8770 SW SCOFFINS STREET-1 FILE NO.
SCOFFINS ST. - 8770 STR. OPN. PEfZPf...
APPLICATION —. STREET IMPR MENT/EXCAVATION COPY TO:
ORDINANCE NO. 74-14 ❑ 'WHITE)-FILE
❑ (sLUE)-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) ❑ (YELLOW)-OTHER AGENCY
❑ (, INK)-APPLICANT
APPROVED APPLICATION NO. __ %•)
No-r APPROVED ❑ CITY OF TIGARD. OREGON )�-cs
FEE AMT,: /!_
PENDING FEE PMT. ❑ CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY r.__ 7Cj
PENDING; AGENCY "OK" ❑ Application and Progress Record _ — _ — — — — — —
MAINTENANCE BONA N yG
Pf_NDING INFORMATION ❑ FOR STREET IMPROVEMENT/_XCAVAT ION AS REOUIREO ".-
PENDING VARIANCE ❑ ANNUAL 0
--- --- —��. !!,�� ' EXPIRATION DATE:
PERMIT NO.: � zZ_ DATE ISSUED- . 7
BY:
(1) APPLICATION IS HERGB ' MADE TO EXCAVATE FOR AND INSTALL �����_i � � c �; 11'►
- AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY R%:QUIREMENTS.
APPLICANTAME ADD,E s� c .'c t , it
CONTRACTOR CITV_
--- ----INAME ADDRESS IT PNON[ �—
PLANS BY _
t --
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $
DOLLARS
(2) EXCAVATION DATA: Pow OFFICE USE `-- nMiN =_
0.02Xf- - -_
STREET DESCRIPTION PROGRESS & INSPECTION STATl1S
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED
A TYPE LENGTH WIDTH DEPTH ITEM A "iUANTITY ITEM DATE REMARKS/TYPE BY
STREET --
P
INS
R 'PION
E -
O
U
ESTIMATED STREET OPENING DATE: /
f
E
S
ESTIMATED STREET CLOSING DATE: / / T --
- _. D
(3) SECURITY NO.YJ F-if- /,& SECURITY AMT.: S � CLOSET
r•-i� r CLOSED
SURETY CO.: / i�i� r/,/ /! I ,I/,,, FINAL --
_ CI'RTIF-IEDCNECK U CASH U SONO uj INSPEC..
(4) PLOT PLAN: INDICA-1 E SITE PERT;NENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS
FEATURES, EXCAVATION LOCATION AND EXTENT.
I I
LURS Me
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( I I 1
I I I I
I _
(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 OR THE STATE OF OREGON.
TME 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 ^ItY TND
EMPLOI EES AGAINST ANY INJURY OR Vf4MAGE WHICH MAY RESULT FROM APPLICANTS ACTIOWS.
APPLICANTS SIGNATURE: �/I '� f / `IT' - f
� DATE
.1
- - I
CITY OF TIGARD--12420 S.W.MAIN-TIGARD.OREGON 97223
RECEIPT / �p
DATE: AMOUNT:S
_/�' --`
Ills
/��j
NAME DOLLARSA.
nD,•�oT ��.ri;CJ1�1�} (� (../1. CASH:
.1� "
8
ADDRESS: L7 sty/ ,VlZu � L.vQ a �S! CHC
�027Z r3lU� /�0 ? M.O.:
f OF
FOR: ACCT.a 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 01 30-367
PARK DEV.CHARGE#2 30-368
ZONING ADJUSTMENTS 05-362 _
Je
TOTALS
RECEIVED BY: -
IRMIT NUMBERS ASSIONEO:
Number Amount Number Arrnount Number Amount
RECEIPT 0 'I 7 i1
PerUaijil,�: 3ond -
Pri vats ',Vatic--General
HEREINAFTER CALLEO THE SURETY r
HOMO OFFICE
Bond No. YS 808 1811
Premium S
PERFORMANCE 13OND
KNOW ALL SEEN BY THESE. PRESENTS:
That We,
of The Robert Randall Company
Portland, Oregon
(hereinafter called the Principal), as Principal, and _Industrial Indemnity Company
(hereinafter called the Surety), as Surety, are held and firmly bound unto
The City of Tigard, Oregon
of
(hereinafter called the Obligee), in the sum of Six hundred and no/100------
---------------------_ ----------------------------- Dollars($ 600.--------------- ),
for the payment whereat said Principal and Surety bind themselves firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, THAT
Whereas,the Principal has entered into a written contract dated i9
with the Obllgee, for
Improvements on curb, sidewalk and driveway approach - 8770 S. W. Scoffins St.
