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10900 SW MIRA COURT .ZjyE N0. 8'75 qf-" Il-7,5 _ MT rA CT. -- 10900 SyR. 'JPN. PERMI- AF'PL,CATION -- STREET IMPRC 'MENT!EXCAVA'TION COPY TO: ORDINA, CE NO. 74-14 (j ( --FIE[ ❑ (BBLUE)LUE) �INSF. (INSTRUk;TIONS ON SEPARATE SHEET) ❑ IYELLOWI 'OTHER AGENCY ❑ (PINK)-APPLICANT APPROVED APPLICATION NO.: NOT APPROVED ❑ CITY OF 'FIGARD, OREGON FEE AMT. — PENDING FEE. PMT. ❑ CITY HALL RECEIPT NO.. [z917C _ PENDING SECURITY A PUBLIC:WORKS DEPARTMENT BY UATF�_/ PENDING AGENCY "OK" ❑ Ap,)Iication and Progress Record _ MAINTENANCE BOND 11 PENDIriG 1.4-ORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED �lffr- -- ANNUAL- ❑ PENDING VARIANCE ❑ EXPIRATION DATE: PERMIT NO.: - -- - - DATE ISSUED: - -__1 _ BY. (1) APPLICATION iS H`TREBY MADE rO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _71`, rA 'I Cdw,7V5 -_ ( ,"t> ('rl_ d1 AME ADDRE CITY PHONE CONTRACTOR PHONE PLANS BY ---CITY - PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): S DOLLARS___ FOR OFFICE USF _.F ❑MIN. (2) EXCAVATION DATA. o.ot x s �` __�.._= s '• '�� 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 -- —. INSPEC- R TION E ESTIMATED STREET OPENING DATE: - - / / 4 / ?S g ESTIMATED ST:aEET CLOSING DATE: �Cr / / / ~7 _ g (3) SECURI fY NO. SECURITYA+iC _._ __ STREET SURETY CO.: FINAL - -- - — CASH BONINSPEC. CERTIr1Ef�!F/ECH D e`I, (4) PLOT PLAN: INDICATE SITE PERTINENT PHY:!CAL SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVATION LOCATION AND EE7TENT. C U R 19 - III (5) NOTE THE CITY OF TIGARD DOES NOT, HCREBY. GRANT PERMI!SION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF WAY .JURISDICTION IS THAT OF WASHINGTON COUNT CUR THE STATE_ OF OREGON. THE APPLICANT AGREES 'rO DEPOSIT THE RE rUirfLO SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS i'LRTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST" ANY INJURY OR OAMAGE WHICH MAY RESULTFROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE"'— DATE . /C ` 1 PY APPLICATION -- STREET IMPROV 'ENT/EXCAVATION L] (WHITE) - FILF. ORDINAN - NO, 74-14 (BLUE) ' INSP. (YELLOW)-OTHER AGENCY (INSTRUCTIONS ON SEPARATE SHEET) (PINK) -APPLICANT APPROVED 1 APPLICATION NO.: . NOT APPROVED LJ CITY OL' 'rIGARD, OREGON FEE AMT.: f�._ PENDING FEE. PM t'. ❑ CITY HALL. RCCEIPT NO.: - ---- PENDINGSECJRITY 0 PUBLIC WORKS DEPARTMENT BYr- - _e DA_E—�L.__1— PENDING AGENCY "OK' ❑ Application and Progress Record MAIN7ENA'•l.::E BOND M PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQ-- HED D ANNUA, PENDING VARIANCE U EXPIRATIO;i UA:TE: PERMIT DATE ISSUED: J_-__L . _- -_ BY: (1) APPLICATION IS HFRFBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT - NAME - ADORE35 CITY PHONE C('NTRACTOR NAME - AD13 S. _ - CITY PLANS BY __ _ NAME -__-�. AODPESF _.__.......--._-__._..____—_�.�....-C1._-T V.._...- ESTIMATED IMPROVEMENT TOTAL VALUAT60N ( COST): $ oouARs - — - - FOR OFFICE USE: [JMIN (2) EXCAVATION DATA: 0.02 x f = f STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS NAM F' SURFACE CUT CUT CUT MATERIAL INSTALLED I'TI"aM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM tk QUANTITY — "- STREET OPENI"D '—— INSPEC- R TIO V E Q U �M. ESTIMATED STREET OPENING DATE: _--L_ --_.