8100 SW HUNZIKER ROAD-1 -
FILE NO. 1'S--IL �'0-7�
HUNZIKER ST. - 8100 STR. OPN. PERMIT
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a
"ay 23, 1930
Gray & Liahan Plumbing & 'leatinl+, Inc.
2717 . 5th ^�:reet
Vancouver, Unsliin,!ton 98661
rant 1.Pmt!ri t
'leashe fird enclosecl the bond mentioned al,ove in t.rhicl•i Om r,i•ty of l'iriar:l
i.w now releasin7 for installation of Rani.tary sewer co-:nection on llunzil"er.
"oad.
TliAnl•. you feir voi r enol*ermt.ion in thita vintteT.
Yours truly,
Robert !,. Clio n;stton
P+iblic Works Tnmr,,ectnr
RLTitijr
1neIr
May 23, L980
IIAMtITT, CO lStTWCT01'..q, T"'C.
732 ", ! 1901
Portland, OR 97209
Bond # 9307167
Gentleoen:
Plnase fiat] enclosod the Permit Bona 1$930-7307 the City of Tigard is
reAAastns! for a r.uC inr. Irivnway nitron at 1100 S71 Itunziker "oral in
TirrArcl, Ores m.
Vhnnk you for your co—o; eratimi i.n uiis Natter.
Yours truly,
Robert IL. Thompson
Pitbl it I'orlts Tnt pector
APPLICATION - STREET IMPR MENT/EXCAVATION COPY TO:
La (WH 17 F)- FI Lt
ORDINANCE NO. 74-14 L] IBLUE) INSP.
(INSTRUCTION-3 [j (YFt LOWI OTHER AGENCY ON SEPARATE SHEET] ❑ (PINK) APPLICANT
APPROVED ❑ APPLICATION NO 2-
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.: S 4�DOV
PENDING FEE, PMT. ❑ CITY HALT. RECEIPT N
PENDING SECURITY 11 PUBL IC WORKS DEPARTMENT BY __i = DATE_ 1 L-7-1
PENDING AGENCY ''OK" 0 Application and Progress Record
MAINTENANCE BOND
PENDING INFORMATION ❑ #
FOR STREET IMPROVEMENT/EXCAVATION AS RE QUIRF_U C7
ANNUAL ;7
PENDING VARIANCE
��, ❑ EXPIRATION DATE. .—L_—
PERMIT NO.: sLc—_.�5 —_, DATE ISSUED: ��-I_Z1 BY: n-
(1)
__ r
(11)) APPLICATION IS HEREBY MADE 1-;; EXCAVATE FOR AND INSTALL 1T"', _-C C T
AS DESCRIBED HEREIN, IN FULL AC(:c:)RDANCE WITH CITY REQUIREMENTS.
APPLICANT COD A9Ac; jGyL OAoa firla* .. S�jn ,� L,),,rtAt YE,
NAME ADDR-TE!! CITY
CONTRACTOR _ N ��T IJ�'it2ytC{O(L-S hw �;L Nui lye / _
NAPE ADORtf IT PHONE
PLANS BY _
— ____
NAME - ADOREff C T PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E 21tXr)5l (TWE) NNNS.�00 I)Lk-A !)'
DOLLA
ftS
(2) EXCAVATION DATA:
FOR OFFICE U9E ---- ------OMIN
0.c2 X $ toyV = : --,-A - _
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM 4 QUANTITY
C.,." 5O (7 I STREET
OPENEO
iN3P
P. T10
E "
Q
U
ESTIMATED STREET OPENING DATE: N � L g
ESTIMATED STREET CLOSING DATE: L_-L _ E
D
i3) SECURITY NO. _- SECURITY AIJIT: E c OEET
SURETY CO _ ___ _ FINAL
C RTu 1110CHECK U CA_!H ❑ •ONU [7 INSPfiC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL �r SPFCIAL PROVISIONS/CONDITIONS:
FEATURES, EXCAVATION LOCA I[ON AND EXTENT.
