HomeMy WebLinkAboutPermit Encroachment 1997-7-8
I
.'. . ,~ ". . I
. wCITY 'OF SPRI'NGLcLD. " ~cRMIT APPLICATION.
~
ENCROACHMENT PERMIT
NUMBER:
PERMIT NUMBER: q 1/ ()?yq
1 226 FIFTH STREET
/. SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726.3763
INSPECTIO:-l LINE SEE INSPECTIONS ON BACK SIDE
APPLICATION DATE: 7-'(;-11
"
DATE ISSUED:
7 - Z ~17
"LOCATION OF WORK
APPLICANT ( TO t::I IV tLlSi.JV\ IN\ "'_IT
SITE ADDRESS: \ \ &.. ,6 A'i€- "'''''' 'Lro P
CITY: ~IZ4IJ6R€W STATE: ~f)N
SUBDIVISION:
OWNER: c)() t--J 1\) H tcM 'fV\ EiIL ,PHONE:
ADDRESS: 'P.edsoxd2f...6 CITY: Ellc.P_l\n:::- STATE: (Jq{L ZIP: C1,\.lO?
CONTRACTOR: ADDRESS: PHONE:
CONTRACTOR REGISTRATION NO: EXPIRATION,DATE:
PROJECT SUPERVISOR: Ja N A I J -Lei Vv\ "'I E..f'1, PHONE: {... ~ 7, -/J.h..!,
,PHONE r-. 83 -II f..1,
,TAX MAP: 1l""'~-Z:2..-'Z.-
ZIP: '1.41, TAX LOT: 24\1
REQUESTED PERMITS:
o ENCROACHMENT PERMIT NO: ........,..........,....,...... n
VALlO FDA SIXTY 11101 DAYS FROM DATE OF mSUANCE
Q CUT STREET Q BORE Q OTHER n
Q DUST CONTROL (TYPE OF CONTROLl
INSPECTIONS REQUlREDI APPLICATION FEE I DEPOSIT
ACCOUNT NO:
,
o $20.001
0$
I
Q CONSTRUCTION. STORAGE. STAGING n
Q OTHER n
a ASPHALT DEPOSiT.................................. .......................... ...............................................
TYPE OF SECURITV I)EPOSIT
a BLANKET SURETY BOND a SURIITY BOND a CASH I CHECK
)3J CURB CUT PERMIT NO: ......,........,~... FT. z-t o'
IN~pp:t'!TlnN. CURB I APPROACH AFTER FORMS ARE ERECTED BUT PRIOR TO POURINQ CONCRETE.
VALlO FOR 180 DAYS FROM DATI! OF ISSUANCE,
Q SECOND DRIVEWAY ISEE SEPARATE APPLlCATIONI
o SIDEWALK PERMIT NO: ......,....,........ FT. n
Vol.L1D FOR 180 DAVS FROM DATE OF ISSUANCE.
Q NEW Q REMOVE I REPAIR Q PAVE PLANT STRIP
Q SETBACK Q CURBSIDE Q LENGTH
IN'l:~,.T.nN. ~IDEWALK I DRIVEWAY FOR ALL CONCRETE PAYINQ WITHIN THE STREET RIGHT OF WAY, TO BE
MADE AFTER ALL EXCAYATINQ 1$ COMPlETE, AND FORM WORI( AND SU8.BASE MATERIAL IS IN PLACE.
o SANITARY SEWER CONNECTION PERMIT: ...............: n
VALID FOR SIXTY 1601 DAYS FROM DATE OF ISSUANC!
Q TO STUB Q MAIN LINE (EASEMENT-RIW) Q OTHER
o STORM SEWER CONNECTION PERMIT: ......,............,n
YALID 'OR SIXTY lBOI DAya FROM DATE OF ISSUANC!
Q CATCH BASIN I BUBBLER Q STUB Q MAINLINE
PROOF OF INSlIRANCF' $600,000 MINIMUM
Q ATTACHED Q REQUIRED AMOUNT
0$
0$
0$
,/
0$
o $10.00+ $.16IFT. <If l?(a)
o $10.00+$.15/FT,
o $5.00 i .
