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HomeMy WebLinkAboutApplication APPLICANT 3/5/2010 . "," ,-. . . City of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 Site Plan Review SPRINGFIELD . .. . . -. AJlplicant Name: Len Arne)! Phone: 541-915-9119 ComJlany: Address: East Side Ba tist Church Fax: 541-684-9358 4045 Commercial Avenue, SQringfield, Oregon 97478 AJl.Jllicant's ReJl.: Rene Fabricant Phone: 541-746-0637 Company: Address: Branch Engineering, Inc. 310 5th Street, SQringfield, OR 97477 Fax: 541-746-0389 proJlerty Owner: East Side Ba tist Church Phone: 541-746-5862 Company: East Side Ba tist Church Fax: Address: 4045 Commercial Ave., S rin field OR 97477 ASSESSOR'S MAP NO: 17-02-31-1-4 !TAX LOT NO(~: 4000 proJlerty Address: 4045 Commercial Ave., Springfield, OR 97477 541-684-9358 Size of ProJlerty: 3.88 Acres ~ Sguare Feet D proJlosed Name of Project: East Side BaQtist Church Worship Center , "j Description of If you are filling in this form by hand, please attach your proposal description to this application. Proposal: Please see attached [Jroject description Existing Use: New Impervious Surface Coverag~Including Bldg. Gross Floor Area): 51,792 sf Si natures: Please.5i nand rint our name and date in the a riate box on the next pa e. . -. Pre-Sub Case No.: Signs: MAR Ii 2010 Associated AJlJllications: Date: 3 10 Reviewed b ~ Case No.: Date: Reviewed b '2./J tP A lication Fee: $ ~'Tl.O TOTAL FEES: $ StflogP Revised 11/19/09 ~ Technical Fee: $ ~ ~ Posta e Fee: $ PROJECT NUMBER: ~q - 6lS01( I~d~ ?J jJrollO Ii', Q\.) 1 of 10 . . Owner Signatures This application form is used for both the required pre-submittal meeting and subsequent complete application submittal. Owner signatures are required at both stages in the application process. An application without the Owner's original signature will not be accepted. Pre-Submittal The undersigned acknowledges that the information in this application is correct and accurate for scheduling of the Pre- Submittal Meeting. If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf. I/we do hereby acknowledge that I/we are legally responsible for all statutory timelines, information, requests and requirements conveyed to my representative. Owner: 0--.. C~~ Signature ' 0- LJ~rJlJvFR~ ?;. ~ey Print Date: O.sjoro Submittal I represent this application to be complete for submittal to the City. Consistent with the completeness check performed on this application at the Pre-Submittal Meeting, I affirm the information identified by the City as necessary for processing the application is provided herein or the information will not be provided if not otherwise contained within the submittal, and the City may begin processing the application with the information as submitted. This statement serves as written notice pursuant to the requirements of ORS 227.178 pertaining to a complete application. Owner: Date: Signature Print PRE-SUBMITTAL REC'D MAR 5 2010 Revised 11/19/09 2 of 10 . . Site Plan Review Submittal Requirements Checklist NOTE: . ALL of the following items MUST be submitted for BOTH Pre-Submittal and Submittal. . If you feel an item on the list below does not apply to your specific application, please state the reason why and attach the explanation to this form. o Application Fee - refer to the Development Code Fee Schedule for the appropriate fee calculation formula. A copy of the fee schedule is available at the Development Services Department. Any applicable application, technology, and postage fees are collected at the pre-submittal and submittal stages. o Site Plan Review Application Form o Narrative explaining the purpose of the proposed development, the existing use of the property, and any additional information that may have a bearing in determining the action to be taken. The narrative should also include the proposed number of employees and future expansion plans, if known. o Copy of the Deed o Copy of a Preliminary Title Report issued within the past 30 days documenting ownership and listing all encumbrances. o Copy of the Site Plan Reduced to 8'h"x 11", which will be mailed as part of the required neighboring property notification packet. o Right-of-Way Approach Permit Application provided where the property has frontage on an Oregon Department of Transportation (ODOT) facility. o Three (3) Copies of the Stormwater Management System Study with Completed Storm water Seoping Sheet Attached - The plan, supporting calculations and documentation must be consistent with the Engineering Design Standards and Procedures Manual. o Three (3) Copies of the Traffic Impact Study prepared by a Traffic Engineer in accordance with SDC 4.2-105 AA. Traffic Impact Studies (TIS) allow the City to analyze and evaluate the traffic impacts and mitigation of a development on the City's transportation system. In general, a TIS must explain how the traffic from a given development affects the transportation system in terms of safety, traffic operations, access and mobility, and immediate and adjoining street systems. A TIS must also address, if needed, City, metro plan and state land use and transportation policies and objectives. o Seven (7) Copies of the Following Plan Sets for Pre-Submittal OR Eighteen (18) Copies of the Following Plan Sets for Submittal o All of the following plans must include the scale appropriate to the area involved and sufficient to show detail of the plan and related data, north arrow, and date of preparation. o All plan sets must be folded to 8'/2' by 11" and bound by rubberlm~~!BMIITAL REC'O a. Site Assess,!!ent of Existing Conditions MAR 5 2010 [:;;;;] Prepared by an Oregon licensed Landscape Architect or Engineer Revised 11/19/09 4 of 10 . . [g] Vicinity Map [g] The name, location and dimensions of all existing site features including buildings, curb cuts, trees and impervious surface areas, clearly indicating what is remaining and what is being removed. For existing structures to remain, also indicate present use, size, setbacks from property lines, and distance between buildings. [g] The name, location, dimensions, direction of flow and top of bank of all watercourses and required riparian setback that are shown on the Water Quality Limited Watercourse Map on file in the Development Services Department [g] The 100-year floodplain and floodway boundaries on the site, as specified in the latest adopted FEMA Flood Insurance Rate Maps or FEMA approved Letter of Map Amendment or Letter of Map Revision [g] The Time of Travel Zones, as specified in SDC 3.3-200 and delineated on the Wellhead Protection Areas Map on file in the Development Services Department [g] Physical features including, but not limited to trees 5" in diameter or greater when measured 4 '12 feet above the ground, significant clusters of trees and shrubs, riparian areas, wetlands and rock outcroppings [g] Soil types and water table information as mapped and specified in the Soils Survey of Lane County. A Geotechnical Report prepared by an Engineer must be submitted concurrently if the Soils Survey indicates the proposed development area has unstable soils and/or a high water table b. Site Plan [g] Prepared by an Oregon licensed Architect, Landscape Architect, or Engineer [g] Proposed buildings: location, dimensions, size (gross floor area applicable to the parking requirement for the proposed use(s)), setbacks from property lines, and distance between buildings [g] Location and height of existing or proposed fences, walls, outdoor