CURB
So,. hl-m -
-tulle — .- — — — — — — — — —
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(5) NOTE: THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO r'ONDUCT WORK WHERE
RIGHT-OF-WAY 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 SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE - , DATE- y l!rt)�, / • ( _
APPI. KATION - STREET IP.1PR! -MENT/EXCAVATION COPY TO:
I._1i (VIRITE) - FILE
ORDINANCE NO. 74-14 CJ (BLLIE) INSP,
[] (YELLOW)-OTHER AGENCY
(INSTRUCTIONS CN SEPARATE SF'FET' :"'_I (PINK) -APPLICANT
'ROVED ❑ APPLICATION NO.:
NUT APPROVED ® CITY OF 'TIGARD, OREGON FEE AMT.. f
PENDING FEE,FEE. PMT. ❑ CITY HALL. RECEIPT NO.:
PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BY — DATE_ / /
_
PENDING AGENCY ''OK" ❑ Appltcalnul and Progress Record
MAINTENANCE BOND
PENDING INFORMAYION ❑ FOIi STREET IMPROVEMENT/'EXCAVATION AS ReoUIRED
ANNUAL
PENDING VARIANCE ❑ EXPIRATION DATE: ----___
PERMIT NO : DATE ISSUED: _- _IL__�. BY:
(1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL. _.__....-_
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT NAME. -.- _AODR SS — CITY .._PHONE_.
CONTRACTOR
NAME ADDRESS 29TY PHONE
PLANS B Y -N __ __ _ _ _._.-_--- ----------.__
, - . AME... . ...___ ADDRESS C— tTar HONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $
DOLLARS
(?) EXCAVATION DATA: FOR orFICE usi:
O.OZXf_ = f
STREET _DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
_ TYPE LENGTH WIDTH DEPTH ITEM A QUANTITY
STREET
PFNED �_—
INSPE -
R TION
ESTIMATED STREET OPENING DATE: L .�—� S
ESTIMATED STREET CLOSING DA-.-- ____-_� r / E
D
(3) SECURITY NO. SECURITY AMT: $ d o d. T STREET
CLOSE
SURETY CCI lFINAL '
1 r
-- CT
CERTIFIEO CHECK ri CASH ❑ "ONO INSPEC. / �~-
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL x - SPECIAL PROV;SIONS/CONDITIONS
FEATURES: EXCAVATION LOCATION AND EXTENT,
,'`Z.� I 1
( I I I
I
(�1 NOTE. THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHE,4E
RIGHT OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OR17GON.
THE APPLICANT AGREES TO DEPOSIT 'i HE 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 INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE DATE _ /
M
t CITY OF TIGARD-17.429 S.W.MAIN--TIGARD,OREGON 97223
RECEIPTDATE- /
c - - 7 AMOUNT. 0-6
--- -- --
LAXLARS
- CASH.
NAME: — __-
ADDRESS: �� =-t _CHECK __ ` r;
r I Of 3
FOR. __- .__ ACCT
_"RIT$ fURONARol AMOUNT ..•t.N,t+ * _- •._.
SEWER B11.1 INGS 40-364 _ S -
E, -
BUSINESS LICENSE 05.331 ---
PLUMBING PERMIT 05-332 _ S
MECHANICAL PERMIT X-332 -
BUILDING PERMIT 05-333 —
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365 _
SYSTEM DEV.CHARGE 25-366
PARK DEV.CHARGE #1 30.367 - -
PARK. DFV. CHARGE 02 30-369 _
ZONING ADJUSTMENTS 05362.
TOTALS
RECEIVED BY: --
' rIRIaIY NuaewtlRl�AYfIONID: �v" '
_Number _Am_ouM Number _Amount Number Amount
_ S
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PERMIT BOND Bond No. 9307367
KNOW ALL MEN BY THESE PRESENTS, That we HAERTL CONSTRUCTORS, INC. , as Principal,
and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation organized under
the laws of the State of Maryland, and authorized to transact the business of surety
in the State of Oregon, as Surety, are held and firmly bound unto CITY OF TIGARD
in the just and full sum of TWO THOUSAND AND NO/100THS DOLLARS ($2,000.00}
_ __ ,
for which sum, well and truly to be paid, we bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, firmly by these presents.
Sealed with our seals, and dated this 6th day of December, 1978.
