HomeMy WebLinkAboutPermit Building 1982-5-13
e'
.. RESIDENTIAL"
COMBINATION APPLICATION/PEP.MIT"
225 North 5th Street
Springfield, Oregon 97477
Building Division
726-J75J
V_~,
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. Job !.ocatian:
" As.mor3 /oIap ~ J'1-/)?-! U - 'I
SubdiV';sion:
Gl.msr: M K'. 31:1... 0 f:~ "-'L
AddrsS3: q 3, (_ k' &LL V
City: ~ P PI.. D.
""Uzr.
n Additicn
iL.7\ I RtmIOdsl
. n ,'.!nbiZII Ymr3
- SPRI~GFlWl
Ta Lot ~ nL/1M
Phtms:
Zip: &j J 1./77 "
j)~>, RoT' ~iL()I+I'R
D88cri.b. Work:
5'-/3- ~"'Z..
Oata of App: ____...
""Ol1traC'CCra
GanIlMI .:r RAil':: "
Plumbing
-. Et.cmcaL
.~!(le1rar.i.a.::.L
Construction r.tmt:i.sl'
Vatu.
Cj (pO '!....o
Add:r'aaa
'lYAll.I-!. 2."~n' (~' So"':
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.5'1'0'10
.=!ccs-:..,t .~
B, 'P. I D.GO
'+%0 1'-1:0
~
It!) Jlt)
SWr.ed:
Date:
$~~
Lise. #
~i~C8 Pr~nc
"$ - t:J SO 7'1
It: is :n. l"fItrpO'1ll1'ibility of tits pflrm'it hD1.d4zo to ... :.hat aU inapGctiurts aJ"G r::aJi.Il at :hs pocptU" Me, e1-.at a:ch .:.ddr8SG is r.a.:a.;~..
f'room tho s_at, and that tho p81'lllit cazod ia Z"cated at tho front of tho prop"""'"
.t5uil.ding l>';l)i:io~ aprrot.'ed plan shaLt remain on ths Building Sit~ at aLt tim...
C'Jlu....:.s.lliRE FOR .w"'c-z:...."rDN RE.OUEST:. Cat' - U t.z.ccoz.dizr) stat. yauzo City ,u,signated job rrurr.be,., job address, typ. of in3pccticr.
rsquest4Ul ar.a W.':B7I yau. lJ'i:~z. b. ready fol' inspQct::ms, Contractors ar a.m.nr ncm8 and pha7ul number. Requgsts recei.....ed cefcro 7:00 .:r.t
. :.>ill be nada the soma dt;y, ...quasts mc:da aft;:zo 7:00 om IoILII ba nada tho =- '-'Orkin; day,
r;,"''rU1.,.':'' r"'<m~:..,.,.,
5IT! INSPEC":IO,'1: To be matU aft.,.
ccava:n..--n. but prier f:c s.t up of
fo_.
UNDERSLAB PU'HBINC. gLECTRICAL "
MECHANICAL: To ba -. baf""s ""'"
work is .:ovued.
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FOOTING ~ FOUN1)ATIO,V: To ba nada
aftar trfmChcs are ccavated and
forms are eNotiUl, but prier to
patu"'ing ccnoret..
U.~'D::Rc.r?OU!.'D FLUMSING, S~" W.1TE.f1,
D.ruIHAGE: To ba trta..U pnor eo fi.i.-
1.i.r.g trfl71cMS.
D
D
UllDE.f?FWOR l'LU/..'BING -i MECHANICAL:
To b. matU pM.or eo il"uJtaLZanon of
fl,oor insuL::ti07t: or thcking.
POST AND BEAM: To ~e madJ: pl""iar to
instaLl.:tum of floor il1Bt.oOLation 01'
docking.
.qCJIrrz? PtU\fflI:Jfi, ;r.Scr!!!CAf.,.4 !t/ECH-
ANICAL: 1'/0 :JOrk. is :0 oc cor:lU"fld
ur.~i Z. those insp.c:i01':S harJe bem
rrruJ. end approve:!. .
fI!'.EPUOI!: P:oior "" p/.aci>':J] feeing
mc::teriaLa and bsfors framing inqpsc-
tior..