equipment, storage, trash receptacles, and signs [g] Location, dimensions, and number of typical, compact and disabled parking spaces; including aisles, wheel bumpers, directional signs, and striping [g] Dimensions of the development area, as well as area and percentage of the site proposed for buildings, structures, parking and vehicular areas, sidewalks, patios, and other impervious surfaces [g] Observance of solar access requirements as specified in the applicable zoning district [g] On-site loading areas and vehicular and pedestrian circulation [g] Access to streets, alleys, and properties to be served, including the location and dimensions of existing and proposed curb cuts and curb cuts proposed to be closed [g] Location, type, and number of bicycle parking spaces PRE-SUBMITTAL REC'O [g] Location of existing and proposed transit facilities MAR 5 2010 [g] Area and dimensions of all property to be conveyed, dedicated, or reserved for common open spaces, recreational areas, and other similar public and semi-public uses [g] Phased Development Plan - where applicable, the Site Plan application must include a phasing plan indicating any proposed phases for development, including the boundaries and sequencing of each phase. Phasing must progress in a sequence promoting street connectivity between the various phases of the development and accommodating other Revised 11/19/09 5 of 10 . . required public improvements, including but not limited to, sanitary sewer, stormwater management, water, and electricity. The applicant must indicate which phases apply to the Site Plan application being submitted. c. Improvement and Public Utilities Plan o Prepared by an Oregon licensed Civil Engineer o Location and width of all existing and proposed easements o Location, widths (of paving and right-of-way), and names of all existing and proposed streets, alleys, dedications or other right-of-ways within or adjacent to the proposed development, including ownership and maintenance status, if applicable. o Location and type of existing and proposed street lighting o Location of existing and required traffic control devices, fire hydrants, power poles, transformers, neighborhood mailbox units, and similar public facilities o Location, width, and construction material of all existing and proposed sidewalks, sidewalk ramps, pedestrian access ways, and trails o Location and size of existing and proposed utilities on and adjacent to the site including sanitary sewer mains, stormwater management systems, water mains, power, gas, telephone, and cable TV. Indicate the proposed connection points d. Grading, Paving, & Stormwater Management Plan o Prepared by an Oregon licensed Civil Engineer o Planting plan prepared by an Oregon licensed Landscape Architect where plants are proposed as part of the stormwater management system o Roof drainage patterns and discharge locations o Pervious and impervious area drainage patterns o The size and location of stormwater management systems components, including but not limited to: drain lines, catch basins, dry wells and/or detention ponds; stormwater quality measures; and natural drainageways to be retained o Existing and proposed spot elevations and contours lines drawn at 1 foot intervals (for land with a slope over 10 percent, the contour lines may be at 5 foot intervals) o Amount of proposed cut and fill e. Landscape Plan o Drawn by a Landscape Architect o Location and dimensions of landscaping and open space areas to include calculation of landscape coverage o Screening in accordance with SDC 4.4-110 o Written description, including specifications, of the permanent irrigation system o Location and type of street trees o List in chart form the proposed types of landscape materials (trees, shrubs, ground cover). Include in the chart genus, species, common name, quantity, size, spacing, and method of planting PRE.SUBMITTAL RECID MAR fi l010 f. Architectural Plans Revised 11/19/09 G of 10 . . D Exterior elevations of all buildings and structures proposed for the development site, including height D Conceptual floor plans g. On-Site Lighting Plan D Location, orientation, and maximum height of exterior light fixtures, both free standing and attached D Type and extent of shielding, including cut-off angles, and type of illumination, wattage, and luminous area D Photometric test report for each light source D Additional Materials That May be Required IT IS THE APPLICANT'S RESPONSIBILITY TO DETERMINE IF ADDITIONAL STANDARDS/APPLICATIONS APPLY TO THE PROPOSED DEVELOPMENT. THE APPLICANT SHOULD CONSIDER UTILIZING PRE-DEVELOPMENT MEETINGS AS DISCUSSED IN SDC 5.1-120: D Where a multi-family development is proposed, any additional materials to demonstrate compliance with SDC 3.2-240 D Riparian Area Protection Report for properties located within 150 feet of the top of bank of any Water Quality Limited Watercourses (WQLW) or within 100 feet of the top of bank of any direct tributaries of WQLW D A Geotechnical Report prepared by an engineer must be submitted concurrently if there are unstable soils and/or a high water table present D Where the development area is within an overlay district, address the additional standards of the overlay district D If five or more trees are proposed to be removed, a Tree Felling Permit as specified in SDC 5.19-100 D A wetland delineation approved by the Oregon Division of State Lands must be submitted concurrently where there is a wetland on the property D Any required federal or state permit must be submitted concurrently or evidence the permit application has been submitted for review D Where any grading, filling or excavating is proposed with the development, a Land and Drainage Alteration permit must be submitted prior to development D Where applicable, any Discretionary Use or Variance as specified in SDC 5.9-100 and 5.21-100 D An Annexation application, as specified in SDC 5.7-100, where a development is proposed outside of the city limits but within the City's urban service area and can be served by sanitary sewer PRE-SUBMm~1 ,<>' ".' MAR 5 2010 Revised 11/19/09 7 of 10 . . CITY OF SPRINGFIELD VICINITY MAP PRE20 I 0-00003 4045 Commercial Avenue Ii ~ ~' ~ PRE-S~lhIVII,il ,I ~EC'D MAR 5 2010 SITE Map 17-02-31-14 Tax Lot 4000 North ,. . . @ Branch Engineering, Inc. Corporate Headquarters (541) 746-0637 310 SIn Street Springfield, OR 97477 Salem Engineering Office (503) 779-2577 147 Commercial Street NE, Suite 10 Salem, OR 97301 Principals M. Lane Branch, PE Damien Gilbert, PE Renee D. Clough, PE. PLS Rene' Fabricant, PE. SE Ronald J. Derrick, PE James A, Branch, PE. PLS www.BranehEngincering.com March 2,2010 Steve Hopkins Planning Division Development Services Department City of Springfield. 