"
o $5.00 1
DESCRIPTION OF PROJECT:
TOTAL DUE: $
TOTAL DUE WITH PERMIT $
/,?c (/? f)
/~ 0-^
WIDTH:
DEPTH:
TIME:
, TIME:
HEIGHT:
l
PERIOD OF USE OR TIME OF CONSTRUCTION:
~NS (TWO SETS) ATTACHED
AREA: LENGTH:
TYPE OF WORK: CUT:
OTHER:
EXISTING SURFACE MATERIAL:
BACKFILL MATERIAL TO BE UTILIZED:
SURFACE REPLACEMENT MATERIALS TO BE UTILIZED:
TYPE OF DUST CONTROL TO BE UTlpZED:
NAME OF OTHER UTILITIES IF THIS IS A JOINT PROJECT: '
WARNING DEVICES TO BE UTILIZED: .
Advlncl Ilgnlng Ind work zonl protectIon to be In compliance with lnB Manual on Uniform Tr'lIlc Control Covlcu IMUTCD).
DESCRIPTION: ~ _"'_-L''''T1Ll'''~ r"c>.... -!- r;""""1'e..c'~'-V, A >1~ ~.i2k~w;._
r-,OI\J.F.JLJAH Ai>PfmAr~ t- Mp~ Iv~ DtU,,~ '70 ~l'2Alp_ rnMM.~A..._
"7~..._ tn~-^ 0'-' ""'""'- .= z,:t.II 01=- ~"'JO.,.,':w, oV\A-/> t-.lO. n-~'7_2.-7_
FROM DATE: 1//(../ N 7 llPf'f)'f-
TO DATE:
ttuU3 c,.rr
BORE:
BACKFILL MATERIAL:
WORK SHALL COMPLY WITH CHAPTER X ARTICLE 6 OF THE CITY CODE, CONTRACTOR TO COMPLY WITH MUTeD.
REVISIONS B/24/B5 FORM' lIB
PLAN REVIEW COMMENTS I SPEC_NSTRUCTIONS: ' .
RESTORATION WORK SHALL BE IN CONF~ANCE WITH EXISTING CITY CODES AND I~OMPlIANCE WITH CURRENT
STANDARD SPECIFICATIONS, EXCEPT AS NOTED BELOW.
n 001 a.ckflll with %" minus rock.
-
. 002 Compact every 18- loose depth.
. 003 R.qulr.. compaction with a .teel roilier,
ii 004 A.C. to match the greater of Ixl.tlng dopth or 4".
- 008 All cUtllI,',d for.f1nallnlpectlon.
ooe Temporary patch mav be used at the end of the day.
. 007 SignIng end Zont protection to comply with MUTeD
ooe Cut concrate only on leore lines or cold )olnt..
. 009 Sldewalka and driveways min. 3.000psl.
. 010 Curbing mln 3.600pall No patchwork leas than 3',
J 011 Meet min. requlramentl on curb cut" Sptd. code.
012 Restor. planted.are'l. Spfd. code 208.3.05
013 Spec. to Bor. I Jeck I No A.C. cuts. -
. 014 MfI~h8nlc~1 compacting required.
. 018 No patchwork allowed. B
01a Leteral cuts to- ~8V' control densitY fill. ..,
.
. 017 Cutl to be polymerized crack sealed lor (Inallnspectlon.
01a Mlnlnum 2'" crushed rock ". minus.
Comments:
019 Mlnumum 4' clearance 8t any point. swing-away. .
020 Concrat. minimum 4" depth. 3,000psl.
021 Trlnch to bl .T'" cut.
022 Needa St.te' Count.,. permit.
023 No ebove ground Inclollng. In aIde walk or handicap ramps.
024 Ol.mond cut A.C./Concrlte value box.. to grade.
025 Fresh Ollllgnl' Graded.
026 Comply with Amerlcanl with Oll8bllltl.. Act.
027 Concrate alab., 12hr.. curing time, 4600psl.
028 Concrete .lab. requlra Joint 18al materl.l.
029 Orlvlw,y requires dowels every 18'".
030 Submit tr.fllc control plan prior to excevatlon.
031 Notifv Traffic Division before excavalipn.
032 . Core drill main line. Insert tee. 2% min. grade.
