HomeMy WebLinkAboutPermit Building 2010-5-24
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.i ~,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00666
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE: $ 20,000.00
Status
Issued
SITE ADDRESS: 200 39TH ST
ASSESSOR'S PARCEL NO.: 1702314101700
Springfield TYPE OF WORK: Automotive
TYPE OF USE: Repair Commercial
PROJECT DESCRIPTION: Repair car-damaged CMU wall- no inspections untill special inspection form is
received.
Owner:
Address:
BILL ZILKOSKI AUTO ELEC
200 N 39TH
SPRINGFIELD OR 97477
ATTENTitJN: Oreqon law requ\lt::~ yu~.l....,
f<Jllow rules adol)G()NrR~~~~~~~ATlON ~
Notification Center, IlIu'~ 952-001-
CRn"'aefoii2"001-0010 through OAR I b.J ,ice. nse
"I""" "erues r
JOJU:)l\NXullJ@ID'>9..lN ~&: 176193
ION
Expiration Date
05/14/2011
Phone
541-688-3998
Contractor Type
General
number for the
Center 18
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
#'of Stories:
Height of Structure
Type of Heat:
Willer Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
u/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Nlrnt:t: +-Pi!~MElN~~~~ifION I
THIS PERM I u I
AUTHORIZED UNDE~~~~I:D FOR
ENCED OR Iv'-'l'\DT"'ffl.."l'.tt-
COMM ERlcII~tre~t Trees Rqd:
ANY 180 DAY P 'Paved Drive Rqd:
-'- % of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
ij:~ "'w. ie-"
"I':
I Valu'~~ion 'DescriPtion ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00666
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE: $ 20,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
":Total Y,alue of Project
.'
'~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Building Permit
Fixture
:Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$34.98
$14.58
$233.50
$19.00
$39.00
5/24/10
5/24/10
5/24/10
, 5/24110
, 5/24/10
2201000000000000565
2201000000000000565
2201000000000000565
2201000000000000565
2201000000000000565
Total Amount Paid
$341.06
(Plan Revie~s i
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.
. T :d: 'bi.~,' .:
UecuiirerUnsnections ~
;...~,' : .
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Mason ry:
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete:,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.,
, ; ; ":(", ", "
Epoxy Anchors: To be done by Certified Spciallnspector. Provide Inspection results to City Bllilding IlIspector.
Special Inspection: Masonry - Placement Inspection of Ullits and Reinforce';'ent Inspection: To be done dllring
cOllstruction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield.
Special Inspection: Masonry, Mortar, Grout, and Reinforcing Steel Certificates Inspection: To be done during
construction by a State Certified Special Inspector with approval from the City of Springfield. Copies of
inspection results shall be provided to the City of Springfield.
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Paee 2 of 3
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CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2010-00666
ISSUED: OS/24/2010
APPLIED: OS/24/2010
EXPIRES: 11/24/2010
VALUE: $ 20,000.00
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that 1 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 OCCUP ANCY 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 701.005 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. . -:-,.;' ~ .
~/
-~'.,.,,,
~ _"U..( _ ) 0
Owner or Contractors Signature
Date
1::(' -,"'\:
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Page 3 of3
;\25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~J~Q;~
Wit
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000565
Date: OS/24/2010
2:50:37PM
Job/Journal Number
COM20 I 0-00666
COM20 I 0-00666
COM20] 0-00666
COM20] 0-00666
. COM20 I 0-00666
Payments:
Type of Payment
CreditCard
cReceintl
Description
Building Permit
Fixture
Minimum/Adjustment Plumbing
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
SCOTT JORDAN
Amount Due
233.50
19.00
39.00
34.98
14.58
$341.06
Item Total:
Check Number Authorization
Received By Batch Number . Number How Received
cjc 14570z In Person
Payment Total:
Amount Paid
$341.06
$341.06
c
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Page I of I
5/24/2010
. uctural Permit Application
DEPAR.TMENTUSE ONLY
225 Fifth Street. Springfield, OR 97477. PH(54 1)726.3753 . FAX(54!)726.3689
Date:
This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
".;",.;,j,~;G0~A~..'i:;QVg8NME@';'~@'~QY~I!.}i.~Jt;"i,t~,,:;!~~
This project has final land-use approval.
Signature:
This project has DEQ approval.
