11403 SW 90TH AVENUE k+a EILE NO. 514-92
90th AVENUE — 11.403 STR OPN PERMIT
ENGINEERING PERMIT
PERMIT #. . . . . . . : ENG92-0061 DATE ISSUED: 09/03/92 By:
PRIM. PERMIT #. : ENG92--0061
SITE ADDRESS. . . : 11403 SW 90TH AV PARCEL: 1S7.35DB-02603
SUBDIVISION. . . . : TIGARDVILLE ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . .
---------------------------------------_--------------- -------------------------
PERMIT TYPE. . : SOP IMPROVEMENTS ; QUANT RATE VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE EXPIRATION---• STREET
PERFORMANCE: / / SAN SEW
MAINTENANCE: / / SWM SEW
UTILITIES
ALL OTHER
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Remarks: STREET OPENING, TO INSTALL A SA14ITARY SEWER SIDE SERVICE LATERAL & TAP
THE MAIN LINE SEWER.
Permittee: ---------------- FEES --------------
STRAUSS EXCAVATION type amount by date recpt
24175 S.W. DAVIS ROAD OPEN $ 32.00 JSH 09/03/92 231318
HILLSBORO OR 97123
Phone #: (503) 649-6117
Engineer_ :
$ 32.00 TOTAL
Phone #:
------- REQUIRED INSPECTIONS -------
Permittee/Agent Signature: ---STORM SEWER-- -----STREET-----
__ M.H. & C.B. CRB 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--- TRAFF & PED CONT
P.O. Box 23397 M.H. & C.U. MGNUMENTATION
Tigard, Oregon 9722.1 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,1,S-- CONTOURS
#780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROSION CNTL.
APPLICA 71--N - STREET IMPROr-MENT/EXCAVATION COPY TO:
ORDINA' �E NO. 74 14 (WHITE)-FILE
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY bldg•
(BLUE)-APPL:CANT
APPROVED Ix APPLICATION NO.: _- 5
NOT APPROVED 0 CITY OF TIGARD, OREGON FEE AMT.: S 32.00
PENDING FEE. PMT. ❑ CITY HALL, RECEIP '77-- Z31319
PENDING SECURITY ❑ PUBLICWORKS DEPARTMENT BY DATE_ / 3 / 9 Z
PENDING AGENCY ''OK" - - - - -
❑ .Applicatian and Progress Record - - - - - - -
PENDING INF•ORMAT'ON ❑ FOR STREET IMPROVEMENT/EXCAVATION MAINTENANCE BOND
A i RE.(]UIREU ._
_ ANNUAL (�
PENDING VARIANCE �) EXPIRATION DAT E:71
PERMIT NO ��.4_-'92. _ DATE ISSUED: C1_3 BY:
(1) APPLICATi ON IS HEREBY MADE TO EXCAVATE FOR AND INSTALL SANITARY EWER SI SERVICE AND
MAINLINE TAP - AS DESCRIBED HEREIN. IN FULL ACCORDANCE-WITH CITY REQUIREMENTS.
A PPL I C A N T .._ STRAUSS EXCAVATION 24175 SW DAVIS ROAD HILLSBORO, OR 97123 649-8117 ,
�- NAME ADDRESS CITY i-- PHONE
CONTRACTOR- -SAME-
NAS E
ADORS- _ -- CITY --_._.�—_ PMCNE
PLANS BY PER CITY STANDARDS
CITYHO ---
ESTIMA-T-ED IMPROVEMENT TOTAL VALUATION ( COST): $
- DOLLAR!
(2) EXCAVATION DATA: s -_ Uoa4 oi ,#lIcE 32.00 , MIN, _
STREE , DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED
�._ TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY ITEM DATE REMARKS/TYPE BY
STREET
�-
je seettachd90th AveINP3EPN �.
