7045 SW LOLA LANE FILE NO. 421-91
LOLA LANE SW -• 7045 STR OPN PERMIT
..�ru�swra
APPLICATION - STREET IMPRQ' RENT/EXCAVATION COPY TO:
(WHITE)-FILE
ORDINA...'E NO. 74-14 (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AGENCY BLDG.
(ALUE)-APPLICANT
APPROVED IKI APPLICATION NO.:
NOT APPROVED [] CI I Y OF I I(.ARD, ORF•GON FEE AMT. S _-18.40 _ --
PENDING FEE. PMT. ❑ CI IN' II:•I,I. RECEIP �� Z I �3GoZ ---
PFNUING SECURITY ❑ PUBLIC WORKS DEPARTMENT By DATE -S L1_J-91�
- - =
PENDING AGENCY ''OK" ❑ Apph:.,timi ,Ind I'rogr(•ss Record
FMAINTENANCr
PENDING INFORMATION Ll FOR STREET IMPROVEMENT/EXCAVATION A5 REED
ANNUAL
PENDING VARIANCE EXPIRATION 9ATE E YEAR—_
— -7 r
PERMIT NO �_ 7- L-` �--- DATE ISSUED: - ��,� .� -- . BY - - ''-- - - -
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL —coNc DRIVEWA _APRON
& SIDEWALK AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY R�EQUIF�F� NTS.
APPLICANT _FRED SWAN _4826 SW MARTHA _ PORTLAND OR 97221 _h-452w
-yy1664
NAME - nDDRE45 — - CITY----_--� PHONE
CONTRACTOR CHUCK'S CONCRETE _ _ 656-3080
NAME ADDRESS CITY (HONE
FLANS BY _--__PER CITY STANDARDS & SPECIFICATIONS (ATTACHED)
__._AD_---- ---_ _ _�-- ---- �. -
NA�--vDRE49 CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST)- $ 460.00
DOLLARS _
--9— - FOR OFFICE Uf11i ---- MIN.
(2) EXCAVATION DATA: 0.04 x s_-.460-00-__-__ 1 -13-40__
—STREET _ DESCRIPTION __ PROGR_ ESi & INSPE' TION STATUS
NAME SURFACE CUT CUT 'IAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH D£PTFI ITEM & QUANTITY
STREET --- —-
_rt
'N D
INSPEC-
S.W. LOLA LANE S E ATT A HEli R TION
Q
E
ESTIMATED STREET OPeNING DATE: wI S
T - —
ESTIMATED STREET CLOSING DATE: E
_-- - - .-_ - D - --
(3) SECURITY NO. --_.. _.--- SECURITY AMT: $ 460.00 - STREET
i:L03ED
SURETY CO.: _ _ - FINAL r'
l4XMIX1iCHECKQC CASH_❑_ BOND ' INSFeG
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL -� SPFCIAL PROVISIONS /CONDITIONS.
FIE ATURE,^, E.4r.& 0"*T+ N-",CATION AND EXTENT. 1. All work shall conform to City
SITE: 7045 S.W. Lola Lane, - —
_Standards & Specifications.
work 2. Notify Carl Viewed, City Inspector
1 1 , a Iia (#639-4171), 24 hours before
.ww - , ( - - - -- - -- - - - 1 -- — -- -
starting work.
�I. Excavator must comply with
-r------- - i�9F;RIf�- -- ORS 757.541 571 (utility's
(cul-Ile-eac) � �--- -- etc. ). - -
prelocation,
4. Traffic & pedet trian control
shall be provided for by the
I I �
I I I
contractor, at all times.
(S) NOTE THE CITY OF TIGARD DOES NOT, NFREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT OF WAY JURISDiCTION IS THAT OF WASHINGTON COUNTY nR THE .STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, 1v COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT 1-0 LO NDUC r OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APP,ICAN TS ACTIONS
APPLICANTS SIGNATURE _-V- iLJri✓V1�. DATE j / / ..( / T —
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THE RAZ�EkkY MokT0H SUGt,IvISIr-W Sheels
I,j"1/4, 9E 1/4, 5EG'IION 45, TIS ,KIW, W.M.
