HomeMy WebLinkAboutPermit Building 1997-1-8
SPRINGFIELD
Page 1
RBSIDBNTIAL PBRMIT APPLICATION
CITY OF SPRINGFIBLD
COMMUNITY SBRVICBS DIVISION
BUILDING SAFBTY
Job Number: 961669
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 1005 OLD ORCHARD LN
Assessors Map #: 17032344
Lot: 1 Block:
Tax Lot #: 05000
Subdivision: RIVER GLEN
OWner: FUTURB B HOMES Phone #: 485-3176
Address: 3593 RIVER POINTE DRIVECity/State/Zip: EUGENE, OREGON 97408
Describe Work: S.F. RBSIDBNCB NEW
Canst.
Contractor Contractor # Bxpires Phone
General: FUTURE B HOMES 0036499 05/18/97 485-3176
3593 River pointe Dr Eugene OR 9740
Plumbing: CUSTOM PLUMBING 0081994 05/06/00 485-1146
3248 Kentwood Dr Eugene OR 97401000
Mechanical: ROLFS HEATING 0102455 10/04/97 686-4927
PO Box 66 Dexter OR 974310000
Electrical: BOB FISHER ELEC 0096275 01/25/97 689-7973
180 Kingsbury Ave Eugene OR 9740400
QUAD AREA: 2RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: P
INSUL PATH: P1
OFFICB USB --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 4
WATER HEATER: G
SQ FOOTAGE: 2637
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FG
RANGE: E
To request an inspection, call the 24 hour recording at 726-3769.
All inspections requested before 7:00 a,m, will be made the same working day,
inspections requested after 7:00 a,m, will be made the following work day.
RBQUIRBD INSPBCTIONS ---
FOOTING - After trenches are excavated.
FOUNDATION - After forms are erected but prior to concrete placement.
UNDBRFLOOR PLUMBING - Prior to insulation or decking.
UNDBRFLOOR MECHANICAL - Prior to insulation or decking,
ROUGH GAS - after line is installed and capped if not attached to an
appliance
POST AND BBAM - Prior to floor insulation or decking,
INSULATION - Floor; prior to decking wall/ceiling; Prior to cover
WATBR LINE - Prior to filling trench,
SANITARY SBWER LINE - Prior to filling trench,
STORM SBWBR LINE - Prior to filling trench,
ROUGH PLUMBING - Prior to cover,
ROUGH MECHANICAL - Prior to cover.
ROUGH BLBCTRICAL - Prior to cover.
BLBCTRICAL SBRVICB - Must be approved to obtain permanent power,
SHEAR WALL NAILING - Before covering sheathing with finish materials,
FRAMING - Prior to cover,
INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping.
CURB CUT - After forms are erected but prior to placement of concrete.
SIDBWALK - After excavation is complete, forms and sub-base material
in place,
SPRINGFIELD
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Job Number: 961669
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FINAL PLUMBING - When all plumbing work is complete,
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all electrical work is complete.
GAS SERVICE - After line is installed and line 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 complete,
N
Lot Sq, Ft.: 9916
Total Height: 24
Lot Type: CORNER
Setbacks
S W E
39 18 12
12
Lot Coverage: 26,6 %
Setbk From NPL: 55
Lot Faces: N
Topography: 2
Solar Approved: Y
House
Garage 18
Item
Main
Garage
Total Value
BUILDING PERMIT
Square Feet x
1997
640
$/Square Feet
64.66
16.27
Value
129,126,00
10,413,00
139,539,00
Building Permit Fee
Surcharge/Admin
523.00
41,84
TOTAL FEE
(A)
564.84
--- SYSTEMS DBVELOPMENT CHARGE (SDC) ---
(B) 2,921. 73
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
PLUMBING PERMIT ---
Item
Residential Bath(s)
3
Fee
192 . 50
Plumbing Permit
Surcharge/Admin
192 . 50
15.41
TOTAL CHARGE
(C)
207.91
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS LINE & W/H
GAS F,P,
4
6,00
4,50
12,00
3,00
5,00
4,50
Mechanical Permit
Issuance
Surcharge/Admin
35.00
10,00
2,80
TOTAL PERMIT
(D)
47.80
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
Sidewalk
Curb Cut
WILLAMALANE SDC
0,00
22,30
14,50
1,000,00
SPRINOFIELD
Job Number: 961669
Page 3
ELECTRICAL PERMIT
183,60
TOTAL MISCELLANEOUS PERMITS
(E)
1,220.40
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
(A, B, C, D, and E combined)
4,962.68
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 339,95 Date Paid: 12/16/96
Received By:
Plans Reviewed By: DON MOORE Date: 01/08/97
Building Site Reviewed By: LISA HOPPER
Receipt Number: 24075
ADDITIONAL COMMENTS ---
PATH 1
8 STREET TREES REQUIRED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and all work performed
shall be done in accordance with the Ordinances of the City of Springfield,
and the Laws of the State of Oregon pertaining to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety, I further certify that only
contractors and employees who are in compliance with ORS 701,055 will be
used on this project,
I further agree to ensure that all required inspections 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 the approved set of plans
will remain on the site at all times during construction.
