13170 SW PACIFIC HIGHWAY M.N.
�1 GRADE 1�
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MARCH 30
1992
..
FILE NO.
PACIFIC: HIGHWAY-13170 STR. OPN. PERMIT
Avoid Verbal Messages
CITY OF TIGARD
To. � . from -1 opt
;-�._._..-
-
5ubject:_ �� � ,G1 i v►' ,��'...__ Date:_--- ______�_�
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r2.a.Gray& co.
co'nsTrucTIOn
October 1.0, 1977
Mr. John S. Hagman
City of Tigard
P. 0. Box 23397
Tigard, Oregon 97223
Re: Tigard Medical Clinic Street Opening Permit # 2876
Dear Mr. Hagman:
The curb has been replaced. Please inspect and release bond when done.
Thank you.
Yours t>< jly,
/
/dt '-
Hwkin Au
He/mc
Bob Neighbor
�'• 0. BOX 23516 PORTLAND, OREGON 97223
PHONE (503) 634-6127
,eptember 14, 1977
R.A. Gray Ll� Company
11445 S.W. Tiedeman
Tigard, Oregon 97223
Attn: Bob :.ray
fie : Tigard Medical '.linin
`,trePt Opening
Permit # 2376
Dear Bob:
To enable release of the bond for your work on Garrett
street, for, the Medical Clinic, it is necessa-r that ,you
repair a defective curb adjacent to the C'linic's drive-
way apron.
As soon as such is dcne,please notify us ,a;nd,upon sat-
isfactory inspection,we will cenccal said bond.
Yours truly,
John S, Hagman
Supt. rngr. Liv,
JFH/pr
Avoid Verbal Messages
CITY OF TIGARD r
To:�./ �1 .� �t �� in A From : ( /
Subject: I '
' /yam .2eri•-� C'c.�.(',/Lc "'Ps -zX ct" e,;t
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Avoid Vernal Messages A-1
CITY OF TIGARU 11
T o: From -,
`subject: U Da►:e:_
�ea S.
2
UNITED PACIFIC/RELIANCE INSURANCECOMPAtslIES�CC��•,
j �O
(Q .n
PROTECTION C/rrU isl>?
THE MEANING OF RELIANCE
City of Tigard APP 14 1977
12420 SW Main
Tigard, OR 97223
RE: SUBDIVISION BOND NO.0 95 28 84 - Street improvement on SW Garrett St. in
R,A. GRAY & W. connection with constr. of Tigard Medical Clinic
Permit #2876
Under date of 7_12-76 this Company became Surety on the above-
captioned Subdivision Bcnd.
In order to bring our file up-to-date, we would appreciate your noting at the bottom of
this letter the present status of the work.
A stamped, self-addressed envelope is enclosed for your convenience in replying.
Very truly yours,
UNITED PACIFIC INSURANCE CCGi4PANY
uarlo 'LPAPTIZAENT W. MCQU ary
DATE:
Has the work been completed and accepted? _ Q0 41
If completed and accepted the date upon
which our bond was exonerated:
Resolution No. ``JJ
IF NOT COMPLETED, is it progressing satisfactorily?_ rC5 ,
Percentage completed to date: _
Probable Date of completion: 71 — 1Z --7-7
r
I
f<I"IA I UR F) IT..1 F'1
BDU 2151 ED.3172
Suite 600 Lloyd Building • 700 N. E. Multnomah • Portland,Oregon 97232 • Telephone (503) 233-6682
APPLICATION STREET IMPRC' -MENT/EXCAVATION copy To:
ORDIN/. _E NO. 74-14 Ll (WHITE)-FILE[] (BLUE) -INSP.
