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HomeMy WebLinkAboutPermit Building 1999-09-13CITY SPF!NGFIELD 225 North Fifth Street Springfi-e1d, OR 97477 Location of Proposed Workz 2274 Assessors Map #: a7021-943 Lot: Block: RESIDENTTAL PERMIT APPLICATION CITY OF SPRINGFIEI,D COMMT'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 990592 7 26 -37 59 726-3'7 69 1?, .4 ST Office l-nspectr_on !r_ne Tax Lot #: 03000 Subdivision : AMBLESIDE Owner: TOM WIRFS Address : P. O .BOX 23'7 Describe Work: S.F.RESIDENCE Phone #: 747-8704 ciry/state/zip: sPLFD oF., 9747L NEW ContracEor TOM WIRFS 0032947 1.275 S 2ND SPRINGFIELD OR 97477OOOO BMC PLUMB]NG O1O48O5 PO BOX 292 TERREBONNE OR 977600000 MARSHALLS OO2579O 4110 OLYMPIC ST SPRINGFIELD OR 9747 B]LLS ELECTRIC 0073452 3170 W. 11TH EUGENE OR Const. Contractor #Expires 06 /28 / ee o3/1.3/00 t2/23/ee 1-O/04/ee Phone 141-8704 548-7510 747-7445 3 41, - 8426 T,titicaiior, General: Plumbing: Mechanical Electrical QUAD AREA: 3RNC OCCY GROUP: R3 HEAT SOURCE: FG SQ FOOTAGE: 2444 -- oFrrcE usE -- LAND USE: 1111 CONSTR. TYPE: VN RANGE: G To requests an inspection, call the 24 hour recording at 726-3769. A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made Lhe following work day. --- REQUIRED TNSPECTTONS --- SITE - To be made after excavation but prior to sett.ing forms. FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement IINDERFLOOR PLIIMBING - Prior to insul-ation or decking. ITNDERFLOOR MECHANICAL - Prior to insulaLion or decking ROUGH cAS - after line is instaLl-ed and capped if not appl iance POST AND BEAM - Prior Lo floor insulation or decking. INSULATION - Fl-oor; prior to decking Wal1/Ceiling; WATER LINE - Prior to flIIing t.rench. SA.MTARY SEWER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. T NDERFLOOR DRA,fN - Prior to cover or placement of conc ROUGH PtITMBING - Prior to cover. ROUGH MECHAIiIICAL - Prior to cover. ROUGH ELECTRTCAL - Prior To Cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRAI{ING - Pri-or Lo cover. INSULATION - Fl-oor; prior to decking Wa11/CeiJ-ing; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in p1ace. # OF BLDGS: 1 # OF BDRMS: 3 INSUL PATH: P1 .SPRIi&GFIELD .fob Number: 990692 CITY SPruNGFIEU', Page 2 FINAL PLTMBING - When all plumbing work is complete. FINAL MECHAIIICAL - When all mechanical work i-s complete. FINAL ELECTRICAL - When all el-ectrj-ca1 work is complete. cAS SERVICE - After line is installed and }ine has been connected to a minimum of one appliance. Pressure test done at this point ' FINAL BUILDING - When all required inspections have been approved and the building is compfete. Lot Faces: E Topography: 2 House Garage Setbacks SW 5 5 Lot Sq. Ft.: 9240 Total Height: 22 Lot Coverage: 25.5 Z Lot Type: INTERfOR E 18 N 5 Item Main Garage PROCH TotaL Value Building Permit Fee Surcharge/admin TOTAL FEE ..- BUILDING PERMIT Square Feet x 18 54 649 84 $/Sguare Feet 69 .64 18 .34 15 (A) Value 129, 113 . 00 11, 903 . 00 1, 260 . oo L42,276.00 529 42 75 38 572.L3 --- PLUUBING PERMIT --- Item Residential Bath(s) Plumbing Permj-t Surcharge/admin TOTAL CHARGE 2 Fee 150.00 150.00 12.80 L7 2 .80(c) .