SWR1990-00044 FILE NO. 3lplr
.'.14th SW 13910 STR. OPN. PERMIT ^�
CI'T'Y OF TI:GARD _
EXPENDITURE RWJE;r
This form is a multi-use form. Appropriate receipts must be attached. Documentation
is important for all pub. Staple documentation tc form. q q
VFNDOR 1. . .. — - DATE:
t ,
PAYABLE TO: r..,a e �---- RELXJ 'ED BY:
1 -57
Approved requ �t due Wednesday
10:00 AM to A/P for checks by
Friday.
MISCELLANI OTJS FXPE(DrIURES:
Date Description, Invoice No., etc. Account No. Amount
L IVT-AL - - - $ 1 f O C*C;
Mileage $0.255 - - _-
APPROPRINfION BALANCE: ----__— AS OF: -n_ SICMURE:
(Up to $25.00) Se�%ion 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
($15,000.01-• ?) Local Contract Review Board
ke/1501F
17
APPLICATION - STREET IMF VEMENT/EXCAVATION ! �' coPY TO:
ORDINANCE NO. 'i4-14
I 1�T','��v'(WHITE)-FILE
N� r� /`y"',p�(YELLOW)-INSP. f 11
(INSTRUC'TIONS ON SEPARATE SHEET) / C��.(PINK)-OTHER AGENCY bi
"tyr(BLUE)-APPLICANT
APPROVA M - ----. APPLICATION NO.: 411
NOT APPROVED [] CITY OF TIGARD, OREGON FEE AMT-: f it A io—
PENDING FEE. PMT. i] CITY IIA1,1, RECEIP q0^ z�X7c�v�¢
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY-"` DATE___5 / I '/ 9�
PENDING A"L NCY ''OK'' E] \pplicatiUn and Pruni^ss Record -
MAINTENANCE BOND
PENDING INFC RMA-ION O FOR STREET IMPROVEMENT/EXCA\/ATION AS RFOUIRED
ANNUAL
FENDING VARIANCE L] EXPIRATIO,114 DATE.
PERMIT NO.: DATE ISSUED: _ // /- �._ . BY:
(1) APPI ICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_
AS DESCRIBED HEREIN, IN FULL�ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT -k002` � I ,� sLAj
NAME k l gE85 ITV PHONE
CONTRACTOR__ S a���}__
A
NAME t ODRESS CITU PHOME
PLANS BY �� CI� — 11 . t a c.�
A E of'"E88 - CITY PMONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST). $
DOLLARS
--- FOR OFFICE USE —? ---- -- it
(2) EXCAVATION DATA:
— 0.04 Xs_1..w-A.- - s --
STREET DESCRIPTION _ PROGRESS & INSPFCTION STATUS
NAMF SURFACE CUT CUT CUT MATERIAL INSTALLED �ITF.'M DATE REMARKS/TYPE BY
TYPE_ LENGTH W:CTH DEPTH ITEM & QUANTITY
STREET fK C
` - OPENED [` J oat
J'\.0 . R TION _
EQ
ESTIMATED STREET OPENING DATE: / �� / -- _ ES
ESTIMATED STREET CLOSING DATE: / / T - —
E
D
(3) SECURITY NO. SECURITY AMT: S _9�G f STREET
1. CLOSED
SURETY CO : '-- ---' —
F 1 N A l
cFlTinrncf+ecK o cns.H�� BOND tNSPEr',
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCAYION .AND EXTENT.
Z N 1 u
- ,Qt 1L 't;,N
CURB - _ _ _ _ _ _ _ - - - r� i� - %j liar
(0 S W -- - - > r S
.2,171
b_ioIOM10 24� i
I I 1 I - 1 1 1711 '►-D Grn� . I✓t A
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION 'rO APPLICANTr TO CONDUCT WdRK WHERE
RIGHT OF•WAY JURISDICTION 1'5 THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AG S TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECI ICA IOIVS PERTIN NT TO C.O (JJUCT OF THE WORK, AND TO SAVE HARMLESS THE CITU AND
EMPLOYEES AGAINSJ ANY , NJURY OR D AGE WHI MAY RESULT FlOM APP6)CANTS ACTIONS I
APPLICANTS SIGNATURE
DAtt---- / 1 ���
r
REQUEST FOR BOND RELEASE j Is lgnn
CITY UN TIGARD
John Hagman ����5 �``','�
( June 14, 1990
City Engineering Department
13125 SW Hall Blvd G J
PO Box 23397
Tigard, Oregon 97223 7
Dear Mr. Hagman,
I have complied with the terms concerning the tapping of the sewer line
for the Gaarde House, and to facilitate the release of the Performance
bond paid to the city of Tigard, I am submitting the following
information.