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PRAlTlGo' Mu3t be ~3ted aftaro
approvaL of rough pLUlTMng, OlLfilCm-
=L & ;r.schanicaL. A L! roOfing
bracing .1 c1ti.mncys, et.:. m:at be
~ Leted. !lo wrk is to be con-
cec.iiW. untiL ehio insD.cticn has
b..n nada and appt'Ovad.
roup City D."....:t..........,,;, Job NumbflZ' Is:
O IIVSUUTICJNIVAPOR EARRrrR msp!C'!'ION~
To b. tJGd.Il aftn' aLl. insul.:;ti.:m crfd
raqar:.r.d lNZpUl' barPi.ne are in p lac.
Cut befor. any l.a:th, gyptlUm board Of'
!old 1 covf1l"i7UJ is app li.d, and befors
any inau.Lation i. concsalBd.
O DRYWALL IllSPECTrON: Tc be rrr1Ih
aftfa' aLl. ~LL is in place,
but Fi= to ""!I taping.
O MASONRY: s:~.z lcca~, ~
bllt11f'l3, .grou...t.ng or ver..1.CCla ..n
a...-cordanc. :.lith U.B.C. Section
241~.
O ;;oOD$TOVE: Aftfl1' installation i.s
<=:pLauJ.
o
CUHB & APP.1?OACl{ AP.~N: Afttr.' forms
.2N erected but pl"'".:.or to ~ng
.J07L..~t'..
O SmE:WALX & TJRIWfIAYo' For all. con-
Cl"fJ~B patri.ng t.nthin strSGt zoight-
of-q, :0 be ma:itz at~IIr" aLZ uca-
va~.:ng ccmpl.llt. .I f'omwork & cub-
bass nctmaz. in pla:B.
o
o
."'&NCE: Whsr. compL.;te -- ProviCs
gate. or movabls sBcticns through
P.Q.E.
?''';).O~93
DEJ.tO:.ITIO.'l OR .'1Ot"n 3UIi.:;:iGS
J
::J Sam~ Se.JC ~c:;p.c. =t ~o'FC'!"'t":i ~il"'.4
::J Sep~i.:; tank F'.;mp~d w..: r-.:..z.7.1ld :.n.th ;rcrJe'
:J Final - Jlhen ~-rJB i:::..':'!s are ccr.rple:ed .
ar~ ~han ~~1.:ior. 1.a c~Le~J or struc-
turs moved ar.d pl'cm.:us az.Q~ up.
I Nobi z,s Hemes
:::J Blocking and S.::-~p
:::J Plumbing COPl7lGct~n.e .- BCJel' !.Z1'Ili :.:a:sJ"
:::J EZ.ectri.cc.~ Ccnn6ct~ - Bl.:JcJci~.:;, set-up.
and plumbt.ng .:cnr.sotu.1l8 ~":3t ~iI a;:?1'OV,a
bsforc requesting QZB~:ricai ~r.spBc=io~
~ ACCSSGol";j Bu.i:.ai~
:J Fwl - Aft;:r.?~e.r.es, skir~"f, decks,
Bte. errs cr::mp:.~t~a.
o
AU prc;jscrt conditions, sue!': as ehB i.nstallation of S':NBt trUB, c~l.)~ of ;iut
Nlquil'fld 1.andst::C1J'ir..g, etc., IlTUS:: be satisfiad boforB :1-.. 8UIUI:;:; fr:lAL .:an :e 1'3qudS'C:zd.
o fINAL PLUMBING
o ~INAL ME~NICAL
o nVAL ELEC7RICAL
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PINAL BUll-DINe: The FinaL Building Inspection must ba 1"equflotGd c.f-:u :r.e Fi.naL .?tW'i':bin;
eZ~ctricaL, and !Jeahar:ica.L Inspscticmfl havo bSfl1l mads and approvsd.
.tALL MANHCLES AND c.LEAllOfnS nUST 3E ACCESSnLE, ADJUST!fEITT ':'0 SE M.1DE 'I~T SO COs;' TO -;!'!'! I F:.:.;s
or' 2
t
-'
IJOb NWIlbcr: 'if ()O ~ 9.3>
izona: k?-L
!Lot Sq. Ftg.
::: ~f lot C-'Verag~
i.~ of Stories
i Total Haight
i Topography
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il,bin
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1'Ga2'aca
I Caroort
I Acce8SortI
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SQ.FTG
TOTAL VALUE
Is.D.c.
