6655 SW VENTURA DRIVE-2 FILE NO. 498-92
VENTURA. DRIVE - 6655 STR OPN PERMIT
.DEFIN,?:entrct=case->eng definition incri. rect
ENGINEERING PERMIT
PERMIT #. . . . . . . : ENG92-0041 DATE. ISSUED: 06/17/92 By:
PRIM. PERMIT 4. : ENG92-0041
SITE ADDRESS. . . . 6655 SW VENTURA DR PARCEL: 1S125DD-06200
SUBDIVISION. . . . • WASHINGTON SQUARE ESTATES NO.2 ZONING: R-4 .5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :70
--------------- ------------
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 CONCRETE DRIVEWAY APPROACH AND SIDEWALK.
Permittee: ---------------- FEES --------------
MICHAEL LAYTON type amount by date recpt
6655 S .W. VENTURA DRIVE OPEN $ 22 .40 JSH 06/17/92 228604
TIGARD OR 97223
Phone #: (503) 244-5612
Engineer:
ENGINEER NOT ON FILE
$ 22 .40 TOTAL
Phone #:
------- REQUIRED INSPECTIONS -------
Permittee/Agent Signature: ---STORM SEWER-- -----STREET-----
_ M.H. & C.P CRA LINE & GRADE
PIPE. LN & GRD SUBGRADE
BCKFLL & CMPCT BASE ROCK
AIR & TV TEST LEVEL COURSE
City of Tigard, Oregon WEARING COURSE
13125 S.W. Hall Blvd. -•- -SAN. SEWER--- TP.AFF & PED CONT
P.O. Box 23397 M .H. & C.O. MONUMENTATION
Tigard, Oregon 97223 PIPE L14 & GRD STREETLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
AIR & TV TEST
FOR INSPECTION, CONTACT: ----GRADING-----
Carl Vieweg #639-4171 (office) --REPR' S "iDti,S-- CONTOURS
#'780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROSION CNTL.
COPY TO:
APPLICATION - STREET iMPRO MENT/EXCAVATION - (WHITO-FILE
JRDINA ENO. 74-14 (PINK)-THEEINSP.
AGE
(INSTRUCTIONS ON SEPARATE SHEET)
(BLUE)APPL CANTNCY bldg.
APPLICATION NO.:
APPROVED22.40
CITY OF TiGA1tU, ORI,c;c)N FEC AMT, f Z -7 _s1604
NOT APPROVED
CITY HALL. RECEIPT
PENDING SECURITY ❑
PENDING FE.PMT. ❑ DATE 1 9
1, -Z
PUBLIC WORKS DEPARTMENT BY -
- - •� /I
PENDING AGENCY "OK" [I AS and Progress Record MAINTENY NCE BOND N,
AS REQUIRED
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION ANNUAL.
EXPIRATION DATE -�-----
PENDING VARIANCE ❑
(0 17 9Z BY: ._-- -
DATE ISSUED: � l_...--1 -
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ CONCRETE DRIVEW�APL?ROACH __
#REp-�gLMENTS.
AND SIDEWALK AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY 2 U 611�Z
— MICHAEL R. LAYTON 6655 S.W. VENTURA DR. ___TIGAPD, OR 97223 ___�I 297-90ONE
APPLICANT —.. -- — AODRE-`s�-- - - —ciTv —
NAME MILWAUKIE OR 97222_-_
CONIRACTOR_IMILEL__QWAErE CITY -^
NAME
PLANS BY AuowEss —
- PER_CITY STANDARDS - - CITY FIioN
NAMEE —
_ _ - ----- __ ADDwEaia----
560.00
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COSTI: Y -- DOLLARS -
t-.MIN.
FOR OFFICE�U�SE:
D.oa x s___ vO;OQ__
(L) EXCAVATION DATA JDRVE
DESCRIPTIONPROGRESS & INSPECTION STATIJ:+STREET ITEM DATE REMARKS/TYPE BY
I AME 'ACE CUT CUT CUT MATERIAL INSTALLEDPE LENGTH WIDTHDEPTH ITEM AI QUANTITYSTREET
-. N
_ INSP C-
VENTURA - SEE PITACEEI - R E TION _.
