HomeMy WebLinkAboutPermit Building 1980-9-4
, ,
"
'.1 INSPECTION LINE....., ~I
726-3769 :z~ ':2 -,
, Job Address~~_b)
Legal Description 1:"t... ) :Z~/ /Y14? 1~<J3'--<5-o/ 'I
CITY OF SPRINGFIELD
COMBINATION APPLICATION/PERMIT
EIlERGY SOURCES; A _
Heat 6~
('later Heater 6 ~
~-, .J? . _
Range Q ~
Owner
Address
1Jm' , /Jl~,,'W0
fJ.O~~/a<'i
~ (J~
ValUE of Work: CJ
d..J S-O 0 D
Buil~inq Permit Info:
Family Residence With
/} el11 ode/
Phone
C;yg-J 7:2/
Construction Lender
, Address
DESIGN TEAr-1
Phone
(address)
(name)
(1 ics. no.)
OWt1-e/l.J
I :::::::", <
t :::;::; ~;---~~-----
i CONTRACTORS (name)
I
i General
I P1umbinq
I E1 ectri ca 1
s~
(address)
(lics. no.)
i
, ~1echanica1
PLUt1BI NG
NO. 'I FEE
Each single fixture
ELECTRICAL
CHARGE I NO, I
Residence of
FFE
r.HAR(;F NO,
SQ. FT.
Relocated building
(new fix. additional)
New circuits a1ts.
or extensions
S.F. Residence
(1 bath)
I Duplex (1 bath)
IAdditiona1 bath
'.idce.... s",'vi (;c
I
I
I
I
e,ach 'I
I
,
ISERVICES I
, I'
/TempOrary Construction I I
!Change in existing I r
residence
Imu1tifami1y, comm. or I
Industrial
10f amps.1
Cot1r'1./I ND. FEEDERS I
Sewer
I Storm Sewer
I
I
I
I
I
I
Install/alter/relocate I
distrib, feeders
10f amp~1
I
I
I
I
I
I
I I
TOTAL CHARGES I TOTAL CHARGES
, \>JHERE STATE LA\~ REQUIRES that the Electrical \~ork be done by an
shall not be va1i:] until the label has been signed by an Electrical
'J
INFORI1ATION UNt" 'I
726-3753
Sq. Ftq. /.1ain (01(0
~q. Ftg. Access.
Sq. Ftg. Other
~~e\~_Add)(!..l ter _Rep.
Fence Demo Change/Use
-Other - -
r
I
~
(X)
~
(V
Describe Work(i:e., Build Single
/l,ttached Garaoe)
5.~ ff~"
(expires)
(phone no.)
(expires)
(ohone no. )
MECHANICAL
FFF
r.HARGF i
I
furnace/burner to
BTU's
Floor furnace
and vent
I Reces sed wa 11
Space heater and vpnt
I
I Apo1 i ance vent
separate
I Stationary evap.
cooler
Vent fan with
sino1e duct
I Vent system apart from I
, heating or A.C.
I Mechani ca 1 exhaust
hood and duct
I \'Iood stove/heater
I
I
I
;
i
I
I
I
I
I
ISSUANCE OF PFRr1IT
TOTAL CHARGES
E1~ctrica1 Contractor, the ,electrical portion of this permit
Supervisor and returned to the Building Division
.
'r-'
I HAVE CAREFULLY EXNlINED the completed app1 ication for permit, 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 OCCUPAr~CY will be made
of any structure without the permission of the Building Division. I further certify that my registration ~/ith the Builder's
Board is in full force and effect as required by ORS 701.055, that if exempt the basis for exemption is noted hereon, and that
only subcontractors and employees who are in como1iance with ORS 701.055 will be used on this project.
NAME(p1ease print)
S I Grill TURE
FOR OFFICE USE ONLY ,
Zone 1<'- /
Fire Zo~e
Flood Plain
Tyoe/Const. .~ ~
Bedrooms ::z
Stories I
Uni ts /
Occy Load
Occy Group R' "3
So. Ftc], r1~in~9D
Sq. Ftg. Access
Sq. Ftg. Other
BUILDING PER~1IT
Charges and
Surcharges
1 Plan Ck.
65%/Blda
I Plan Ck.
