HomeMy WebLinkAboutPermit Curb Cut 1995-4-7
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51DEWALK / CURBCUT
APPLICATION / PERMIT
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:~" 225 NORTI-lFIFTI-l STREET
SPRINGFIELD, OREGON S1411
ENGINEERING DIVI510N
OR=ICE NO. T;16-3153
IN5PECTION LINE: 126-3169 '
JOB ADDREe5: ..~? Cf1S/2_~ vV'
A5SE5SORS MAP NO.*' 1/70 Z- 0 G G0 TAX LOT NO. '* 002]1)
5USDIVI510N:
OUNER: rJM-evlf 1.'le SWUJ_~JVS
ADDRE55: C)CZR CQS{}{LIf2., 'l)r-
STATE: Df-- ZIP: q74!i5
ll...IC>R< DESCRIPTION:
, RECEIPT N~ I fo?F'7
CASI-l
CHECK
CITY: C ~
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CHECKED FOR DELINQU:=NCIES ~
Pf-IONE NO.
5IDEWALK:
CURB 51DE
5ETBACK
CURB-CUT:./ RE5IDENTIAL'V' COMHERICAL
5!::COND DRIVEWA"'- (SEE TRAFTIC )
R::QUIR::5 APPLICATION FOR A SECOND DRI\lEWA.,.-('T -4.1a)
OR A COUNTY APPLICATION FOR FACILITY FE~IT (C 98-203)
IF IN THE U..G.5.
DATE 0;= APPLICATION Ll -3-'13
5IGNED:
DATE:
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LLORK TO 6E FE~D 6'1'":
CONTRACTOR'* H-f;r r ~ CiSYlt+,
ADDR::55 H 0 0 M DAd,&,,-- j) ( - ,
PROCEDURE FOR INCi::CTION REQUEST:
OUN:R
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CONTRACTOR
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REGI5TRATION NO.--::..-i> If:J'l()
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EXPlRE'5: 'g-7,/7~
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CALL 12b-3169 (R:;:CORDER ) STATE YOUR CITY DESIGNATED JOB NUMBER, JOB ADDRESS,TYPE OF
IN5PECTION REQUESTED A~D WHEN YOU WILL B::: READY FOR INSPECTlo.-l, CONTRACTOR5 OR OUNERS NAME A~D,
PHoNE NUMBER REQUE:5T5 RECEIVED BEFORE 1:00 A"1 WILL BE MADE Tl-4::: 5AME DA"'-, REQUE5T5 AFTER 1:00
AM WILL BE MADE THE NEXT lI.JC>RKING DA.,.-
'* SEE BOo<.
EXISTING BUILDING PE~IT NO. ( IF APPLICABLE)
YOUR CITY DESIGNATED J08 NO. 1sT q fu Ltc) 7
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REQUIRED INSPECTIONS
51DEWALK / DRIVEWAY
FOR ALL CONCRETE PAVING WITHIN
THE STREET RIGHT OF WA"'-, TO BE
M.4DE A"'TER ALL EXCAVATING
IS COMPLETE AND FORM lI.JC>RK
A~D SUB-BASE MATERIAL 15 '
IN PLACE
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cURB / A;-;-;-::OACI-l APRON
, AFTER FORMS ARE ERECTE.
BUT PRIOR TO POURING
CONCRETE.
FEES:
SIDEWALKS
~1@.@@ + ~0.15/LF. ( X )
OF WALK
CURB-CUT
~10.0@ + s.0.15/L-F. ( X )
TOTAL PERMIT r-t=t::
~ 12-- L}?
Cv, II IERICAL DRIVEWAYS SHALL
,HAVE :,' TO B' FLAIRS
'3'. 0" 5T A"lDARD
WALK X'
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X' I,
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I riAVECAREFULL.,.- EXA"1INED THE COMPLETED AFPLICATION FOR PERMIT, A~D DO HEREBY CERTIF"'- THAT ALL
INfORMATION HEREON 15 TRJEAND CORRECT,A"lD I FURTHER CERTIFY THAT A"l"'- AND ALL WORK PERfORMED
SHALL BE DONE IN ACCORDANCE WITI-lTHE ORDINt.NCES OF THE CIT"'- OF SPRINGFIELD, AND THE LAWS OF THE
STATE OF OREGON PERTAINING TO THE lI.JC>RK DESCRIBED HEREIN, AND THAT NO OCCUPANC"'- WILL BE M.L.DE
OF ANY STRUCTURE U.lITHOJT PERMISSION OF THE BUILDING DIVIS!ON. I FURTHER CERTIFY THAT ONL"'- CON-iRACTOR5
AND EMPLOYEES WHO ARE IN COMPLIANCE WITH OR5 101-"'5:' WILL 'BE USED ON THIS PROJECT.