__ T — _ _— ESTIMATED STREET CLOSING DATE: _ / ED STREET (3) SECURITY NO —__ SECURITY AMT S __ _ CLOSED SURETY CO.. —_ . __- - — FINAL. Ian _ "L «� , CPRTIFIED CHECK CASH ❑ •OND rJ INSPEC.i•�•-` (4) PLOT PLAN:J INDICATE SITE PERTINENT PHYSICAL SPECIAL"ROVISIONS/CONDITION., FEATURES; EXCAV TION LOCATION AND EXTENT. I. I -- - I i I I I ) ! (S) NOTE. THE CITY OF TIGARD DOES NOT, HERESY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT-OF WAY .lUFIISDIcTiON IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON. THE APPLICANT AGREES TO DEPOSIT THE REQUIRED :SECURITIES, TO COMILY 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 ?ROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE DATE__ - MAIL T, YOU' )ULST YOUR jArwm FOR YOUR COMMENT! PLEASE MANOLt OFFICE N01 E 171 PER OUR WNVKR..T.DN Pl.tA&I- RETURN Dote Signed 26.00118 9-711 11 48 f I I I-p Curtly Company's 111aft4Ns.S13 29594 GUPX STATE OF ORE'Gt SURETY BOND KNOW ALL MEN BY THESE PRESENTS: ThatED GAUSS CONSTRUCTION . ..............I.........................I.....................I................................................................................... as principal,and. ..... ... OREGON...AU TOMOB I L E...INSURANCE..COMPANY............................... . .. .... ..............................I—-.............................I..................................................................................................- A corporation qualified and authorized to do business in the State of Oregon,as surety,are held and firmly bound unto the State of Oregon for the use and benefit of the State of Oregon and of any 0 other interested person,in the sum ofTHREE NO[I QO .QQ.L LARS...:------- 3,000.00 lawful money of the United Stater of America to be paid to the State of Oregon for the bse and benefit stated above, for which payment well and truly to be made, we bind our- selves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the above-named principal has made';ipplica tion for a Certificate of Registra- tion with the Department of'-Y*nmerce, Builders Board,of the. State of Oregon,or for renewal of a Certificate of Registration, for carrying on the business of a .......... Home ......... . builder, within the State of Oregon; and Is required by Oregon Laws 1971, chapter 740, to furnish a bond In the penal sum of dollars, with good and sufficlen t surety, conditioned as herein set forth. NOW,THEREFORE,the conditions of the foregoing obligation are that if said principal with regard to all work done by the principal as a "Builder","Home Builder"or"Sp"inity Builder"as defined by Oregon Laws 1971, chapter 740, shall pay all taxes and contributions due to the State Of Oregon, pay all person.; furnishing labor or material, or renting or sup flying equipment to the builder; and pay 211 amounts that may be adjudged against the principal by reason of negligent or Improper work or breach of contract In performing any of said wirk, then this obligation shall be void; otherwise to remain in full force and effect. This bond shall become effective on the day of .).q 1Y..... .., 19.75. and