30%/B1do
I Fence
I D!;!mo
_ ___ __ ___ __-'Sidewalk
I A/C Paving
I Curb Cut
~-----------I
;'\\~-'li
,
z;b~ 6;"
-I-~~,>
Comm/Ind
Per Fee
Res
Per Fee
7. ;ZO
----~~~~-~-
. ~b
PLUl1BING PERMIT
Charges and
Surcharges
ELECTRICAL PERr~IT
Cha rges and
Surcharges
MECHANICAL PERMIT
Charges and
Surcharges
DATE
x
x
Value "'=' ~~. Core.'
Value
Value
x
TOTAL VALUATION ::<5'"~ 0<<::>
Isystems Development I
Charge (1.5%) ,
I I
I
,
I
I
P/QI"J tt::.~eti-K
Ife-.e ~t:.Je
7,210
q9.9~
~"I
~7""-'" ?
w ..... . ......
Total 'Comb. Permit
I TOTAL
",....,.,.,.
'" .
.t- '
.) '--
I. Applicant to furnish
A. Job Address
B. Legal Description
1. example- Tax Lot 100, Lane County Map Reference
17 03 43
2, example- Lot 1. Block 3, 2nd Addition to
Springfield Estates
C. Name, etc. of owner and' construction lender
D. Energy Sources
'1. example- heat/electrical ceiling/or forced air gas
2. example- waterheater/electricalJor solar
E. Square footage or valuation, etc.
1. example- 1250 sq. foot house, 500 sq. foot garage
2. example- if new project, checknew - if addition,
check add, etc. ,
F. Building permit information:
1. example - construct single family house with an
attach~d Q~r&ae '
2. example -"remodel existing gll,r'age into famny roam
3. example - convert single family residence into
restaurant (change of use)
G. Value of work as defined in Section 30~(a) ~f the
Structural Specialty Code
H. DESIGN TEAM, AND CONTRACTORS '
To avoid design or construction delays, Building
Division Staff must be able to contact appropriate
.. pe,'sonsregard'ing design information or-johsite
, -', correct'i ons, etc' ,
11>- Abbreviated Plumb';ng, Mechailical, & E'lectrical Schedules
A~ Except where blank spaces occur in the description
portion ot' the t~echanical and Electrical Schedules,
the applicant neEd fill-in only the No. Boxe~ adjacent
to the appropriate itcm(s) to be installed
B. Full Plumbing, Mechanical, and Electrical Schedules
are available at the Building Di~ision ~.
1. To conserve space oh the permit form the schedules
have been abbreviated "
2. Ifcthe item(s) to be installed are not covered on
the abbreviated schedules you should consult the
~ full schedules
}, ~, . I;, BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND
~{,~'.:iJt . CHARGES ON THE SCHEDULES
%<?;~." U. P.s noted on the CAP, the 1 abe 1 must be deli vered to the
~!i::~,::'~ ;"" E'),,~ctr~c,al contractor for signature by his electrical
"~',J;'ll'~ ::.z;:r':\, ~,uperv1 sor. The genera 1 contractor is ,not authori zed
.", .~...., ,...v,';":"\.t'~ t' th 1 t' 1 1 b l' . '* ,..~.
.. '.'c-fI :'c;\t.:'*-~,. J, _ .0 . S 1 gn ~ e ec, r 1, c,a " a e .' .. ,_ _ _~ _,
1...:1 ~ -t\iJFn-rl:-arl'c-ccr-S'"i'gn' rl..;'lo-aate r..'"i~" - .,
Whenever possible, the initial application w{ll be used as
a wo~ksheet only. Where possible, Building Divi~ion Staff
will prepare a type written copy and return it to the
applicant at the time the .actual permit is issued for his
sigilature. ' '
IV. Fees and Charges
Plan check fees are due and payable at the time of the
application, and no plahs will be processed until these
fees are paid, All 'other fees and charges are due and
payable when the permit is issued.
I
j
COMBINATION APPLICATION/PERMIT (CAP)
PERMIT VALIDATION
/
:
i~
,~
:;1
Ii
I
~
.~
~A
"
, ~~
,
J
I
. ~-
f
~ .