QU
E I�
__ S -
ESTIMATED STREET OPENING DATE: - -- - T
E
ESTIMATED STREET CLOSIMG DATE: / ' D
:�_•__ - STREET
SECURITY AMT.: S. 560.00 - CLOSED
(3) SECURITY NC SECURFINAL
SURETY CO. INSPEC.
CMILCK I CASH L7 SONO
(4) SPECIAL PROVISIONS /CONCITIONS:
PLOT PLAN: INDICA re SITE PERTINENT PHYSICAL
FFf.TURES; EXCAVATION LOCATION AND EXTENT. 1. Notify City Ins ctcr Carl
Vieweg (#639-4171) 24 hrs. before
( Site: I ' N starting work. __
11 1 6655 S.W. I 2. All work shall conform to Cj y
1 1 Ventura Dr. 1 1 -----'
-mow xxxx ,, _ . !� Standards & Specifications
YXYXY - _ - r ` - _ -
3. ORS 757.541 - .571 applies
Ventura Ct. _ venture. Drive ____,_ ----- (re: Utility Co. 's pre- _
notification a C. -
I
1 1
NDI.IC7 WORK WHERE
NOTE: THE CITY OF 71GARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS 1'0 CO
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY O1: THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TU COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION AINJURY SPECIFICATIONS ESS THE Clty AND
JURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
EMPLOYEESAGAINST
/fes 7
DATE
APPLICANTS SIGNATURE.
t
i
15'OSS -_
/' OT funos p0 OL LII SMIVNa 2/1 L Ci►!
WHON
tr)
~ ; I
w
73 cL1
"Isom o�m r� A ftA 0 N.
f
C-94
M„SS,z0o0 S � Gc NA B 0 0
h
►L'IG - --µ�NOI a 1i nj
L, v a) G� x
O 4 J n rr
h �L �'' SHIM)
Z/O It
O ml F- OFF 1fIOS rum
uC-S n Lp'ZL e'I 001 201
It'R,^ 8 LL n O-N 8in
ff
lel r,n
Q
f
,66
— �--- Osl _ ►£LII 9"35 [Z
O
�n "1 ►d S' a �Fg b
o Q
g (t e r�
0-11,1 9Y 15 w �.
9[I S i . - p 09219
O K) R 'Q
m
Q N
aa-D -a� �� 901
d ^ (� ( o 9 p / Q J 1r O (7) oN�
-
co .' C)
M Oil L91
tii:�. - �� a 1�+hf 8o N S`bb`r /�` `�m�p �s/•�` zO1 x 66 �r
O00e
M N
cc d 1 =
ooc 09
\At o0
or S �, 11�• � fes '
ti
o 170 s s )osorl
O O o O
--� A Nm /�
s le
SIT
Z asr O tD O V1� n
in to
—,I g� 120-- - -- '� tl!1�9au
Ls
CIO O N
8L-f8 i1, Ory 5006 M
W
W Yl t
I
LiJ Ul Ir
I Ti Ld
Q — z
Lel Z
co cr CL
I I z u d1 I a
LC W iJ 0
-O
r) ? tra
ci
0 o CY]
W7-8 0w r V
07 I I v
W
(n
(n
1
<n
I WW t
a � h W
I ra a u n j
a CO
m cr W z C.)
ar t,j
a s I 3 J W 4l
gl U
W
Z a
til
in X
Z
W W I
37 a-
<N 1 ( O
W I w
CTJ
I
a
i
M U ( t) U
1 W4
l I CrO
(n a
W O
O CD
I O
cn c?
