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9115 SW NORTH DAKOTA STREET-1 FILE NO. 476-92 NORTH DAKOTA ST. , 9115 STR OPN PERMIT .DEFINE:entrct=case->eng definition incorrect E14GINEERING PERMIT PERMIT #. . . . . . . : ENG92-0013 DATE ISSC.ED: 03/12/92 By: PRIM. PERMIT #. : ENG92.-0013 SITE ADDRESS. . . : 99115 SW NORTH DAKOTA ST PARCEL: 1S135DB-07800 SUBDIVISION. . . . : ASHBROOK FARM ZONING: R-4 .5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :25 ----------------------------------------------------- - PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE AGREEMENT DATE: / / GRAD/EROS ASSURANCE EXPIRATION--- STFEET PERFORMANCE: / / SAN SEW MAINTENANCE: / / STM SEW UTILITIES ALL OTHER TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ DQmarks: STREET OPENING, TO INSTALL A (TEMP . ) A.C. DRIVEWAY APRON. Permittee: ----------------- FEES - TROY BRYAN type amount by date recpt 5150 S .W. GRIFFITH #100 OPEN S 4 .00 JSH 03/12/92 224572 BEAVERTON OR 97005 Phone #: Engineer: ENGINEER NOT ON FILE $ 4 .00 TOTAL Phone #: ------- REQUIRED INSPECTIONS ---- - Permittee/Agent Signature: ---STORM SEWER-- ----.-STREET------ M.h. & C.B. CRB LINE & GRADE: P1PE LPI & GRI) SUBGRADE BCKFLL & CMPCT BASE ROCK City of Tigard, Oregon AIR & TV TEST LEVEL COURSE 13125 S.W. Hall Blvd. WEARING COURSE P.O. SEWER--- TRAFF & PED CONI' P.O. Box 23397 M.H . & C.U. MONUMENTATION Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP FOR INSPECTION, CONTACT; AIR & TV TEST ----GRADING------- Carl Vieweg #639-4171 (office) --REPR'S/ADJ,S-- CONTOURS #780-2647 (mobile) DRAINAGE ----PATHWAYS---- EROSION CNTL. APPLICATION - STREET IMPROY,-MENT/EXCAVATION 4+ COPY TO: LE GRDINA _E NO. 74-14 LxJ ( • (YEITF) -INSP. •INSP. (INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY bldg. (BLUE.)-APPLICANT APPROVED 1>10 APPLICATION NO.: 521 NOT APPROVED LJ CITY OF TIGARD, (OREGON FEE AMT.: S 4.00 _ PENDING FEE. PMT. [] CITY HALL RECEIPT 9Z-Zzl574- PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT By_ DATE- 3_ 11 Z-/ ! Z PENDING AGENCY "OK'' ❑ Application and Progress Record MAINTENANCE POND N PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED ANNUAL PENDING VARIANCE EXPIRATIO DAT : PERMIT NO : 476_92 DATE ISSUED. _-. 3 / ,1 / 9,r; BY O I APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _�(Tempor yLAC D_ veway__ ._ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT Troy R. Brun 5150 SW Gra fez-tti # 100_ l3eavertQn_M . 97005 _ _641-6589 NAME ADDRFSS CITY i PHONF CONTRACTOR � NAME /'�� ARES CITY—___---- _.---I-;MONE-- PL.ANS BY.._.Per City Standards/Specification NAME ADDRESS - CIT SMO-NF----_— ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S IM-M _ DOLLARS (2) EXCAVATION DATA: FOR OFFIc sE: - MIN. o.oa x s1�0.00 _= s 4.00--- --- STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM Q QUANTITY STREET OPENED NORTH DAKOTA A.C. (SEE AZTAC D) R SPIE TION E -- U ESTIMATED STREET OPENING DATE;--- _ / / ES ESTIMATED STREET CLOSING DATE: .