Signature:
Zoning approval veritied: 0 Yes 0 No
Property is within flood plain: 0 Yes oNo
~~~~~~)$j3~~'At~9:9Rixi:~iE}lq,q,N~;rRUck19ijl~~,{~~~j#it7)y;;~~jf~j
o Residential D Government Commercial
~'!;.;;!~;n;;:i~pil;:fslj.;i .iN(()RMATi9~~/i.NR~i::Q,CATi9Ni;ht~ifiX~q
Job site address: ZoO P 'i 9"
City: C; I D State: 0 IL
Date: (, -Z.II-li)
"'~'?~j,;";FEE ;se:tl"ei:jU[!"Vi,.
Subdivision:
Reference:
ZIP: 97 '1'7
(a) Job description:
Occupancy
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new alteration
C;P/-l-/1'2 t::A-fl 0
~iL
';t~:&~t_lf~iH):~Yi~~for_ffi'~:im.~',~&~1Ki:i~:,J0~~,:,:~;'if1Th:tf,~-:;~~i'~iKiG<t,jKM;':~t~~;,1~1~;r;~~
Date:
,.....
:'. p'ROPERTYciWNE~
Z~ v..os-k:
(b) Foundation~only permit?
Total valuation:
o addition
DYes
DNa
Name:
A.-I, I
$
'0::;0
Address :
City:
Phone:
;:~~:!~t{uU#~ng;Je;~si1$ji;f.'~~~:~~~~J~~%;~iW~;;\~t;J~kj{"-.({;~::-\_':"'!~i:r;~.~',:-i/' -i.i."'::'-:.
State:
Fax:
ZIP:
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspectian ($ per hour):
(number of hours x fee per hour)
E-mail:
This installation is being made on residential or farm property owned by
me or a member of my immediate family, and is exempt from licensing
requirements underORS 701.010.
Sign here:
$
$
$
$ ').$0_
State: 0 a...
Fax:.
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x permit fee [2a]):
(c) Subtotal of fees above (3a and 3b):
~~~;1'M~_~:~~Ii#1tv~"o~s1f~~~!0~ft~~tt~i~l~W;I:g:r :~ 'V
(a) Seismic fee, 1% (.01 x permit fee [2a]):
TOTAL fees and surcharges (2e+3c+4a):
$
$
$
.:\;;'(l',-,
'. ~~-,..:
Business name:
$
s 2'73'-
Print name: :-;> t \
Signature. ~_
_...J
?*;~{:{~"~~:;)!:t_~~~f~.$-lJ~~cqN.):R~t:iT:b.r{i.!N-~,9_~MAfl_QN~;2~~%?1~:~~1I~i
Name CCO License Number Phone Number
Electrical S"T.w.. d.......J.<. Zz., -'Z. r..t,~
Plumbing G.\ .M .(r 0 ':141 > - Z " '>~
Mechanical
[City of Springfield
Development Services Department
225 Fifth Street
Springfield, OR 97477
Planning Division Information She~t for Building Permits
Commercia I/Industria II Multi-Fa mily Residentia I
The Planning Division requires the following information for.1ill building permit submittals on.
properties zoned Medium Density Residential, High Density Residential, Commercial, or Industrial;
including new construction, expansions, and changes of use.
New construction, expansions, and changes of use to any building, parking, or development area in
these zoning districts requires either Minimum Development Standards-MDS review (SDC 5.15-100)
or Site Plan Review (SDC 5.17-100) by the Planning Division. Overlay District Development review
(SDC 3.3-100) may also be required, depending on the site.
NOTE: It is prudent to make sure your use is permitted in the applicable zoning district. Building
Permit, Police or other permit approvals or inspections are not Planning approval.
ReQuiied .FciiecUriformatlon. - ~- ~ ~_.~ ". =-~"::'(Appficani::comiifete this segio.n)
Com an :
Phone:
Fax:
A licant Name:
Address:
ASSESSOR'S MAP NO:
Address:
Description of the proposed work to be completed under this building permit:
TAX LOT NO S
Has this development proposal been reviewed by the Planning Division
through an application process (i.e; MDS or Site Plan Review)? .
If yes, Case #:
If no, is this a change in use? 0 Yes 0 No
Prior A roved Use: Pro osed Use:
DYes D No
. . .