F- LL
IGO
CL
Im O
3 m CO 3 a U-
�m
(ra or
Sj U
R/W
-5 MIN. I
CURB JOINT �- SEE NOTE 5
ROAD
2° OF 3/4"-0
COMPACTED SUBGRADE
SIDEWALK ADJACENT TO CURB
R/W
5' MIN -._ 6■
2 %
ROA
I ,
II SEE NOTE 5 J
2" OF 3/4„-0 /
COMPACTED SUBGRADE
SIDEWALK AWAY FROM CURB
NOTES
I. CONCRETE SHALL BE 3000 PSI AT 28 DAYS , 6 SACK MIX , SLUMP RANGE
OF I U2 TO 3
2. PANELS TO BE 5 7EET LONG
3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES
UTILITY VAULTS ,WHEEL.CHAIP. RAMPS , 9 AT SPACING NOT TO EXCEED 45 FT.
4 FOR SIDEWALKS ADJACE14T TO THE CURB B9 POURED AT THE SAME TIME AS THE
CURB, THE JOINT' BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN 1/2"RADIUS.
5. SIDEWALK SHALL. HAVE A MINIMUM THICKNE'jS OF 6 INCHES IF MOUNTABLE
CUR3 IS USED OR IF SIDEWALK iS INTEND D AS PORTION OF DRIVEWAY .
OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES .
6 DRAIN BLOCKOUTS IN CURBS SHALL BE EXTENDED f0 BACK OF SIDEWALK WITH 3"DIA PLASTIC
PIPE AT 2 % SLOPE CONTRACTION JOINT TO BE PLACED OVER PIPE.
WASHINGTON COUNTY
DEPARTMENT OF LAND USE CONCRETE SIDEWALK
AND TRANSPORTATION
LATE CIVIL. ENGINEER DRAWN APWA NO. WASK COUNTY NO.
V17 a b 69 NONE CS -� 305
0" MAX, 12' - 0" MIN.
DRIVEWAY R/W LINE
A -�-
W -CONTRACTION JOINT OPTIONAL
SIDEWALK
LOCATION
8 SIDEWALK EXPANSION JOINT
EXPANSION JOINTCURB JOINT \
IS A
3' - O" 6'-0" MIN. -0" MAX. 6' - 0" MIN. . 0 MAX, 3' -0"17
FACE OF CURB `
S,0EWALK ADJACENT TO CURB SIDEWALK AWAY FROM CURB
PLAN
-I IAL" EXPOSURE
USE EXISTING EXPANSION
AND
ELEVAi IGN B-6 POINT OR COLD SAWCUT
T,
V lV PLACE COLD JOINT.
.EE DWG. NO, CS-30f.
STREET.
COMPACTED SUBGRADE 2" OF 3i4" MINUS
SECTION A-A
NOTES
I. CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 PS.I.
AFTER 28 DAYS , 6 SACK MIX.
2. CURB JO!NT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2" RADIUS
ALONG BACK OF CURB.
3. EXPANSION JOINTS SHALL BE 1/2" PREMULDED ASPHALT IMPREGNATED
MA-F.RIAL OR EQUAL , EXTENDING FROM SUOGRADE TO FINISHED GRADE .
4, SEF DWG. NQ CS-300 AND NO. CS-303.
WASHINGTON COUNTNF
DEPARTMENT OF LAND USE RESIDENTIAL DRIVEWAY
AND TRANSPORTATION
DATIF CIVIL E (NEER DRAWN APWA NO. WASK COUNTY NO.
,T 6 �- _�--- a� 6.es NONE DW- 200
FACE. Of CURB i♦ DRAINAGE SLOCKOUT
WIDTH Of STREET �'^' 3" I.D. PLASTIC PIPE
WITH COUPLING
g" � �I/2" R
ROAD e '
II .
MAX.7 —
e
a .
BASE COURSE
o voe
9
I. FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE
CURB CS-300 SHALL BE LISED.
2. CONCRETE TC) HAVE A BREAKING STRENGTH OF 3000 PS.I. AFTER 28 DAYS.
EXPANSION JOINTS .
A. To BE PROVIDED
1) AT EACH POINT OF TANGENCY OF THE CURB .
2) AT EACH COLD JOINT .
3) AT EACH SIDE OF INLET STRUCTUP,ES.
