HomeMy WebLinkAboutPermit Building 1996-1-1
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COMMERC'~LIIND~_IAL
PERMIT APPLICATION
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INSPECTION LINE: 726.3769
OFFICE: 726.3759
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JOB NUMBER
225 Fifth Street, Springlield. Oregon 97477
LOCAT'ON OF PROPOSEP. W5R"', "A-rr ~~~ ~
ASSESSORS MAP: C\?~ ~ 0 (,D '
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TAX L~T U\~W)
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CITY; .L:;PI'~~MP7_k STATE: ~
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DESCR'PTlON OF WOR~' 1 )t~,rQ..o\ cAn r\ tb
NEW _ REMODEL _ ADDITION _ DEMOLISH _ OTHEA
OWNER:
PHONE:~)?~-/?2?
z,p..z' 7: 7",/V?
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VALUE: \ S<l ) ~
ARCHITECT:
NAME
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PHONE
97f1'?8
ADDRESS
AkJ"~""""'h",...h -s;;,..." ~
CQNST.
CONTRACTOR.
CONTAACl'~~{J~ NAME. ^, r.-rt- ADDRESS
GENERAL: u~7H\ \ '\\II iI. \\ ^ "
EXPIReS PHONE
PLUMBING-
MECHANICAL'
ELECTRICAL:
PLUMRING
TOTAL PERMIT
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I TOTAL PERMIT
EEE_ __CHARGE~
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$10,00 1
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Mfr:HANICAL
_''(0
~FF t r:HARGE
Single Fhlure
Relocated Bldg.
{new Ill(, addUl
Water Service
Furnacefburner & vel'll
< 100.1)00 BTUs
Furnace/burner & venl
> 100.000 BTUs
Ii,
Floor lurnace and venl
sanitary Sewer
Ii,
Suspended wall or floor
mounled unit healer
Appliance Vent
separale
Stationary evap.
cooler
vent "'an/Sangle
dUCI
Venl Syslem apatl
hom AC or hip.
Mechanical exnausI
hood and duel
Slorm ::iewar
Ii,
Backllow Device
Permlllssuance
- OFFICE USE -
HANDICAP ACCESS:
flOOD PLAIN:
ZONING:
LIGHTING POWER BUDGET:
WATER HEATER;_
OUAD AREA:
"OF BLOGS:
OCCY GROUP:
" OF STORIES:
LAND U~I:.
" OF UNITS'
CONSTR. TYPE:
HEAT SOURCI:.
sa. FTG MAIN
sa. FTG ACCESS
so. FTG OTHER
SO. FT.
\ \40
$150. FT,
VALUE
X
X
X
TOTAL VALUE OF PROJECT_
PLAN CHECK FEE ~ ~
RCPT"
DATE
BY
I BUILDING PERMIT
IS% Slale .
Surcharoe
MECHANICAL
fS-I- Slale
Surcharae
PAVING
I DEMOLITION
'-1 "PLl.;MBtNG
15-1_ Slale
Surcharoe
I FENCE
VALUE S
(SIDEWALK
I CURBCUT
I'SUBTOTAL
PERMITS
I SYSTEMS
DEVELOPMENT
FT,
FT,
TOTAL PERMIT FEES' I
EXCLUDING ELECT~ICAL
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SUBDIVISIO~ IMPROVEMENTS
PERFORMA~CE BOND
BOND NO: ~1QRh~
KNOW ALL MEN BY THESE PRESENTS:
That we, LEAVITT'S FREIGHT SERVICE. INC. " as Principal,
and ~n~~TTv rrMPANV n~ rATT~nRNI~ ' a Corporation organized and
doing business under and by virtue of the laws of the State of California and
duly licensed to conduct a general surety business in the State of Oregon, as
SuretYJ are held and firmly bound unto ~~~ rT~ A~ cnOT~~DT~Tn
as Obligee in the sum of 'T'H'RFli' 'T'1.H1TTSAND ()1\Tli' RTT1\m'Rli'n C:l<'''~'f1\l'T'V ()loT'" .1.11.11) ~lO/lQQ
,($ ',171 nn )
Dollars for which payment, well and truly to be made, we bind ourselves, our
heirs, executors and successors, jointly and severally firmly by these presents.
THE CONDITION OF THE OBLIGATION IS SUCH THAT:
WHEREAS, the abov,e named Principal, as a condition of the filing of the final
subdivision map of: MINTMTTM nli''Uli'TnpMl<'.l\J'l' c:.'T'~A'Rnc:. u....38...E;r:; MA'R'.:QLA 'On
SPRINGFIELD~ OR~r.ON
entered into an agreement or agreements with said Obligee to complete the
improvements specified in said agreement or agreements.
NOW THEREFORE, the condition of this obligation is such, that if the above
Principal shall well and truly perform said agreement or agreements during the
original term thereof or of any extension of said term that may be granted by
the Obligee with or without notice to the Surety, this obligation shall be void,
otherwise it shall remain in full force and effect.