.
'..i"
"
"~_ ~ ~"'.~~':~~4~~~~~~ __~~ __' _.__ _
...- ~: .J \., . ~...;J
i
~
;
,
~
~
I
~
i
~
,
.
,;
~
.
~
~
.
V.
FOR OFFICE USE ONLY
Permit Cl erk
'.
~
!
L
~
~
J
~
'.
~
~
'.
I
~
:~
1
t
i
, '
PROJECT CONDITIONS TO BE SATISFIED BEFORE 'OCCUPANCY:
i'l
-4' --,-
.}l1
-"
Permit applicant exempt from registration with the Builder's Board because:
j
.
j
i
I
;;
~
Additional Project Information:
,i
~
PLANS REVIEWED BY:
. ,
H~~"? Signa~Ure~-- ~c=.....
, J ~ ~
date ~q-BC>
name
~,,~,.;;~
........
I &>fi3N'CF
~:,,'J:'f~"'" '1"'~',r:i!'I' '->.\~;1'..~~<:,"~';:~":~ij.~"
INSPECTION PROCEDURES FOR THE r -Y OF SPRINGFIELD
BUILDING DIVISION 3~_ MAIN STREET
INSPECTIONS 726-;3};69 HJFORr.1ATION 726-3753
I The follclIVing indi'cated inspections are required for your construction at
%~;Z ~ : J' '5/~t!?iEir " , ',"\ ":'~ '~; It is the res pon sib i 1 i ty
of the per~it holder to see that all inspections are made at the proper time,
that each address is readable from the street, and that the permit card is
1 oca ted a t the front of the property. ._
nl.
SITE INSPECTION: To be made after
excavation, but prior to setup of
forms
n 2.
UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: ,To be made before any
work is covered.
n 3.
FOOTINGS & FOUNDATION: To be made
after trenches are excavated and
forms are erected, but prior to
pouring concrete.,
n
ns.
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation'
of floor insulation or decking.
n 6. POST & BEM1: To be made prior to
installation of floor insulation
or decking.
r.Kl 7.
ROUGH PLU11BING, ELECTRICAL &
MECHA~ICAL: No work is to b~
covered until these inspections
have been made and approved.
n 8. FIREPLACE: Prior to placing
facing materials.
n9.
fXh 0'.
FIRE & SEPARATION WALL: Located
& constructed according to plans.
INSULA TION / VAPOR BARRI ER I NSPECTI m~:
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum ,board or
wall covering is applied, and before
any insulation is concealed.
~ FINAL PLUMBING
t X I FINAL ELECTRI CAL
rxl11.
FRAMING INSPECTION: Must be requested
after approval of rough plumbing, elec-
trical & mechanical. All roofinq,
bracing & chimneys, etc. must be com-
pleted. No work is to be concealed
until this inspection has been made and
approved.
~12. DRYWALL INSPECTION: To be made after
all drywall is in place, but prior to
any taping.
SEt~ER, WATER & DRAINAGE. LINES:'
Prior to filling in trenches.
SIDEWALK & DRIVEWAY: Required for all
concrete paving within street right-
of-way; to be made after ill excavat-
i ng comp Tete & form wo rk & sub-base
material in place.
n 15. WOODSTOVES: After i nsta 11 ati on is
completed.
n16.
~
! i17.
SPECIAL INSPECTIONS: When requi red by
the Building Code, special inspector to
be present when work is in proqress. A
copy of the special testing report to ,
be furnished to the Building Division.':
"
~
Structural Concrete: In excess of 3000
P. S. I.
Structural Welds: Performed on the job
Gl u-Lam Beams: Inspectioncertifi cate
(by approved agency) supplied to Build-
ing Division before beams are placed.
Fire Retqrdant Roofing: Before instal-
l ation.
L.J
:-'
;-')
OTHER INSPECTIONS: May be required in
accordance with Building Code, to be
indicated in plans or by notice frOm
Building Inspector.
r I FINAL MECHANICAL r-l FINAL FIRE DEPT.
-
'All project conditions, such as the installation of street trees, completion of the
required landscaping, etc., must be staisfied before the 8UILf)I:'~G FINAL can be requested.