4) AT EACH END OF CRIVEWAYS .
f,) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 FEET .
B. MATERIAL TO BE PRE - MOLDED, ASPHALT IMPREGNATED, NON—EXTRUDING,
WITH A THICKNESS OF 1/2 INCH.
;, CONTRACTION JOINTS .
A. SPACING TO BE NOT MORE THAN 18 FEET I
A, THE DEPTH OF THE JOINT SHALL BE AT LEAST 11/2 INCHES .
4. BASE ROCK -2°-0 OR 3/4"-,G , 95% COMPACT ION. BASE ROCK SHALL BE TO
SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH , WHICHEVER IS GREATER
5. DRAINAGE SLOCKOUT - 3" DIA PLASTIC PIPE .
A. I.D. PLASTIC PIPE WITH COUPLING.
S. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE CORE DRILLED OR CURB
SAW CUT VERTICALLY 18" EACH SIDE OF DRAIN s REPOURED TO FULL DEPTH OF CURB.
WASHINGTON COUNTY CURB NON - MOUNTABLE
SFOR USE O
DEPARTMENT OF LAND USE NS
I AND TRANSPORTATION IV MEDIA
DATE CIVIL ENGINEER DRAWN APWA NO. WASK COUNTY NCL
/ RLS ti85 �� c MOD.a CS-- 301
1�� a —
- 92 -
Cmc OF z zcARD
EX PINUIT E. REQUEgr
form is a multi-use form. Appropriate receipts must be attached. Docwin�tation
mportant for all, purpa�;. Staple documentation to form.
VENDOR NO. : _ --- ---- DATE: -- u l"/C
PAYABLE T0: ��► vtGF� � RBQU S ED BY:
P�� q•�Z 3 * Approved request ue Wednesday
10:00 AM to A/P for checks by
Friday.
MISCUILANFX)US EXPENDITURES:
Date bescription, Invoice No., etc. Account No. Aiwant
-- �'( Fu►�� , Q ��.��rr �� e�c /O— 7-7.t00
TOM _ $ Seo 00
Mileage $0.2.55 .^ � ----W--
APPROPRUI W. BALUTCE: KS OF: SIGNAIUf E:
(Up to $25.00) Section Manager -.- _— -- — Purch. Agent _
($:5.01-2,500.00) Division Maragw..
($2,500.01-7,500.00) Dept. Head
i
($7,500.01-15,000.00) City Administrator.
($15,000-01- ?) Lar�l Contract Review Pto jr l
1501E
_....._._.��_.-...---•-•--..._.— —�.—�.-.__-.--..-......Ii�Of•-•-• , - � .�--r'T"pr-�-.»n.._..�,j...,,_..s�+..r- ^.�"..,r�gp4'I'n'^.�+n"vT•7T'TT'-^?YF"_�'T•_
t
APPLICATION -- STREET Ifv,PRO' MENT/EXCAVATION COPY TO:
�X] (WHITE)-FILE
ORDINANCE NO. 74-14 In (YELLOW) -INSP.
® (PINK)-OTHERPGENCY blcjg.,
(INSTRUr.TIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
i
I
APPROVED ® AFPLICATICN NO.: �^�
NOT APPROVED J CITY OF TIGARD, OREGON FEE AMT.: S22.40
PENDING FEE. PMT. ❑ CIlN IIA1,1, RECEIPT: —?^L 84.04
PENDING SECURITY ❑ PUBI.IC WORKS DEPA R TMEN T BY - DATE w� (_� / �Z_
PENDING AGENCY ''OK" p Application and Progress Record /
MAINTEN74NCE BOND �t.._�--.------
PENDING INFORMATION O FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE:
PERMIT NO.: -_°71-9-71_ DATE ISSUED: _ __1_d�_1 `�Z B-Y. — -�
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ __NCRETF DRIVEWA'� T.PPROACy
AND SIDEWALK _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY Fi UffpENTS.
