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12490 12492 SW MAIN STREET MAIN ST. - 12490 & 92 STR. OPN. PERMIT Attention; John Hagman 12/18/75 This is to verify th,- Mr. Stewart Schriver, S a. . S Garden Service has a $3,000 Home Builders Bond with the State of Oregon. The effective date for this bond is 8/28/75 until 8/28/76. He also has a bond with the State of Oregon for a Landscape Contractor in the amount of $1,000. The effective date of this bond is 8/16/75 until 8/16/76. �'Tv �1F ji�,pRl Thank you, r— City of Tigard INSURANCE ASSOCIATES, INC. P.O. Box 23557 BILL BURTON DANIEL BERTULEIT TO Tigard, Oregon 97223 P. O. BOX 23345 -- TIGARD, OREGON 91223 Phone: 639.1126 L December 1-+, 1975 This acknowledges receipt of returned check 4410237 from Edcon Construction Co. , Luc. , held as security for Street Opening Permit #19-75. fW,( --- ----_ Z o. f.. _ r 7 I ' i .a O V) 0 ZU I G o w 1 w J $ . U c vI — 1 _ _ G G rt z V d Q zZ —� n O ir 7 u U V �o z O -j V) duW ,1 p w •O �+Iti' z 0-12 .,� u x � U Y o 4 � �.�.: �'. • Ln z LD g = t O kLq 3 t O W 2 (�j ` rn � d IF � I C � m0 mi U tt z I .. J J In - ai 0 c � ;o_ za �3 H o _ } O t n Q ►• u0 W$ I a - ' �'t' IFoyi nNutiie./o 6Y[iN v15 r,. '7 OB Oy4 Wt10.� SHAISA9)7jv •j., . j`'` �-N110pJv qtl r/N Y15 City of Tigard INSPECTION REQUEST f o r INSPECTION TIME* PERMIT NO. :— DATE: DATE ISSUED '.--L—L— OWNERS NAME 72 ADDRESS: Z, C 0 N T R VOTO R TF a T ' Alf [j, Water C V'i rcI J , Laboratory C] RESULT' Approved.OK Disapproved 0 , Pending ❑ SKETCH. &WV17-)VAV1- _ 4 INSPECTOR DATE [NOTE Attach supplemental test data beroto-1 APPLICATION -- STREET IMPN, EMENT/EXCAVATION COPY TO: XIWHITEI-FILF ORDINAL+CE NO 74-14 'aISLUEI -INSP. (INSTRUCTIONS 1;N SEPAPA IF SHEET) (YELLOW) -OTHER IPINN)-APPLICANT APPROVED APPLICATION NO. ZG NOT APPROVED E CI'T'Y OF TIGI,(D,OREGON FEE AMT.: S PENDING FEE. PMT. ��r„ CITY HALL RECEIPT NO.: 313, _ PENDING SECURITY PUBLIC WORKS DEPARTMENT BY /Yl S. DATE /Z / Z LI S PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOfV PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION •15 RCOUIF,ED ANNUAL PENDING VARIANCE ❑ EXPIRATION DATE. PERMIT NO _1C "77S - DATE ISSUED: - �-I S 7S BY: (1) APPLICATION iS HE EBY MADE TO Fsj( -AA01ATE FOR•AND INSTALL _�_- _ AS DESCRIBED HEREIN, IN FULL.. AC7 -- RDANCE WITH CITY REQUIREMENTS. APPLICANT -- .-JCC': � );_ �L_�. �1% yi'C. G�37-2/l NAME DDRES C17 PHONE CONTRACTOR - - - _ -- -!NAME -� ADDRES4 '� --' / C�lt PHONE PLANS BY -_ � _. rcl CIT NA DRE54- --� CITE- PHONE ---- Gr ESTIMATED IMPROVEMENT TOTAL VALUATIO14 ( COST) $ �CC. DOLLARS FOR OFFICE USE. MIN./ -� -_ ❑ (2) EXCAVATION DATA: o oz X S STREET DESCRIPTION _ PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY _ tt TYPE LENGTH WIDTH DEPTH ITEM B QUANTITY ✓�•(.l.�r Il��lrLA 1. _. STREET _ PE �^ �5 k� v IN SPR '� E U ESTIMATED STREET OPENING DATE:r_ /c - / ESTIMATED STREET CLOSING DATE: _._ __._ % - g (3) SECURITY NO. ��--- 1SE ITY AMT: ,SOCA. `- CLOSED SURETY CO. _ FINgL crr"IfIrDcHr(.l cASH aoNl �INSPEr. (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS _ FEA'PWRES; EXCAVATION LOCATIO14 AND EXTENT. » _�.. -Y—– _ ,t _^/ --- (S) NOTE THE CITYOF 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, TIIE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY :KITH 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. r r APPLICANTS SIGNATURE BATE �5 � f APPLICATION - STREET IMPV 'EMENT/EXCAVATION iT coPY TE (WHITE �J (W ) FILE ORDIN. ICE NO. 74-14 ^+y (BLUE) INSP. )YELLOW) OTHER AGENCY (INSTRUCTIONS ON SEPARATE SHEET) ;PINK) APPLICANT APPROVED ull, APPLICATION NO.: �t _ NOT APPROVED CITY OF TIGARD, OREGON FEE AMT.: : PENDING FEE.PMT. �' CITY HALL RECEIPT NO.: PENDING SECURITY LJ PUBLIC WORKS0Ef,-1,RTMENT BY _ ____— DATE ! PENDING AGENCY ''OK'' i Application and Progress Record MAINTENANCE BOND 8 PENDING INFORMATION I I FOR STREET IMPROVEMENT/EXCAVATION AS REQUIRED o ANNUAL PENDING VARIANCE ) EXPIRATION DATE: PERMIT NO : ---_- -_----___--__ DATE ISSUED. __ L-_J BY: (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT — _ — — NAM[ ADOitEAB _ t If -i— PHONE CONTRACTORPHONE NA-1-�_--��_T PLANS BY---- -_____'NA-M�" - -----^�ioRAss —Ei,-v '------PHONE ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ r� DOLLARS FOR OFFICE USE' ❑MIN. (2) EXCAVATION DATA: 0.012 X s STREET DESCRIPTION PROGRESS & INSPECTION STATUS— NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY _ STREET -- — PEND —� — --- -- INSPE R TION G ESTIMATED STREEY OPENING DATE: ESI, --_— ESTIMATED STREET CLOSING DATE: ED STREET (3) SECURITY NO. ____._ SECURITY AMT: $ --__ - CLOSED f SURETY CO.: FINAL 1 . CERTIFIED CHECK fl CASH Cl .ONO r. INSPE(-• (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS / CONDITIONS: FEATURES; EXCAVA-ION LOCATION AND EXTENT, 1 ( I 1 1 1 1 ,IRP I I I 1 1 (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 SECURI'T'IES, ' D 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 APPLICANTS SIGNATURE -- — DATE�_— APPLICATION - STREET IMPF rEMENT/EXCAVATION COPY TE (WHITE)- FILE ORDh,, NCE NO. 74-14 [3 FLUE) -INSP. 0 (YELLOW) -OTHER AGENCY ('NSTRUCTIONS ON SEPARATE SHEET) E] tPINK) APPLICANT APPROVED APPLICATION NO.:��_�—_— —� CI I ti l)I' I'lGARD, OREGON FEE AMT.: S NOT APPROVED [ I ---�� PENDING FEE. PMT i_I CI I Y 1IALL RECEIPT NO.: 3/94—�- PENDING SECURITY i PURI.ICWORKS DEPARTMENT RYY�Jam=� DATE=1f l'ZS/ 75_ PENDING AGENCY 'OK' i J %ppjI(jt un and 1'roRTess Record MAINTENANCE BOND it c PENDING INFORMATION FOR STREEI IMPROVEMENT/EXCAVATION AS REQUIRED X NNUAL PENDING VARIANCE I EXPIRATION DATE: PERMIT NO.: DATE ISSUED: BY: (1 FPLICAT QfV IS) rREBY MADE TO EXCAVATE FOR AND 049:F*L ��G '�'= AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT' -fd�N� �2�.�1�Gt- — Cly PHONE ME CONTRACTOR ._ NAM o R ✓ _ /A�Ir /'Ci. _ 1 / v C PHONE PLANS BY - - Mer f�``'`�12 ADDRESS ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): E --- ��' - DOLLARS FOR OFFICE Tc' CIMIN. (2) EXCAVATION DATA: 0.02 X f_i_ -- STREET DESCRIPTION PROGRESS_& INSPECTION STATUSr NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY — . k�l ? ETRE T OPENSD 1 .; // R TION E ESTIMATED STREET OPENING DATE: .—/L'�1 y ET — ESTIMATED UTREET CLOSING DATE: _L{--1 G ?'S�r ED +— — 0 10' STREET ��0 Q SECUR�TY (3) NO.0 `1MT.: t --��--� CLOSED SURETY CO.: - �� t44v FINAL CERTIFIED CHECK D A H a ROND INSPEC. -- (4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL _ SPECIAL PROVISIONS CONDITIONS FEAftRES; EXCAVATION LOCATION AND EXTENT. ks -5� 'c 1 1 �;�"� �r��5 I I � .Ota✓G c .Yi G� 1 I 1 1 -- _# 1 II 1 CURE �� .. T � I -cults-.- _ _� •- - - - - - - - �' - - _1 - - .. --�i I I I 1 (5) NOTE THE CITY OF Ti-GARD DOES NOT,�-- — -- HEREBY, GRANT PERMISSION TO APPLICANTS 'TC: CONDUCT WORK WHERE RIGHT OF WAY JURISDICTION IS THAT OF WASH;NGTON COUNTY OR THI 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 FMPLOYEE5 AGAINST ANY 1I"URY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS. APPLICANTS SIGNATURE: 4/ .g' � I" DATE�_---1--•�� • "