-- MECHANICAL PERMIT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H GAS F. P. Mechanical Permit Issuance Surcharge/edmin TOTAL PERMIT 3 5.00 4.50 9.00 3.00 5.00 4.50 (D) 32.00 10.00 2 .56 44.56 --- MISCELI,A}iIEOUS PERMITS Surcharge/admin Sidewalk Curb CuL PLAN REVIEW FEE WILLAIVU\LAI{E SDC CITY SDC Wa<nr TOTAL ITTISCELLA.I\IEOUS PERMITS 0.00 60.00 60.00 344.34 1, 000 . 00 2 ,5LL .57 +#€- ?1,to ffia## I (E) 1t7r,s t . SPFIIIiGFIELO ilob Nurnber: 990692 ctTr Page 3 (Excluding Electrical ) unless oEherwise noEed - - - TOTAL A.MOI'NT DUE -. - (A, B, C, D, and E combined) tltob 3D 08.70 --- BUILDING VALUE, PLA}iI CHECK AI{D BUILDING PERMIT --- This permit 1s granted on the express condition that the said construction sha11, in all respects, conform Lo the Ordinance adopted by the City of SprlngfieJ-d, including the Development Code, regulat.ing the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordj-nances. Received By: Pfans Reviewed By: DON MOORE Date: 07/23/99 Building Site Reviewed By: BOB BARNHART -.- ADDITIONAL COMMENTS PATH 1; SEPARATE ELECTRICAL PERMTT ]S REQUIRED REAR OF PROPERTY IS IN WETLANDS AREA. DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that alf information hereon is true and correct, and I further certify that any and all work performed shal1 be done in accordance with the Ordinances of t.he City of Springfield, and Lhe Laws of the State of Oregon pertaining to the work descrlbed herein, and that NO OCCUPANCY will be made of any structure without permj-ssion of the Community Services Division, Building Safety. I further certify that only conLracLors and employees who are in compli-ance with ORS 701.055 will be used on this project. I further agree to ensure that all- required inspectj-ons are requested at the proper time, that. each address is readable from the street, that the permit card is located at the front of the property, and Lhe approved set of plans wi-ll remain on the s e at al-l- times during construct.ion Si-gnature Dat --- VALTDATTON --- Receipt Number Date Paid AmounL Received Received By - CITY OF SPR OREGO'U 225 TIFTE STREET SPRTNGFTEIJ, OREGON 97477 INSPECTI0N REQIIEST:. 726-3769 OFFICE: 726-3759 I.,EGAL DESCRTPTION JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. STALLATT ON ONLY EI;ESTRICAL PERHIT Ci ty Job Nuruber 3. COMPIATE FEE SCMDUI,E BELOIT A Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost a ia 06 L000 sq. f t. or l-ess Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Modular Dvelling SerVice or Feeder Sum a666 t included) .00 .00 .oo .00 t/- g 85. O0 A5 ,+ s1s.oo A 2.. CONTRAC:IOR IN Electrical Contra Address Ci ty /k 4/c tor D Pn,""S// ffz6 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPS - 401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver l-000 amPs/voIts Reconnect Oniy c D E. Miscellaneous (Service/feeder no -Each installation Pump or irrigation $40 ign/Outline Lighting--s40 imi ted EnergY/Res $20 imited EnergY/Comm SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL Supervisor License Number ?r a5. 