033 Must comply with the prOVisions of ORS 757.84'.10 757.871-
343 6" Circular hol.1H20.Vec. '
';r
YOU ARE REQUIRED TO CALL
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
4B HOURS BEFORE DIGGING
INSPECTIONS:
'0
CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB
NUMBER/PERMIT NUMBER. JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FOR
INSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE 7:00 A.M. WILL BE
MADE THE SAME DAY, REOUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE
CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE.
o SANITARY SEWER, STORM SEWER, ENCROACHMENT PERMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT
726.3761. I
SIGNATURE:
AMOUNT RECEIVED: J8,.{o7)
RECEIPT NO: It 71<:6(3"1
DATE PAID:
RECEIVED BY:
7-1J-91
flJDA fJ5.;77w/f"
By signature, I stete end egree\ that I heve cere fully exemlned the completed applicetion and do hereby certify that ell information
herein Is true end correct, and further certify that any and ell work performed shell be done In accordance With the Ordinances of the
City of Springfield; epplicable City Standard specifications and Drewmgshand the laws of the State of Orellon pertaining to the work
described herein. I further certify that only contractors and employees w 0 are In compliance with ORS 701.055 will be used on this
project.
The City mey Inspect the work slta described In this p'armlt et any time during e one year period following the receipt by the City of
notice of completion of the described work end speCify, et the City's sole descresslon, eny additional restoration work re~uired fo
return the site to e standard acceptable to the City. Tlie permittee will be notified In writing of eny work required end will have thirty
dsys (301 from the date of the notice to complete the work. Work not completed at the enc of the thirty days' will be performed by the
City end the costs will be billed to the permittee.
, I furthor agree to ensure that ell required Inspections are requested at the proper time. that project address Is readable from the street,
and the approved set of plans will re~aln on the site at all times during construction. .
Signature Date J
VALIDATION:
0 TRAFFIC REVIEWED BY: DATE:
0 ENGINEERING REVIEWED BY: f)OI?.t:~ J -!tf0 DATE: 7 -7{ -97
, 0
MAINTENANCE: DATE:
0 PERMIT ISSUED BY: DATE:
'.
; FOR S/DEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER.
INSPECTION:
:, INSPECTION:
WORK IN PROGRESS
AT TIME OF COMPLETION:
ELEVENTH MONTH:
DEPOSIT RETURNED:
..
DATE:
. DATE:
.DATE:
,DAT~:
,DATE:
DATE:
'-
.,
.'
~
~j\
/y'
.
07-1:10/97
07/09/.91
15:37
10:2"
F.H 54.54724
eoso:! 128 3889
HAMMER LUMBER ~
SI'FP pEV. SIiIl.
~U01
ijDoo2
PlAN REVIEW COMMENTS' SPECIAL.INSfRUCTIONS: . . .t
n~:;'T9RAT10N WORK SHAU- BE IN CONFORMANCE WITH EXISTING CITV CODES AND IN ~MPUANCE Wffl1 CURRENT
S 'ANI)ARC SPECIFlCA1'IONS. EXCEPT AS NOTED IlCLOW. ", .
~ oor S.c.U.IJ wit",. rntnUII roet. 0 org UfnUmurnlf" c(eeranct at D"'Y porl'lY, flwmg-awilY.
M2 Calft.IjIae.tlWfY 18' IOll.l8 tfeom.. :l 020 Ca:ftInta,mlnlmum 4" cbIp~j 3.<XI0gsi.
, 'QQ3 JhnuINa aal'f1'lJ8Ctlvl1 wUh . .IUll ,,,In.,. I 031 l'IBnd1. tD b. rr- cur~
I.:" 00. A.C. 10 malll'h thl Groatlr af 1.lnIn; daCllh or .-, : 0%% ,....d. &Ut~ I CoUftt"l pll!llml1t.
>... 0,0'" All Go,," .....1.d1 'od1nD1 tMl)..rion. JI!I 02.3 No ebtNagrmmd ~''''Illt In tldOoNOUIl. or hMtdlco6P rw/'l.OCI.
~ Y.",POtlWV ".teJolI'NIY ts. uaod et the and' of tl\l dllV. 024 OIamD,.s cut A.CJCcncrwal ~W8 bc".. lu gtlui,.
... 001 SgnlrtD ptf 20M prltl1t01.10I'l to camply with MUTeD OZB Frnh ell .s, Graded.
_ 006 em ftamnwta un.... 011 .care Ifn.. Q(" c;gfd felne.. d26 CCI"';I1y ",bh ArnetrGdns ..". , '." . .. I" AI:t.
... 009 End.wIIILI end drlVIlI\IIaw8 m"'- 3.bOOOsJ. 0:17 t:on'ftitl Illtll. 12rn. wring am'a 4600081.