(INSTRUCTIONS ON SEPARATE SHEET) [] IYELLOW) -OTHER AGENCY
❑ IPINK) APPLICANT
APPROVED APPLICATION NO.: 7
NOT APPROVED ❑ CI I Y OF TIGARD, OREGON FEE AMT.: S_ '� �AJd__
PENDING FEE. PMT. ❑ CITY HALL. RECEIPT NO.:
PENDING SECURITY ❑ PUBLICWOR KSDEPARTMENT BY __�(%_J DATE T
PENDING AGENCY "OK" ❑ APpli(alinn and Progress Record 1
MAINTENANCE BONDM
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REOUII?Er3
ANNUAL
PENDING VARIANCE El -- EXPIRATION DATE:
PERMIT NO.: _• j^_" / v/s_+ - DATE ISSUED: - —1 L BY- ,.." . .r —
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR A14D INSTALL —�-
-- - -_ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT -_��{�j - �..Y � 1
y� w NAME ADOR[ ! — C�.I v'Y���i4•+.r. • 0 -A... /
( ONT RACTOR ,C��Q��.� �se—l.L— 1LaI�T_ .C �7>� ' t _" N(v 17-7—
A NADD C1y� —
PLANS BY II HONE 1' 11
FHONE --'—
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): s
-- -
DOLLAR—S
_ _.----- ._-----.. !
(2) EXCAVATION DATA. rOR orPlcs usE: ❑MIN.
0.02x •-1CGC . sE_� G.00
STREET DESCRIPTION PROGRESS & INSPEC_TION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTAL11D --
_ TYPE LENGTH WIDTH DEPTH IT 8 flUANITEM DATE REMARKS/TYPE BY
A _ STREET
�.
-
R TION
Q
U
ESTIMATED STREET OPENING DATE:_ / / E —�—�v
S
ESTIMATED STREET CLOSING DATE: �___ _ / , / T
gyp _ E
(3) SECU*M"ANO- ___� SECURITY AMT.: S STREET
SURETY CO.: UALL _ _ FINAL
CERTIFIED CHECK U CASH_ U I •OND of INSPEr_.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS
FEATURES; EXCAVATION LOCATION AND EXTENT.
1
(URB
I
I 1
I �
(S) NOTE: THE CITY O 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 At REES TO DEPOSIT TH�EL-R9pU1RED SECIJRIrIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERT ETb CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY I (y A,A4AG* WHICH MAY RESULTFROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE: OA TE / /3
APPLICATION — STREET IMPRC MENT/EXCAVATION ���}}} _ COPY TO:
�^ Y /�^ ,/ I J (BLUE) I- FILE
ORDIN4 ,ICE NO. 74-14 / J {x1J��` [] (BLUE) -NSP.
(INSTRUCTIONS ON SEPARATE SHEET) vl Ej (YELLOW) OTHER AGENCY
KIFEE
(PINK) - APPLICANT
APPROVED d TION NO.:NOT APPROVED ❑ CITY OFTIGARD, OREG MT.: s—
PENDING FEE PMT. ❑ CITY HALL RECEIPT NO..
PENDING SECURITY PUBLIC WORKS DE_PARTMENT BY - DATE--J-
PENDING
ATE__JPENDING AGENCY "OK" ❑ Application and Progress Record
FENDING INFORMATION ❑
FOR STREET IMPROVEMENT/EXCAVATION MAI AS REQN REDBONDI
ANNUAL ❑
PENDING VArIANCE i] EXPIRATION DATE:
PERMIT NO.: ---- - - --- DATE ISSUED: -----1---1 - BY: ------ - --
- - --
(I ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT
NAP,t AODRESf CITY ---- '_- PHO�T•fE
C(INTRACTOR -- -- ----- - ----- - -----
NAME ADDRESS — -- -- ITY�- �__-�-- PHUNE
PLANS BY _
NAME ADDRESS CITY � �-���� � - PHONE
I c flMATED IMPROVEMENT TOTAL VALUATION ( COST): S
DOLLARS
EXCAVATION DATA: pro OFFICE ui OMIN.
0.02 X $___ = i- __
STREET D"E"SCRIPTION PROGRESS & INSPECTION STATUS
NAME S )RFACE CUT CUT CUT MATERIAL INSTALLED )TEM DATE REMARKS TYPE I3Y
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY REMARKS/
TYPE
-
-- _ wP-NED
-NSP - --
--- - - R TION
ESTIMATED STREET OPENING DATE:._ / T 3 i l l� 'SIPf-c lfi�k
ESTIMATED STREET CLOSING DATE: .,fi�-__- / / E
D
STREET
(3) SECURITY NO. —.-- SECURITY AMT,: $ _ _CLOSE
NATURFS;
ETY CO.: .-- FINA,L — -- — _
CERTIFIEDCHECK ❑ CASH U ■ow) ^ IN3PTPLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDI(IONS EXCAVATION LCCP TION AND EXTENT.
