12512 SW GAARDE STREET 1
CURVE 19
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84e K- NORTHWEST NATURAL
GAS EASEMENT
3 N 88'14'40' W
o �
V „ 03 —REVISED SETBACKS PER CLIENT,
o
b �� 5/15/97 MSG,
1` ' N 88'1440" W u, 3729, {J --REVISED SETBACKS PER CLIENT,
Z' 197.29' CV 5%15/97 MSG.
1:4- . o --FOOTPRIINT CONFIRMED PER CLIENT,
f►8 5/13/97 MSG.
� yr
P. n. SCALE DRAWING LOT 58 EAGLE POINTE
Wf.4-r �,,, #A. N.W. 1 4 SEC. 10,T.2S,R.1 W, W.M.
b aro 60+5 TAk t..o r" g 2.Go
CITY OF TIGARD
--VEHICULAR ACCESS TO LOT 58 SHALL 8E RESTRICTED WASHINGTON COUNTI�', OREGON
TO CURVE 79 ALONG S.W. GA.ARDE STREET UNLESS
OTHERWISE 'APPROVED BY THE CITY OF TIGARD. MAY 13, 1997
-- Centerline C o n cei s Inc .AN EIGHT FOOT PUBLIC UTILITY EASEMENT DRAWN BY: MSG CHECKED BY: WGDIII p
SHALL EXIST ALONG ALL STREET FRONTAGE.
SCALE 1 "=20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027
, M: \MU\PLAT\EAGLEPO\L58EP 503 650-0188 fax 503 650-0189
E. IF ,INT OR TYPE ON ANY I I III I I I + ( III I ( l q lit I L I I I 1 1IIIIT�F I It TIr . .r- Ti HE Pi-. I f i I I I I I I I I I f I I I I I I f I T "C �T T ^ T � _I- 1 T1 i . .I' �-I ( I 1 ..rI I I -f I� I I .I I I f ► I IIC .- T.. I f- .( { T 1 i T (. T_ - 1 ...r -.(. I !i � 1 �1 � 1 1 T �T 1 I I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 � I � � II
- -- --- -- ---- --- --- __. 6 8 9 1Q 11 12
IT IS DUE TO THE QUALITY OF THE -- — - -� —
ORIGINAL DOCUMENTNo.36
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12512 SW GAARDE STREET
CITE' OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Rcyucsted: ' r `�' _l A.M. JP M. ,� MST:
Location:
�
.1 enant: / Suite: Bldg: MEC: --
Contractor:—44 Phone: PLM: —
c miev Phone ELC:
_ srl•:
BUILDING BL' on't) PLUMBING CHAN[CAI ELECTRICAL SITE
Site ' orm Post/team
Cover/SeTvic:e Sewer/Sterrn
I H,ting Roof Undl l/Slab Rough-In Ceiling Water line
Mal) I raining 'fop Out Gas Line Rough-In UCY Sprinkler
Foundation Insulation Sewer I IMUlluct Reconnect Vou)t
lismt Damp Drvwall Storni Fumace Temp Smice MISC.
Masonry Ceiling Rain Ihain AX UG Slab
Shaer/Sheath I-ire S k)r/Alm Cruwl/Found Ili I leaf Pump I,ow Volt
r Approved ppmve Approved Approved
Appy/tidwlk oved n)t Approved o pproved Not Approved Not Approval
FINAL FINAL ------ INA FINAL FINAL
-------------
C1 Call for rein. Reinspection fee of S_ required before next inspc--tion r'1 1 moble to in�lkct
Inspector:__ � '
CITY GF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd,,Tigard,OR 97223 (503)639.4171 ELECTRICAL ENERGY PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97-0276
DATE ISSUED: 09/26/97
PARCEL: 25104DD--06200
SITE ADDRESS. . . : 125112 SW GAARDE ST
SUBDIVISION. . . . :EAGLE POINTE ZONING: R--4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :058 JURISDICTN:
Project Description : Add audio and stereo system to a single family dwelling.
--------------
R. RESIDENTIAL— P.
AUDIO & STEREO. . . : X AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILE:R. . . . . . . . . . . LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . .
HVAC;. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : nUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUME:NTATION. : OTHER. . :
TOTAL. # OF SYSTEMS: 0
Owner: ---- --_._..___. - -------- ---- -- — -- - - ---- ------- ---- FEES -----------------
RJ WARNER type amo+.int by date recpt
PO BOX 661 PRMT f 40. 00 GEO 09/26/97 97-299599
WEST I__I NN OR 97068 SPCT f 2. 00 GEO 09/26/97 97-299599
Phone #: 650-6055
Contractor: -.__-_.____.__ ___-__—.....---_..---.-.-----.---.._._----•-------------._._.___.-----------------._.___.__
N W SONY ONLY f 42. 00 TOTAL
1610 NW. GL.I SAN
------ REOUIRED INSPECTIONS -------
PORTLAND OR `37c:0'3 Ceiling Cover Low Voltage InsP
Phone #: 294-9079 Wall Cover Elect' l Final
Req #. . : 006713
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 198
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Dregen IR ility Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-01-8888. You may obtain copies of
these rules or dir qu ps to OIX at 15831246-1987. /
I - site d bye � ��G L Permittee S i g n a t l.t r
INSTALLATION ONLY----------------------------- - --
The
----------_------------------- - __The installation is being made on property I own which is not intended for
sale, lease, or, rent.
OWNER' S SIGNATURE: —� _—._— DATE:
---CONTRACTOR INSTALLATION ONLY -- --- -------- -- — -- ----- --
I CNATURE OF SUPR. ELEC' N: _ _ _ DATE:
l I CENSE NO:
+ -F+++++++++-+++++++++i-+++++++++-F++++++++++i++++++++++++++++++++++++++++++ f+++f+++
Call 639--4175 by 6:00 P. M. fat-, an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f++++++++++++++•h+++++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
131251 5W Hall Blvd.
Tigard,OR 97223 PERMIT#
*r Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_ _
TDD No. (503)684-2772 —
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SF-CTlONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Arldy-%s RESIDENTIAL—Restricted Energy Fee . . . . . . . . . $40.00
��VAv,/ 61,4 y (FOR ALL SYSTEMS)
City - State Zip Check Type of Work Involved:
IPERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems
S NOT STARTED WITHIN 180 RAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑
2. CONTRACTOR APPLICATION garage Door Opener'
�e�x� ❑ Beating,Ventilation and Air Conditioning System*
Contractor WIV—11 - CI,�j Type 4a, p�+ ❑ Vacuum Systems'
–�/ T ❑ ether
Address.. /�i/d _ _u. rf'.t ✓—__ --- --
y1'? �7 COMMERCIAL—Fee for each system . .
- -
(SEE OAR 918-260-260)
Property Owner
-- Check Tvyc�Work Involved:
Contractor's Board Reg. No._,L� ❑ Audio and Stereo Systems
❑ Boiler Controls
Rhone# -,V ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ 1 ire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address --- — 1:1Intercom and Paging Systems
❑ I andscape Irrigation Control'
I
City State tip ❑ Medical
This permit is issued under OAR 918.320-370.This applicant agues to make only ❑ Norse Calls
restricted energy inst llatiom(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following:
1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ ()Ther
asterisks(•).All others need licensing). -
2. Call for an Inspection when all of the installations under this permit are ready
for inspection at 503.639-4175. 0 Number of Systems
1. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all otter installations.
4 Assur•ie responsibility for assuring that all corrections required by the inspector
are dome,and
5. Assume responsibility for calling for a final Inspection when all of the S. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Lnter Fees $ / le)
authorized hind the applicant.
b. 5%Surcharge(.05 x total above) $__7
Si Gti
TOTAL $^
Authority if other than applicant
ENERGAP.CHP
CITY GF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-0201
13125 SIN Hall Blvd., Tigard,OR 97223 (502)639-4171 DATE ISSUED: 06/ 11/97
PARCEL: `S 104 DD--06200
'_])I l E ADDRESS. . . : 12512 SW GAARDE ST
SLIDD I V I S I ON. . . . :EAGLE POINTE ZONING: R-4. PD
SLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :17158JI..IRISDICT'IUIV:
Remarks: SF - Path I.