Zonin TOTZ: Overla
The proposed project requires submittal and approval of the following Planning application
prior to building permit approval:
o DWP Overlay District Development
o MDS
o Site Plan Review
o Statement Letter Regarding .DWP Exemption
D MDS Land Use Compatibility Statement
o Other:
Reviewed b :
Date:
CALCULATIONS
STRUCTURAL
BUILDING DESIGN. FIRE PROTECTION
CODE CONSULTANT . PLAN CHECKING
CONSTRUCTION INSPECTION
CLIENT:
JORDAN & JORDAN
P.O. BOX 41147
EUGENE,OREGON
97404
JOB LOCATION:
ZILKOSKI AUTO ELECTRIC
200 N 39TH STREET
SPRINGFIELD
OREGON
JOB DESCRIPTION:
REPLACE DAMAGED EAST CMU WALL
DESIGN CRITERIA:
2007 OSSC
GROUND SNOW LOAD: 25 PSF
SEISMIC DESIGN CATEGORY: D
1998 O.S.S.C.
BASIC WIND SPEED: 80MP,"
EXPOSURE: B
CLIENT
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THE CONTENTS HERE ON HAVE BEEN REVIEW~D WITH
ALLITERATIONS INDICATED ON COLORED PENCIL. CHANGES
OR ALTERATIONS MADE TO THE APPROVED DRAWINGS OR
F;.10.JF.CT AFTER THE DATE BELOW SHALL BE APPROVED BY
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WALL NOTES:
. STEEL: #4 & #5 BAR, GRADE 40 OR HIGHER
. MASONRY: f m=1500psi; SPECIAL INSPECTION DURING MASONRY INSTALLATION IS REQUIRED. CONTACT
A SPECIAL INSPECTOR PRIOR TO COMMENCEMENT OF WORK TO DETERMINE INSPECTION SCHEDULE
REQUIRED. SPECIAL INSPECTIONS ARIi' TO COMPLY WITH OSSC TABLE 1704.5.1 LEVEL 1 SPECIAL
INSPECTION FOR MASONRY.
. WALL STEEL #4 BARS AT 24" OC VERTICALLY AND HORIZONTALLY U.N.O.
. LINTELS ARE TO CONSIST OF (2) #4 BARS HORIZONTAL LOCATED IN THE CELLS DIRECTLY ABOVE
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WINDOW OPENINGS.
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OF WALLS.
'. DRILL 5/8" DIAMETER X 6" HOLES AT 24" OC INTO EXISTING FOUNDATION AND EXISTING WALLS WHERE
ABUT NEW WALL. EPOXY #4 REBAR INTO FOOTING AND EXISTING WALLS AT 24" OC. (THIS IS A SHEAR
CONNECTION ONLY, NOT REQUIRED TO RESIST TENSION OR MOMENT.) USE SIMPSON ET EPOXY.
i. GROUT ALL CELLS IN MASONRY.
. LAP' HORIZ STEEL #4 BARS 24" MIN. AT SPLICES.
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SE/sM/cc O,'15Q5nrwO,~(O,'t67)(I.{))CiJOr{')' 11rd >0,1 (lOOrf) MIJ} ,',0,,'<,
Try REUd rOfLE-t!![JJT@ 1. Lf ('o,c. VEf!TICAL
1{1 " ()'ifd'Cl fI}-3'6 t If'
1/-=($Df1f)(1-ft)=lli"c (Se,c 5e;:',I"'CC"rC5f)
<-- T X,
-iJ
WItEfJ ctiLIIJG I S AT W-.s('
C ItVSTfA;O Of F I5N ;rei -SHOWI))
V--'7'
~
/
3191b .
Bending Moment, Mz
All Members:
Max ~ 5141b-1t (M1)
Min ~ -18.4 Ib-It (M1!
V ",,20 It/:
98 Ib
144 EAST 14TH AVE, . EUGENE. OREGON 97401
-----7
II
347 Ib
Bending Moment, Mz
All Members:
Max ~ 380 Ib-It (M1)
Min ~ -131Ib-1t (M2)
V~/Pff
70lb
TEL: (541) 484-9080 . FAX: (541) 684-3597
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CALCULATIONS
SHEET NO.
OF
DATE
Lf/zy2.{)/o
STRUCTURAL
BUILDING DESIGN. FIRE PROTECTION
CODE CONSULTANT. Pl:AN CHECKING
CONSTRUCTION INSPECTION
CHECKED BY
DATE
W,O.# IrJStLf
oUT of fl!\~JE WALL tOADIIJG CON'!
