9757 SW MCDONALD STREET FILE NO. 430-91
MCDONALD STREET - 9757 STR OPN PERMIT
i
COPY TO:
APPLICATION - STREET IMPRVENT/EXCAVATION (WHITE)-FILE
(YELLOW) -
INSP.
ORDINCE NO. 74-14 (PINK)-OTHER
AGENCY $LIX'i.
j
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT�—�
APPLICATION NO.: --
APPROVED JC
NOT APPROVED �-� ('I Itis �)I' II��.AIZ�), OItH,GUN FEC AMT.. f y�NOT
APG FEE PMT. ❑ CITY IIALI. RECEIPT O --E1—
BY _'~f— F _ DATE___2__1
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT _ - - _ - - - - - - -
PENDING AGENCY ''OK^ 0 \ppliLation and Progress Record MAINTENANCE BOND +►.--_----.—_--
FOR STREET IMPROVEMENT/EXCAVATION A!, REQUIRED
PVNDING INFORMATION ❑ ANNUM_
EXPIRATION DAT 1
PENDING VARIANCE ❑ -----
PERMIT NO.: _� �' -.— HATE ISSUED 7 L � I --`1>L_ BY: _
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ DRI _ AY APR ---
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
American Heritage Homes p.0. Box 742 Wilsonville, OR 97070 _ # 682.8846
APPLICANT
-- - NAME-- -- - ADDRESS
CONTRACTOR ._ (same) �Y _ --,_—C17�--- ------- ioNE
--NAS - ADORElS
PLANS BY __perqity Standards-&-Specifications --- ��T�--- - -'-
NAME ADDRESS
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST).
E -- -300.00
--- .00L ARS --_—._----
__:—
- -�-- - - voR orI*ICELiE0,04 X 00
(2) EXCAVATION DATA:
DESCRIPTION PROGRESS & INSPECTION STATUS
STREET — — -- CUTLAII INSTALLED ITEM DATE REMARKS/TYPE BY
NAME SURFACE CUT C
TYPE LENGTH W1� DEPTH QUAN ITY TREET— PEN D INSPEC-
McDonal St. �e atached _ TION_he o
u -- - -
ESTIMATED STREET OPENING DATE —_— T
E
ESTIMATED STREET CLOSING DATE ----�-- '—� D — — -----
M-00 SrRF..E7 `
Li.OSED /1
(3)
SECURITY NO. — --- SECURITY AMT.: -- INAL t
SURETY CO.: _ INSPEG.
CHECK CASH i7 P ROND '
SPECIAL PROVISIONS / G
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL 1• NOtl� Clt In actor Carl
FEATURES; EXCAVATION LOCATION AND EXTENT. - —,�__—.��._—._------
SITE_: 9757 SW McDonald St. - Vieweg (#639-41'(1) 24 hrs. _
1 I work area ) I I pLior to starting work.- _-
I ' I
2.ORS 757.541-.571 applies
,1,v - - - ire: utili_�y agencies _- --
iaA - ' - - - - - - - - - -�- - \ - - - ---prenotification before digging,
--- _- - -- _ etc).
f__--- ---_ -- McCONALD ST. - -
3. Traffic control to be
_provided for by contractor
N 4. Replace existin vement
1
—markings/buttone.
' I
-; T
(5) NOTE THE CITY OF TIGARG DOES NOT, HEREBY. GRANT PERMISSION TC. APPLICANTS O 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 irJJURY OR DAMAGE WHICH MAY RESULT F40M APPLICANTS ACTIONS
—7
nATE
APPLICANTS SIGNATURE
APPLICATION - STREET IMPROk"MENT/EXCAVATION COPY TO.
(WHITE)-FILE
OR DI NA, .ENO. 74-14 (YELLOW)-INSP.
-OTHER(INSTRUCTIONS ON SEPARATE SHEET) (PINK(BLUE)) A PL CANTNCV BLDG
APPROVED a APPLICATION NO.: 4,750
NOT APPROVED ❑ CI IY OF TIGARU, OREGON FEE AMT.: S __ 12,W
PENDING, FEE. PMT. ❑ CITY HALL RECEIPT y9.;
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT By DATE -�� 1 I
PENDING AGENCY ''OK" ❑ I)pClcation and Progrrss Record MAINTENANCE BOND
PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED
ANNUAL
PENDING VARIANCE I EXPIRATION DATE:
PE.RfvIIT NO. -i._ s f _ DAiF ISSUED: BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _ DRIVE�Y AF --
- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENT'S.
