11240-11280 SW NORTH DAKOTA STREET FILE NO. 465-02
NORTH DAKOTA ST.-11240-80 ST OPN PERMIT
.I
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CM Y OF TIGARD
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b-ii.; form .is a multi-use foie;. Appropriate receipts riust be attached. Documentation
; important for all p2>-poses. Staple docimomt;aation to form.
VENDOR NO. : -- -(�--- f]FYI'E: Z
PAYA=- TO: M�,� ytiSS�4S2_ Rrl)( By:
-17-7-1- - * Arproved req e-t Lie Wednesday
10:00 AM to A/P for checks L-y
Friday.
MTSC U-1114BOUS EXPFSIDI'IURL'S: --
Date Description, Imoice No., etc. Account No. Amount
--
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TUPAL S
Mileage $0.7.55
.V'PROPRIIITION BALANCZ: _— - AS OF: SI(;TIA'IURE:
(UES to $25.00) Section Manager — Rirch. Agent
($25.01-2,500.00) Division Manager
($2,500.01-7,500.00) Dept. Head --- v�-- - V--.- —
($7,500.01-15,000.00) City Administrator — -_ ----- -- --
($15,000.01- ?) Fs-cal Contract Revi.rw F3oard
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ENGINEERING PERMT-
PERMIT #. . . . . . . : ENG92-0002 DATE ISSUED: 01/23/92 F,y: _
PRIM. PERMIT #. : MLP90-0013
SITE ADDRESS. . . : 13.240 SW NORTH DAKOTA ST PARCEL: 1S134DB-02600
SUBDIVISION. . . . : BONING: R-4 . 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
-------------------------------------------------------------•--------•----------
PERMIT TYPE. . : SOr' IMPROVEMENTS QUANT RA'Z'E VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE XPIRATION--- S'T'REET
PERFOI aANCE: ! / SAN SEW
MAINTENANCE: / / STM SEW
UTILITIES
ALL OTHER
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Remarks: STREET OPENING, TO INSTALL AN ASPHALTIC CONCRETE DRIVEWAY APPROACH.
Permittee: ---------------- FEES ------------•---
CRONIN ASPHALT MAINTENANCE CO. type amount by date recpt
P.O.BOX 69544 OPEN $ 10.00 JSH 0.1/23/92 222306
PORTLAND OR 97221
Phone #: (503) 245-2973
Engineer:
ENGINEER NOT ON FILE
$ 10.00 TOTAL
Phone #:
------- REQUIRED INSPECTIONS ---- --
Permittee/Agent Signature: ---STORM SEWER-- -----STREET-----•-
___ _ M.H. & C.B. CRB LINE & G-ADr
PIPE LN & GRD SUBGRADE
BCKFLL & CMPCT BASE ROCK.
AIR & TV TEST LEVEL COURSE
City of Tigard, Oregon WFARING 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 Viewaq #639-4171 (office) --REPR' S/ADJ, S-- CONTOURS
#780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROSION CNTL.
APPLICATION - STREET IMPROa �'JAENT/EXCAVATION coPYTo:
���i E] (WHITE)-FILE
ORDINAE NC` 74 14 s"" X) (YELLOW)-INSP.
(PINK)-OTHER AGENCY-Bldg.
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
APPROVED 'A APPLICATION NO.: —6/O
NOT APPROVED ----
CITY O IIGARD, OREGON FEE AMT.: f 10.00 /
❑ C'�-ZZZ3U�O -
PENDING FEE. PMT. ❑ CIIti MALI. REGEIP ^: _ -
PENDINGSEr_URITY ❑ PUBLICWnRKSDEPARTMENT B'r— _ DATE_ 3�9Z
PENDING AGENCY 'OK" ❑ Application and Pro,;rrss Rcror(I
MAINTENANCE BOND
'ENDING INFORMATION L7 FOR STREET IMPRO%/CMENT/EXCAVATION AS REQUIRE°
ANNUAL
PENDING VARIANCE EXFiRATION DATE.
PERMIT NO.: DATE ISSUED: BY
I ; APPI_ICATION IS HERF.3Y MADE TO 1=XCAVATE FOR AND INS'FALI_ DRIVEWAY U PROAL
AS DESCRIBED HEREIN :w FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT CRONIN- ASPHALT MAINTENANCE CO. „ P.O. BOX 69544, PORTLAND, OR_97221-..-245-2973-.-
DR
NAME ADE55 C:ITV PHONE
CONTRACTOR (eaTe)
CITY ---{.�
- InONE
PLANS BY PER CITY STANDARDS (attached)
NAME ADDRESS -- --�_--- --'---- CITY -- PHOME
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST) 250.00______
DOLLAR!