'APH4-'L
I I 1
(S) NOTE: THE CITY OF TIGARD DOES NOT, HERERY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE RTf.TE OF OREGON,
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENY TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY APID
E:P,IPi_OYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESUL T FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE _ DATE
m l � � I -J I-� l__J ❑ i
U
El
LL_ < ,�
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CD
\ ~D• � Liz
A MEMPER OF UNITED PACIFIC INSURANCE GROUP
HOME OFFICE: TACOMA, WASHINGTON
• LICENSE OR PERMIT BOND •
• KNOW ALL MEN BY THESE PRESENTS: •
O.& C
• That we, --------- -R. A. GRAY---.. _ � -- ------------ __ , •
• as Principal, and UNITED PACIFIC INSURANCE COMPANY, o corporation organized under the laws of the State •
• •
• of Washington having its pri.uipol office in the city of Tacoma,Washington, and authorized to trensoct the busl- •
• mess of Surety in the State of-_4RhG019______, as Surety,are held and firmly bound unto______--- __--___ •
• CITY OF 'iTICARI)- __. _ _--_.-_-.-- ---..__--_ -_-_--_-_, as Obligee,in penal sum of •
• T14Q.-x iouAND_DOLLARS---------------_ _--. _. _($ 21000.-----_-_) Dollars, •
• lawful money of the United States, for which payrr•nt, well and truly to be mode, we bind ourselves, our heirs, •
o •
• e>recutors, administrators, successors and assigns,jointly and severally, firmly, by these presents.
• WHEREAS, the said Principal has applied to said Obligee for a license or permit •
• e
Street improvement on S, W Garrett St.
•
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION 15 SUCH, That if tho sold Principal shall In• •
demnify said Obligee against all loss to it caused by said Principul's breach of any ordinance,rule or regulation
• relating thereto, then the above obligation shall be void, otherwise to be and remain in full force and effect. •
• °ROVIDED, THE LIABILITY OF THE SURETY upon this bond shallbe and remain in full force and effect for •
• thefull period of the certificate, license,or permit issued to the Principal above named but not beyond
• "� _, 19 -,or ten days aftitr receipt bythe Obligee of awritten notice signed •
by such Surety,or Its outho-ized agent, stating that the liability of such Surety is thereby terminated and canceled.
• Provided further, that nothing herein shall affect any rights or liabilities which shall have uccruad underthis bond
prior to file date of such termination.
♦ This band may be extended for a further term by the issuance of n Continuation Certificate s igned by the Surety. •
• e
♦ Dated July 12 1976 . •
• R. A. GRA & CO.
• _ e
• UNITEDF*CIF NSURANCE COMPANY
B �Ih,
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• n.I?E5-1.i..nn.,.P n mond-n. ,nl F,.,,. �.wsy•
•
• TTN T rTrn j(i.ACIFT.0 INSU RA:g"�E COMPANY
HOME OFFICE. TACOMA, WASHINGTON
POWER OF ATTORNEY
KNOW At 1 MEN BY THESE PRESENIS,Thar rhe UNITFD PACIFIC INSURANCE COMPANY,a coilvtelion duly orgamlead under the laws of the
..,rola ....., ^nton,doer hereby make,ronsTrtuto and aIgamt
R. B. NEIGHBOR of PORTLAND, OREGON------------------------
tit rise and lawful Atlnnmv•o,-foci,to rrwke e.eruts,teal end deliver for and an sit behall,and as its act and dead
ANY AND ALL 13ONDS AND UNDERTAKhiGS OF SURETYSHIP----------------
grid to hind the UNI IED PACIFIC INSURANCF COMPANY thereby at fully and to he fettle-.tent as if wish bonds and undertakings and other
wurrngs obligatory in the nature thereof were signed Icy en F feruhve Officer at the UNITED PACIFIC INSURANCE COMPANY and soared and allotted
In,nnr what of such offrcen,and hereby thirties and rnnfoon all that its said Attomeylst m fact may de in pursuance her lot
This Power of Attorney is granted under and by authority of Section 37A of the By I.aws of UNITED PACIFIC INSURANCE
COMPANY which provisions are now in full force and effect,reading as follows.
