14725 14730 SW 72ND AVENUE FILE NO.
_ e.
72ND AVE. -- 14725 & 30 STR. OPN. PERMIT
_ i".- i CHUC & SON INC.
Manager
FEDERAL INSURANCE Q(GMFANY
BOND NO. 3030-51-38
LICENSE OR PERMIT BOND
KNC4i ALL MEN BY THESE PRESENTS:
That we, NATKIN & COMPANY
as Principal, and FEDERAL INSURANCE COMPANY, a corporation organized under the laws of
the State of New Jersey having its principal office in the city of New Ycrk, New York,
and authorized to tra .act the business of Surety in the State of _ Oregon --
as Surety, are held and firmly bound unto CITY OF TICARD, OREGON —
as Obligee, in penal sum of ONE. THOUSAND FIVi itUNDREU
AND NO/100 - - - - - - - ----- - - - - - - - - ($1,500.00 ) Dollars, lawful
money of the United States, for which payment, well and truly to be made, we bind
ourselves, our heirs, executors, 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 t(x
f.)r STREET OPENING RE: NATKIN ANNEX
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the said Principal
shall indemnify said Obliqee against all loss to it caused by said Principal'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.
PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force
and effect for the full period of the certificate, license, or permit issued to the
Principal above named _ NATKIN & COMPANY _ or until ten days after
receipt by the Obligee of a written notice signeu by such Surety, or its authorized agent,
statins that the liability of such Surety is thereby terminated and cancelled. Provided
further, that nothing herein shall affect any rights or, liabilities which shall have accrued
under this bond prior to the date of such termination.
DATED June 1 1979
NATKIN & CDY44MY
r nc p1 ai Roy Vl. P
Eiciyge,
FEDERAL INSURANCE COMPANY
ttyney-in-�'art
Dor44rrtt!i P. Hutrhtins
y 1.6101 ism)
APPLICATION - STREET IMPR, MENT/EXCAVATION COPY TO:
ORDINANCE NO. 74-14 aS SL ITE)IFIL[
IBLUE) -INSP,
�IY ELLOWI`O,HER AGENCY
(INSTRUCTIONS ON SEPARATE SHEET) Z(PINK) -APPLICANT
APPROVED APPLICATION NO.: _ _-
No-r APPROVED �u FEE AMT.: I �
CITY OF TIGARD, OREGON 4°9
__- -- --- --
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.:
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY 06'/ _ DATE_ 25'12S/�
PENDING AGENCY "OK" ❑ Application and Progress Record - - - �•
MAINTENANCE BOPJD
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION ASREQUIRED
ANNUAL
PENDING VARIANCE n F_XPIR ATE:
PERMIT NO :_[_ -_ DATE ISSUED: SL_L .__ , RY:1
(1 ! APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
A, AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT X14T�Lr[J LD. �4�B3G7 S• ��l�YLo- -b 0-
AM[ ADDRESS CITY PHONE
CONTRACTOR
NAME ADDRESS CITY PHONE
PLANS BY _-_—
NAME ------ADDRESS ---�� CITY--� - PHONE
00
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): ,S
DOLLARS
E yyii�� M
(2) EXCAVATION DATA: ROP OFFICI0.02 X $-11di3L s --
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE_ BY
(' _ o—TYPE LENGTH WIDTH DEPTH �yITEM 6 nQUANTITY
3/ OPENED
n INSPEC-
�_- R TION
E - -
Q
ESTIMATED STREET OPENING GATE: S L Z I 7- S
ESTIMATED STREET CLOSING DATE: 6 / / 79 T
E
D
TRET
(3) SECURITY NO6b6V:�L� SECURITY AMT.: $ �� CLOSED -�
SURETY CO. _ ',' c�L fiusc%N FINAL
CERTIV IEDCHECK L1 _ CASH O BONDr
C•
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL L PROVISIONS/CONDITIONS:
FEATURES: EXCAVATION LOCATION AND EXTENT. `� O�tir1/A 1Z'
Bi�b't�L/�LGG
CuAA - ' _ _ - - -' - - - - •� �_ /VCS/i�/ J�f �!/ /• fes. —
(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.
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.