APPLICANT .__ American Hecitac a Homos P.O. Bou 742 Wilsonville, OR 97070 # 682-8&46
NAME ADDRESS CITY-._. PHONE
CONTRACTOR _ (same)
NAME �^ ADDRESS -PHORE-----
i
PLANS BY _fir City Standards 6 Specifications __ IJ
NAME ADDRESS CITY P
-- HONE �-
ESTIMATED IMPROVEMENTTOTAL VALUATION ( COST): $ 300.00
DOLLARS
FOR OFFIC�}�}� .MIN.
(2) EXCAVATION DATA: v 0.04 X S •00 E.. 12.00
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
OPENED �_ —_--
McDOnall St. (3ee attached) INSP
R TION
--- E
Q
ESTIMATED STREET OPENING DATE: — / ET — —_---
ESTIMATED STREET CLOSING DATE: _. / E
D
(3) SECURITY NO. SECURITY AMT.: E300'00 -_ STREET
_- L —_
SURETY CO.: AL
CHErK CASH ❑ _ BOND_ INSPEC. ZyZ ��
'ZD- �j►tr. mow lI
(4) PLOT PLAN: INDICATE RITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. a,, Notify City ,Inspector Carl
SITE: 9757 SW McD(vuW St. Vieweg (#639-4171) 24 hrs.
I work area � � i prior to starting work.
q I I I 2. -ORS 757.541.-.571 applies
<Uae - '� ,�� _ - �- - - - �- - _ _ _ (re: utility agencies
w
preaotification before digging,
r McDONALD 5T. -- etc).-
3. Traffic control to be
provided for by Contractor:
N ;. Replace existing pavement
I I I markings/buttons.
(S) NOTF 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 DE^OSIT 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 APPLICAN'rS ACTIONS.
I
I
APPLICANTS SIGNATURE �� DATE J /
4. CITY OF 1111G�Ma)
FDCPFNDM.)RE MIQUEST
9biz form is a multi-use form. Appropriate receipts mu;t be
e attached. Documentation
: ; important for all purposes. staple documentation to form.
VOMR NO. : D7CE: Z 4- 7-
PAYABLE 3: RD�2UEMSD BY:
—
VI .'6e -?Arz-
LI k Tm 10 Approved request due Wednesday
10:00 AM to A/P for checks by
Friday.
ttISCEUANaXJS FXPIND17UPJM:
Date Description, -Trwoicx- No. , etc. Account No. Amount
-LI)
300
TUFAL goo,
Mileage. $0.255
APPM17RIATIW KNLANCE: ks OF: SIGNAIVIRE:
(Up to $25.00) Section Manager_
($25.01-2,500.00) Division Manager
($2,500.01-7,500.00) Dept. IfeAd
($7,500.01-15,000.00) City Administrator
($15,000.01- ?) Local Contract Review Boat-fl
1501 F
..DEFINE:entrct=case->eng definition incorrect
ENGINEERING PERiMIT
PERMIT #. . . . . . . : ENG91-0034 DATE ISSUED: 07/11/91 By:
PRIM. PERMIT #. : ENG91-0034
SITE ADDRESS. . . : 9757 SW MCDONALD ST PARCEL: 2.S1-2CD-02610
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
-----------------------------------
--------------------------
PERMIT TYPE. . : SOP IMPROVEMENTS : QUANT RATE VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE EXPIRATION--- STREET
PERFORMANCE: / / SAN SEW
MATNTENANCE: / / STM SEW
UTILITIES
ALL OTHER
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$
Remarks: STREET OPENING, TO INSTALL A DRIVEWAY APPROACH.
Permittee: ---------------- FEES --------------
AMERICAN HERITAGE HOMES type amount by date recpt
P.O. BOX 742 OPEN $ 12 .00 JSH 07/11/91 215239
WILSONVILLE OR 97070
Phone #: (503) 682-8846
Engineer:
ENGINEER NOT ON FILE
$ 1.2.00 TOTAL
Phone #:
------- REQUIRED INSPECTIONS -------
Permittee/Agent Signature: ---STORM SEWER-- -----STREET-----
-- M.H. & C.B. CRB LINE & GRADE
PIPE LN & GRD SUBGRADE
BCKFLL & CMPCT BASE ROCK
City of Tigard, Oregon
AIR & TV TEST LEVEL COURSE 13125 S .W. Hall Blvd. WEARING COURSE
P.O. SEWER--- TP.AFF & PED CONT
P.O. Box 23397 M.H. & C.Q. MONUMENTATION
Tigard, Oregon 97223 PIPE LN & GRD STREETLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
FOR INSPECTION, CONTACT: AIR & TV TEST
Carl Viewe #639-4171 -'GRADING------
g (office) --•REPR' S/ADJ,S-- CONTOURS
#780-2647 (mobile) DRAINAGE
----PATHWAYS---.-- EROSION CNT.L.
