The URL can be used to link to this page

13780 SW ASH AVENUE-1 FILA NO. 17-79 ASH AVENUE - 13780 s R. OPN. PFRoIT i APPLICATION - STREET IMPR CMENVEXCAVATIONCOY TO: ORDINt, SCE NO 14-14 [� IWMIT1 - FILE LUE �INSP. V[CLOWI-OTHER AGENC'V (INSTRUCTIONS ON ,;FPARATE SHEET) (PINK) -APPLICANT APPROVED APPLICATION NO.: .----J?? _ NOT APPROVED CITY OF TIGARD, OREGON FEF AMT. >6 .__..._ PENDING FEE. PMT. ❑ CITY HALL RECEIPJyO.: PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY _.!._._t" DA •E____. S3/ l� PENDING AGENCY "OK" p Application and Progress Record - - - - - S MAINTENANCE BON PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS RFou1RED A NN U.41_ p PENDING VARIANCE EXPIRATION DATE: PERMIT NO,: _�Q DATE ISSUED: ___.�.�_-_7. -. BY: ir (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL_ _ c AS DESCRIBE H R I / FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT NAM A ___J`-- h.. ._____ �-if��'J _ _�`'L `f11�/ tITV PHONE a / ` CONTRACTOR JJ/[[��// NAME � Ap�jpPHONE PLANS BY NAME ADORES! CIT" _--_� -PHONE_____ ESTIMATED IMPROVEMENT- TOTAL VALUATION ( COST): $ DOLLARS FOR OFFICE (2) EXCAVATION DATA: _ 0.02 X s -- STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED TYPE LENGTH WIDTH DEPTH r,17EM 8 gUANTITY ITEM OA'TE REMARKS/TYPE BY .JGrG�S1� L�T SPRrE,ET —s. ED INSPE - R TION E Q ESTIMATED:STREET OPENING DATE:_ J / EST,IMATED STREET CLOSING DATE: T D _ (3) SECURITY NO. s.3 SECURITYAMT.: E s J CLOSED SURETYCO.: 1(��/�l�l.-�. FINAL CERTIFIED CHECK U CASH a soND INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS: I FEATURES; EXCAVATION I-OC/ITION AND EXTENT.' 'URB - ' - - - - - - - - - �_ 1\ _ - I 3 7G' S (5) NOTE: THE CITY O: TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERF RIGHT-OF-WAY JUR SDICTION IS THAT OF WASHiNflTON 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 IPIJURY OR DAMAGE WHI::H MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE: ' DATE Al"I'LiCATION STREET IMPI- 'EMENT/EXCAVATION COPY TO: ORDfNmNCE 1`40, 74-14 0 (WHITE) FILE ELLOW) OTHER AGENCY (INSTRUCTIONS ON SEPARAT E SHINSPECTORS C [3 OPY 0 �''tj'E) 'N's" C] (PINK) -APPLICANT (ROVED 11 APPLICATION NO.: NOT APPROVED 0 CITY OFTIGARD, OREGON FEE AMI.: S PENDING FEE, PMT. 0 CITY HALL RECEIPT NO.: PENDING SLCURITY ❑ PU&LIC WORKS DEPARTMENT By ------- DATE--__L- - - - ___L I - - - - - - - PENDING AGENCY ''OK" Application and Progress Record - - - - - EN PENDING INFORMATION El FOR STREET IMPIMPROVEMENT/EXCAVATIONMAINT AS F? ANC Erjtjl,?E BONDFtl PENDING VARIANCE ANNUAL EXPIRATION DATE: PERMIT NO.: DATE ISSUED- (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL CCORDANCE WITH CITY REQUIREMENTS. APPLICANT CITYCONTRACTOR E PLANS BY NAMEAD5-Fi—jESj PHONE CITY PHONE— ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S DOLLARS (2) EXCAVATION DATA: 0 0 FOR OFFICE jiga: MIN, .00 2 X S STREET PROGRESS DESCRIPTION PROGRESS & INSPECTION STATUS TYPE --CUT MATERIAL INSTALLED f_rEM NAME SURFACE CU CUT LENGTH WIDTH -DEPTH —ITEM & QUANTITY ITEM DATE REMARKS,ITYPE By STREET OPENED I S—P-EZ— R 1,1014 U ESTIMATED STREET OPENING DATE: E 0 N OPENED E T ESTIMATED STREET CLOSING DATE: j S STREET (3) SECURITY NO. -__ SECURITY AMT.: CLOSED SURETY CO.: .