HomeMy WebLinkAboutPermit Electrical 1995-8-30 (2)
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SPRINGFIELD
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Thefollowing p~ejjl as submittedhaslhe follow , ~, '
zoning, end do~requira.;E'ectlIC land 'EThCTRICAL PERMIT APPLICATION
97477approvel. (J, jQ'P
726-3769 Zonin.,o Ci ty Job Number q 50 hO {)..
fl1I1
Dm. 3, COMPLETE FEE SCHEDULE BELOV
225 ,FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1; LOCATION OP INSTALLATIj:/MrprilPd Signa',ur"
101'1 - (rltTl:WII"1 t-r' A.
, LEGAL DESCRIFTION l?fE/21/0 UZkCE.,
1>( P I:) :p.,)5. () reI'\' 1\Jc.. IE
JOB DESCRIPTION
~ ~J~v..} 0 FFtC-E:
l~
Perm-i ts are' non-t~~nsferable and ex~fre
if york is not started" vi thin 180 days
'of issuance or if york is sus~ended for
'180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L .J.!, it'Wtet'( s eLB::r::
Address +6 ~ S Ueul:~ STIe,
City S PPb
Phone ,4-,-08'1)
, Supervisor License Number '3.::>0," - S
Expiration Date
,O-I--rS;
Constr Contr. Number (;) Ie ~g'
Expi'ration Da~e ,b-'B,~~(..
S:d-= Qupe~~Sing :ectrician
, ~~~~~~~~ ~.
City~ 9~Q~. Phone' \,
~c~ALLAT~ON
The, installation is, being made on
property I ovn,vhich is not intended
for sill.e; 'lease or' rent. '
Ovn,ers Signature: ,,'
~\
DATE: K'~( ), \J '" .
RECEIPT ~:' ", b{.~'F'- c-' " ' 7\4-..~\1;.
RECEIVED BY: J..L'l)" ;j"-
~ '
Nell Residential-Single or
Hulti-Family per dllelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,
Each Hanuf'd Home or
Modular Dllelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less :3
201 amps to 400 amps I '
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only .
$ 85.00
$ l5.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40-.00
/50
100
I:.U
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 ~mps tQ ~OO amps
Over 401 to 600 amps
Over 600 amp~_or 1000
Branch Circuits
$ 40.00
$ 55.00
$80.00
,volts"see "B" above
Nev, Alteration o~ Extension Per Panel
.. ..
One Circuit $ 35.00
,Each Additional ,
, Circui Cor lIith Service
, or Feederpeimi t " ILO' $ 2.00 240
not included)
5,.
SimTOTAL Ql(ABOVE
5t'State ,Surcharge
.TOT~,' ,: ,',
+ 3010, AOm'\f\ ~-e..:
E. ,Miscellaneous (Service/feeder
-Each installation
ruinp or, irrigation
Sfgn/Outlihe Lighting
LAmit~d,EnergyY~es
, ,Liniited. ~n~rgy:IComm
$ 40.00
$ 40,00
$~O.OO
$ ,'36;00
58D 6..2--
..."1 ',~'
I, 40'
J t?~b 1?'
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. COMMERCIALIINDUSTRIAL.
PERMIT APPLICATION
.
JOB NUMBER
---;"-..,,----....----~
qS dJuO't/
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qQt<Z.\M"l~J~p--- -, '~""N""'HO ~.: '.
, ,TAXLOT rY)Jo ~2Jd2~
225 Fifth Street, Springfield, Oregon 97477
LOCATION OF PROPOSED WO~r IOq q
ASSESSORS MAP' I f) ()~) 2!L ') () --
OWNER: 1<. j) 0 'INS",')I>I\4re
ADDRESS: J / ? / r-; AT"" '-""}'
CITY: <;f)O'NhF/J"1 l'"
Lh,... 0
INSPECTION LINE: 726.3769
OFFICE: 726.3759
PHONE:
7"fI~o.S<;O
STATE: _OJ2,F.. ,
ZIP:
DESCRIPTION OF WORK:
NEW \/1 REMODEL
~
DEMOLISH
FCR.AMF:D n4/L n/Alr;- / (ff'I-l c..~
~
OTHER
~e.