a copy of which is hereto annexed: Tigard, Oregon
Now,Therefore,if the Principal shall faithfully perform the work contracted to be performed under said contract,then
this obligation shall be void; otherwise to remain in full force and effect.
SUBJECT,HOWEVER,TO THE POLL40WING CONDITIONS:
First: That in the event of any default on the part of tha Principal,written notice thereof shall be giver to the Swcty as promptly
8-1p—sible,and in any event within ten(10)days after such default shall have become known to the Obligee or to any re xesentative of
the Obligee authorised to supervise the performance of solid contract.Sold notice to the Si.•w!, stall be acdressed to It by reatelered
United Stales mail, or served upon it at its office at 251 California Street, San Frenci%co, California If the Principal shall obandon
said contract,orbe compelled by the Obligee to cease operations thereunder, the Surety shall hove the right to proceed orprocure others
to proceed with the performance of such contract,Sod all reserves,deferred payments,and other moneys provided by said contract to be
paid to the Principal,shall be paid to the Surety,at the some times and under the same conditions as by the terma of r.�d contract such
moneys would have been paid to the Principal had the cuntract been performed by the Prinripal, on.'IS.Su^sty shsll be a Aitlyd thrreta
In Preference to any arsignee of the Principal,or any adverse claimant;but If the Obligee shall complete or re-let the is d contract,all
reserves,deferred payments,or other moneys remaining after payment for such completion shall be paid to the Surety in irder to indem-
nify it against any Inas it may suffer or sustain by reason of the execution of this bond or any other bond In connection with sold can-
trnct,or Shall be applied as the Surety may direct toward the settlement of env obligations or liability Incurred Wreurider or under any
hand nr ,hllaottnn incurred by it in connection with void conrrec'.
Second: That the Obligee shell loithfully perform all of the tormA,covenants and conditions of said contract on the part of the
Obligee contracted to be performed; and Shall also retain the last payment and all reserves or deferred payments until the complete
p-rformance of said contract,and until the expiration of the time within which notices of claim or claims oflien by persona performirs
,'k " ••:rnl.hin`mat-1414 under,Aid iatract may he filed,and vatil:III ou .e
ch�rlaims hov.hn 1,1,44% unless 'he mr-ty,h �all ms•at,
i.,ww:og, I.,the payment 0 nAid Ii.st payment,reserves, or daleir d pay-ients.
Thirdt That the Surety shall not be liable for any duaa`es resulting from strikes or labor difficulties,or from mobs,riots,civ':
commotion,public enemy,fire,the elamente,acts of Gnd,at defect or fault in the plans or Specifications referred to in and contract,
or far repair,or re,onstruction or any work or materials damaged or destroyed by any of said causes,or for damages r•Injury to,or for
the death of any person; or under or by virtue of any statutory provision fnr dxmages or c�mpensotlan for Injury to or the death of any
employes. -hU bond doe% not cover any provision of the contract, or cr„a:ificalions respecting guarontees of efficiency,or wearing
qualitle%; or tot maintenance of repairs,nor does it obligate the Surety to furnish any bond,policy or obligation ether than this instru-
ment.
Fourth: That no stilt, action, or proceeding by the Obligee to recover on this bond shall be su%tnined unless the same be com-
meric"d within six months from the completion of said structure or wrrk of improvement,nor shall recovery be had for damages a:eruing
A
her that date; that service or writ or process commencing any Such suit or action shall be made on or before that date;that the Princi-
oal shall he made a party to any such salt or action and be served w,th Process coaaiencing the some, If the Principal can with reason-
able diligence be found.
SIGNED,SEALED AND DATED,Ciis 8th day of October 19 79
'he Robert aodall ,
/ rinehrt