13700 SW 118TH COURT-1 1,
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118th COURT -- 13700 STR OPN PEMIT
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ENGINEERING PERMIT
PERMIT #. . . . . . . : FNG91-0029 DATE ISSUED: 06/18/91 By:
PRIM. PERMIT # . : ENG91-0029 PARCEL: 2S1-3CD-07600
SITE ADDRESS . . . : 13700 SFJ 118 TH CT ZONING•
SUBDIVISION. . . . : CREEKSIDE PARK
BLOCK. . . . . . . . LOT. . . . . . . . . . . . . : 6
---------------------------------------------------------
PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RATE VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE EXPIRATION--- STREET
PERFORMANCE: / / SAN SEW
MAINTENANCE: / / STM SEW
UTI'.ITIES
ALL OTHER
TOiAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Remarks: STREET OPENING, TO INSTALL A CONC SIDEWALK & DRIVEWAY APRON.
---------------- FEES -- -------------
Permittee:
type amount by date recpt
WILLIAM STEWART
11745 S.W. 95TH AVE (UNTIL 6/30/91) OPEN $ 12.00 JSH 06/18/91 214498
TIGARD OR 97223
Phone #: (503) 538-9471
Engineer:
ENGINEER NOT ON FILE $ 3.2.00 TOTAL
Phone #: REQUIRED INSPECTIONS ----- --
Permittee/Agent Signature: --STORM SEWER-- -----STREET-----
M.H. & C.B. CRB LINE & GRADE
PIPE LN & GRD SUBGRADE
BCKFLL & CMPCT BASF ROCK
AIR & TV TEST LEVEL COURSE
City of Tigard, Oregon WEARING COURSE
13125 S.W. Hall Blvd. ---SAN. SEWER--- TRAFF & PFD CONT
P.O. Box 23397 M.H. & C .O. MONUMENTATION
Tigard , Oregon 97223 PIPE LN & GRD STREETLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
AIR & TV TEST
FOR INSPECTION , CONTACT: ----GRADING-----
Car. ] Vieweg #639-4171 (office) --REPR' S/ADJ , S-- CONTOURS
DRAINAGE
#780-2647 (mobile)
-----PATHWAYS---- EROSION CNTL.
CITY OF TIGARD
rj.>M0M=E RBQ=
",jr. form is a nuiti-use form. Appropriate receipts mint be attached. Docum-ntation
inportant for all jxu poses. Staple documentation to form.
DATE: o�-V7 - 9 2
VENDOR NO.: _ --- — _— - ---
PAYABLE TO: LJ111�Is4_6._� SIS Wzr REX2UE= BY:
Approved request d Wednesday
10:00 AM to A/P for checks 17y
Friday.
141SCELIANEDUS EXPaTDrIih2ES: —
Bate Derzription, Invoice No. , etc. Acicuunt No. Amokmt
Re �.l�h - �SS�Ar�I G -L
To
$
i
To FAl,
Mileage $0.255
APPROPRIATION BALANCP:: AS di': SIGKATURE:
(Up to $25.00) Section Manager Plv-Ch. 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
11501T
I
APPLICATION - STREET IMPRO' 'RENT/EXCAV'.ATION COPY TO:
ORDINANCE NO. 74-14 IN (WHITEFILE
(YELLOWW)•INSP.
(PINK)-OTHER AGENCY-bldg
(INSTRUCTIONS ON SEPARATE SHEET)
- (BLUE)-APPLICANT
APPROVED APPLICATION NO.:
NOT APPROVED (_j UI I Y OF TIG.^IM ORLGON FEE AMT.: S 12.00 _-
PENDING FEE. PMT. ❑ CITY HALL RECEIPT '_ Z 14 4 7'9
PENDING SECURITY ❑ PUB LICWORKSDEPARTMENT BY DATE
PENDING AGENCY ''OK" [J Application and Progress Rccord —
MAINTENANI'E BOND
PENDING INFORMATION ❑ FOR STREET IM4ROVEMENT/EXCAVATION AS REQU RED x
ANNUAL
PENDING VARIANCE_ ❑ EXPIRATI N DATE: one year _
r.