` e�
- fi TION ----�-�
ESTIMATED STREET OPENING DATE:
ESTIMATED STREET CLOSING DATE: -_ / / ED '-
(3) SECURITY NO. . —_p SECURITY AMT: S840.00STREET
TREET
SURE
— FINAL 1 /O
rY co.: ^_
gt�vN�,cN�.„CKSH 0 CAIN o MOND ' INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify Inspector Carl Vieweg
hr-S-7ore •fir- ing
1 I I m F I 1 1
2. All work shall conform to City
& Specitigations.
3_ l R 79i7 r,dl - 571 [)t i 1 i t rn-_
uRe pre-notification, etc. ) applies.
�. Traffic contro r66st be prove ed
90th AVENUE --foc-by conteactrw _.
5. Erosion ontrol must
for by contractor.
I• _ _ - • - I - - - - -1 - -be c Os
to The roa�wa—s a no
( I ) work site ' � -- '
I I
7
_ ---A_harA a f a o Dah ,a
I I �eqL -cam
) � SITE:; 11903 SW 90th AV .
at the end of each day.
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREDY, 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 DATE-,.,_-- / J r
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BUILDING SEWER PIPE, SIZE AS SPE01F1ED
I
\ PLANT FABRICATED TEE FITTING
ON SEWERS 18" AND SMALLER. ��BACKFILL 2X4
FIELD TAP ON EYISTING SEWERS AGAINST PLL:G TO
AND NEW SEWERS LARGER THAN I PREVENT PLUG
THAN 18". I BLOWOFF B SECURE
2X4 IN PLACE WITH
/TRENCH BACKFILL.
�-SEWER MAIN
-OR LATERAL. (- LAN I t
I I
_EXTEND AT LEAST
r�GROUND 12"/ROVE StY,FAC-5
SURFACE
MINIMUM SLOPE FOR
6" PIPE= 0.010, FOR
4"PIPE = O.020. CONNECTION
MARKER
MAGNETIC TAPE ----------
GREEN w/BLACK LETTERS (WASTEWATER)
GREEN./BLACK LETTERS (STC)RM DRAM)
3/4'-0 PIPE ZONF MATERIAL
—_ SUPPORT TEE WITH A3 SPECIFIED
BEDDING GRAVEL,
M OMUM Z'0" WIDE I DE
BUILDING SEWER
Uf
m Atom ofo gton C ourr r i
y I
MI,N. 3" A G IN 2 LIt=T5 — -- - I
STREET AREAS ! OUT dF STREET AREAS
5. AL.1 CUT
—E—XI STING _ _ 7-77$
SECTION RESURFACING /
/ BACKFILL
•0
CLl.S4 B / V
3/4!-0 GRANULAR
BACKFILL - 0 O
,,• r v y I\\ V CJ
n
t o o v j
UJ
o i
an •Q^ 'Q o ' •
PIPE BASF
BACKFILL IN ST14ECT AREA1
L IFS/# IS AGAINST CURB, FILL ROC,% TO
BACX OF 311V
2.IF S/W 13 N17T AGAINST CURB, FILL ROCK
2'BACK FRO.S CURB
PIPE BEDDING AND
CITYOF TIGARD BACKFILL DETAILS
OREGON DE5,1 A r(5), APPFZVEO BY DRAWN 15Y
L ► t) ' E DATE DPAW I NG NO
NT5 8/30/ 3 S-2
I
COMPI_ETE RUBBER SLEEVE (ASTM C-443)
INCLUDES A MOLDED SEGMENT THAT HOLDS
IT IN PLACE.
2. STAINLESS STEEL BAND (9/ 16" SERIES 300)
SECURES UPPER HALF OF RUBBER SLEEVE TC "1HE
PVC HUB.