,I::; 011,) c:...tblftQi nWI2..Kl:)pd (NO &\ltCnwDr\:l6D dUn 3". Q%.8 CClA~ ~~.fMUl,.tatnt"" rnIItII"It.L
011 Milt mill. r.qLlI"mlnt. on curtll Cut.I, $prcf. C'O(fe. OiD Orfvlll"\Jlr( toqufrM dow.r. *YMV 10.,
r: 01 ~ Raator. "''''''.d_....., Sold, tod. 208.3.05 0'0 Sob",1t uanl<: _pt.n ",I.. to ....v....n_
01.~ Spa.... to BCIfWII J.ak , No A.C. 'cuta. [". Q31 tJatily Traffic' Divl.,. beronr .~.II.".
0\ 4 M.~"'anIQ~ Clomp~cdno t.autrad4 Q32 .:, CQI'I dri'll mlln Uno,'1naGtt lOO_ 2" mfn. liiIrod".
j- 01' No po,Qh.WOtIL tlOOW6d. 933 MtJ.lIl -c:ClI'1'tDI)' .",n Lhe Droul..... o( ORS ,61.&4\ ~Q 1~7 ,Ei1l.
010 ....lonI..... lDlJr<o """....1 d...ll'IllU. 343 6" Clt...I.. hoIo/H2I>V... " ' "
017 CUD tu be OAtYmIrtnd CiJI=- ...Ied rOt" ftnIIl In.pacdon.
... 018 MlnII\Uln 2. CT",.hecf"tock ,. mt'n....
C I mmeou:
Post-lr- Fa)( Nate
7671 10.'. ., \ \D
\.....i' From -::!; i?
~co
I~g~~" ~
\\Ct.w..........-o~
IT. ~C\:>\<......\\-
I CoJDepr.
I Phontt #
I~'"
Phone #
~ax'
"touflV'c.Y\CUU~ ..""-
THE LANE UTILITIES COORDINATING COUNCIL'S
"ONE CALL NUMBER" 1-800-332-2344
48 HlJURS El'liFORIi DIGCJlNO
IIISPECTIONS:
'CJ
eURB Clit AND SIDEWALK INSPECTIONS CALL 726.3188 (RECORDERl STATE YOUR DESIGINATED CITY JOB
NUMBERlPl:rlMIT NUM6t;R. JOB ADDRESS, TYPE OF INSPECTlON REQU~TEO, AND WHEN YOU WILL BE READY FOR
INSPECTION, CONTRACTOR'S OR OWNER'S NAME ANO PHONE NUMBEA.. REQUESTS RECEIVED Ba'DRE 7;00 A.M. WILL BE
MADE mE SAME DAY, REQUESTS AFTER 7:00 A.M. WILL SE MADE THE NEXT WORlCING DAY, tNSPECIlONS ARE' TO 6E
CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WD~lC IS IN PLACE BUT PRIOR TO POURING CONCRETE.
Cl' "ANll'ARY. SEWER. STORM SEWER. ENCROACHMENT PERMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT
728.3781. '
, , "",... .
IGNATURE:
AMOUNT RECEIVED: J 0. tL, V
RECEIPT NO, /I ?/Jie~
DATE P/>JD:
RECEIVED BY:
7- ~-9'1
/100P, rl!'::f'"/W/h
I y ....llgt'\Dtuf~f l a\J:Ob::I Uld Gcres\ that \ hill",,, c.:t.rofUuv OXft",lned thA completed Bp~ttC8UO~ and do hUfUbV canltv thaI B8 il')formatlon
ora n b true ~r-d COfTO~ ond funhfu certify th~t 9Iry and ell wori:. pftriormed ar.aU be d()M In ltCCOrdBnCO with 1'ha t1:!lnanCli5 of the
':Ity of Springfield BPP'licbblo City StendDrd apsClHcauoOQ and OraWll1{Js and the. laws of the ~t6 of Or~on ~tninG to thr; INnrk.
I ucribed hereIn. r turthal C8rUfy VtBt only contractors and smple.V~ WM are g, compliance with ORS 701.055 will be ~s.ed lJIl thl1l
I roJeot.