LIASHIN<<i TON cOUWTT , CITY OR Tldl ltr�
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�5 MIN.—
CURB JOINT SEE NOTE 5
�- 2 /o
ROAD r p
'-2" OF 3/4"-0
COMPACTED SUBGRADE
SIDEWALK ADJACENT TO CURB
R/W
Nr 5' MI N 6•
i
i
ROAD �- 2
'SEE NOTE 5
I
2" OF 3/4"-0
COMPACTED SUBGRADE
SIDEWALK AWAY FROM CURB
NOTES
I. CONCRETE SHALL BE 3000 PSI AT 28 DAYS , 6 SACK MIX , SLUMP RANGE
OF I V2" TO 3"
2. PANELS TO BE 5 FEET LONG
3, EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES ,
UTILITY VAULTS ,WHEELCHAIR RAMPS, a AT SPACING NOT TO EXCEED 45 FT.
4. FOR SIDEWALKS . OJACENT TO THE CURB 9 POURED AT T HE SAME TIME AS THE
CURB, THE JOINT BET�vrEN THEM SHALL BE A TROWELED JOINT' WITH A MIN. 1/2"RADIUS.
5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF NJUNTABLE
CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DrIVEWAY .
OTHERWISE SIDEWALK SHALL HAVE A MINIMI'M THICKNESS OF 4 INCHES .
6. DRAIN BLOCKOUTS IN CURBS SHALL BE EXTEP j TO BACK OF SIDEWALK WITH 3"DIA. BLASTIC
PIPE AT 2 % SLOPE CONTRACTION JC 4T TC BE PLACED OVER PIPE.
WASHINGTON COUNTY
�DEPARTMEN'T OF LAND USE CONCRETE SIDEWALK
( 40 AND TRANSPORTATION
DATE CIVIL ENGINEER DRAWN APWA NO. WASH. COUNTY NQ
17 Y. _ AE4_6-89 NONE CS - 305
3C),
-24' - 0" MAX. 12' - 0" MIN. _
DRIVEWAY R/W LINE
cn W CONTRACTION JOINT OPTIONAL
ac SIDEWALK
LOCATION
B SIDEWALK EXPANSION JOINT B
EXPANSION JOINT
CURB JOINT
i5r A I�,
L3' - 0" 6' -0" MIN. '12"-0" MAX. 6' - 0" MIN. "f2`• 0" MAX.
FACE OF CURB
SIDEWALK ADJACENT TO CURB SIDEWNLK AWAY FROM CURB
PLAN
.� I-I/2" EXPOSURE
USE EXISTING EXPANSION
t JOINT OR SAWCUT AND
ELEVATION B-B PLACE COLD JOINT.
SEE DWG. NO. CS-306.
STREFT -j'
6/
COMPACTED SUEWAOE - 2" OF 3/4" MINUS
SECTION A -A
NOTES
1. CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 PS.I.
AFTER 28 DAYS , F SACK MIX.
2. CURB JOINT SHALL BE A TROWELED JOINT WITH A M1141MUM 1/2" RADIUS
ALONA BACK OF CUPS.
3. EXPANSION JOINTS SHALL BE 1/2" PREMOLDED ASPHALT IMPREGNATED
MATERIAL OR EQUAL , EXTENDING FROM SUBGRADF. TO FINISHED GRADE .
4, SEE DWG. NO. CS-300 AND NO. CS-305.
WASHINGTON COUNTY
D
EPARTMENT OF LAND USE RESIDENTIAL DRIVEWAY
W AND TRANSPORTATION
DATE CIVIL E149INEER �- DRAIN APWA NO. WASH. COUNTY Na
1L71f -IV ..- '-I-- I AEA a._ NONE DW— 200
IA• jF CURB DRAINAGE BLOCKOUT
WIDiM OF STREET 3" I.D. PLASTIC PIPE
WITH COUPLING
I" R --� 6" -1/2" R /
ROAD iO • I
-r•--
Ij.
MAX. -
e
BASE COURSE •
� A
9 -
I• FOR DESIGN SPEEDS GREATER THAN 40 MPH THE EMERGENCY MOUNTABLE
CURS CS-300 SHALL BE USED.
2 CONCRETE TO HAVE A BREAKING STRENGTH OF 3000 PS.I. AFTER 28 DAYS.
EXPANSION JOINTS.
A. TO BE PROVIDED
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 .
5) AT LOCATIONS NECESSARY TO LIMIT SPACING TO 45 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 15 FEET
B THE DEPTH OF 1 HE JOINT SHALL BE AT LEAST IV, INCHES .
4. BASE ROCK -2"-0 OR 3/4"-O , 95% COMPACTION. BASE ROCK SHALL BE TO
SUBGRADF OF STREET STRUCTURE OR 4" IN DEPTH , WHICHEVER IS GREATER .