7 $ s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 Expiration Date consrr conrr. Number 2 o F' " c-Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date :? ef pervi tricianSu Owners Name Add ci Phone 200 amps''or less t/ S 1q.00 201 amps to 400 amps - S 55.00 over 4b1 to 600 amps - $ 80.00 Over 600 amps or 1000-voFs see rrB, tu Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 The installatio s being made on1 p f. roperty I ovn or sale, Ieasq-gg 0vners Signa DATE: RBCEIVED not intended $36 OO a SPFlTNGFIEL., ,-'yxfl4rr'W',yr '1. tja EXPIRE JOURI','JoB No . ffioGq z- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY LOCATION z* AJ 3?rar) DEVELOPMENT TYPE SFD BUILD]NG SIZE 244+OT SIZ 1 8(4) x $0 227 PER sQ. FT. t-1O3.-1O x $47.14 PER PFU s f,,? s .t"t \$ $ 211,4 $ 2'3.20 <$ $ 10.00 TOTAL-MI^JMC SDC s 7tz"b+ sZ97z.o1 $tt1(D F SQ. Ft STORM DRAINAGE .? _ \----- --z*++ + z (!t?) t IMPERVIOUS SQ. FT ZIOC 2. SANITARY SEWER-CiTY NO. OF PFU'S (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x r.ot x$475.32 x $475.32 4. SANiTARY SEI,JER-MhIMC A. REIMBURSEMENT COST NO. OF FEU'S X 277l.+ PER FEU B. IMPROVEMENT COST NO. OF FEU'S X "5,2O PER FEU MI^JMC CREDIT iF APPLICABLE (SEE REVERSE) 1'4i,ll'4c ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) ADMiNISTRATiVE FIES: BASE CHARGE (SUBTOTAL ABOVE) X .05 Mtt-- SDC Coordinator ATTACH'A. WPD X 5 Date: a /z lz7 -r-TOTAL SDC $Lel,l.G n $ 4tu,o7 FIXTURE UNIT CALCUI ^-^\N TABLE: Number of New Fix tJnit Equivatent = Fixture units (NOTE: For remodels, calculate only the NET additional fixtureslrra* O, UN,T FTXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub 11 Drinking Fountain..... Floor Drain.......................................... lnterceptors For Grease/Oil/Solids/Etc...... lnterceptors For Sand/Auto Wash/Etc...... -C- -'-7rr-'z> --a-2 + -v- 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 b 4Toilet, Private....... Miscellaneous: TOTAL FIXTURE UNITS CREDIT CALCULATTON TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$- (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDIT TOTAL $ Year Annexed Rate per $1,O00 Assessed Value Year Annexed Rate per $1,OOO A,ssessed Value 1 989 1 990 1 991 1 992 1 993 1 994 ., . 1995 1 996 1 997 $1.98 1.55 1.15 0.96 0.83 0.67 o.52 o.38 o.21 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 9BB $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 RUNOFF COEFFICTENTS FOR STORM DRAINAGE (For Estimating Purposes Onlyl Residential. Commerica1............... lndustrial Governmental o.4 0.9 05 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT I Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)...... Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Sta11.......... Shower, Gang......,.. Sink: Bar, Commercial, Residential Kitchen.... Urinal, Stall/Wall... Wash Basin lLavatory , Single........ -Toilet, Public lnstallation. 7// I Willamalane Park & Recreation District Job. No. PHONE: JtI_At o'{ STATE: Dt..t7 tZIP: a1 SYSTEM DEVELOPMENT CHARGE WORKSHEET NAME:q.i-\ ADDRESS: LOCATION OF PROPOSED BUILDING S Street Address:&&r .{{\ ITE: \q Plat Name: 1. DEVELOPMENT TYPE ype detinitions are on the Tax Lot Number:C)3 5-cro (Chgck appropriate dwelling(s). SDC calculations and dweiling t back.) A. Single-Family Detached h Single namiiy homd NO. OF UNITS I Manufactured home not in a park X $1,000 per unit = $ ci01c<_o --- B. Single-Family Attached NO. OF UNITS X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unlt = $ D. Mant{actrrred Home Park o0 NO. OF UNITS X $699 per unlt WILLAMALANE SDC $ 2. SDC CREDIT (tf appncabte) SDCAayermus{ ruo{6str proof of Wllamalane Credit approvat. Seo SOC Credit Wortcsheot. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced for Credit! $ D nt City of Springfield nt Date l3_, a ,NGFIELD rrt lD: SPRA103 Voucher lD : Handling Code: City of Springfie / Voucher 00028096 RE Vendor Number: Voucher Date : lnvoice # : Approver: Operator: Gross Amount: Proi/Grant 0000005876 Feb 06, 2001 02-06-2001 Puent,David wtLS5940 750.00 Amount 750.00 Tom Wirfs Construction P.Q. Box 237 Springfield, OR 97477 Description .ree deposit refund Account Fund Og SubClass BY 215500 821 2001 'omments: ree deposit refund for job numbers 99-00689-01 ($s00.) and 99-00692-01(g2so.) aTtc. ?6+ i zzl.f 3>/J- This permit is required for any sit€ activity in the flood plain and everywhere sito alteration consists of fifty (5O) cubic yards of material or more and/9r it a drpinageway is affected, within City limits and . This Side To Be Filled Out by Applicant [Digof Springfietd CitV N 33vo\ 7o 6-L -qf lPermit Eipiration Date: z 22-74 Property Owner , Springfield, Oregonress Pnane:7 4 Date of Application Address Site Add (ozq /-,; w,.r4 Journal number applicable Land Use Appllcatio tu*Lotr@tr UGB Tax Map No JuQ o{/u,oo t-Source Location tr D otr ;,o c*v 3 0 qa+.nf FILL, Ouanti .1,-e.< I Project Supervi s6t: Supplier Destination: MaterialeaGRADING, Ouantity EXCAVATION, Ouan Supplier Address E( tr tr tr tr tr SITE PLAN Required Data:Ouantity of material, Property lines and descriptions, Tax map and lot number, Site address, Existing contour lines, Pro'postird contour lines, Exisling drainage wavs, Prooosed drainaqe wavs, Siqnificant trees and foliaqe, Ground cover, Soil types, Bui(dihgs,iseptic systeirs, SriwersiAreas subject to floodi-ng, Utilities, Areas subject to land slides, Proposed site improvements. sotLs & GEOLOGY PLAN,. , .' . ,, DRAINAGE, POLLUTION AND EROSION CONTROL PLAN ADDITIONAL INFORMATION, REPLANTING PLAN COMPANY NAME:_ , PROJECT SUPERVISOR: PHONE CITY STATE PHONE CITY STAT ADDRESS: COMPANY NAME: PROJECT SUPERVISOR: ADDRESS: MoBILE PHoNE: g1J0!? , EMERGENCY FAX7V7 7F2f PHONE: 3l r X77 E ZIP: 47vz? OFFICE PHONE 7 q7 g7o c/ CIIY:ADDRESS Registration Number:Expiration Date CONTFACTOR NAME: PHONE oPROJECT SUPERVISOR STATE: 0a I understand that I or my successors may have future plana for my property which may b6 anticipated or unanticipatod at this time. I understand that such future plans may requiro permits and developement approvals from the City of Springfield I understand that notwithstanding any approval of this Land and Drainage Alteration Permit (LDAP), that at the time of application of luture permits or approvals the City may review and reconsider all actions which I or my successors have undertaken persuant to this LDAP. I understand that tho.City may as a condition of any future approval, require the undoing, changing, or modification of any actions which I have undertaken as a result ol the City's approval of this LDAP. F M tIJo- Zo EIF fv --IIIJFJ IJJ U Z fv --c oZ cZ 5 By signature, I state and agree, that I haVe carefully exainined the completed application and do hereby cortify that all information herein is trus and correct, ahd I further certify that any and all work pqrformed shall be done in accordance with the Ordinances of the City of Springfield. applicable City