^- 7�APPLICANTS SIGNATURE � .�_ DATE
,•,pRLIr' .ON - STREET IMPF =MENT/EXCAVATION COPY TO:
❑ (WHITE) - FILF
ORDINANCE NO. 74-14 (BI_UE)
�NSPECT0PS C0P'Y� (YELLO-WI)NSP.
-OTHER AGENCY
(INSTRUCTIONS ON SEPARATE SHSE ❑ (PINK) -APPLICANT
PROVED ❑ APPLICATION NO.:
NOT APPROVED [; (.I IY OP TIGARD, OREGON FEE AMT.: f
PENDING FEE PMT. ❑ CITY IIALL RECEIPT NO.: _
PENDINGSECURIT" ❑ PUBLIC WORKS DEPARTMENT BY_---- DATE
PENDING AGENCY "OK" ❑ Application and Progress Record
MAINTENANCE BOND
PENDING INFORMATION Ll FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED o
ANNUAL L]
PENDING VARIANCE ❑ EXPIRATION DATE:_______1
PErZMIT NO. _ _- DATE ISSUED: —mo i BY:
( 1 ) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL
AS DESCRIBED PEREIN, IN FULL ACCORDANCE WITIA CITY REQUIREMENTS.
APPLICANT
NAME ADDRESS - CITY PHONE
CONTRACTOR
NAM[ - AbbRESS CI"Y PHONE
PLANS BY
....NAME ADDRESS CITY PHONE
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $
DOLLMRS
: FOR OFFICE USE:
(2) EXCAVATION DATA '
_ 0.02Xf�—
STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS
NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REM..Pk 1/TYPE BY
_- TYPE LENGTH WIDTH DEPTH ITEM AI QUANTITY
STREET
-OPENED _�1'�a _
INSPEC
R
E -
Q
ESTIMATED STREET OPENING DATE __ _ _— S
ESTIMATED STREET CLOSING DATE: ED G_ 'j
_—__---- -- oO
STREET
(3) SECURITY NO. SECURITY AMT_ $ CLOSE
SURETY CO : _ FINAL
CERTIFIED CHECK it CASH n •OND C7 INSPE C.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
• I 1 ( I I 1 I -- �— i --__-
I I I I
I
1111 E
" I NOTE THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-AAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REIJUIRED 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 AC-IONS.
APPLICANTS SIGNATURE: DATE
CITY OF TIGARD---12420 S.W.MAIN --TIGARD,OREGON 47223
RECEIPT
DATE: -- ~ -- 7 ---AMOUNT:$
DOLLARS
l
NAME: ' �- y CASH,
ADDRESS: 2 ' CHECK
'L � y✓`� M.O.:
OF
FOR: _ ACCT. # PERMITS SURCHARGE ^ AMOUNT
SEWER BILLINGS 40-364
BUSINESS LICENSE 05-331
PLUMBING PERMI1 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
:;Z4
TOTALS
K�
RECEIVED BY:
PERMIT HUMMERS ASSIGNED!
Number Amount Number Amount Number _Amount
------ s s - s
- ----
S- - RECEIPT 0 F,�;00.4.
.... . .
Certified Dopy of
POWER OF ATTORNEY
Know all Men by thebe Presents, That the FEDERAL INSURANCE COMPANY, 100 William Street, New
York, New York,a New Jersey Corporation,has constituted and appointed,and does hereby constitute and appoint
�. «estop, Jr. , H. A. Steens, John V. Owen, Dorothy P. Hutchins and May F.
Y,7,•rr2y of Portivnd, Oregon— — — �------------------
each its true and lawful Attorney-in-Fact to execute under such designation in its name and to affix its corporate seal to and
deliver for and on its behalf as surety thereon or otherwise,bonds of any of the following classes, to-wit:
1. Bonds and Undertakings (other than Fiduciary Bonds) filed in any suit, matter or proceeding in any Court, or filed with
any Sheri" or Magistrate, for the doing or not doing of anythinq specified in such Bond or Undertaking, in which the
penalty of the bond or undertaking does not exceed the sum of two Hundred Fifty Thousand Dollars($250,000.00).