3. PVC HUB (ASTM 3034 SDR 35) i
DRIVE MTO CENTER OF RUBBER
SLEEVE AFTER SLEEVE IS PLACED
IN HOLE . I
I
T�1
CONCRETE PIPE
NOTE: ALL INSERTA-•TEE HOLES SHALL BE MACHINE DRILLED.
untfW
INSERTA — TEE "meUfA
se"
DRAWING NO. 360 _
I
PVC SADDLE (TEE )
I I
STRAP RETAINER RIDGES I
_ I 1 ------RUBBER GASKET
/ 1
I
SEWER PIPE
cT •��__SS STEEi_ STRAP
t
i
• PVC SADDLE SHALL BE ASTM 3034 SDR 35
• PVC COMPOUNDS SHALL BE ASTM D1784 WI"tH CELL CLASS OF ; 2454-B/C
OR 12364-C
• ALL ELASTOMERIC SEALS (RUBBER GASKETS) SHALL BE ASTM F477
■ STAINLESS STEEL BANDS SHALL BE 300 SERIES, FULL 9/16" WIDTH BAtU,
5/16 ' SHOULDERED HEX HEAD, SLOTTED SCREW AND IS CADIUM PLATED,
CARBON STEEL.
■ INSERTION HOLE ShAI_L BE CORE. DRILLED.
PVC GASKE •TED un fW
SADDLE agency
DRAW I Nc; rx). 350 ufn .--. ._ __J
s
TRAFFIC CONTROL.
GENERAL REQUIREMENTS
1. Traffic con-rol shall be provided for, as illustrated, at all
time during work prosecution. No work shall be permitted
during the hours of darkness, nor between dark,:,�ss to 9 :00
a.m. , nor between 4:00 P.M. to darkness.
Traffic control devices, flagpersons (etc. ) shall be in c
ie
2.
prior to initiation of construction work and shall, at all
times, be effectively maintained.
3 . The roadway shall not be closed to through traffic. The
contractor shall notify emergency services (fire, police,
etc. ) , School District and Tri-Met 72 hours (min. ) prior to
initiation of construction wol.x. Advance warning of
nt
traffic disruption shall be provided to the general motoring
public by placement of an advance notification sign at each
end of the construction area 72 hours (min. ) before initiation
of construction work.
4 . The City Inspector shall be notified 24 hours prior to
initiation of work (# 639-4171) .
5. The work area shall be maintained in a clean condition, free
from obstructions and hazards. Effective erosion control
measures shall be provided for.
6. A temporary hard-surface patch shall be placed on all trenches
within the roadway at the end of each days work.
7 . Minimum travel-lane width shall be twelve (121 ) feet;
pedestrian travel shall also be provided for.
8 . The City reserves the right to restrict construction
activities during Holidays and periods of high traffic levels.
The City reserves the right to add to or modify these
requirements as may be necessary to endeavor to more
effectively control traffic and to P:sure public safety; such
action shall not relieve the contractor of responsibility.
dj/n-tcgr.JH
ROAD CONSTRUCT" 0 I GENERAL NOTES
Amm
I 1. TRAFFIC SIGNS TO BE 48" X 48"
BLACK ON ORANGE.
ONELANE O
10
RW -4HE
� 2. NO ROAD CLOSURES DURING THE
I FOLLOWING TIME PERIODS:
7: 30 — 8: 30 A.M.
ANBD I
4: 30 — 5: 30 P.M.
W70-7A
1wI 3. THE CITY'S STANDARD SPECIFICATION
MIN.
FOR TRAFFIC CONTROL IS "MANUAL
ON UNIFORM TRAFFIC CONTROL
DEVICES FOR STREETS AND HIGHWAYS",
U.S. DEPT. OF TRANSPORTATION,
F.H.A., 1988 EDITION.
MN. I ■
■ 'SO•
■ 4. ACTUAL SIGN PLACEMENT TO BE
.r MN ADJUSTED IN FIELD. DO NOT REDUCE
BELOW MINIMUMS WITHOUT CITY
I®■ APPROVAL.
s M
I ■ 5. THE CITY RESERVES THE RIGHT "f0 ADDTO
■ OR MODIFY TRAFFIC CONTROL REQUIREMENTS
AS MAY BE NECESSARY TO EFFECTIVELY
I CONTROL TRAFFIC r,''.'D TO ASSURE PUBLIC
I 11SAFETY.
