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PACIFIC HIGHWAY & SW WALNUT PLACE I Building Statistics Robert ►� .t+ , rte_. *r'5e N'\�►----- ✓�v� -•"1Ai �v -7 � Associates �at�a7 'r�►M P'C� f,-r71F+C �.� I c o—ic�• Slc I`-v'L e -�!� Arch itects AIA --- \� '�✓►u`ti ��Yr '` r V✓V Ifs c:.c'Jr'C.. v✓�✓' _ �.r• C,p►.+ - \ C.G�'rG W I ZC�I++I�+ti - .T Y pG • �,� tF.w•.+ o�-eV CYV " P� fh,llrrllrM t w ;1►u n„r`I►:)tr WrnnrllX It ` • /'� P .Q a• O• o , , o � —� e � � 1•o , .,�,� LJL eal Description Ob ,L._ • (.ti�� C c• ' OW �t7' ♦• .1 x.11,1 ()rrM(tH1!1'�iit) 111 Yt I hrnl M'r -700 �-,r• f_� , .. ._ .�yr �jF��- 2 - � 241 /0- Li � EXTRUDED CURB APRON APRON imam 1 2 7 --44 Ir �s� . 1. r SIS „I e 1 _ 4' ��.� -' '°L` �'�,�. Ott✓` nG'I�' --- 5-,rA� '�• ' — 4 1 i ` - x�.. -�° 1 ZI ---- -- ---� COIL CAN HENRYS .j �7 AN TZ 1g(p,•+•2 ��gr' o y,( ,� o IVY, P*`-1.• I 17 r► Q * <', o - I Q, Q , v ?�' '� - '`' 4 2' 9320 S.W. bwbw&W..Suiw 20 o(' _ - III pl�C�:� 1 �J �, •o PpU i g'-o'' yV l DE M wT oGIJ Ia b ; I I --- ' PWiane,�+97219 ✓t'r- �J►�-� YA l I � I J) ✓ ..I.�/IL � V + • G� v..m .. ...m+E� \ • ,Q (503)a<7J•VOd7 �►C�Gv -� - - Ij SW �r'<-+ F,G^ — ` . w o � %o le; o� - W Pacific SOV walm'! Pi _ 1 GIFT + ' i f�` �• 1411 CII C5 , WAL X WAY _ BOLLARD �� a.�� _ iyard, Or EX �i i ITC•GtJ►Z�J y 'Orl IiP I t 1 3 a SHEET TITLE Cit ry i5 �F 4: ✓� ” I�a''a «ter<,o¢•rli ' _ q- r i 46 9rL-)?Oop 1000 e Plan ,� G�.r•,.vl �, � J, - { y 1�11•I- 5"%" - - 1 1 , �o� ,e N 10 8ro - 6� • , ,,, - Cir . WO L ° '\�• • ---_ - Y p0 �V VV k i 1���• � *;,L ryA� r I I p„ p o '' ~� -- I ,p—�t' i T I� 9 ' "N, p �� — — I r��w sl v�w,�.►� -4 = o .` • f' w 76 -- _ - -- 1 --- - 11,7 io � ---- -- - ---- - � �'� • . � • $• =-I��.r I..,-a qJ► i��.2a M�,,I.;ti+ � -s, « � 9� -- --,�► Not Used c E x,�� ,,. � �1� Vr`r�'►�J �4y " x/4'1 G�J�.�►L � _ I �-�-;1-V �'�"� �o� -}- ,� '>s- '�"t.'K"I�IAL SIL lat'�'�N►�"`''G�'T'1C7+.r -_� � � ����s J ~ 1�7 � J REVI�101� ' T 1 5 Date Dowipti" 4 uwcr LAIN TWA14CH DRAM CATCH BASIN jT .,^( 141 O 6 Used � �L r Q / � i �I O� I I r. �I IItK7�'•+S.�n r '' � � �•' I'�� '-� � �/• r J rr; 1 •� rl l Z __ Gp• 1 ->•a 9..� Exec. � /, -- -- _.__ i ����° 4" �4 xq'' !T' 05 1 1 o • r p r'� w � H�+j Ex�:�t' Features Site U t lltTrties & Signage o s� '� {' �� --� APPR�JV'EI tvSTFZIJCTI`. M �) 19 A R!n LIGHTING - 2 0 H . P O L E -, I I I I —c� C.7 A R D _ � . 1 EXISTING SIGN POST + Lu I ✓� �, C2) EXISTING TELCO M.;1 , I X 7 U R E n "J — ( �,�.+� _� " 234 - 1�4 x >K 4 EXISTING CURB O --- - ---- - - - 19 POLE - 4 ) BUSINESS IDENTIP r'9•. --- I y f� T I EXISTING SIDEWALK J DATLO 's K ICATI N • ig u2 ,�/ O GN „ • '� O LXISTING A. C . PAVING e:) GROUND-MOU TED DIRECTIONAL l „cam , „ - -►�/w �i� "'� F� Bldg Wth 0- �t 704, tri. A,Ev << _ 4 e w �,n..::. ,.+�+�' ra y a S I G S !1� L-_ ---- lJF j/v�JMZ-►� =Vt1- `+ 1 � EXISTING CATCH BASIN 21 DOMESTIC WATER C NNECTION I+ 22 STOFM WATER CONNE ION CA Ll r L New Site Work � �.�L� � (DRY, JOB r�lwa�l�R �', " _ Ju - it - �_ f`9) ASPHALTIC CONCRETE PAVING �It� Pia{n Llmlt� of Work ;,� a _ �►� � ,-- - - / 23 !<L•ECTRIC METER C NNECTION . P1014"Ar WH 'EJ - _ -_-- C� LIGHT BROOM FINISH cONC'RETE `�'-w � �- —'—' DATE UNDIRGR.OUND SERVICE V kr I r__ 11`�p0 ✓WD -- — -- - --. _ 11 LANDSC::^! PLAN LING AREI! 24 NATURAL OAS METER CONNECT N "p-►r7�'I�5 SCALE ry I x 2 -'aroma t_. �e V"►. �!'. > I-•t sai '� w t-I IPt E. �-,(�,w' �1�PNtJv mFr TO S Yv P'^C4� G 40 0( 17 TRAFBIC .Y�l1•bf�.:v�PAINT li = • �'47r� I� �-- I W �./�' . � pf� - �x T c�-Y� �I C(,'*�+ ,NeCJu�r'�;,� _ 13 EXTRUDED OOCRETE CURB C.