SECTION 37A AIIURNEYS 1N FACT
4ECIION 1. The Rnard of Durciort, the Presnfen,Or any Vice President of Assntam Vire Pitisidem thall have lower and authority lolel appomt
Anorrrys m Iert slid In autharoe them to execute on behalf of the Comisany,hoodt and w ries tak n,gt,recognisances,contracts of indemnity and other
M.1 91 nhlrgelory in the nature thereof,and(b)to rrosmv.any such Anurney n,tart at any tr.ne and revoke the dower and authority given to him,
SE CI ION 7. Attorneys in tact shall have power and authority,sublect to the itan-s and limitations of the power of attorney tsired to them,to earru;e
and deliver on bohdf of the Company,bnnds and undertaltmgt,terognnnces,rontrect.of indemnily and other wrilmgt obligatory in the nature thereof.
the corporate teal is not neve%nary lot the valrdty of any bunds and a^danak rugs,recogmiancls,dominos ct indemmty and other wrihngt obligatory in
the nature thereof.
if,.% r-wet of ..tomev is signed and scaled by lars,mdo under and by suthmdy of the following Resolution adopted by the Board of Director%of
ONNI1 C"ACIFIC INSURANCE COMPANY at a no-elu,g held on the 76th day of Orintrw,1971,at which a quorum wet present,and%aid Resolution
hof not bison arretndrd at repealed.
"Resuhtd,that the ugnatwes of such dnorrais and nlhrets anti the seal of the Cmmpany may la!affixed to any such power of
attorney or any Certificate trlstirig therein by lacs.mde,and any sire:-rawer ill attorney or ciatdreato bearmg%rich facsimile
siynol urea at farsaude seal shall tie'aid drift binding ulnn the Comlwnv and any such power so @.entad and certified by
forsimrU s,gnsturN and facsimile sret than be valid and tnudinq ulsrm the Company in the future with respect to any hand or
undertakmg to which n is attached"
IN 0011 NE 59 WHt HE OF,the UNIIF D PACIFIC INSURANCE COMPANY hes raised their,presents tis be signed by is Vice-President,anft its tmrfnrale
teal to he herein aHlxcd,lhu_16th day nt_See t.e bar 19 75
UNITED PACIFIC INSURANCE COMPANY
d•�Mkt4 F'i �%'As�/s�f
�� tiE4E tit y���,.."i �•� )� � � _._
STATE of Washington �'�,m� %• Fxecul ive
COUNTY OF Pierce I ss h.,sas
Unthis 16th _day of..._-SOP t ember.
19-75.1 mans,appeared .MORR1IS-_E. BROWN--------------�
Executive
us rix known to be rho VicePies,rent of the UNITED PACIFIC INSURANCE COMPANY, end
arknnwn,dged that tie exrruled and Allested the lmegmnp instrument and afh.ed trip teal of surd rotpmatmn thereto,and that Section 31A,Section 1
and 7 a1 the By(.acus of said Company and the RetolOmm,set forth fhrrem,ate still in full fruyree
MvCrour,...,, C, hal -'._T.� 3s_2Lna.�_
Janusry-_1S__ . 198_ {JeehiuH ton /
Notary Public in and for State of - .__.
0 1e'Ot' Tacoma
D. Keith Johnson Aa.s.%rani Ser n•rory of the UNIIED PACIFIC INSURANCF COMPANY,do hereby rarity that the
utrove and fm.go mad a true and covett ropy of a Power of Auo-tt,rxrruted by%rid UNI'I E D PACIF IC INSUCANCE COMPANY,which is still in full
force and of foci.
IN WITNESS WHEREOF,1 have hereunto set my hand and off,med the seal of said Company in,% 12 Lh ddaav of__.ruby 19.16
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C. ty of Tigard
INSPECTION REOUEST
for
INSPECTION TIME : PERMIT NO.: _
. r
DATE: DATE ISSUED:.!
OWNERS NAME : .
