11587 SW 90TH AVENUE 1
1 TLE NO. ^�
90TH AVENUE - 11587 STR. OPN. PERMIT
I
1
APPLICATION - STREET IMPROA HENT/EXCAVATION COPY TO:
C)R DI NAU NO. 74-14 (WHITE)-FILE
❑ (YELLOW)-INSP.
(INS'RUCTIONSONSEPARATE SN'_ET) ❑ (PINK)-OTHER AGENCY
X (BLUE)-APPLICANT
APPROVED IN APPLICATION NO.: _461 _
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEC AMT.: S 4•C0 —
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.: 91--2.12218
PENDING CcC1.1RITv
❑ PI1FLICWORKS DEPARTMENT Br -_ - DATE 4 A9_1 91
PENDING AGENCY "OK" ❑ Application and Progress R-cord ( - - -
PENDING INFORMATION L:1FOR STREET IMPROVEMENT/EXCAV:.7ilJly MAINTENANCE BOND
As rxEculaEu -'-
ANNIJAI
PENDING VARIANCE ❑ _ EXPIRATION DATE: N.A.
PERMIT NO.: __416-91 DATE ISSUED. -_41 2-9/-90. BY _ _J.S,E�
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE 17OR AND INSTALL B92- rain drains' =tie to__
public storm culvert AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
_
APPLICANT __dim WQpka 7 4535 ,s e _ aycrt�,L QR 97c�rn"
NAM€ - - �. 9 684-8558
)DRESS 5 � CITY PHf)NI
CONTRACTOR - Strauss Excavation Co.
NAME
_��— AbbRES4 VI!u NF
PLANS BY Per City Standards CITY
NAME
CITU PHfINI
L-aTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 47.25
DOLLARS
(2) EXCAVATION DATA: FoR^«ICE USE: XreIN
0.04 X s-._. _ _= f 4.00 -
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT I CUT LENGTH WIDTH DEPTH MATERIAL TEM 61QUANLTITY /TYPE 9Y
ITEM DATE REMARKS
STREET
90th AV Ilue rain rain and rock R TION
E
- (work pelzf
Q to mit applicati
ESTIMATED STREET OPENING DA':E: % �1 C
3
ESTIMATED STREET -LOSING DATE: / —L T -
E
- _ - D
(3) SECURITY NO, _ SECURITY AMT.: E 47.25 STREET
LLOSED
SURETY CO - FINAL
Lf I!Tl If I..,cNEf K ^SM jp MOND '+ INSPEC. 4/299 API;. oved
4) PLOT PLAN: INDICATE SITE PERTINENT PHYSPinAL SPECIAL PROVISIONS / COPIDITIONS
FEATURES, EXCAVATION LOCP'1'ON AND EXTENT.
I I
1 I SITFI:11587 SW 90th AV -
CURB - .
I 1 I I
I5J NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION ,S 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 Jim Por aka
DATE- / /
CITY OF 11WRI) fil-,,CUIPT OF PAYMENT REciFxp-r NO. :91--212216
UIE CK AMOUNT 47.e5
NAME BORYSKA, JIM CASH AMOUNT
ADDRESS z 11587 I.BW 90TH ST
PAYMENT DATE
SI
JSD I V I S I ON
TIGARD, OR 972' 3
PURPOSE OF PAYMENT AMOUNT PAID V)URPOSE OF PAYMENT 0MOUNT PAID
FALUMBINp M 45. 00 ST. BUILD PER
41 a c
Awo
PLUMBING PERMIT RAINDRAII',fi
70TAL, AMOUN.' PAID 47. J'5
09
c//A/ 17 2-s
r, ,4e'
jo--2
17.
F
U
d •
K) « o�
o o
�. o
f
rn ►
QO
O
G
"I,
440(
u
V�
—"IXIIL - -
cz
M,60 0Ou UY
h
R
'-1 9 1
Lb
�c Q " N J
'OU + l �
t.
LY ZIr
fit—
I.
1 ' 1r
O Iv • •~ O
�/
x -3^V «.ol.o
OD
„
is I6 'Alf� �
— 1S v04111
_
c J (' 1 tf Y0 1J
N
09 w � I � cu r� �•
O0 01 1 r 10.0 '__tea-a1-�\_ .]►.. a.
•
+ Ah V 002 •` ��
o do or �V
(� z
r
wo
4p 0 rp ( e
O ." 11N
��
o ti
qp
O 2.10.0
Lir Im
n -'AV puZ6 / ��
112 I 3;' 1 12 !5
27:
"0 _.
11325 11330 1296
i 11375 I113C_ If
11407 `t
'� � " �3 � ;fl•ln5
�14 4 C
- -1141
Gg� 114 Y 146'. 455 1 ! 114,;,,
�- I
1 _.. I
1 __ 11515 � _..._____ _____ -,----�----------•_—.-_..
11555 I 11545 11540 151' 0
'54-7
11545
11560
y�
-:.5
11gOC 1~� _ 1575 i 5q '
I Y
•
1164L .. ..
79 C50 11524
1 1
11675
(r, 0
11695
00
1734 11717 II73'~ ♦��
j 750 '172 i 11,3 I
----_— d 1178tJ ~ 1 - I I )Tr✓ _.�. 98i:� TI(R4Q d
Iy� ... �u1 - -- 8F.47 ' I1g4,. c ,A Ca�.,"(; r+.• i
q5 11806 11905
Y` 7
0T8i,498'i51 7 1 41 i
IIA3tJ ;1635 /•", ``'' n 2' �t I 21�'' °� - ��
8855
"860 2�hl Ao z \ a4 742, 245, -148
5
/ \ '`• ,
... ; IINU , qq.• ._._...__-y� � 0.'h ; � � �, ` I
• '""_ _..�Y_____,_,y -.�..._. _._.__ `�k� Qhs ( 8��� � t •� ��
'�--1