1 ) Location of property: 13910 SW 114th Ave
Tigard, Oregon 97223
2 ) Name of owner: Ron Soberg
3) Address: 13755 SW 116th Place
Tigard, Oregon 97223
4 ) Phone: 639-4508 (home) 681-7300 ex 2110 (work)
5 ) Remarks: On May 18, 1990, 1 took out a street opening permit and
left a $990.00 performance bond with the city for the purpose of
tapping the sewer line on the corner of SW Viewmount and 114th Ave.
The street had been slug up by the Tigard Water District and we wire
able to use that hole for access to the sewer line and therefore dial
not dig another hole for the purpose of tapping the line. I checked
with the Wati:r District as to whose responsibility it was to patch the
C7 asphalt. I was told that it was the Water District' s responsibility,
but it wouldn't Ve done until dryer weather. To this date, _ the hole
0 _ has been filled but not Patche_d_. Even though the hole has not. Teen-
n` -cTiecl, ancT�si.ntse- the Water District has responsibility for the
patching, I am requesting that my deposit be refunded at this time.
Enclosed please find a copy of the .inspectors sign-off on the
taping of the sewer line.
Thank you for your prompt response.
Pit Re rds ,
1
INSPFC?'ION NOTICE
City o, i iy,.,d Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
I �
Type of Inspection A4k
Date Requested_ '7 0� 3- '1ID r
Time-�,� A.M. P.M.
Address
Owner _
Lot
Builder
The following Building Code deficiencies are required to be corrected:
Pt asented to Approved
Inspector
6_ __ �' ❑ Disapproved
Date
CALL FOR RV!NSPBC-HON
❑ YES El Nn
00
�co-s.Lm
APPLICATION — STREET IMI )VEMENT/EXCAVATION .COPY TO:
ORDINANCE NO. 74-14 CJ+(WHITE)-FILE
(YELLOW)-INSP. I `
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY
(BLUE)-APPLICANTNT
APPROVED APPLICATION NO. 411
NOT APPROVED ' CA;'Y OF TIGARD, OREGON FEE AMT. f 3 j6 _
PENDING FEE PMT. ❑ CITY HALL RECEIP O : __`�C' - 7-00, S4
PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BY_- DATE
PENDING AGENCY ''OK" ❑ Application and Progress Record w
MAINTENANCE RONLD f
PENDING INFORMATION 0 FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL
PENDING VARIANCE ❑ EXPIRATI N D TE:
PERMIT NO 3 —1_��.-_ DATE ISSUED 8Y
(IJ APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
_ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
IC
APPLICANT 170 CA
p
0 97ZZ3 *&S9-450 '
AObRESS 9ITY PHONE
CONTRACTOR_ 5 2j6A f 4 S'k�ol _
NAME �►DDRESS (`--� CITV
PLANS BY yp .' t'C - I "_ DRESS rS_14�c.. Z_�- d-� ��
CITYHONE-NE---
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S �C.
DOLLARS
(2) EXCAVATION DATA: Fow oFFlCEquiqgqE-=11 4,M1N;
0.04 X S
STRE.ET _ DESCRIPTION PROGRESS & INSPECTION STATUS_
NAME SURFACE CUTCUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM AI C.UANTITY
TREET
4- �' R S 10
EQ
ESTIMATED STREET OPENING DATE / .= I ES
ESTIMATED STREET CLOSING DATE: / / T —"
E
- _--� C-) r��
(3) SECURITY NO. SECURITY AMT: $ STREET_ :Z _ SOSE
SURETY CO.: FINAL
C ASINSPEC. (
CEi+tir fn c NECK . H SOND r rb�bvi _ / �l
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/C NDITIONS:
FEATURES; EXCAVATIUN LOCATION AND EXTENT. \i Ali
�n►I` �1 SII �`� wl 1
1 �• ( I 1
C L S.