--------------- BUILDING ---------------------------------------------------------------
REISSUE: Y --r-- --------
STORIES.......: -
2 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACM.S---- REQUIRED-----------
CLASS OF WORK.:NEW HEIGHT........: 27 FIRST....: 1308 sf GARAGE.....: 168 sf LEFT..........: 20 SMOKE DETECTRS: 'r
TYPE Of USE...:SF FLOOR LOAD....: 40 SECOND...: 1641 sf FR04T.........: 31 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 10
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------ 2949 sf VALUE..1: 210866 REAR..........: 43
------ PLUMBING -------------------------------------------------•----_--------
SINNS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 DISHWA5HERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: r CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-- MECHANICAL -------------------------------------------------------------
FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
GAS FURN )=100K ..: I UNIT HEATERS..: 0 HOODS.........: 1 OTHER LIN FIS...: 1
MAW INP.: 0 BTU F[GOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
—---_-----------------•--------------------
---------------- FLECTPTCAL -----------------------------------_----------------------------
RESIDENTIAL UNIT--- ---SERV]CE/FEE�,tR--- --TEMP SRVC/FEF.2ER5-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS—
ION SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA 1DD'L 50OSE.: 6 201 - 400 amp..: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 4Z1 - 69'A amp..: Q 401 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL./PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
10004 amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FL)R)=225 A.: ) 600 V NOMINAL: 01.5 AREA/SPC DEC:
---------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------•--------------------------
A. SV' RESIDENTIAL-------------- ------------ B. COMMERCIAL
I STEREO.: VACIl.M SYSTEM..: AUDIO tI STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUM'NTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: P
Owner: --------------------------- - ----Contractor: ------------------------------ TOTAL FEES:$ 3332.81
DODGE, RICH 6 JULIE RJ WARNER CONSTRUCTION
;:709 SW PLUM CT ROS J WARNER
PORTLAND OR 97219 PO BOX 661
WEST LINN OR 97068
Phore N: 246-S26 Phone N: 650-6055
Req C., 009570
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other-
applicable
therapplicable laws. All work will be done in accordance wit'i approved plans. This permit will ewpire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
-------------- REQUIRED INSPECTIONS --- ----- --- -- --- - -- -- -- --- ---
Erosion Contol Post/Beam Meehan Electrical :ervi Gas Line Insp Water Line Insp Building Final
Grading Inspecti Crawl Drain Electrical Ro,.,gh Gas Fireplace Appr/Sdwlk Insp
Footing Inso PLM/Underfloor Framing Insp insulation Insp Electrical Final
Foundation Insp Mechanical Insp Shear, Wall Insp Gyp Board Insp Mechanical Final
Post/Beam 5tr•uct Pluet Top Out Low Voltage Rain drain Insp Plumb Final _
f �
L='ermittee Signati_rr-e : 4� _�C l�f~'\ ` Iss1_1ed B"
Call for i,nsE3ectinn -_. 639-4175
CITY O F TI G,A R D SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : SWR 97-0183'
DOTFISSUED: 06/11/97
PARCEL : 2SI04.DD--06200
'3I TE ADDRE95. . . : 1251. - SW GAARDE ST
3UBDIVIGION. . . . :EAGLE POINTE ZONING: R-4. 5 PD
BLOCK,. . . . . . . . . . LOT. . . . . . . . . . . . . :058 JURISDICTION:
TENANT NAME. . . . . : RJ WARNER
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF WORT:. . . :NF_W DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL. TYPE. . . . :BUSWR TMPERV SURFACE: 0 sf
Remar-ks : SF - Path I
Ownet-: FEES
PJ WARNER type Amoont by date r-ecpt
PO BGX 661 PRMT $ PPO 0- 00 B 06/11/97 97-2'95719
WEST LINN OR 97068 INSP $ 715. 00 B 06,111 /97 97--29571'.)
Phone #:
Contt-artov-: -----------------------------
OWNER
---------------------
Phone #: $ 2235. 00 TOTAL
fa ca
q ------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 180 days from
1,he data issued. The total amount paid will be forfeited if the
weit expires. The Agency does not guarantee the accuracy of the
Side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, tha installer shall purchase
,i "Tap and Side Sewer" Permit and the Agency will install a lateral. ......