VALUE:
,
,
UF..L ') WOO/~
ADDITION
NAME
7
/
~
ARCHITECT: T 13.~ .
. I
CONTRACTOR'S NAME
/ "-DO
ADDRESS PHONE
1.111., "1 I2J1Jr:y> (7"'_ # f1CJ J EU(;E.NE ,/JIILE. toe? -//)/ n
f CONST, '
CONTRACTOR' EXPIRES
ADDRESS
p.o. 1301< 1034 '1
E.u t1C~)J&.. .bR..E. Q1y,I'''
,
GENERAL: LF..T;: /'..o^'5~LuTJ"'"
/
PLUMBING: loJ Itlll/JEt +- p R.. ~"
MECHANICA" J-J/IJ(2.I)r:1~ VD..,,,
ELECTRICAL: L. b/ WlnI2.R/..,., S, vr:
PLUMBING
I
FEE CHARGE I
I
I
'2'6'--
~&7. -
;a?-I
/tf? ":la.-I
'25. .....,
I
T~r~~ I
I I I
12/~~-1
NO, I
I
I
I
I
I
:2 I Backflow Device
/" '1 ,4dit;:' t:HE
,.
11'",.J~/.-.; ~~........;
I NA? 10/,,;z>~
I I'
I TOTAL PERMIT
Single Fixture
Relocated Bldg,
(new fix, addtl\
Water ServIce
1.0 It.
Sanitary Sewer
, / '2." It.
Storm Sewer __
'")/.., ft.
r."'711 "7R~
()..,l \ \I
rooll
0\ 12>3B
PHONE
L.Jl~-~~
W'r?,\.C\S \<\b'\\oll
\,\)'3\.~ ,,,\\O.\'o'U
\etRQS J1J.~\,'
I
~;r::. I
7.~j
j
J
I
I
6,-)
I
I
--r>, ,
-..50 . ~~O.
$10,00 I
,,(;,C..- j
I
1$1
MECHANICAL
Id""
Furnace/burner & vent
< 100,000 BTUs
Furnacel burner & vent
>100,000 BTUs
II
I Floor furnace and vent
Suspended wall or floor
mounted unit healer
Appliance Vent
separate
I Stat ionary evap.
cooler
~ Vent Fan/Single
~ duct
Vent System apart
from AC or hlg.
I Mechanical exhaust
hood and duel
//_I.~..tI.- ~ -, ~
'9 ~_~L.t!_-,.,.;,.,
~
Permit Issuance
TOTAL PERMIT
OUAD AREA-
. OF BLDGS'
OCCY GROUP'
. OF STORIES:
\rf\)LU
LAN D USE:
- OFFICE USE -
S~CD
FLOOD PLAIN'
ZONING: -r J~../
HANDICAP ACCESS'
\-\2-
L
. OF UNITS'
CONSTR. TYPE: ~\ - s.w..
LIGHTING POWER BUDGET:
WATER HEATER'
HEAT SOURC"'
SO, FTG MAl N
SO, FTG ACCES"
SO, FTG OTH.~R
SO, FT,
\\Q,ll U
X
$/SO, FT,
x
--s; 7,.,c- .4.z? . X
~~ff~...f.,;1:~ "!. ~9J!;~O 1-
I BUILDING PERMIT
I 5% State ~
SurcharQe t-7
I MECHA~;,.j
15% Stafe 1"51
Surcharae ~
I PAVING -- ,
2&:-:;>3. c:oe. PLUMBING
I ~!;J..402 5% State r:>.'
