11865-11945 SW BURLCREST DRIVE •BURLCRFST DR. 11865 to•
11945
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PURCHASE / CHECK REQUEST
VENDOR ¢�•�
11DDRtaS 495 SW I7,3•r.P
CITY 4F TIRDa�"'�
DATE /Z -3 R--QUESTED BY UNIT/DEPT'.
�— �rfG�n ptr/n 4
PURCHi,SE REQUEST CHECK REQUEST
L_ I PREPARE PURCHASE ORDER CHECK TO BE MAILED WITH ATTACHMENTS
J ;LNu CONFIRMING P.O. C, NOTIFY REQUESTER WHEN CHECK IS READY
SPECIAL INSTRUCTIONS M,kTro j � CHECK NEEDED BY
ANdkew^y Cus 4 6o.�d wllK Ma 1K jo„a�cs 60•�
For Sir oAr_.,,:i
�cil•l�11.L4.�
ACCOUNT NUMBER QUANTITY INVOICE NO. & DESCRIPTION TOTAL PRICE
_ � -
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TOTAL REQUESTED
APPROPRIATION BALANCE _$ /
Amount / In;tials
APPROVALS:
' SECTION MANAGER (Less than $100)
DEPARTMENT HEAD —
CITY ADMINISTRATOR'S APPROVAL
----------------------------- ACCOUNTING PURPOSES ONLY
Amount Paid Signatures Checked
P.O. No.
Check Number Fin. Director
Date Paid
DEPARTMENT FlEo
C17YOFT11FAIV
WASHIWU iON O✓'ISM,OREGON
October 27, 1982
Diane Howard
Leonard Adams Co.
11420 SW Lanyon Road
P.O. Box AA
Beaverton, Oregon 97005
RE: Metro Paving, Inc. , One-Year Maintenance Bond
Dear Diane:
In reference to your request of October 22, 1982, the paviig, done by Metro
Paving in the City of Tigard last July, i,, still on its maintenance period.
They completed this job in Ju,,,- 1982.
If they wan to replarc th-i r cash bond with a maintenance bond, tet .^aintenance
bond would have to run through Jul), 1983, for the same amount as the casn tend
was for. '
Hope this answers your questions.
Thank you,
R.L. Thompson
Engineering Service Crew Chief
cmv
-------- 12755 S.W ASH P.0 BOX 23397 TIGARD,OREGON 97223 PH:639-4171 — -----��
REQUEST FU,i ACTION
C11YOFTWARD
w SHINGI«i CCAAM ONF7.ON
LOCATION: C 0-
PROBLEM Y�f
ti I
JL
By: Z' -- Date:
FORWARD TO: Administrator Police
Building Public Works
Library Recorder
Planning Other
Department Head Response:
ACTION TAKEN: ..--
Forwarded to:,�A
ynty P.W. State Hwy. Dept.
,
By: Date -_ /0 -'
WHITE: To Orginator CANARY: To Dept Head (9181)
11420 S W. Canyon Road
P.O. Box AA
Beaverton, Oregon 91005
(503)644-1156
October 22, 1982
Mr. Bob Thorpson
City of Tigard, Oregon
12755 S.W. Ash
Tigard, Oregon 97223
Re: Metro Paving, Inc, 1 year Maintenance Bond
Dear Bob:
As I recently discussed with you over the phone, we need a letter from your
office advising thr..'. work has been ompl.eted, the conwtion date (the bond
should run one year from the ccrpletion date) and that is just about it.
Mr. Daymon Weaver, the president of Metro Paving, Inc. , has given me this
description of the work. It was a dig out and replace approximately ,05
lineal feet of ditc:, resulting from a diesel fuel spill off of S.E. 121st.
This job was dcne for Pacific Claims. I do hone this is a sufficient
description as that is all I have.
I would appreciate your prmpt attention to this as Mr. Weaver apparently
has some $3,000. tied up under a deposit with your office until such time
as the bond is received.
Please forward this letter to my attention. I do appreciate your help and the
cooperation you've given me on this. Thank you.
Sincerely,
CLM ARD AI`A S ANY
Bond Manager
Ineutar,ce Brokers Servinq The Northwest since 1933
C� UNITED PA'C IFIC/rRELIAIbICE INGURANCE COMPANIES
/PROTECTiION PORTLANDBRANCH LLOYD TOWER • SJITE 300 - 925 N E MULTNOMAH • P O DOX 5669
PORTLAND, ORFGON 97229 ' AC 503 239.9700
July 20, 1982 REC'EIVED
,IuL 2 19A?
City of Tigard CITY OF TIGAKU
P.O. Box 23557
9020 S.W. Burnham St.
Tigard, Oregon 97223
FILE: 093 82 03392
INSURED :.RAM, DAVID & MARJORIE
DATE/1-0K. 4•-1-82
AMOUNT OF PAYMENT: $5,000.00
CASE NO. 82-0790
We are the carriers for the above reamed Insured. We have been notified that this loss is
under inves+Igation by your department. We have pad the above amount with respect
to this claim.
In consideration of this payment, the above named Insured has subrogated to our company
all rights, titles and interests in and to the property for which claim is made.
We request that you immediately notify our company in case of any recovery of property
connected with this loss so that we may properly identify the pi"perty recovered.
Very truly yours,
UNITED PACIFIC INSUrANCE COMPANY
Jacquelin Hodson
CLAIMS DEPARTMENT
,lH/lml
LC 5716 FD.9172 Ng
APPLICO TION -- STREET IMPP EMENT/EXCAVATION COPY TO:
❑ IWHITE)•FILE
ORDIhHNCE NO. 74-111 ❑ IBLUE)•INSP.