1.5 r
IVCH.UDJ
Building PBrmit
State Suroharge
Total. Chtz:tgss
laDl
l Fi...-turBB
I Rssidential (1 bath)
I'sanitary SetJBr
1110. I
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.1
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Watm-
PlWllln:ng Po:I'Ir.i t
State Surcr.args
Total. CharOBB
,I ITEM NO. I
I Res. So. f'ta. I
:_I.lJ~D't'IrlN_I1'1-.R I
I Temporary servioe -j
I I
Elet:t;M.oaZ Parmit
State Sur!::harqS
Total Charc:QtJ
lITEM
1'~oQ F!l'U'S
I E=htmst Hood
I Vent Fan
I WoodstO':JB
NO., FEE
Permit Issua:nca
Me::hanicaZ Permit
State Suroht::roae
TrJ'tal Charap.D
I -- ENCROACHJ.fE.\'T --
I SeC"..lPitlJ D:mosit
I Storage
I Ma.inttma7U:B
Ipc=it
I- TotaL ChaNCO
I Curbcu:
I Sidewa lk
k~~B
I EZectPicaZ WhiZZ
I Main: le Homs
TOTAL AJoIOU/lT DUE:'
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Reff:l'er.oe lll.mlbers:
K-~
I Lot Faces -
i Setbacks
I P. L. House I Cam,e
INorth !
lEast I
iSouth i
jWset I
OccuruzncTl Graul?:
LOT TYPE
Interior
Corner
Panhandle
Cul-dB-eac
x
Value
'1t..o ~
FEE
It) .tJO
1<1{) .
;7;o.<ltJ .
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CHARGE
FEE
CHARGE
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CllARCE
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9/tJ. Sit?
Bedrooms:
I I Ener"" Sourcee
I I iieat
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II
II
II
T~'OB
T:';De/Cor.st:
Access.
Watel' HMtP-l'
Rangs
Firep lace
Woodatove
..- FB6s
Building Value & Permit
This permit is granted on the express condition that the said construction'
shatz, in alZ. respects, conform to the Ordinance adopted by the City of
Springfield, inc!uding the Zoning Crdin.ance, regulating the ccnst1'Uction
and UDe of buildings, and m...'1I be suspended or rBVoked at c:n.y t'":.me upon vio-
lation of any provisions of said Ordir.ances.
.
Iplan Check Fee:
Vate P<r.:d:
IRsoeipt #:
I Signed:
Plumbing Permit
No person shatz construct, instatl., aLter or change any ruM or eristing
plumbing or ~inage system in " lJho ls or in part, unless such person is the
tsgal possessor of a valid plumber's license, 8%cspt that a person may do
ptur.-.bi.ng lJOrk to ~. ...~.;,_.:.~ which is 0lJnSd, leased or opsratBd by the appti-
> cant.
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Elect~.1 Permit
flhere State ~ l'equires tr.at the electrical work be dons by an ELectrical.
,;mt..:.~ __ .:.....- ,-th.ri-~oBi.on-of__this_pe~'P._ ~~~~_~~.pe .vqz._~. until
the Zabe.Z has been signed by the ElectricaZ Contractor. .
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Mechanical
Permit
f)~
~ '/.~ -j"2..
ual;e
PLan ...___.,~<'...
I HA VE CAREFULLY EXAMINED ths camp leted app 1. ication for parmi t, and do
hereby certify that all. information hereon is true and correct, and I
fta'tr.er certify that any ar.d aZZ tJOrk perfornled shall. be d.o~e in accor-
dance with the Ordinances of the City of Springfield, and the. UUS of thG
State of Oregon p3rtaining' to the tJOrk described herein, and that NO OCCU-
PANCY UJill. be nude of any structure UJithoOlt parmission of the Bui1.ding Di-
TJision. I fu:rther certify that <r.1.ly contractors ar.d errpZ:'yees t.l~ are in
compliance with ORS 701.055 /JilZ be used on this project
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.--.1 ... ;"old Con1rO! Up, '. l , i.
'.. <lJCpert In hII field. PIeaIe
cuntllCt him with eny ques-
t1ol1ll'8lJtlrdlng this report.
W. llUarentM 24-hOUrl .rvlee,
IN MOST CASES.
