HomeMy WebLinkAboutPermit Signage 2019-09-20SPRIN6TIELD
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OREGON
Web Address: ww.springfi eld-or. gov
Permit Issued: September 20, 2019
TYPE OF WORK
Category of Constructlon: Commercial Type ot Workt None Specified
Submitted Job Value: $0.00
Description of Work: Sign (5) with electrical application Nova LJrgent Care
.,OB SITE INFOR]I{ATION
Parcel
1702334103500
Owner:
Address:
CARRINGTON FRANCIS L
PO BOX 1328
EUREKA, CA 95502
LICENSEO PROFESSIONAL IN FOR]TIATIOI{
License Number
163470
Phone
541-485-5546
PENDING INSPECTIONS
lnspestion
5999 Final Sign
6940 Sign Attachment
SCHEDULING II{SPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www. building perm its.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: A!t00749A749
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
Fee Descrlption
Technology Fee
Permanent sign - 0 to 35 square feet, per sign
Sign plan review, per sign
Quantity
Permats erplre if work ls not started wlthin lEo oays of lssuanc€ or ifwork is suspended tor 18o oays or longer dependtng on
the lssuing agency's pollcy.
3
3
Total Feesi
Fee Amount
$20.10
$264.00
.$138.00
$422.rO
Building Permit
Commercial sign
Permit Number: 81 1-19-0O2104-SIGN
IVR Numberl 81r007498749
City of Springfield
Development and Public works
225 Fifth Street
Sp.ingfield, OR 97477
541-7 26- 37 53
Ema il Add ress I perm itce nter@sp rin gfield - or.9ov
worksite Address
5781 MATN ST
Springfield, OR 97478
Business Name
ES&ASIGNCORP-Primary
License
CCB
Inspection Group
Signs
Signs
Inspection Status
Pending
Pending
All provisions of laws and ordlnances goveming this typ. of work wlll be corrp,lled with wh.ther specifi€d h.retn or not.
Grantlng ot a permlt does not pnesume to giv€ authority to violate or canc€l the provl6lons ofany other state or local taw
regulatlnC constructlon or tlrc performance of construclron.
aTTEt{TlO : Oregon law r€qulrG you to follow rules adorted by the Or€gon utillty l{otific.don Center. Those rutes are set
forth ln OAR 952-OO1-OOlO through OAi 952-001-OO9O. You may obtaln copi€s of the rul.5 by calllng the Center at (503)
232-!987.
All personl ot €ntides performlng work und€r thls permlt .re r€quir€d to be licens.d unless exempted by ORS 701.O10
(Structurauilechanlcal), ORS 479.540 (Electrical). and ORS 593,01O-O2O (Ptumbhg).
Prnt€d on: 9/20/19 Paq€ 1 of I c:\myReports/Eportt/production/01 STANDARo
SPRINGfIELD
O REGON
Web Address: www.springfi€ld'or.gov
Building Permit
commercial Electrical
Permit Number: 81 1-19-oo2104-ELEC-01
IVR Number: 8r1019107867
City of Springfield
Development and Publlc Works
225 Fifth Street
Springfield, OR 97477
54t-7 26-37 53
Email Address: permrtcenter@springneld or.9ov
Permit Issued: September 20, 2019
TYPE OF WORK
Category of Construction; Commercial Type of Work: Alteration
Submitted Job Value: $0.00
Description of Work: Sign (5) with electrical appljcation Nova Urgent Care
]OB SITE INFOR,TIATION
Worksite Address
5781 MAIN ST
Springfield, OR 97478
Parcel
1702334103500
Owner:
Address:
CARRINGTON FRANCIS L
PO BOX 1328
EUREKA, CA 95502
LICENSED PROFESSIONAL INFORMATION
Business Name
ES&ASIGNCORP-Primary
License Number
163410
Phone
541-485-5546
PENDI G INSPECTTO S
Inspection
4999 Final Electrical
4610 Electracal Sign
Inspection Group
Elec Com
Elec Com
Inspection Status
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determane required inspections for this project.
