HomeMy WebLinkAboutPermit Building 1988-12-15
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. CITY OF SPRINGFIELD
COMBINATION APPLICATION/PERMIT
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INFOR/IATION LINt
726-3753
Sq, Ftg, I,lain
~q, Ftg, Access,l7-:?:S
Sq, Ftg, Other
flew Add Alter P.ep,
--Fence Demo Change/Use
Other- -
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1 INSPECTION LINE
726-3769
Job Address / 0?;5 6
Legal Desc'ription
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EIIERGY SOURCES:
Heat
Na ter Bea tcr
Range
ValuE of \-lark:
?"700, 00
BuildinQ Pennit Info: Describe Work(Le.,
Familv nesidence With Attached r.araQe\
I 7--0 ~ - ~ 7 - 3 Y- ~ Go 0.:2...
Owner 'X-4;,v.8tJ<...V u;t(a..?e 4-/-:3-
Address /~@.6 r ;? v:;, N L'3o<A..J {)c, Phone
c::? p;:: L. /J. 1OaA...
Build Single
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Construction L~nder ~ 6 7-" A'vV,O J;?;,<;, c:; C'.-
Address j), 0. ~ ~,?g
DESIGN HAH (name)
Primary <:;iLcJ)'Z67e >?-.Ne;> /hsd c:-
?c..//,/ S/-IEO
~OVl-:i <..
Phone
(address1
flies. nQ~)
(exoiresl
{ohane no. I
Structural tu~c5;re4 #'''-- ;;; /./0": CA.. ef' ~
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tt~
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Electrical
/U G> -c
f1echanical
CONTRACTORS Inamel
General ~"..,-z, e_.~
Plumhina /1./ .. v-e,
A-J G' ;(-/ e...
~ A..) /J
?L.~ "<,,,.
,.,7.s7'
(~)(nirp<;)
%.::1
(I')hone no. )
(address'
(1 ics. no.)
, 5Q",3- - .:5"''''1=-
f<lechanical
A..; c _e..
;\V\
~V
Electrical
/~C? ----E
PLUI,1BING
ELECTRICAL
MECHANICAL
Each single fixture
FFF .QjARr,F 'lll.... FF"-..ctlARGE .1!ll..-
Residence of furnace/burner to
SQ, FT. BTlI' 5
'J'.L
--1!!h
Relocated building
(new fix, additional)
New circuits a1ts.
or extensions
Floor furnace
and vent
S.F. Residence
(1 bath)
Duplex (1 bath) each
SERVICES
Recessed wa 11
Sn~cp hp~tpr ~nn vP~t
Sewer
Temporary Construction
Change in existing
rp"inpnr:p
multifamily, conrTl. or
InrllJc;tri~l
Appliance vent
s~oarate
Stationary evap.
cooler
Vent fan with
sinrlle duct
Vent system apart from
heatino or A.C.
Mechanical exhaust
hood and rlurt
Wood stove/heater
Additional bath
~Ja ter servi ce
Storm Sewer
Of amps,
ICOMM,/IND, FEEDERS
I Install/alter/relocate
rli"trih. feeders.
I Of amps.1
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ISSUANCF OF PFR!IlT
TOTAL CHARGES
TOTAL CHARGES
WHERE STATE L,\lI REQUIRES
shall not be yali1 until the
TOTAL CHARGES
that the Electrical work be done by an Electrical Contractor, the electrical J1ortion of this permit
label has been sinned by an Electrical SUJ1crvisor and returned to the Building Division
I HAVE CAREFULLY EXM1INED the completed application for permit, and do hereby certify that all information hereon is true
and correct, and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City
of Springfield and the Laws of the State of Ore~on pertaining to the work described herein, and that 110 OCCUPAllCY will be made
of any structure without the permission of the Building Division. I further certify that my registration with the Builder's
Board is in full force and effect as required by ons 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in comnliance with OP.S 701. ' ed on this project. ~'
HAlIE(please print) Qoc..he..{\e. QI2.AFT ,GilATlJ.r d~ A/~TE i'~.
FOP. OFF I CE USE mv /' ' I,
~ Ftg. f1ain x / Value
Sq, Ft9, Access/7"2:R1" ,st.SLvalue ?9~.--
Sq, Ftg. Other ,Value
Zone/y?LJ/f
Fi re Zone
Type/Const,
Bedrooms
.r;-N
Units
Flood Plain
Stories
/
Occy Load
Occy GrouP.4--IT
(V
COIllllII n1l
Pj'r Fpe
Res
Per Fee
PI an Ck.
