITE PF_F'TINENT PHYS.CAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES: EXCAVATION LOCATION AND Ex TEN t. 1.�Notif}_Ci.ty_InB.pector Qr1 _
_Vieweg (#_1639-4171) 24 hours
II i I 1 1 prior to initiating work. -
( 1 I 2.) Tcaffic control to be provided
-- I - -
for, at all times, by contractor.
ESI' 3. L7,11 work shall coliform r,.o qW
-t------ - -_ -- -- - st-sndar&Ispeciticatirins.
w XX
_ _ _ - _ 4•) Aha-;:.'d sueface. Patch on the
street cut trench is required
-
1 I rrC% ��• l I I I --at- e n
5
1 00
1 non ��-') I I 5•) -Excavator n= comply with
_ ORS757.541-.571 (IDrelocate utilitie$
(51 NOTE THE CIT" OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE.
RIGHT-OF-WAY JORISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT To roNOUCT OF THE WORK. AND TO SAVE HARMLESS THE CIT" AND
EMPLOYEES AGAINST ANY INJURY OR DGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
J AM
'_4
APPLICANTS SIGIdA TUBE � DATE j' �--
jf.
v sr
q V//)
oAlflmr
4/72Z3 0 1;0/u
v -141VI 12k.,'VdvX'
30fkO eill
I 1A)
L .
lztl-)L. -ro 5fewig- Z--111`6
ro
4
rpoM 4& C' IL4 FJGL 141A)b
ray k
G_Y 5-rlA* c,re v #b,
'4-v"PA
IA-1
Y my
d Vk
or
"at etoco* b roll TNA r
/YR6.
*,r All
01
or-
MIN. 3" A C IN 2 LIFT!�
STREET AREAS I OUT OF STRgET AREA$
SAW CuT I
EXISTIN i
SECTION RESURFACING
VOFa/
• . / CLASS A
• °. / BACKFILL
(CLASS B
� V
3/4�-0 ORA14ULAR o /
BACKFILL C p
W
cl
cc
N to . 4 o a Q
o' •° o••
CL
4 USN •� . 4 e �
v O 0 0 • '
T • b � �
uj
ca b
PIPE BASF.
BACKFILL IN STREET AREAS
L IF SM 11 ArlA1NST CURB, FILL ROC•% TO
BACK OF S/W
2.IF S/W IS NOT AGAINST CURB, FILL ROCK
2'BACK FROM CURB
PIPE BEDDING AND
CITY'OFTIGARD BACKFILL DETAILS
OREGON OE51GrJ f5Y AP»zovEO F3Y DWAWN 15Y
GA R E5
A, •,("-ALE DATE DP-AWINC No.
it
I
SPECIFIED I
BUILDING _R PIPE, SIZE Ag I
PUNT FABRICATED TEE FITTING BACKFILL ZX4
- ON SEWERS IB" AHO SMALLER. AGAINST Pt-UG TO
FIELD TAP ON EXISTING SEWERS I FREVENT PLUG
AND NEW SEWERS LARGER THAN I ?X4 IN
6 SECURE
N
2X4 IN PLACE WITH
THAN IB". TRENCH 9ACXFILL-
I
i SEN ER MAIN PLAN 1 1
DR LATERAL- t
I EXTEND AT LEAST
SURFACE
GROUND
1'cABONE
SURFACE
I
! MINIMUM SLOPE FOR
6" PIPE a O.OIO, FOR CONNECTION
4 PIPE:: 0.020. µARKFFI: ,
W.AP t`'-1G GAUGE
GREENLocA "
`` WtRE AROUND 7-X4
1 3/4"-0 PIPE ZONE. MATERIAL
AS SPECIFIED
gUPPOR7 TEE WITH
LZWNG GRAVEL, 1 ��
WNIMUM :e U" WIDE
BUILDING SEWER
Y;•rl
Unified Sewe*age Agency
of Washington County
r
orir �
TRAFFIC CONTROL
GENERAL REQUIREMENTS
as illustrated, at all
,;ontrol shall be provided for, be permitted
1., Traffic . No work k shall 11
time during work prosecution nor be
darkness to 9:00
during the hours of dark: sto darkness
a.m. , nor between 4:00 p-
Ia-
2 . Traffic control devices, flagp
ersons (etc. ) shall. be at all{
pr to initiation of ��onstruction work ati3 shall,
P maintained.
times, be effectively traffic. The
shall not be closed to through police,
3 . The roadway emergency services (fire,
iior to
contractor shall notify min. ) p '
School District and Tri-Met 72 hours
of imminent
eta;. } ► Advanc en.:ral motoring
initiation of const shall be provided to the g at each
traffic disruption
nce
tification
public by placement Of ar a s 2 hours o(min. ) before sign at
end of the construction
of construction work. prior to
4 . Tile City Inspector shall
initiation of work ( b 1notified 24 hours) clean condii-ion, free
obstructions and hazards. Effective erosion control
5, The work tr area shall be maintained In a
from ob ovid-'1 for.