C
Si~
(LYrJ
Date
--- VALIDATION
Date Paid:
"2. 42.~ ~
//fi.,/n
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~2.,"'9
'("~-
Receipt Number:
Amount Received:
Received By:
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CITY OF SPRINGFIELD SYSTEMS DBVBLOPMENT CHARGE
(RESIDENTIAL)
Name or Company: FUTURE B HOMES
Location: 1005 OLD ORCHARD LN
Deve10pement Type: R Building Size:
Job No.: 961669
Lot Size:
1. STORM DRAINAGE
Impervious Sq Ft 3152 X 0,216 Per Sq Ft =
2. SANITARY SBWBR CITY
Number Of PFUs 25 X 44.75 Per PFU =
(see Page 2)
3. TRANSPORTATION
Number Of Units
1 X
X Trip Rate
1. 010 X
X
Cost Per Trip
451.26 =
$455.77
Transportation Total
4. SANITARY SBWBR - MWMC
Number Of PFUs
25
X
X
Per PFU +
20.690 +
MWMC Admin Fee
10.00
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - (Add Items 1, 2, 3 & 4)
S. ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0,50
TOTAL SDC
Reviewed By: DENNIS ERNST
Date: 12/20/96
Page 1
Sq Ft
$680.83
$1,118.75
$455,77
=
$527.25
$0.00
$527.25
$2,782.60
$139.13
$2,921.73
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Job Number: 961669
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l"IXTURB UNIT CALCULATION TABLB
Page 2
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oi1/So1ids!Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
C10theswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal,' Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
TOTAL FIXTURE UNITS =
Number of
New Fixture
Unit
Equivalent
Fixture
Units
2
o
o
o
o
2
o
o
o
o
o
1
o
3
o
3
o
2
1
2
3
6
2
6
1
3
2
4
o
o
o
o
4
o
o
o
o
o
2
o
3
o
12
o
2
2
1
6
4
25
CREDIT CALCULATION TABLE: Based on assessed value, If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed:
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
o
X
0.00 =
0.00
o
x
0,00
0.00
CRBDIT TOTAL =
$0.00
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
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Job. No.
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, SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: HIUlll Q ) ~ ~Q(Y'.Q() PHONE: 4~ 'S, 3\ 1 Je
ADDRESS: ~~~q3 [l OIQy""'\N~ STATE: a'-ZIP: ltik1I
LOCATION OF PROPOSED BUILDING SITE: L1
Street Address: \O{)5 ((](i _ (Q r(\~'nta..llJL>
Plat Name: ~x6l.ox\ Tax Lot Number: \1Q~44 ()fffi)
1. DEVELOPMENT TYPE, (Check appropriate dwelling(s), SDC calculations and dwelling t
ype definitions are on the back,)
A, f)innIA-FRmilv DAtRr:hAd
'" Single FamUy home
NO. OF UNITS \
Manufactured home not in a park
c..u
X $1 ;000 per unit = $ \ ()t)U -
B. SinnlA-FRmilv Att;:lr.hflO
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. ,Manufactured Home Park
NO, OF UNITS
X $699 per unit = $ .
WILLAMALANE SDC $
2. SDC CREDIT (if applicable)SDC-payer must furnish proof of
Willarnalane Credit approval. See SOC Credit Worksheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED en.?
(if SDC reduced for Credit) $ \ UVD-
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Development Services Department
City of Springfield
\)!}. I \~ I <;'ro
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CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
~~~
s.. ~\<tS 5
JJJf \ 'd/J'S#
AUTHORIZATION TO PROCEED AGREEMENT
THIS AGREEMENT is entered into this ~ \ <;t day of ~~t(N\~y' ,19C\L"by and
between the City of Springfield, a municipal corporation of tne State~ Oregon,
hereinafter called Ci ty, and ec:;' ,hereinafter called
the Applican t.