shall remain In force until cancelled. This bond may be cancelled by the surety and the surety be relieved of further liability hereunder by giving 30 days written notice to the principal and the Builder's Board of the State of Oregon. This bond shall be one continuing obligation, and the liability of the surety for the aggre- gate of any and all claims which may arise hereunder shall In no extent exceed the amount of the pena!ty of this bond. IN WITNESS WHEREOF, the Princiral and Surety have hereto set their hands and seals this day of J.-1 ly 1h 75.. Principal ED GAUSE CONSTRUCTION Name ..................... .................. e_&Ile cl IS Pm -w-IV By a** . ....... ........... Title .Owner...... Surety NELMS ....OREGON...A.I.J,T.0,1.'.I.O.B.1,L.E....INSURANCE COMPANY 40 10ffo By Pe 1 eh 1.­Col 1 ive"r* Tltle .Attqr.ney 1.p Fict Street Address .........1615.S.W.. .Marlowe Ave. ...... City-PqrtlAnd.....................StateQregon zip, .972.21..5 -d APPLICATION — STREET IMPRr CMENT/EXCAVATION COPY TO. ORDIN, CE NO. 74 14 :WHITE) -FILE (BLUE) - INSP. (INSTRUCTIONS ON SEPARATE SHEET) ❑ (YELLOWI OTHER AGEn C'e X(PINK) -APPLICANT APPROVED APPLICATION NO.: _.. yAP7-1- NO APPROVED ❑ CITY OP TIGARD, OREGON FEE AMT.: S_ -4,47I PENDING FETE. PMT. ❑ CITY IiALL RECEIP Z. !z 4/a PE4DINGSECURITY PUBLIC WORKS DEPA R TMEN T BY DATE DATE 7 PENDING AGENCY ''OK" C] - -Applicati0n and ProRTess Record '- - PENDING INFORMATION Cl FOR SFREET IMPROVEMENT/EXCAVATION MAI NTQNCRE BON , ANNUAL. p PENDING VARIANCE ❑ EXPIRATION DATE: = 7//,0/ 7 PERMITNO.: _ DATE ISSUED: --_ / / . 1) APPL/jI,CATION IS HEREBY (JADE TO EXCAVATE FOR AND INSTALL_a, /f'.a'��,L4 v �f�/may') oi AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS, APPLICANT 5 : -- NAA ME ._.–__._ _–ADDRE45 t� CITY- - - .__—_ - CONTRA+_T*OR .— %1�� r' -/ �� !J(1 In /!'lr (� / PHONE NAM ` --.. ADORGSS -�-- —CITYn v�C PHONE PLANS BY --� L" / ��: — — (/ NAME1 ADJRE �� v fITY ►HONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ --- DOLLARS (2) EXCAVATION DATA FOR OFFICE USE nMIN. 0.02 XIII _ STREET DESCRIPTION PROGRESS & INSPECTION_ STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS TYPE LENGTH WIDTH DEPTH ITEM QUANTITY /TYPE BY STREET - N INSP - - - - R TION E --' U ESTIMATED STREET OPENING DATE:_ E ESTIMATED STREET CLOSING DATE - �, 4�i/� i;GIJ� i; F - _- -- - -- — --- - - -- D (3) SECURITY NO., :c ,: _ STREET --- SECURITY AMT.: $ CLOSED SURETY CO.: �• FINAL -� CERTIFIEDCHECK t-1 CASH (I BOND _ INSPEC. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. 70 r 1 0 � ` 7-n I \ J.c An (5) NOTE. THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WIIERF 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. i IPPLICANTS SI•3NATURE: DATE APPLICATION -- STREET IMPRF ":MENT/EXCAVAI ION p' COPY TO: ORDIIdr...,, E NO. 74-14 ` Ll (WHITE{- FILL' n (BLUE) INSP. (INSTRUCTIONS ON SEPARATE SHEET) ❑ (YELLOW) -OTHER AGENCY C] IPIN 111-APPLICANT APPROVED ❑ APPLICATION NO.: .