MIN,
I O RAO0ER MEAD
i W=0-7A
LEGEND
I loo ---
MN.
I
I TRAFFIC SIGN
�7 ONE UNE
ROAD AHEAD
I +rzD ® CONSTRUCTION ZONE
I
Mr' p TRAFFIC CONES OR
APPROPRIATE DELINEATION
ROAD 60N31RUM'" DEVICE.
AHEAD
TRAFFIC CONTROL
TYPICAL DETAIL
DESIGN BY APPROVE[) BY —DRAMM 0Y
CAB
CITY OF TIGARU SCALE [)R^W'"G N°
OREGON N.T.S. 4-6-92 - -- - -
CITY OF =GARD
EXPENDA, ;A\
I'IRE
W=C=
fffarm is a rulti--use form. Appropriate receipts must be attached. Documentation
N� s tart for all purposes. Staple dcramiztation to form.
.VR=R NO.: _- t�A`l�: )�-�,��,.•� 199
PAYABLE TO: _�t r n�!s�. Ek�z.v � �o -- RBQUE= BY: JAW
.Approved reque✓t dLL Wednesday
10:00 AM to A/P for che-J s by
Friday.
Nif.(="ZAND0US EXPENDI'7.XPM:
Date Dem iption, Invoice No., etc. Acc owit No. Amount
00
l' 1 • `o �.�S�,lt-�Hc_P r
10 - Z?-000 � g(�D,-'
� � "-w -
1
A
�J
�I
Mileage $0.255
APPROPRIATION BALANCE: — AS OF: SICMVIURE:
(Up to $25.00) Section Manager Purch. Agent _
($25.01•-2,500.00) Division Manager _
..($2,500.01-7,500.00) Dept. Head
($7,500.01-15,000.00) City Administrator. V --
($15,000.01- ?) Local Contract Review Board
1501F --_�-----
FT
i
APPLICATION - STREET IMPRO\ GENT/EXCAVATION COPY TO:
ORDINANCE NO. 74 14 0 (WHITE)-FILE
tl (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATr SHEET) (PINK)-OTHER AGENCY bldg
(BLUE)-APPLICANT
APPROVED 1 APPLICATION NO.: - is f
NOT APFAC VED CITY OF TIGARD, OREGON I` M 32.00
1 FEC AT.: ;-._
PENDING FEE. PMT. FJ CITY HALL RECEIP O,:
PENDING SECURITY El PUBLIC WORKS DEPARTMENT BY=.� DATE_
PENDING AGEOCY "OK" ❑ Application and Progress Record
PENDING INFORMA-,ION ❑ FOR STREET IMPROVEMENT/EXCAVATION �'AI ASEEQN REooND
PENDING VARIANCE ❑ ANNUAL
EXPIRATION DATE:
PERM!' NO,: DATE ISSUED: ----I._L_ ''L--�._= - BY --"''
— -- -}`
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALI _SANITARY EWER SEE SERVICE AND
MAINLINE TAP -- - AS C�_SCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT STMUSS F.XCAVATICIN 24175 SW DAVIS ROAD HILLSBORO, OR 97123 649-8117
NAME ADDRESS ^- CITY --.--- PHONE--
CONTRACTOR -SAME-
CITY STANDARDS C7TV PHONE
PLANS BY PER C _
NAME CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 800.00 _
--- ---•---- �_ - DOLLARS
(2) EXCAVATION DATA: Foot OFFICE 88.00" _ f--32:� M,N
0.04 x s _ _
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
_- NAME ,URSFALLED
YFE E CUT LENGTH WIDTH DEPTH MATERIAL
TEM IA0,IVUAN QUANTITY _ I' /TYPE BY
ALLMD ITE�,i DATE REMARKS
STREET
PEN 9 Y-r'YZ [ � rr
50th Aven e - see ttach - IN$P(iC
REQTu_I ON ,�,_,.•
ESTIMATED STREET'1PENIN4DATE:-__ / $
S
ESTIMATED STREET CLOSING DATE: / / T -
__ E
D
(3) SECURITY NO. -_�SECURITY AMT: S -_800.00 EN
EET
r-_ SED
SURETY CO.: _ L I c .vo c emr
Q�AtP�MuyQrcNeclt c•sM i BOND EC. 95
- � - ry
-
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1. Notify Inspector Carl V.ieweg
03
1 I
WOC . / `1
�- 2. All work shall conform to City
Standaras I (Utility
Otis 757sat Co
CURB
- 57 t
- `., _ _ _ _ _ _z _ _ - pre-notification, etc. ) applies.
