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Home My WebLink AboutPermit Building 1984-9-21 . . -\ INSPECTION LINE 726-3769 CITY OF SPRlilGFIELD COMBIilATION APPLICATION/PERIIlT E!lERGY SOURCES: Heat \'later Heater Job Address A 2-.2..q 1J11~'1. nt'lu:f Legal Description' \, 1S2-?/) 31....n\c{(j) , Ranqe NFORlIATlON I, 726-3753 Sq, Ftq:'I.!ain ~q. f'tg. Access. Sq, Ftg, Other flew Add Alter Rep, --Fence Demo Change/Use Other - - ~ ~ ~ }- Construction Lender Y~E of Hork: 0.3.- . 'iI S-cOoO, ~il(;lnQ Pennit Info: Describe l4ork.(Le., Build Single Familv l1esidence Hith Attached Garaoe) 'fs:, ~,.,<< Mal /LJ..a./l ....- . I LM/f- I. ~/I... rkcW? , 1 RPN/)~ . J H Owner ~/).~!.<' .'t"..t-(M..;l~ Address /f I 2 r ,~/ d Phone Address DES I GN TEAl.! Primary SC:-E (name) Lc:-, ~ ~~ Phone (address) flies. no.) {exnires1 (ohane nO.l F8P~~"""'c ~A7~. A. ~I~ ?J$[ V ~ Structural Electrical Mechanical CDNTRACTORS {namel Genera 1 6",,,, p ./. f> .t'/I1.():t'rJ / lL't L;'" . (addr~ss) (lire:.. nn. \ (PXO; rps' (I)hnnp I"In. ) 9...(, J,o U )(,,;1::- "--TV , 7 /1/ '> -(/ 91- ~0i'::: : Plumbina Electrical f.lechanical PLUllB ING ELECTRICAL MECHANICAL -..l!!L.' Each Single fixture FFF CHARGE N~~ "'L..cJJAB.liE. .JJl1.... Residence of furnace/burner to SQ, FT. BTU's II Relocated building (new fix, additional) New circuits alts. or extensions Floor furnace and vent S.F. Residence 11 bath) IOuPlex (1 bath) each IAdditional bath 1~later service lsewer I SERVICES Recessed wall ~o~rp hp~tpr ~nrl ~pnt Storm Sewer ITempOrary Construction IChange in existing rps i (tp~nrp Imultifamily. camm. or Tndu<;.tr;,,1 IOf amps. ICO~1,/IND. FEEDERS IInstall/alter/relocate rli<;.trih. fpprlprc;. Of amps. Apoliance vent seoaratp Stationary evap. cooler Vent fan wi th s.inole duct Vent system apart from hea t i no or A _ C. Mechanical exhaust hood tlnd rluct 11'load stove/heater I I I ISSUANCF OF PFR!IlT TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES WHEnE STATE L\\/ REQUIRES that the E1ectr;cal work be done by an Electrical Contractor, the electrical portion of this pemit shall not be valiJ until the label has been signed by an Electrical Supervisor and returned to the Building Division I HAVE CAREFUllY EXAflINED the completed aprlication for ~ermit. and do hereby certify that all information hereon is true and correct. and I further certify that any and all work oerformed shall be done in accordance with the Ordinances of the City of Sari n9 fi e 1 d and the laws of the Sta te of Oregon pertai n i ng to the work descri bed here in. and that HO OCCUPAHCY wi 11 be made of any structure without the permission of the Building Division. I further certify that my registration with the Builder1s 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 compliance with OP.S 7~1.055 will be used on this project. IIAHE(please print) !8/-:';eR V {){})K'~p_ SIGIIATURE ....-,...., .> ~ - ...-Z.:.-_- ___ ~/,L. k___ FO~ OFFlcF USE DIlLY Zone Tyoe/Const. Units Sq. Ftg. r1ain Fi re Zone Bedrooms Occy Load Sq, Ft9, Access Flood Plain Stories Occy Group Sq, Ftg, ather DATE C)"-/,)-').'