measures shall be prpatch shall be placed on all trenches
6. A temporary hard-surface
within the roadway at the end of each days work.
shall be twelve (121 ) feet;
7 . MAnimum
gavel-lane width provided for.
pedestrian travel shall also be P construction
reserves the right to restr_�t
g. The City s and periods of high tr:ffis level'
activities during Holiday , tc add to or modify
these
reserves the right to endeavor to more
The City as may be tj%cessary such
requirements public safe
ty►
effectively
control traffic and to assure p onsibility•
action shall not relieve the contractor o res 1
dim-tcgrAM
NOl DO eae•A� 6l1>P�.
3
aoEi x NOT (Jae 40 [osc
R ere RICHT N� ID
I .0 e2 s1• T '�' IAe •N�ieMl e
Med,on Area
_40 a.-L. - IN 101,16
END
/ w0ae--HIE.
NOT f DO w.e [oil /SUMP 60.24e
IOe[
' LEE (A40.40
type•C' T Type r 9a.
o be P:OC ad N Nose AI
DIVIDED HIGHWAY '
on sp. • re IoM A.ond'DO fK1i PASS'and'ABRUPT EOGE's.,ne w.th
^-and conul.On u9nf OVERLAY AREA app.pprgte neer Io be Insfollgd ulternnlaly an hath •.des
oce .here the edd
.on of h.9hway of 1/4 roe �nto-Ols th'ee9hoef overlay of Work
nra
t Iger Ione .JI N one where opplKoDle
j1N OVERLAY WORK USE IS PIAN d1 WORK AREA `
a one Ione closer•
.ra;f.c and an.nfar.o.
1
1
----
- gar[
111!rAl\M TMs[►Anrt+
AWWWWA•llr 106SMI iM
Oflr, A awl AWNW&
:...:y. oh ON r 9uu11
!t
To N_occe.yaeied by Or,to S-1 S'S,S 6.S-12 a 2 es.
NOTAll 0. -111 e.
for.al nN0rkrl.m als"�IIoR b"acco"I m
E a-ilk
GENERAL NOTES: plans the cwrenl Stale of Ore,ea Slendwoo Sper:dlcel.ens
!►',1 s.,ns 0 to Ee rype 0-thee,• oMar wrsg noted en ,incl.on w.lk M
.S. 'Pro she " I cones shown to M Installed in cont ler He9h.ey Contac lioe�,�,_�_— i
work 0,000,shall soave W.lh the Werk •toes STAT[M oe[eaa
-- h •hewn rhos ^�-••1 DEPARTMENT G TRANSPORTATION
-Truck lw"gM*n
•�-+ STATE HIGHWAY pVKfON
-'--'- •Where Hoc" we eorenn, a,+d egos.• Ms .ark ores vsr STANDARD
ONE LANE CLOSURE' TEMPORARY PROTECTION
•Exlend 2s'Ireffic sen« IOD3,frere Ike end of tut WWI, .,0a gen,
the Iro.nled 'one Iwo 10 for- o lick acceleration lone DIRECTION OF TRAFFIC
•where beck, e,0 IMnn•rted Io Class the mod;*".idea .oNE LANE SHOULDER a ONE-LANE CLOSURES,
CLOSURE'I loll tenet,m" ba reyrireA h" Beck diract.sa el s ells OVERLAY OR WORK AREAS.
-to areas .here the r.0dl0A I' 9•-O-M lets we u,n f.fes •hewn .n
parenthesis. lien wi1•I It.a JANUARY 1980
•T7.0'BE PREPARED TO STOP v r shell w used e'dy ie C0nlu"c REvislous PP O O
ELAr.GER AHEAD ,i,A.
•Who* r vkallw,Me rnalil mod-On !e:,,*,,•left IoM cleso's w.11 be re,w,0d
_ i f/1T[""On[we0r[la
fa aM el,0crree of 1,011.ca"0 elweldg, da ose.• lIke sM.e' .A.neo eKAt.-Wally trf IDRG.NO. 2201
9
(DFor oeuN►rth w.paa titled
J .■. I� OVERLAY AREA.A IM W1011 W011.
..
4 ..a»
F r
fas■xr30 04 so
XMedi
L� -----
x+- O t'r
pp r—r
Trottic conn A Sf� — +1 —.I "'1�
,,,,� rrr■ ., I� dOs�
MeN s NOTE
A■� so: e!•A when woAi ergo fell Nrw.his cones are.