65%/Bldo
Plan Ck,
30%lBldn
1f:?T: ~ / =< B.!'?:Z
Ii'::y. ~'3 /~
TOTAL VALUATION
-'_"'\
BUILDING PERI,IIT
Charges and
Surcharges ~
PLU!~BING PERMIT
Charges and
Surcharges
_nk8~2.qn
'3, ~;?
Systems Development
Charne (1.5~)
- ,-
//$.5""0
Fence
Demo
ELECTRICAL PERI:IT
Cha rges and
Surcharges
Sidewalk
Ale Pavi n9
Total Comb. rermit
7/. 9"5
11ECHANI CAL PERMIT
Charges and
Surcharges
Curb Cut
TOTAL
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COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
I. Appl icant to furnish
A, Job Address
B. Legal Description
1. example- Tax lot 100, lane County Map Reference
'II 03 43
2, exafi)Ple- Lot 1. Block 3, 2nd Addition to
sprlngtield Estates
C. Name, etc. of owner and construction lender
D. Energy Sources
1. example- heat/electrical ceiling/or forced air qas
2. examyle- waterheater/electrlcal/or solar
E. Square footage or valuation. etc.
I, example- 1250 sq. foot house. 500 sq, foot garage
2. example- if new project, check-new - if addition.
check add, etc.
F. Building permit information:
1. example - construct single family house with an
attached garage
2. exam~le - remodel existing garage into family room
3. exam~le - convert single family residence into
restaurant (change of use)
G, Value of work as defined in Section 303 (a) of the
Structural Specialty Code
H, DES I GN TEAl,! AND CONTRACTORS
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
persons regarding design information or job site
corrections, etc.
II, Abbreviated P)umbing, Mechanical. & Electrical Schedules
A. Except where blank spaces occur in the description
portion of the Mechanical and Electrical Schedules,
the applicant need fill-in only the No. Boxes adjacent
to the appropriate item(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Division
1. To conserve space on the permit form the schedules
have been abbreviated
2. If the item(s) to be installed are not covered on
the abbreviated schedules you should consult the
full schedules
C, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
CHARGES ON THE SCHEDULES
D. As noted 'on the CAP, the label must be delivered to the
electrical contractor for signature by his electrical
supervisor. The general contractor ;s -!!2.l authorized
to sign the electrical label.
III. Applicant to sign and date
Whenever possible, the initial application will be used as
a worksheet only. Where possible, Building Division Staff
will prepare a type written copy and return it to the
applicant at the time the actual permit is issued for his
signature.
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, :and no plans will be processed until these
fees are paid. All other fees and charges are due and
payable when 'the permit is issued.
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V, FOR OFFICE USE ONLY
Permit Clerk
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PROJECT CONDiTIONS TO BE SATISFIED BEFORE OCCUPANCY:
Permit applicant exempt from registration with the Builder's Board because:
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Additional ~roject Information:
PLANS
/7-/S-B-ZS
name
srn~~;F:LD ~
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.. .quired
Inspect'ns ..
IT IS THE
THAT EACH
PROPERTY,
RESPONSIBILITY OF TIlE PER!1IT HOLDER TO SEE THAT ALL INSPECTIONS ARE MADE AT THE
ADDRESS IS READABLE FRotl TEE STREET, AND THAT TilE PER."IT CARD IS LOCATED AT THE
BUILDING DIVISION APPROVED PLANS MUST BE ON JaB SITE AT ALL TIllES,
PROPER TItlE,
FRONT OF THE
PROCEDURE FOR REQUESTINr. INSPECTIONS, Call 726-3769 (recorder) state you CITY DESIGNATED JOB NUMBER,
job .:lddrcss, type of inspection rcC'\uested and vlhcn YOll will be re.::.dy for the in::;pecticn. Contractors
0:." o\..rners name and phone nu.1\hcr. Requests received before 7:1')0 am \,;'i11 be ~ade the same day. requests
received after 7:00 am will be ~de the followinh work day.
Your City Desip,nated Job Number Is, s::5~ /0ft!59
Job Acdros s, /::?.:).o .7I/T>'<< J'jp,tv- z:::??/ lr~
Owner'~~A>~ ,f(LLL~~ ~. Phone,
Contractor:_,~A'G';>:j -?" ~ Phone, 3Y'~-3p~.::G
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SITE INSPECTION: To be m~dc
after excavation, but prior
to setup of forms.
UNDERSI.J\B PLlJHBINr., EI.ECTRIC'.!.
fl ~IECll^NIC^L: To be :mlllc befere
any work is covered.
