11909 SW 95TH AVENUE-3 FILE N0.
95TH AVE. - 11909 STR. 0"17, PMNlIT
I
APPLICATION - STREET IMPRC -MENT/EXCAVAT'ION COPY TO:
[:j (WHITE) FILE
ORDINti- E NO, 74-14
❑ IIaLUEI-INSP.
(INSTRUCTIONS ON SEPARATE SHEET) U (PALLOW) OTHER AGENCY
(PINNK)K) P/PLICANT
�C
APPROVED ❑ APPLICATION NO.:
CI'T'Y O}'' 'I'IGARD, OREGON
NOT APPROVED 11 FEE AMT.:
PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.: . �� � n3
PENDING SECURITY ❑ PUBLIC WORKS DEPARTMENT BY DATE -5—
PENDING
SPENDING AGENCY "OK'' ❑ AP111icalior. and Pr Kress Rccord MAINTENANCE BOND *
PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED n �•�
ANNUAL ❑
PENDING VARIANCE ❑ Ey ARATION DATE: /
PERMIT NO.: =-- - - DATE ISSUED: �% /"�-`/ S BY; _�"
�, a®
(1 ) AFPLICA7I01'V IS HEREBY MADE TO EXCAVATE FOR AND INSTALLS '"« MJtwJ ___•
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
i
APPLICANT h : _ I✓!it � S �_
NA K _ _
ADDRESS- CITY / PHONE
CONTRACTOR`J 7 a N/ 7
A L)DR ESS CITY PHONE
PLANS BY
NAME Al]pRE35 CITY --Y►HONt
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S
DOLLARS
(21 EXCAVATION DATA: 060.0*'rFlcE usE: ; -` Auk" .
STREET _DESCRIPTION PROGRESS & INSPECTION STATUS
NAME SURFACE CUT GUT CUT MATERIAL INSTALLED ITEM DATE REMARKSjI'YPE BY
—_ TYPE LENGTH WIDTH _DEPTH _ITEM A QUAH_TITY
STREET
OPEN D__ —
INSP C-
R TION
Q
ESTIMATED STREE'-OPENING DATE: _L L_ E
ESTIMATED STREET CLOSING DATE: —_� / E
—T l a
(- ) SURETY CO . / !, SECURJI"TYAMT: : /. STREET , -
3 __
CLOSE
7 FINAL
CE RTI IIIc CHECK C SH ❑ MOND ❑ INSPEC.
(4) PLOT PLAN: INDICAI E SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CON ONS:
FEATURES; EXCP VATION LOCATION AND EXTENT.
I I r (
uRS
1 I I 1 I
(5) NOTE THE CITY OF TIGARD DOES NOT, HERESY, 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 RFOUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINRT ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATUl�E DATE
MT
I Uff Is M1
C "'
TES FIDILI
Eta N
U�4TED STA _GUAPAN'FY COMPANY
(A St k. iny)
SUBDIVISION BOND
hOnd No.63-0120-11725-83
KNOW ALL MEN BY THESE PRESENTS, that we C,NCO HOMES, I'NC.
Hillsboro, Oregon
as Principal, and UNITED STATES FIDELITY AND GUARANTY COMPANY of Baltimore, Maryland,
a Maryland Corporation, authorized to do business in the State of Oregon
as Surety, a:-t-. held and firmly bound unto HOUSING AUTHORITY OF WASHINGTON
COUNTY, OREGON as Obligee, in the penal sun of
SEVEN THOUSAND ONE HUNDRED FIFTY AND NO/100 ---------- ($ 7 , 150.00
DOLLARS, lawful money of the United States of America, for the payment of which well and
truly to be made, we bind ourselves, our heirs, executors administrators, successors
and assigns, jointly and severally, firmly by these presents.
WHEREAS, CINCO HOMES, INC--
has agreed to construct in 95th Street
Subdivision, in Tigard the following improvementa:
half strApt improvement
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the Principal shall
construct., or have constructed, the improvements herein described and shall save the
Obligee harmless frau any loss, cost or damage by reason of its failure to ccrnplete said
work, then this obligation shall be null and void; otherewise to remain in full force
and effect.
STr,NFD, RpalFd and dated this 23rd day of May 19 83
CIN INC.
Princi[o
LIN TES
FIFTY GUARA�= CCMPANY
PATRICIA A. OWffR !� Ac'
CERTIFIED COPY
GENERAL POWER OF ATTORNEY
No......y °.3 3.......................