�� NOT APPROVED p CITY OF TIGARD, OREGON FEE AMT.: S PENDING FEE. PMT. ❑ CI I'N' IIAIJ, RECEIPT NO. PENDING SECURITYPUBLICPUBL/C WORKS DEPARTMENT BY DATE___L - - - - - - - - - - - PENDING AGENCY ''OK" F Application and Progress Record MAINTENANCE BOND * PENDING INFORMATION Cl FOR STREET IMPROVEMENT/�XCAVAT!ON AS RE=UIRED U ANNUAL. .. PENDING VARIANCE EXPIRATION DATE: / PERMIT NO -_------_-- DATE ISSUED: _ ....____ lf- BY: —_-- --_- --__ __-- (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT - -- NAME -- - ADDRESS ----- --_----- ---- CITU - --- PHONE CONTRACTOR ----- -- -- — -- -- �_�._ - __ NAME ADDRESS f - - CITY ------ -----_----PMONE' -- PLANS BY — - - -- ---- — -- NAME - ADDRESS CITY PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COSI): $ DOLLARS FOR OFFICE USE (2) EXCAVATION DATA: _ 0.02 X S =s- STREET __ DESCRIPTION PROGRESS 8• INSPECTION_STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY --- -- STREET ,� --_ -- -- OPENED / y t� I9 i -'C i INSPEC- _- — -- - — E TION Q ESTIMATED STREET OPENING DATE: I / E ESTIMATED STREET CLOSING DATE: T --_ --=- - -= D (3) SECURITY NO. _ SECURITY AMT: STREET. CLOSrD SURETY CO.: FiNAI_ CERTIFIED CHECK H CASH ILL BONfi IN5'PF,C. (4) PLOT PLAN. INDICATE SITE PERTINENT PHYSICAL_ SPECIAL PROVISIONS/CONDITIONS: FEATURES; EXCAVATION LOCATION AND EXTENT. 1 1 I I - I I L I 1 1 1 I 1 I 1 (rl) NO'iE THE C DF TIGARD DOES NOT. HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE RIGHT OF-VIA 'TISDICTION IS THAT OF WASHINGTON COU14TY OR THE STATE OF OREGON. THE .APPLIC AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND CONSTRUCTION FAECIFICATIONS 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 / j----_ �'t-� �� ate- --� �-. � o � K .BOND NO---Y�5-07-59 PREMIUM t.. 20.00 Know all rnnn by these presents: THAT WE, HARALD WICK DEA HA.RALD WICK_ CONSTRUCTION AS PRINCIPAL, AND THE MID—CENTURY INSURANCE COMPANY. A CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF CALIFORNIA AND AUTHORIZED TO TRANSACT THE BUSINESS OF SURETY IN THE STATE OF OREGON AS SURETY ARE HELD AND FIRMLY BOUND UNTO CITY OF TIGARD, OREGON IN THE JUST AND FULL SUM OF TWO HUNDRED TWENTY FIVE DOLLARS .q 2j 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 PRESEJTS. SEALED WITH OUR SEALS, AND DATED THIS 10TH DAY OF JULY, 1975 THE CONDITION OF THIS OBLIGATION IS SUCH THAT, WHEREAS THE ABOVE BOUNDEN PRINCIPAL HAS APPLIED TO CITY OF TIGARD, OREGON FOR LICENSE AS PURSUANT TO THE TERMS OF ORDINANCE NO 74"14- AND ANY AMENDMENTS THERETO, AND IS REQUIRED BY THE TERMS Or SAID ORDINANCE TO FURNISH A POND CONDITIONED AS IN SAID ORDINANCE. NOW, THEREFORE, IF THE SAID PRINCIPAL_ HARALD WICK SHALL FUI.LY COMPLY WITH ALL. PROVISIONS OF ORDINANCE NO 74—_14 AND ANY AMENDMENTS THERETO THEN THIS OBLIGATION TO BE. VOID; OTHERWISE, TO REMAIN IN FULL FORCE AIVD EFFECT. PPOVIDED, HOWEVER, T'iAT THE AGGREGATE LIA9ILITY OF THE SURETY ON THIS BOND SHALL 3E LIMITED TO THE AMOUNT SPECIFIED IN THE BOND. THIS BOND SHALL EXPIRE ON ll-16 UNLESS CONTINUED BY A DULY SIGNED CONTINUATION CERTIFIt.ATE. IN WITNEM WHE.RROP,WITNESS OUR NAND this the _dq R1- Lt,t� r,;Miw MID—G NTURY-I NSURA.NCE._CQW...P NY._ fly cOl1NTF RSIGNATI'R S � j s.> w r.•. .r r -��.•---.�ffornr),n P�rf R";i -f Ap.t of cu,ff, DUANE W NELSON All Sipstures Must Be AcItno%ir.Iled Before s Notuy Public. se•es.s 11 7t n+ ',1yT a ..-OVER- ...