6950 SW HAMPTON STREET (2) FILE NO. 2.al-39
HAMnTON STRFET-6S,r0 STR. OPN. PERMIT
CITY OF TIFA RD
March 22, 1990 ORIG®N
C B I C
1213 Valley Street
Seattle, WA 89109
RE: Bond #804490
c. ntlemen:
We've received a reinstatement notice, copy enclosed, relative to the
specif+-d bond.
This is sent to inform you it Is no'.: necessary to maintain the bon,In :full
force and effect, all work was satisfactorily completed ..-y Anderson
Construction. Please see the enclosed copy of the letter previ--_aly provided
to CBIC (and to Anderson Construction) t.herei: -egard.
Sincerel. ,
John
S. Ha ar:'
EnginGoring 'technician
jr/CBIC.JSH
CC: Anderson Construction
enr_lorures (3)
13125 SW Hall Blvd.,RO.Box 23397,Tigard,,Dregon 97223 (503)639-4171 -------
Home Office: Oregon:
CBIC CANCELLATION 1213 ox 9 Street 901 SE Oak 12 53 Suite 108
P.O.Box 9271 PO.Hox 12053
CONTRACTORS BONDING NOTICE Seattle,WA 98109-0271 Portland,OR 97212.0053
(206)622-70.53, (8(X))552.7264 (503)232.4(XX),(800)452-8505
AND INSURANCE COMPANY (206)382.9623 FAX (503)232-2153 PAX
City of Tigard
LICENSEE: GeGeraldb
PO Box 23397 Raren andersc�n Aha _
Tigard, 33 97223 Anderson Construction
LICENSE NO: — -- — --
Contractors Building and Insurance Company of Washington, Surety upon a certain
Bond, No. 804490 _ dated on or about__ 04/07/89 in your favor, in the amount
of 2,000 --hereby notifies you that it has elected to terminate said Bond covering the captioned
licensee,as Principal,effective— 30 days I(;—
This
,This notice is given to you in accordance with the cancellation provis',on in said Bond contained.
�
Bv: CONTRACTORS BONDING AND INSURANCE COMPA Y RECEIVED
_ WAR 19 1990
Dated: 03/15/90 — By:
Attorney-in-Fact ' ' UNITr up LOPMENT
NOTE:There currently remains effective and in full force t/Crollowing Bond for the above named principal.
Bond No: _-_-- __-_ _ Nod.MCN.01.7A062()99
CBICREINSTATEMENT NOTICE
CONTP,ACTORS BONDING
AND 'iNSURANCE COMPANY
Gerald h Karen Anderson dba
Company Name Anderson Construction Bond No. 804490
Shall Now Be Reinstated Effective immediately
Signed and Sealed This 19th Day of March 19 90
Seal
tiorney-in-Fact
1213 Valley Street, P.O. Box 9271, Seattle, WA 98109-0271, (206)622-7053, (800)552-7264, FAX 2061382-9623
901 SE Oak Street, Suite 108, P.O. Box 12053, Portland, OR 97212-0053, (503)232-4000, (800)452-8505. FAX (K3)232-2153
NodU!tN.02-U30W6"
CITY OF TI1ARD
April 10, 1989 OREGON
Gerald & Karen Anderson
dba Anderson Construction
2877 E. Kelso Road
Bor :, OR 97009
Subject: Street Opening Permit No. 284-88
Dear. r". & Mrs. Anderson:
This letter is sent to inform you that we have reinspected the work performed
under the above permit and now find that all work is complete and satisfactory.
Therefore, please consider this as offic`.al notice that the City no longer has
an interest in Contractor's Bonding & Insurance Company Bond ,_L. 804490; the
assurance obligation is void.
Sincerely,
Randal]_ R. Wooley
City Engineer
C: Contractor' s Bonding & lns. Co.
1213 Valley Street
Seattle, WA 99109
br/9556D
13125 SW IAall Blvd.,P.O.Box 23397,Tigard,CXegon 97223 (503)639-4171 --
-
RECEIVED �- I)tiTA STAFF
"„ .,cMrs Boaft and Insuance Company
C.onlr- s Weety
1l 1 mIrthwesl Plan Centers
APfN 1 11913 L SEHVIC( COMPAN Y fshme".Inc
_----- lekr:omType
Caamunity D"opmrrt
REINSTATEMENT NOTICE
Gerald & Karen Anderson dba
t )mpany Name Anderson Consturcti.on _Bond No. 804490
Shall Now Be Reinstated Effective immediately
Signed and Sealed This --Day of_A-P-xil 19 89
Seal
Attorney-in-Fact
1213 Valley Street • P.O. Box 92?1 • Seattle, Washington 98109-0271 a (206) 622-7053, Wats (800) 552-7264
901 S.E. Oak St. Suite 2..08 • P.O. Box 12053 • Portland, Oregon 97212-0053 • (503) 232-4000, Wats (800) 452-8505
F
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41 C.
kle- IvIe-
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ev
CRYOF TIOARD
March 27 , 1989 OREGON
Gerald Anderson
28721 SE Kelso Road
Boring , OR 97009
RE: Street Opening Permit # 264-88
Dear Mr. Anderson:
This is sent to inform you that inspection of the sanitary
sewer connection at 6950 SW Hampton Street has revealed a
leak in the manhole at the point of connection. Please
correct this problem and call Mr. Mike Mills, # 639-4171 , for
reinspection. Upon satisfactory reinspection, I will
authorize release of the guarantee bond.
