HomeMy WebLinkAboutPermit Sidewalk 2014-09-02SPRINGFIELD
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Building / Public Works Permit
PERMIT NO: 811-PW2014-00139
mm.springfieldvr.gov
PROJECT STATUS: Issued
STATUS DATE: 09/02/2014
SITE ADDRESS: 5652 D ST, Springfield, OR 97478
ASSESOR'S PARCEL NO: 1702331405500
OWNER: REINHART DALE ROGER
ADDRESS: 5652 D ST
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@spdngfield-ocgov
ISSUED: 09/02/2014 EXPIRES: 02/28/2015
APPLIED: 09/02/2014
SCOPE:
TYPE OF STRUCTURE:
Phone Number:
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION
Contractor Type Contractor Name I Lie Type Lie No Lie Exp Phone
INSPECTIONS REQUIRED
Inspections
9502 Curbcut - Second Curbcut - Second: After forms are erected but prior to placement of concrete.
9507 Driveway Approach
By signature, I state and agree, that I 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 or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safely. 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.
(J4) Lij 9 wt"5/v
Owner or Contractor Signature
NOTICE:
TI IIS PERMIT SHALL EXPIRE IF THE WORK
AUHIOR17-ED UNDER THIS PERMIT IS NOT
COhJk/lENCED OR IS ABANDONED FOR
ANl' 1 80 DAY PERIOD,
Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800.332.2344).
Springfield Building Permit 9/2/2014 10:38:12AM Page 1 of 1
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APPLICATION FORM SECOND DRIVEWAY / OVERWIDTH DRIVEWAY
Applicant (Property Owner): Va It 91,/%�ti� r a Dat
Address of Property Owner: 5,2
/
Address of Property for Driveway Permit: 7 l 611 _V
Building Permit No: ❑ Second driveway ❑ Overwidth (Max. 30') � FT.
Application Fee: $40.00 Received By: Receipt
Please sketch the proposed driveway. Include the following applicable Items: house or building,
proposed driveway, existing driveway, and street names. Include dimensions and measurements to
property lines, road Intersections and bordering driveways. (See attachment for an exarpple.)
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All applications outside the city limits of Springfield that are within the Urban Growth Boundary require a Lane
County Permit.
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Collector Street. Over width
driveways up to 3011. may be approved by the transportation planning engineer provided that safely and traffic
guidelines are met.
Driveway's over 30' in width require a Land Use Decision and are not handles on this application. (Contact the
Planning Dept.)
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All applications outside the city limits of Springfield that are within the Urban Growth Boundary require a Lane
County Permit.
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Collector Street. Over width
driveways up to 3011. may be approved by the transportation planning engineer provided that safely and traffic
guidelines are met.
Driveway's over 30' in width require a Land Use Decision and are not handles on this application. (Contact the
Planning Dept.)
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The application fee is not refundable.
1. Property type: Single Family Residence Y Duplex Other L 1
2. The proposed driveway will take access from which street 12
3. The distance from the edge of the driveway to the nearest corner (measured to the curb return) is
feet.
4. The second driveway will give access to: Garage_ Carport_ Side yard_ Other
5. The distance from the property line to the garage, carped, faace, wall-or-®ttr€r', (where the vehicle is
to be parked) is —= feet. 12
6. Will the proposed parking / storage area create a vision obstruction to adjacent propeg"oyeways or
A permit will require that the applicant meet City and/or County standards, specifications, and codes.
Generally this means that the area behind the sidewalk shall be surfaced to the property line and also a
minimum of 18 feet behind the property line.
When this application is approved by the City, the applicant must obtain a curbcut/driveway permit from the Public
Works Department, Engineering Division within 60 days or reapply. i n
PROPERTY OWNER'S
APPROVED
BUILDING PERMIT NO.: DATE:
Staff Comments:
SPRINGFIELD
CITY OF SPRINGFIELD
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TRANSACTION RECEIPT
225 Fifth Sl'
Sp ngfieitl,OR97477
"- OREGON
811-PW2014-00139
541-726-3753
w .spdngfield- r.gov
5652 D ST
permitcenter@spdngfield-or.gov
RECEIPT NO: 2014001913
RECORD NO: 811-PW2014-00139
DATE: 09/02/2014
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>.-� CflUEtTRXNS;
Curb Cut/Driveway 1st Cut
201-00000-428060
1141
104.00
Overwidth/Second Driveway
201-00000-428060
1144
54.00
Technology fee (5% of permit total)
100-00000-425605
2099
7.90
TOTAL DUE:
165.90
lie
Credit Card Dale Reinhard
165.90
H-40285—
TOTAL PAID: 165.90