. 'n.> Cl,y may lnape'" <h<> wo.1< .I"'~ecr\b&d In 011. P''''mJ' ., .".y dm. dutjng a on. yea, pllfllKl following lho .o<;olp' by \he Clly of
I H)th~o af.c:olTlpleUon of the d88crib wori.-Bnd Spegltr~ At lM Ctty"s P9lo delK:to'J4lon, lJn.'f additiOl"l.=1 lstote.tlon work ,~qlLlr"d th
I i1tuTl~\ al'te to e standard BcceptB 8 to the CIty. Tlie ~rmJ\tQ$ wUf ba notlfied fn wrrtlng of uny roqw4Jd dnd wilt n<!V",i thlrtv
Ciiov. 13 fram the date of the "atlco l~~~r.glata lh. ....".k. Work nat completed at Ihe eno of lI\e In n.y deV.'will be port",med by U,.
:iLV O1e ocelli will tie tlUleo to me Un, '
further agree to all8ure 'hat oJl ,eQulred Inapt!ctlgno are requested at the cu~p8r time. thlllt ~roJoor Bddf'an hi rB8oabls1rom thu Gttd.:lt.
,nd, tk6 ppprevtld 8et of plans ""ill camel" en the. 8lUl at aU ume.s -({wing conatructlon.
~ . Data ~/Io/q!
I
~1(JnBtl.mf
IAUDATtON: \
J TRAFF~WED BY:
, ENGINEERING REVIEWED BY:
1?uP.:>i;;:../L; .L.p.to
DATe:
.._ DATE:
7 - ~ -97
07/09/97 11: 17
"('X/RX NO.7956
P.002
.
~--'
,
:J MAINTENANCE:
:J PERMIT ISSUED BY:
HAMMER LUMBER ~
DATE:
DATe:
i4J 002
\,~? 07/10/97 15: 37 HX 54.5HH
./ -
: "OR SJDEW.4LK IlND CUlUJ CIFT PERMIT8 PLACE A CDPY (COMPLETED) IN PERMIT DRAWER.
. NSPECTlON:
i INSPECTION:
_ WORK IN PROQI\ESS .
AT TIME 01' COM~ONI
l!.~eVEJolTti MONTti;
DEPOBIT RETURNED:
.,
OATE:
',OA11:':' .
,DATE: <
DAT!,,'
.D4TE' _
DATe:
.,
07/09/97 11: 17
TX/RX 1\0.7956
P.002
iii
ILLUSTRA nON FOR CURB CUT
TO SER VE
ASSESSOR'S MAP No, 17-03-22-2 TL 1211
SPRINGFIELD, OREGON
JUL Y 7, 1997
LEGEND
o
IZI
I,
4,-
CiiiI
II 60 6Irrt'i.w~y Lc:>C:J9
EXISTING CURB
TO BE REMOVED
TL 2411 (j/
..."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,\,,,,,,,,,,,::>'~
.
"
tl
<>oJ
~o
TO BE REMOVED
/
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SCALE: 1"- 20'
TL 2501
EXISTING CURB CUT
ACCESS TO
GA TEWA Y LOOP
.
.~ ~;.
,....:~~'y rq ~
A' ~,r'\
Y~l LQ.Q.P tt.--
.: PROPOSED CURB CUT - -
FOR NEW CONCRETE
\ ~EWA Y APPROACH
TO BE REMOVED
/
I.\v
~V
<J'
0;'
PROPERTY CORNER
UTILITY VAUL T
STREET LIGHT
JUNCTION BOX
STREET TREE
J" CALIPER
:>
\ __u
\ EXISTING SETBACK
SIDEWALK
POAGE ENGINEERING AND SURVEYING INC.
P.O. BOX 2527 EUGENE, OREGON 97402
fHIJ 485-4505
ILLUSTRA nON FOR CURB CUT
TO SER VE
ASSESSOR'S MAP No. 17-03-22-2 TL 1211
SPRINGFIELD, OREGON
JUL Y 7, 1997
LEGEND
o
PROPERTY CORNER
'I
} t lSCP rO/97I2..WId'f'LoOP
~
I ,
4,-
~
UTILITY VAUL T
STREET LIGHT
JUNCTION BOX
<>oJ
TL
EXISTING CURB
TO BE REMOVED
2411 (
."""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,),,,,.,.,,,,,..c/
@
STREET TREE
J" CALIPER
.
"
t ~
'f:'
AI
,:f/
TO BE REMOVED
/
;)
EXISTING CURB CUT
ACCESS TO
GA TEWA Y LOOP
I(
oJ
TL 2501
~
SCALE: 1"- 20'
.