Schedule or track inspections at www, building permits.oregon,gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811019107867
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits etplre it worl ls not start€d within 180 Days of issuance or it work is suspended for 1aO Days or tonger dependtns on
the lssuing .gency's policy.
All Provisions of laws and ordlnances govemtng thls type of work wlll be cotnplied with wh€ther specm€d hereln or not.
Granting ot a permlt aro€s nol presume to ClvG authorlty to vlolate or canc€lthe provlslons ofany oth€r state or local law
regulating constructlon or the pertormance of construction.
ATTE TIOi: Oregon law requlres yot, to follow rules.dopted by the Oregon Utillty ltotlfication Centcr. Those rutes are set
forth in oAR 9S2-O0l-oo10 throuoh OAR 952-OO1-OO9O, You may obtaln coples ol the rules by calling the Center at (5O3)
232-L987.
all Persons or e.tltles P€rformlng work under this permit are r€quir€d to be llcens€d untess erempted by ORS 7or..olo(Structural/it.chanlcal), ORS 479,540 (Electrtcat), and ORS 593.OlO-O2O (plumbing)
Pi nted o.: 9/20/19 rEg€lof2 c:\myF.eports/epo.tt/prcdu.tro./or STAN oA Ro
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License
ccB
Permit Number: 811-19-002104-ELEC-Ol Page 2 of 2
Fae Descrlption
Balance of minimum permit fees - electrical
Sign or outline lighting
Technology Fee
state of oregon Surcharge - Elec (12olo of applicable fees)
Quantity Fee Amount
$13.00
$89.00
$5.10
$t2.24
$ 119.34Total Fees:
c:\myReDorts/Epoftt/prod!ction/01 STANDARD
1
PERMIT FEES
225 FIFTH STREET o SPRJNCFIELD, OR 97417 . PH.(541\726-3753 . FAX: (541)726-3689
cio,rou ru.u".fl!fL-G)3_.!4{ _ Sai nt
Site Address 5781 Main St. Springfield, OR 97478
'r 702334't03500Assessors M8p Tax Lol
Ou'ner:McKenzie Crossing Psnne.ship Phoner
PO BOX 1328Addressr
s,.'" CA zio 95502Eureka
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City
Nova HealthBusiness Name, Firm,
Description of Proposed Sign(s); (Pleas€ check and complete all appropriare infornation)
l- Wutt Freestanding projecring
-
Roof
-
I-- Single Face Double Face Billboard x Orher
Square Footagc 33.8 'I ol8l Height above Crade:17',8 7t8
Vertical Dimension of Sign or Enclosure: 3'8 7/8"
Dimension from Grade to Bonom of Sign Enclosurc 14'
Material Sign is Constnrcled oi 187 White polycarbonate
Sltn
Horizontal Width of Sign or Enclosure: 9' 1n'
Electrical lnstallarion:_lYes
-No(lf yes additional elcctrical pcrmit rcquircd)
Valuc of Sign .750.00
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Wall front
Wall srde Sq. Ftg 46.47
Wall side Sq 34
(d) Type Wall rear Sq. Frg 34
Contractor/[nstaller:ES&A Sio and Awnino Phone 5,41-868-2385
Address:89975 Prairie Rd
Cityi Euqene
State ,OR
Construction Contracrors Regisrrsrion Numlsr '163470 grr1rc.
- 97402Ltpt
-
03/16t2019
OFFICE USE
a
dll
times during dre installation oft
I funher agree to ensure that all required inspections are requested al lhe proper lime, that projecl address is resdsble from the
Sign Dislricr Zoning
hA Pl.,rr".*.", lslateandagree, lhat I have carefully exanrined rhe comptered application and do hereby ceniry thar 8ll
l[ll informa.lion herein is rue and correct, and I funher ceniry thar any ani all work performed shall be done in accordaflce with'tW the Ordinances of the Ciry ol" Springfield, and the Laws of the Shre of Oregon penaining ro rhe work described herein. I
t Fl funher ceniry that only conlmctors and employees who are in compliance with oRS 70i.055 will be used on this projecr.