Very Truly,
John S. lagman
Engineering Technician
dj
13125 SW Hall Blvd.,P O.Box 23397,Tigard,Oregon 97223 (503)639-4171 -
CITYOF TIOARD
OREGON
March 27, 1989
Contractors Bonding and Insurance Company
1213 Valley Street
Seattle, WA 98109
Gentlemen:
This is sent to inform you that the obligation for full compliance with City
Stieet Opening Permit No. 284-88, issued to Gerald and Karen Anderson, dba.
Anderson Construction, has not yet been met. Therefore, Band No. 804490 must
remain in full force and effect. ——
Should you have questions, please call me at 639-4171.
Sincerely,
Jotin Hagman
Engineering Tech
br/CBIC
13125 SW Fall Blvd.,RO.Box 23397,Tigard,Oregon 97223 (503)639-4171 ---------------
CA' FELLATION NOTICE
City of Tigard
iii Box 23397
Iligard, Oregon 97223 Contractor's Bonding&Insurance Company
RECEIVED WASHINGTON
MAR 131989 Llc'FNSEE: Ge aa�ld' & Karen Andeerson dba:
L I C E N S U 4 Anderson GOnStYVICUM
Contractors Bonding&Inumance Comporw OF WO-tiHINGTON, SURE ry UPON A CERTAIN
BOND, NO. 8044:., .�—DA T-E L/ ON OR ABOUT 4/7/88 IN YOUR FAVOR.
IN THE AMnUNT OF 2,000 HEREBY NOTOFIES YOU THAT IT HAS ELECTED TO n
TERMINA rF 9A1D RnNn GOVFR ING THE CAPTIONED LICENSEE, Ay PRINCIPAL, EFFECTIVE 30 ff-a
THIS NOT we IS 1.1 VF rO VOI1 IN ACCORDANCE WITH THE CANGEI-LATION PROVISION IN SAID BOND
CONTAINED.
BY: DATA & STAFF SERVICE CO.
Conractor' Bonding&,IHsura a Company
ASH TON
DATED: 3/10/89 BY
ATTORNEY-IN-F
MEMO: 7140-RE c,URAENTLY REMAINS EFFECTIVE AND TT
14 IULL FORCF rHE FOLLOWING BOND I-OR
T.IP_' ABOVE NAMED PRINCIPAL.
BOND
2
ef
Xj
-.7 7
Aecl
--,c e t
CONTRACTORS BONDING & IWSURANCE CO.
BOND NO. : 804490
BOW ALL MEN BY THESE PRESENTS, That we Cer_ald & Karen Anderson dba Anderson
Construction ;oas Principal., and CONTRACTORS BONDING AND INSURANCE COMPANY,
as Surety, are held and .firmly bound untothe City of Tigard
hereinafter called Obligee , in the penal sum of
*'IW_o Thousand aixi 00/100* ($ 21000.00 )DOLLARS,
for the payment of which well and truly to be made we do hereby bind our-
selves, our heirs, executors, administrators, successors and assigns,
,jointly and severally, firmly by these presents.
SIGNED AND SEALED THE 7th DAY OF April 19 RP,
WHEREAS, the said Obligee has granted or is about to gr nt to the aid
Principal a r)ernit no. 284-88 to excavate For and instal Sani-tary rywer Lateral at
6959 71 lig-mpton.
NOW THEREFORE, if the said Principal shall indemnify the Obligee against
any loss directly arising by reason of the failure to copply with to
laws and ordinances governing the Tlerm'-t (Cit" of 'TirTard ordinance n. 74-].4)
then this obligation shall be void, otherwise to be and remain in full
force and effect.
REGARDLESS of the length of time this bond shall continue to be in effect,
the aggregate liability of the. Surety hereunder shall _n no event exceed
the amount of the bond.
PROVIDED, HOWEVER, that the Surety shall have the right to terminate its
liability hereunder by serving written notice upon the Obligee
days in advance of its intention to do so.
Anderson Constniction Co. _ CONTRACTORS BONDING & INSURANCE CO.