~, ~ SurcharQe /'"'3
/0..- FENCE I
~...e> VALUE $
~ . ~ I SIDEWALK I
7...,-. ~
y~;;:';" I CURBCUT ~ FT, I
VALUE
I. ~""-~
r
"" Y&::5..r--=-.
EsT,
,~')Cl 0";) Q
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DEMOLITION '~ l J
r~"~~ /e"n.~S1
" r I I
...,,. _ "SUBTOTAL' ~
.? ~: ?i!:> PERMITS ..7
'<'Y.B~ ~mi~~MENT *~l ,?(p7.-~
/&2=>_....,_ _
TOTAL VALUE OF PROJECT
DAT"
6-f-1?
BY
':Z/t::/. -
/~ - ~~
;.:; . '3tlS
TOTAL PERMIT FEES I
EXCLUDING ELECTRIC'^'
~, ~~./6
It is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an inspection, call
726.3769 (recorder), state your City designated job number, Job address, type of inspection requested and when you will be ready
for inspection. Requests received before 7:00 a.m. will be made the same workIng day, requests made after 7:00 a.m. will be made
the following work day.
SITE INSPECTION: TO be
made after excavation, but
prior to setup of forms.
/f FINAL MECHANICAL
Y FINAL FIRE DEPARTMENT
ADDITIONAL COMMENT'l' " ~
C\ S. () '\ ' q \ ;- I Il\r) u.n..O_ ~ \1\ \'f\ \\ l ~\l
\. ~-\-\: \1. ~1\04J)', A..t\W~.'L ,,-, \C\U>~
.
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UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is .cove.red.
l' FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel in place, but
prior to placing concrete.
y
CONCRETE SLAB: To be
made after all inslab building
service equipment, conduit,
.plping, accessories and other
ancillary equipment items are
In place but before any
concrete is placed.
~
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing,
POST & BEAM: To be made
prior to Installation of floor
insulation, decking or floor
sheathing,
FLOOR INSULATION &
VAPOR BARRIERS: To be
made prior to Installation of
decking or floor sheathing,
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
ROOF SHEATHING AND
NAIL(NG: Prior to installing
any roof covering.
-t
FINAL PLUMBING
A'
FINAL ELECTRICAL
REQUIRED INSPECTIONS.
\~
/
%
PAVING: After gravel Is In
place but prior to placing
asphalt or concrete.
ROUGH PLUMBING,
ELECTRICAL &.
MECHANICAL: No work Is to
be covered until these
inspections have been made
and approved.
.; .;
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special Inspector shall be employed
by the Ownerl Contractor during
construction of fhe following work, A
copy of the special testing reports shall
be furnished to the Building Division,
ATTIC DRAFT STOPS &
CURTAIN WALLS
l'
FIREPLACE: Prior to placing
facing materials and before
framing Inspection,
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical. plumbing
and mechanical are approved.
HIGH STRENGTH BOLTING:
During all bolt Installation and
tightening operations, (306
a,6)
STRUCTURAL CONCRETE: In
excess of 2500 PS,!. (306 a,1)
,
STRUCTURAL WELDS:
Performed on the job, (2722 f)
/
INSULATION & VAPo.R
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board Interior wall covering is
applied,
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork, (306 a,11 &
Chapter 29)
SPRAYED ON
'FIREPROOFING: U,B,C,
Standards 43-8,
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
j( ,LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
Interior and exterior. Is In
place but before any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
finished,
GLU.LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed, (2501 U.B,C,
STOS, 25-10,11),
STRUCTURAL MASONRY: (306
a,7)
A
SIDEWALK & DRIVEWAY:
Required for all concrete
, paving within street right of
way. to be made after all
excavating complete and form
work and sub-base material In
place.
.
y
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
'In addition to the Inspec-
tions specified, the Building
.Offlcial may make or require
other inspections of any
construction work to ensure
compliance with the -Sulrding,
City or Development Code.
-1
SITE PLAN REVIEW BOARD: Must be requested 2 days In advance
of the date you wish inspection. All project conditions such as
landscapIng, parking lot striping, etc. must be completed before
requesting this Inspection.