THE CONDITION OF THIS OBLIGATION IS SUCH chat, WHEREAS, the above bounden
Haertl Constructors, Inc. has requeste3 a permit from the City of Tigard, Oregon,
in connection with Ordinance 74-14 and 76-11, for a cut for driveway apron at
8100 S. W. Hunziker Road, Tigard, Oregon
NOW, THEREFORE, If the said HAERTL CONSTRUCTORS, INC. shall comply and faithfully
perform the work in connection with the said permit, then this obligation to be •
void; otherwise, to remain in full force and effect, until one yea,- after the date
of the issuance of the permit.
HAERTL CONSTRUCTORS, INC.
Secretary
\J
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
BY:
�At
�M. H. Webb torney-i.n-fact
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE BALTIMORE,MD.
KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a corpora-
tion of the State of Maryland,by C. M. PECOT, JR. ,Vice-President,and C. W. ROBBINS I
Assistant Secretary, in pursuance of authority granted by Article VI,Section 2, of the By-Laws of said Com-
pany, which reads as follows:
"The President,or any one of the Executive Vice-Presidents)or an one of the additional Vice-Presidents specially authorized
so to do by the Board of Directors or by the Executive Committee, shall ha;a power, by and with the concurrence of the Sec-
retary or any one of the Assistant Secretaries, to appoint Resident Vice-Presider,ts, Assistant Vice-Presidents, Resident Assistant
Secretaries and Attorneys-in-Fact as the business of the Company may require,or to authorize any person or persons to execute on
behalf of the Company any bonds,undertakings,recognizances,stipPulations,policies,col.tracts,agreements,deeds,and releases and
me
assignments
ts which otheubusiness of the Company may requ re, ments and toln taffixetheture of seal of he tf nmeaa iydalso thereto.'other instruments and docu-
does hereby nominate, constitute and appoint M. H. Webb of Portland, Oregon. . . . . . • •� --
1 s true and lawful agent-and make, execute, seal and deliver, for, and on its behalf as
surety, and as its act and deed. any and all bonds and undertakings.. . . . . . . . . . .. . .
n e execution of such bonds or undertakings inpursuanceof these presents, shall be as binding upon said
Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged
by the regularly elected officers of the Company at its office in Baltimore, Md., in their own proper persons.
This power of attorney revokes that issued on behalf of M. H. Webb, dated
July 8, 1975.
The said Assistant Secretary does hereby certify that the aforegoing is a true copy of Article V1,Section 2,of the By Laws of
said Company,and is now in force.
IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed
their names and affixed the Corporate Seal of the said FIDrLITY AND DEPOSIT CONIPANY OF MARYLAND, this
..........,.................1.itla......................day of.....................Nav-e.mbe.:r..................... A.D. 19.- 3....
�a oz vos
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
' ATTEST:
a �
SEAL
n B
y�•...' Viu-P cridene
grritnnt Secretary
STATE OF MARYLAND ` as:
CITY OF BALTIMORE f
On this 11 th day of Novembar A.D. 19 77 , before the subscriber, a Notary Public of the State of
Maryland,In and for the City of Baltimore,duly commissioned and qualified,came the above-named Vice-President and Assistant
Secretary Of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,to me personally known to be the individuals and Officers described
in and who executed the preceding instrument,and they each acknowledged the execution of the same,and being by me duly sworn,
severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid,and that the seal affixed
to the preceding instrument is the Corporate Seal of said Company,and that the said Corporate Seal and their signatures as such
officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporatior•,.
IN TESTIMONY wmF REOF,i have hereunto set my hand and affixed my Official Seal,at the City of Baltimore,the day and year
first above written.
+,�Q. ...5 //� �•-- •• fid
> ,NoraAr z t
♦ .
l
Notary Public Commission ExpiresrlLLl.y...l_r...19.
�r',PLpl1.04.
CERTIFICATE
1,the undersigned,Assistar'X rotary of the FIDELITY AND Dr•:POslr Cr• I•ANY OF MARYLAND,do hereby certify that the original
Power of Attorney of which the foregoing is a full,true and correct copy,is i lull force and effect on the date of this certificate;and I
do further certify that the Vice-President who executed the said Power Attorney was one of u.e additional Vice-Presidents spe-
ciall;authorized by(-�the Board of Directors to appoint any Attorney-in .ct as provided in Article VI,Section 2 of the By-Laws of
the 1DF.LITY AND DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile tinder and by authority of the following resolution of the Board of Directors of the.