•f�=+ �� P `•fIE!h4�'J�� ,�VISiUry � �`S ���"�� OVERLAY CODE • - - ,, _ ' .^ ., 1 r-y'rj�;':� r�►,JT`Ti✓��I ( 1444) CAST-IN -PLACE CONCRETE CURB •. ,.r � r ,w. .'_ +tc COUS1`IC FENCE Trash Enclosure _ Trash Enclosure u�� S��RU �O MOT 51J I��E �' ,mow-�• S - -tila� NSC. �E �-�� ��,c, -•,•�.,--- : FI .,- ��—•a] t 1 10 2 ,� 15 NEW CATCH BASIN ,� SHEET MUMMA Not Used • 0" BICE RACKeq CRS- I 3f;',� 3t ''> R.pl..oc�d.�' se4�s►s �� I►ect rt�Dl��:-GE wI Cl't`�' ���sr1=(�7aR1� D►R.¢e'ttoNz lu �-te. ` • �*R.u�R. 'cfl `vrau�e..,��., c..�Nca�.e�, cu��..>Ic:.� . 1 ?ERMIT NO . 2" 01 r rte.• ,•, i • '.. �r,� � ...._ • '.L:1 •+-.iYi.... 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PERMIT 6 r` RELIANLE INSURANCE COMPANIES RELIANCE UNITED PACIFIC PLANET INSURANCE COMPANY INSURANCE COMPANY INSURANCE COMPANY Head Office-Philadelphia, PA Head Office-Federal Way,PWA Admin.Office-Federal Wav,WA P.O. Dox 5669 Portland, Oregon 97228 August 5, 1986 City of Tigard City Hall 12755 SW Ash Tigard, OR 97223 Bond No __ U 48 56 57 I rincipal TRIPLETT-WELL.MAN, INC. You are herby notified that the captioned bond,effective on or about 5-1-86 and executed by UNITED PACIFIC _INSURANCE COMPANY,as surety, on behalf of . 11IPL)!1T-WELLMAN, INC. :;scribed as Street Opening Permit Bond is hereby cancelled effective 9-11-86 ,or if such specified date does not provide a sufficient number of days notice,as rdlluired.then upon the earliest date permitted. The issuance of this Cancellation Notice shall not, however, operate to extend the effective date of cancellation, if such bond Has been cancelled upon an earlier date under the conditions and provisions of said bond. UNITED PACIFIC INSURANCE COMPANY shall not be responsihle thereunder for any acts or defaults com pitted or loss occurring after the effective date of cancellation, not, for any losses not discovered in accordance wI`h the provisions of such bond. Yours very truly, UNITED PACIFIC INSURANCE COMPANY n;, - A Tatra Richards, ti-ney-in-Fact BD C4 ;11184 WHITE • OBLIGEE CANARY • AGENT PINK • INSURED GOLD 6 BRANCH APPLICATION - STREET IMPRC -MENT/EXCAVATION COPY TO: (WI IITE)-FILE OR DI N,1,.CE NO. 74-14 ® (YELLOW)-INSP. (INSTRUCTIONS ON SEPARATE SHEET) ❑ (PINK)-OTHER AGENCY (BLUE)-APPLICANT APPROVED kk APPLICATION NO.: �Zl_I __ NOT APPROVED ( I I Y OL' TIGARD, OREGON FEL AMT.. S 7 tL.LLzo PENDING FEE, PMT. U CITN' HALL. RECEIPT NO.: PENDING SECURITYl PUBLIC WORKS DEPARTMENT BY -'__ DATE_' l 2_ PENDING AGENCY "OK" ❑ :Application and Progress Record — — MAINTENANCE BOND X_ PENDING INFORMATION [1 FOR STREET IMPROVFMENT/EXCAVATION AS RC(;IUIREI, 7� H ANNT19one year PENDING VARIANCE U EXPON D E: PERMIT NO ' '", 34 DATE ISSUED: BY. (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL Sfdetaal and J."A-veway_ Aprons_ AS DESCRIBE HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. P%#wrµlac mw 4t. o• VOK 4 7z agog 02.ti?c►7/ �6 r 8� APPLICANT - -3z.nr S arks -� �-9il Ri rbnr .414d— Stiff-tc 240-) N� ADDRESS CITY PHONE CONTRACTOR --_- AM -A 5-D7R IfS _ C 11V _P SNE PLANS BY R,3bert 7venson Assoc. 510 M4 3rd Portland, OR 97209 221-0690 NAME ADORE CITY PHONE ESTIMATED IMPROVEMFNT TOTAL VALUATION ( COST): E 3924.00__ DOLLARS (2) EXCAVATION DATA: FOR OFr1C USE: MIN 0.04 X s 230,00 = S 9.20 STREET DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLEDFIN TEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY Waln t _- ( e attach L la conn. I •C� ApronsSTREET _ EC-ION -- ESTIMATED STREET OPENING DATE: / / E S ESTIMATED STREET CLOSING DATE: - / / T - - ..