11940 SW SUMMER CREST DRIVE q
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APPLICATION - STREET iMPROVEWNT/EXCAVATION ���Z ! / COPY TO:
(WHITE)-FILE
ORDINANCE NO. 74-14 1 '� (YELLOW)-INSP.
(PINK)-OTHER AGENCY bldg
(INSTRUCTIONS ON SEPARATE:SHEET) (BLUE)-APPLICANT
APPROVED ® APPLICATION NO.:,-_.�1._L
M (
NOT APPROVED ❑ CITY OF TIGARD. OREGON FEE AMT.: S 16.0�
PENDING FEE. PMT. ❑ CITY HALL RECEIPT 9-: -3-+- ZA4 1L
_ PENDING SECURITY ❑ PUBLIC WORKSDEPARTMENT BY_. DATE q I /41 43
PENDING AGENCY ''OK" ❑ Application and Progress Record
MAINTENANCE BOND N
FOR STREET IMPROVEMENT/EXCAVATION AS R[QUIRED c
PENDING INFORMATION ❑ ANNUAL a
PENDING VARIANCE L) EXPIRATI N ATE-''' I
PERMIT NO.: _�Z' �3 DATE ISSUED' _ /�`� /__fes.. __ BY
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL W"—m App
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT _ Donald W. Olow 1_1940_ S.W. Swunarcrest Drive Tigard OR 97223 59(}'-13302+
NAME �ADDR1505 CITY PHONE
CONTRACTOR (SAME)
NAME ADORE -�—Cly— .-_._. —PHONE
PLANS BY __ _per City Standards tk Specifications
NAME ADDRESS — H-CANE
ESTIMA'fED IMPROVEMENT TOTAL VALLIA i iON ( COST): S 400.00
DOLLARS
(2) EXCAVATION DATA: FON OFFICE usE: rMIN,
o.oa x s 400.00_=t_ 16.001
STREET _ DESCRIPTION _ PROGRESS & INSPECTION STATUS
NAME SURFACE GUT CUT CUT MA VERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
S!.;;murCrest Drive - !3ee attaC N'-+ - R TP ON
EQU 1
E
ESTIMATED STREET OPENING DATE.---- �. S _
ESTIMATED S-fREET CLOSING DATE _. E
-- — --- - D
STREET
(3) SECURITY NO. __ SECURITY AMT.: S 400' CLOSED
SURETY CO.: FINAL
,
CHECK F CASH 0 "OND c INSPEG.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
rEATURES; EXCAVATION LOCATION AND EXTENT.
SPE ATYAC IiED -
1
uAs
S. W. SUMFIERCREST _ -- - --
71.1_
1 work area f i 1
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! 1 ITL: 11940 >.W. -lium -r rab 6ri.v44
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(5) 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 TIIE 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 SIGNA rURE DATE
0" MAX. Rte' 0" MIN.^r _
J �—DRIVEWAY R/W LINE
CONTRACTION JOINT OPTIONAL40 1
a SIDEWALK
LOCATION
® SIDEWALK EXPANSION JOINT B
EXPANSION JOINT
CURB JOINT
'S1 A s�
3'-O" i�-0" MIN. -0" MAX. 0" MIN. ' 0"MAX._] 3'-0"
FACE OF CURB
SIDEWALK ADJACENT TO CURB SIDEWALK AWAY FROM CURB
FLAN
-1-V2" EYMOSURE
USE EXISTING EXPANSION
Bp JOINT OR SAWCUT AND
ELEVAT101'l -B PLACE
COLO. ONT,SEE y
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STREET
6 T'
COMPACTED SUBG- 2" OF 3/4• JS
SECTION A--A
ACRETF SHAL!_ HAVE A MINIMUM BREAKING 3"ENGTH OF 3000 P.S.I.
` 4FT ER 2B DAYS , 6 SACK MIX.
'URB JOINT SHALL BE A TROWELED JOINT Wild A MINIMUM 1/241 RADIUS f
ALONG RACK OF CURB.
5. EXPANSION JOINT4 SHALL BE 1/2" PREMOL13ED ASPHALT IMPREtiNATED
MATERIAL OR EQUAL, EXTENDING FROM SUSGRADE TO FINISHED GRADE .
• SEE DWS. NQ CS-300 AND Na CS-SOS.
IDVxIP SHINGTON COUNTY
DE. .,FITMENT OF LAND USE RESIDENTIAL DRIVEWAY
AND TRANSPORTATION
OAT- CIVIL EN INFER DRAWN APWA NO. WASK COUNTY NO.
i7 _ • �• AEA b-es NONE r ZOO