Kmmjoo all Ate.a by these Presenes:
That UNITED STATES FIDELITY AND GUARANTY COMPANY, a corporation organized and -xisting under the lews of the
State of Maryland, and having its principal office at the City of Baltimore, in the State of Maryland, does hereby constitute and appoint
Patricia A. Dimick
of the City of Portland
Siete of 0.0egon
its true and lawful attorney in and for the Mate of Oregon
for the following purposes, to wit;
To sign its name as surety to, and to execute, seal and acknowledge any and all bonds, and to respeetiveiy d-• and perform any and
all acts and things net forth in the resolution of the Board of Directors of the said UNITED STATES FIDELITY AND GUARANTY
COMPANY, a certified copy of which is hereto annexed and made a part of this Power of Attorney; and the said UNITED STATES
F1DFIATY AND t,UAHANTY COMPANY. throu(;h us, its Board of Directors, hereby ratifies and confirms all and whatsoever the said
Patricia A. Dimick
may lawfully do in the premises by virtue of these presents.
In Witness R'here.r/, the said UNITED STATES FIDELITY AND GUARANTY COMPANY has caused this instrument to be
waled with its rorporate seal, duly attested by the signatures of its Vice-President and Assistant Secretary, this 2nd day of
April A. D. 19 82
UNITED STATES FIDELITY AND GUAF.ANTY COMPANY.
(Signed) g. Charles D , Zimmerman , IIZ
(SEAL) Vice-President.
(Signed) Ray H . Britt
.. ..................
Assistant Secretary.
STATE 0' MARYLAND, )
BALTIMORE CITY, 1 �'
()n this 2nd la of April p 2
Charles D . Zimmerman , TSI before me personally came
Vice-President of the UNITED STATES FIDELITY AND GUARANTY
COMPANY and Ray H . Britt , Assistant Secretary of said Company, with both of
whom I am pennnaliv acquainted, who being by me .werally duly sworn, said that they,the said Ch ar 1 e s D. Zimmerman
and Ray H• Britt were respectively the Vice-President and the AssistantSecretary of the said UNITED
STATES FIDELITY AND GUARANTY COMPANY, the corporation described in and which executed the foregoing I ower of Attorney;
that they each knew the seal of said corporation; that the seal affixed to said Power of Attorney was such corporate ±mal, that it was
go fixed by order of the Board of Directors of said corporation, and that they signed their names thereto by like order as Vire.Prep.idcnt
At d A•mistant Seeretrim.respective v, of the Company
My comr.;.eion expires the tint day in July, A. D. 19.8.`x,
(SEAL) Margaret M. Hurst
(Signed) .......,..•.......•................ .... .. .....
STATE OF MARYLAND Notary PubVc.
BALTIMORE CITY, � Set.
I, Charles W. Mackey , J r . taerk of the Superior Court of Baltimore City, which Court is a
Court of Record,and ties a meal, do hereby certify that Margaret M. Hurst
before
whom the annexed affidavits were made, and who 11,18 thereto subscribed his name. wits at the time of so doing a tiotaryEPublic, rt the
State of Maryland, in and for the City of Baltimore, duly r-ommissioned and swnrn and authorized by law to administer oaths and take
acknowledgment. r proof of deeds to be recorded therein. I further certify that I am acquainted with the handwriting of the said
Notary,and %erily believe the signature to be his genuine signature.
In Testimony lrhereo/, I hereto set my hand and affix the seal ,f the Superior Court of Baltimore C't , the same be a Court
rf Record, this 2 n d day of April
. A. D. 19 tI
(SEAL 1 (Signed) Charles W. Macke y Jr .
FS 3 (12-81) C1r1`k of the Superior Court of Baltimore City.
COPY OF RESOLUTION
That Whereas,it is necessary for the effectual transaction of business thnt this Company appoint agents and attorneys with power
and authority to act for it and in its name in States other than Maryland,and in the Territories of the United States and in the Provinces
and territories of Canada;
There/ore, be it Resolved, that this Company do,and it'hereby does, authorize and empower its President or either of its Vice.