VHEREAS, the applicant has applied to the City Community Services Building
Division for issuance of certain constructio permits f r development
improvements to be located at I~C; ~ Springfield,
Oregon or within the City's Urban Growth Juris ictlona Area; Lane County
Assessor's Map and Tax Lot number L29~ 2~ 1-.4 t'?~a:J .
VHEREAS, the applicant has asked the City to authorize the Applicant to
immediately commence development improvements without a completed plan review or
subsequent approval as required by the Springfield Building Safety Code
Administrative Code section 303(a).
\IHEREAS, the Applicant has submitted to the City a completed permit application,
3 (three) sets of construction drawings, specifications, and other data required
for the City to complete the necessary plan review of the proposed development
improvement.
\IHEREAS, the intended development improvement is of a nature that requires no
other review approval from other State or local agencies and is exempt from the
criteria established by the Building Safety Division, attached as Exhibit A of
this Agreement.
\IHEREAS, the City has not reviewed or approved the submitted materials for the
development improvement, the City is therefore unable to confirm at this time
whether the permit applicatic~ submitted vill be approved, and vnether the
~equired construction permits can be issued.
\IHEREAS, the applicant has requested the City to provide expedited authorization
to proceed with certain phases of construction prior to the completion of the
City's review of the permit application.
\IHEREAS, the City's fee for the administrative services rendered in providing
expedited authorization is $150.00.
NOV, THEREFORE, in consideration of the foregoing recitals and of the mutual
promises contained herein, the City authorizes immediate commencement of the
development improvement specified in the permit application subject ,to the
following terms and conditions:
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Authorization to Proceed Agreement
Page 2,
1. City agrees that the Applicant may immediately commence with the
development improvements set forth in the permit application. City'S
authorization to proceed is conditionep hovever~ upon Applicant's agreement
that the project vill be constructed as set forth in the attached submitted
drawings and specifications, except as may be modified by City, and will
comply with all applicable laws and ordinances. Applicant's immediate
commencement of constnlC.tion i""t Applicant's Olm risk. The City makes no
assurance that the 3evelopment-or-construction improvements vill be approved
or the required construction permits vill later be issued.
2. City agrees to review Applicant's permit application in the normal reviev
process and to thereafter: .
a) issue Applicant the appropriate construction permits; or
b) advise Applicant of deficiencies in the proposed construction which
must be remedied before permits can be issued; ~
c) advise Applicant of any statutes, ordinances or code provisions vith
which Applicant must comply vith before City can issue the permit.
3. Applicant agrees that if City finds Applicant's permit application and
submitted materials inadequate or deficient 1n any manner including but not
limiteQ to, the application or the proposed construction do not comply vi'th
all applicable statutes, ordinances or code provisions, Applicant viII
expeditiously cure the deficiencies so that the City may issue the required
permits. Should Applicant fail.to expeditiously correct submitted materials,
or should correction prove impossible, City may in it's dis~retion, take any
or all of the following actions:
a) stop all further construction of the project in the manner prescribed
in the Springfield Building. Safety Code Administrative Code (aSCAC),
SECTION 201 (d) ,
b) order disconnection of serving utilities in a manner as prescribed'in,
BSCAC, SECTION 201 (f)
c) issue a NOTICE 12\J O~E~ for removal of all such v~rk in a manner as
prescribed in BSCAC, SECTION 204. ABATE~ENT OF u~SAFE, SUBSTM~DARD OR
DANGEROUS BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon
receipt of such notice, Applicant shall immediately remove the work
specified in the Notice and Order.
4. Applicant agrees, if the issuance of the permit is denied:
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a) to remove, at the Applicant's sole cost and expense, all completed
construction or improvements; and
b) to restore the site or structure to it's pre-agreement condition and
free of all hazards
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Authorization to Proceed Agreement
Page 3,
5. Applicant agrees that until Applicant's permit application is approved,
construction will not to proceed beyond the point of authorization approved
by the City's Building)lOfficial. Applicant's P01nt of Authorization is
\\0 "V , f\f'\
6. Applicant agrees that all ~ork p~formed under this agreement shall be
accessible and exposed for inspection purposes and that neither the Building
Official nor Cit~ shall be liable for the expense entailed in the removal or
replacement of any material necessary to allov inspection,
7. Applicant agrees that any or all'deficiencies identified during the
necessary inspections will be promptly remedied, at Applicant~s sole cost
and expense before proceeding with any further construction. Applicant also
agrees that these inspections do not replace the required plan review nor do
they imply any approval of the submitted materials.