Standard specificatione ahd Drawings, and the laws of the State of Oregon pertaining to the work described herein..l further.c6rtify that only conractors and employees who are in compliance with ORS 701 .055 will be used on this project. The City may inspect the work site described in this pormit at any time during a on6 year period following the receipt by the City of notice of completion of the deccribad work and rpcclfy, !t th6 City's solc dasecration, any additlonal rostoration work required to return the sits to a standard acceptable to the City. The p€rmitteo wiU be notified in writing of any work required and will have thirty (3O) days from the date of the notice to compl6t6 the work. Work not completed at tho end of the thirty days will be performed by the City and the costs will be billed to the permlttee. n '' o"," 6'w D I further agree to ensure that the street, and the Signature all required inspections s€l of plans will remain bi that tsaddress fromreadablearo.requesied allsiteattheon E,ulz =o tUF6 zo <E TU5 oz 5 CI't-zu, =o <aul E,5o UJ OE aFz 5:)(t,zoo EoF() G,Fzoo oz 5G ulE) f l.l. IU TEf, kzoa fiorla ?arrnt*-: q7obTu KB : ?o-237 DRAINAGE, 0 Storm, Q Ditch, E Culvert, 0 Natural zone: L , FEMA community eanetNo.:41ffiZ OZ\7O(- tr FLOODWAY, FEMA Community Panel No.: trg d Date FLOOD PLAIN, WETLANDS, Descripti o;n ZSt s20.00 $ 30.00 $40.00 $40.00 For the lirst 10,000 cubic yards, plus $20.00 for each additional 1 0,000 cubic yards or fraction thereof 5220.00 For the first 100,001 cubic yards, plus $20.00 for each additional 1O.000 cubic yards or fraction ther€of $340 For the first 200.001 cubic yards, plus $6.00 for eagh. additional 14,000 cubic yards or fraction thereof. $3Q.O0 For the first 1O0 cubic yards, plus .$14.00 for each bdditional 100 cubic yards or fraction thereof ' $156.00 For the f irst 1,000 cubic yards, plus 912'.OO for each additional 1,000 cubic yards or fraction thereof . $264.00 For the first 10,000 cubic yards, plus $54.00 for each additional 1 0,000 cubic yards or fraction thereof $750.00 For the first 100,001 cubic yards, plus $30.OO for each additional 10,000 cubic yards or fraction thereof Estimated VoJume Ptan check r"", QZO . 0O Y.7.Received By 6n.N t b Date g +/ 100,001 To 200,000 $30.00 Received by: Date: Receipt No Date: PLAN CHECK FEES: UP TO 1OO CUBIC YARDS 101 TO 1,O00 CUBIC YNRDS 1,001 TO 10,000 cuBlc.YARos 1O,OOO TO l OO,OOO CUBIC YARDS 2OO,OO1 CUBIC YARDS OR MORE GRADTNG PERMIT FEES: UP TO 1OO CUBIC t'ARDS 1O1 TO 1,OOO CUBIC YARDS 1,001 ,To 10,000 cuBlc YARDS 10,000 To 100,000 cuBlc YARos 1oo,oo1 To 200,000 ?. .. Grading Permit fee: Receipt Nub5OZO out"|llTtfi AMBLESIDE MDADOWS SUBD. This prope(y is located in an area ofheary clay soils (expansive clays). A Iiccnscd cngineer shnll vcrify tho stobility ofthe soils in thc proposcd building area and make any recommendations necessary to assure lhe continued slability of thc soil. A copy ofthe engineer's rcport sh:rll be subnritted to tho lluilding Ollicial prior to beginning construction of the structure. EI m EI tr 6/fh7 1-? -?/ K, Maintenance Building Engineering Plannin Date: Date Date: Date: lssued by:_.