__ / / E _��—--•- -- D STREET (3) SECURITY NO. SECURITY AMT. S 100.00 STREET SURETY CO : - _ FINAL 1/9/1 S 9Z. QLAh INSPEC. ►ov ��jMcNEc►c X CASH a sown _ (4) PLOT PLAN. INDICATE SITE PERTINENT FHYSICAL SPECIAL PROVISIONS /CONDITIONS: FEATURES, EXCAVATION LOCATION ANIS EXTENT. 1. Notify City Inspector Carl Vieweg (639-4171) 24 hrs. before starting 1 ( (SITE: 9115 SW North D kota 4t. ) 1 work. I I work area _ I ' ( , 2. ORS 757.541-571 (utilities pre- , _ _ \ notification, etc. ) applies. I - SW NRTH DAKOTA STREET 3. Traffic control must be provided - -— for; closure of the roadway is not allowed. 1 �) ^� 4. All work shall conform to City 1 I N Standards & Specifications. I ( rl I I � 5. A hard surface patch is required at the end of. each _da�+s_work. (5) 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 INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE ^�tZ-6? DATE / �� / 9L ...._._.._._.-.f-`--._-.-------- -r^-r---�'i'--.'^"_'r"'�'_"T'_"T'r._�*wr_.._r_.._�........,�,�,.r...�...,,.....�..r---.�»--...--..�.,..-.e,..T.E......•qv�►—""rT-".-...•...+-.--"--+-.� APPLICATION - STREET IMPROV'-MENT/EXCAVATION COPY TO: �f (WHITE)-FILE OR DI NAI ENO. 74-14 (YELLOW)-INSP. It (PINK)-OTHER AGENCY bldg.( (INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT APPROVED APPLICATION NO,: 521 U CI Y 01• I'MARD, OREGON FEE AMT.. S_ 4.00 NOT APPROVED PENDING FEE PMT. ❑ } t{•,�•�• RECEIPT yO.t � Z Z PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY . -t -- DATE_ _ � �� / 9 t_ — PENDING AGENCY ''OK'' ❑ \pplita(ion and Progress Record MAINTENANCE BOND �t PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED c ANNUAL C7 PENDING VARIANCE L7 EXPIRATIO DAT : PERMIT NO 476--92 DATE ISSUED: 3 L12-1 92 , BY: (1) APPLICATION IS 14REBY MADE TO EXCAVATE FOR AND INSTALL ...Tempor y) ACD veway AA�ron AS DESCRIBED HEREIN, IN FULL ACC_'OPDANCE WITH CITY REQUIREMENTS. APPLICANT _TrRcyan 5150 SW Griffith # 100 Beaver or fit_ 97005_ 641-6589 NAME ADDRESS EI—Tv PHONE CONTRACTOR ------ ---clTri- PHONE NAME ADDRESS PLANS BY--Per City Stajjdarta�cif.ications NAME ADDRESS_ CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST: S 100.00 DOLLARS AOR 00 OFFIC`lM.'o04.00 . t'MIN. (2) EXCAVATION DATA: 2.0 X III = s W STREET _ DESCRIPTION S PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE I BY —_ TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY STREET _ P NED NORTH DICK 1'1 -�- (SEF ATI'AC ED) RE TPI O N — -- - E Q - U ESTIMATED STREET OPENING DATE: S _ ESTIMATED STREET CLOSING DATE: E �— 100.00 STREET (3) SECURITY NO. SECURITY AMT.: E __ CLOSED, SURETY CO. FINAL - -- - lv 5 o ✓ r1 w )C�)/X�=CHE4H Fi cASH '.l BOND INSPEC. _ (4) PLOT PLAN: IND-CATE SITE PERTINENT PHYSICAL, SPECIAL PROVISICNS/CONDITIONS: FEATURES, EXCAVATION LOCATION AND EXTENT. I,. Notify City Inspector Carl Vieweg (639-4171) 24 hrs. before starting d I (SITE: 9115 SW NorthtrjAkota t. ) I woc:k. I work area I IL -- I I z. ORS 757.541-571 (utiliti.es pre- _ -- notification, etc. ) applies. URN 3. Traffic control must be provided SW RTH DAKOTA STREET - ------- — - - for; closure of the roadway is not, _ allowed. 