8. Applicant agrees that no work shall be done on any part of the building
or structure beyond the point indicated in each successive inspection
wi thout first obtaining the approval of t'he Building Official. Such approval
shall be given only after an inspection has been made of each successive
step in the construction as indicated on the attached Exhibit B.
9. Notwithstanding any other provisions of this Agreement, this Agreement
shall terminate upon issuance of a building permit or" thirty (30) days from
the date of this Agreement, whichever first occurs. Applicant understands
that all work on the project shall imm~diately cease without any notice from
the City if this Agreement terminates before F bU\'l~,g permit is issued.
This agreement shall terminate on I - ~ -L{'1
10. Applicant agrees to defend, indemnify and hold City harmless from any
and all costs (including attorney fees), liability or damages of any kind or
nature whatsoever, for personal injury and property damage arising from the
Applicant's early commencement of construction and the work undertaken or
, completed.
11. The terms of this Agreement shall extend to and be binding upon the
parties hereto and t:,eir heirs, successors and assigns.
12. If any suit, action or other proceeding, or an appeal therefrom, is
instituted to obtain, establish, enforce, or compel any right or obligation
resulting from this Agreement, the prevailing party shall be entitled to
recover from the adverse party, in addition to costs and disbursements, such
additional sums as the courts, both trial and appellate, may judge
reasonable attorney fees.
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Authorization to Proceed Agreement
Page 4.
BEFORE SIGNING THIS AGREEMENT, PLEASE READ AND UNDERSTAND THE MEANING OF EACH
PARAGRAPH OF THIS AGREEMENT. IT AFFECTS YOUR INTEREST~ IN THE PROFERTY AND, IN
THE EVENT,OF DEFAULT, IT PLACES YOU PERSONALLY AT RISK AND THE SUBJECT PROPERTY
AT RISK OF FORECLOSURE FOR COSTS AND EXPENSES INCURRED BY THE CITY IN ENFORCING
THE TERMS OF THIS AGREEMENT. IN THE EVENT THAT YOU DO NOT UNDERSTAND ANY TERMS
OR CONDITIONS OF THIS AGREEMENT, PLEASE SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU
MAY.DESIRE.
CITY
" APPLICANT:
Ci ty of s,..'~"6GeTd ----....
-(" =:::::::::::::, ./
By.:....\_ ~\'-^~
Contractor ~~ ~ ~~
Business Name
Building Official
Address 3~ 1?1!WlH 1b1.uT6-~.
CC Registration # ','}&4-'7CJ
LAND/PROPERTY O\INER(S)
I/YE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/YE UNDERSTAND
YHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE
LAND/PROPERTY OYNERS. I/YE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE
:::EME~>---~~ ~~
Address ~~ ~~_ ~ ~ ~
~ \ 6'R. <f7 tf-Dg
. F:EV;~\'/:[~ [;~ P.??r::C'VcD
~'):~:~':~['" j L~~.(___
U:!-E:~:O" ,"\\~"\~
~
CfFi~~ c;:- Ci7'/ ATTO;:-;:.~~r::\'
c~.:.~. _. ~':"::;r.~::::::-1::::L!)
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EXHIBIT A
Purpose
The purpose of this agreement is to allow 'certain d~elopment improvements to
occur prior to obtaining plan reviev approval from the Springfield Community
Services Division.
Scope
The use of this agreement shall be limited to certain one and tvo-family
dwellings not complex in nature as determined by the Building Official and
minor alterations or'modifications to existing commercial and industrial
buildings which are of a non-structural"type and do not adversely affect any
structural member of the building or any part of the building havi~g fire
resistant construction.
One and two-family dwelling plans for structures that are complex in nature that
have been prepared by an Oregon licensed architect or engineer and accompanied
by a letter of review'prepared by said architect or engineer, stating that the
submitted material is in compliance vith the One and Two-Family Q.'elling
Specialty Code, may be considered eligible fo~ this agreement.
The following items include but are not limited to certain conditions of
development identified as ineligible for this agreement:
a) development requiring site approval vhich has not been obtained;
b) new development located on land vith over six-percent slope;
c) lots having expansive (clay) soil;
d) 'development located within flood hazard areas;
e) development located vithin vetland areas;
f) pole buildings or other such type of structure that is not of conventionai
construction.
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EXHIBIT B
RequireB Inspections
To request an inspection, you must call 726-3769.