225 Fifth Street Springfield, Oregon 97477 Project Information Applicant: Branch Engineering, Inc. for East Side Baptist Church Site addresses: 4045 Commercial Avenue, Springfield Assessor's map number and Tax Lot: 17-02-31-1-4 Attachments: Pre-submittal for Site Plan Application, Type II for the "New Worship Center for the East Baptist Church" The fee for the pre-submittal and the pre-application meeting, $346, a check from East Side Baptist Church to the City of Springfield Seven copies of the civil engineering drawing set, by Branch Engineering, Inc., 15/15 One additional Copy of the site plan reduced to 8" x 11 ", 1/1 One copy of the warranty deed, 1/1 One copy of the preliminary title report, 4/4 Two copies of the Geo-technical investigation report by Ron Derrick, G.E. Three copies of the Drainage evaluation and storm-water calculations Three copies of the Traffic Impact Study by Damien Gilbert, P.E One copy of a Tree Removal Permit Application PRE.SUBMITTAl REC'O MAR 5 2010 CIVIL STRUCTURES '/3 TRANSPORTATION GEOTECHNICAL SURVEYING . . Dear Steve: Please review the attached documents. I hope that you find this application complete and easy to follow. Below is a summary response to the site plan review application requirements. Project discussion: Today, the East Side Baptist Church facility consists of a one level, 8,322 square foot wood frame structure with adjacent site facilities which include an asphalt parking lot with 62 parking spaces. The facility has been a part of the East Springfield community since 1958. The Church property is 3.88 acres. The site is zoned Residential (MDR) and is bordered to the south, east and west by property which is zoned Residential (MDR). The property is zoned Light Industrial to the north. East Side Baptist Church proposes an expansion to their existing church facility. ESBC proposes to construct a new 11,240 square foot Worship Center with 3,860 square feet at the upper level. The building height at the top of the parapet is proposed as 35 feet. The new Worship Center will be separated from the existing church building by 20 feet. The Worship Center will be Type II construction; the new building will be protected with fire suppression sprinklers. The existing church does not have fire suppression sprinklers; nor do we plan to add sprinklers to the existing church To the east of the new Worship Center, the proposal is to construct a new parking area which will provide 101 new parking spaces. On June 4,2009, we attended a Development Issues Meeting. As a result of that meeting, and as a result of a meeting which I had with you on June 5, 2009, we propose some modifications to the existing parking area. We propose to modify the far western side of the existing parking area, so as to provide a five foot landscape set back. We propose modifications to provide two accessible parking spaces to the existing Church. We propose to modify the two catch basins in the existing parking area to pollution reduction two chamber catch basins. Application fee $346 is attached for the pre-submittal. Right-of-Way Approach Permit application: Does not apply. Storm water Management system study: In addition to discussion of storm water management at the DIMS meeting, I have had two other meetings with Matt Stouder, P.E. to discuss the same. As a result of those discussions, we propose to convey storm-water from the new Worship Center roof and storm-water from the northwest section of the parking area to a rain-garden at the property adjacent to the Commercial Avenue right-of-way. Also, we will convey the storm-water from the remainder of the parking area to the rain garden area in the center of the parking area. These rain gardens will provide pollution reduction to all storm-water. Also, all storm water will be detained up to the ten year storm. Emergency overflow from the rain gardens will be conveyed to the City of Springfield manhole #103. Traffic Impact Study: The City of Springfield provided a scope of work letter dated July 9, 2009. Based on that scope, a Minor Traffic Impact Study was prepared in accordance with Springfield Public Works Policy SO.PP. #T-61 focusing on site generated traffic and operational safety of the proposed access on 4151 Street. The result of the study concluded that the proposed development will not cause a significant adverse impact to the operating characteristics of the existing adjacent roadway system, and no mitigation was recommended. Branch Engineering, Inc. Page 2 of 3 PRE-SUBMITIAl REC'O MAR 5 2010 . . Access Access for the new Worship Center will be provided via the existing public approach at 41'1 Street, a local roadway. Water quality and water quantity measures Roof and paving storm-water from new impervious areas shall be conveyed to two "rain gardens." These rain gardens shall provide detention and accept all storm water up to the ten year design storm. Special site features There are no watercourses, wetlands, or steep slopes on the site, or in the immediate vicinity. There is approximately one foot of elevation change across the site. The site is sparsely covered with gravel, grasses and clovers. Excavation and fill Approximately 700 cubic yards of material will be excavated and hauled off-site; approximately 1,100 cubic yards of imported granular fill will be placed on site Trees to be removed An application will be submitted to the City of Springfield for the removal of 15 trees. A copy of the tree removal permit application is attached Dedications and modifications These are no land dedications to the city associated with this sub-division No proposed modifications are being requested. Other planning applications or planning actions Concurrently with this application, we have submitted a Discretionary Use Application. I hope that this summary is of some assistance; please call me if you have any questions. ~~ Rene, Fabricant, P.E., S.E. Principal Branch Engineering, Inc. (541) 746 0637 PRE.SUBMITTAl REC'D MAR 5 2010 Branch Engineering, Inc. Page 3 of 3 . . City of Springfield Development Services Department 225 Fifth Street Springfield, OR 97477 Tree Felling Permit I ~ '" .. -- --. - _ 2 - """ ~ _" -" 'Req~!ied'Prp~~_c.t .Ij1f~rmC:ltio"n~:~ ."-;'-., . ,.' ';"". (A/?plicant: co!!,p!ete 'this s,ection) , A licant Name: Len Arney Phone: 915-9119 684-9358 Com an: East. Side Baptist Church Fax: Address: 4045 Commercial Avenue, Springfield, OR 97478 ~. A licant's Re.. Rene Fabricant Phone: 746-0637 Com an : Branch Engineering, Tnc. Address: 310 5th Street, Springfield, Oregon 97477 Fax: 746-0389 Owner: East Side Baptist Church Com an East Side Baptist Church Phone: 746-5862 Fax: 684-9358 Address: 4045 Commercial Avenue, Springfield, OR 97478 ASSESSOR'S MAP NO: 17-02-31-1-4 TAX LOT NO S : 4000 Size of Pro e Address: 4045 Commercial Avenue, Springfield, OR 97478 3.88 Acres Ii] S uare Feet 0 Description of Pro osal: If you are filling in this form by hand, please attach your proposal description to this application. Please see attached. . -. .. . ... . ,.- Associated Cases: Si ns: Case No.: Date: Reviewed b A lication Fee: $ Technical Fee: Posta e Fee: $ TOTAL FEES: PROJECT NUMBER: ':k'::'jf:",::"- ;'""i"'P'i:i';;;"'""'""",, '-",'i -'''':'''C,;~.''_.'j;j(.,~".''';'.:!, ",-__~;:---,. ~:;:?'