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orE ~-1-82
DA. :
TIME:
REPORTNn.6814
A-l PEST CONTROL
2400 "U" titreet
Springfield, Oregon
9'1/177
Phone: 746-0579
STANDARDIZED STRUCTURAL PEST CONTROL INSPECTION REPORT
...O....TYA.........''3'36 Kelly, Sprin.e;rield, Or-egon 974'17
aw........."M... ADD.....Mr. Sanderex
.Uy.... HAM..
'.....erlo..o........~lI...,Bob, 'provance-Home Insulation-350 W. 1st Avenue-48:;>-0749
........ OP LOA....PRIVATE O....A....V.A. OP.".V.A. P PM'" 0 c:O..v.......O..AL
'......er... It..., ~~!- ...... C:O.."'''OL Limn.... (1 Cf S ~=;=~::~'"
THIS IS A SU&8TRUCTURE INSPECTION ONLY.' SUB FLOOR LEVEL III BELOW. WE ASSUME NO LIABILITY FOR ANY
OTHER PORTION OF STRUCTURE UNLESS SPECIFICALLY NOTED ON THIS REPORT. '
ThIo, " _tlle_", __no .' ,l>Illtyf",,__...1n '.., __",.., __bVwol...........~
......_...._..._.....~ond/..._Illdltlanol_ofl,. ..' .....booq_......'d..tothl___It'-.
Bldoll' . . .. ., lnaIudI only _ .... _In t1110 '-'.... ......, _. A.., Illd_ _... __ from................I. .
_duotol ., "bII_or.__.W_"'_ '.. "IUtyun.....-_by-----_I.. "" .1
Tho_ " __"'.Wo.I....thIol" ''''.__, , .., '-''''...o-..,.......___oftlle
_1_ ..loti.. _ thIo ......... H_. _10 onIv 0 _.... our find"'. __ no I.....Uty __ or ImpUId for tile _.....of
_ _1_... _. prtvotI or publlo. ' It 10 In 0 '-'....Iv....... 0 .. , '" .hloh _ _ _......... tile __ _. We
III . tor .... 111 _ only tho _ _ WI ......... do .... .. out In our _... .. ,.,..... NOT _ of ...., tutu.. Ir. ...... .....
I.. '.. by__1 ,."..... .." .11_-.. .......1" ,.. _by .., oftlle_..._-___
Illdltlanol__ ...Inf__ _ __ In thIo '-'....It 1Io_1tII_ _It IoIOIoIr hlo lIlIlty. We _ ....1lobII1ty tor_
_TNl_---tlle_of'_-,." "
CEILING SIDEWALLS FLOOR
IW!'.TER HEATER .....INDINGS...VW~ER PI~E
YESINO CODE SEE DIAGRAM YES NO CODE SEE DIAGRAM
X S SUBTERRANEAN TERMITES }.. I. PLUMBING LEAK
X Z DAMPWOOD TERMITES X ~ STRUCTURAL DAMAGE
X .. FUNGI/DRYROTT X FG FAUL TY GRADE LEVEL
I X B' BEETLES (BOREING) X ' ," IA INACCESSABLE AREAS
I X C CARPENTER, ANTS X WI. WATER LEAK
.-.l.-:. y-_ ,.,~: ~~~~~~I~~E::I~~~RE"""____~ _.F~:~~~::::~~~ON...I-
I X EC EARTH-WOOD CONTACT X NS OTHER: VENTS NEED SCH1,ENE~
, X -~ V.I!JnS EiJ!;ta)Jla} X I I \ OTHER: DH1LL1Nli J~)';)';D)';V \
I X XorV,EXISTING VENTS X D [
CLEARANCE ~Ai.~ ~.. ~11~NDOWS IlV
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::::::.; ::::::Z::::::-C'--':::: __ : t.u1---...::--1-::FT~T #r'----I.J:too ,n-ulr-~:.-
_.{____,I____I-n_._-f-!__i___l__+__ - -- --t.- 1------, '___u -
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:: :~~ 1_ . -t i!:. - -; -'. .'- : :::: =d:: :: +-!~it_ _ ~~. :.- ::r: ~ -.' ::::: ::: =r't:: :: : :\: --f~ ~:::::::: :i::: ::::t: ::,=l:F-lt
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:': :It--i'4~~ --'-,- -J +'~-~: J~~'~t~~~~.ti. =tt~::iJ.::\::ir' :'t'i~ -j=:::+:,..f=I~I: ~f3~:~:{_t~
--'-t ---'--1'---'t.'1 tt: I" 'TT'-W..' '1---, Tt., ,-- """'-+ I. I ..r-t.':t
--j, .c:::+ --..'. ",-,,,,:,",,.,'" -' '1-::,..-,..-_.':Jj"'f+'-'--I--,.l1 ....1---
--. ... . _H . -... J :a +1-' T -..' ... - - -. \- -1-1-1 .-+ -- ---.f.. -j:t-t -- -~--
~':C:::l: ~~': :l::~=~~l1~:,~It+i~~.*'~::!::tr::'~I=,::~+f.w ,~l~~:~~F(::t===
- -+ .. .. If- +.- ... - - - - ...H-J{ . I+ +1.- -.. - + -- -, -f" -H'Ft ...-;-t--l-+H"; . +- - - . , ,. -,- '. -I' ._,- ,h..
