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11270 SW MORGEN COURT FILE NO. lIZ70 S.W. MORGAN CT. @ GENESIS LOOP ST. OPN PERMT CrIly 01 Ticium EXPINUrl'URE I*WESr This foi-m is a multi-rise form. Appropriate receipts must be attached. Doc umentation 'his important for all purposr--,- Staple docuw-nitation to form. VEIMR NO. DATE: 7-0 AAA WABLE TO: RB:f�- BY: Z-70 S-U) n-V I cj7_7-e Approved roqu &e We lnepday 10:00 AM to A/P for chccks by Friday. MTSCEq1MTa-AJS M')jMMuzps: Date Description, Invoice No., etc- Account No. Amount 10 -zzoaD i _LZ TOrAL vC.) Mileage $0.255 Ap"rPRIATION BAIANCT: AS OF: SIGNAIWE: (Up to $25.00) Section manager Put-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- ?) Txx-'al. Cont-act Review r3o,ard �I 1N9P_'C QN W1TLPE city of TigP Building Department .3125 SN Hall l Tigard, oregon 97223 Inspection eine (Rec-o-Phone): 639-4175 Busineaa Phoney 639-4171 In.spectione Footing Plbg. Underslab Mach, Rough-in Appr/Sdwlk Fund. Vlbg. Top Out Gay Line FINALS Post/Beano Struct. San. Sewer Framing -Bldg. Poet/Beam Meeh. Rain Drain Insulation -Plumb. Gyp. Bd. -Mech. Water Line Plbg. Underfloor �— f�.C1 CJS Time: _ LJ_ PM Date Requestedt A�iO '•PA: 210 S �A� ,J a Permit Builders THE FOIS.OMING CORRECTIONS ARE REQUIRED: - si U X iii ' Inspectors ____. _ Date: _ _ APPROVED DISAPPR � PPROVED SUBJECT TO ABOVE call For Reinsp. APPLICATION STREET IMPRO'.' MENT;EXCAVATION COPY TO: (WHITE)-FILE OR DI N fY`� _ENO 74-14 (YELLOW)•[NSP. (INSTRUr_TIONS ON SEPARATE SHEE r) (PINK)-OTHER AGENCY (BLUE)-APPLICANT APPROVED 'A. APPLICATION NO.: 1c (oz NOT APPROVED j (.11 YOFTIGARD, ORIIGON FEE AMT.: f PENDING FEE PMT. [] CITY HALL RECEIPT NO.: PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY _f d, — DATE S 1 1 PENDING AGENCY ''OK'' ❑ \pphcation and Progress Record ] MAINTENANCE BOND PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION AS REUUI14EIJ A ANNUAL PENDING VARIANCE: ❑ EXPIRATION DATE: PERMIT NO �� 1_-�I _ DATE 1 SS U E D: B YL 1�- 1.LS�r i -- (1 ) APPLICATION IS HEREBY MADE. TO EXCAVATE FOR AND INSTAL[_ �Y — �10AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS, APPLICANT UC( �� //r� 7GJl�J/f�p�C�Q�I ADDRESS _ IT PHONE CONTRACTORE`m ..—NAME ADDRESS PHONE PLANS BY �1�.J,.�_.��� ' I - NAMEAU�ORE4S CIT ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 14)Q. 6 0 DOLLARS FOR OFFICE LSE: MIN. (2) EXCAVATION DATA: 0 oa x s ►OCA =s_�__.-. STRELT _ DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE cur CUT CUT MATERIAL INSTALLED ITEM )ATE REMARKS/TYPE BY TYPE_ LENGTH WIDTH DEPTH ITEM A QUANTITY t ' STREET --� P-N D -- - INSPEC- �— R TION Q ESTIMATED STREET OPENING DATE �_l / f� E S ES',,MATED STREET CLOSING DATE: E D — (3) SECURITY NO. _ SECURITYAMT S I_( ,C)LJ A STREET -- CLOSED SURETY CO. FINAL yi�rls+s®cNE,. A ( ASH a BOND INSPEC. I' '1 a 1-pJCc (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS ! CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. �l r �- 1G.1 "I' 1 , �L J I ' 1 UR8 _ I I I I 1 I � � I -SEE Alf,44,eJ ap (5) NOTE THE: CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION 10 APPLICANTS TO CONDUCT WORK WHERE RIGHT-ClF-WAY -JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE /IPPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS ANO CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY ANO EMPLOI EES AGAINST ANY IN JURY OR DAMAGE_ WHICH MAY RESULT FROM APPLICANTS ACTIONS APPLICANTS SIGNATURE")� 1-4 _ DATE _f ,a APPLICATION – STREET IMPRO`' MENT/EXCAVATION COPY TO: OR DINAI.,E NO. 74-14 (WHITE)-FILE (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) ❑ (PINK)-OTHER AGENCY X (BLUE))-APPLICANT R PPROV ED �, APPLICATION NO.: NOT APPROVED ❑ C11)' (1111- 11GARD, OREGON FEE AMT.: f 4 p PENDING FEE PMT. ❑ CI I Y IIALL RECEIPT NO,: PENDING SECURITY ❑ PUBLIC WORKS DEPA R TMEN T a _ [`'�_ DATE—6 PENDING AGENCY "OK" ❑ :lpplication and Progress Record — — — — — — — — — — — + — — r MAINTENANCE BOND PENDING :'J-0RMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RkQU RkU )s ANNUA;. PENDING VARIANCE ❑ EXPIRATION GATE: PERMIT NO . DATE ISSUED: --- , 1-L,_. _ ._ , BY (1) APPLICATION IS HEREBY MADE 'TO EXCAVATE FOR AND INSTALL_ ! - ----- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH 6TY REQUIREMENTS. APPLICANToe (U I� I ` % 6jy �'1s NAME ADDRESS ADDRES _ IT *--- qNE CONTRACTOR - _ �L�Q NAME ADDRES5� — CITY ------ PKONE PLANS BY -_ NAME CITY HOME ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST). S DOLLAR! (2) EXCAVATION DATA: FOR OFFICE usE -MIN 0.0,1 X f STREET _ _ _DESCRIPTION_ PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSYALLED TYPE LENGTH WIDTH DEPTH ITEM AI QUIkNTITY ITEM DATE REMARKS/TYPE BY STREET ` -'Y fY INSP f R TION (—� E Q E ESTIMATED STREET.T OPENING DATE::_) —. S ESTIMATED STREET CLOSING DATE: - / / T _-_�--- — _ E (3) CCURITY NO. SECURITY AMT.: S IL�, ,UySTREET _. CLOSED SURETY CO.: --a _ FINAL '�iS1T.lArM CHECK —CA lN tl •ONO :NSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL `� A SPILCIAL PROVISIONS/CONDITIONS: EXCAVATION LOCATION AND EXTENT. ) CI I ` ._.- r SEL (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CCNDUCTI;gORK 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 HARMLE:S THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RE:S1!1_T FROM APPLICANTS AC'110NS. APPLICANTS SIGNATURE_✓L< `"T• �� ""l �f.4 �M_ DATE 'J N N f� N F4 d p() F-Z 6 W O . 6 ®� I Pj •.Z �11d .1.`d�GI LY IfI o U� f tf 9Eb a 5 H z M ..ZI .Oh 000 S \ H:!� 0 N 1 7 fr t(+ S Lc�o LV' �u f 5� 2 S 1 �?.00 001 `2, OL 5$I N '1"ti `^ tr SO N a m L w J lf' p O �/ /. lo ,,, v a� In o ,9 e; Nnj 2 1. OG d1 r� I_z tp �' In £�b �' J C p 8� �s�' SO 7.h£.9f -00S 2 3 p? 9� ~ In DO G9 (Y O w ,., ec °, v O ° �� - ,� H v v+ O[ LrI In In �F S �y r��) o - d4,ti o i" cU Q cCl LY H LP Q CU Q CO in N U- Q -9 6 .0 rn\ 2 F FI �S , y� h b bE l ci so eU a0 z�S� 1y n qa u' 0�` S of •.3,;Zs of S t fir\ tr S ' (2 T•11 \\'��, Ir Q O S RP\� ki S 11' 3 a T T r6 -om- 8 (t 13'31 51.. O 'l ' 7 In In N o! \ in U-1 0 ha iUl in o y FNo Q U O: l,� c •Z9..L0..W N .