- FINAL CERTIFIED CHECK tj CASH ri SIOND 1. INSPE (4) PLOT PLAN: INDICATE Sp I SITE PERTINENT PHYSICAL SPECIAL PROVISIONS CONDIT!ONS� FEATURES: EXCAVATION LOCATION AND EXTENT. I I II NOTE: THE CITY OF TIGARD VOrS NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGOM THE APPLICANT AGREES To DEPOSIT THE REQUIRED SECURITIES, To COMPt `e WITH ALL. PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND 0 SAVE HARMLESS 'rHE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE, DATE CITY OFTIGARD- 1247,iS.W.MAIR9 TIGARD GREG �j RECEIPI Pt 972;13 DATE:. NAME: 'r �- -_ —_ --- O w -' GASH: ADDRESS: 15 , ' Q CH:EC FOR: _ — ACCt. OF M.O: ` - NRMIT= iURCNAR4N ` AMOUNT_ SEWER BILLINGS 40-3(A _ BUSINESS LICENSE 5 05-•331 _ PLUMBING PERMIT o5-3,92 MECHANICAL PERMIT 05-•9:32 WILDING PERMIT U5 333 + SEWER CONNECTION 40-3A3 - SEWER INSPEC 1' )N 40.365 `- SYSTEM DEV,CHARGE 25-366 PARK DEV.CHARGE #1 30-.367 PARK DEV.CHARGE #2 - 30-,368 ZONING ADJUSTMENTS 05-362 TOTALS YECEIVED BY: PERMIT NUMNRt - Numba_ Amount- ? mountNumber Amounl Numbar` r t `�7- 7`� � � Amount 14 RECEIPT R50 a -fay 23, 198o Aikdcls `1ana;ereont & 5tt,,rly 9721 narbur Blvd. Portland, OR 97219 Reil 't 12 09 1S rent:lemen: Thn City of Tigard is r.eleaai.ns; the above mentioned bond to you for cutting, on 7Ft1, an(! 13onitn in '4arch of 19714. Viank yoit for yotir co-operation in this matter. Yot:re frvily, Poharr to Tho"npoon Ihshlic 'lorl,a Tnsnactor '.I,rtpjr Cne 1.. I f i i I I' !fay 23, 1980 Edward J. 'Thoennes 16450 V IMt.i► Tigard, 01). 97223 Ry,: Bond No. 93 34153 (:e.ntlemen The City of Tigard is relensinr; t:he Above bontii for �mrk clone at 13780 "'t Ash "trent in i,tay, 19,19, Thank you for your cowoperation in this mAtrer. Yours truly, Robert L. Thompson Public Works inspector RL'T:pyr h:nc1. May 23, 1980 vatki.n & Cc mpany 14330 5W 72nd Avenue Tigard . OR 97223 bond �v1o. 8030-51-38 r entlerm : "nelosed plead find your abovo ;ientinned bond for a street opanim-, door. hack in June of 1979, beim; returned to you. '('hank you for your co-operation in thim matter. Yours truly, Robert I.. 'Mompson riiblic Works Inspector RLTIpjr ?ncl. rc)..............., OREGON AUTOMOBILE INSURANCE COMPANY M)NIF M VICF . PORTLAND,OREGON 9720; Bond No. SB 31153 Premium: $gC 00 ?yr. Adv. KNOW AI.L MEN BY THESE PRESENTS: That we, EDWARD J. THOENNES as Principal , and the OREGON AUTOMOBILE INSURANCE t1 , a corporation of the State of Oregon, lawfully doing the business of Surety in the State of Oregon, as Surety, are held and firmly bound unto CITY OF TIGARD, OREGON, as Obligee, in the sum of FIVE HUNDRED AND NO/100--------------------------------------------------- ($ 500.00--- ) or w c sum well an tru y to be paid, we Bind ourselves, our eirs, executors, administrators, successors and assigns, firmly by these presents. IN WITNESS WHEREOF, we have hereunto set our hands and seals this 22nd daffy of _ May _ 1979 THE CONDITIONS OF THIS OBLIGATION ARE SUCH, That WHEREAS, the above bounden Principal is desirous of obtaining a permit