..x
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made until a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises,
(DeL "'e...1>~
~/t7/~S" )
~
PLANS REVIEWED BY / ~""? --
- //
=---
~ "/ DATE~;/C.-3S
By signature, I state and agree, that I have carefully examIned the completed application and do hereby certify that all Information
herein is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances
of the City of Springfield, and the Laws of the State of Oregon pertainIng to the work described herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees
who are In compliance with ORS 701.055 will be used on this project.
I further agree to ensure.that'.all"requiredlnspections are requested at the proper time, that project address Is'readable from the
. sire'et,.thai the it card is located at he front of the property. and the approved set of plans will remain on the site at all
om.. om'"." ":~"/> ~? '"" ~~ ;y S
-'t/~ / k 7:Y'f-
/ AM~UNT RECEIVED:~- _~/r-:: DATE PAID: 271i::~:7S--
, RECEIPT ': (8?2~ RECEIVED BY: /:7...... - --
, ~~'
VALIDATION:
'.
"
:~o::~ : P1~/~~~/'~'~~' ~~'I\ ',:
"-- ~
. ~ .;.~. .;~. -
':.B':NO. Q6or.,o2-
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY: 1<. P. D. Tr-JSuf!-AIJc..~
LOCATION: I C>9"l &AT~WAV Loop \lO~7.-'Z-"Z-o - OZ-loO"1 ~ OZ-bc')
DEVELOPMENT TYPE: (:,e: 6F-F-1GE':. 'P.:>L-vc..
3. TRANSPORTATION
QOl>e 110' (!,~.OF1'lu:.e,L.P6- ~ '2,..-z.4 /r~F
NO OF UNITS X TRIP RATE X COST PER TRIP
X
X
X $436. 19
X $436. 19
~12-94 o?)
'--' -----
$
$
n.,
X 2. .1..4 X $436. 19
4. SANITARY SEWER-MWMC
NO. OF PFU'S ~~ x $17.19 PER PFU + $10 MWMC ADM FEE
(Use PFU Total From Item 2 Above)
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
$ 14-t'" Sf>
TOTAL-MWMC SDC
SUBTOTAL (ADD ITEMS 1,2,3 & 4)
$ 4=?\ 'Z~
~
----------- <:>9
$ '?o 0 &::,9 -
5. ADMINISTRATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
,
~:";~.L..&...- Date: 'Sit 1 lore.,
\j Kip Burdick I I TOTAL SOC
SDC Coordinator
C \ ?0-2-~
'-' ...-/.
$ '? 1'5 (0 -z. 04
"--
all
.":',' :,' "~;t':-".:\"". .'.... :"--',:;'';':.':.:;~'~ ;:'.~:~~:>: .-..\.:,;:<:,~_.. . ," . ~-'~~..,"'~~'-;:':['r ,-.,,~ .:.~,.~',~"'''~\\.>l:'\';:;)~~''''~_;;''':i-1~t.:' ," '(~''';JtI;'.-:
-,.~.-, '-', - - :
FIXTURE, u~rr F~l:fULA Tlai! T ~BLE: Number of New fix~ur'es .' ',' 'i-;E~~i;:'i1i~~~-;" 'R~~r;; U';it~
(NOTE: For remoaels_'calculate'only the _ additional flxturesl " . ",'
FIXTURE TYPE
NUMBER OF
NEW FIXTURES
UNIT
EQUIVALENT
FIXTURE "
UNITS
Bathtub............ ................................................ ..... .....
Drinking Fountain............ ........ .... ......... ... .................
Floor Drain. ...... ............ ........ ........... ............... ...... .....
Interceptors For Grease/Oil/Solids/Etc....... ..........
Interceptors 'For Sand/Auto Wash/Etc..................
laundry Tub/Clotheswasher................................... :. .'