~ FINAL BUILDING
The Final Building Inspection must be requested after the Final Plumbing, Electrical and
Mechanical InpsectiDns have been made and approved. No occupancy of the premises can
be made until the Final Building Inspection hasllilD..e~~If1)~d~O'1nji"iWProv~.9,~,and a ,CERTIFI-
CATE OF OCCUPANCY HAS BEE~J ISSUED BY THE B~k~~~/~~ ~~O~~~~f1 ~9?T~~4 ~~~~J~~nf.R~E~lI~ES.
Name of permit holder 'JOrro.&uvlGlWT,(8.JIJ;nq'(j3'Ph'bn;~F~~,'.:i~:,Zi':', " ,
.. ,,;, -::0."; t ~',j ,I I
Date
...... ,,...._,..
n13.
4. MASONRY WALLS: Steel location, bond
beams, grouting, or verticals in ac- n
cordance with U.B.C. Section 2415. ,14.
Signature
~''<II .... .,,, . - "
BUILDING DIVISION APPROVED PLANS SHALL RErQfl,.T'N....OrJlll'l'1f--BeH.!::.DING SITE AT ALL -rJ:M[SJ~ AND 'ALL
WORK r~UST BE CO[~PLETED I N ACCORDANCE t~ITH-r.li1<OS.r;; yfl:P.J?R0.YJD",PM\fJS <:' '::13 .'M3G ,W:.. '
NOTE: All manholes and cleanouts are to '6e-~dj~tect'aT"'rioc'ost to the ci'tY~,~3tL'O~;
/'
t'"
, I '/f.'~ '-t:j~tt'f\,:r-,,,,v,,oVCV\
I II, ,1 -,'- " . , I ~ -L I I,~ I I..
~ '\, ~..:' ;, :~~~~l~'":i5:' il /;,/;/: I LcwtlJ'1 i
"" 3~' Ofl(k'-:.3~ ,,', , '~,l"r:-, _> I {{), " i ~ '/" t "
l,' 'l) """H - 0' " w.'~;''f!'...''t ~ '--1 ,.- _- , b <./) ,,-' ,
":POIl,,.; ~ DOO'(<.. >~;,":":': '~"",'. I'. I '.-;.'" . ~ \.. -I "I (,L:-:
. ," --., I"'~"" ." ," :. ",'- ilJ I", 'm' 'tIJ...., , .' T';{ t.'R I S:T()~)'f)G-E"
_/Ie; ";,.' I' ,,; '0,\,;,_,'" r~~'" ,-, :'..:.';~)L,_^.
,'>, , \, "..,. . '.f'," 'G, I'~' --:- rc.. , _ ,
''"X,' , .-' :, r::~~1 1P' 3G> (:" '" '~, 1_ 'liP\~," ," ,
I , , "'/."', ' " v' dl.lGl r' fS,~' t)v- ' . ,\
--"I. '" ,,' ':, ,:', :'; \". :," J"'..t;:~' "AI ,'LL, L21~' ,.,' ....:. I 0 . ;l. I I ( :"",., +-, . .
': ,; .,"'" I I,'~ ,: J :,:,,'1'; ,,', -=- ,~~I/ '----7~ '-PI .'"
,', --=r'iO;~Il. :.:,'" .:'~.:'\,OJ:'_,1l '~:";'cI~or;I-1/IT." <'., , ,.,...'
" ' ., ( ,'d:',", ,.~ ',- " '.j' '() " ",', , ' '.', '1\, . ',' "
6:~ 1. J'....~~~;.,I," i., ,... ,f.,~,.__ <','j"';:' .;' , It. g'" ".;."~ ,: /~~/ '; '~" ,:1: ,
.. ':';':(io~~er;:.,:<:~, ,i"",:/:<~,:I?l""t;"!0 ' ../,"".,': .', " '. ': c,! .
i " ' , "" '., i ' >:::i:--'" \:,::':' ':,c' ':~:A, 'Bi'!E~''kP!.P "CHlhlfllCY . ,"
": "",.:, if-" SOIc..6L .. -4
"i I:': , " -+ l::.: I ' .".,'., '..~.d,. "
.'11. ";"<" '~"; '.' ~/ I flu .,::,
, ' :;. ,';,';,, ' :'u<<~ born'"
~;, ,', -."C --LjXI('. i ;"4r F~~ 1/ ....:..';~:', , /3 I . ,;"
, , .. '{ WIIJIDO W, .
