HomeMy WebLinkAboutPermit Curb Cut 1993-1-12
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RFSIDENTIAL - COMMERCIAL
'"
SIDEWALK / CUR8CUT
AFFLICATloN / PERMIT
SPRINGFIELD
Joe ADD~ee, 5B'1 B~()~ItJL.. ~
ASSESSORS MAP NO., '1 0 3rl~ G\ &
SUBDIVISION,
OU.NER: VI if"(l.'(T&,.../7 Po~
,
ADDRESS, S~
RECEIPT NO,
TAX LOT NO. f)\~?a') CA51-1
CHECKi
225 NORTH FIFTH STREET
SPRINGFIELD. OREGON ~1411
ENGINEERING DIVISION
OFFICE NO. 126-3153
INSPECTION LINE: 126-316~
CITY,
'*
CHECKED FOR DELINQUENCIES
STATE,
ZIP.
PHONE NO. ?Lf?-52/~7
UJOF;!K DE6CRIFTION,
SIDEWALK: CURB SIDE SETBACK
CURB-CUT. >< RESIDENTIAL CVI.II II::RICAL
SECOND DRIVEWAY (SEE TRA.R=IC )
REQUIRES AFFLlCATION FOR A SECOND DRIVEWAY(.,..4.1a)
OR A COUNTY APPLICATION FOR FACILITY PERMIT (C ~-2"3)
IF IN TI-IE U6.6. .
DATE OF AFFLICATION\- \'Z-~
SIGNED:
DATE.
,
~(\ t\sV\of
\- \'2; q~
WORK TO 6E PEFCFOFi:t1ED BYI
CONTRACTOR'* Ow~
ADDRESS
x
OUNER CONTRACTOR
'*
REGISTRATION NO.
EXPIRES,
PHONE:
FROI..-Cj.;'Uf;!E FOR lNeFECTION REQUE6Ts
CALL 126-316~ (RECORDER) STATE YOUR CITY DESIGNATED JOB NUMBER, JOB ADDRESS, I 11""'1:: OF
INSPECTION REQUESTED AND UJI-IEN YOU WILL BE READY FOR INSPECTION. CONTRACTORS OR OUNERS NAME AND
PHONE NUMBER. REQUESTS RECEIVED BEFORE 1,"" AM WILL BE MADE THE SAME DAY. REQUESTS AFTER 1:""
AM WILL BE MADE THE NEXT WORKING DAY
'* SEE BOOK
EXISTING BUILDING PERMIT NO. ( IF AFFLICABLE )
YOUR CITY DESIGNATED JOB NO. Isf q.3 003/
~QUI~D INSPECTIONS
SIDEWALK / DRIVEWAY
FOR ALL CONCRETE PAVING WITHIN
THE STREET RIGI-lT OF WAY. TO BE
MADE AFTER ALL EXCAVATING
IS COMPLETE AND F.ORM UJORK
AND SUB-BASE MATERIAL IS
IN PLACE .
K
CURB I APPROACH APRON:
AFTER FORMS ARE ERECTED
BUT PRIOR TO POURING
CONCRETE.
FEE6:
'SIDEWALKS
.10.00 + .0.15/LF. ( X ) ~ f.
OF WALK
CURB-CUT
.10.00 + .e:>.I5/L.F. ( X ) I B (
WALK X'
/
""
TOTAL FE~IT FEE,
$ . /2- 'lfL
COMMERICAL DRIVEWAYS SI-lALL
HAVE 5' TO 8' FLAIRS.
3'- "" STANDARD
X'
'I
II-lAVE CAREFULLY EXAMINED TI-lE COMPLETED AFFLICATION FOR PERMIT. AND DO ~EREBY CERTIFY TI-lAT ALL
INFORMATION I-lEREON IS TRUE AND CORRECT, AND I FURTI-lER CERTIFY THAT ANY AND ALL WORK PERFORMED
SI-lALL BE DONE IN ACCORDANCE WITI-l TI-lE ORDINANCES OF TI-lE CITY OF SPRINGFIELD, AND TI-lE LAWS OF TI-lE
STATE OF OREGON PERTAINING TO TI-lE WORK DESCRIBED I-lEREIN, AND TI-lAT NO OCCUPANCY WilL BE MADE
OF ANY STRUCTURE WITI-lOUT PERMISSION OF THE BUilDING DIVISION. I FURTI-lER CERTIFY TI-lAT ONLY CONTRACTORS
AND EMPLOYEES UJI-IO ARE IN COMPLIANCE WITI-l ORS 1"1-"::'5 WILL BE USED ON TI-lIS PROJECT.
SIGNED
t.LlY3 -;6
/ /I.L/C)LJ
DATE I