in accordance with Ordinance No. of the Ci Ly of Tigard, Oregon for construction in a public right-of-way, to Wt- for cut in str3et at. 13780 S.W. Ash St. , Ti and Oregon_ for eTi period` eginn ng `the 22nd _^ ay o May 7979 - NOW, THEREFORE, if the said Principal shall , during the continuance of the term for which said permit shall be granted, faithfully observe and honestly comply with the provisions of said permit and restore said right-of-way to good or better condition as existed prior to said construction, then this obligation shall be void and of no effect, but otherwise to remain in full force and effect. THE AGGREGATE LIABILITY OF THE SURETY HEREUNDER shall in no event exceed the pentaly of the bond as stated above. The surety may cancel this bond by giving 10 days written notice to the Obligee, the Surety, however, will remain liable for any default occurring during the period up to the expiration of said 10 days notice. EDWARD J. THOENNES Principal OREGON AUTOMOBILE INSURANCE COMPANY /Joan Partee, 7`tlorney in ai"'ct — l I APPLICATION --- STREET IMPR 7MENT/EXCAVATIONIII COPY TO: ORDINr-NCE NO, 74-14 Cl (WHITE) - FILE ❑ (BLUE) -INSP. it (INSTRUCTIONS ON SEPARAT'F SHEET) ❑ (YELLOW) -OTHER AGENCY ❑ IPINK) APP'.ICA14T APPROVED 1 I - - JT APPROVED p CITY Ol•"1'IGARD, OREGON APPLICATION NO.: PENDING FEE. PMT. FEE AMT. f ❑ CITY HALL RECEIPT No.: . PENDING SECURITY ❑ 1PUBL IC WOHKS DEPA R TMEN T BY ___ __ PENDING AGENCY ''OK'' DATE_____��__� ❑ Applicatinn and 1'rogress _Record - - _ - - - - - - - '- - - - — PEIIDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAV4TION MAINTEN'kN CE BONDAS *-- PENDING VARIANCE ❑ ANNUAL EXPIRATION DATE: PERMIT NO.: T _ DATE ISSUED: j �/ _ BY: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND iNSTALL�` AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPI_I�ANT _ CONTRACTOR CITYPHONE`- - - --..NAME ---- -- PLANS BY CITY i+IioNE--- NAME _-�ITY ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST': C : $ _ --- DOLLARS —� 2) EXCAVATION DATA: FOR OFFICE UEE� �"- -"--' 0.02 X f ❑MIN.- f STREET _. DESCRIPTION �_ PROGRESS_& INSPECTION STATUS CUT NAME SURFACE TYPE CUT CUT MATERIAL, INSTALLED LEPIGTH WIDTH DEPTH - ITEM ITEM DATE REMARKS/TYPE BY At QUANTITY —�. STREET -- PENEU _ 1NSPE,:- _-w R TION E --� ESTI FIA T'ED STREET OPENING DATE: U E — ESTIM ATED STREET CLOSING DATE: a5. 1 S - - --- E D (3) SECURITY NO. SECURITY AMT: $ —___q STREET- -- SURETY CO.: _ -- CLOSE _ CERTIF-IED CHECK--II — FINAI. tASM ❑ •ONn tNSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL �� C• FEATURES; EXCAVATION LOCATION AND EXTENT. SPECIAI PROVISIONS/CONDITIONS: I I (UR 9 (5)� NOTE THE CITY OF TIGARD DOE, NOT, HEREBY, GRANT PERPI'SSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF-WAY JURISDICTION IS 'HAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO r F.PCISIT THE REQUIRED SECURITIES, I'D COMPLY WITH ALL PERTINEpIT '-AWS AND CONSTRUCTION SPECIFICATION ; PERTINENT TO CONDUCT OF TILE WOPK, AND TG SAVE HARMLESS THE CITY AND EMPLOYF_F:S AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. I APPLICANTS SIGNATURE -_ --- DATE I l