APPLICANT MICHAEL R. LAYTON 6655 S.W. VENTURA UR_ TIGARD, OR 9'1223 # 2.97-9017
NAME ADDRESS CITY PHONE
CONTRACTOR HIBLCONY$�E__-_ IAZWAUKIE OR 97222`--
NAME ADORES!` CITU PNONE
PLANS B Y _ PER CITY STANTARDS — _— -- - -
NAME ADDRESS CITYE
EST,IVATED IMPROVEMENT TOTAL VALUATION ( COST): S 560.W —
DOLI.ARS
FOR OFFICE CMIN.
(2) EXCA ✓ATION DATA: 0.04 x s_ �•� -= f 20.00
— -S T'B E E T DESCRIPTION PROGRESS & INSPECTION STATUS
-- - ----
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATF�j REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
-- ^� 3Tf'E 7
vENTURA DRIP: - SEE i"E'AC'H[; .I --- -- —_ SPi C-
VE
-_ -- E ---
Q
__ Lu — —
ESTIMATED STREET OPENING DATE: __._ I __._ ET -
EST IM ATED STREET CLOSING DATE: ED -_
561`•(x7 STREET ^ C�N�
(3) SECURITY NO. —^ __ SECURITY AMT.: S — _—_ cLosEn tr 'Ih `i (:o
AL
SURETY CO.: _ — - NSEC. 1- 7-1L C�Ux1
CERTIFIED CHECK CASH D SONG C
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT. G. Nut:tty ci.L1 I[ISpeI:tor Carl
Vi.eweg (#639-4171) 24 hrs. before
I I ite: I I N starting work. _
I
SIX
6655 S.W. ) +
( I S.W. aauc. ' 2. All work shall conform to City
VenStandards & Snecif ications
(URA -
3. ORS 757.541 - .571. applies_
Ventura ura Ct. Ventura Drive _ 1 —_ (re; Utility CO. 'S pre-
notification, etc.)
Y
(S) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION T'O 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 4LL. PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WINCH MAY RESULT FROM APPI-ICANTS ACTIONS.
1
APPLICANTS SIG NATURE. �_. DATE
7
V
iNSPBCT1ION NOTICE ;1
City of Tigard Ah—ling Department
13125 SK Hall Blvd. jard, Oregon 9.7223
Inspection Line (Rec-o-Phone): 639-4175 Bueinese Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mach. Rough-in �ppr/edwl
Found. Plbg. Top Gas Line
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insilation -plumb,
Plbq. Underfloor Water Line Gyp. Rd.
Date Raquestedr— :y I �1 Tifiafpp AM11 r' � --PM
Address: by�� 1��, Permit 1t_`i �dl `J
Buildor: 4
:NE FOLLOWING CORRRCTIONd ARB RBQUIRED:
All
1
Inepacto[: Data: "APPROVED DISAPPRO PPROVED wc SUBJECT TO A�" I
V—call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departa+ent
1.1125 tial Iiall 81-vd. Tigard, Oregon 91223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-1171
Insnect ions
Footing P1►1g. Underelab Hoch. Rough-in �PP �d.
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framtng -Bldg.
post./Beam Hoch. Rain Drain Insulaticn -Plumb.
Plbg. Underfloor Water Line f Gyp. Bd. -Hoch.
Date Requestod:�Q_ =-- Time` a�="-" — PN
Add•oes:_�.�l0�_�� -�_�/� � Permit #3
---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ato
--
ut
_�u y
_l Y
Ilk
c:
�_.
wzt
---- -----------
Inspoctors� Dates—
_APPROVED ON" APPROVED SUBJECT TO ABOVE
IM;4 1 Par ReLnr.p.
LNSPEC"f10N NOTICE
City of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businean Phone: 639-4171
Inspecticnt_ `-- -�--- --
i�r--_ice
Footing Pl.bg. Underelab Mech Rough-in Appr/Sdw1k
Found. Plbg. Top Out Gas Line FTEALt
Post/Beam Struct. San. Sewer Framitig -hldg.