CONCRETE SI.J\B INSPECTION: To be
made n.fter all inslab builc.ling
service equipment. conduit, piping,
accessories and other ancillary IA
equipment items ar~ in place but ~
before n.oy concrete is poured. 1;(1
FO~N~& FOUNnATIONS: To be made
after trenches :lrC excavatell and
forms n.re erected, all steel in
plnce, hut prior to pouring concrete.
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U~nF.Rr.ROUNn: Plumbing, Electrical,
Gas. Sanitary Sewer, Storm Sewer,
'~:ttcr nn~i.in;lge I ~ To be
made prior to I.:OVClllig or fi 11 ing
trenches, 1.1=: 4?'Y 7'
UNOERFLOCR: , Plumbing. Electrical,
Hcchanical. To he made prior to
installation of floor insulation,
decking or floor sheathing.
POST & RE~l: To be ~~de prior to
installation of floor insulation,
dccldng or floor she..ting.
FLooR'INSULATION f, VAPOR BARRIERS:
To be made prior to instal l~tion
of decking or fleor sheating.
~lASONR\': Steel locution, hand beams
grouting or vcrticnls in nccordance
with U.B.C. Sectien 2415.
R("JCr: S!lEATHl~:G A~m N.\II.tNr.: Prior
to install ing any roofing.
ItOUGH PJ.I!MRINr.. ELECTRIr.Jl.L f.
MEr.!l,\NCIAI.: No \,'ork is fO be co\'ered
until these in~peCfio:1s h.lVe been
made n nd approved.
FIN:\!. PLU~mING
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Arnc lIRAFT STOPS. ClIRTA1N NAI.I.S,
FIREPLACE: Prier tc plncing facing
mnterials and before framing
inspect ion.
INSlIlATION & VAPOI~ MRR!ER: To be
mnde nftcr all insulation :::.nd
required vapor barriers are in place
but before any Inth or gypsum hO~lTd
interior wnll covering is applicd.
FRAMING: To be m.,de after tht' roof,
all framing, fire blocking and
bracing arc in place and all pipes,
chimneys and vents arc complete and
the rough electrical, plumbing and
heating ",'ires. pipes and ducts arc
approved.
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LAm ANn/oR r,YPSllfol BOARD ]~SPF.CTlON: 'I
To be ~1de after all lathing and ~
gypsum hoard, interio~ and exterior,
is in place but before any Ploste,ril~'=:J
is applied or before gypsum board
joints and fasteners are taped and
finished.
SPECIAl. INSPECTIONS: In accordance \dth
Section 306 of the Building Code a special
inspector shall be emplo)'cd by the O\\'nerl
Contractor during construction of the
fcllowing work. A cepy of the special
testing reports shall be furnished to the
Building Division.
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STRUCTURAL CONCRETE: In excess of 30(1'1
'1).5.1. (306 a.l)
FIRE & SEPARATION I'lALL: Located f,
censtructed according to plans.
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WOODSTOVES: After instnIlation is
completed.
SIDEloJAI.K F. ORIVEWAY: Required for
all concrete paving within street
right-of-way, to be mnde after all
excavating complete & form work &
sub. base material in place.
CURB AND :\PPROACII APRON: After forms
are erected but prior to pouring
concrete.
STRUCTUR.~1. \~EtnS: Preformed on the
job, (2722 f)
HIGH STRENGTH BOLTING: During 311
holt installation and tighting
oper3tions (306 a.S)
SPRAYElI ON FIREPROOFING, (U,B,C.
Standards 43-8)
SPECIAL GRADING, EXCAVATION AND
FILLING: During earthwork. (3060.11
I'; Chapter 29)
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r.LlJ- LM-l BEAHS: Inspection Cert ificate,
by an approved agency, furnished to
the City's Building Division before
beams ~re placed. (2501-U.B.C. STDS.
25-10, \ 1),
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PARKIN!: LOT: After gravel
pI~ce hut prior to pl<lcing
or concrete.
is in
asphalt
*In addition to the inspections
specified hereon, the Building
Official :nay make or requi rc other
inspections of any construction
work to ascertain coopli~nce with
the Buildi~g, City or Zoning Codes.
CITY'S SITE PIAN REVIEW BO.\Rf) INSPECTION: ~lust be reGuested 2 days in ndv~nce of the dnte yeu
wish i~spcction. All project conditions such ::I:> Inndscaping, parkin& lot striping etc. mu:;t
be :::oll:;lleted ~efore rt'questing this inspection.
FI~AL EI.ECTRICAL
FINAl. ~lEC1IANIC/\1.