~:-:-"'~<'i-O"''':::<,0':''''';':,,'Y~_''_ ":~4;>-~ 0'" r~(~ D~ PRE-SUBMITTAL REC'O MAR 5 2010 Revised 1/1/08 Molly Markarian 1 of 5 Signatures . . Applicant: The undersigned acknowledges that the information in this application is correct and accurate. Date: Signature Print Owner: If the applicant is not the owner, the owner hereby grants permission for the applicant to act in his/her behalf. Date: Signature Print Revised 1/1/08 Molly Markarian PRE-SUBM/ITAl REC'O MAR I) 2010 2 of 5 . . ~ Western Title & Escrow Company of Lane County 497 Oakway Road, Suite 340 Eugene, OR 97401 Office Phone: (541) 485-3588 Office Fax: (541) 485-3597 Western Title&Escrow Northwest Community Credit Union Attention: Beth Wahlund 3660 Gateway Street Springfield, OR 97477 Date Prepared: February 24, 2010 PRELIMINARY TITLE REPORT FOR ISSUING TITLE INSURANCE File Number: 33252 Property Address: 4045 Commercial Avenue Springfield, OR 97478 Western Title & Escrow Company of Lane County is prepared to issue a title insurance policy, as of the effective date and in the form and amount shown on Schedule A, subject to the conditions, stipulations and exclusions from coverage appearing in the policy form and subject to the exceptions shown on Schedule B. This report Is preliminary to the issuance of a policy of title insurance issued by Lawyers Title Insurance Corporation and shall become null and void unless a policy is issued and the full premium paid. This report is for the exclusive use of the person to whom it is addressed. Title insurance is conditioned on recordation of satisfactory instruments that establish the interests of the parties to be insured; until such recordation, the Company may cancel or revise this report for any reason. Thank you for placing the order with Western Title & Escrow Company of Lane County. Any questions concerning the Preliminary Title Report should be directed to Jerrilyn Egger at 541-431-3710, or email atiegger@lwesterntitle.com. For copies of exceptions, please contact our Title Department at 541-431-3710 or email yourrequesttoeugene@lwesterntitle.com. LANE COUNTY RECORDING FEES (SUBJECT TO CHANGE) FirstPage $42.00 Each Additional Page $5.00 For standard Deeds, Trust Deeds and other conveyance documents. For all other documents please call (541) 431-3710 for exact fees. Address for Recording Package: Western Title and Escrow - Attention: Recording 497 Oakway Road, Suite 340 Eugene OR 97401 Page lof 7 PRE-SUBMITTAL REC'D MAR 5 2010 . . Preliminary Title Report Order No.: 33252 SCHEDULE A 1. The effective date of this preliminary title report is 5:00 P.M. on February 18, 2010 2. The policies and endorsements to be insured and the related charges are: Ii,",~ ""h' "_"',:",, y:-_~-=~,~~ f""'C"' ",i~"'''' ,'" "7Ch.',_ "] . .' Policy/ EndorsemEmt.Desi:riDtion > 2006 ALTA Extended Lender's Policy $1,400,000.00 *$6,475.00 Not 1 to 4 Family I *Above Charg~Includes: -~ [- Basic Loan L_~3,51O.00 <::QITlI11Eerci~1 ALTA 9, 116 1,__.E:~rlYJ??uEe_ . ........ ....... . Constr Lien Date Down (10) ~ ''___66 ElilTl.il1ation of ExcEeQti()n 2 I PROPOSED INSURED for Lender's Policy I To be determined [~ocal~~v~!:."I11~,!!,!,!~n~e'!.~!,.__~_ "'j'''''' $:)35.Q9,..,. $100.00 ,.,$~,,zQQ.Q9 $200.00 ___$)00.00_ ..........,...,...'..'...'\ ----_.~~ I --~~()()j ,_,..___~_~_,_~_I_ (Agent portion of above Premiums is: (Underwriter portion of above Premiums is: $5,827.50) $647.50) 3. Title to the land described herein is vested in: East Side Baptist Church of Springfield who acquired title as East Side Baptist Church of Springfield, an Oregon non profit corporation 4. The estate or interest in land is: Fee Simple 5. The land referred to in this report is described as follows: SEE ATTACHED EXHIBIT "A" PRE-SUBMlTIAl REC'O MAR 5 2010 Page 2 of 7 ../'--.. Western Tdle&Escrow . . Preliminary Title Report Order No.: 33252 Exhibit IIA" Beginning at the Southeast corner of The Lucinda Comegys Donation Land Claim No. 81, Township 17 South, Range 2 West of the Willamette Meridian; thence South 890 50' 30" West 1232.1 feet aiong the South line of said Donation Land Claim No. 81 to a point; thence South 00 02' East 165.16 feet to a point on the Easterly right of way of a 60 foot road, said point being the true point of beginning; thence South 00 02' East 426,94 feet along the Easterly right of way of a 60 foot road; thence South 890 44' 30" East 390.70 feet; thence South 410 45' East 224.36 feet to a point on the Westerly right of way of a 60 foot road; thence North 48015' East 175.00 feet along the Westerly right of way of a 60 foot road to the Southwesterly right of way of Commercial Boulevard (80 feet wide); thence North 410 45' West 804.50 feet along the Southwesterly right of way of Commercial Boulevard to the Southeasterly right of way of a 60.0 foot road; thence South 480 15' West 181.20 feet along the Southeasterly right of way of a 60.0 foot road to the true point of beginning, in Lane County, Oregon. EXCEPTING THEREFROM; Beginning at the Southeast corner of The Lucinda Comegys Donation Land Claim No. 81, Township 17 South, Range 2 West of the Willamette Meridian, thence South 890 51' 18" West 1232.24 feet along the South line of said Donation Land Claim No. 81 to a point; thence South 000 01' 23" East 592.10 feet to a point on the Easterly right of way line of a 60.00 foot road, said point also being the true point of beginning, thence South 890 43' 53" East 105,00 feet, thence North 000 01' 23" West parallel with said Easterly right of way line 210,00 feet, thence North 19038' 37" West 74.45 feet, thence North 130 30' 56" East 103.12 feet, thence North 480 15' 33" East 135.00 feet to a point on the Southwesterly right of way line of Commercial Boulevard (being 80.00 feet in width), thence North 41045' West along the Southwesterly right of way line of Commercial Boulevard 105.00 feet to a point on the Southeasterly right of way line of a 60.00 foot road, thence South 480 15' 33" West along the Southeasterly right of way line of said 60,00 foot road 180.89 feet, thence South 000 01' 23" East along the Easterly right of way line of a 60.00 foot road 427,67 feet to the true point of beginning, in Lane County, Oregon. PRE.SUBMITTAL REC'D MAR 5 2010 Page 30f 7 ~ Western Title&Escrow . . Preliminary Title Report Order No.: 332S2 SCHEDULE B Except for the items properiy cleared though closing, the proposed policy or policies wili not insure against loss or damage which may arise by reason of the following: STANDARD EXCEPTIONS: 1. Taxes or assessments which are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the pubiic record; proceedings by a pubiic agency which may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the public records. 2. Any facts, rights, interests or claims which are not shown by the public records but which could be ascertained by an inspection of said land or by making inquiry of persons in possession thereof. 3. Easements, or claims of easement, not shown by the public records, reservations or exceptions in patents or in acts authorizing the issuance thereof, water rights, claims or title to water. 4. Any encroachment (of existing improvements located on the subject land onto adjoining land or of existing improvements iocated on adjoining land onto the subject land), encumbrance, vioiation, variation or adverse circumstance affecting the title that would be disclosed by an accurate and complete land survey of the subject land. 5. Any lien, or right to lien, for services, labor or material heretofore or hereafter furnished, imposed by law and not shown by the public records. SPECIAL EXCEPTIONS: 6. Taxes, including current year, not assessed because of an exemption. If the exempt status is terminated under the statute prior to the date on which the assessment roli becomes the tax roli in the year in which said taxes were assessed, an additional tax may be levied. Exemption: Religious Levy Code: 01900 Account No.: 0118636 Tax Lot No.: 1702311404000 7. The rights of the pubiic in and to that portion of the herein described property lying within the limits of roads and highways. 