- +t' +4 - +1: : ': : - -j- - .m" I.) ::'f.~=1=i= :: :l~::r- : ,:,: ::t~::t.::!- :rr=r:t:;:.:' -: l . '-I'-:!: :f-'G"~ 4:: =F :1: :: :: :1
-'1~" .I,_.I~):: ,_: -{- - -1-:' .'.., ~< '-m-i-l- -l'~' 1.._.. -~ f -1-' ,..w... -"-'t-_.;. ., - 1+T:1.(.~. -.. ~t-~ f 1_ .+,-.::::r
, ill" .,.. ., .- - i' _.. - ,,-, -" ,. ->!ili.. .+!--, + -- _ct ... - :1' ..1- ,..- ...::r. .- j:rL ......, -.-:..1-- +-l-t: - --k
-"-- ...- --.------" ..'. ". '. iTr::. + -'-" ~-l' -''It-:ir)~''' ,I:".,' ..:t=;..+-&-t-.-
:;~ ~i: ~ C or!::~; J~:~l ~ ~:: Tt ~:l:: ~Tttl:"'F;;: r:: :rB 1+ T:
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-t~:-l~: 1t:=~m 4~~~: ~j$~f 1t~~,~~,~ lli~: - - ::~::=~f~~f~:t ~= ~i:H~: ~~
,- ...; ":"'" CONDITIONS, RECOMYENDA TIONS. & CONTRACTOR'S ESTlMArE ON REVERSE SIDE.
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1. Remove and replace approx. . lineal ft. of damaged mudsill.
2. .1l:.S.... Ramove and replace epprox. 60 lineal ft. of damaged 6 "x6 ,,&? "x12 'header.
3. .1ES.. Remove.nd replace approx. 'Ju feet of 1 "x4 " siding.
4. Remove and replace approx. damaged joist end(s)
5. Remove and replsce approx. dameged full length Joist(sl
8. YES lnstellapprox. 16 ft. of new baam ...... -'
.7. Remove and replece approx. lineal ft. of demaged
8. YES Install approx. ~ new pial'8 and pier blocks.
9. .. Remove end replace approx. damaged pier posts.
10. . Remove and replace approx. 'lq. feet of damaged subfloor..
. 11. YES Remove all 8C8tlered wood-debris and form boards from subarea, I :~v . M
'. 12. . ..1AItaII.. mil vapor berrler ovar entire subarea surface.
. ',13. . Piece In mlesing vapor barrier in approx. ~oot area.
. 14. '..,_.. Straighten existing vapor barrier as needed.
15. Instell e gravity flow drainline from subarea approx. lineal feet to street.
18. ......Inat811 a subarea sump pump and approx.' lineal ft. of drainline to
. 17. Trench subarea u needed,to drain or sump pump, es needed to allevlBte standing weter condition.
:18. Install approx. yards of %~' round river rock in aubarea trenches. . ..
. . C' '19. f . ." 'I"stell approx'. . yards (If %i' round river rock In subarea low spotS. '. ..'
20. Excavste subarea to ellow proper accOl8 end clearence. approx. "ublc yarda.
':.: 21. "";"'''Trench subarea as needed for access. approx. .' IIneel feet.
. 22. . Make access.to inaccessible'ereas, as needed to allow further Inspection t_oIony.
.. 23. . ,,,.;....<;. Further Inspection 'needed In'demaged areas where Indiceted on diagrem 1_ oIony .
24. Instell epprox. feet of mOlal flashing to correct earth-wood contacts in
. 25.";' ;.... Vent dryer to. outside to prevol1tdamage from fire or condensation, approx. .