BY:^ BY:
Principal ttorney-in-Fact
Jane Thorsen
1213
ll
CONTRACTORS BONDING Limited Seattle aWA 98109
�J AND INSURANCE COMPANY Power of Attorney (206)6227053
KNOW ALL MEN BY THESE PRESENTS that CONTRACTORS BONDING AND INSURANCE COMPANY,a corporation duly organized and exislirrq under the laws of the State of Washing
Ion and having Its principal office in Seattle,King County,Washington,does by these presents make,constitute and appoint JANE THORSEN,of Portland,Oregon,Its true and lawful
attorney in fact,with lull power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver contractors'license bonds issued pursuant to RCW
Chapter 18.27 and ORS Chapter 701;electricians'license bonds issued nursuanl to RCW Chapter 19.28;miscellaneous bonds,as those bonds are generally understood in the trade,
not exceeding the penal sum of$25,000;other license bonds not ex.deding the penal sum of$25,000;and permit bonds not exceeding the penal sum of$25,000;and to bind
the Company thereby as fully and to the same extent as if such bor A were signed by the President,sealed with the corporate seal of the Company and duly allested by its Secretary;
hereby ratifying and confirming all that the said attorney indar',may do in the premises.Said appointment is made under and by authority of the following resolutions adipted by
the Board of Directors of the CONTRACTORS BONDING AND INSURANCE COMPANY on April 24, 1987:
RESOLVED that the President is autr hired to appoint as attorney-in-fact of the Company JANE THORSEN with power and authority to sign on behalf of the Company
contractors'license bonds issued ,ursuant to RCW Chapter 18.27 and ORS Chapter 701;electricians'license bonds issued pursuant to RCW Chapter 19.28;miscel
!aneous bonds,as those bonds ,re generally understood in the trade,not exceeding the penal sum of$25,000;other license bonds not exceeding the penal sum
of$25,000;and permit bonds not exceeding the penal sum o1$25,000.
RESOLVED FURTHER that the authority of the Secretary of the Company to certify the authenticity and effectiveness of the foregoing resolution in any Limited Power
of Attorney is hereby delegated to the following persons,the signature of any of the following to bind the Company with respect to the authenticity and effectiveness
of the foregoing resolution as if signed by the Secretary of the Company:Donald Sirkin,Janet K.Lorraine,Tom Dyment,Debi Russell Gerald A.Usselman,Gary
Bailey and lerrfe Rehm.
RE.;rLVED FURTHER!hal the signatures of the President.Notary Public anr'person certifying authenticity and effectiveness,and the corporate and Notary seals
appearing on any Limited Power of Attorney containing this and the foregoing resolutions may be by facsimile
RESOLVED FURTHER that all resolutions adopted prior to today appointing the above named as attorney•in lact for CONTRACTORS BONDING AND INSURANCE
COMPANY are hereby superseded.
IN WITNESS WHEREOF,CONTRACTORS BONDING AND INSURANCE COMPANY has caused these presents to be tiiyned by its President and its corporate seal to be hereto affixed
this 24th day of April, 1987.
CONTRACTORS BONDING AND INS _`��;eONDIryC`hrrr
d
r;
By — __ • z
Steven A Gaines,President -9)19
STATE OF WASHINGTON—COUNTY OF KING rrrr'
`J'
y�NGT10
On this 24th day of April,1987,personally appeared STEVEN A GAINES,to me known to be the President oTthe corporation that executed the foregoing Limited Power of Attorney
and acknowledged said Limited Power of Attorney to be the free and voluntary act and deed of r oration,for the uses and purposes therein mentioned,and on oath slated
that he is authorized to execute the said Limited Power of Attorney _E
IN WITNESS WHEREOF,I have hereunto 0/mV hand and affixed my official seal pfk��QtmXritien.
* NOT�IPA.
olary Public in and for the SI of Washingto ,residing at Seattle y �BLIC�p
•a,?0 1°�••O�rr�
The undersigned,acting Ilnrler?u'.hority of the Board of Directors of CONTRACTORS B (�19f1!V1# E COMPANY,hereby certifies,In lieu of Certificate of the Secretary
of CONTRACTORS BONDING AND INSURANCE COMPANY,that the above and foregoing is a nrrecl copy of the Original Power of Attorney issued by said Company,
and does hereby further cera that the said Power of Attorney is still in force;d ell�ct. �
GIVEN under my hand at ,this lav t �`/ '19— P --- --
PnaJT0102 IJSO42487
APPLICATION - STREET IMPR 7MENT/EXCAVATION COPY TO:
LE
ORDIN'„ iCE NO 74-14 ( •
(YYELLOELLO W) -INSP.