[] IYI LLOW)-OTHER AGENCY
;INSTRUCTIONS ON SEPAPA rE SHEET) 'J I',NK).APPLICANT
APPROVED ❑ ' APPLICATION NO.: /7
NOT 'APPROVED Cl CITY OF TIGARD, OREGON FEE AMT.:
PENDING FEE.PMT. Cl CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBLICYi,DRKS DEPARTMENT BY�LT DATE
PENDING AGENCY "OK" ❑ Appl-'nation and Progress Record MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STP: 'T IMPROV' T/EXCAVATION AS REQUIRED .g----
ANNUAL O
PENDING VARIANCE ❑ EXPIRATION DATE: /
PERMIT NO.: S'Z _ DATE ISSUED: — � C_ L- , BY: u
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL _.._-
AS DESCRIBED HEREIN, IN FULL ACCORDJAN E WITH CITY REQUIR:. ENTS.
APPLICANT L1�� �l _ ' ham!_ /JJJ�I{IJ,
-- • - - AME - _ ' ADORE-SSi -CITY --------- E
CONTRACTOR _ ^_S /y �' ____- _ __�,_ —.._. __.—_
NA n�— ADDRESS -�_CITV PHONE
PLANS BY ------ NAME _--- --- ADDRESS CITY �MONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( CO':,T). g-j &-o
� -
(2) EXCAVATION DATA. DOLLARS FOR OFOR O f FFICH USHi�1 ._ZefL' UMIN.
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
QQ STREET
EC-
�� �- ,/ OPENED
yLY�L- �-' �. 7 11 C R TION _
U ---
ESTIMATED STREET OPENING DATE: -_--_ ES _
FSTIMATED STREET CLOSING DATE: ED
- - .
(3) SECURITY NO. _ SECURITY AMT.: S C v , ` -cfREET
- --
SURETY CO.: ._ _ FINAL
CERTIFIED CHECK U CASH BOND t1 INSPEC.
(4) PLOT PLAN. INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT. /�}/^�C�� e
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1 I I I ) I
(5) NOTE THE CITY OF TIGARD DOES NOT HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAV 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 SrVE HARMLESS THG CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESUI.T FROM APPLICANTS ACTIONS.
APPLICANTS ..iIGNATURE; '-ATE
G�rZ�
CITY OF TIGARD—12420 S.W. — TIGARD,OREGON 97223
RECEIrf
AMOUNT.Sr'
`� DOLLARS
NAME:
i
ADDRESS: -41 7 -- `,. .:s;/ '7= =� _ CHECK:---
M.O.:
HECK: _M.O.:
OF
FOR: ACCT. / PERMITS SURCHARGE AMOUNT
SEWER BILLINGS 40-364 _ S
BUSINESS LICENSE 05-331
PLUMBING PERMIT 05-332 _ S --
MECHANICAL PERMIT 05-332
BUILDING PERMIT 05-333
SEWER CONNECTION 40-363 _
SEWER INSPECTION . 40-365
SYSTEM DEV.CHARGE 25-366
PARK DEV.CHARGE #1 30-:67 i
— — i
PARK DEV.CHARGE #2 30-368
ZONING ADJUSTMENTS 05-362 _
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TOTALS
RECEIVED BY: c��Irl
— i
PERMIT NUMBERS ASSIGNED: —"--`
Number Amount Wimbor Amount Number Amount
[kqClIPT ,#jj_ 15c
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REQUEST FOh ACTION
CRY Of nfA' RD
w SHW,"CCAJ 1"ONE:AN
LOCATION: k
PROBLEM:
Grp" •- ✓- --111�+-�Lt/��/�` dC• , F��
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By: _ iy,� t-- Date:
FORWARD TO: ,dministrator Police
Building Public Works
Library Recorder
Planning Other
Department Head Response:
ACTION TAKEN:
Forwarded to: County R.W. _�....... Mate Hwy. Dept.--
By:
ept.By --- ....... --
�._. Date ---
WHITE:
_WHITE: To Orginator CANARY: To Dept. Plead (9/81)
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C11Y OF TBPA RD
WASHINGTOt4 COUNTY.OREGON
June 25, 1982
Sunset Fuel & Engineering Company
2944 SE Powell Blvd.
Portland, Oregon 97202
RE: Stove Oil Spill
Dear Sirs:
On June 22, 1982, I received a call from a resident on W Burlcres`. Drive stating
uiat one of your fuel trucks, #320, had spilled stove oil on the street. By the
time 1 got out there, your crew had spread sand over most of the spill area.
They stated that they would "clean up" before leaving.
On June 23, 1982, I received another call from a resident that you had not cleaned
up the sand that you had placed on the spill. I called your office and they
stated that they could not get it done that day, but would do it the next.
In making a field check on June 24, 1982, I found that the "AC" asphalt was al-
ready starting to deteriorate where the spill had occurred. I had our road
maintenance foreman check it and he stated that the area of the spill should be
replaced and any rock under the "AC" which had been contaminated should also be
.removed.
`therefore, please consider this as official notice from the City of Tigard to pro-
ceed to have the work done as soon as possible.
Thank you,
R. L. Thompson
Enq'r. Service Crew Chief-
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12755 S.W.ASH P.O BOX 23397 TIGARD,OHEOON 97223 PH-839-4111 -- —,
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V U L4. 234-0811
RFq- 663-5745
Sunset Fuel and Engineering Co.
* 6 0 OVKA 50 YA.6 IN p-TN0 0 0
A • AIR CONDITIONING
HEArING OILS
,4 /,,I� • FURNACES
• HEAT PUMPS.e�
Terry 1-croadat; 2.0 4 4 S,E, POWLLL 13 LVD.
OOQMATION NIANAcK� -'-)RTI-ANC), CRILEGON 97202
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