8. An easement created by instrument, including the terms and provisions thereof, Recorded: October 5, 1967 Document No.: 616, Lane County Records In favor of: City of Springfield, a municipal corporation 9. An easement created by instrument, including the terms and provisions thereof, Recorded: January 19, 1974 Document No.: 74-939, Lane County Records In favor of: City of Springfield, a municipal corporatpRE.SUBMITIAL RECIO /'-J!IAR 5 2010 Western Title&Escrow Page 40f 7 . . Preliminary Title Report Order No.: 33252 10. Trust Deed to secure an indebtedness in the amount shown below, and any other obligations secured thereby: Amount: $57,700.00 Dated: December 13, 1978 Recorded: December 13, 1978 Document No.: 78-81704, Lane County Records Grantor: East Side Baptist Church of Springfield, an Oregon non-profit corporation Trustee: Cascade Title Company, an Oregon corporation Beneficiary: Mission Board of The Southern Baptist Convention, a Georgia corporation We find no satisfaction of record. 11. The Oregon Corporation Commission records show that as of December 30,1958, East Side Baptist Church of Springfield is an Oregon Non-Profit Corporation qualified to do business in Oregon with Corey L. Zanotti as its President and Jenny Duff as its Secretary. If other than filed officers are to sign, authorization must be submitted for our examination. 12. The proposed encumbrance should be executed pursuant to a proper resolution of the members of the congregation voted on at a duly called meeting of the congregation in accordance with the By-Laws and the Discipline of the Church. A copy of the Discipline, By-Laws, and a certified copy of the Resolution and Minutes of the meeting should be furnished to us in order to determine parties authorized to sign documents. 13. A survey of the subject property will be required. Western Title & Escrow Company could consider other alternatives, such as an inspection or review of a site plan. Please contact the Title Department for information and fees. Note: If an ALTA Extended Lenders Policy is desired, Exceptions 1 through 5 may be modified or eliminated from the policy based upon receipt and review of the following: A) A Survey of the subject property. (Should a survey not be required for loan purposes, Western Title & Escrow Company of Lane County could consider other alternatives, such as an inspection or review of a site plan. Please contact your Title representative for assistance.) B) Proof that there are no parties in possession or claiming to the right to be in possession other than the vestees herein and that there are no existing leases or tenancies. C) Proof that there are no statutory liens for labor or material, including liens for contributions due to the State of Oregon for unemployment compensation and for workman's compensation which have not gained or hereafter may gain priority over the lien of the insured mortgage, which liens do not now appear of record. Page Sol 7 PRE-SUBMITTAL REC'D MAR 5 2010 ~ Western Title&Escrow . . Preliminary Title Report Order No.: 33252 Note: If early issue is requested on this policy, we will require the following: Completion Notice recorded Name of Builder Indemnity Letter from Builder Indemnity Letter from Seller and/or Owner (at time of construction) Further documentation may be required upon review of the above. Note: We find no judgment liens or tax liens against East Side Baptist Church of Springfield. Note: There have been no vesting changes in the last 24 months. Note to Lender: Western Title & Escrow Company of Lane County is the correct name to use if you are going to use this company as the trustee for a trust deed in this transaction. . Note: Title Insurance Rate Disclosure Notice The title insurance charges for this order are disclosed in Schedule A of the Preliminary Title Report. In some circumstances, a reduced charge will apply. When it appears to us that a transaction qualifies for a reduced charge, it is our policy in Oregon to identify the reduced charge on Schedule A of the report. The reduction usually is computed as a percentage of the Company's basic rate. If a reduced charge appears on Schedule A, it is one of the following: Reissue Rate: A discount of 25% of the basic rate applies when there has been title insurance on the property within the previous three years. Builder-Develooer Rate: A discount of 35% of the basic rate may apply when a party to the transaction is a builder or developer and the property is residential. Lender Post-Foreclosure Rate: A discount of 35% of the basic rate may apply when a seller acquires the property through foreclosure. Contract Fulfillment Rate: A discount of up to 50% of the basic rate may apply to an owner's policy issued upon fulfillment of a previously insured land sale contract. Leasehold to Owner's Conversion Rate: A previousiy insured lessee who exercises an option to purchase in the lease may obtain title insurance for the purchase with a 50% credit from the previous policy. Post-Construction Permanent Loan Rate. A discount of up to 75% of the basic rate may apply to a loan policy for a permanent mortgage when it refinances a previously insured construction loan. ReorQanization Rate: A discount of up to 65% of the basic rate may apply for title insurance to a business entity that is affiliated with a previously insured business entity. Coroorate Emolovee Transfer Rate: When a corporation transfers an employee from one area to another and the employee's corporation or one rendering employee transfer services acquires the employee's property with title insurance, a discount of up to 50% applies to the resale. Simultaneous Issue Rate: A special rate may apply when two or more policies are Issued simultaneously, such as a loan policy with an owner's policy or two loan policies. Page 60f 7 ~RE.SUBMITIAL REC'D Western Tdle&EsM~R 52010 . . Preliminary Title Report Order No.: 33252 IF YOU THINK A REDUCED RATE APPLIES TO YOUR TRANSACTION BUT IT DOES NOT APPEAR ON SCHEDULE A OF THE PRELIMINARY TITLE REPORT, PLEASE INFORM YOUR ESCROW OFFICER OR TITLE OFFICER by contacting them at the phone number, email address or mailing address shown on the report. End of Report cc: Northwest Community Credit Union Attention: Beth Wahlund PRE-SUBMITTAL REC'D MAR 5 2010 Page 7 of 7 ~ Western Title&Escrow . . .~ Western Title&Escrow ~ ~ I':~ ~ ;'3905""-' " ~ ..,.,2 J}'" ~ ~\ W' ........-.:3 ,~O ~3906 , , " , 4 d /?.1.M" 3000 " ~ j3907 " /7':(>>' " , 5 3922 _ ~" ~ .~ ~ n, 2900 17J'J~' 2800 , j3909~ l.i) ~ H , -,~ ::::;:: 7 " ~ /7JJI!J' 17~M' '03910 , , WI [L 8 il "~ .~ _J ~l Ii) ": 9. ~ :I: '0 -\ I- .( bolO .~~ J "d<~~ I ~*~ .i 2700 , ~ ~391l " ___~/7J.~~ .' /~~. , , . ~, 03912 2602 \1 2601 ,"~"",' ~3913 2500 /7J.?~' ! i /7,(_"'" ~3914 '2400 .1 , , /7J.i1J' ?,>;nn L 03915 4 Compliments of Western Title & Escrow Company. This map is not a survey and we assume no liability for inaccuracies. b 1 " 1;";"2 '''IJ' ,- 4002 I. ,J,~ ~ //3 .t:::-:g f"\~ ~-" . ~ 4003 . ~~! ~ ,2~ .s .. '''S"..!- ~ 9S.'" iO ;,4 tn l:'~ ~ 4004 hl~ ,R, }--$ 5 iI.,"" ). . t r''''~ ~ ~ 4005 {j' ;.': , " ~ hl '"- ~~(le ~ 06 0 ~~4006 LL1~ , 's ~ 0 ~ "i "''''''0' .. ~ 7 U)~ i t ~4007 ~~ ~ ~ ~ 8 I<>~"'ol _ ~ ~4008 U}R\ ~ <( t M", Lt.l ""'$_"0 . ".,,~ 4503 O.ZIAC.P:,\ '(vi>- J ~. ,,,, "M.M....., 4515 (,O.26AC. :' 01 .r~ ~~i -00 4000 t . I~"'L' 4504 O.20AC';l-),\ :r~ 9",.. '.. /:::;.J" .>.~,~ ~"".,,",,' ~,,"-' ~ ~ 4",52.~o.~_9A~.'3 <:I "'-.