Clotheswash!,r,- 3.or Mo(e....,.................................
Mobile Home Park Trap' (1 Per Trailerl~...:......'...;.".": '
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Stall.............................. .............. .....
Shower, Gang................................ ...................:,..,..
Sink: Bar, Commercial, Residential Kitchen.............,,'.........
Urinal, Stall/Wall............ .... .............. ....... ........ ....:.....
Wash Basin/Lavatory; Single..................................
Toilet, Public Installation........................................
Toilet , Private..................................................:....
Miscellaneous:
1_
2
1
2
3
6
-2
6
6 '".
1
'3
2
, -"/H'ead
2
2
1
6
4
2
....);
4-
'l.
B.
ID
5
4-
B
(00
TOTAL FIXTURE UNITS
5'2..
~
CREDIT CALCULATION TABLE: Based on assessed value: 'Iflmpiovements'occurred:after annexation datc';h table,
calculate credits separates,
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate ped1,000
Assessed Value
19B5
1986
1987
1988
1989
1990
1991
1993
$2.46
2.14
1.77
1.37
0.97
0.61
0.44
0.15
,
"
1979 or before
1980
1981
1982
1!!~?
1984'
1985
$3.46
3.38
3.32
3.21
3.06
2.92
2.73
-,
Improvement (if ,after annexation datel
-? ,4(" X $ \1.'\:.':'4
(Rate X Assessed Value I
X $
(Rate X Assessed Value)
=
4-~ I ~~
Credit for Pa~cjll or Land Only If Applicable
=
CREDIT TOTAL = $ ~\2~
, . . ~
,........
IIiIl
.
.
q5.c'1.~1
t<>"1l""
":
.
SITE PLAN REVIEW DEVElOPMENT AGREEMENT
5is DEVELOPMENT AGREEMENT, hereafter "Agreement", is entered into this IL
day of ,1995 (the "Effective Date") by and between the CITY OF SPRINGFIELD,
hereinafter 'City", and .\<l"t) ,) hereinafter
"Applicant", in accordance with Section 31.090, and Section 3.070(3), 3.080(31.
3.090(3) and 3.100(3).
RECITALS
WHEREAS, on the 2nd day of August, 1995, the City approved the Final Site Plan
Application submitted by the Applicant for the purpose of the following:
CITY JOURNAL NUMBER 95-04-91. Type II Site Plan Review Application requesting
approval to construct a commercial office complex. The property is located off, Gf--,
. ~.
Gateway Loop, (Assessor's Map 17-03-22-2; Tax Lots:2608, 2609). The property is
zoned Community Commercial and is also designated for Community Comercial use in the
Metropolitan Plan and the Gateway Refinement Plan.
WHEREAS, in consideration for a Type II Site Plan Review Application approval, the
issuance of a Building Permit, and the issuance of an Occupancy Permit, as specified in the
Springfield Development Code Section 31.090, Applicant agrees to comply with all of the
standards in the Springfield Development Code and the Springfield Municipal Code which
maybe applicable to this development project unless modified or excepted by the Site Plan
Review Development Agreement, Development Services Director, Planning Commission,
Building Official or their agents, or the Fire Marshall, which modifications or exceptions
shall be reduced to writing.
WHEREAS, in consideration for Site Plan approval, the issuance of a Building
Permit, and the issuance of an Occupancy Permit, as specified in the Springfield
Development Code Section 31.090, Applicant agrees to comply with the following specific
conditions imposed by the City as part of the Site Plan approval:
1 . All improvements must be constructed/ installed as shown on the Final Site Plan prior to
the final building inspection.
a) 4 bicycle parking spaces
b) all shrubs must be a minimum of 5 gallons
c) irrigation in all planted areas
d) install one additional street tree on Gateway Loop
e) close the existing driveway to the south of the site
f) install wheel stops
g) revise the parking lot to include a minimum of 37 full size spaces, 16 compact
spaces
~\
/~
.