__DatePermit Number Reqrrired Final lnsfrectiohs' Maintenance: DatePlanning: Engineering: Building: Date Date Date F EI M, IIJo- Zo ETF fvI-t IJJFJ tJJ U Z -lrv -o oZ nZ 5 L.and and Drainage. activity as outlined in this permit has been completed in accordance with the p.rovrstons ot thrs permrt. Lald ^qqd_Dlalrla-ge_ a-qtlvrly a-s-_o-ullined in this permit has not been completed in accordancewtth the provtstoTls ol this permit. tr Land and Drainage activity was performed prior to application for this permit. Accepted by:-__ Date: tr tr uloz (L UJoo 1/6/1998 t2A( C{ttezz, ,6:- 3da A-7",4'i,{z.t </oN2tVo1-t5 - UJo z TEo s Side To Be Fil By City TU TU lJ. azo Eazoo aul =ttl UJ TE azo oltlo-a = a tr DRAINAGE, 0 Storm, Q Ditch, E Culvert, O Natural zone: L , FEMA community panet No.: 4lffiZ OBTE- tr FLooDWAY, FEMA Community Panel No.: g d FLOOD PLAIN, WETLANDS, Descriptibn ZSI s20.00 s 30.oo $40.oo $40.00 For the f irsr 10,000 cubic yards, plus 920.00 for each additional 1 0,000 cubic yards or fraction thereof S220.00 For the first 100,001 cubic yards, plus $20.00 for each additional 1O,000 cubic yards or fraction thereof $34O For the first 200,001 cubic yards, plus $6.00 for each additional 1Q,000 cubic yards or fraction thereof . t$30.00 $3q.OO For the first lO0 cubic yards, plus S14.OO for eachhdditional 100 cubic yards or fraction thereof. $156.00 For the first 1,000 cubic yards. plus 912'.00 for each additional 1,000 cubic yards or fraction thereof. S264.00 For the f irst 10,000 cubic yards, plus $54.00 for each additional 1 0,000 cubic yards or fraction thereof $750.00 For the first 100,001 cubic yards, plus $30.00 for each additional 1 0,000 cubic yards or fraction thereof GRADING PERMIT FEES: +?n.00 K,7, om.oo ?..' lEEN 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE Estimated Volume Plan Check Fee Received By: Grading Permit fee: Received by: UP TO 1OO CUBIC t'ARDS 101 TO l,OOO CUBrC YARDS 1,001,TO 10,000 cuBrc YARDS 1O,OOO TO l OO,OOO CUBIC YARDS 1oo,oo1 To 2oo,ooo Receipt No Date: PLAN CHEQK FEES: UP TO 1OO CUBIC YARDS 101 TO 1,000 CUBIC YARDS 1,001 TO 1O,OOO CUBIC,YARDS 1O,OOO TO l OO,OOO CUBIC YARDS E*t Gixea2 'LL Gfz A-7V*'+{z.t <bNflvot,ts - AMBLESIDE MEADOWS SUBD. This property is located in an area ofhcavy clay soils (cxpansive clays). A liccnsed engincer shall verify tho stobility ofthe soils in thc proposcd building area and make any recommendations necessary to assure the continued stability ofthe soil. A copy oftlre enginccr's rcport shlll bc subnrittcd to thc lluilding Ollicial prior to beginning oonstruction of thc structure. EI 8I EI tr 6/il?7 s-? -2/ K, Maintenance: Building: Engineering Planni Date: Date Date: Date: Engineering: Building: Maintenance lssued by:-__Date Date Permit Ntrmber_- Reqrrired Final lnsfrectiohs' Date Date: Lrate F M IIJo- Zo EIF fvTI IJJFJ IIJ U Z EI rvTIIo cZ nZ 5 L.and and Drainage. activity as outlined in this permit has been completed in accordance with the provrstons ot thrs permlt. Lald-qqd DJaiqage aqtlVity as ou.tlined in this permit has not been completed in accordancewrth the provrsroTrs ot tnls permit. tl Land and Drainage activity was performed prior to application for this permit Accepted by:-__ Date: tr Ei tu()z FG UJoo 1/6/1998 Date:_ o"t", g f t3,hf Receipt tlo,ffOZO oate:-l|nfr oate: 7 lz> 11= Side To Be Fil By City UJa z Eo lu TJJl! oz,o Eozoo out =UJ =LuE azo t)lll r o-oz a