PERMIT NO.: DATE ISSUED: 41
(1 ) APPLICATION IS HEREBY MADS TO EXCAVATE FO? AND INSTALL 1WAX APRON-_-
AND WALK AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CIT�!85 EMETa.
!until 6-30-61),,. 8
APPLICANT William Stewart 11745 S.W. 9th Aveligaard, OR 97223 620-6122 hQnie)
NAME ADDRESS CITY PHONE
CONTRACTOR (Sam) __
NAME ADDRE CITY PHONE
PLANS BY Per City Standards & Specifications
NAME ADD ESS CITY PHONE
_ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S ____3�•�
DOLLARS
?' EXCAVATION DATA: FOR OFFICE USE: — MON
_ _ 0.04 x S 2Q•00
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTA.L1,71D ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH_ ITEM B QUANTITY _
S1•REET _
PENED -7-2'�/Z c^�rrfrlf are C*_ p
718t h CL. (see at ached INSPEC-
--��-� R TION
E -
Q
U _
ESTIMATED STREET OPENING DATE:_ ( S
ESTIMATED STREET CLOSING DATE. _� E
D
_.
(3) SECURITY NO. SECURITY AMT.: f ��_ LLOSED
- __- STREET
SURETY CO.: MfVSSPAEC. Z -y /lu �W
KW XNM CHECK X CASH [30ONO
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL,— _ SPECIAL PROVISIONS/CON DIT ONS:
FEATURES. EXCAVATION LOCATION AND EXTENT. 1. Notify City Inspector Carl _
Site: Viewey (11639-4171) 24 hours
1
71 SA 118th Court 1 I —
e prior to starting work.
All work shall comply with
City Standards/Specifications.
AR
S.W. 118th Court
I 3. ORS 757.541-.571 applie6 (re:
Y - -- -� --- - --- _ utility prelocation, etc.)
4. Relocation or adjustment of
existing utilities, �,s ►nay be
iI I II necessary, shall be the
I 1 I applicant's respona t)ility.
(5)� NOTA.._..-
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 ANn
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS,
APPLICANTS SIGNATURE
DATE
/ / ,
APPLICATION - STREET IMPRO' /TENT/EXCAVATION COPY TO:
ORDINANCE NC. 74.14 ® (WHITE)-FILE
3 (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) ® (PINK)-OTHER AGENCY—bldg
7� (BLUE) APPLICANT
APPROVED ® APPLICATION NO.: 4-71
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.: s 12.00
PENDING FEE. PMT, [] CITY HALL RECEIPT N .: l 2144qp1 O
PENDING SECURITY p PUBLIC WORKS DEPARTMENT BY , DATE-4, //V/ 9L
PENDING AGENCY "OK" p ApplicAI10(1 and Progress Record
MAINTENANCE BOND x
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED X - "- - ----
❑
PENDING VARIANCE ANNUAL_ EXPIRATION DATE,_- one-year---
PERMIT
nedearPF=RMIT NO DATE ISSUED: _ `1/ BY:
( 1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL __OONC;RET DRIVEWAY A.F'RONJ
AND WALK AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REgUIREMENTS.