4. All work shall conform to City 1 d K N I Standards & Specifications. i & I 5. A hard surface patch is required the end of each days work. (5) NOTE THL 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. T►IE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONrUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FrvOM APPLICANTS ACTIONS. APPLICANTS SIGNATURE _..__- —_—. _.-- DATE / _� NS xti=_ City of Tigard Bulldiny 13123 SN Bull Blvd. Tigard, Oreq... Inspection Line (R1ec-O-Phene): 639-4175 Busi.neas Phono. Inspections \V%( - \ _^-- Footing Plbq. Underalab Mach. Rough-in ( Appy/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Pest/Beam Strict, Sen. Sew:r Framing -Bldg. Poat/Beam Mech. Rain Drain Insulatl.on -Plumb. Plbq. Underfloor Water Line Gyp. Bd. M h�'� Date Requested: (0-5 -C12- G12. Time: ' �� —PM wI 473 Addrosst �%y1115 `5..1Q Q. lr! ,�u. ✓C-AAAA Per,It #s 447 y 2 Builders �l Ysh,l 1'JVq P A THE FOLLOWING CORRECTIONS ARE REQUIRED: :�. YD yx JOG Inspector: ? Bates l W_—APPFOVED DISAP OVRD APPPOVRD SUBJECT TO ABOVE Cell For Reinsp. MN^PECTjON NOTICE City if Tigard Building Departaer' 13125 SW Hall Blvd. Tigard, CiegOn .3 Inspevtion Line (Roc-0-1-hho. one)s 673-4175 Busi�n�essPhhonnes 639-4171 Inapections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS P-jot/Ream 9truct. San. Sewer Framing -Bldg. Post/Steam Mach. Rain Drain Insulation -Plumb. Pli`q. Underfloor Water Line Gyp. Bd. -Koch. Date Requesteds_,_ Z ---Times AN PK Addreso:_ r,+—� Permit t, Builder: THE FFOO�LLOWW�I�NG� CMARE(:TIONS ARE REQUIRED: —t —Ctrl Yee^.tr✓ Inspectors���, � j Dates APPRMTn DISAPP D APPROVED SUBJECT TO ABOVE Call For Reinap. N1N1 BPECTION NOTTCE City of Tigard Building Departner 13125 SN Ball Blvd. Tigard, Oregon 3 Inspection Line (Rec-O--Phone): 639-4175 Busineas Phone: 639-4171 Inspectiout_� Footing Plbg. Underalab Meeh. Rough-it' 8d_lk Found. Plbg. Tap Out Gan Line FINALS Poet/Beam Struct. San. Sewer Framing -Rldg. Poet/Ream Mvch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. Date ltnquesteds (0-5 I Z Timet �- 1 4 Addreess_ 1 S 5..Q �s� °"�'i ---� Permit I 1 ,. _ _7l Builders'ly�ymw 614 LA TME FOLLMINO CORRECTIONS ARE RNWIREDs "I 4o rG -..1+e_ ,FI ACc.0 s s_ sc:(( V I + I A 1 t-AL x _ Inspectort1G��4 �( L' Dates_ '- APPROVED DISAP OVRD APPROVRD SUBJECT TO A80VR _Call For Reinnp. INSPEceIaN Nonce City of Tigard Buildiatq DApar'-M*11• 13125 am Ball Blvd. Tigard, Oregon 3 Inspection Line (Rec-o-Phone): 639--4175 nusinens Phone. 639-4171 Inepoctions_ 1_—(1L,t.1 Footing Plbg. Underalab Mech. Rough-in Appr//dwlk Found. Plbg. Top Out Gas Line FIlms Post/Beam Struct. San. Sewer Framing —Bldg. Post/Ream Mech. Rain Drain Innulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. 