,
.
.
hl provide 3 van/ car pool spaces
THEREFORE IN CONSIDERATION OF THE FOREGOING RECITALS WHICH ARE
EXPRESSLY MADE A PART OF THIS AGREEMENT, CITY AND APPLICANT AGREE AS
FOLLOWS:
1. FINAL SITE PLAN. The Applicant has submitted a Final Site Plan in accordance
with Section 31.080 of the Springfield Development Code.
2. STANDARDS. The applicant agrees to fulfill all applicable standards specified in
the Springfield Development Code and the specific standards listed in the RECITALS prior
to the occupancy, unless certain conditions have been deferred to a later date in
accordance with Section 31.110 of the Springfield Development Code.
3. CONDITIONS. The applicant agrees to fulfill all specific conditions of;a12woval
required by the City listed in the RECITALS prior to occupancy, unless certain conditions
have been deferred to a later date in accordance with Section 31.110 of the Springfield
Development Code.
4. MODIFICATIONS. The Applicant agrees not to modify the approved Final Site
Plan without first notifying the City. Modifications to the Final Site Plan shall be reviewed
in accordance with Section 31.100 of the Springfield Development Code.
5. MAINTAINING THE USE. The Applicant agrees to the fOllowing:
(a) The building and site shall be maintained in accordance with the
provisions of the Springfield Development Code in order to continue the use.
(b) It shall be the continuing obligation of the property owner to maintain
the planting required by Section 31 .140 of the Springfield Development Code in an
attractive manner free of weeds and other invading vegetation. In addition, plantings in
the vision clearance area shall be trimmed to meet the 2 1/2 foot height standard in
accordance with Section 32.070 of the Springfield Development Code.
(cl Parking lots shall be maintained by the property owner or tenant in a
condition free of litter or dust, and deteriorated pavement conditions shall be improved to
maintain conformance with these standards:
(d) Undeveloped land within the development area shall be maintained free
of trash and stored materials in a mowed and attractive manner. Undeveloped land shall
not be used for parking.
6. In addition to all other remedies which may be provided by law or equity
(including but not limited to penalties provided by applicable State Law or City
Ordinances), Applicant agrees the City may enforce Applicant's responsibilities by
withholding Applicant's Final Occupancy Permit, and terminating any Temporary
Occupancy Permit which may have been granted.
7. Any Final Site Plan approves becomes null and void if construction does not
commence within one year of the date of the agreement.
-
,
.
.
IN WITNESS WHEREOF, the Applicant and City have executed this Agreement as of the
date first herein above written.
(,-,/O'9C
Date
APPLICANT
BY:
o
rX.
t.~
I (
BY:
STATE OF OREGON, County of df~/LL.
J( - /0 . 1995. Personally appeared the above named ~ ,~ .
7, L, K-""c,reu , who acknowledged the foregoing instrument to be their
voluntary act. 'Befofe me:
(I) OFFICIAL SEAL
ANN M FERGUSON
, .' NOTARY PUBUC, OREGON
"'" ,.," COMMISSION NO 042"5
. MY COMMISSION EXPIRES MARCh 21 '99'
411-">('1(,
Date
{L/---X Ih. J~-<A..O~
~
Notary Public for Oregon
My Commission expires 3- ~ 7 -91
, CITY
By:~~JJi
STATE OF OREGON, County of UAlC
4/'J4 ,1995. Personally appeared the above named
L V/,?"Q /h ~/{ L.. , who acknowledged the foregoing instrument to be their
voluntary act. Before me:
~.'i
~
OFFICIAL SEAL
JULIA L SCOTT
NOTARY PUBLIC. OREGON
COMMISSION NO. 048585
MY COMMISSlOfl EXPIRES DC I. 31. lia9
0'.. '-I',.1p
/U.l.U<~ ,.r-.... t' _ .t:..cz
Notar~yhiic for Oregon
L/'
My Commission expires
/O/~, /9 $'