S. DRAINAGE BLOCKOUT - 3" DIA. PLASTIC PIPE .
A. I.D. PLASTIC PIPE WITH COUPLING.
S. DRAINAGE ACCESS THROUGH EXISTING CURBS SHALL BE CORE DRILLED OR CURB
SAW CUT VERTICALLY 18• EACH SIDE OF DRAIN 8 REPOURED TO FULL DEPTH OF CURB.
WASHINGTON COUNTY CURB NON - MOUNTABLE
DEPARTMENT OF LAND USE FOR USE ON MEDIANS
AND TRANSPORTATION
DATE CIVIL ENGINEER DRAWN APWA NO. WASH COUNTY NO.
IZL'5 b-e� 18 ( MOD.) cS - 301
cwt CF 1UGAI2D
EXPENDITUIE RB7JESI'
,'Rum form is a =It-i-u,e form. Appropriate receipts must be attached. Documentation
important for all purposes. Staple documentation to form.
VE•24MR NO.: � I ( � DATE: '4- 11 —9 Z
PAYABLE 110: F reit,rl c.K��I,Sw_zvc �ces��ev�}cLl lny � IX2� 'ID BY:
z� S w � __
r, 9"7 z -1 * Approved request due Wednesday
10:00 AM to A/P for checks by
Friday.
MISCEWUTDOLJS F-NPENDrIURES: - int I I
Date Description, Invoice No., etc. Account No.
�F Ob $
o zs ► � .10 -ZZ
_ _ ^ tCAA1 vt ej-+tit
`7-133W
-Jr
1C1IAL $ 4&0V 00
Mileage $0.255 ^— —'---
APPROPRIATION $AMICE: _ AS OF: SIGNATURE:
(11p to $25.00) Section Manager Purch. Agent
($25.01-2.,500.00) Uiv._r;ion ilanager —
($2,500.01-7,500.00) Dunt. Ilead
($7,500.01-15,000.00) City Arini.nistrat-.or
($15,000.01- ;') Local Contral-�t: Re••`..ew &.)ard
11501-F
t
APPLICATION - STREET IMPRC 1/IENVEXCAV^.TION COPY TO:
(WHITE)-FILE
ORDINA.rCE NO. 74-14 (YELLOW)-INS
(PINK)-OTHER AGENCY BLDG.
(INSTRUCTIONS ON SEPARATE SHEET) (BLUE)-APPLICANT
APPROVED KI APPLICATION NO.:
NO. APPROVED ❑ CF,Y OF I IGARD, OVEGON FEn AMT.: : �1.8.40 --
PENDING FEE. PMT. (,] C%I Iti I-IAI.1, RECEIP �7�=.--'—"$3
PENDING SECUR' r ❑ PUBLIC WORKS DEPARTMENT 'Y `_� DA
PENDING AGENCY "OK" ❑ Application and ProQrrss Record MAINTENANCE BONI a*_ --
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION A5 REQUIRED
,ANNUAL
EXPIRATION ATE
PENDING VARIANCE QN� Y
/'-' --
PERMIT NO.: 4_Z__ _-AI DATE ISSUED: __-�_. �_L�� _. BY
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR A14D INSTALL DRIVE'WA_-_ APRON
G SIiIGWALI' AS DESCRIBED HEREIN, IN FULL. ACCORDANCE WITH CITY REFNTS.
- ,-- - w--
APPLICANT __ [,'RED 1WAN 482.6 SW 'IARTHA _ PORTLAND OR 4a'1211 h-452-1664 —_
CONTRACTOR CHUCK'S Cx_^'I`-`t ET'' 656-3080
NAM ---- ADDRESS — — - CITE' PHONE
PLANS BY _-_PER CITY STANDARDS & SPECIFICATTCXiS (A'T'TACHED)
NAME ADDRESS C—IT V PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ —_. 460.00
COLLARS
--—
- - -----'-- -- FOR UFFICH USES CMIN.
(2) EXCAVATION DATA: 0.04 x f
DESCRIPTION _^ PROGRESS tic INSPECTION STATUS
STREET
NAME SURFACE CUT CUTT CUT MATERIA- INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH I DEPTH ITEM 6 QUANTITY ,-
- — — —' STREET
PEN D _
IN TP C-
.W. LOLA LANE .(SF A'rTA HED) E --
Q
u _ --
-- E
ESTIMATED STREET OPENING DATE: -----/ S --
T
ESTIMATED STREET CLOSING DATE: L— t E
D
460.00 STREET
(3) SFCURITY NO. _ - SECURITY AMT.: $ CLOSED
SURETY CO FINAL I
--H--_ .-- - INSPFC �t'I-�Z Ct 1Y ✓1 U
ZS CHEI V. x f_ASN :1 BOND ,
(Q) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL — — SPECIAL PROVISIONS/COND TIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT. 1 . All work shall conform to SiL
SITE: 7045 S.W. Lola Lane Standards & Specifications.