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
RESOLVED: "That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whethe)
made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be
valid and binding upon the Company with the same force and effect as thcugh manually affixed.'
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this.
r..._.........
_.,
Arrisin nt rrtary
�u,O--Y'et 105711
s
I
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME ; ;r/
PERMIT
__._
NC
DATE: _& /i;' �'s' DATE I r,SUEL..__.Z__L
OWNERS NAME :
ADDRESS : - c,
CONTRACTOR _ _ _
ITEST: Air [), Water [] , visual q , �oborotory ❑
IRESULT. Approved ❑ Di*approved ❑ _Pend,n- r
SKETCH:
Ale
I -
.__1__ �1
^ _ A
INSPECTOR DAZE.
I ClOTE . Af tocn su
DPle,rentai tort do'o 19.4tol
APPLICATION — STREET IMPR( MENT/EXCAVATION COPY TO:
1-f (WHITE) -FILE
ORDINANCE NO. 74-14 (BLUE) INSP,
[� IYELLOW) -OTHER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) (PINK) - APPLICANT
APPROVED [] APPLICATION NO.:
jT APPROVED p CITY OI I IGARD, OREGON FEE AMT.: f
PENDING FEE. PMT. ❑ C.I I ti IIALL RECEIPT NO.:
PENDING SECURITY ❑ PUBL IC WORKS DEPA R TMEN T BY __ DATE—___—l_.—I
PENDING AGENCY "CK" ❑ Application and Progress Record
FOR STREET IMPROVEMENT,EXCAVATION MAINTENANCE BOND
IMPROVEMENT!EXCAVATION AS RF_'OUIRth
PENDING INFORMATION ❑ ANNUAL
?ENDING VARIANCE EXPIRATION DATE:
PERMIT NO.: DATE ISSUED: _L_�_..._..._.-- BY:
1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS
APPLICANT
NAME ADDRESS CITY - PHONF.�—
CONTRACTOR -- — ------ - --
NAME ADDRESS CITU PHONE
PLANS BY
.._..NAME____ - ADDR[SA CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST):
DOLLAws—
FOR OFFICE USE: C1MIN.
(2) EXCAVATION DATA: 0.02 X s
STREET __ _DESCRIPTION PROGRESS & INSFECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED )TEM DATE REMARKS/TYPE BY
TYPE_ LENGTH WIDTH DEPTH ITEM & QUANTITY
—� STREET
- ---- - - Q N- —
IN::iPE
R TION -
E
Q
U e e_ -
ESTIMATED STREET OPENING DATE,_`— S
T - -
ESTIMATED STREET CLOSING DATE: �l EL
STPEEI
(3) SECURITY NO. __ _.— SECURITY AMT.: CLOSED
SURETY CO.. _._ __ FINAL ) �./��
CERTIFIED CHECK IJ CASH C7 ROW, INSPEC. –31.=1.(I t{
(4) FLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS /CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT.
( 1 1 I
r _
� 1
1 1 I 1
I
(5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY. GRANT PERMISSION TO APPLICANTS TO CONDUCI WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE CF 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 HARII,'LESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RE:SIJLT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE. __ _ DATE
CITY OF i ,vARD 12420 S.W. MAIN—11GARD,ORE .497223
RECEIPT
DATE AMOUNT
--DOLLARS
NAME: L. I> , I iCASH:
ADDRESS: CHE&L--
c M.O.:
OF
FOR: ACCT. 0 PERMITS SURCHARGE AMOUNT
SEWER BILLINrz,S 40-364
BUSINESS LICENSE 05-331
PLUMBIN—�PERMIT 05-332
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 30-367
PARK DEV. CHARGE #2 30-368
ZONING ADJUSTMENTS 05-362
TOTALS S S
RECEIVED BY: 14 111
PERMIT NUMNIS ASSIGNIO.,
Number Amount Numbor Amount Numbw Amount
RECEIPT