Nh lane
DIVIDED HIGHWAY it "RIGHT LAME 0-OSEU [A:-"SPA erons.t.
reyNced With"LEFT'LANE CLOSED AREA
ONE LANE CLOSURE rh nrl:%C-:the asset w.edan Eerrwr.n
a A.0 Nss w Width,a ewe tone ctosue
rege.red for aacfl d.red..w of halls
wAere the awdisa a more then Ir-O"in..dth
(left lone).*sip be wsed for one d.rect.on at
st.eetder cleswe for aw all-of
snrs
~� 45
f!i
- — - -�---- -- — - -- --- — — -- Media"Awes
Ares
If9�li_ T
speary � [IO
NOT[ 70th WA
•�» wNea.rwk ergo is M felt sh"Wer IM cnwe e N M e
/
n45
ONced NCIS"Cthe NII st.eafdor
\� . DIVIDED HIGHWAY
SHOULDER CLOSURE
Use -5pi"
ZVI
TOW lop"
�lDd 300'1 � _DODrs llOrt � ►A Are. _�_ li _ -- ar.L�
�____xK"Tnflie t:gn.�en�U'w�.iin'lgn uFfan `��
/8` Waitptedu
7.> d0.:.
J w
AAe1MMdr 2-LANE, 2-WAY ROADWAY
W �NVULj� .R/ONC LANE CLOSURE
1
CTT , nF- TICRIaD - R r-EIF/T OF F'nYME.NT RECE:'IPT. NO. 191--208859
CHEC1' AMOUN I' s 780. 00
I
NAMT:' LI=AR', DAV 1 P CASH AMI:II.JN'f 0. 00
100rPO SW JOHNSON ST GIf) ME"Pi T' DATEE. Q11/2 3/91
7UBD i V 16 I ON
-1-16ARD, OR 97223-- 395-90
F/UFir--,osE:. 17i1= r-fIYMF-NT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
F'I.IEJL T C' I MF'P.CiV ?9�-9u+ 31*0. 00 CU[;TOME R L1EI'O 750. 00
I
i
i
1171000 f-.-,W JOHNSON Sl �
i
TOTAL.. AMOU.""T FAIL) _ - y 1'10. 00
.twu+lulNewavu ,tF�Kv-,.��`Qaa:L�7r<v. .. ., .W., ,. <.r•,ln.y,...,,,.r,b,:,.�
DAVID L. LEARY CONMUOT10N CO. 1,551
10020 SW JOHNSON ST.
TIOAF,O, OREGON 97223 VON
y� / G�
-- . lqN �-191
PAYTO THE
4 ORDER OF — T �!L T /�/�CJ —_ $ `70 0 CAO
/ DOLLARS
U.S. BANK /f
TIOARD BRANCH
P.O.BOX!3308 TARO,OR B
IO '/!Q�!
UNITED STATES NATIONAL OANX Or ORFOON
11900 L 5 5 L11' 1: L 2 3000 2 201: 03r, 0 LOB 955,16
�oW
1
4� +
.DEFINE:entrct=case->eng definition incorrect
ENGINEERING PERMIT
PERMIT # . . . . . . . : ENG90-0051 DATE. ISSUED: 01/23/91 By:
PRIM. PERMIT #. : ENG90-Uu,- PARCEL: 2S102BB-01302
SITE ADDRESS. . . : 1.0000 SW JOHNSON ST
SUBDIVISION. . . . : iN'Q.TIGARDVILLE ADDITION AMEND. ZONING: R-4 .5
BLOCK. . . . . . . . . . : I.OT. . . . . . . . . . . . . :16
---------------------------------•----- ------.--------
PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE EXPIRATION--- STREET
PERFORMANCE: / / SAN SEW
MAINTENANCE: / / STM SEW
UTILITIES
ALL OTHER
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Remarks: STREET OPENING, TO INSTALL A SANITARY SEWER SERVICE LATERAL AND TAP THE
EXISTING SANITARY SEWER MAIN.
FEES -----
Permittee:
DAVID L. LEARY CONSTR. CO. t"Y,A amount by date recpt
100:'.0 S.W. JOHNSON ST. OPEN $ 30 .00 JSH 01/23/91 208859
T16ARD OR 97223
Prone #: (503) 639-6255
Engineer:
ENGINEER NOT ON FILE
$ 30 .00 TOTAL
Phone #:
------- REQJIRF.D INSPECTIONS -----•--
Permittee/Agent Signature: ---STORM SEWER-- -----STREET-------
M.H. & C.B. CRB LINE & GRADE
PIPE LN & GRD SUBGRtwE
BCKFLL & CMPCT BASE ROCK
AIR & TV TEST LEVEL COURSE
City of Tigard, Or?gon WEARING COURSE
13125 S.W. Hall Blvd. ---SAN. SEWER--- TRAFF & PED CONT
P .O. Box 23397 M.H. & C.O. MONUMENTATION
Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
AIR & TV TEST
FOR INSPECTION, CONTACT: ----GRADING-----
Carl Vieweg #639-4171 (office) --REPR' S/AD,31S-- CONTOURS
#780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROSION CNTL.