-- D (3) 1. ECURITY NO. _ S URITY Affyy11T: f_3924.00 -- LLOSE� SURETY CO.: NI - _��rL 1�^S ,(�ca, __ FINAL i CERTIFIED CHECK i CASH_ L)_ !ON INSPEC. [ G' %� C• (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. I . All work shall. conform to City standards and 11 i i specifications. ( Work Area (see atta ed ,) n) I _41141 L---- ;« ti� � C_ _ _ _ �i I� ?. No work shall be considered ~' WALAUT Place complete until. accentec, b•�- t �` --- - --- ---- --- _ city. - 1 nl .- � r Fii 1 --- `T 1 — ;- Call 639-4171 for insnertioll I I I prior to pouring concrete I I �� I 1 ) _wall:s an apr,-ns. (5) NOTE THE CITY OF TIGARD DOES NOT, HEREBY GRANT PERMISSION TO APPLICANTS TG CONDUCT' WORK WHERE RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE (TATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT Or THE WORK, AND TO SANE HARMLESS THE rITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS \ PPLICANTS SIGNATURE "_Zt4 �X _/ — DATE / / / PLEASE TAKE THIS TO THE CASHIER FOR A RECEIPT NAME: DATL. fi ACCT. M DESCRIPTION AMOUNT 10-220 Refundable Performance Bond Deposit 4 10-435 Sign Permits HOP TU 10-436 Public Sewer Plan Check/Inspection Fep 10-436 Public Storm Plan Check/Inspection Fee 10-436 Street Dedication/Public Improvement Feezu, 10-436 Street- Opening-Permit 10-440 Subdivision Applications: S MLP 10-441 7onA.ng Applications : 7C CPA ZOA PO Misc SCE CU SLP V �J. -442 Street_Light_ Fee 10- 451 Document Sales End-r=- Planning 13.1d9 10-451 Street and Traffic Signs 9 10-4151 Land Use Actions/Fees , SDR LU rom C'TY0E-T1VArPM No. 13042 12758 SW ASH P-0-13OX 23397 TIGARD,OR 97,223 Date Name Td�ress Loj'7, MCI( dap Subdl 2 11111111111) 11 Wr i Permit vs Bid / 2 Plumb Cash che�ck Sewer -2 Other Acct. No. Othet Rec. By 1U432 r-11-scriptlon L Buildin Permit Fees Amount 10-431-6 lumbi 10-431-601 nU PermitTeei 0 Mecha I Per��it�Fees ---- 0-230501 Statp!BI Bldq. Tax Z�ck Fee z h .43 10 33 4� --§ewer i�o'nnectjon 51-4 ' —Lif-sRection 48 Street S 52-449-610 P ��Y�Dev. .0 Sys,-�,Y—rge 52-44"?q Parks 11 yst.. Dev C�2� I () �"ou I-4 5-0 S'T-T D�a Charge �Inge.S sl. �v 10-430 u9ine!js 2 10-434 Alarm 10-227 10-455- �—Ine f-, J:r:a�f I—1c/Misd/P1—rkIn,, rif f— �0-2'0- CPTA ,/M,,__ g d/Vic, A J—------ Indigent [)e U-1V 10: 56 30-i-2240j er Spj�� �T6T2�40-2 S 30-12 - ���rv1ce/C`itj-90­%------- 6e—/CItyJM—aInt Jnmatche 31-124 Storm N—aln—age 40-4 Bancroft --�O 4 71 -Arwri-�pmt. W.-n-Er�o , . ....... t Int. YrN. 70��­­ AL±­ U C 744 0 TOTAL DEPT. UNITLI'D P! :IP'IC I1.TE3U1:LAN0 00M1=.11qY HOME OFFICE, FEDERAL WAY, WASHINGTON LICENSE OR PERMIT BOND KNOW ALL MEN BY THESE PRESENTS: 7hotwe Triplett-Wellman, Inc. as Principal, and UNITED PACIFIC INSURANCE COMPANY, a corporation organized under the laws of the State of Washington having its principal office in the city of Tacoma, Washington, and authorized to transact the busi- ness of Surety in the State of Al 'ion , as Surety, are held and firmly bound unto-�City of Tigard, Oregon --- -- – --- -- ---- — -.