All inspections requested before 7:00 a.m. will be
Inspections requested after 7:00 a.m. will be made
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Temporary Electric
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This is a 24 hour recording.
made the same working day,
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the fo11ow~ng work day.
site - To be made after excavation, but prior to setting forms
Footing - After trenches are excavated
Foundation - After forms are erected but prior to concrete placement
Underfloor Plumbing - Prior to filling trench
Underf~oor Mechanica1 - Prior to insulation or decking
Post & Beam - Prior to floor insulation or decking
Underfloor Insulation - Prior to decking
Sanitary Sewer - Prior to filling trench
Storm Sewer - Prior to filling trench
Water Line - Prior to filling trench
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PUBLIC II'OnKS DEPARTMENT
/l.1}/tI,INIS 1 riAl/ON
[NGINEEh/NG D/\'IS/(lN
MAINTENANCE
2?5 Flrnl :;1,
SP'~}NG{jr UJ. (Iii' .
11'-" AP~'L1CA'f10;FOR~ SEC~ND D~IVEW~-Y '-~VERW;DTH DR"VEWA'y
I DATE:~ Oc.<... q(P
APPLICANT (PROPERTY OWNER): h.l:hJ..\"e 13, .l-k.wu:L<..
I ADDRESS OF PROPERTY FOR' DRIVEWAY PERI.lIT: looc:; 6[,& 1')V"eMava. ~~
I APPlICANrs TELEPHONE I~UMBER: ~~. ~17(...
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Please sketch the proposed drive\'Jay. Include the following applicable ilems: house or building. proposed
driveway. existing driveway, and street names. Include dimensions and measurements to plopcr1y lines, road
intersections and bordering driveways. (See attachment (or an example.)
~u- ~ f'li%M.<O..:
-:;;0' J. Yl \I'WJO. 'i Wi J. #\ ""^"'''\~
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ALL APPLICATIONS OUTSIDE THE CITY LIMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
G:WWTIlIJOUNDARY REOUIRE A lJINE COUNTY PERMIT.
Noie: The City of Springfield will not grant a second dfiveway per mil on an Arteria) or Collcctof Strccl.
II
/l.!lMIfI1/srr~ll1fn^,lf=fV~IfVFrrm\,r; (.r.n,?1 7::'(j..17!i.1 rAX {'in11 7.'lr..3r;.'1~
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1. Property type: Single f amil)' Residence _ OuptcK ~
Other_
2. The proposed driveway will lake access from which street
3. Tha disl~nce from lhe ~dge of the dlive-way to tho nc;ucst cower (mcasUfcd to lhe.cJrlJ fcturn) is
fcet. ...
"-<<.llhe second drivc'"Yay will give access to: garage_ carport_ side yard_ Other
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Ii . 6. V'JiU the propOsed park.ing I storage area create 3. vision obstfUdio.n to adjacent propec:ty driveways or.
to any vehicular movem~nt on a publ'ic street? (See vision clearance attachmentl
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S. The dislance from (he plOper1y line 10 the garage, carport, fence. wall. or olher, (where 1I1c vehicle"is
to be parked) is feel. . .
Approeant hereby agrees 10 mstan U.e requested driveway 10 C~y 01 Springfoeld standaros. The applicantlurUler
~grees,toJuVe ,.. of concrete in the sidewalk area (adjacent to the drivew.y)";and to pave the area behind Ule
~ck edge of the sidewalk. Of driveway apron. with a niU;imym depth ~f 3~ asphattiC concrete Of ,- of portland
cement concrete. The area behind the sidewalk shaD be paved a minimum of 18 feeL
The apprtCant agrees that it he/she does not pave the area behind the sidewalk wiU1in' 30 days of cutting the
curb opening, the City of Springfield has the authority to close tlle drive,^,'3Y access by removal of the cum cul
An incUm!d costs shan be assumed by the apprfCant and if unpaid. said cost shalt become a rten of the property.
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When this app6cation is approved by the City, the applicant must obtain a curbcut/drivcway permit from the
Public Works Department, Engineering Division.
Curbcu11 Drivewav Permil Fee
3. On 3n imp(oved street (existing curb): S10.00 plus S.tS per lineal foot of curb cut.
b. On an unimproved street (no curb): St2.00
c. On currently unimproved streets that are under construction: S12.00
,"w"rr ~0~ru~; ~..
APPROVED BY: \ ~ ~
'-"'" ([RAFflC DIVISION
- i~hl
DATE:
00\
.D/'TE:~(,...
BUILDING PERr~IT NO,:
9(~/~(09
,DATE:
TRA 9,1
AITACHMENT: Vision Clearance, Example 1:1
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