Masonry - Worklna Stress
8" Nominal Block
fm= 1500 psi
b= 24 in
d= 3.8 in
Em= 1125000 psi
Es= 2.90E+07 psi
Rebar #4 @ 24" DC
As= 0.2 in2
Fs= 20000 psi
~
n=Es/Em:::
26
p=As/(b'd)= 0.0022
k=(2pn+(pn)2)^1/2_np= 0.284433
j=H/3= 0.905
Fm=1/2*fm/3= 250 psi
Mm=Fmjkbdl/2=
11153.42 in*lb
929Wlb > M= 51~" 0,1(,
Ms=AsFsjd=
13758.87 in'lb
1147 fl'lb
\/'" 20 I ".
fif = ~ ~ 1,'1'1'", .(. fv" lerro! ;. o,K,
V&'flT REBAr\ ;;.'/-I @ )Jf'IO'(,
HoA..lz, 1~\ESAi' 5I:ME;~s VEAT
Jjf'JCHOI~f.GE TV FLEX/< DIA PfJf\I'cGl/ls
ANcr/iJI\AGE REI1IO IS;
I
~ " 0, D,)sT \AIr ~ 31'7 rlf
@'1( Ot Gi E =Cif')C3!f7 ff)c 13l3;{{
nr'LO& W![JO) 1M/Ii" co~, 1/1 ~ 1'355"'-
fJTr2 L 'v\; (('!) 505 fx I~" 1;; II 0 Ii) zsi0
ND'i "L Ii _(/il ,0" 1:'0 I T (' T ., Iqoo'
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I ' .
5", =0. If 67
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'L) 7 ,Ox if /4'D'
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144 EAST 14TH AVE. . EUGENE, OREGON 97401
TEL: (541) 484.9080 . FAX: (541) 684-3597
CLIENT d 3T
IV
CALCULATIONS
SHEET NO.
CALCULATED BY -r\T M
OF
'-/ I h3/'J()/()
DATE
STRUCTURAL
. BUILDING DESIGN. FIRE PROTECTION
CODE CONSULTANT. PLAN CHECKING
CONSTRUCTION INSPECTION
CHECKED BY
WO' I q 5ttf
DATE
V11ltJDOVi/ HEAfJ[f\ OE5/6/0
y = 5C:tf1f -L (J ffX100fof) c lOlllf (S~e tr'/'", 'ic.vi,'ui C",I(tll~),.?"s) L~ ({,ttff
M" .j,I,J1- ~. 3566 .D.J.,lb V=: w:l :=.1-677 7>f
10 ,II ;L
T~IALr r: f~=1500F.si) A50o.~';"~ (L;:'~8iM))d'2Y//-lr='J.O(()J:.=7,62.'S,'~)720JWr
Masonry - Workina Stress
an Nominal Block
fm= 1500 psi
b= 7.625 in
d= 20 in
Em= 1125000 psi
Es= 2.90E+07 psi
(2) Rebar #4
As= 0.4 in2
Fs= 20000,psi
n=Es/Em=
26
p=As/(b'd)= 0,0026
k=(2pn+(pn)2)^1/2_np= 0.306284
j=H</3= 0,898
Fm=1/2*fmf3= 250 psi
Mm=Fmjkbd2/2=
104849 in'lb
8737 ft'lb
Ms=AsFsjd=
143664.9 in*lb
11972 ft'lb
Pv = 1.c /'iJ)(f~I)'" = Jq fS!
fv =~ii~ l'ff~i <- Fv ;. O,K,
1 L I fJTEI- \;VI (2) 71"1
II @. ol fAOM SUPPOIT V~
Cr
- IX')' /' /):. _ \j
lIJ- Jv ~) - c("
BAAS) d = :2{/" lvi/IV) G!\4i) [
144 EAST 14TH AVE, . EUGENE, OREGON 97401
TEL: (541) 484-9080 . FAX: (541) 684-3597
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CALCULATIONS
SHEET NO
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TiJA/l
OF
DATE 1f/2.J ! 2iJ I U
CALCULATED BY
STRUCTURAL
BUILDING DESIGN. FIRE PROTECTION
CODE CONSULTANT. PLAN CHECKING
CONSTRUCTION INSPECTION
CHECKED BY
WO # I q 0h If
DATE
~ slArpoATllIG RiYJF PEAM
f = P, 5PtJCI5ff)("tord)" '1'300'"
nt.s
WOiSe ~O'frlf + (I I ff-)(IQOrcf) , !M'ft1f
RIJM~JING eO~lo - CO~JSilJf:K WALL EFP. WIVTti .' ifk WALL TH/CkIJESSt-{JEA/WJ6A/tE.A
C Act 520) ::c l/-C7,6ZS)f5/1.: 3\j,S:n 0;' 3Di~ I~ rt" 13J(}!r.'i II"~ 2-7SI~~-
f'T = ~+-s+(3'f1)( -V';;fJ ~'T311.. it, r ~Jf~ 1./I;V) ~ ~ 1-1"--- 'Ii
f c k_ 3 Iff"!