FINAL BIIILnlNG: ~lu5t he requested :lftcr the finn.l Plumbing, 1:1ectricol. ~lechnnicnl nnd Fire
l}epnrtm~nt inspections n.re mnde and approved. No Occupancy of the premises can be made unti I
a Certificate ef Occtlp:lncy has he en issued by the Building Divisicn and posted on the premises
r:INAL FInE IJE!'AnnlENT
SICNATURE
lIATE
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,\1.1. t-l/\NIIOLES :\Nn CLEANOUTS ~ll1ST nE .\CCESS1HI.E. An.JUSTIoIENT TO RE t-1Aflr:' AT ~O COST TO TilE eln'_
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. . 1(\' cr _ FD-166/83
, SPRINGFIELD FIRE DEPARTt1ENT. ~u-lL ~~">L..
INSPECTION REFERRAL FORM
TO: Electrical Inspector
)(
Date of Referral
/6/:L 7 (~l
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Occupancy RCL~toow Uill",Cj-€. II. pis.
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Address I;:).. S-o #Qct.':"'b.. \ DIr
OC<!.U.f'<lA...T: U~~ (2,LlSl"y Ilpf. #'8
Envi ronmental Inspector Ph,# 7<11o-307S
EXPLANATION OF REFERRAL (1-01,,-, I? L~ o-G 0.ec...-\- V.L~ ('_~ p.,jI.q'-l..I~
~~J d"-,.......___ 'J\l-<))~"J Lt-L1ov> ;}l'I.-t;, L,~ If..... :;I (l"f"o,r=->VL P~~J
<,{)a..n/c S~D~+~~ Q.uJ- ;[ lno:J:i.v~ !oL.c._~^ J "--;;'""Wn w..:tt,. lix~
tZtv- i- F'<A4A 0 J U . J
ACtION TAKEiJ (Attach copy of orders) 3:JO
Plumbing Inspector
Inspection Number
Building Inspector
Mechanical Inspector
C~A-o.- ~o
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By. If /h'/'8 7 ~
Date ' IJd O.J".""
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.SPECTOR (~ ~J.~ DATE "a.ln
CITY OF SPRINGFIELIJ
Job'Number ~ 0 11 B- J
BUILDING DIVISION 346 MAIN STREET 726-3753
WE HAVE INSPECTED THE ELECTRICAl WIRING AND EQUIPMENT INSTAllED BY YOU AT THE PREMISES NAMED HEREIN AND SUBMIT
;~~ "r:~uv~~~ n ..~. 6~~~~R ~
11. ^ ~ V ~~" lOCATIONOF 1'1,- (\ - tY'
_ Utx ,),.,_ ~ '-1.7 - I~n........-.,- JOB -1rJ,::J(I k' ^
o WIRING APPROVED FOR COVER V 0 A PERMIT IS REQUIRED
o APPROVED FOR SERVICE 0 HEAT CABLE APPROVED FOR COVE'll
o WIRING tNCOMPl:ErE 0 UNDERGROUND APPROVED FOR COVE'll
o WIRING COVERED WITHOUT INSPECTION 0 CONDUIT SYSTEM APPROVED FOR COVER
o DUE TO THESE PREMISES BEING lOCKED AN INSPECTION COUlD NOT BE MADE
o DUE TO NO ONE HOME AN INSPECrON COULD NOT BE MADE
. q WIRING APPROVED ,FOR COVERING EXCEPT THE FOlLOWING
:t:t_...W~ ~~-~, OM-^ nAJL 0.. ~ .J~__~~ ~ U'V\R~J
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I ~~~ t--'. y. i....>>,.~ ),A- oOi~l~:.J ~J,
J,A-~~.. 1..e~ ~_.<, ^ ~ fh'=.Q Y,
'4-J~ 2'ftl AaALf"hA_~. T^ ~~+.- 40 ~~
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At. K. Briggs Company. Inc.. Eugene, Orogon 464245-8
-' OMPDRTANTMEBL
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II ,II '1'.;. r/t7\ A.M.
,.-~ T1M~ ....{-* ru P,M.
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FOR
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OF
PHON1='
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AREA cooe "'-""'E~ EXTENSION
TB.EPHONED ,~ PlEASE CAlL KI
CAME TO SEE you Will CAlL AGAIN I
WANTS TO SEE YOU i RUSH I
RETURNED YOUR CAlL II SPECIAl ATTENTION I
MESSAr'::c
by
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CITY OF SPRINGFIELD
APPLICATION' AND AGREEMENT FOR SEWER HOOKUP
Application is hcreby made by the undersigned property owner for permission
to connect the following dcscribed propcrty to a city sanitary sewer line, owncd
and maintaincd by the City of Springfield, and I agree to pay such a hookup charge
of $4.50 pcr front foot of the property for the first 150 feet in depth to be
served by such city sewcr line in lieu of an assessment against the described
property. An additional $0.03 per square foot will be chargcd for any additional
propcrty beyond the first 150 feet.