46"kk. Date Requesteds_ Timet —AFM Address: j1, (.!d Permit #o Builder:_a THE FOLLOWING CORRECTIONS ARE REQUIREDI S {— . Ld C !jLd 8iAL- _VV" U1Yt, IA - ---- cl wIAA — i 1eJ-�-�- tS (A Inspectors__- __ Data: APPROVED DISAPP D _ ! APPROVED SU&7ECT TO ABOVE Sall For Reinep. W� = ELEV. SAME AS Q* CROWN ELEV. SHOULDER CROWN OF ROAD I 3 MIN, SLOPE 20 I ROAD SURFACE � I � S2 I t� I BOTTOM OF DITCH ELEV. MAY BE ADJUSTED BY INSPECTOR NOTES: I.SEE DWG. NO, 205 FOR ALTERNATIVE Z IF AC DRIVEWAY IS TO BE CONSTRUCTED, USE 2" OF CLASS" 'MIX ON APPROVED BASE PROFILE CONCRETE HEADWALL REQUIRED WHEN USING CORRUGATED METAL PIPE SHALL EXTENn 4 ►a 1N. OR PLASTIC PIPE I' PAST TOE OF FI L L + SURFACE OF DRIVEWAY 3A"-0 ROCK k `s 7!U1= _in���.•C V�?Ih� —Uff11= �.. 6' CONCRETE PIPE i OTHER THAN CONCRETE SII ..4. —# PIPE SIZE TD BE DETERMINED PIPE, AS APPROVED . B'Y 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 DRAWN APWA NO. WASit COUNTY NO, I/i /��_ . •»-�---_ R45 6 85 NONE DVI/ -- 202 PROPOSED EDGE OF SHC:;LDER _ 2"CLASS C A.C. PROPOSED EDGE 4 2 " J OF PAVEMENT J SLOPE VARIES a a W a o W N W / Z W W W 0 N 0 J 2 N 0 " W O G � � z TYPICAL SECTION a 0 W W < u A.C. DRIVEWAY J Z ` ti z 0 0 PROPOSED EDGE 1p 2 I 3/4�0 4„ 2„-0 OF SHOULDER PROPOSED EDGE I 4 OF PAVEMENT SPE VARIE9\� ui W i ff N 4 TYPICAL SECTION 1 J°` GRAVEL DRIVEWAY W J I I Q ( I i IW v 30I q_ PROPOSED EDGE TYPICAL PLAN OF SMOULDER PROPOSED EDGE OF PAVEMENT A.C. OR GRAVEL DRIVEWAY 4' ~-- SLO41ES 10% ("UNLESS OTHERWISE NOTED SEE DW0, N0. DW-',6_'2 TYPICAL SECTION LTERNATE WASHINGTON COUNTY DRIVEWAY DETAILS FOR DEPARTMENT OF LAND USE AND TRANSPORTATION NON - CURBED AREAS APWA NO. WAQFL COUNTY NO, DATE CIVIL ENGINEER QRAW NONE DW 205 /17 CITY OF TIGARD EXPENDITURE RBQUESP — �tTis form is a multi-use form. Appropriate receiptS must be attached. Documentation S t)ortant for all purTx)c, s. Staple doc L m_ntation to form. VENDOR NO. : — -- — --- ----- DATE: Z Z PAYABLE 1O: �c � 0 vac RWJE= BY: —i. thtit 4�1f2D Sl= APproved reque. _ du& Wednesday 10:00 AM to A/P for checks by Ftiday.. MISCE�BXTS EXPENDITURES: [kite De cxiption, Invoice No., etc. Aunt No. �— Amount 9z-zzAf5-14- 10C), - Mileage $0.255 - - • APPROPRIATION BAT-ANCF,: AS OF: _ - SIGNATURE: (Up to $25.00) Section Manager _ _ Purch. Agent ($25.01-2,500.00) Division M lager ($2,500.01-7,500.00) Dept. Head - ($7,500.01-15,000.00) City Administrator ($j,5,000.01- ?) Local Contract Review Board — --- -_- — -- , 1501F E113'!65 Rysstadt Homes, Inc. U.S. NATIONAL BANK OF OREGON NW CORNELL ROAD SUITE 100 CEDAR MILL BRANCH PORTLAND, OREGON 97229 PORTLAND, OREGON 97229 F (503) 644-8061 CHECK 6732 24-22/1230 PAY One hundred four and no/100* TO THE ORDER OF DATE AMOUNT City of Tigard 3/12/92 **$104 .00** --- T D 3114NATuwl 113006 7 3 211' 1: L 2 :1000 2 201: 184 00 L 2 30411" CITY OF TIGARD - RECEIPT OF PAYMENT RECEIVIT NO. :92-224574 CHECK AMOUNT : 104. 00 NOME= : ERIC RYSTADT HOME'S, INC CASH AMOUNT 0. 00 ADDRESS . 13765 NW CORNELL RD. , #100 PAYMENT DATE 03/12/92 PORTLAND, OR SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID FUALIC IMPROV 50F' #476--9 4. 00 CUSTOMER DEPO _ V 100. 00; '► E-owl �,r�a.H �t 'i-li.� `.�,� J 1 , TOTAL AMOUNT PAID - 104. 00dt�� �c' z`"e °) -7 e FOR FEt_I•c� Y`Rv 'r \ A1_SG 12_IW4I L-cot a FO `F3 PHOTOS SEE PHOTO BOOK � �w, kH1lDerL