(4' , Value Value Value x , TOTAL VALUATIDrI BUILDING PERNIT Charges and Surcharges -c.., ~~ Plan Ck. .J ""-- 65%/Bldo -----/~~8- ~~~~B~~~ Fence COIl1l1/1 nd Ppr Fp~ Res Per Fee Syste~s Development Charoe (1.5~) N'J- PLU'1BING PERMIT Charges and Surcharges I DeRlo ___________J Sidewalk I AIC Paving Curb Cut Total Comb. rermit ELECTRICAL PERI:IT Charges and Surcharges 11ECHAN I CAL PERMIT Charges and Surcharges I I TOTAL ~3. ~8 , ~ . COMBINATION APPLICATION/PERMIT (CAP) I. Applicant to furnish A, Job Address S: legal Description 1. example- Tax Lot 100, lane County Map Reference II o'j 4j 2, exa~le- lot I, Block 3, 2nd Addition to Sprlngtield Estates . C. Name. etc. of owner and construction lender 0, Energy Sources 1. examl?le- heat/electrical ceiling/or forced air c 2. examyle- waterheater/electrlcal/or ~ E. Square footage or valuation, etc. I, example- 1250 sq, foot house, 500 sq, foot garag 2. examyle- if new project, check new.- if addition check add, etc, . F. Building pennit information: 1. exam~le - construct single family house with an attached garage 2. examgle - remodel existing garage into family ra 3. exam~le - convert single family residence into . restaurant (change of use) G, Value of work as defined in Section 303 (a) of the Structural Specialty Code H,. OESIGN TEAM ANO CONTRACTORS To avoid design or construction delays. Building Division Staff must be able to contact appropriate persons regarding design information or jab site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No, Boxes adjacer to the appropriate item(s) to be installed B, Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedulE have been abbreviated 2, If the item(s) to be installed are not covered or the abbreviated schedules you should consult the full schedules .C. BUIlOING OIVISION STAFF WIll FIll OUT All FEES AND CHARGES ON THE SCHEDULES 0, As noted on the CAP, the label must be delivered to t electrical contractor for Signature by his electrical supervisor. The general contractor is .not authorized to sign the electrical label. --- Applicant to sign and date Whenever possible, the initial application will be used as a worksheet only. Where possible, Building Division Staff will prepare a type written copy and return it to the applicant at the time the actual permit is issued for his signature. IV, Fees and Charges Plan check fees are due and payable at the time of the application, and no plans will be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. 111. V, FOR OFFICE USE ONLY .V OF SPRINGFIELD City Hall Springfield; Oregon Department 01 Public Works OFFICIAL RECEIPT n_-'--No. B"6]S9~ C Date'5~7:'. 21- 19 Ry . / ~ ( Rec'd From CXF< ( 6~ 26/0 r</ ?~ Address . ;2;ijc:.. 19~ ~- . ( ..... I - \ <: Received For> /h7')~R 1/,(/680 (' U.? H"7 /7. .3C z;..::,.. 11~/1""' ( ( lip -/-!J:'-,A? (. 1 e" - - , --?--:;> c:::>e:> 5/, /., 20 ( 76'/ ;::;3 ~ < b ( C#;..;z:z 773 (' Amount Received __ ~ 5', 28 ~ -~~ 4~- ? "("~ ~ ..,::/' AUTHORIZEDSIGNAT\JRt . , l , .-= ( !L( f '. - - j.. _. - . - -.. . .. . . . . . . . .--'--. . ilIIIOO. ~IIINTEII./LlT"'OOIlA~"'EIIS. EuoaNI. OllaGON Permit Clerk PROJECT CONOITIONS TO BE SATISFIED BEFORE OCCUPANCY: . Permit applicant exempt from registration with the Builder's Board because: Additional Project Information: 1 ~~f,ll:; I~EVIEWED BY: l.e"~ . name L.6HN&"~<iI!___~ignature~- - ., ~~ C ~ -~date I ~ ~~, -1'- . 8m,.,,, ...1t.....a .... . P,O, B"l[ 189 Eugene. Oregon 97440 Phone(508)~9080 .