" "', f," I ,.(; ,..:,' " , .' . e. .,:-: I I ,:_
' - 'f' '. C ": ",:M'D'''; . <:e, , . ,. . I "/).' " ,
: . If x.3' '"....... 1>""'\' "k ~: .'. ,.'" . 3 ,I ':o~ h,':J C e&. e ~ T
',.. '. .' ".,.;'.. ";( ,- ,... -' .., ." ' ,: ,::]>1 Wi'lL k .
" , ',,:-fJ' , /l,,"'nrw,' WI'" ';1 cl ; ,n C..!~J,v; q" "1 e L/..~' ~,I,. t!C';"~ tJc., .. ".' ':, ',.. I ~.~ I " ,'. ',:',:.' ~' ;.
l/ V . , , "', .3 ~o ,
- '1JII.iv'/ntlow~ a.;re.' alul?J ;'s//Jer . . ,';C,'
',.:'; ','(eXCi?pt'b.~tA -:'16t)tle.rt,~,:) ',: ,:<'" " ,," "
,:,,:,,',:,.;:-Fr()/I "'),; h sulC(I /'O'~:':(6/own'!h"':().1Ii C,.)'" ,'("';;
~,:f!edf: :Zirlr'b; ,;.; ,;('.fe: /a>O~.lv 9;~~ :ei, ';;:~>
, ., i:;;,tri; ~ p'A1"7Ii:: ~:E ;" >/':,,;', "'.~;'r-
';'/;,7/" C~hfT.':/s,lii~;Qn :/(."'</_", .,:..',..' ,,:
Wil()t.Js~:&so n, /'0 / /ro~ ~ Jt~)I" ~:_" .';" '
":" '.'..' .(ex<~jCt slo{r:Qj e ,hy,ob/'~IWJ1IcJ1
"'~"l,:",,.)<,:IS"~,DY\:;/)<? !.f.''': ~1c)c.k~ 8"'X 8'1 ,) ,,"
S"idl'~', :::<,~ 's ',; 5 ro;'joe', sh~ ke _ '< ,,'
. ~. J
,~
'-, i\...) -1'\ ~
-t-O' I f -I
'"../ ,
'" !AJIN~'DOWt:.. "
301
!;~u
, . ~~
<'?~;i;p~
.)
I
'~
-.,/'
.; "
\, ,
, '-to
: J '
" ~ .;:
'j I
':- , .< x..2. .. . "
,(, WI" v.1C>\ooV "
3'(),':~"- (~au~ered ) .
"., .
" ,:/'::i:,;:;"
, "",
~~ ~~
.c
;\ .'.,
".: "'.
,
, t/1x.3
" wmo6l.v 'i
.g X 8' I1l3e~m ,
I. ,
S (J}OfJ (iriS 0 IDe n
(:~I~:;I ;;)
'.
\~ ~:
.?~:
: '.'
. ':;:..
~ . ,~,'
:' ,.,
~ " ,
"
'~. .
.... .
,~ . '. . ';
, i:,":'-
'.~ ., . J:r;. ":.
. ,'?7J~j,/, i;_Sn-t'et-,,<
.... . ) Sj2lj.~;/~/fl1~p 'U.f2Z~
"
y,
'. I ","1,'
'",
. ;~. '.' ,
~....
",' .
1'" ;:'.".,; .
,- . t.'
'f.~ '
,t,_ .
........ -,'
". ;.
K4iN ~4;PKA~M
'"2(;;:a 'I ../ :) r .
'8.1? ~ 8~S~c
-
r~ CONTE~!T) F
AlTERATi0W
PARTMEi'J ,',
Oaie i'~ec,
FIRE DEi-'!
~NGR. DEPT,
iLDG. DEPT
'm"",,,..,
i:i 't "
::, 1RINGFIELO. ORcGOr~
'E BEEN REVIEWED AND APPROVED. WlfH AN'
". COLORED ~NCll, BY THE SEVERAL C'T.,' ")f
........................................................