street, thar the permit card is located at the front ofthe propeny. and rhe approved ser ofplans will remain on rhe site al all
DaleSignature
s)
ShuNd Oflrc(l I Burltjrn8lomb'Srln P!rn! ADp!.trr'ont-O2d*
CITY OF SPITINGFIELD. OI(EGON
List ALL existing signage and rtarch r photogrrph ofesch rlgn:
Sq Ftg.33.8 (b) Type(a) Type
(c) Type
225 FIFIH STREET . SPRTNGFIELD, OR97471 o PH:(541fl2e3753 . FAX: (541)726-36t9
CitY Job Num
Site Address 5781 Main Sl. Springtield, OR 97478
1702334103500Assessors Map T8x Lot:
O*.oer:
Ad&ess
McKenzie Cro6sing Partnership Phone
PO BOX r 328
Cr.,- CA 95502Eureka
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Nova HealthBusiness Name, Firm, etc
Descriprion of Proposed Sign(s): (Please check and complctc all appropriatc informstion)
l-- W"tl Freestsrdirg projecring
-
Rcof
-
Marquec
I- Siogle Face Doublc Face
-
Billboard Othcr Rsrnove €xisting
23.7 Total Heigit above Grade
Venical Dimensioh of Sign or Enclosure: 2'
4L(/
Dimension from Grade to Bonom of Sign Enclosurc '10'
Material Sign is Constucted ol While acrylic, aluminum ar|d led's
Horizontal Width of Sign or Enclosure: l1'10'
Electrical lnstallation:_l_Ycs
-No(lf yes rdditional elecu"ical permil rcquircd)
1500.00p
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List ALL existiog signag€ and rttrch I photogreph oferch rlgn:
(a) Type Wall front Sq. Ftg.
Sg. Ftg.
33.8 (b) Type Wall side Sq. Frg. 34
Sq. Ftg 34(c) Type Wall side 46.87 (d) Type Wall rear
Address 89975 Prairie Rd
City Eugene ORState
Expires
_. 97102Ltp:
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03/16t201sConsiruction Conractors RegislratioD Number 163470
OFFICE USE
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| fuflher agree to €nsure thst all required inspcctions ar€requesled 8l the proJr€r time, thal project address is readable from the
Sign Dislrict:
hA ll tlqy,*'. I stare and agrcc, that I have cargtully ga6tnined &e complered 8pplicarion alld do hereby cediry thar sllw i:&-#ii1:Li:ffiTl.Tffil"lf i"t[1"i:*'.e, H:'#tTf6]:I""Jifif:ff l'm'#i"i::ffi T"?:H: I*
t F( tunher ceniry tha! only contractors and employees who are io compliance;i& oRs ?0i-.05s wi be used on rbis projecr.
street, that the permit card is located at the front ofthe property, sDd the approved s€t ofplans will remain on the site at alltimes during the
Dale q I
(A
Signa
llation of the si s)
st.Ed rtn(r ) Buit.!'r! f oms,s,an p.mit Appttdih t {2 do.
( ll'\'ol, sPI{t\(;t,il:L[). ()lit (,( )\
Square Footagc:
Value ofSign:
Contracior/lostaller ES&A Sion and Awnino phone. g1-858-23a5
Zoning:
225 FIFTH STREET . SPRINGFIELD. OR91477 t PH:(5/.1J726-3753 o FAX: (541)726-3689
Site Address 5781 Main St , oR 97478
1702334103500Asse,ssors Map Tax l-ol:
orvrer:
Ad&esg
McKenzie Crossing Partnership Phone:
PO BOX 1328
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NoYa HeallhBusioess Narne, Firm, eIc
D€scription of Proposed Sign(s): (Please check and comploto all appropriate infornstion)
x Wall Freestandiag projecting
-
Roof Marque€
I- Siagle Face Double Face
-
Billboard Other Remove existing
23.7 Total Height above Gr.de 't2'5
Vertical DimensioD of Sign or Enclosure
Dimension from Grade to Bonom ofSign Enclosure 10'
Material Sign is Construcred of:White acrylic, al,mlnuft arld led's
Horizontal Width ofSign or Enclosurc: -L1-!!1-
Electrical lnstsll8tion:_!Yes
-No(lf yes additionsl electrical permit required)
Value of Sign 1500.00
List ALL existiog signage and.flrch r photogrrph orctch rign
(a) Type Wall tront Sq. Ftg.