a - 4. Tratric con ro mus '�e'pcov,7:e
90th AVENUE -��_- _ fnr hg r_ont- artnr
5. Erosion control mu-t be provided
•c�llts ` _ _ _. _ _ _ _ _ _ _ for by contractor.
work sitQ - I 1 tgh r
hrn,Iraffi -
--- -��... a�-Solt r;:nU_
1 SITE: 11403 SW 90th AV Z�_A f>a 1__J9ltrf8c0 riatch i s rec)u i red
i
' I at the end of each day.
---- —
(S) NOTE THE CITU OF TIf.ARD DOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAV 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.
rs"
APPLICANTS SIGNATURE. DATE
T /
x7If6�.wxr4vix_•...+ ..,.n:,..a....y.... ,:. .:.:.:.. n JA'kir7� t 4M+...bW i4•p i NS
' �V
CITY OF T I GARD - REC:E I r-17 OF PAYMENT RECEIPT NO. :92-231318
CHECK AMOUNT : 832. 00
NAME : STRAUSS EXCAVATING CA31-i AMOUNT 0. 00
ADDRESS : 24175 SW DAVIS ST PAYMENT DATE 09/03/92
SUBDIVISION
HILLSBOR, OR 9.7123-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
CUSTOMER DF_PO 800. 00 PUBLIC IMPROV 32. 00
STREET OPENING PERMIT ##S14-92
TOTAL AMOUNT PAID - - - --> t;'i[ 00
Nf�'I;MNW}NNItKMh•NMN.•N�.IfgIMMN)N2JfAl1tNN)<N)lNNNNN Wyf f IHNN>q•>ehhn•NMNNNNI./1MHN,MfKNN1.N111!f!NNN1.11)NNM1l Y•rN.•:KN/•M.,N....•.• N1K•lu.NtN,r1NNNlt)eNNf.flvYyl.NTb.)••.1.MY.y.trynryMfxf�y)•x��
ST.Q 9963
E c.wan G 24.22
7076 SW DAVIS ST.
MILSBORO,oaeaON 97127 1230
6/4l117
n n �'
PAV .i �nc�ltrY •� /i.,L1��-�/�6► �. �_ LLAR�,
TE TO THE ORDER OF CHECK NO� NET
AMOUNT
UNITED STATES NATIONAL BANK OF OREGON
ALOHA BRANCH•ALOHA,OREGON
11100996 3lie I: i 2 3000 2 201: 174 0000 ?06u'
CITY OF TIGARC
STREET OPENING PERMIT
APPLICATION
DATE ?--j (
• APPLICANT'S NAME
ADDRESS �1`I�I 1�1\5• L '� f
ZIP
PHONE
• CONTRACTOR'S NAME
u_ Ino JJt
ADDRESS
PHONE 1DG
p ANS BY ,'s �f_IL
ADDRESS
ZIP
PHONE
I • DESCRIPTION OF WORK PROPOSED TO BE DONE:
r ,
• ESTIMATED VALUE OF WORK (within public right-of-way) :$
• WORK LOCATION/SITE ADDRESS: t(�is1.� _UY
• IS TH13 WORK RELATED TO A LAND-USE ACTION? IF SO SPECIFY (ML.P, SDR, ETC.) NO. —
• IS THIS RELATED TO A BUILDING PERMIT? IF SO, SPECIFY (BLDG. PERMIT) NO.
aywv•na (OVER)