9835 SW 98TH AVENUE FILE NO. 7L4L -MCI
98th AVENUE - 9835 STR. OPV. PERMIT
�1TYOF T1104 RD
July 18, 1990 OREGON
Mr. Edward F. Gottlieb
9835 SW Durham Road
Tigard, OR 97224
RE: Street Opening Permit # 340-89 Assurance
Dear Mr. Gottlieb: I
In the matter of the $650.00 Agreement with Depositor and Trustee, Deposit #
14-20990740 between U.S. Sank King City and Mr. Edwscd F. Gottlieb and the City
of Tigard, orego: this is to serve as written acknowledgement that the ^.ty
has no further '.r:—rest in said assurance and, therefore, declares that this
assurance obly.a,ltion is void; said funds may be .released to Mr. Gottlieb.
If you have any questiono regarding this matter, pleane contar-t John flagman at
639-4171.
3inc rely,
Edward Murph
Director Co unity velopment Department
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13125 SW Hnll Blvd„P O Box 23397,Tigard,Oregon 97223 (503)639-4 71 — --
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APPLICATION - STREET IMPR :MENT/EXCAVATION COPY TO:
OR DIN.gNCE NO. 74-14 ® (WHITE)-FILE
® (YELLOW)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) (PINK)-OTHER AUENCY
(BLUE)-APPLICANT
APPROVEDAPPLICATION NO.:
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.. E 26.00
PENDING FEE PMT. ❑ CITY HALL RECEIP 00105 Z9(0
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY 1 ( IL 182
PENDING AGENCY "OK" Q Application and Progress Record
PENDING INFORMATION ❑
FOR STREET IMPROVEMENT/EXCAVATION MAI ASE EQUIRED` n ox
ANNUA'. ❑
PENDING VARIANCE EXPIRATI ND .TE:
PERMIT NO r `
_ .. . DATE ISSUED: � L/ Z Lt-__. BY.
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL 15' Concrete Storm lewer Pipe
and Crushed Rock _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS,
APPLICANT _F.4yArd F. Gottlieb 9835 S_.41. Durham Rd. Tigard, OR 97224 620-1297
NAME ADDRESS
CONTRACTOR —none— _ ��
NAME ADDRESS CITY - PHONE
PLANS BY - r Cil,-,,v Ato �,r,��n�`�'f tions
NAME - f%ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S _ 650.00
DOLLARS
I : CHIN
(2) EXCAVATION DATA: fOR OFF��USE
-- 0.04 x s 0.00
_STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS
-- NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARK.:/TYPE
TYPE LENGTH WIDTH DEPTH ITEM 6 QUANTITY BY
_�— STR
S-W. 98th A e. (in -Oad 3 Ou)_der C.R. & C.S T.S.P. Rd TION
E
Q
U
ESTIMATED STREET OPENING DATE: / / E
ESTIMATED STREET CLOSING DATE: / T
(3) SECURITY NO. _ SE UR)TYAMT.: S 650.00 CTLOSE0
SURETY CO. i rr 11(1 114 FINAL ' �71�
CERTIf1Eb_CH_E_CK ' CASH BOND j( INSPEC. ►�' ?C I-rvr.
(4) PLOT PLAN INDICATE SITE PERTINENT PHYSICAL SPECIAL F'R9VISIONS/CONDITIONS:
FEATURES. EXCAVATION LOCATION AND EXTENT. 1. This is a temporary improvement;
arplicant acknowledges City's
_eight to remove or reconstruct all
without reimburement or credit to
CURB - '�- �� . _ applicant.
Orr
- 2. All work � �
S.W. 98th Ave. _ Sha__ conform to City.
-- , -- standards and sl?ecifications.
3. Traffic/Pedest,:ian control to be
xx& -� provided for by applicant.
1 1
1 Ind '� I Ali I 4• Notify Mike flills, City Inspector,
639-4171, 24 hours befor starting
wock.
(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 OZ THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES. TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PEFITINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNAT _ �� DATE
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CITY OF 'rWARD — -RECETF'T (IF PAYMENT RE,C No: 0 C)10 5*2 96
' AMOUNT 216.00
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JAME: DWAPD FRANK (301 T,. I ES ('A :-,H AMOU114'r 00
D D RES ';OM S.W. DURHAM ROAD F'Alf MENT m4 ru-, t n- -2 ci c.
T IG ARD, OR 9 7 2.2-4 BLOCK NO/ADDRe
PURF105F W PAYMENT (iMOUNI PAID PURPOSE OF PAYMENT APT)UNT PAI b
PUBIAL" 111PROVEM (734U-89) 00
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TOTAL AMOUNT P1D DO
AGREEMENT Wi.__i DEPOSITOR AND TRUSTEE ON SAVIN— OR DEPOSIT
This agreement is for the purpose of fulfilling the requirements of Street
Opening Per-,iit # _,�;j C, L'`J between the City of Tigard and
Edward F. Gottlieb and is entered into by the Depositor Edgard F. Gottlieb
and 4� _; f;>.���, K;.�r C, trustee.
The undersigned depositor and trustee do hereby assign the right to the City of
Tigard to determine at it discretion the payment of all funds or securities
held by as trustee in the amount of $650.00
in Savings Ac,2ount No. —_ , or Deposit No.
in the _ _ _i_ in accordance with and for the
p.jrpose of Bonding storm sewer and stre-t shoulder improvements described in
the above stated Street Opening Permit. /
It is understood and agreed that the 5 std L)z2 will hold
such funds or securities in the amount of $ 650.00___ until an authorization or
direction for payment is received from the City of Tigard and that the City cf
Tigard has the right to withdraw Principal Fends with City of Tigard signature
only, in the event of Non-Pcrfoimdnce.
All fund deposits shall be renewable at maturity and at rates and terms in
effect at the timF: of rerawAl, and all interest at.all be paid to or accrued as
directed by the Depositor notwithstanding anything contained herein to the
contrary.
That account is to remain -)pen ur.ti.l such time ab all Public Improvements are
completed and accepted by the City. of Tigard.
Signed and dated at: 9
T Ore on.
�.
day
This , �.
Ir
Signature - ity T gar ! Signaturf of Depositor
P.O. Box 23397 Tigard OR 9'1223 9835 S.W. Du -ham Rd. Tigard OR 97224
Address Address
ACCEPTANCE
(trustee)
The undersigned hereby accepts the funds o securities deposijed in th amount
of $ 650.00 this � day of �. r6.�4 _ 1 ( , 19 � and
hereby acknowledges receipt of the Passbook S ving3 Account No.
or the Certificate for Deposit No. ( i �� �� p or certifies
that there is no Passbook issued for this accrunt I is further agreed that
said account will be held for the uses and Furposes above stated until
authorization for disposition is granted by the City of Tigard.
Author a d Signature (trustee)
jr/edward.naw
1
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