C( A-
Fa ~ .L .D/ [I j J.... \'-J -= 330rsi -7 DI VIDE I'iY 1-. -=- ftStsi
~. I WI ll'-lJr)
[t5t: -L ~ ~-t ~ l,siY1 M = ~'" 1!.-= 1I1f1-.6/~'lb ;= QS1-. 11,16
w/ vi. 3, 'l!v: /VIM .-/S'-t-'1f/!/'
h ~ /07 in
f" -+ --'1.. c O,l>'L ,c. I,Q ,",0, ((, POI'<-- C{Jfi18!NED 8ENiJIIJC- /',NO AXIAL
~ /11,"
(Vli~IVIlltm -Steel: O,CO'LS A~ c 0, 6-nS:~'-- '7 (V) 7/ If BAitS VERT IV. i/J
Lq,te.VC\1 n"s; }*3 ear (6 CO,5)c 0," 7> SfI1CEfiP.?;I,(f,(. TIf:5
144 EAST 14TH AVE. . EUGENE, OREGON 97401
,
TEL: (541) 484-9080 . FAX: (541) 684-3597
CLIENT
J)J
CALCULATIONS
SHEET NO. I r"""2-
CALCULATED BY TJ rv;
OF
DATE 4liJ-6(M/()
STRUCTURAL
BUILDING DESIGN. FIRE PROTECTION
CODE CONSULTANT. PLAN CHECKING
CONSTRUCTION INSPECTiON
CHECKED BY
DATE
WO # ICf S6tf
n~nS~IEAR (tJ SHf:MW/UL
Fv ~iff:,; ; 11/06i <. JS~sl(\f!Oli RE:/f}F. MtTT FMV!lJi;O TO f\&SfST 51-16M.
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5(/5 Vile UJA0 TO f\f:fLACED VVAI--L - SPt-OAL K.EfNf .JiJEAR v/lii-L
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Vvof\KI/0G -sTRESs - /V1IALTIPL-Y BY 0,7 . VE. Sss17!' ~HG:.Af\ ilJ Vvf\LL
0Ht.::.AJ\ WALL i- EN {3 TH: 5, S ft ~ 6', 3 ft t Z, S +t /ifSPI
#Sf!- '- 36':3i1f :.' O,IC 8Y It,J5f~a/orv; ArfA.OX, tv ~ 7fs/
[crf\iJfl ArtfJ \ltJAI-L STEEL- 0, ,1(, I
144 EAST 14TH AVE, . EUGENE, OREGON 97401
TEL: (541) 484,9080 . FAX: (541) 684-3597
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STRUCTURAL
BUILDING DESIGN. FIRE PROTECTION CHECKED BY DATE
CODE CONSULTANT. PLAN CHECKING If} "-6 'r
CONSTRUCTION INSPECTION w.o. It
A ((X A. ~Cl() r- ( LAC:"ts:- 'it1i- ) ( w)
t!- +' 'f :; a 'J ('AI c; '3 ) ( i 0 r~ t' ) -= 6 7 Q <t{--
(;~--f1<- :10) (,2-"3,))( {(jOt-) -:c lb 78"'"
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JlnllW
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144 EAST 14TH AVE_ . EUGENE, OREGON 97401
.
TEL: (541) 484-9080 . FAX: (541) 684-3597
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STRUCTURAL
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CODE CONSULTANT .,PLAN CHECKING /'1 Hif-
CONSTRUCTiON INSPECTION w.o. #
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144 EAST 14TH AVE. . EUGENE, OREGON 97401
TEL: (541) 484-9080 . FAX: (541) 684-3597
~~.
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SHEET NO. j",>c OF IS-
CALCULATIONS CALCULATED BY DATE
STRUCTURAL
BUILDING DESIGN. FIRE PROTECTION CHECKED BY DATE
CODE CONSULTANT. PLAN CHECKING Iq~bt
CONSTRUCTION INSPECTION W.O. #
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144 EAST 14TH AVE. . EUGENE, OREGON 97401'
TEL: (541) 484-9080 . FAX: (541) 684-3597