1 1 ) 1 w ,r 1, 2. Notify Carl Vieweg, City InspActc:n
j L 00 (#639-4171), 2t hours before
1%% — starting wo-A.
"Re - - - - - '" - - - - - - ✓� 3. Excavator must comply with -�
CRS 757.541 - .571 (utility's
(cul.-def-sale) prelocation, etc.).
4. Traffic & pedestrian control
I I I
shall be provided for by the
1 I I contractor, at all times.
(5) NOTE THL CITY OF TIGARD DOES NOT, HEREBY, BRANT 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 WIl'H 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 :.PPLICANTS ACTIONS.
APPLICANTS 3IGNATURF _. ( 1411 IC t 1r'r_ _ DATE
.DEFINE:entrct=case->eng definition incorrect
ENGINEERING PERMIT
PERMIT # . . . . . . . : ENG91-0022 DATE ISSUED: 05/17/91 By: _
PRIM. PERMIT #. : MST90-0385
SITE ADGRESS. . . : 07045 SW LOLA LN PARCEL: 1S125DB-09300
SUBDIVISION. . . . : THE RAZI-,ERRY PATCH ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 13
--------------------------------------.----
--------------------------
PERMIT TYPE. . : SOP IMPROVEMENTS QUANT RA'Z'E VALUE
AGREEMENT DATE: / / GRAD/EROS
ASSURANCE EXPIRATION--- STREET
PERFORMANCE: / / SAN SEW
MAINTENANCE: / / STM SEW
UTILITIES
ALL OTHER
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Remarks : STREET OPENING, TO INSTALL A CONC DRIVEWAY APPROACH AND SIDEWALK.
Permittee: ---------------- - FEES
FRED SWAN type amount by date recpt-
4826 SW MARTHA ST OPEN $ 18 .40 JSH 05/17/91 213362
PORTLAND uR 97221
Phone #: 239-9977
Engineer:
ENGINEER NOT ON FILE
$ 1.8 . 40 TOTAL
Phone #:
-- ---- REQUIRED INSPECTIONS -------
Permittee/Agent Signature : ---STORM SEWER--- ------STREET------
M.H. & C . B. r_RB 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
----SAN . SEWER--- TRAFF & PED CONT
P.O. Box 23397 M.H. & C.O. MONUMENTATION
Tigard , Oregon 97223 PTPE LN & GRD STREETLIGHTING
Phone #: 639-4171 BCKFLL & CMPCT WALK/APRON/RAMP
FOR INSPECTION, CON'T'ACT: AIR & TV TEST
Carl Vieweg #639-4171 (office) --REPR ' S/ADJ, S- - CONTOURS
JNG-----
#780-2647 (mobile) DRAINAGE
----PATHWAYS---- EROSION CNTL.
I CITY OF' T I GA RD — RECEIPT OF PAYMENT RECEIPT NO. :91 i, -6:c
i
NAME : FREDRICK H. SWAN CHECK AMOUNT 47$. 40
ADDRESS RESIDENTIAL CONTRACTOR CASH AMOUNT 0. 00
I4826 SW MARTHA STREET PAYMENT DATE 0 /17/91
PORTLAND, OR 97c"r_'1-- SUBDIVISION
7045 SW LOLA LANE
IPURPOSE OF PAYMENT AMOUNT RAID PURPOSE OF PAYM
ENTAMOUNT 1='A I D
i PUBLIC IMPROV 421-91 1$. 40 CUSTOMER REPO `"
460. 00
t
I
TOTAL AMOUNT PAID
478. 40
mono" _'--':+err.:__._nae.mrn-.-.;++�w ---_'�ars.wil n •.
i
FREDRICK H SWAN RESIDENTIAL CONTRACTOR '
4826 SW. MARTHA ST. 452-1664 1077
i PORTLAND, OR 97221
PAY
24 201H41D
TO THE 1
ORD_ Eq
-_.DOLLARS '
(fy Sank of Orogon —.-1')Ak Grove Office
SF McLoughlin Blvd,P.O Bnv 6D209
OeM Grove,OR 91me
FOR .CIG� 1
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