(� - 1 ILL O T e O Id $ Iw M 18 0 S \ 10 O '2J 9 !j � LP T OL In Z n 3..h0,hE oZo S o r r v 8E ss, vl 3 9 I 1 p tr tJ o CSICtl 0.� 01�'Zy U 3 lj N N M 4 00 r ` Z t�l� Oq C� ry � rn o \ti �'� N N 3,.L£.°1h.00S eU1'd I9 fs n \ti\ a01 ti�01 91 ip In Irl - r... - 1 4 0 S On 0 43 I In LP 10 o O v tj 1 a M n1 w Z. m �'\ mQ/ g 2• ` r J o° in S M,.0 h hhin � \�h lr s� orJ h S.6 O O ' < Q 00 C) Z a00 `r r 9 = ? �`o `�. 5 fpr S O DO 01 � ; v c4 e. r A n10 ?E, 9 s 1� •Uy'1 • O a. E-n 063s 8 �s 9, �, p s Irt`"a 5 >t j' 77� 7. M•Fh.50,1i N d u, jI � 01 ` N to 7, S �.: I z $ 00-wi In in A .1 iNBE-hs I 141.41'iZ 35` ; O sa o , yy 3,60.OFohpNO -m I UO©011'49"W T4 rj J � � � = 00 �03^ 1\��AV _ 24' 0" MAX. 12 - 0" MIN. _ DRIVEWAY R/W LINE A N -CONTRACTION JOINTZI cr B SIDEWALK �--- EXPANSION JOINT' EX PANSIOrl JOINT CURB JOINT - A 3 0 6' -0" MIN. 12' -0" MAX_T6 0" MIN_ IZ_- 0" MAX. 3 Q FACE OF CURB SIDEWALK ADJACENT To CURB SIDEWALK AWAY FROM CUh, PLAN I 1/2" EXPOSURE USE EXISTING EXPANSION JOINT OR LDJOINT AND ELEVATION B-B PLACE COLD OINT. SEE OWG. NO. CS-306, STREET' - n3MM04TED SUBGRADE -- 2" OF 3/4" MINUS SECTION A-A NOTES I. CONCRETE, SHAD HAVE A MINIMUM BREAKING STRENGTH OF 3000 PS.I. AFTER 28 DAYS , 6 SACK MIX. 2. CURB JOINT SHALL RE A TROWELED JOINT WITH A MINIMUM 1/2" RADIUS ALONG BACK OF CURB. 3. EXPANSION JOINTS SHALL 9E 1/2" PREMOLDED ASPHALT IMPREGNATED MATERIAL OR EQUAL , EXTL iDING FROM SUBGRADE TO FINISHED GRADE . 4, SEE DWG. NO. CS-300 AND NO. CS-305. WASHINGTON COUNTY f= Lam- DEPARTMENT OF I AND USE RESIDENT! AL [DRIVEWAY v AND TRANSPORT ON DATE CIVIL ENGINEER DRAWN APWA NO. WASH. COUIM NO. 7 • _._ --�- ,�. � AEA 61% NONE DW- 200 CITY OF TIGARD Ruc.*Eir-,,r OF PAYMENT RlN'FlV'1- NO. s91-212691 Cl-,I'.'-"( K I-)MOUNT 104. 00 NAME. a COUTURE, V'IC'TORIA CASH AMOUNT 0. 00 ADDRESS t 11270 SW MORGEN Cl'. PAYMENT DATC a 05 01/C)'1 SUBD I V f S)TON TIGARD, OR 47223— PURPOSE --)F PAYMENT' AMOUNT PAID PURPOSE (IF PAYMENT AMOUNT PAJD 100. 00 PUBLIC 11"VIROV 4. 00 I.;'I'RECT OPENING r-,ERmt,r #417-91 TW'AL (.0moUNT VIA ID m �. 00 ' Y CV C: I� `a c Z) ca 3 � � rv.r• • •� c mi N N rID \r 1 \ Ir • JO ) I p m r ' p� 1 W ry � Q p- 2 tx •,� A m 0 O; -�V L , \ Corn s rY 1 N ►Olt `�^ 9�'19 w� 116.17 093 O try mol N o Q'L r � to O l`I (p 00 r d o CD J) I ' o O N A F N in 11935 V 153 7H ,5 S ti cr OD O n OD //` m O a6 09 J m U l� a 120.51 O CD ill m a O CD z r ' W 19 O I � a rd� a r O r `r \ A O a \ 01 1 C`� Ir) rs ca Q N 1� yl• _ ri ^ pUj U a Je ,U,9 n �n O N oda ter/ \\3. o `Z 0 Z6.1 2g. 6y (O P 61 J. t dl �0 £ F/ Sl CDto OF11 t6y �~ a V' 7 Ir) � "moi+ 17.95 UY7 0 �t W }� Vf1�r- t (� / ( �1 � ryU �� tJ � � Y �1�Y, fav t,L'l• 9�1.�t oV� � f8� N O It e g O �� r � r t. 8 Y' _Q 00 P ry Q d 0 W Q \? •0�, 2 15S i`q N _ �O u� to O d oS C,. 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