<t PRE-SUBMITIAl REC'O MAR 5 2.010 . . ~ We 5 tern Title&Escrow PRIVACY POLICY NOTICE June 1, 2005 is dedicated in providing a basis of trust with you, our customer, and the public we serve. With respect to the privacy expectations of today's consumers, and the requirements of applicable privacy laws, the Gramm-Leach-Bliley Act (GLBA) has been enacted to protect the privacy of nonpublic personal information relating to consumers and customers. GLBA generally prohibits any financial institution, directly or through its affiliates, from sharing nonpublic personal information about you with a nonaffiliated third party unless the institution provides you with a notice of its privacy policies and practices. We are providing you with this document, which notifies you of our privacy policies and practices. We reserve the right to change this Privacy Policy Notice from time to time consistent with applicable privacy laws. In the course of our business we may collect non public personal information about you from the following sources: Information we receive from you, such as your social security number and information from applications or other forms we receive from you or your authorized representatives; Information about your transaction we secure from our files, or from our affiliates or others; Information from our or other internet web sites; Information we receive from a consumer reporting agency Information we receive from others involved in your transaction, such as the real estate agent or lender; and Information from the public records maintained by governmental entities that we either obtain directly from those entities, or from our affiliates or others. We may disclose any of the above information that we collect about our customers or former customers to our affiliates or to nonaffiliated third parties as permitted by law. We also may share your personal information: to agents, lenders, brokers or representatives to provide you with the services you requested; and to third-party contractors or service providers who provide services or perform marketing or other functions on our behalf. In addition, we will disclose your personal information when you direct or give us permission, when we are required by law to do so, or when we suspect fraudulent or criminal activities. We also may disclose your personal information when otherwise permitted by applicable privacy laws such as when disclosure is needed to enforce our rights arising out of any agreement, transaction or relationship with you. We restrict access to nonpublic personal information about you to those employees who need to know that information in order to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic information. GLBA-WTE Disclosure Orig. 07/01/2001; Rev. 06/01/05 PRE-SUBMITTAL RECIO MAR 5 2010 . . Exhibit ~ Western Title&Escrow PRIVACY POLICY June 1, 2005 Title V of the Gramm-Leach-Bliley Act (GLBA) generally prohibits any financial institution, directly or through its affiliates, from sharing nonpublic personal information about a consumer with a nonaffiliated third party unless the institution provides the consumer with a notice of its privacy policies and practices, such as the type of information that it collects about the consumer and the categories of persons or entities to whom it may be disclosed. Financial institutions can include title insurance companies, title insurance agents, survey companies, attorneys, appraisers, flood certification providers, and other providers of settlement services on residential transactions. In compliance with the GLBA, we do not share non public personai information about a consumer with a nonaffiliated third party, unless allowed by law. In compiiance with the GLBA, our privacy practices regarding nonpublic personal financial information of consumers and customers (as defined by GLBA) are as follows, subject to any exceptions as permitted by law. We protect nonpublic personal information of customers and consumers. We allow access on need to know basis only. Only company personnel who need to know can access the information. Examples may include accounting personnel, title examiners, title underwriter personnel, auditors, escrow closers and their assistants, management, scanning personnel, and claims related investigation personnei, including but not limited to retained counsel. . We allow customers and consumers to review their nonpublic personal information that we have collected, and we allow them to provide us with requests for amendment or deletion of such information, to which we will reasonably respond. We require consent from a proper party to the transaction to provide non public personal information relating to their transaction, which includes closed transactions. We maintain physical, electronic, and procedural safeguards that comply with law to guard the nonpublic personal information. We allow only authorized personnel to review the information, and we keep closed files in secure storage, with limited access, or we store the files on computer with limited password access. We generally do not keep copies of credit reports, loan applications, and tax returns on consumers and customers. If we share starter title information, we don't share non public personal information, such as sales price (unless it is public information), policy numbers, or amount of insurance on owner's policies issued to customers. We don't share nonpublic personal information, such as social security numbers and bank account information, as may be shown on affidavits of indemnity, instructions to escrow, or as may be provided by a principal lender, broker or real estate agent. We periodically inform our personnel about our policy. We don't share nonpublic personal information with independent contractors, unless they have a need in the processing of the transaction as allowed by law. Dated: June 1, 2005 GLBA-WTE Privacy Notice Orig. 0710112001; Rev. 06/01/05 PRE-SUBMllTAL REeD MAR 5 2010 . . Effective Date: 5/1/2008 Fidelity National Financial, Inc. Privacy Statement Fidelity National Financial, Inc. and its subsidiaries ("FNF") respect the privacy and security of your non-public personal information ("Personal Information") and protecting your Personal Information is one of our top priorities. This Privacy Statement explains FNF's privacy practices, including how we use the Personal Information we receive from you and form other specified sources, and to whom it may be disclosed. FNF follows the privacy practices described in this Privacy Statement and, depending on the business performed, FNF companies may share information as described herein. Personal Information Collected . We may collect Personal Information about you from the following sources: . Information we receive from you on applications or other forms, such as your name, address, social security number, tax identification number, asset information, and income information; . Information we receive from you through our Internet websites, such as your name, address, email address, Internet Protocol address, the website links you used to get to Our websites, and your activity while using or reviewing our websites; . Information about your transactions with or services performed by us, our affiliates, or others, such as information concerning your policy, premiums, payment history, information about your home or other real property, information from lenders and other third parties involved in such transaction, account balances, and credit card information; and . Information we receive from consumer or other reporting agencies and publicly recorded documents. Disclosure of Personal Information We may provide your Personal Information (excluding information we receive from consumer or other credit reporting agencies) to various individuals and companies, as