................................................- ['t'
LJ .............................. .............. ~:
- te ...................,..................... ..
t '..........,..,......, ,.....
')\
-"":f
J.(
;
TNSPECTION PROCEDURES FOR THE r Y OF SPRINGFIELD
BU1LDING DIVISION, 34~ MAIN STREET
INSPECTIONS 726-3769 HIFORr'lATION 726-3753'
.'
J
Th~ following indicated inspections are required for your crinstruction at
-Zt:!;Z4 ~/'~71?f!:?I.:; '.. It is the responsibility
of the permit holder to see that all inspections are made at the proper time,
that eaCh address is readable from the street, and that the permit card is
located at the front of the property.
nl.
SITE INSPECTION: To be made after
excavation, but prior to setup of
forms
rxl11.
n 2.
UNDERSLAB PLUMBING, ELECTRICAL &
MECHANICAL: ,To be made before any
work is covered.
n3.
FOOTINGS & FOUNDATION: To be made
after trenches are excavated and
forms are erected~ but prior to
pouring concrete.
n n13.
4. MASONRY WALLS: Steel location, bond
beams, grouting, or verticals in ac- n
cordance with U.B.C. Section 2415. ' ,14.
SEWER, WATER & DRAINAGE LINES:
Prior to filling in trenches.
,n5.
UNDERFLOOR PLUMBING & MECHANICAL:
To be made prior to installation'
of floor insulation or decking.
n 6. POST & BEM1: To be made prior to
installation of flpor jnsulation
or decking.
SIDEWALK & DRIVEWAY: Required for all
concrete paving within street right-
of-way; to be made after all excavat-
ing complete & form work & sub-base
material in place.
n15. t400DSTOVES: After installation is
completed.
n 16. SPECIAL INSPECTIONS: 11hen requi red by
the Building Code, special inspector to
be present when work is in proqress. A
copy of the special testinq report to
be furnished to the Buildinq Oivision.
'r><1 7.
r--!
~
Structural Concrete: In excess of 3000
P. S. 1.
Structural Welds: Performed on the job
Gl u-Lam Beams: Inspection cert ifi cate
(by approved agency) supplied to Build-
ing Division before beams are placed.
Fire Retardant Roofing: Before instal-
lation.
n9.
rXh 0'.
FIRE & SEPARATION WALL: Located
& constructed according to plans.
LJ
~
-
INSULATION/ VAPOR BARRIER INSPECTION:
To be made after all insulation and
required vapor barriers are in place
but before any lath, gypsum board or
wall coverlng is applied, and before
any insulation ts concealed.
;--)
"---'
r-:)
! i17.
OTHER INSPECTIONS: May be required in
accordance with Building Code, to be
indicated in plans or by notice fro~
Building Inspector. '
U FINAL PLUMBING
r xl FINAL ELECTRI CAL ,r 1 FINAL ~1ECHANICAL n FINAL FIRE DEPT.
All project conditions, such as the installation of street trees, completion of the
required landscaping, etc., must be staisfied before the BUILIJPJG FINALcan be requested.
~ FINAL BUILDING
The Final Building Inspection must be requested after the Final Plumbing, Electrical and
Mechanical Inpsections have been made and approved. No occupancy of the premises can
be made until the Final Building Inspection has been made and approved, and a CERTIFI-
CATE OF OCCUPANCY HAS BEE~ ISSUED BY THE BUILDING DIVISION AND POSTED ON THE PREMISES.
Name of permit holder
Phone
, Signature
Date
BUILDING DIVISION APPROVED PLANS SHALL REMAIN ON THE BUILDING SITE AT ALL TIMES, AND ALL
WORK MUST BE COMPLETEQ IN ACCORDANCE WITH THOSE APPROVED PLANS
NOTE: All manholes and cleanouts are tQ be adjusted at no cost to the City.
~
I'~ ' '~
ItJ I N',l)o UJ~, .' '. I
..: d '
~ "
I I 'l" t
'~3~1 oncl<' .'\ ~~' 4
pOflR' SHGO
DoO~
~ I
"
, I
- , ,
. '.( x.2.
t. II WI II IQDc.U : '
30.'~/- (/()()i.;NeJ. ) ,
~
~ '/0' ~A
S~7'
" > S I ,'~ e r
lOO()~
'" 1)(3 I
W/I1 tl 0 r..v
f
"1 'x '-/ '
'. Wi IJ/Do <<;JJ
;l(i'., .', .