~~~~' '''lilB'. -- . .-. '. '-- ..- - '.---- =:~~'---':'-; -~..-: ~~ ~,.... ,,~,,_.,=c~~-=-.o~ ~~QPI~. ?~ .. ~~=- -~j:~~ ", 11111". .. ,'-' _._~ ' . = ~ - .. . I - - .. - ... .----. ..---. . ,..."",.."...-8.St. 'HI WI BuILBllfll 474 WILL.U..""u"" ST. '.' "I , , ENGINEER. SURVEYOR Civil' Structur!'l-ArchltecturaI . Fire Protection CODE CONSULTANT Plan Checking . Construction Inspection PLANNER Land Use . Subdivision September 21, 1984 , ;. Ed Adams Exce 11 Cons. . 2610 W. 5th Eugene, OR 97402 and Springfield Bldg. Dept. c' RE: Vehicle Damage - Deb's Restaurant - 4229 Main St. W.O.#lOll , I On September 19, 1984 I made an inspection to determine the extent of d~mage caused by a vehicle collision into the north concrete block wall. During that inspection, I discussed the methods of repair with Ed Adams of .Excell Cons. My observation is that the extent of structural damage, is primarily to the concrete block wall with no observed displacement of the roof or exterior canopy framing. It appears that a glulam beam bears on the wall approximately above the point of impact where column or pilaster reinforcing occurs. The method of repair should consist of removing approximately 16 lineal feet of the concrete block wall with the ends of the removed portion being a vertical reinforced grouted cell. The reinforcing in the masonry can be removed. at the . damaged portions, provided at least an 18" lap with new reinforcing is provided. The glulam beam can be temporarily shored to the floor slab during the masonry removal and replacement. The masonry replacement snould consist of the same reinforcing as the existing wall. A portion of the ceiling and the soffit adjacent to the removed portion can be removed to obtain access for replacing the .masonary wall. I believe that a qualified masonry contractor can perform this repair in a satisfactory manner so that the original structural capacity is provided. I hope this report is satisfactory for your purposes at this time. Please contact me if you have further questions. Thank you for this opportunity to be of service. , Very truly yours, l' Emile Mortier, P.E. j P.O, Box 139 Eugene, Oregon 97440 Phone(503)~9080 . -_....".;-.;.::.-.:.:....'."ld"..,"..".::O'~ T~J~L4~:;~~I, i ~E.~~~-'....~----:~:,,~~~ ........-_.. -.-.---- . --- . "-.--- -.-.-. .-.- it__~~. <~ 'II.II-I1Jf'-- . . - r ~ I'::: \' I .. ~ -' -' ;: ~ ~--, --:. .. ,- ~. . ..all m.B1reai ~. <~ ENGINEER · SURVEYOR CIvil. Structural-Architectural. Fire Protection CODE CONSULTANT Plan Checking. Construction Inspection PLANNER Land Use. Subdivision THI LANI BUILDING 474 WILLAMETTE ST. September 21, 1984 Dave Puent Building Inspector City of Springfield Building DepL RE: Deb's Restaurant - 4229 Main St, Dear Dave: Attached is a copy of the inspection report for Deb's Restaurant that Mr. Mortier inspected September 19th. The report has to be signed and sealed and will be Sunday, as soon as Mr. Mortier gets back in town. I will mail you a copy then. I spoke to Lorne Pleger and he said it would be alright to submit this letter and then when Mr. Mortier signs it, send a copy with his seal and signature. Thank you for your help in this matter. If I can be of further assistance, please call me at 484-9080. J[}~ cr Donnie Apo, Secretary to Emile Mortier