HomeMy WebLinkAboutPermit Curb Cut 2000-12-28
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Job# 00-01833-01
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RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 00-01833-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 16B5 diamond St Spr
Assessors Map#: 17033314
Lot: Block: Addition:
Tax Lot #: 00903
Subdivision:
Owner:
Address:
Steven Sharp
1685 Diamond Street
Phone Number: 541-741-4701
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Curbcut
second driveway, max, throat width allowed 12 ft, Ron Sather and Bob Kettwig approved,
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq, Footage:
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
working day,
Curbcut
Required Inspections
I Public Works I
-After forms are ereceted but prior to placement of concrete,
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? 0
,Area (Sq, F~.t)-.,
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
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. I Job# 00-01833-01 I . Page 2 of 2
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein is true and corect, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein, I further certify that only contractors and employees who are in compliance with
ORS 701,055 will be used on this project.
The City may inspect the work site described in this permit at any time during a one year period
following the receipt by the City of Springfield notice of completion of the described work and specify,
at the City's sole descression, any additional restoration work required to return the site to a standard
acceptable to the City, The permittee will be notified in writing of any work required and will have
thirty (30) days from the date of the notice to complete the work, Work not completed at the end of
the thirty days will be performed by the City and the costs will be billed to the permittee,
I further agree to ensure that all required inspections are requested at the proper time, that the project
address is readable from the street, and the approved set of plans will remain on the site at all times
1;;;:~ c. ~ i:Z-:J-8 -60
Signature Date
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726.3753
APPLICATION DATE: 12/2'6 - 60
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PERMIT NUMBER:
,DATE ISSUED: 12-29,-tfi)
SITE INFORMATION:
LOCATION OF WORK:
APPLICANT ~'>.-Io""'/1_/J7 9' \ )A//-'" 5AI.V;'F7 PHONE
ADDRESS: /1#8:5 n4/n/f/'"h'?' S/
CITY: S/.//'/d STATE: t1f ZIP: t?7C/T7
'1 L/ /- C-/7t'J /
TAX MAP: 1:+0 3~3H
TAX LOT: 00 ~6:J
SUBDIVISION:
OWNER:
StV77ZI do ~~'
PHONE:
ADDRESS:
CITY:
STATE:
ZIP:
REQUESTED PERMITS:
1:1 DRIVEWAY /CURB.CUT /SIDEWALK: ,..,..................,....,............,............,..,....,.......$ 60,00
AMMOUNT OF SIDEWALK IN EXCESS OF 90FT, ' @$O,D6 SF, $
1:1 SIDEWALK REPAIR: "..",..,..,..,......,......,.......,....,..,..,..,........,:......;,......,..",,$10,00,
~DDITIONAL DRIVEWAY: ,...........,................,....,..,................,............$ 30,00 '2.0 r:;l
1:1 PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
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TOTAL DUE WITH PERMIT $ ,/J
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CONTRACTOR INFORMATION:
CONTRACTOR:
ADDRESS:
CONTRACTOR REGISTRATION NO:
PROJECT SUPERVISOR:
PHONE:
EXPIRATION DATE:
PHONE:
i
INSPECTIONS:
AN INSPECTION REQUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FORMED
AND MADE READY TO POUR.
CURB CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBERlPERMIT
NUMBER, JOB ADDRESS, TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FOR INSPECTION, CONTRACTOR'S
OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M, WILL BE MADE THE
SAME DAY, REQUESTS 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,
YOU ARE REQUIRED TO CALL
THE LANE UTILITIES ,COORDINATING COUNCIL'S
"ONE CALL NUMBER" '-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE:
AMOUNT RECEIVED:
RECEIPT NO:
DATE PAID:
RECEIVED BY:
By signature, I state and agree, that I have carefUlly examined the completed application and do hereby certify thpt all Information herein
is tru~ and correct and I further certify that any and all work performed shall be done in accQrdance With the OrdlOanc~s of
the City of Springfield, applicable City Standara specifications and Drawings, and the laws of the State of OreJlon p.!!rtalOing to the work
desc~ibed ~erein, I furthpr certify that only contractors and employees who are in compliance with ORS 701,055 will be used
on thiS proJect.
The City may inspect the work site described in this permit at any time during a one year period fOllowing the receipl by. the City of notic,
of completion of the described work and specify, at the City's sole descression, any additional restoration work rellulreCl to return the site
to a standard acceptable to the City, The,Permittee will be notified in writing of any work reqUired and Will heve thirty days (30) from the
date of the notice to corn, plete the work, Work not completed at the end ofthe thirty days Will be performed by
the City and the costs Will be billed to the permittee,
I furthor agree to ensure that all require~ inspections are requested at the proper time, that project address is readable from the
street, ana the approved set of plans Will remain on the site at all times during construction,
Signature
k~ J;1 ~qAA;t.'
Date
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