.._----�_—_—. - -
”-_�-- FOR OFF( 8SE MIN,
(2) EXCAVATION DATA 0,04 x f �.Do
STREET __ __ DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY
— STREET
Al
NORTH DA K A STREE (see ttach ) R TP C_
- E n
Q ll
E
ESTIMATED STREET OPENING DATE-..._ _-L._..._.__._--.--__.. S
ESTIMATED STREET CLOSING DATE: ----- ---- - ED
STREET ,
(3) SECURITY NC. SECURITY AMT• S 250.00 CLOSED
1
SURETY COFINAL
R CASH-_H ------ INSPEC I�Z.4 Z 1�'vc � j "
dUYi4Y$CIIF1_Y. � eONC.
(4) PLOT PLANINDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS / CONDITIONS
FEATURES: EXCAVATION LOCATION AND EXTENT. 1. NOTIFY CITY INSPECTOR CARL
SIT_E_: VIEWEIS (6739-41._, 'T 24 HOURS
I 1 11240-80 S.W. NORTH DAK S ETI I �]ORK.
I
� , � 2. ORS 757.541-571 APPLIES (RE:
_ __.I r �} 1 --- PRELOCATION OF UTILITIES, ETC. ).
,..( 3. ALL WORK SHALL CONFORM TO CITY
S.W. NORTH DAKOTA STREET STANDARDS & SPECIFICATIONS.
W til 4. TRAFFIC CONTROL, IF REQUIRED,
- - -- - - - - - 1- 1- - - - - -SHALL BE PROVIDED FOR BY THE
,tw _ -- - -- -- ----�- 1- -
work area i I CONTRACT OR.
I )
(5) NOTE THE CITY OF TIGARD DO.-S NO r, 'EREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT 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 AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS T'HF_' CITY AND
EMPLOYEES AGAINST ANY INJU OR DAWGE mi WHI H MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE � I;-
DATE
• n
iAPPLICATION - STREET IMPRO RENT/EXCAVATION COPY TO:
ORDINAL.E NO. 74-14 U (WHI O -FILE
�] (YELLOW) -INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY•131dCj.l
(BLUE)-APPLICANT
APPROV ED ® APPLICATION NO.:
NOT APPROVED ❑ CI I} OF TIGARD, OREGON FEE AMT.: S 10.00
PENDING FEE. PMT. ❑ (:III MALI.. RECEIPT.I�y/Cp/ • _.Ll� ZZZ.-,SO4-
PENDINGSECURITY ❑ PUBLlCWORKS DEPARTMENT BY_71Y DATE-1_��"L._`z
PENDING AGENCY "OK" ❑ .\I)plledtlon and Progress Record — — — — — — — — —
MAINTENANCE BOND u_
PENDING INFORMATION ❑ FOR STREtT IMPROVEMENT/EXCAVATION AS REQUIRED --
ANNUAL
PENDING VARIANCE EXPIRATION ATE:
PERMIT NO. - - DATE ISSUED: -- - `- -- BY:
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL - DRIVEWhY AAPBOACq
—_ .. AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT CRONIN ASPHALT MAINTENANCE CO. P.O. BOX 695441 PORTLAND, OR 97221 245-2973
NAME ADDRESS —.- CITV "—PHONE
"�—
CONTRACTOR _ (-q&'*)
NAME ---- -ADDRESS CITY
PLANS BY PER CITY STANDARDS (attached)
-- NAME ADDRESS PHONE
ESTIMATED IMPROVEMENT TOTAL_ VALUATION ( COST): E �Ju•00 _
DOLLARS
S _
(2) FOR OFFI EXCAVATION DATA: �7t6. 0
0.04 x $ = = 10.00 "WIN.