Sq. Ftg.(c) Trpe Wall side 46.87
338 (b) rype Wall side Sq. l't8 v
(d) Typ€Wall rear sq. Ftp. &
and AwninoContraclor/lnslal ler:ES&A
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Address 89975 Prairie Rd
Euoene OR 97402Starezip
Constuction Contractors Registratior Number 163470 Expi.es 0316/2019
OFFICE USE
I further agree to ensure thal all required in
strc€t, that the permit card is located
spections are rcguesled 8t lhe proper li
fronl of tle profrerty, and the approved
me, lhat project address is readablc from lhe
set ofplans will remain on thc sile at all
Date
q q
Zoning
'Fl
By si8nature. I stale and agrec, that I have carefully cxamjned rhe completed applicarion and do hereby ceniry rhal allinformalion hercin is true afld corect, ard I funhci ccnif that any and'all work pcrformed shall be dooc in accordance withthe.ordiDances.of lh€.City ofspringfield, and the Laws offie state oforegon p€naioing ro the work dcscribed her.in. trunner cenlry thal only contrsclors and employees who are in compliance with ORS 701.055 will be used on this project.
limes during the
SigDatu
llarion oflhe si s)
Sh.r.d t)rir.ll I auikd! fm.ls'gn pmit tptiqliot42de
C II\' OIr Sl'!ltl\(il'lt:L[). ( )Rl'C( )\
Citv Job Iiumber-
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Square Footage:ab)
Phon",3li131--
City:
Sign Districtl
a
225FIFTHSTREET. SPRINGFIELD, OR 91477 o PH,(5411726-3753 o FAX: (541)726-3689
Site Address 5781 Main Sl. Springfield, OR 97478
1702334103s00Assessors Map Tax Lot
Owner:McKenzie Crossing Partn€rship Phone
PO BOX 't328
Address:
95502CtaleCAEureka
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Nova HealthBusiness Name, Firm,
Dcscription of Proposed Sign(s): (Please check and complete allappropiate infomEtion)
x wall Freestanding Projecting
-
Roof
-Marquee
L Single Face Double Frce
-
Billboard x other Remove exlsting
Square Footage:23.7 Total Height above Crade:A 4"-t
Venical Dimension of Sign or Enclosure: 2'
10'
Material Sign is Constructed of:White acrylic, aluminun and led's
Wall front Sq. Ftg.33.8
Wall side Sq. Ftg.46.87
Horizontsl width ofSign or Enclosure: -11191-
Eleclrical lnstallarion:;!_Yes
-No(lfyes additional elecGcal permit required)
Value ofSign 1500.00
(b) Type Wall side So Fro 34
(d) Type Wall r6ar Sq. Ftg 34
ffiList ALL existing signage and rftrch r photogrrph oferch lign:
Coniractor/loslaller:ES&A S and Awnino Phone 541-868 2385
Address 89975 Prairie Rd
Ciry:Euoene
Slare ,OR
Construction Conracbrs Regisrration Nu[ber: 163470 Expires:
_. 97402Ltpi
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OFFICE USE
Sign District ZoninE
By signature-. I slale and agree, thal I have ca-rcfully examined the completed applicarior and do hereby certi& rhal allinformation herein is true and conect. and I funheiceni! thar any aJ a wori-performed shall be done io accordarrce withthe ordinanccs ofthe city ofsPringfield. and the Laws of the Staie oforegon penaining ro the work described herein. Ifurther ccrtiry thal only contractors and employees who are in compliance iith-oRS 70I.055 \r,ill be used on o;" proi"",.