..:"".:~~:\5 L~ ~
A'~'~
Y~l LQQ..P- If.--
,; PROPOSED CURB CUT - -
.,.,.,../ FOR NEW CONCRETE
\ ~EWAY APPROACH
TO BE REMOVED
/
<it-
~y
~'
C>;'
\
\ EXISTING SETBACK
SIDEWALK
POAGE ENGINEERING AND SURVEYING INC.
P.O. BOX 2527 EUGENE, OREGON 97~02
fHII ~8S-HOS
.
07/09/97 13:29 ~503 726 3689
SPFD DE\'. SER.
I4i 00 l
ACTI\'ITY REPORT
TRANS~IISSION OK
TRANS.\CT! ON ;; 5730
CONNECT! ON TEL 94854725
CONNECTION ID G3
START mIE 07/09 13:27
liSAGE mlE 01'52
PAGES 2
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SPRINGFIELD
PUBLIC WORKS DEPARTMENT
ADMINISTRATION
ENGINEERING DIVISION
MAINTENANCE
225 FIFTH STREET
SPRINGFIELD. OR 97477
APPLICATION FOR A ~ECOND DRIVEWAY I OVERWIDTH DRIVEWAY
II
DATE: -I-tl.-41
APPLICANT (PROPERTY OWNER): ~ hu;J ~ ~~A ~fL
ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT: 1113<0 ('-'/4"/ P\I-J'A 1'0: r.J(?
APPLlCANrS TELEPHONE NUMBER: (;,9> S-( I in/A
Please sketch the proposed drive';'ay. Includa 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 example.)
s~ A-r-rJtICl-'+Ep
ALL APPLICATIONS OUTSIDE THE CITY LIMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
GROWTH BOUNDARY REQUIRE A LANE COUNTY PERMIT.
i
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Note: The City of Springfield will not grant a second driveway permit on an Arterial or Collector Street.
ADMINISTRATION/ENGINEERING (503) 726,3753 FAX (503) 726-3689
MAINTENANCE (503) 726-3761 FAX (503) 726,3621
.
.
1. Property type: Single Family Residence _ Duplex ~ Other
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
feet.
4. The second driveway will give access to: garage_ carport_ side yard_ Other
5. The distance from the property fine to the garage, carport, fence, wall, or other, (where the vehicle is
to be parked) is feet.
6. Will the proposed parking / storage area create a vision obstruction to adjacent property driveways or
to any vehicular movement on a public street? (See vision clearance attachmenll
Applicant hereby agrees to install the requested driveway to City of Springfleld standards. The applicant further
agrees to have 6" of concreta in the sidewalk area (adjacent to the driveway), and to pave the area behind the
back edge of the sidewalk, or driveway apron, with a minimum depth of 3" asphaltic concreta or 6" of portland
cement concreta, The area behind the.sidewalk shan be paved a minimum of 18 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 Springfleld has the authority to close the driveway access by removal of the curb cut
All incurred costs shall be assumed by the applicant and if unpaid, said cost shall become a,lien of the property,
I." ".... .".... ,.,.
.. ,,,,,,.,
I. I. "'
III.,,,.
When this appDcation is approved by the City, the applicant must obtain a curbcuVdriveway permit from the
PubDc Works Department, Engineering Division.
Curbr:ut I Driv~wav Permit Fee
a. On an Improved street (existing curb): $10.00 plus $.15 per Dneal foot of curb cut.
b. On an unimproved street (no curb): $12.00
c. On currently unimproved streets that are under construction: $12.00
PROPERTY OWNER'S SIGNATURE:
APPROVED BY: ~re
DATE:
I~Jt~
- (TRAFFIC DIVISION
DATE:
~JJ q7
BUILDING PERMIT NO.:
OATE'
TRA9-1
ATTACHMENT: Vision ,Clearance, Example #1
.~ -4
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II
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ILLUSTRA nON FOR CURB CUT
TO SER VE
ASSESSOR'S MAP No, 17-03-22-2 TL 1211
SPRINGFIELD, OREGON
JUL Y 7, 1997
/ I 56 <3 ~TC.\.A.)A r \....Oc).f
~
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TL
EXISTING CURB
TO BE REMOVED
2411 (
'''''''''''''''''''''''''''''''''''''''''~''''''''''~.
TO BE REMOVED
/
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~
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NEW AC.
PAVING
~
SCALE: 1"- 20'
.
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1
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