1 1 , b
e— bire
cups _tAA1 'j klAel
V I iso F'OV 1i _ ! + L _ E r_ z
:— �'�--- OL '15 154 -- is 1,s
! -TE) 13910 Sw, --
( Al 104 1 v- tO SN 26 1
I I 1 � I � ___� ►tar rr I r'l
�__�_�_1x! I.11rcc
(S) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANT TO CONDUCT WbRK WHERE
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGRE 4 TO DEPOSIT THE REQUIRE CURITIES, TO COMPLY WITH ALL PERTINENT LAWS ANO
CONSTRUCTION SPECIFICA IONS PERtI/� NT TO UC�OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
MPLOYEES AGAINST"ANY NJURY ORD AGE WHI MA'Y RESULT FROM PP 4CANTS ACTIG S.
APPLIC ANTS SIGNATURE DATE- / M 1
IIGPFD OF Fl-�vllErIT RECE [PT : ?L-•2.,C.)C,E
CHED0tviDir.1'r
C,Lp F,E F.: THE Gf4lIC`- H(JUSE CAE-i fIrvIOU1,41- G
F:(- NT-7NT
SW 1167�-4 F' 11.t': C" -,; ,,18
17
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9'L,R P 0 S-E CIF P A Y'MEl*ql- 0 LJ N 7 i7 f'�L L F,URP,DSE Oi:: F(4y!l'lF---tqT' AMOUN'r �wAjj.)
F�UE,
LIC R L)V60 CUS 1"OMER DEPO
L
990. 00
r0TAL AMOUNT- PAID 1029-60
RONALD D. SOBERG
MARY M. SOBERG 0219
THE GAARDE HOUSE
13755 SW 116TH PL. 6394508
TIGARD. OREGON 97223 2422 165
1230
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1 SUP40FT OPANCH
U.S.
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41290002201: 165 0060 484
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RONALD D. SOBERG
MARY M. SOBERG 0216
THE GAARDE HOUSE
13755 SW 116TH PL. 6394508
TI
IlD.OREGON 97223 24-22 165
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LONG RADIUS _ _ LONG RADIUS
BENDS NOT KSERVICE
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IPE
20°MIN.
PREFER 300
TRUNK, MAIN, OR WIP" SERVICE TO
LATERAL SEWER "
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TRENCH
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MUST EXYEND FROM
SEWER TO UNDISTURBED
EARTH.
i
4"1 4" BRACE
200 TO 70° COMPACTED GRAVEL
BACKFILL TO UNDISTURBED
1 .. EARTH, MINIMUM 2'••0" WIDE
MAIN, TRUNK, OR `A ) K.
(( MAIN, TRUNK OR LATERAL
LATERAL SEWEP (B )
'1'E ONLY WHEN WORKING AREA
_ COMPACTED GRAVEL UNDER 12 'HOHIBIT3 USING (A)�.
COMPACTED GRAVEL OR CONCRETE
ENCASEMENT BETWEEN 12' AND 16'1*
DEPENW;G ON SOIL CONDITION
CONCRETE ENCA3EMENY OVER 16'.
OVER 12' USE CAST IRON AND
COMPACTED GRAVEL IN LIEU OF
CONCRETE ENCASEMENT. ,. •t ,
MAY GO TO 24' DEPTH IF THE I
TRENCH ABOVE THE PIPE IS
LIMITED TO 30" ACCORDING TO COMPLETE
BACKFILL CALCULATIONS. 4. r CONCRETE
I !f 1 ENCASEMENT
r;;
VERTICAL -POUR BASE FULL
(CONCRETE �� �';} :.).� �� WIDTH OF TRENCH
ENCASEMENT) �.
TO BE USED ONLY a•� '
WITH PRIOR AGENCY r
�. APPROVAL-
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