IN WITNESS WHEREOF, the seal and signature of said Principal is hereto affixed
and,the corporate seal and the name of the said Surety is hereto affixed and
attested by its duly authorized Attorney-in-fact at _<;PRTN"~TFTn (W
, this 1 'iTH day of TlITV " 19 97
PRINCIPAL
SURETY
LEAVITT'S FREIGHT SERVICE INC.
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INDEMNITY COMPANY OF CALIF8RNIA
~/1fi~Y(;)kQ/JJu
" SHANNON S. MOORE/' - Attorney-in-fact
Insco Insurance Services, Inc.
One Centerpointe . Suite 420' Lake Oswego. OR 97035 . (503) 684,9606 . Fax (503) 684-4065
Underwriting Manager for:
Developers Insurance Company' Indemnity Company of California' Developers Surety and Indemnity Company
IJ
. POWER OF ATTORNEY OF.
".DEMNITY COMPANY OF CALIF ...A
AND DEVELOPERS INSURANCE COMPANY
P,O, BOX 19725, IRVINE, CA 92713' (714) 263,3300
N~ 260745
NOTICE: 1. All power and authority herein granted shall in any event terminate on the 31st day of March, 1999.
2, This Power of Attorney is void if altered or if any portion is erased.
3. This Power of Attorney is void unless the seal is readable. the text is in brown ink. the signatures are in blue ink and this notice is in red ink.
4. This Power of Attorney should not be returned to the Attorney(s)-In-Fact, but should remain a permanent part of the obligee's records.
KNOW ALL MEN BY THESE PRESENTS. that except as expressly limited, INDEMNITY COMPANY OF CAUFORNIA and DEVELOPERS INSURANCE COMPANY, do each
severalty, but not jointly, hereby make. constitute and appoint
mDEAN L. BECK. MARGIE JOHNSON, SHANNON S. MOORE, JOINTLY OR SEVERALLY'"
the true and lawful Attomey(s)-In-Fact. to make, execute. deliver and acknowledge, for and on behalf of said corporations as sureties, bonds. undertakings and contracts of suretyship
in an amount not exceeding Two Million Five Hundred Thousand Dollars ($2,500.000) in any single undertaking; giving and granting unto said Attomey(s)-ln.Fact full power and authority
to do and to perlonn every act necessary. requisite or proper to be done in connection therewith as each of said corporations could do, but reserving to each of said corporations full
power of substitution and revocation; and all of the acts of said Attomey(s)-In-Fact. pursuant to these presents, are hereby ratified and confirmed.
This Power of Attorney is granted and Is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of INDEMNITY
COMPANY OF CAUFORNIA and DEVELOPERS INSURANCE COMPANY, effective as of September 24,1986:
RESOLVED, that the Chairman of the Board. the President and any Vice President of the corporation be, and that each of them hereby Is, authorized to execute Powers of
Attorney, qualifying the attorney(s) named In the Powers of Attorney to execute. on behalf of the corporation, bonds, undertakings and contracts of suretyship; and that the Secretary
or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER. that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile. and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the Mure with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, INDEMNITY COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY have severally caused these presents to be signed by their respective
Presidents and attested by their respective Secretaries this 14th day of June. 1995.
INDEMNITY COMPANY OF CALIFORNIA
DEVELOPERS INSURANCE COMPANY
B)'
Q~e~~'ve.
~.v-~resident
Ah~
-, ~~
Walter Crowell"
Secretary
Bv
Q~ l)~. ~.
D te F. Vincenti, Jr. )
President V
Aka- ~
Walter Crowell
Secretary
ArrEST
Ru
B"
STATE OF CALIFORNIA )
)SS,
COUNTY OF ORANGE I
On June 14, 1995, before me, C.V. Brink, personally appeared Dante F. Vincenti, Jr. and Walter Crowell, personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose narne(s) is/are subscribed to the within instrument and acknowledged to me that helshelthey executed the same in hlslherltheir authorized
capacity~es), and that by hislher/thelr signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
CERTIFICATE
'i@ C.V.BRINK I
" . . COM"'. 11036712 "
:2 -.; NOTARY PUllUC. CALIFORNIA ill
U , ' ORANGe COUNTY ...
J ',," IoIyComm, Exp,Aug. 21. 1998 I
Slgnature~
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The undersigned. as Senior Vice President of INDEMNITY COMPANY OF CAUFORNIA, and Senior Vice President of DEVELOPERS INSURANCE COMPANY. does hereby
certify that the foregoing and attached Power of Attomey remains in full force and has not been revoked; and ,furthermore. that the provisions of the resolutions of the respective
Boards of Directors of said corporations set forth In the Power of Attorney, are In force as ~f e date of this Certificate.
1,:::-</1", r-I
This Certificate Is executed in the City of Irvine, California, this ~ day of L{~~-'\_, 199 '/
, ,,~
IINDEMNITY COMPANY OF CAUFORNIA DEVELOPERS INSURANCE COMPANY
By
~ (0 ?J:;;-M
Le. Fiebiger
Senior Vice President
Bv
-;i (0 >J;--M
L.C. Fiebiger
Senior Vice President