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8787 SW SPRUCE STREET-1 Fi ] NO. y/ SPRUCE STREET - 8787 STR. OPN. PERMIT i C1717 OF TIGARD IQQ am.,.Ium RDQUEST -6 , 711i_- form is a multi-use form. A ipi�ar.iate receipts must be .Attached. Doc Mentation i; important for all purpose. Staple docuwntation to fo:.n.. VPTdDOR t7O.: DATE: _ —1-9,- `, PAYMI.r, 1�: — qtr S i4_- -Xc z��z� 0c — RE�IJE":•m I3Y• -Z -7 ` JJ�• �s `. . 1 b c Y-, `A z'S _ * Approved request du4 Wednesday 1.0:00 Alf to A/P for checks by �,�•��•..��� 77�-1t7 t+vT-�,tnTr1 Friday. 1'11...T�L.LJLJ 1l1J.JlJS L:.l1L�u`IUL IURL'): _-- - -- Date Ic--�'-�ion, -nvoice No., etc. Account No. Amount 2.SU .. Z17- �'5 S�-7 - 1 "- if_ileage $0.255 --— APPROPRIATION BALANCE: _ 76 OF: _--- SIGNAIiJRE: (UP to $25.00) Sa-ati.on Manage- -- -- Purch. AgP1tt ($7.5.01-2,500.00) Division Manager ($2,500.01-7,500.00) Dept. Head ($7,500.01-15,000.00) City _1dm:nistrator -- ($1`;,000.01.- ?) Local Contract R,-vi-_-w B0,111i -2/1501F 1501.F APPLICATION - STREET IMPRO' -MENT/EXCAVATION COPY TO: ILE ORDINA ._E NO 74-14 (WHITE)• -IN (YELLOW)-(NSP, )INSTRUCTIONS ON SESHEET) (PINK)-OTHER AGENCY (BLUE)•APPLICANT APPROVED x' APPLICATION NO.: 4(.4 -- NOT APPROVED CI TY OI'TWARD, OREGON FEL AMT.: $ 10.00 _ PENDING FEE. PMT. ❑ CITY HALL RECEIP rf I- Z)zcjT6P PENDING SECURITY ❑ PUBLIC WORKSDEPAR7MENT BY _ DATE-.S 1 -7 / 9� PENDING AGENCY "OK" ❑ Application and Progress Record PENDING INFORMATION ❑ MAINTENANCE BOND *� FOR STREET IMPROVEMENT/EXCAVATION ,s wE(jul/IEU A-44 N U A L PENDING VARIANCE EXPIRATICN DATE: - eqne year-._ PERMIT NO _� _-_9� DATE ISSUED: __ 57 I '21_9-/­- , BY (1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL. .__!M`1_TAR $EWER ___ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT ­_Strauss Excavtinq_ Inc. 24175 SW Davis St. ` __ NAME g.�_.. --_- ADDRESS —E li. f�zx'O!-S�g.7.123-_t..�.149� NE CONTRACTOR _(Sam) ___ NAME AL�DRHSS -- _ - - - CITY -FMON[ f� PLANS BY Per City Standardi/specificaa iols_. NAIMc ADDRESS -- - -�_�.-_.- - -- CIT V- �_----PHONE — ESTIMATED Irvii nOVE"NIItNT TOTAL VALUATION ( COST): S ____250.00 _ DOLLARS (2) EXCAVATION DATA: r'ow orPlc[usE: — - - - `Mir+: 0.04 x f__250.00-.__= s STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACF r k CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE L 4TH WIDTH DEPTH ITEM A QUANTITY _ STREET - PEN ,. Spruce S (_- c attt d INSPE — 7-Q TION U _— ESTIMATED STREET OPENING DA fF / / E _ S ESTIMATED STREET CLOSING DATE: T _ E STREET (3) SECURITY NO. SECURITY AMT.: s 250.00 .�. CLOSED SURETY CO.: - _ EFINAL CHCK x _ -._ CASH ❑_ BON_D , INSPEC, x/13 `i (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL ^- �s SPECIAL •'ROVISIONS /CONDITIONS. FEATURES: EXCAVATION LOCATION AND (EXTENT. -1. Notify City In pector (46-12-4171) Carl Vieweg 24 hrs. prior _ I SITE: 8787 S.W. I I to starting work. SPRUCE ST. _work area- 1 1 2. Excavator must comply with ORS. 757.541 - .571 (Utility prelocation etc. ). S. W SPRUCE ST. -- -- - --- -- 3. Traffic control to be provided (See attached) for by contractor. -(,,Asb -.- - - �.. - - - - -. - - _. - - - - •• . _ — - 4. A hard surf..,cc patch is required IN I I I - at the enc? of evch days work. IT $ I (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 THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS ANC 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. A r-7 / APPLICANTS SIGNATURC -1 ' ! �LC-- __- DATE /ll<c(� / / / V/ MIN. 3" A G IN! 2 LIFT"5 STREET AREAS OUT OF REET AREAS - ST EXISTING SECTION} ? ��M..-..