-- _-. , as Obligee,in penal sum of THREE THOUSAND NINE HUNDRE., T� _,iTY 1-:01", ':j/100------ --- 3,924.00 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 Street Opening Permit Bond ($iic wi-ii t�o7cTI-enie or pwrm - NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the said Principal shall in- demnify said Obligee against all loss to it caused by said Principal's breech 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 thefull pe-iod of the certificate, license, or permit issued to the Principal above named but not beyond May 1, - 19 By, or ten days after receipt bythe Obligee of awritten notice signed by such Surety,or its authorized agent, stating that the liability of such Surety is thereby terminated and canceled. Provided further, that nor.iing herein shall affect any rights or liabilities which shall have accrued underthis bond prior to the date of such termination. This bond may be extended for a further term by the issuance of a Continuation Cer,ificate signed by the Surety. Dated -- May 1' - - - - -- -- , 19 86 TRIPLETT-WELLMAN. INC. UNITED PACIFIC INSURANCE COMPANY t eoua3ot ED gat By: , v ,� AT TO RM[Y•rMp Lt1 - UNITED ILCIFIC INBURANCM _`OA4PA NY HEAD OFFICE,FEDERAL WAY, WASHINGTON POWE 11 OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, That the UNITED PACIFIC INSURANCE COMPANY,a corporation duly organized under the laves of the State of Washington,does hereby make,aonstitutit and appoint CAROL J. ROYAL of SALEM, OREGON--- its true and lawful Attornay-in•Fact,to make,execute,seal and deliver for and on its behalf,and as its ec'and dead ANY ANIS ALL N(�NDS AND UNDERTAKINGS )iF SURETYSHIP------ and to hind the UNITED PACIFIC INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof ware signed by an Executive Offices of the UNITED PACIFIC INSURANCE COMPANY and sealed and attested by one other of such officers,and hereby ratifies and confirms all that its said Attornayl%1•in Fact may do in pursuance hereof This Power of Attorney is granted under and by authority of Article Vll of the By Laws of UNITED PACIF IC INSURANCE COMPANY which became elfecbve September 7, 1978,which provisions are now in full force and effect,reading as follows ARTICLE VII EXECUTION OF BONDS AND UNDERTAKINGS 1 The Board of Directors,the President,the Chairman of the Board,any Senior Vice President,any Vice President or Assistant Vice President or ether officer designated by the Board of Directors shall have power and authority to la)appoint Atforneys in Fact and to authorize them to execute on behalf of the Company, bonds and undertakings, recognizance%, contracts of indemnity and other writings obligatory in the nature thereof,and(b) to remow,any such Attorney in Fact at any time and revoke the power and authority yivon to him. 2 Attorneys onFaC. sna! have power and authority,subject to the terror and limitations of the power of attorney issued to them,to execute and deliver on behalf of the Company,bonds and undertakings,recogmzances,contracts of indemnity and other writings obligatory in the nature thereof The corporate seal is not necessary for the validity of any bonds and undertaking.,recognizance%,contracts of indemnity and other writings obligatory in the nature thereof 3 Attorneys in Foci shall have power and authority to execute affidavits regnred to be attached to bonds,recognizance%,contracts of indent nity or other conditional or obligatory undertakings and they%hall also have power and authority to certify the financial statement of the Company end to copies of the By Laws of the Company or any article or section thereof This power of attorney is signed and waled by facsimile under and by authority of the following Resolution adopted by the Board of Directors of UNITED PACIF IC