ADDRESS : s• W Cf! !<',�E r
CONTRACTOR :_ �e (f R, o j
TEST' Air 0, Water [7 , Visual L'�(, Laboratory 0
RESULT: Approved C Disapproved 0 , Pending p
SKETCH:
F in
1,0V5 f(C t fl TlL7n1.
rill.
INSPECTOR DATE
FNOTE : Attach supplemogntai te84 data hereto
I
c V,
r c1tv 4-..c-v,Aopn.--A p:,,n end yc.x
Y ,.T:v1c the, Wl-r. troll
t1r: alto rLr.,!. v;(A fessiI.A.1ity- of Vic bil
yoLr projcct. YiL)L.,p arc;Jtcct,.,r,--1
acicno�jledr,pint mi-. 'l br, by V;i CiLj of
uIlt-liG fourteen (1h) Cn)s of yota, rocolpt of i. Jx 1,7ttcr,
_ ',;rc, tz) raturn this catty re r III- in ct;;'LL-'r. IV
Cit.i ut Tirord to V,.J.", V.,
JA appriwzA h(.,z dl;,
1.v till's I.- -,rMn4; Vc- ac Uc!i L-1 Vr-c, Ti,.ar(l
-1) ';c�Vlxw Poarif. I hrvL. j� on,' rend VUs luttr w id I
Cicclslon hero al-A to v14-c!r by tiny CURIA)) Coll—
IM
City of Figard
INSPECTION REQUEST
for
IN8'PECTION TIME: Lpp-? PERMIT NO. :�
DATE: -, DATE ISSUED 1 /
OWNERS NAME : /_, 6,krA
ADDRESS: ~ u�. fi- 7-/ -
CONTRACTOR : - S fl7F.
TEST : Air Q, Water❑ Vieval Laboratory p
RESULT: Approved , Disapproved ❑ Pending p
SKETCH.
INSPECTOR ?ATE
COTE: Attach supplemental i,11 , ,, „
Jam.,a.ry 27 1�7
A. Gray
n. A. Craf & Co.
P. U. Box 21516
TiCard, Oregon 97223
F.efam,neo: File 1.!o. CU 2-j (Pr��ie, ,i0nZ1 office bl_dt;. )
Dear S'x. Gra;;:
please be advised ti,,at t'le TiCard P'l am:.1in,- Con,,missi.an, at their
reg 1lnr meetinC of January 201 1976, cons3.<<ered yoLir request to
constr-_tct a professional office buildln�; in a C-3 zone at 13170
S.' Pacific Vvy. and your submission (Phase I) Itac approved, SUb-
�cc to t1le follo•;:Ln� conditions:
1. 711at 5 ft. of ndditiorml right-of-gray be dedicated along
5 ' Garrett St.
2. That a half street iL,,provarcont be mnde to U., GIUM'Ctt St. ,
based on City 100,17. street stande►rds.
3. Zhat die-onal off.-ci:r.ect Parl:i.n.- bm- provided cl�ijncent
Carre-t St.
It. That a 10 it. uti.litiea easer.,ent be provided along; all
proporty lines for utility pLavoses.
5. Drat t}.le pedostrian/bicycle pat.hm y es sho,zi on the► sitr,
plan be provided, sub1ect to Design Revi.e" Board consi.dcr-
ation.
if you need additional Informatiart or a€.sistance t please do not
hesite.te to call tlti.s office at 6d-9-6171-
A coppy of tilis approval and your acknowled6tient will be filed Wit '
the Milding Official,
FAL E Co
pY
r✓�
�r
pare 2
R. A. Gran
Jatuu my 27, 19T')
Sinccrolyr
CITI OI" TIG. TT)
Jerald :i. Powell, Assoc. AIP
A sociato Plw-ner
J.P:pt
Note: The follo.rinu actol�)ul.edmant must be roccivod by the City
of TiL-,nrd within fo-,irtccn (14) clays of your receipt o: this
letter. Failure to return t its ackno,:;ledLnuen t Imy result
in actIon by the City of Tigard to void that approval here
doctmentod.
I hereby ac'mo;-rledCe this letter docLunentIiiE; tho action of filo
Tig�ard Plm-,.nin, Cor-mission. 7 have roceivea and read this letter
and I agree to the docision here docmmented and to abide bj Wly
terns end./or conditions attached.
sIbiature
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