CITY 01-- TIGARD
EXPENDMURE MWES
9jjjj-. form is a multi-U-Se form- Appropriate leceipts mst be rittached. Doc Ltwntation
important_ for all purposes. -,;tap).e docLm Itati0l' to fort:.
DATE: Z ZA I Z
VT-NI')OIZ NO.:
PAYABLE TO: Icc C.
RIVJESTED BY:
L!
10LApproved request due WednesdaY
)
a 1 V 10:0r) AM to A/P for checks by
F'riday.
M-ES Amit
EXPENDMMM: Account No.
A
Date Description, InvOicx- No., etc.
$ 50.q-0
e- -z-7-Coo
39
TU CAL
mileage $0.255
AppWpRjja�joN BAIANCE: AS OF*: SIGNATURE:
(1.1p to $25.00) Section Manager Rirch. 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,C00-01- ?) Local Contract Review WxIT11
150 IF
It
. ...a-•m,^^--,..7r—,-•-•-r^-'+arryrr�,.ry,.�"*i�+o►""'-Tr-^^—t^^-^+�,-�-�-r,a--,��---�--^�..-�
i
i
APPLICATION - STREET IMPRd MENT/EXCAVATION COPY To:
(
ORDINANCE NO, 74-14 WHITE)-FILE
(YELLOW)-INSP.
(INSTRUCTIONS ON SEPARA,Z` SHEET) (PINK)-OTHER AGENCY-bldg
(BLUE)•APPLICANT
APPROVED ® APPLICATION NO.:
NOT APPROVED ❑ C.I I Y O I IGARU, OREGON FEE AMT.. S
PENDING FEE. PMT. ❑ C:I Iti 11ALL RECEIPT 0.: _! - Z 4RUS`
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENTHY _ DATE
PENDING AGENCY ''OK'' ❑ 1pph alien and Progress Record V — — — — — — — — — —
MAINTENANCE BOND it
PENDING INFORMATION ❑ FOR STREET IMPROVEMENTA-XCAVATION AS REQUIRED lE --
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: _ One yd^r
PERMIT NO.: 395-90 DATE ISSUED: _
-.LL 1 BY:
I1 I APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ Street_CuL _(For
Connectlon)__ .______ AS DESCR BED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
f
David L. Lear Can,9t._Co..----10020 S.W. Johnson St. Ti ard, OR 9722
APPLICANT —,_g_ _ __#_639-6.2�,
NAME '� ADDRESS CITY PHONE
CONTRACTOR (Sau*)
NAME ---� ADDRESS --_-- CITY _--- -- --�----_PHONE
PLANS BY__- P95_gity Stanndar_ds/Specifi_cti.on3
NAME ADDRESS — CITY - -------�� PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 750.00
DOLLARS
FOR OFFIC E CMIN,
(2� EXCAVATION DATA: o.oa x s �� �
_ _ :30•C
srREr.r DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUTCUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE 9Y
_ TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
-- 0 P F.N E D
Johnson. t. (Se Attach ) I NSP C- — "-
R TION
E
Q
ESTIMATED STREET OPENING DATE:-_- / ET _—^_-
ESTIMATED STREET CLOSING DATE: __ E
D
STREET
(?) SECURITY NO. __- SECURITY AMT.: s_ 7&0.00 CLOSED
SURETY CO. FINAL – /
CHECK X_—__ CASH D BOND r INSPEC. -r 1 ,/-j/��
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS ; CON IT JNS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify laity Impector Carl
r� viewed (1639-41.71) 24 hours
_._ prior to initiating work.
I ' I 2.) Traffic control to be provided
for, at all times, by contractor.
3.) All work shall conform to City
- -- - - -- r -
standards/specifications.
r �
4.) A hard surface patch on the
-+ I • ' k -'1 1 street cut trench it rewired
I 5.wSti. I I I at the end of each dais work._
' I (10 cam' I I 5.) Excavator must comply with
ORS757.541-.571 (prelocate utiliitieo
(5) NOTE THE CITY OF TIGARD DOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CON DU%..I WORK WHERE
-
RIGHT OF WAY JURISDICTION IS THAT OF WA54INGTON COUNTY OR THE STATE OF OREGON,
THE APPLICANT AGREES TO DEPOSIT THE REi'JUIRED SECURITIES, TO COMPLY WITH ALL PERTINr:4T LAWf' ANr]
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY C4DAM GEWHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE ) DATE
r
�"Ile
� f 11
S LSU VL o f Y W LJ U-)" Lt."Ao Wt..._'
ft%I 4J uld Ct,�4, (,5
`fi c P