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HomeMy WebLinkAboutSpecial Inspection Occupancy 1989-4-26 c_ ,,;, C I T Y 0 F S P R I N G FIE L D DEpq?tment of Planning and De\ lpment ~, Building Safety Divislon 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp.) ~(~Y3 ?') OCCUPANCY INSPE( )N APPLICATION \ flO'3 ~&3 IO{)f03 DATE: April 18, 1989 . --Adt1iLa[).J) JOB ADDRESS: Warehouse adjacant t(215' ,'~~S~ Springfield, Or. '--- / OWNER: "Q" Street Investors mVNERS ADDRESS: 871 Country Club Rd., Suite B, Eugene. Or. 97401 APPLICANT: Eugene Family YMCA I 'APPLICANTS ADDRESS: 2055 Patterson, Eugene Or. 97405 FOR ACCESS TO R-OPERTY.- - PLEASE INCLUDE TELEPHO~J NUMBER: ~ j)[)J)O_ ~~~~ ,'T:jOJJnJ Gymnastic~Facility (503) 484-4623 (r/fJo-Q(PtlL PROPOSED USE: A $ 35.00 INSPECTION FEE IS REQUIRED AT Trill TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPECTED. .... ,~~j/ ,~/ ~ ~~~ OYPROPERTyCER FOR OFFICE USE ONLY DATE OF INSPECTION: :~:I::I~~ :1~~, ~~ DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: J1u- ,(]a!5 #- 8'9 r39tJ7 COMMENTS: CONDITIONS AND STIPULATIONS, ('Conli'1Ueo'anil Concluded on L:ast Page 01 this Policy) ,-~Il~. .. PURCHASER SCHEDULE A PremiUm: $1,165.00 Agent File No.: 30-2792 Amount of Insu~ance: $550,000.00 Date of Policy: April 7, 1988 at 3:14 p.m. 1. Name of ,Insured: "Q" STREET INVESTORS, an Oregon Joint Venture comprised of HAROLDcBENSON and ARLYS BENSON, husband and wife, and BANFIELD PROPERTIES, LTD., an Oregon Corporation 2. The estate or interest in the land which is covered by this policy is: Fee Simple 3. Title to ,the estate or interest in the land is vested in: US SMALL BUSINESS ADMINISTRATION an estate in fee simple 4. The land referred to in this ,policy is described as follows: SEE ATTACHED EXHIBIT "A" :~~-~~~~~;:~" " ---- ~ ,- .. -- ~-"l;' "--l- -'""~ ._, d ~----- - ,~ . ~-, ~ ~-... "~-: ,':,2 \'~' , ,';;; ,;' . ....-.. ~.- ..... ~ " BILL OF SALE, - EQUIPMENT " " ,~: ' :, ~:; '::; ";~ ' , .i .,;~i~ ~ ,.' .:.,: , . .' . , . '. J .1 t' FOR VALUAB'tE CONS tOERAT!ON i the. receipt ofwh ich is hereby acknowledged, the SMALL BUSINESS ADMINISTRATION, an agency of the United States of America (hereinafter called the Seller),' hereby grants, bargains, sells; transfers and delivers unto "Q" STREET INVESTORS, an'Oregon Joint Ventlire; comprised of HAROLD BENSON and ARLYS BENSON, husband and 'wife and BANFIELD PROPERTIES, LTD., an Oregon Corpbration, (hereinafter jointly referred to as Purchaser) the following described personal property and equip- ment, now being located at the Mill Camp Restaurant at 211 "Q" Street, Spr~hgfield; Lane County; Oregon 97477; to-wit: "SeeEXHIBIT"i\" attached' hereto; consisting of 6 pages, which is hereby incorporated by this reference and EXHIBIT "B" attached hereto, consisting of 4 pages, which is hereby incorporated by this reference." J _- '. ~. '1 k " .;:, ... This sale and transfer is without warranty, and the equipment described in the attached exhibits are accepted by the Purchaser in their present;' actual condition, AS IS, without warranty of any kind, express or implied; by.. the Small BUsiness Administration. However, an~'- wartan tiesprev iolisly 9 i ven to the u. S. Small Business Administration by Edward Ramsay are assigned to the Purchaser and shall be deemed fot their benefit. Purchaser has examined this list and the items actually on the premises and certifies that the iistis accurate and acceptable to Purchaser. The true and actual consideration for the equipment is the sum of $10;000.00 based upon cost value. This Bill of Sale is intended to transfer all equipment located at the Mill Camp Restaurant at 211 "Q" Street" Springfield, Oregon. DATED this dl.3 day of March 1988. : 'l ~ ,.. '. . f; :. , Ii,', "', .. :;. ~S.... B SiNES~. .~.S.TRATION By:, 'W/l/~~ Way e .~ Carver; Chief Portfolio Management Division Portland District Office (1086) . '.'. '., Bill of Sale (rl/bpS) , . ~1 ::: . .