~ '<d lAJ''106c.v
, eP'f1.. ~,J( 'I '
t>
- I" ~ " I
1/::; ~ ' Will bl> 'V
I:~/'; :
. .
~t-~,.. ;....,~.f -
· fJl1nelAiW/~~J~q ; nclvJ'M'" ew Ie. " ' ,
"" " , ",v '-I,' e C r c:; tJc.. ~
811. ,;rwl..J'}d(!),"w.5:~~ ;q 1'10 ~h,~ . I'"
':', '., .~": " . ~ ~" ..,.." Sf!Qfr
, ,'s~:(efc.~et ~tttA, - /lJvC(~rec/) ,
r::~/, '~rsol(jho~ (61o'fn /;..a-t!;,)
pear bee/room 'f lalJPlrl~x '" i<;:e
_1,/,;, I II .... .'
. q, <.I fl fl of' a 7 ! :,'.'~ ,~.
: . , i j~:;' ,,', :~~ '
IlII C T.. , ,." "" /I,/.
"', ',' ::- _; O)7,;S . .I $' ;;J.,-r 1./ ,! ,~J1 ~ '(e, ~
j-/()Os~. /s on .... ful/ fd~;:';;'~IJ(J:v.
, (exC;,-ff01 stor,o.j e :$h~~~IWh/(:,A
,", IS, ,Dr\., _ ;0 1'f!'Y' I:/Mi.ki: ~x 8" ) I
SiJ(n, ,'IS 3Y'O,fO-e> Shtlke- '
. ';1 ,
.1,'
/~ '
i .
\J'
V
II /I
h,g X 8' l3eam
, ,
s U jOP orTS 0 'Pe 11
C et'l,y;~ '
(srClV\ /I')
...;..... ~'l. : '..-... ,', ~ 4;-t1 '-em r"nr .v.>CIIf' ",.Iri
,_'t 1L./'/J'1 + .LClUtl~N' I ~,
-... ,...>:-- I; '," I
I b' m <<", ---'- S0"-
I .$.', '~ _s_Tdir8G-E
.. ~,< ~ 12I~4 .~~tl ~/, .,1f.r..'f;~~ +, --.q.
- '8" , Pf ~
g' -/1 ,,>*\1"'r .~ K/f.~
. I '-.. I~~"
I.' iV(1, "
Y I - n
~' 'JEff!!?"'{c" ow C/llh'lI'fl€'1
,..; I lJ' S CJ1c.G '-_-
~/
.;iJ-;
.~
,)/(),
.. i/~ II ' I< fJOm .
,~ / >-~ ,/3' p
. III ~ II J/: J,
~ 8Ep\ .~*~ i ; "
.3 t :,00 .
"1 i"~ htl1!J Cemei'lT
" ,- .....i WAt..l<
~ ;J
.3 ~II I
,;;Z&;)f J. STre-e r
'.5fW1J:rfi.f>ILJ1~ i7f' 7.L
,'"
'1;
'"
:....
. ~
..
KEN M"~I< IJ.A-^'"
~~ Y j 5'"=
"B.-,=!Q:: S~80<
-:.
,;1 i ....' u; .J ":I\Jl.:irlcLU, UHI:;GUN
'i-{E CONTENTS HER~:OF VY,.: ~EEN REVIEWED AND APPROVED, WITH AN"
i\Ll ERATlONS INDICATED I.. CuLOkED PENCil, BY THE SEVERAL CITY Of
PARTMENTS AS !~;iT!;\I.;:~
Dale Received .,
:I~E DEPT. CHtL
~~..o/.::.8!f?.........,.z:....._--
....................................... By _...
:.i'!GR. DEPT. CHECKED: !.iul~ ............................. ............... By' .......
IlOG. DEPT. CMtCKEO. Date ..2::y:':S~............... BY~-
""f< WI" 'Hn,," tn r
- -.. ~. -