Property Description:
Address:
1250 Rainbow Drive
SEE ATTACHED LEGAL DESCRIPTION
LATERAL
Sewer hookup charge:
front feet @ $4.50 per front foot =
, 207,439
square feet @ $0.03 per sq. ft.
= $6) 223.17
This agreement has been computed as being one-half (~) of the equivalcnt cost
of an eight (8) inch lateral sanitary sewer at the rate of $4.50 per abutting
front foot and does not include the cost of a house connecti.on to said city sewcr,
sewer user charges, plumbing permits or other such costs to be assumed by the
property owner.
CITY OF SPRINGFIELD, OREGON
By: At..<J,(l.1A..) '71[ C-~
Date: ()~v;2.(p /C/1J-
PROPERTY OWNERS:
RAINE, 0, W VILr:;-A~, INC.
~hp.r ?~( 1Z;~
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D.'Hu~Peniston, President
STATE OF OREGON )
) ss
County of Lane )
BE IT ITh"MEMBERED, that on this 25th day of October , 1973
bcfore me, the undersigned, a Notary Public in and for the said County and State,
pcrsonally appcared the within named D. Hugh Peniston. President of
Rainbow Villag7, Inc.
identical individual described in
and acknowledged to me that he
known to me to be the
and who executed the within instrument
executed the same frcely and voluntarily.
WITNESS my hand and seal this day and
year last above wri~
_ /1 /1(
C?!:!"yu-1 ~ /U...'2.J ,r A ~)
/Notat J~)..l,C
1 October 1976
My COllmlission Expires
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ORVILLE 0, CASWELL
AEOISTEA1:l LAND SURVEYOR
PHO:\E 688-6746
4047 CONCORD AVENUE
EUGENE. OREGON 97402
July 6, 1972
P.f\.C.T.
For Acti,on' Inc.
1475 Ferry St.
Eugene, Oregon
DESCRIPTION:
Beginning at the re-entrant corner of the Robert E. Campbell Donation ,
Land Claim No. 59 in Section 27, Township 17 South, Range 3 West of the
Willamette Heridian in Lane County, Oregon, run thence South 890 11'
East along the South line of said ,Claim No. 59 a distance of 1224.17
feet to a stone monument inscri,bed "ith a cross, marking the Southeast
corner of that certain tract of land conveyed by thatcertain deed to
Geol'ge D. Smith, recorded Septemb,er' 20, 1945 in Book 297, Page 434
Lane County Oregon Deed Records, thence leaving said claim line and '
run North 10 26' 53" East along the East line of said tract conveyed to
George D. Smith a distance of 556.30 feet to a point (said point being
on the center line of Rainbo" Drive), thence leaving said East line
and run North 890 II' West 30.0 feet to the TRUE POINT OF BEGINNL~G,
run thence North 890 II' Vest along the South line of that certain tract
of land 1I0nveyed to Leslie A. Crane and "anda Crane by instrument
recorded July 12, 1947 in Book 351, Page 392 Lane County Oregon Deed
ilecords, a di.stance of 577.01 feet, thence run South 10 14' West 495.56
feet to a point on a spi.ral curve marking the Northerly ri.ght of "ay
line of County Road (Cenntennial Boulevard) thence Northeasterly along
the Northerly right of way of said Cenntennial Boulevard along the
follo\dng courses and distances, thence along the arc of a 100' spiral
curve left (a= 6; s=30) the Ihord of "bich bears North 880 32' 50"
Eas~ 23,92 feet to Station L 20+34.03 P.S.C., thence along the arc of
a 6 curve lEft (the chor" of ,"'hich bears North 780 35' 34" East 286.91, fee'
to Station L 23+41.53 P.C.S., thence along the arc of a lOa' spi.ral
curve left (a=6; s=30) the chord of \o/hich be:n; North 67u 20 I 5'1" East
96.85 feet to Stati.on LE 24*41.53 P.T., thence North 660 22' 00" East
64.13 feet to a point marked by a 3/4" pi.pe marldng the South\o/est corner
of that certain tract conveyed to Shell Oil Company, thence leaving t.he
said Northerly ri.ght of ,-laY li.ne of Cenntennial Boulevard and run North
10 26' 53" East parallel to (and 155.0 feet West or) the East line of
the forementioned tract conveyea to George D. Smith, a distance of
207.36 feet., thence South 89u 11' East 125.00 feet to the Northeast
corner of said Shell on Company tract, thence North lU 26' 53" East
161.40 feet to the True Point of beginning in Springfield, Lane County,
Oregon.