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. :91-215239
NAME AMERICAN HERITAGE HOMES
CHECK AMOUNT 311-21. 00
ADDRESS : F10 BOX 742 CASH AMOUNT 0. 00
PAYMENT DATE 07/11/91
SUBDIVISION
WII-SONV ILLS, OR 97070— i
i
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
PUBLIC IMPROV 1 c'. 00 CUSTOMER DEPO
QAo. 00
'TREET OPENING PERMIT #430-91
(ROAD CUT PERMIT)
OTAI_ AMOUNT RAID - — — —) 312. 00
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AMERICAN HERITAGE HOMESi
1'O BOX 742 (so31 liB2-8s46 461
WII_SONVILLE, OR 07070 / 74 8411730
PAY TO THE
ORM
West Onc flank.OreA K ti
Kon
BANK 5285 S W. Mcadows Rif..Suile 148 MONEY MARKET ACCOUNT
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PROPOSED EDGE
2"CLASS " C"A.C. OF SHOULDER
4' 2"-0 PROPOSED EDGE
OF PAVEMENT \
J SLOPE VARIES
a W
F c a
� W m
Z W W
O 0 o W ? Z
cc Q. 0W a TYPICAL SECTION
~ W =
� u uJ
A.C. DRIVEWAY
sd
� o0
I �a 2„ 3/4%0 PROPOSED EDGE
1
I 4» 2%0 OF SHOULDER PROPOSED EDGE
SLDPE VARIES OF PAVEMENT
�I ~ 1
r II
I 1 �
W W i N TYPICAL SECTION
0 GRAVEL DRIVEWAY
W A I l a Y a
I I !gj � o
CL
PROPOSED EDGE
TYPICAL PLAN OF SHOULDER
PROPOSED EDGE
OF PAVEMENT
A.C. OR GRAVEL DRIVEWAY
SLOPE VARIES 4
GR•10%
*UNLESS OTHERWISE NOTED / / �- o
X1 Lf/! 4.
SEE DWG. NO. DW-202
TYPICAL SECTION
A L_T�AT E
WASHINGTON COUNTY DRIVEWAY DETAILS FOR
WDEPARTMENT OF LAND USE t
AND TRANSPORTATION NON — CURBED AREAS
DATE CIVIL ENGIMEERWN APWA NO. WASH, COUNTY No.
,� �--- �e-8s NONE DW— 205
nn
W
ELEV. SAME AS CROWN ELEV. SHOULDER CROWN-- r
I /-OF ROAD
3 MIK SLOPE 2' ROAD SURFACE
=7
= I
BOTTOM OF DITCH ELEV.
MAY BE ADJUSTED BY INSPECTOR
NOTES:
I.SEE DWO. NO. 205 FOR ALTERNATIVE i
21F AC DRIVEWAY IS TO BE CONSTRUCTED, USE 2"OF CLASS"C"MIX
ON APPROVED BASE
PROFILE
CONCRETE HEADWALL REQUIRED
WHEN USING CORRUGATED METAL
PIPE SHALL EXTEND A MIN. OR PLASTIC PIPE
I' PAST TOE OF FI L L
.+.
SURFACg OF DRIVEWAY
=0 ROCK 4 6�
�r.=_pI'S IN= Wil{
CONCRETE PIPE i OTHER THAN CONCRETE
PIPE S,2E TO BE DETERMINED PIPE, AS APPROVED
BY INSPECTOR AT THE JOB
SITE ( 10" MIN.)
PIPE •f0 RE LAYED AT EXISTING GRADE OF DITCH - NO SLUMPS
CROSS - SECTION
WASHINGT'ON COUNTY DRIVE-WAY FOR STREETS
�.,.�
_DEPARTMENT OF LAND USE
' AND TRANSPORTATION WITHOUT CURBS
E�VL7
CIVILENGINEER DRAWN APWA NO. WASH. COUNTY NO.
es NONE DW -- 2C