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51GNED
DATE
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PUBLIC WORKS DEPARTMENT
ADMINISTRATION
ENGINEERING DIVISION
MAINTENANCE
225 FIFTH STAr [
SPRINGFIELD 0110-;.::-
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.APPLlCA TIQN FQR A ~ECQND DRIVEWA Y I <]Vi::RWIDTH DRIVEWA Y:
DATE: 4- ).~ // l'
APPUCAN~ (PROPE~TY OWNER): (~tlaJ:.lJ t- ,5 rn c. .-I tr "t'. (
ADDRESS OF PROPERTY FO"R DRIVEWAY PERMIT:' t;f :'7' (' .tii-c- A 0:=--
APPLICANTS TELEPHONE NUMBER: 74 I - .::> v .2 L.( .
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Please sketch the proposed driveway. Include the following applicable items: house or building, propose<
driveway. existing driveway. and sheet names. Include dimensions and measur€Tnents to property lines, road
intersections and bord~ring driveways. (See attachment for an example.) II j 'L 'I. > .
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ALL APPLICATIONS OUTSIDE THE CITY UMITS 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 Arteria) or Collector Street.
ADMINISTRATION/ENGINEERING (503) 726-3753 FAX (503) 7263689
MAINTENANCE (503) 726.3761 FAX (503) 726.3621
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1. Property type: Single family Residence Y Duplex
other.
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2. The proposed driveway will take access from which street
3. The distance from the edge of the driveway to the nearest corner (measured to the curb return) is
----If-.0 0 fee L
". The second driv~way will give access to: garage_ carport~ side yard_ Olher y
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5. The distance from t.he property line to the garage, carport:fence, wall, or other. (where the vehicle is
to be parked) is 'J.../p feet. . , .
6: [Will the proposed parking 1 storag~ aJea create a vision obStruc,tion, to' adjacent Pfopeft', dri.vew'ays or
. : to any'yehicular movement on a pubfic street? (See vision c1ear.ance attachment)'---fY 0
ApprlCant hereby agrees to install the requested driveway to City ofSpringflC1d standards., The applicant further
agrees to have 6- of concrete in the sidewalk area (adjacent to the driveway}";and to pave the area bl;hind the
back edge of the sidewalk, or driveway apron, with a minimum depth of 3" asphaltic concrete or 6~ of portland
cement concrete. The area behind the sidewalk shall be paved a minimum oC18 feel .
The applicant agrees that if he/she does not pave the area behind the sidewalk within 30 days of cutting the .
curb opening, the City of Springfield has the authority ~o,c1ose the driveway access by removal of the curb cuL
An incurred costs shall be assumed by the applicant:and if unpaid, said cost shall become a lien of the property.
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When this appfication is approved' by the City. the applicant must obtain a curbCuVdriveway permit from the"
pubUc Works Department, Engineering Division.
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~cut I Drivewa"'.E.ermit Fe~ I'
.. On.n 'mpmYOd ,lm,1 (.,,""ng cu:"): .,0.0'0 ~,I",S.lS p" ,...1 fool of ou,b oui. () , <1'/'
b. On an untmproved street (n~ curb):S12.00' '..,., "".--
c. On currently unimproved streets that are under cdhslruction: .$12.00
PR;~ERTY OWNER'S ~IGNATURE~~~ J\~~.?~-~~_
DATE: 1-.3 - 9~'-
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,DATE: 4-/'~ -0[ S
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,DATE: L/ "US
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APPROVED BY:
BUILDING PERMIT NO.:
TRA 9-1
ATTACHMENT:Vision Clearance, Example #1
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APPLlCA TION FOR A SECOND DRIVEWAY I OVERWIDTH DRIVEW~
DATE:
r APPLICANT (PROPERTY OWNER):
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!i ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT:
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if . APPLICANTS TELEPHONE NUMSER:
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Please sketch the proposed driveway. Include, the following appJical;>le items: house or building, proposed
driveway, existing driveway. and street names. Incll,Jde dimensions andmeasuremen.ts to pmperty fines, road
. 'interse-cti~ns 'and bordering 9ri~eways. (See attachment for an example.)
STREET NAME
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ALL APPUCATIONS OUTSIDE THE CITY UMITS 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.
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STREET OR ALLEY
THIS DIMENSION:
25' FOR CORNER LOTS
1S"fOR LOTS AT ALLEY JNTERSEG-rlO~~S ~I ,-?
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10' FOR DRIVEWAYS
l:~ .:.:LL DISTRICTS
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22-15