STREET _ DESCRIPTION PROGRESS & INSPECTION STATUS
NAME >UPFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY
STREET
NOFtig (see
_ PEN
Til L 3 & l
i tO.J; ' (see attach .d, INSPEC
R TION tij
E
Q
ESTIMATED STREET OPENING DATE: / E y
- � S
ESTIMATED STREET CLOSING DATE: / T
_ E
b
(3) SECURITY NO. .------ SECURITY AMT.: x, STREET_250.00 ,. CLOSED ��3
SURETY CO. __ p D r•INALdWW
_ EC
_CHK CASH BONr INSIP C. 'Z -t
(4) PLOT PLAN: INDICATE .SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CO DI IONS:
FEATURES, EXCAVATION LOCATION AND EXTENT. 1. NOTIFY CITY INSPECTOR CARL
SITE: VIEWED 639-4171 24 HOURS
1 ( 11240-80 S.W. NORTH DA 'A SI EFP •.
I Rt 1 I 1
7. ORS 757.541-571 APPLIES RE:
1 — PREaLOCATION OF UTILITIES, ETC.).
URB - '
1.4 3. ALL WORK SHALL C'ONF'ORM TO CITY
_� S.W. NORTH DAKOTA STREET ---
rn •
. TRAFFIC CONTROf., IF' REVD RED,
An
NMA,61, BE PROVIDF.D MR 137 TRE--
1 1 i work area
(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 AGREES 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
EMPLOYEES AGAINST ANY INJUpY OR DAM GE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGN ATURE — _ DATE / l�
/, ^�
CITY OF T I GARD - RECEIPT OF' PAYMENT RECEIPT NO. :92-22Z306
CHECK AMOUNT 260. 00
NAME CRONIN, FREDERICK W. L. CASH AMOUNT 0. 00
ADDRESS : DDA: CRONIN nSP1-IAI...T MAINT. CO. PAYMENT DATE 01/x' 3/92
P. 0. LOX 69544 SUB.0IVISI(31\1
PORTLAND, OR 97201- lic'40-80 N. DAKOTA
IDURPOSE OF PAYMENT AITIOI.JIVT PAID PURPOSE OF PAYMI N'f AMOUNT PAID
PUBLIC IMPROV 465-92 10. 00 CUSTOMER DEPO REFUNDABLE 21130. oil
STREET OPE N I NG PERMIT #465-9;--,
TOTAL AMOUNT PAID - 260. 00
FREDERICK W. L. CRONIN DBA 1058
CRONIN ASPHALT MAINTENANCE CO. 24-2211230 !
t � BRANCH OPO
PO BOX 69544 (503) 245-2973
PORTLAND, OREGON 97201
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J SLOPE VARIES OF PAVEMENT
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'UNLESS OTHERWISE NOTED � GR-10%
SEE DWG. NO. DW•-202
TYPICAL SECTION
—ALTERNATE
WASHINGTON COUNTY DRIVEWAY DETAILS FOR
WDEPARTMENT OF LAND
AND TRANSPORTATION USE NON — CURBED AREAS
DATE CIVIL ENGINEERWN APWA NO. WASK COUNTY NO.,
!1171 _ � , � RA�-if NONE DW- 205
zl ELEV. SAME AS CROWN I I
� ELEV. I SHOULDER CROWN 1
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OF ROAD
3 MIN. SLOPE 20 I ROAD SURFACE
S2 I I
BOTTOM OF DITCH ELEV.
MAY BE ADJUSTED BY INSPECTOR
NOTES:
I.SEE DWG. NO. 205 FOR ALTERNATIVE
2-If AC DRIVEWAY 19 TO BE CON9"RUCTED, USE 2" OF CLASS"C"MIX
ON APPROVED BASE
PROFILE
CONCRETE HEADWALL REQUIRED
WHEN USING CORRUGATED METAL
PIPE SMALL EXTEND A MM. OR PLASTIC PIPE
I' PAST TOE OF FILLSURFACE OF DRIVEWAY
ti 3,A" 0 ROCK x ►�
- 1�!•1�_10=UI� ?III�1 sly=U1� �11�10_ �'�
III`.!is
CONCRETE PIPE I OTHER THAN CONCRETE
PIPE SIZE TO BE DETERMINED PIPE, AS APPROVED
BY INSPECTOR AT THE JOB
SITE ( 10" MIN.)
PIPE TO BE LAYED AT EXISTING GRADE OF DITCH •• NO SLUMPS
CROSS - SECTION
WASHINGTON COUNTY DRIVEWAY FOR STREETS
DEPARTMENT OF LAND USE
AND TRANSPORTATION WITHOUT CURBS
DATE CIVIL ENGINEER ORAWIM APWA NO. WASK COUNTY NO.
[!1 /Af- -�-= �5 b s5 NONE DW - 202
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