INSURANCE COMPANY at a meeting held on the 51h day of June. 1979,at which a ouorum was present,and said Resolution has not been amended or repealed "Resolved,thct the signatures of such directors and ollicers and the seal of the Con par.y may be affixed to any such power of attorney of any certilinte relating thereto by Iscsimilr, and any such power of attorney or certificate bearing such facsimile signatures of facsimile teal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond ni undertaking to which it is attached " IN WITNESS WHEAFOF,theYfyITED PACIFIC INSURAN�E�OMPANY loss causetLtrese presents to be signed by is Vice President,and is co,Pur ate seal to be hereto affixed,this y'!Z[ day of U ✓ 198 UNITED PACI IC INSURANCIf OMP N't p� /^ 51 sett L I L I I l6t�lr Vin President STATE IF Washingtnn t CDU, ry OF King ) " On this 12th day of July 1984personally appeared Charles B. cichinal Z u+ me known to be the Vice President of the UNITED PACIFIC INSURANCE COMPANY, and acknowledged that he executed and attested the lore going instrument and affixed the tool of said corporation thereto, and that Article VII, Section 1, 2, anti 3 of the By Laws of said Company and the Rees lution set forth thorein,ate still in lull forre +... A My Commission Fxprrot -F-) Jul',' :'0 1g 86 'r� -►rotary Public in and for State of Washiligton Residing at Milt.on 1. Charles J. Ftllsknw Assistant Secretary of the UNITED PACIFIC INSURANCE COMPANY, do hereby rr.;ldy that the above,and foregomp is a due and r,,r.sci oopv of a Power of Attorney executed by said UNITED PACIFIC INSURAN, c rORIPANY,which is sfin in full force and affect 1, IN WITNESS WHEREOF,I how hereunto set my hand and affixed the seal of said Company this t day of May 19 86 %Ent '� Assistant Secretary B pU 111 Ed 4/80 \,.art Ar�,;o• ® APP' AMON FOR SAFECO INS), CE COMPANY OF AMERICA SUR. ( BOND GENERAL IN: ANCE COMPANY OF AMERICA FIRST NATIONAL INSURANCE COMPANY OF AMERICA SAFECO HOME OFFICE: SAFECO PLAZA,SEATTLE,WASHINGTON 981a5 APPLICANT Bond No. Name and trade iM��rC.�s.J ./d�Q/C style(if any) n / �� Z/ v Soc.Sec.No.: 110 L /L- e>c4N_L�(� Proprietorship siness u b Full � -�-- -- p Spouse's First Name. address:b. rr ll 3 �Z.v 5 (i(,� 1 �3c•�Z0 �a /�-�'7" IJ Partnership Has applicant, or have any of its principals, ever failed in business, compromised with creditors, been the subject of bankruptcy or surety claims proceedings,or had an application for a bond declined? Corporation Yes No (If yes,attach a full explanation.) I naividual,or husband and wife BOND REQUIRED Amount:$ . —Effective date:_13y,,& r .2 r To be tiled C+l.ry DF, //G112t) with (Obligee) c-1 Address: 70 1, Z 3 3 917 —7-—/C7 /10 o et Type of bond " go em Aq'AJ Give below any additional information which the company may need to prepare the bond. Attach copies of any pertinent papers necessaly for a full understanding of the situation. AGREEMENT OF INDEMNITY The undersigned and each of them hereby r.artify that the statements containnd herein or attached hereto are true, and eve made to Induce SAFECO Insu�ance Company of America, General Insuranc.'t Company of America, or First National Insurance Company of America(herein called SURETY),to execute or continue the suretyship described herein and eutlourize SURETY to confirm bank balances and all other Items which appear in raid statement. In consideration of the execution by SURETY of the suretyship herein applied for, I agree 1. To pay to SURETY