I funher agree to ensure that all required i nspeclions are requested al thc proper time.frat projecr address is readable fronr thestreet. that thc pcrmit card is located at the front ofthe proprty, sDd thc approved set of plans will remain on lhe sile at alltlnres
Date qSign
during the ln tallarion ol lhe \
Sharld DnrnI taliBinE tonnsSiSn pwn Anpli.ario l-o2 dr
CITY OF SPRINCFIELD. ORECON
Cltv Job Number-
12',
Dimension from Grade to Bottom ofSign Enclosure
(a) Type
(c) Type
225 FIFIH STREET o SPRINGFIELD, OR 91411 . PH.(5411126-3753 . FAX: (541)726-3689
Citr Job Num
Site Address 5781 Main St. Springtield, OR 97478
1702334103500Assessors Map Tax Lot
McKenzie Crossing Partnership Phone
PO 80X 1328Addressl
CAEureka
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Nova HeallhBusiness Name, Fi.m, etc
Description of Proposed Sign(s): (Please check and complete all appropriarc inforrnation)
_ wa[x Freestanding
Double Face
Total Height above Grade
Projecting
-
Billboard x
16',
Roof
-
Single Facc
Squrre Footage:61
Venical Dimension ofSign or Enclosure:16',
Dimension from Grade to Boflom of Sign Enclosure 0'
Material Sign is Consrrucred of:
Horizontal Width ofSign or Enclosure:
Electrical lnstal lation:_1_Y es
-No(lf yes additional electrical pcrmit required)
700.00
ExiRetace umenlsting
List Al,L existing sigruge and attsch a photogrrph of crch rign
(a) lWe Wall front Sq. Frg 338
(c) Tylpe Wall side Sq. Ftg.45.87
(b) Type Wall srde
(d) Type Wall rear
Sq 34
Sq. Ftg u
Contractor/lnsta! ler:ES&A Sion and Awnino
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Address 89975 Prairie Rd
Phone:541-868,2385
City Eugene Stale OR
Construction Contrsctors Registralion Num6"r' 163470 gxp;ps;
-. 97402Ltp:
-
03/16/2019
lfl er signarure. I state and agre€, thal I have carefully examined the complered apptication and do hereby ceniry lhat all
Lll I lnlormalton hereln is true and correct, and I funher cenify that any and all work performed shall b€ done in accordance with'7!tf t}e Ordinances oflhe City ofSpringfield, and the t ws offie State ofOregon penaining ro the work described hcrein. I
t t!{ funher ceniS that only contractors and employees who are in compliance with oRS 70i.055 will be used on this project.
I funher agree to ensure thal all required ins1r€ctions are requested at rhe pmper time, lhar project address is rcadable from the
srreet. thst the permil card is located a front ofthc proprty. and the approved set ofplans u.ill rcmain on thc site at all
limes during the
Dalc q
n
SiSnar
llation of thc si s)
Sho^{Dnr.1I } BuildrnS }o@r'Sr8n P.mr I! li.d'o. t.{,2 dr
CITY OF SPRINGI.IELD. OREGON
Owner:
White acaylic, aluminum and led's Value of Sign:
OFFICE USE
Sign District: I Zoning:
Electrical Permit A lication DEPARTMENT USE ONLY
Permit no
Date 4 [to \>",t1
This pern t ls issued under OAR 9l&309-0000. Permits src nonlrrnsfersble. Permits crpire if nork is not sarrted withil 180
drys of lsuence or lf work is suspcnded for lt0 drys.