Poet/Pearn Hoch. Rain Drain Inoulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date ReQuestedt Time= -AM ,pM
Addreea: (�� ��rJt—�(,(��� Permit Is
Builders
THE FORA OWING COkIM-TIONS ARF REQUIRED:
J
I
��
Y1u "1 _ _l
fZtn . � w T}yl-�.�d I 10.�F [ry�.0 lyl ����✓"
C U MC u --
Inspector: l t L _7 7.�;ell
_- Datet�l
--APPROVSD ; --- APPRMD SUBJECT TO ABOVE
or Reinsp.
:�:.p. ... Y 'iYl .•.'.-.`. e+�.,-,'%i'se,':�Nw4��R;1��.�"�_..::.CRrt9'Yl.' -:r.:(1f Ki' ::::M.,..:..44tti1i.ml',IJA.. :},+,:.., - ._ .. .a.
•. >„n:..-waluAµkruf+ra M811DNSYtlifrY/A1M
G
CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. :92-228604
CHECK AMOUNT 582. 40
dAMC. : LAYTON, APRIL BENNETT CASH AMOUNT 0. 00
iDDRESS : 7640 SW STEWART PAYMENT DATE 06/17/92
PORTLAND, OR SUBDIVISION
97223-
"'URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
='UBL I C: IMPROV _.-- 22. 40 CUSTOMER DEPO 560. 00
rG-f AI_ AMOUNT PA i D - - -> 58C. 40
MICHEAL R. LAYTON _ R—
APRIL BENNETT LAYTON
76bO SW STEWART 244-5612 6/1 1
PORTLAND, OR 87223
24.12/1230
PAY TO
ORDER OFF
_
f K
a aQQaa�pp��pmrssft 8” DOl(ARS
MteMtate SA Sm 2�73;16rdi BNd.BnncA
curt �J _
2 30. 128 00
8260
iwft Mii.61u1 /,
I
CITY OF TIGARD
STREET OPENING PERMIT
APPLICATION -��' G
DATE 7t)&k_
APPLICANT'S NAME I cl�l cy-k
�11��ADDRESS (D(p
ZIp--2 21L?a-
ell ?
PHONE �� �'�-
• CONTRACTOR'S NAME i}f , evo
ADDRESS
PHONE 5"zo
• PLANS BY
ADDRESS
--
PHONE ZIP
• DESCRIPTION OF WORK PROPOSED TO BE DONE:
Six Sro'� Zsd w,
• ESTIMATED VALUE OF WORK (within Public right-of-way) Z$b
S�C,M
• WORK I..00ATION/SITE ADDRESS: SZ
• IS THIS WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (MLP, SDR, ETC.) NO.
• IS THIS RELATED TO A BUILDING PERMIT? IF SO,
SPECIFY (BLDG. PERMIT) NO.
dp-o Wp
(OVER)
HISTORY: DISPLAY PENDING HOLDS ADD-ACTION MULTIPLE-CASE ESC
Display all actic.ns for case
ENGINEERING PERMIT _
:ENG92-0023 PROJFC'"� 7 SEW TATUS:C UPD:O /08/92: :JSH:
PERMITTE . ICHAEL R AYL TON 7 PRIM. .\`ENG92-0023:
SITE AD RFSS:6655 SW VENT RX DR
DESCRIP ION OF PROJECT/WO - -- �-
STREET OP N 0 THE PUBLTC SA ARY\SEWER SYSTEM.
-PRO CT LOCATE; N/LIM TS
6655W VENTIORA DR. ; (* THE NOL2TH SIDE OF VENTURA DRIV4f, \EAST OF THE
INTERSECTION OF VENTURA'AVE VENTURA DR. `
PERMIT TYPE. SOP: PE FO NCE BOND-- - -- MAINTENANCE ND---------
AGREE. DATE. : / / SC ETY. , UEPOS W/ QTY \ SURETY. . :
OtJNT.$ : 15 .00: \ AMOUNT.$: 0.00 :
PIk. . . . LRQPT. :
s'. . .
ECEIPT. : 92- 6?52
Jc� L
s
its P.C. .