APPLICANT _William Stewart 11745 S.W. sh Aveutltil 6-30-91) #538-9471 X 2349
---- Ti arr
NE
NAME A DRESS —�-! _�_-. -C1-TVR S7.22�-_11 !DnW22-home)
CONTRACTOR_ . SaR1e) _
NAME
CITY
PLANS BY Per City Standards & Specifications__
NAME ADDRESS `__.._ -_. CITY
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ _.._ 300.00
2) EXCAVATION DATA: FOR OFrICE USE :'MIN,
0.04 X s_3-00,.00_
STREET DESCRIPTION PROGRESS & INSPECTION �'TATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED —
TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY ITEM DATE REMARKS/TYPE BY
STREET —'
N "U
1181: Ct. see at ached fE
PTION
Q
ESTIMATED STREET OPENING DATE: _ E
ESTIMATED STREET CLOSING DATE: j / T
E
(3) SECURITY NO. SECURITY AMT SL300.00__" CLOSED
SURETY CO.: _ -
-
-,lINCI _ FINAL INSPEC. a-24'Q
BOND C4
(4) PLOT PLAN: INDICATE !;ITE PERTINENT PHYSICAL SPECIAL PROVISVINS/ CONDITIONS
FEATURES; EXCAV! TION LOCATION AND EXTENT.
Site: 11. Notify City Inspector Carl
770? SW 118th Court ) I Vieweg (#639-4171) 24 hours
_— --
prior to starting work.
- d1W 2. All work shall comply with
C uA _
` ( I Cit
Y Standards/Specifications.s
S.W. 118th Court w 1 3. ORS 757.541-.571 applies (re:
_
_ utility Prelocation, etc.)
4. Relocation or adjustment of
-" - - --- existing utilities, as_may be
I 2 I I __ ______ sarv, shall be the
1 I I applicant's responsibility.
(>) 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
CnNSYRUC'rION SPECIFICATIONS PERTINtNT 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, �� t'Lt c�
DATE
30�
_ -24' - 0" MAX. 12' - 0"
DRIVEWAY r- R/W LINE
w CONTRACTION JOINT OPTK)NAL
at SIDEWALK
> LOCATION
B SIDEWALK EX SION JOINT
EXPANSION JOINT
CURB JOINT
� t
IS A 15
L3o __O
0" 6'-0" MIN. 12' -0" MAX. 6' - 0" MIN. ''12'-0" MAX. 3'-0"
FACE OF CURB
SIDEWALK ADJACENT TO CURB SIDEWALK AWAY FROM CURB
PLAN
1-1/2 1.
-1/2" EXPOSURE
USE EXISTING EXPANSION
JOINT OR SAWCUT AND
ELEVATION B-B PLACE COLD JOINT
SEE DWG. NO. CS-306.
STREET
COMPACTED SUBGRADE 2" OF 3/4" MINUS
SECTION A-A
NOTES
1, CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 PS.I.
AFTER 28 DAYS , 6 SACK MIX.
2. CURB JOINT SHALL BE A TROWELED JOINT WITH A MINIMUM 1/2" RADIUS
ALONG BACK OF CURB.
3 EXPANSION JOINTS SHALL BE 1/2" PREMOLDED ASPHALT IMPREGNATED
MATERIAL OR EQUAL , EXTENDING FROM SUBGRAOE TO FINISHED GRADE .
4, ! EE DWG. NO. CS-300 AND 140. CS-305.
I
WASHINGTON COUNTY
DEPARTMENT OF LAND USE RES I DE NT I A; DRIVEWAY
AND TRANSPORTATION
DATE CIVIL EF491MEEFI DRAWN APWA NO. WASH. COUNTY Na
,T , ,,,... ,1 _ AEA 685 NONE DW- 200
F OF CURB DRAINAGE BLOCKOUT
WIDTH OF STREET �- 3" I.D. PLASTIC PIPE
WITH COUPLING
I" R � 6" I/2" R
ROAD e •
. I '
• 2 -
MAX. iO
e
BASE COURSE •
I. FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE
CURB CS-300 SHALL BE USED.
2. CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 PSA AFTER 28 DAYS
EXPANSION JOINTS .
A. TO BE PROVIDEU
u AT EACH POINT OF TANGENCY OF THE CURB .
2) AT EACH COLD JOINT .
3) AT EACH SIDE OF INLET STRUCTURES.
4) AT EACH END OF DRIVEWAYS .
3) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 48 FEET
B MATERIAL TO BE PRE - MOLDED, ASPHALT IMPREGNATED, NON-EXTRUDING,
WITH A THICKNESS OF 1/2 INCH.
3. CONTRACTION JOINTS .
A. SPACING TO BE NOT MORE THAN IS FEET
B. THE DEPTH OF THE JOINT SHALL BE AT LEAST I% INCHES .
4. BASE ROCK -2"-0 OR 3/4"'O , 95% COMPACTION. BASE ROCK SHALL BE TO
SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTII, WHICHEVER IS GREATER
S- DRAINAGE BLOCKOUT - 3" DIA. PLASTIC PIPE .
A. I.D. PLASTIC PIPE WITH CDUPLJNG.
B. 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 CURS.
WASHINGTON COUNTY CURS NON - MOUNTABLE
j DEPARTMENT OF LAND USE FOR USE ON MEDIANS
AND TRANSPORTATION
DATE CIVIL ENGINEER —T DRAWN APWA NO. WASK COUNTY N0.
85 18 ( MOD.) CS - 301
r
R/W
5. MIN. I
CURB JOINT SEE NOTE 5
2
ROM ~ ''
.0
2" OF 3/4"-0
COMPACTED SUBGRAOE
SIDEWALK ADJACEI%:T TO CURB
R/W
fi
5 MIN.
i
ROAD -------s _ =
III TSEE NOTE 5
2 OF 3/4'-0 I
COMPACTED SUBGRADE
SIDEWALK AWAY FROM CURB
NOTES
I. CONCRETE SHALL BE 3000 PSI AT 28 DAYS 6 SACK MIX SLUMP RANGE
OF 1 I/2" TO 3
2. P'1NELS TO BE 5 FEET LONG
ES OF
AY
3. EXPANSION
LIS TS TO WHEELCHA RlACED AT RAMPS , 9 AT SPACING NIOTWTO EXCEED APPROACHES5 FT.
UTILITY
4 FOR SIDEWALKS ADJACENT TO THE CURB S POURED AT THE SAME TIME AS THE
CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN 1/2 RADIUS.
S. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE
CURB IS OR
S PORTION OF
OTHERWISE SED F SIDEWALKSHALLHAVELK S INTENDED A HAVEAMINIMUM THICKNESS OF 4RIVEWAY INCHES .
5. DRAIN BLOCKoOUTS IN CURBS SMALLCONTRACTIONB XENDED TO BACK OF TO BE PLACED EWALK OVEv PIT H 3 DIA PLASTIC
/o
PIPE At 2 SLS r
WASHINGTON COUNTY TE SIDEWALK
DEPARTMENT OF LAND USE CONCRE
AND TRANSPORTATION
CMI. ENGINEER OKAWN APWA NO. WASH. COUNTY NQ
i
TE AEA bNONE CS - 305
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CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :91-214498
i CHECK AMOUNT 312. 00
NAME 1.1ILLIAM & LORENA STEWART CASH AMOUNT 0. 00
ADDRESS PAYMENT DATE 06/18/91 i
11745 8W 95TH SUBDIVISION
TIGARD, OR 97223—
PURPOSE OF PAYMENT (AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PUBLIC IMPROV 12. 00 CUSTOMER DEPO 300. 00
STREET OPENING PERMIT 426-91
TOTAL AMOUNT PAID — — — —>
i
WILLIAM R. STEWART 1890
LOPENA R STEWART
11745 SW 95TH 11111551311.
TIGARD,OREGON 972231r,Q 'g
Pay to
! (;r rr M
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e i� rd-
mnilr Fina e..6 rse
cill. m e..ss" /
n.ni.r,e,on 1r/t!1
For�` ° �-�L?r►�� —1.!1/� lir'�n
': 3 2 50 7 L S 5 2': & 23 •�52034134- 211' 90 r -
18
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wr� r�K � 7zz3
Ox-�- 2349