.:;: 28. ..' : Repel; fou'ndation Cracks.... .,....., '. '" .. . ...
XI. ......, \ "'Chemicelly treat substructure /irea to eliminate Subterranean Termites. :
. ',. .28. ..... ," '.' Chemically treat substructure ereato elimlnOle Dampwood Termites.
':.:.:':'; 29. v F.". Chemicelly t.reat substructure area to eliminate Powder Post Baetles.
.. 30.' ... '."" Chemically trsat as needed.to eliminate Carpenter Ant infestation.
31. ~ Chemicelly treat substructure as needed to control dryrot funguS'
32. . . . Replaca undariayment floOring in approx.
." 33. ; . . JnllBII new linoleum In'. . approx. area.
':'", 34. ; R_Hollet on a new wax 8881. C . . " '.,
. . . 35. ~. ""'InStall . .. . ":replace" bathtub shower kit.
: 38....... ....Caulk~. . 'top: of bathtub.
-:'..:'. .::n. ,......... ....Have a quellfled plumber check and repair water leaks (C0at8 not Included).
.::.....: 38. ' ..: .... .Instell approx. . . linsal feet of concrete block founcqtlon. . ':..
.~~:.~>39. ;'. Lower.elCterior'grede level to .correct earth-wood contacts, approx.
. . 40. . .Shorten wood slding .to correct earth-wood contacts, approx.
41..:~~:?..:.lnstaUapprox..~;:>.n feet of non-wood skirting. . . . .
::-'." 4.2. ; " Inlll8l1 approx. . of 6-inch concrete flashwall to correct earth-wood contact.
I : :;0: 43,:....'......lnllBlI "."B "eddltional screened vents through rim joist XX ,through foundationwall
. ,'",..44: 'YES""R...,.... ..~ .....axistlngvantlal. .
i :.. 45. Replace vent Jrame(sl.
I '. 46. '1nat811 vent welllsl. . . ;
I ..': 47. YES InllBlI 1 crawl hole welUal.
1.':;,'48. YES Install 2 new crawl hole frame and door.
'. ...,....49. Repair or replace portions of existing gutters as indicated on diagram.
'. : .50. .lnst811 approx. . lineal feet of new guttel'8.
::: ','. 51. Replaca 1nat811 ' down spout lines from guttel'8.
. ,\.. 62. .I~I epeshblOcka. ' .
." :'" 63." : .: Inlllall 8pproX. 'lineal feet of downspout drainline to
.... 64. : Install . drvwell,,~
..' . 56. . .... . Additional bid needed for items not on this report but required by _V.A. ~ F.H.A. _CIty _County :
" '. I . ....
.58.. ,. . .Othercommento '.' .' . . '.
support beam
H
XX
found IlOIIndudod In bidl.
_1lOI_lnbldl.
porch.
~eet.
'-
. ....,
. .'.r
...'. ,-
'/
Spot
area.
'-(:\'-' .
":'"
.~ "
,
..: .: "<;:~l... ' .'
feet.
feet.
: '
" .'.,
~ .
I
I
I,
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i
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!
,.
,....1;
.
,
.1
.1 ..
'.
. .
:~'
, ~.
,
.. Aek_IId..""", .........1
Iiltlmlll8cl ~ of repeln IIV UIlt ~'f; li96-u .00 -
,
I
!
i
!
,i'; . PROPOSAL . TOTAL .
I STARTING DAT:R PAY DAT)i' CDMPLETIQ'N D.A.'rt:
i' I'. the 0_ 0' the '--1~1d lhouId delire the Il1o.. 1In.d NlNlin tD be done bY UIlI .. .' ",... may lignify by II~
I' ...._ ..... tIllI "--' will then '. ... _ ..... ..... binding ... ".. , a.tw... thil ... .. ' ..... the '*"" 1lgnI.... ThlI ~ wUl be
..j . ...' cIono in _ -'<nwlI/IIp liu ..... ... _ __ ..... .......a- wilt be ollie..... ..... . ' ,I II per"""" c:odtl for
:, '. -:" one (11 halt.,...... I r' lioa of-'c.
a>y;.:. . ..'~" . .' .,CO.'.."..
For V_..
Colt 0' ClwniQ/ Tre .....
SlgnId:
R I
01.... Puty
SlaIo:d:
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