permitted by law, without obtaining your prior authorization. Such laws do not allow consumers to restrict these disclosures. Disclosures may include, without limitation, the following: . To insurance agents, brokers, representatives, support organizations, or others to provide you with services you have requested, and to enable us to detect or prevent criminal activity, fraud, material misrepresentation, or nondisclosure in connection with an insurance transaction; . To third-party contractors or service providers for the purpose of determining your eligibility for an insurance benefit or payment and/or providing you with services you have requested; . To an insurance regulatory authority, or a law enforcement or other governmental authority, in a civil action, in connection with a subpoena or a governmental investigation; . To companies that perform marketing services on our behalf or to other financial institutions with which we have joint marketing agreements and/or; . To lenders, lien holders, judgment creditors, or other parties claiming an encumbrance or an interest in title whose claim or interest must be determined, settled, paid or released prior to a title or escrow closing. We may also disclose your Personal Information to others when we believe, in good faith, that such disclosure is reasonably necessary to comply with the law or to protect the safety of our customers, employees, or property and/or to comply with a judicial proceeding, court order or legal process. Disclosure to Affiliated Companies - We are permitted by law to share your name, address and facts about your transaction with other FNF companies, such as insurance companies, agents, and other real estate service providers to provide you with services you have requested, for marketing PRE.SUBMITTAl REC'O MAR 5 2010 . . or product development research, or to market products or services to you. We do not, however, disclose information we collect from consumer or credit reporting agencies with our affiliates or others without your consent, in conformity with applicable law, unless such disclosure is otherwise permitted by law. Disclosure to Nonaffiliated Third Parties - We do not disclose Personal Information about our customers or former customers to nonaffiliated third parties, except as outlined herein or as otherwise permitted by law. Confidentiality and Security of Personal Information We restrict access to Personal Information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard Personal Information. Access to Personal Information/ Requests for Correct, Amendment, or Deletion of Personal Information As required by applicable law, we will afford you the right to access your Personal Information, under certain circumstances to find out to whom your Personal Information has been disclosed, and request correction or deletion of your Personal Information. However, FNF's current Dolicv is to maintain customers' Personal Information for no less than vour state's required record retention requirements for the DurDose of handlinQ future coveraae claims. For your protection, all requests made under this section must be in writina and must include vour notarized siQnature to establish vour identity. Where permitted by law, we may charge a reasonable fee to cover the costs incurred in responding to such requests. Please send requests to: Chief Privacy Officer Fidelity National Financial, Inc. 601 Riverside Avenue Jacksonville, FL 32204 Changes to this Privacy Statement This Privacy Statement may be amended from time to time consistent with applicable privacy laws. When we amend this Privacy Statement, we will post a notice of such changes on our website. The effective date of this Privacy Statement, as stated above, indicates the last time this Privacy Statement was revised or materially changed. PRE.SUBMI11Al REC'O MAR 5 2010 ~ estern Title&Escrow EARLY ISSUE PROCEDURES REVISED Fidelity National Title Group recently put strict underwriting guidelines in place for all direct operations and agents when issuing construction lien coverage on new construction or remodeling projects that would require "Early Issue" coverage. Companies affected by the new guidelines include Chicago Title Insurance Company, Chicago Title Insurance Company of Oregon, Commonwealth Land Title Insurance Company, Fidelity National Title Insurance Company, Lawyers Title Insurance Corporation and Ticor Title Insurance Company, as well as all agents underwritten by one of these companies. "Early Issue" coverage refers to the elimination of the construction lien exception from a title policy before the expiration of the statutory lien period. This period ends 75 days after the completion of the project. The completion date is usually evidenced by the recording of a "Notice of Completion". Title companies have long considered this coverage as a special risk requiring more cautious underwriting procedures. Beginning immediately, the following items must be provided for "Early Issue" coverage: ;r. An up-to-date project budget or project summary identifying the total hard costs of the project from the builder or general contractor. ;r. A complete list of all those associated with the construction project who fall within the construction lien law as possible claimants must be provided by the builder or general contractor. ;r. The Closing Agent must verify the completeness of the list and the payment of those on the list by obtaining signed lien waivers or by a documented phone call. ;r. The New Construction ALTA Affidavit & Indemnity must be furnished (in draft or final form, but showing who will be signing, both individually and for the business entity). Once the above information has been obtained, Western Title and Escrow will review and submit to underwriting for approval. Providing the required information as early as possible will allow Western Title and Escrow time to verify the information, obtain the necessary approvals and avoid a delay in closing the transaction. Any questions regarding Early Issue should be directed to Jerrilyn Egger at 541-431- 3710, or email atieagertOlwesterntitle.com. PRE.SUBMITTAl REC'D MAR 5 2010 . . Western Title & Escrow Company of Lane County ~ Western Tille&Escrow Order No. 33252 AFFIDAVIT AND INDEMNITY (Construction Liens and Possession) This indemnity is given in order to procure, for persons other than the undersigned, title insurance with certain coverage regarding claims of construction lien asserted against, and right of possession asserted in, the following described real property ("the Property"): SEE ATTACHED EXHIBIT "A" The undersigned hereby holds harmless, protects and indemnifies Western Title & Escrow Company of Lane County and Lawyers Title Insurance Corporation referred to as "the Company," from and against any and all claims, losses, damages, liabilities and expenses, including but not limited to attorney fees and expenses of litigation, suffered or incurred by the Company under any policy of title insurance or endorsement that the Company may issue or cause to be issued, resulting directly or indirectly from any claim of construction lien or action to foreclose any construction lien. The undersigned further agrees that, if any person insured by the Company is made a party to any construction lien foreclosure, the undersigned, upon demand by the Company will arrange at the undersigned's expense, for legal representation and defense of such proceeding on the insured's behalf