2. Surety Bonds to the United States of America or any agency thereof, including those required or permitted under the
laws or regulations relating to Customs or Internal Revenue;License and Permit Bonds or other indemnity bonds under
the laws, ordinances or regulations of any State, City, Town, Village, Board or other body or organization, public or
private; bonds to Transportation Companies, Lost Instrument bonds, Lease bonds, Workmen s Compensation bonds,
Miscellaneous Surety bonds and bonds on behalf of Notaries Public, Sheriffs, Deputy Sheriffs and similar public o"I-
cials.
7. Bonds on behalf of contractors in connection with bids, proposals or contracts
In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its By-Laws,caused these
presents to brf signed by its Assistant Vice-President and Assistant Secretary and its corporate seal to be hereto affixed this
1st day of January 19 78
FEDERAL INSURANCE COMPANY
By
RAAN
�,:• • o
••,; George McClellan
sot iD AssistantVice-President
E
Richard D O'Connor
Assistant Secretary
STATE OF NEW JERSEY
ss
County of Essex
-r
On this 1st day of Jan nary 19 before me personally came nich3rd D O Connor, to me known and by me known to
be Assistant Secretary of the FEDERAL INSURANCE COMPANY, the Corporatism described ill and which executed the
foregoing Power of Attorney and the -laid Richard D.O'Connor bung by me duly sworn, did depose and say that he is As-
sistant Secretary of the FEDERAL INSURANCE COMPANY and knows the corporate seal thereof, that thr• seal affixed to
the foregoing Power of Attorney is such corporate zeal and was thereto affixed by authority of the By-Laws of said Com-
pany and that he signed said Power of Attorney as Assistant Secretary of se,d Company by like authority,that he is acquainted
with George McC.ellan and knows him to be Asavitant Vice-President of said Company, and that the signature of said George
McClellan subscribed to said Power of Attorney is in the genuine handwriting of said George McClellan and was thereto
subscribed by authority of said By-Laws and in deponent's presence
Acknowledged and Sworn to before me
�!G1 Ate.` on the date above written.
r10
y\
90 T A R Y ..�.i
* — ' Notary Public
1' PUBLIC i
• � PATRICIR RYAN
i ER I; NOTARY HOLIC OF NE'a )ERSEY
My Cumm,aion ExGire>t Occemhcr ll, 19 7A
io,m 21 10 2Je IEd 2 7a1fGemerall -
rr-uao3x laorrn
I�IY ;
SHORT HILLS, N.J.
ss.
County of Essex
I,the undersigned,Assistant Secretary of the FEDERAL INSURANCE COMPANY,do hereby certif, at the following is
a true excerpt from the By-Laws of the said Company as adopted by its Board of Directors on Marsh 11. 1953 and amended
May 27. 1971 and that this By-Law is in full force and effect.
'ARTICLE XVIII
Section 2 All bonds. undertakings. contracts and other instruments other than as above for and on
behalf of the Company wtiich it is authorized by law or its charter to execute,may and shall be executed
in the name and on behalf of the Company either by the Charman or the Vice-Chairman or the President
or a Vice-President jointly with the Secretary or an Assistant Secretary. under their respective designa-
tions,except that any one or more officers or attorneys-in•fact designated in any resolution of the Bow
3f belrectors low,mai execute any such bond.r the Executive Committee. ng or other obligation power of attorney xas provided providedas schfor
resolution or
power of r ttorney
Section 3. All powers of attorney for and on behalf of the Company may and shall be executed in the
name and on behalf of the Company,either by the Chairman or the Vice-Chairman or the President or a
Vice-President or an Assistant Vice-President.jointly with the Secretary or an Assistant Secretary,under
their respective designations'
And I further certify that I have compared the foregoing copy of the POWER OF ATTORNEY with the original thereof and
the same is a ccrrect and true copy of the whole of said original Power of Attorney and that said Power of Attorney has not been
revoked
And I further certify that said FEDERAL INSURANCE COMPANY is duly licensed to transact fidelity and surety busioest
in each of the States of the United States of America, District of Columba. Puerto Rico,and each cf the Provinces of Canada
with the exception of Prince Edward Island, and is also duly Incensed to become sole surety on bonds,undertakings.etc.
permittoid or required by law.
Given under my hand and the seal of said Company at Short HMIs. N J. thrt_�.—
18 t day of
June _ 1g 79
Assistant ecefsry
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