(INSTRUCTIONS ON SEPARATE SHEET) U (PINK)-OTHER AGENCY
(BLUE)-APPLICANT
APPROVEDAPPLICATION NO.:
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.. S —
PENDING FEE. PMT, 0 CITY HALL RECEIPT 3d cj+
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY- ' DAT '- 4- / / / ` "-
PENDING AGENCY ''OK' ❑ Application and Progress Record
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION MAINTENANCE 80ND-N�' C __
AS RE4UES Z�
ANNUAL
PENDING VARIANCE EXPIRATION DAT ,e Iur'
PERMIT NO -�_ DA fE ISSUED _q- I i_c`'�u BY.
(1) APPLICATION IS HEREBY 'MADE TO EXCAVATE FOR AND INSTALL
AS DESCRIBED HEREIN, IN FULL ACCORDANCE
rfWID CITY REQUIREMENTS.
APPLICANT — --� r4 JZ— 1� Pr I �� %/ cF�Sc' /1-lr /vOP;hq V.
---��//'Ao'orcSs IT J PHONE
CONTRACTOR I9C Pr",re , _
,,-
PLANS BY ,.a' �NAM! ��, ADDRESS - CITY �Y-� � ►MON'E
S_s� / v�_ �—
NAME ADDRESS ff CITY -BION[
ESTIMATED IMPROVEMENT TCTAL VALUATION ( COST). $
DOLLARS
FOR OFFICE 49L. � 'l - MIN.
(2) EXCAVATION DATA: 0.04 x S U =i 741, �.
STREET- DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ATEMNTITY `
lel ti 9 4m 7 b C, �y�t,[si STREET
INSPE
Cry 0 R TION
E 11
O
ESTIMATED STREET OPENING DATE / 3 / S
ESTIMATED STREET CLOSING DATE: .-_-rs E rj
(3) SECURITY NO. �0 _
a..__ SECURITY AMT $ Odl' G� STREET
CLOSED t
SURETY CO.: .._ f?K ._�c��d.� Z+si- .._ FINAL A*
CERTIFIED CHECK CASH IJ •OND INSPEC, A' W
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CON (TIONS:
FEATUR S; EXCAVATI N LOCATION AND EXTENT. 7, rtie
A L7
N c �•c K
'14-ca .1-j
1 V
CURS �/ \� - - r r .- .. �� v I�
_4 7/
r1
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION Tf` . r1+LICANTS 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, TC COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO C0INDUCT OF THE WOR'(, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
PPL1CANTS SIGNATURE �'�'`�'� syC1a� ��� DATE._ _�_`f . / 0
i
Mrgra But'"%$I'orm1.Int
CITYAFTIFARD No. 30894
13125 S.W. HALL BLVD,,,. ,
P.O. BOX 23397 • , ; r�
Date
TIGARD. OR 97223 _
Name
Address —
Lot Block/fvfap 5ubdivislonlAdd ress
Permit M's Bldg. Plumb Cash Gh
Sewer Other I Other �ec
Acct. No. Description Am u t
10.432 Building Permit Fees _
10-431.600 Plumbing_Permit Fees
10.431.601 Mechanical Permit Fees
10.230-501 State Bldg. Tax
10-433 Plans Check Fee
30-443 Sewer Connectlon
30.444 Sewer Inspection
51.448 Street Syst. Dev. Charge
52-449.610 Parks I Syst. Dev. Charge
52.449.620 Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge
10.430 Business Tax
10.434 Alarm Permit
10.227 Bail
10.455- Fines - Traffic/Misd/Parking
10.230- CPTA Traf(ICIMIsd/Vic. Asst,
107456 Indigent Defense
30.122.401 Sewer Service1USA
30.122-402 Sewer Service/City 30% —
30.123 Sewer SevlcelCity Maint.
30-125 Unmatched ----
31.124 Storm Drainage
40.475 Bancroft Prin. Pymt.
4(Y471 Bancroft Int. m� f —
TOTAL
ACCOUNTING COPY l
PLEASE TAKE (THIS TO THE CASHIER FOR A RECEIPT
NAME: C Avl�f1-. �!J, DATE:
ACCT M DESCRIPTION AMOUNT
' 10-22000 Refundable Performance Bond Deposit
10-43600 Public Sewer Plan Check/Inspection Foo _
10-43600 _ Public Storm Plan Check/Inspection
10-43690 Street Dedication/Public Improvement Fee $
10-•43600 Stroet 0 eningPermit 2_ F3e�7
10-43600 Street and Traffic Marking _
21-442.00 Street Light Fee -
214
CC3NgTRUCTION
C1N ((yp-3)683`9004 (
ZND SCK 4So no,x7009 `—
BORING OREGON
JERRY OR KAREN A
'CM.AANCM AM1 Off'070
3
,0
PO,15 6
V='I 0S OPE0F1 MOF pAE 6P rC�� fes,
O Q 0Q
10- N�.1N/1t10N ALN 'C 1
UN112C ��
IC .�; y, 3000 2—
TOTAL $ 74
We/3514P