Pie-idents in conjunction with its Secretary or one of its Assistant Secretaries. under its corporate seal, to appoint any person or persons
a-attorney or attorneys•in•fact,or agent or agents of said Company,in its name and as its act, to execute and deliver any and ail contracts
guaranteeing the fidelit, of persons holding positions of public or private trust. guaranteeing the performances of contracts other than
insurance policies and executing or guaranteeing bends and undertakings, required at permitted in all actions or proceedings. or by law
allowed, and
Also, in its name rmd as its attorney or attorneys•imfact, or agent or agents to execute and guarantee the conditions of any and all
bonds. recognizances, obligations, stipulations, undertakings or anything in the nature of either of the came. which are or may Ly law,
municipal or otherwise, or by any Statute of the United States or of any State or Territory of the United States or of the Provinces or
territories nf Canada,or by the rules, regulations, orders, customs, practice or discretion of any board, hoay. organization, office or officer,
local, municipal or otherwise, be allowed. required or permitted to be executed, made. taken, given, tendered, accepted, filed or recorded
for the security or protection of, by or for any person or persons, corporation, body, office, interest, municipality or other association or
nrgani?ation whatsoever, in any and all capacities whatsoever, condttioned for the doing or not doing of anything or any conditions which
me) he provided for in any such bond, recognizance, obligation. stipulation,or undertaking,or anything in the nature of either of the same.
I, George R. Downer an t ssistant Secretary of the UNITED STATES FIDELITY AND
GUARANTY COMPANY, do hereby certify that the foregoing is a full, trt,e and correct copy of the original power of attorney given
by. said Company to Patricia A. D i m i c k
of Portland, Oregon , authorizing and empowering her to sign bonds as therein set
forth,which power of attorney has never been revoked and is still in full force and effect.
And I do further certify that said Power of Attorney was given in pursuance of a resolution adopted at a reolar meeting of the
fi„ard of Directors of said Company, duly called and held at the office of the Company in the City of Baltimore, on the 25th day of
November.1981,at which meeting a quorum of:he Board of Directors was present,and that the foregning is a true and correct copy of said
resolution,and the whole thereof as recorded in .tie minutes of said meeting.
In Testimony Whereat I have hereunto set my hand and the seal of the UNITED STATES FIDELITY ANL GUARANTY
COMPANY �,n May 2 3, 9 8 3
1 Date t
�� ✓; A.sVistatit Sr.rcf:rV.
THOMAS H. BURTON
ENGINEERING & SURVEYING
302 TIGARD PLAZA- PORTLAND,OREGON 97223
503-639-6116
March 23, 1983
COST ESTIMATE
Street Widening Pni—�
For: Washington Courly Housing Authoritv
Project at S.W. 95th Avenue - Tigard, Oregon,
Job No. 83-110
Project No , OR22 P016 018
ITEM NO. ITEM AMOUNT UNIT 11NITPRICE TOTAL
1 . Clearing and Grubbing- ALL Lump Sum 200,00 $200,00
2. Street Exc. (Dispose rn
Site) - ALL t_ump Sum 400.00 400.00
3. 2"-0 Cr. Rock in Base - 60 C.Y. 10.00 600.00
4. 3/4-0 Cr. Rock in Base - 20 C.Y. 12,00 240.00
5. Class "C" A.C. - 40 ions 45,00 1 ,800.00
6. Standard Curb - 50 Lin.Ft. 6,00 300.00
7. Standard Sidewalk - 11 Sq.Yds. 16,00 176.00
' 8. Standard Concrete
Driveway - 20 Sq.Yds, 21.00 540.00
9. 12-inch Storm Sewer
(and 2 Plays) - 100 Lin.Ft. 11 .00 12100.OU
Total Cost = $5,356.00
20% Profit and Contingincies = 1 ,044.00
TOTAL = $6,400.00
7,50,
l
.r
CITY OF TI'GARD—12420 S.W.MA •TIGARD,OREGON 97223
RECEIPT
DATE: S�,(�/— AMOUNT:
-.LIQ �— DOLL ARS
NAME. �ia.e�� Q 'o�yu„o� C_— — CASH:
ADDRESS:
♦ OF
FOR: ACCT. • PERMITS SURCHARGE AMOUNT
SEWER BILLINGS 40-364
BUSINESS LICENSE 05-331
PLI'MSING PERMIT 05-332
NIEG iANICAL PFRMIT 05-332
BUILCING PERMIT OF 333
SEWER CONNECTION 40-363
SEWER INSPECTION 40-365
SY;;TEM DEV.C!IARGE 25-3t.)6
PARK DEV,CHARD: +t'1 30-367
PARK DEV.CHARGE #2 30-368
ZONING ADJUSTMENTS 05-362 _ C
TOTAL'
• RECEIVED BY: _� _--
PERMIT NUMBERS ASSIGNED:
Numb*r Amount Number Amount Number Amount
RECEIPT 0 13 6 C3
1 I