and will pay any and all attorney fees, costs and awards that may be rendered against or otherwise adverse to the insured. The undersigned further agrees to payor reimburse to the Company any and all expenditures, costs, charges and expenses, including without limitation attorney fees, incurred by the Company in filing under Oregon Revised Statutes 87.076 through 87.088 a bond or deposit to discharge the property from any construction lien covered by this indemnity. "Construction lien," as used in this indemnity, includes any construction lien under the Oregon Construction Lien Law and any lien on the Property for contributions to the State of Oregon for unemployment compensation or worker's compensation, arising from improvements to the Property. This indemnity applies to any construction lien arising from work or services performed or materials or equipment supplied for improvements that have been completed, are in progress or are contemplated at the date of this indemnity, including without limitation improvements whose construction will be financed by a loan to which the Company's above referenced order relates. The undersigned agrees to pay the Company's costs and attorney fees for enforcing this indemnity, whether through arbitration, bankruptcy, insolvency proceeding, civil action or any appeal taken on any of the preceding. PRE-SUBMITTAL REC'O MAR 5 2010 . . Affidavit (Continued) Order No. 33252 Except to the extent otherwise represented to the Company in writing, the undersigned represents and warrants that the property is occupied by undersigned seller, if the above referenced title insurance is for a sale and purchase transaction, or by the undersigned borrower, if the above referenced title insurance is for a refinance transaction; that no other person has or claims any right to possession; and that, if the above referenced title insurance is for a sale and purchase transaction, seller has surrendered or will surrender possession to buyer in accordance with terms of the parties' sale and purchase agreement. Executed this _ day of , 2010 East Side Baptist Church of Springfield who acquired title as East Side Baptist Church of Springfield, an Oregon non profit corporation By: Its State of , County of ) ss. This instrument was subscribed and sworn to before me on this _ day of , 2010 by, as of East Side Baptist Church of Springfield who acquired title as East Side Baptist Church of Springfield, an Oregon non profit corporation Notary Public for My commission expires: PRE.SUBMITTAl REC'O MAR 5 2010 AlTA Affidavit - New Construction Page 20f 3 . . Affidavit (Continued) Order No. 33252 Order No. 33252 Exhibit "An Beginning at the Southeast corner of The Lucinda Comegys Donation Land Claim No. 81, Township 17 South, Range 2 West of the Willamette Meridian; thence South 89050' 30" West 1232.1 feet along the South line of said Donation Land Claim No. 81 to a point; thence South 00 02' East 165.16 feet to a point on the Easteriy right of way of a 60 foot road, said point being the true point of beginning; thence South 00 02' East 426.94 feet along the Easterly right of way of a 60 foot road; thence South 890 44' 30" East 390.70 feet; thence South 41045' East 224.36 feet to a point on the Westeriy right of way of a 60 foot road; thence North 480 15' East 175.00 feet along the Westerly right of way of a 60 foot road to the Southwesterly right of way of Commercial Boulevard (80 feet wide); thence North 41045' West 804.50 feet along the Southwesterly right of way of Commercial Boulevard to the Southeasterly right of way of a 60.0 foot road; thence South 480 15' West 181.20 feet along the Southeasterly right of way of a 60.0 foot road to the true point of beginning, in Lane County, Oregon. EXCEPTING THEREFROM: Beginning at the Southeast corner of The Lucinda Comegys Donation Land Claim No. 81, Township 17 South, Range 2 West of the Willamette Meridian, thence South 890 51' 18" West 1232.24 feet along the South line of said Donation Land Claim No. 81 to a point; thence South 000 01' 23" East 592.10 feet to a point on the Easterly right of way line of a 60.00 foot road, said point also being the true point of beginning, thence South 890 43' 53" East 105.00 feet, thence North 000 01' 23" West parallei with said Easterly right of way line 210.00 feet, thence North 190 38' 37" West 74.45 feet, thence North 13030' 56" East 103.12 feet, thence North 48015' 33" East 135.00 feet to a point on the Southwesterly right of way line of Commercial Boulevard (being 80,00 feet in width), thence North 41045' West along the Southwesterly right of way line of Commercial Boulevard 105.00 feet to a point on the Southeasterly right of way line of a 60,00 foot road, thence South 480 15' 33" West along the Southeasterly right of way line of said 60,00 foot road 180.89 feet, thence South 000 01' 23" East along the Easterly right of way line of a 60.00 foot road 427,67 feet to the true point of beginning, in Lane County, Oregon, Al T A Affidavit - New Construction Page 3 of 3 PRE-SUBMITTAL REC'O MAR 5 2010 . . ~ Western Title&Escrow Western Title & Escrow Company of Lane County 497 Oakway Road, Suite 340 Eugene, OR 97401 Office Phone: (541) 485-3588 Office Fax: (541) 485-3597 Escrow Number: Property: 33252 4045 Commercial Avenue Springfield, OR 97478 Lane County Builder Name: Please complete the following information for all sub-contractors and suppliers, and Include fax and e-mail addresses, if available. 1. Excavation and Foundation Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes Amount Paid: 2. Plumbing Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 3 Framing Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 4 Electrical Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 5 Roofing Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 6 Heating Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 7 Drywall Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 8 Painting Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 9 Cabinets Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes SUBCONTRACTORS Amount Paid: Amount Paid: Amount Paid: Amount Paid: Amount Paid: Amount Paid: Amount Paid: Amount Paid: Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: ~C'D Fax No: E-Mail: MAR 52010 $ 1. Concrete Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes Amount Paid: 2. Building Materials Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes Amount Paid: 3 Windows and Doors Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes Amount Paid: 4 Lighting and Fixtures Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes Amount Paid: 5 Appliances Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 6 Floor Coverings Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 7 Other Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 8 Other Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes 9 Other Name (Company): Address: Escrow to verify: Paid: 0 No 0 Yes . SUPPLIERS Phone No: Fax No: E-Maii: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ Phone No', Fax No: E-Mail: $ Phone No: Fax No: E-Mail: $ . Amount Paid: Amount Paid: Amount Paid: Amount Paid: Amount Paid: I hereby certify that the above is a complete list of subcontractors and suppliers for improvements or remodeling of the above referenced property. Dated: ASKVALUE DOES NOT EXIST By: Title: Submitted to Title Department By: Dated: Title: Subcontractors and Suppliers List Page 2~R~.SUBMITTAl REC'D MAR 5 2010