FEE SCHEDULE
Qty Totsl
cosl
Reridenlirl, per urlt, rerrlce Includedi
1,000 sq ft. or lcss (4)s
Each addilional 500 sq R. or ponion
thcrcof s 33.00 S
Limired .ncrgy (2)S ,ai.00 S
Each manufacturcd home or modular
d$clling s€ icc or fecder (2)s 8't.00 s
Sarrices or feedc]!: i,stollotion. aItuotitrr rebcotio
200 smps or les.r (2)s 103.00 5
201 lo 400 llnps (2)5
401 ro 6fi) amps (2)s203_00
601 to 1.000 amps (2)s261.00 s
Ovcr 1.000 amps or t,ohs (2)s599.00 s
R€connect only (2)$ 81.00 s
Tanrporar! t.rr{a6 ot iaedcrtt ittstallution. ohc,ation, rel&ation
200 amps or less (2)5 8't.00 S
201 to400 amps (2)3 't 1't.00 $
401 .o too amps (2)s162.00 5
Over 6m smps or l.0m lohs. s€€ serviccs or fe€dc6 scdion abov€
Brrnct clrcul.3: rexl , hetalio,t, e\k sio pet po el
a. Fee for branch circuir$ \r.ith purchase ofa sertice or ll.ader fae:
Each branch circuir s
First branch circuit (2)$ 81.00 s
Each additional branch circual s 7.00 s
llllscellrn.oua faer: r"rr..ice or fccdc,.t,ot in(htdcd
Elch pump or irrigation circlc {2)s 81.00 S
Each sigD or ou inelighling{:)5 s s3.00 s465.00
Signal circuit or a lim,ted-mer8y pancl
altemlrcn. or extansion (2)193.00 S
s93.00 s
DEPARTMENT USE
lA) Enter subtolal ofabore f€.s
(ltllnimun P.rmit F.. 193,00)s +6s.oo
(B) Enter I29'o surcharge (. t2 x lAl)S 55.80
(C) Tcchnology Fee (s% of IA])t 23.25
s2.s0
TOTAL lecs.nd surch.rge. (A through D):s
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? E yes E tto
CATEGORY OF CONSTRUCTION
E Residential ! Covemment Dl Comrrrercial
JOB SITE INFORMATION AND LOCATION
Job site address: 5781 Main St
City: Springfield Srate: OR ZIP:97402
Reference: 1702334103500 Iaxlol
DESCRIPTION OF WORK
Make connection botween existing electrical and new
signs that we jnstall
PROPERTY OWNER
Name: McKenzieCrosslngPartnBrship
Addrcss: PO BOX 1328
Cily: Eureka ZIP:95502
Phone Fax
This instrllation is being made on residsntial or farm properry
owned by me or a member of my immediate family. fhrs
property is nol inrended for sale. exchange. lease. or rent. OAR
479.540( I) and 479.560( l).
Signature:
CONTRACTOR INSTALLATION
Business name ES&A Sign and Awning
a66rss5. 89975 Prairie Rd
Ciry: Eugene Srare: OR ZIP:97402
Phone. s4 r4855546 Fax.54l {a55E l3
E-nrail: mar-cia(.qblaze s igns. com
CCB license no.: 16347O
]Gsor's license noSigning
Signature of signing supen isor:
L$l cdited 5*5.s20t7 BJoncs
CI1'\' OI.- SPITI NGT'I T,LD. OITEGON
22S Flfth Sr..€laSpriogrield. OR 9717? r PH(5.11)72G3753. FAXa,a r )7rc3589
Shte: CA
E-mail:
BCD Iiceose no.: 2G543 CLS
Print name gfsigning supervisor: Gor/y Roggborg
Nrrnb.r ofin.pectioni pcr h.m ( )Cos(
ea.
s t7t.00
st20.00
s
! 7.00
b. Fee for branch circuits without purchasc ofa s€rvicc or feeder f.e:
Erch rddiaion.l insp€clion: ( t )
(D) Condnuing Education Fee 52.50
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DATE RECEIVEO lo8 No o
ZONE OCCUPANCY GROUP
UNIT OCCUPANCY LOAD
STORIES TYPE CONSTRUCTION
TEGAL DESCRIPTION
aoonrss 5lO
OWNER
THE CONTENTS HERE ON HAVE BEEN REVIEWED' WITH
ALTERATIONS NOTED ON THE PI-ANS OR BY ATTACHMENT
CHANGES OR ALTERATIONS MADE TO THE APPROVED
DRAWINGS OR PROIECI AFTER THE DATE BELOW SHALL
BE APPRO\T,D BY THE BUILDING OFFICIAL.
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crTY OF SPR!t't95lE}.D, OREGON
Rear elevation
APPROVED BY DATE
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