upon demand. fel All loss and expense,Including attorneys'fees,for which SURETY shail become liable by reason of such suretyship,whether or not SURETY shell have paid such loss and expense at the time of demand. (b)Toe annual premium for such suretyship until satisfactory evidence of termination of liability shall be furrished to SURETY. (c) All attorneys' fees and costs incurred by SURETY in enforcingthis agreement. (d)An amount sufficient to discharge env claim against SURETY by reason of such suretyship.This sum may be used by SURETY to pay such claim or be held by SURETY as collatarul security against loss. 2. SURETY shall have the exclusive right to determine whether any claim or suit shall,on the basis of liability,expediency or otherwise,be paid,com promised,defended or appealed. 3. An Itemized statemert of loss r,d expense Incurred by SURETY, sworn to by ein officer of SURETY, shall be prime tecle evidence of the fact and extent of my obligation to SURETY. 4. SURETY may procure its raises-from said suretyship under any law for release of sureties without liability to me for any damages I sustain therefrom. 5. That this agreement shall apply to all ren@•.als,continuations,substitutions and extensions of the suretyship herein applied for. 5. That If this suretyship is given in connection with lost Instruments or securities,and such lost instruments come Into my ocssesslon at any time,1 will, at my own coat and expense deliver or cause said securities to be delivered to SURETY. 7. A representative of SURETY may at any time examine any assets held ;n trust under this suirstyshlp,and SURETY may,at its option,exercise joint control or joint custody with me over such assets. S. That If said surotyshlp is cancelable this agreement may be terminated,upon written application to SURETY,only by written notice from SURETY stating when such termination will take affect. ` Signed and dated this R S _ day of R P R1 __ f �, A.D. 19._— SIGN UREQF APPLICANT FOI BOND. If sole proprietorship, applicant should sign; if V �� - L Q, v s►AN partnership, all partners must sign; if corpora- tion, president or vice-president must sign,with signature attested by corporate secretary under -- corporate seal. In consideration of the exucution by SURETY of thr bond herein applied for, the undersigned,Jointly and severally,join in the foregoing indemnity agrei ment, SIGNATURE OF INDEMNITORS 1L_-- ---- �_ X Hame Home LAddress: — --- -------- ---- --- Address: _� .�--- - —---- X ---- — —- .. -.. — X Hof-1e Home Av ----- Address: Address: 5-6 R16 4/79 CONFIDENTIAL CREDIT INFORMATION -� BUSINESS INFORMATION. INDIVIDUAL INFORMATION: Principal owners,shareholders,or officers: Residence address: _..iM�4�c'srhau S'r`£1/WS umber and street) - How I / (City,state, I long?_ _ Nurure of business. _�l rJ ad �/ �r � ✓/e,(� Occupation— Date business established 19 i8 — If business is new, summarize business experience of applicant or of Employer_�` principals�— —� - -- -- Anival income$__ `` -- Name and branch of bank:' _ �.rS4 In+ee3fc.4j& � Name and branch of bank: l�I Bank Acct. No's. Individual fur bank reference: - / R 6a,,4 Bank balance$—_`_-_- - Loan Amount (Name) (Positlon) Real estate owned$ Mortgage$ Bank Acct.No's. l7U3-of o��b9 Gen_�_sb, _ � - -' ---- Bank Sk Ina of Balance$Va.t! nrrflw� redlt $�(%O •�lenett Encumbrance$ _ � �ei� Securities owned$_ FINANCIAL STATEMENT —� Iu of 19 Financial statements,when required, need not be on this form.The space below Is for the convenience of those who do not have signed copies of current financial statements readily available on other forms. ASSEtS _ - Collars �— LIABILITIES Dollars Cash on Hand ..................... ............ ............................ Accounts Payable Cash in Bank (Name and address of bank) Notes Payable-Unsecured: -- — Banks crounts Receivable (Business or trade)......................... Partners or officers Merchandise at coat (Not on consignment) ..................... Other -- Notes Receivable ............................................................ Notes Payable- Secured: Contracts Receivable ...................................................... Owing to Negotiable Securities ......................................I............... _ _ _ Taxes Payable or Accrued ....................................... .................................. TOTAL CURRENT ASSETS Accrued Payroll and other expense - __ Other Current Liabilities(Describe).................................. Land and Buildings(Depreciated Value) .............I.......... Machinery,Fixtures and Equipment ............................ _ Depreciated Value) ....................................................... TOTAL CURRENT LIABILITIES_ Long Term Notes Receivable.......................................... Liens or Chattel Mortgages on Equipment . Long Term Contracts Receivable ................................... Mortgages on Real Estate ................................................ OOther Liabilities(Describe) ......... ........................................................................................ _ TOTAL LIABILITIES 0...........................................I......I.................. Net Worth 1 Capital$................................ 1 _ l Surplus$............................... I TONAL ASS - fOTAL LIABILITI SAN-DD- ET-WORTH- Net sales$ Gross profit$ Expenses$ Net profit R --- -- - Drawings INNUAAiNaE EUAVEY -- --- AGENT'S RECOMMENDATION — ---- ia I Amount/Limits AGENT insurance carried B.I.$ P.D.$ _ - --- - -- Life insurance$ 1 recommend this risk. LJ I Automobile B.I.$_ P.D.$_ have executed Please send me this bond. Policies with SAFECO Insurance Companies: Remarks; gnature o agent AMERICAN LUBRICATION COMPANY INC. GENERAL LEDGER BALANCE SHEET AS OF 03/31/86 ASSETS ----------------------------- C'URRENT ASSETS CASH ( $38 , -,68 . 70) ACCOUNTS RECEIVABLE 57,275. 11 DUE ON CONSTRUCTION LOAN 2,615 . 45 INVENTORIES 85,058. 92 PREPAID EXPENSES 87, 489. 50 DEPOSITS 11, 195.86 ---------------- 'MTAL CURRENT ASSETS 205, 166. 14 ALA':ZM -,YSTEM 8, 552.00 FURNITURE AND FIXTURES 29,828. 19 AUTOMOBILES 44, 502. 90 COMPUTER SYSTEM 158 , 943. 20 EQUIPMENT 271,124. 10 HAND TOOLS & SIGNS 69, 511. 44 LEASEHOLD IMPROVEMENTS 1.42,794.83 LESS ACCUM. DEPRECIATION ( 179,926.60 ) ( AND AMORTIZATION FREOPENING EXPENSES, NET 199, 739. 16 OTHER ASSETS 43 , 527. 87 --------------- TOTAL ASSETS 993 ,763 . 23 LIABILITIES AND EQUITY ------------------------------ CURRENT LIABILITIES ACCOUNTS/EXPENSES PAYABLE 194, 300. 66 GIFT CERTIFICATES 1.1 , 528. 45 PERS PROP TAXES PAYABLE 2 ,628. 26 REAL PROP TAXES PAYABLE 5, 110. 13 PAYROLL & PAYROLL TAXES 61 ,827 . 41 WASH STATE SALES TAX PAYBL 1 ,421 . 16 INCOME TAXES PAYABLE 8, 281 . 01 ACCRUED INSURANCE 31 ,056. 67 JB SUSPENSE ( 105. 50) CURR PORT-LONG TERM DEBT 115,875. 00 - -------------- TOTAL CURRENT LIABILITIES 431 ,923. 24 OBLIGATION ON CAPITAL LEASES 17, 410. 