� RESURFACING � e • �• • CLASS A • / / SACh'FILL • D CLASS B 3/4`-0 GRANULAR ` U BACKFILL p • ° . " , / uj Z • p to uj Q I ------------ c a' OWN o ' o • Q e � o ta �_� _�•o - •e o • • PIPE BAS IF BACXFILL IN STREET AREAS I. IF3/W 13 AGAIN"CURB, FILL ROC,t TO BACK OF 3/W 2.IF 3/W 13 NOT AGAINST CUP o. FILL ROCK 2'BACK FROM CURB CITYOF TI PIPE BEDDING AND ��R� BAC;<FILL DETAILS OREGON UE5/11GN ljY =L;7)ATE-, f3Y pW,q�"- ` V A '�1�LL- t'�G'AL— 1— IN�.1G D 9-i BUILDING SEWER PIPE, SIZE A^ SPECIFIED I PI.ANT FABRICATED TEE FITT;C:3 ON SEWERS 18" AND SMALLER. BACKFILL 2X4 FIELD TAP ON EXISTING SEWERS AGAINST PWG TO AND NEW SEWERS LARGER THAN I PREVENT PLUG THAN 18". I BLOWOFF H SECURE 2X4 IN PLACE WITH TRENCH DACKFILL. SEWER MAIN OR LATERAL P LA N I I EXTEND AT LEAST GROUND 12"ABOVE SURFACE SURFACE MINIMUM SLOPE FOR !a 6" PIPE= 0.010, FOR 4"PIPE = 0.020. Sf-JUICE CONNECTION �7 MARKER : \� WRAP 12-16 GAUGE A GREEN LOCATOR ,) ~WIRE AROUND 2X4 r PLUG r' 3/4"-0 PIPE ZONE MATERIAL. SUPPORT TEE WITH AS SPECIFIED �- BEDDING, GRAVEL, �\ MINIMUM 2'0" WIDE Sl DE BUI LC' I NG SEWER Unified Sewerage Agency of Washington County 241 O O _ ,SQ O ^O p o � Q) G ^. �O ISO o O O b C,J U o 1901 Q3 Igs co N0 U' l]O OD MaiOS _ ,9!_ Z 9 L1J --` (00 co o �` (� _+ p _ 0 N - � ,S9Z 1 NOD m nU. 0N - - E- I to 0 N p - o --- E 61 - -- o J a p O r .gam` .i.01 �� pp O 116 N INN q rODrIn Q . LU ,SSE o- L0 N ,OU 190,892 1062 r- - -- - 0 8705 • • 24175 S W DAVIS STREET•549.8117 24-22 HILM3080.OREGON 97123 1230 DOLLARS PAY �^1 - � CHECK NO AMOUNI T TETO THE ORDER OF -L� UN ITEO STATES NATIONAL RANK OF OREGON C�� ALOHA RPANCH•ALOWA.OREGON 119008 70 SII' is L 2 3000 2 201: L 74 0000 70611' CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. :91-212938 CHECK AMOUNT 260. 00 NAME : S'fRAUSEi EXCAVATING, INC. CASH AMOUNT 0. 00 ADDRESS : 24175 SW DAVIS STREET PAYMENT DATE 05/07/91 SUBDIVISION HILLSBORO, OR 97123- 8787 SW SPRUCE PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID CUSTOMER REPO 250. 00 PUBLIC IMPROV 419-91 10. 00 TOTAL AMOUNT PAID - - - -) 260. 00 1 F2.USS V 2. J L41?S �b2v s S� �-� s�ioe►-0 1�r, 9 -]1 4 3 --�� ►-i [gob SfFzussj g? s � s��� sP►-�G�- ro ` o q ,(30 o � ON �� O © 0 0 ISO o 0 0 0 ,Zfil o � �' 1 S 0 1901*F0 Igs M cr - aoLA O U-. 00 00 _ o d H OS _ 19L Z LP 77CO In - CIDa' o - E Nrh � ,E61 � � � v a Q) i�Q X601 OrVINn, ,Ib ado Q \ O Ct` p C) u` �J . LU ,SSE IL OD - h �OEE m 1190 1062 173 Q) Olt�� li 0 CPO ii r � ;. IN m O A O J O ell I, z Q If) + -�4 ,C 8B t ,19 - W e uj •Q/\,8 S 911 a 3ndn0,► N � -{- - - b I ! 94.1 1'Ci P'J 99'19 rA o Otir Ole,! +Y �M 1110510 sM'� � N --AQi in r. W °' /��• Q C p O v r m O o „ - n v O Z r OE M V N Q. a LC) o / ��` N 1 O 18'69 O V Q O'40 08 I`1 a Q 9, h n Q M d NLYON 9[I M L19L1 M Q Q \ \ H-LWOON LI'19 N M,LO�ODN YIJf66 '1'' .��•� [0' ! 09 IN �L[9 N Soli I • L ��r\ .G not Ip II N e \ ,oty \� 1 -� N \\ ,� o I — 9 ►e I - Q W v w O to 3 LO OSOS r, 01 \ ZC at ,19 C91 1V Q Z' O Opel \ I r Ny N CL L`-, IfI NO N CP ^ . N M m ,8►I I m Jd 68 .--_.A-- -- _ �i 41,LO.O14 3nN3„ �/N - N � c OQ ,99 Ob -` _ ,99 Ob u o � I M +1►N -` d 00 �.t►.00 a OD :' 00 m � I z y w �i 0' � U of �I o 0 OI 01 o eI _ p n O I I 3AV 4198 M S I I 0 b099 o 98 OSe \ a 2198 Z 9£9e 0199 2198 I o 5198 6098 \ 0098 I o I 1198 Z 198 I p0 ,r > a, M I o Mf M O O F- > C O O "' � N OZ99 w _ 1— p / --- - 99601 \ 'n W 9£19 !9601 N In v I ti �_ N N 69601 - O I OD G W �.J 9898 _ OD IL601 08L C m 9LL9 I Lose - J W 8089 — u > OLL9 Iles 0- 9oe8 .�� I N �- �`� 8189. � `Z8B g�se obBe glee tisb 0988 Y I I 9Lee OLee gtieB �3 oties con 0 i _ I c o 0 0068 I 3Ad" — 41619— M 5--- IIF9 Of 60 o I I>f69 9tso 096e 99st�� �0C4 IV 0969 00 n7n