Per-mittee S1 rat QV'e
Issi.ted BY : A
Call for inspection — 639- 4175
Plan Check 11111", ►No
TY OF TIGARU Residential Building Permit Application Recd By
3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd ZD 1_7
'GARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
503-*.394171 Date to DST S 7/
503-684-7297 Permit a e 1>►' rz, 1 o k�
Print or Type Called 6/(rI4 71 ; rlr
Incomplete or illegible applications will not be accepted
Name of Prolectee Nams
Job � E �-iF
ddressSite Address Architect Mat ng AddressS h w /�'�
/ O �E
Zs�2 G4� "tyrState Zip Phone
N e _
/Gly �ucic �trr D�- 72oy 21.r Q/s/
vner Mailing AddressNa
Z 70 KA, 1"4." Engineer Matl' Address
"tyrSta- - Zip Phone �
If y/ 2,/� � o .lLt
itylSlate Zip Phone
Name r*t 0 1/v 2S`!-60'=
neral to , f l/ "1, +✓L Describe work New Addition o Alteration O Repair O
,itractor "ling Address to he done
M
a ap,(i ((,/ Additional Description of Work:
C+ /State Zip Phone
Gr tiiv ori f7cit 49-60f y
OreWn Const. Cont. Board Lic.N Exp.Dato
ittach Copy or 9
Current COT Business Tax or Metro N Exp.Onto PROJECT �l U �jbb
License VALUATION /
Name NEW CONSTRUCTION ONLY:
Mechanical � � Sq. Ft. House: Sq. FL Gana e
Sub- Meiling Address
Contractor 14000 '✓c N fl', Comer Lot YES N� Flag Lot YES t�
CityrState zip Phone
-11 G / !t„tteCk one) (check one)
Oregon Const Cont. Board Lic.N Exp. Date Restricted Audio/Stereo Burglar
A.ttachCopy or /l yt -/2 5il Energy System Alarm
Current COT Business Tax or Metro a Exp Date Installation Garage Door HVAC
Licenses 17W - - Opener Systems
NifTe (check all that Other.
Plumbing apply)
Sub- Mailing Addiess Will the electrical subcontractor wire for all YES NO
Contractorrestricted energy installations?
C,ty;;;ate Zip
�,'0/ j �� Phone Has the Subdivision Plat recorded? N/A YES NO
"� 7"Yr. � -tf�1P _
Oregon Const.Cant Board Lica Exp Dae Reissue of MST# Solar Compliance
a each Copy or _ '�-/-f (Calculation Attached)
Current Plumping Lic a Exp Dae I hearby acknowledge that I have read this application, that the
l-censes 1 9 r/ S`///1 //-/ yinformation given is correct. that I am the owner or authorized
COT Business Tax or Metro a Exp Date agent of the owner. and that plans submitted are in compliance
-- �3/y 3_/-�� with Oregon State laws.
Name S; f Owner/Agent Date
Electrical �it.,�-�"r,/�rr7 � {/'__ /'( �
Sub- Mailing Address _ on ct Person � am,e Phone#
C ontractor fo. ARk /yt C, 7�- 1(1,s 0-6ms�
i:.ty Sate Z:p " I Phone FOR OFFICE USE ONLY:
_ G►� 97�v1 i Plat x: Map'fL;s':
Oregon Const Cant Board L;c a Exp Date i (f
trach Copy of 3 y Syy
Setbat:lX Zne. S lar.
Current E!ectncal Lic a Exp Date roll*
L.censes - Z c _ I /0- / `!7 Engineering Approval: Planning Approval: TIF:
CCT 8�"ness Tax or Metro a I Exp Date � , I r) �',
—._ _ "/" i
vWapp.doc last) 1/97
r., / ') I
ee,•mit # Account Descriq.tion Amount Amt. Pd. imbue
&J MST. Permit (BUILD) 71 ? S- 7/0,
Plumb. Permit (PLUMB) 2 ZS , `V )-di-
Mech.
-diMech. Permit (MECH) �'�' 6
tp
ELC/ELR Permit (ELPRMT)
State Tax (TAX) 0
Bldg:
Plumb: i
Mech: ?
ELClELR:
Plan Check
MST: (BUPPLN) ' --- 7-- -
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review (LANDUS)
x -4Sewer Connection (SWUSA)
Reimbursement District ( )
Sewer Inspection (SWINSP) S-
Parks Dev Charge (PKSDC) G)-5�► - _�LCc..._
Residential TIF (TIF-R) /.1/
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT) a j
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) 4
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
f t
TOTALS:
1AV p.aoc (dst) 1197
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
CERTIFICATE OF OCCUPANCY
CITY OF TIGARD PERMIT#: MST97-00201 —
DEVELOPMENT SERVICES DATE ISSUED: 6/11/97
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DD-06200
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 12512 SW GAARDE ST
SUBDIVISION: EAGLE POINTE
BLOCK: LOT:058
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: SF - Path 1
Final Building Inspection Approved 11/26/97 by Tom Plescher, Building Inspector
Owner:
DODGE, RICH +JULIE
2709 SW PLUM CT
PORTLAND, OR 97219
Phone: 246-5226
Contractor:
RJ WARNER CONSTRUCTION
ROY J WARNER
PO BOX 661
WEST LINN, OR 97068
Phone: 650-6055
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes'for the grptip, occupancy, and use hder which he referenced permit was
issued: l '���, ���, '
BUI NG INSPECTORBUILDI G . FFICIAI_
J
POST IN CONSPICUOUS PLACE