68 CONTRACTS PAYABLE 9, 2.56. 96 NOTES PAYABLE-FIB 463 ,029. 34 NOTES PAYABLE-PENNZOIL 1.26, 349. 67 DUE TO RELATED PARTIES 5, 494 . 84 CURR PORT-LONG TERM DEBT ( 115,875 .00) --------------- 937 , 589. 73 AMERICAN LUBRICATION COMPANY INC. GENERAL LEDGER BALANCE SHEET AS OF 03/31/86 LIABILITES AND EQUITY (CONT) ----------------------------- EQUITY COMMON STOCK 2,750. 00 SERIES A CONY PFD STOCK 375,000. 00 SERIES B CONV PFD STOCK 125,0OO.OG ADDIT PAID IN CAPITAL 24,023. 00 RETAINED EARNINGS-1/01/86 ( 397,928.72) NET INCOME 1986 ( 72,670. 78) --------------- TOTAL EQUITY 56, 173 . 50 --------------- TOTAL L'IABILITIES AND EQCITY 993 ,763 . 23 --------------- AtN k, S \\/AalL�I ?L 1000 X 2 z ICTAL -1 CrO cam' M,4T�,E� R P OIL CAN JIM SPARKS HENRY S Pro,ecl Manage, American Lubrication Company, Inc. 9320';W Rarbur Blvd,Suite240•Portland,Oregon 97219 (503)293.0883 PROPERTY LINE CONCRETE SIDEWALK �. i r FACE OF CURB 8' 5 ie sK i � 4.. 2 �-- SLOPE = 0.02083 - -- a...Q- :.'o•. a _ -o".. c .'r \ — TOD OF CURB ELEVATION — v, 4 SCALE I"= Z' 3/4'=0 CRUSHED ROCK LEVELING COURSE AS SOIL CONDITIONS REQUIRE , 'COTE BEGIN SLOPE AT CURB , RISE I/4" VER FOOT TOWARD PROPERTY L±NE . EXPANSION JOINT MAX- SPACING - 40 FT. ( OR AT ALL CHANGES IN SECT'ON), /�= S'-O� CITY OF TIGARC DRWN BY CONC. BREAKING STRENGTH TO A 2-2 x-'71 STANDARDS APR,(D BY BE 3000 PS. I. AFTER 28 DAYS. STANDARD � QNC . SIDEWALK rDRAWING NO/- ,4 -zao n J � � z N — D N) — D n z -+ x (n r 0 cn (n � m ; to r --, -{ cl) dQ D O rvi m m m -0 < x x 7D O D O < Od O O p -i n D M rn _ -q a 0 z m D QO e D Q • •�n m rn --qcn -4 c) � c> >p m 0 D 0 m M pQ p�A e . 6.. m o = z Z co M x -4 Z m m O O •, I z 0 rn D G) i � O D D O m O G D 0O O S O O i I x X r^ w z 0 .-- D � m Z p i z D -a ` m m ; x to D � _ — D m m — p Q D p D — z D r n O O p , I O z O �' N x x c 0 z Do x ii c D a ' D a. p D p. Q- m m ; mCDD C- D . • . o� rn = = o z = o v o m= m z D x D ... v . D i x ( r m O D m O O D Z'O --q- - -- N =( 1 _ O N — `a CO --4 z X O r z o o m = - z o cn D z O m -a < D zz x 0 m N -� _ C m n G) m 16 m SCALE 2~= /'-O"i "� "c '!G:,'r GR AWN BY J.S.N. DATE /z-��- �/ STANDARDS APRVD BY STANDARD CURB REV )RAWING NG. PROPERTY LINE PRE-MOu�DED LitPANSiOti JOINT Fi,LER—===— EXP J01 N T APRON SLOPE t P���1 J�pF4s 2' L_ X 2 �•-- �/�✓fit ✓ 5 A FACE OF CURB I A APRON SLOPE r-7 / 0.0729 � ',� �a,p,�a SECTION A—A DIM EfJS10NS;ft) "X 26 2S 30 NOTE .' CONCRETE SHALL HAVE A SCALE NONE CITY OF TIGARD DRw NY R Lr MIN. BREAKING STRENGTH OF 3000 P. S.I. AFTER 28 DAYS DATE iO—i5—?s STANDArcDS APPYD sr COMMERCIAL DRVEWaY E DRAWiNO NO 10 -1E-73 WING REV. 7/— A _ zl 0'-6" CURB 5'-0" SIDEWALK \ GRADE TO MATCH SIDEWALK SLOPE. 2'-6" 'UTILITY STRIP � A J I I iR I / I/2"MAX - o- -v C. STREET GRADE TO MATCH3/4"-0" SIDEWALK SLOPE. CRUSHED ROCK LEVELING 0'-4" COURSE AS SL :L CONDITIONS REQUIRE SIDEWALK SLOPE 0.0208 RAMP SLOPE 0. 0 917 fR ALE= NONE C1 7 -:LAND CRN. CONCRETE BREAKING STRENGTH TC TE: 5/i6/74 BE 3000 P.S.I. AFTER 28 DAYS B1CYCLL and �HUP-1ELCHAIR RAMS' VD 26,'-6 30/'9 74 - A - 235 I J I I ! cr I i 30' MIN BETWEEN CURB CUTS ON SAME PROPERTY JO!NT ACCESS / AGREEMEN CURB — — - - --- - - - - - - I \\_5' MIN BETWEEN ADJACENT I 30 MIN BETWEEN PROPERTY LINE 86 ACCESS ( \,—INTERSECTING STR R/W Q PROPERTY ACCESS . ALL CURB CUTS TO BE MEASURED FROM TOP OF CURB TO TOP OF CURB. GALE i"_ S+O' CITY OF TiGARD 1DRAWN eY J.S.N. DATE STANDARDS ANDARDS APR.(:) BY DRIVEWAY CURB - 1' JT LOCA_17 REv DRAWING NO 7/ — A 2IZ