HomeMy WebLinkAboutPermit Sidewalk 1994-11-15
225 NORTl-l FIFTl-l 5TREET
5PRINGFIELD. OREc;,ON ';11411
ENC>INEERIN1O DIYI510N
OFfiCE NO. 126-3153
IN5PECTION LINE. 126-316';1
_~5IDENTIAL - COMMERCIAL
51DEWALK I CUReCUT .
- APPLICATION I PERMIT "
-..,
1i1';lC( .
SPRINCFIELD:
JOB ADDI"!E88. I () q TCJ. ,. r vip. U )
A55E550R5 MAP NO.'*' t"l()?'OOAl
- ,
RECEIPT NO. 0 I S'4-7'L.
CA$H
TAX LOT NO: *~
OU.NE~
5UBDIYI5ION.
I-f ,4CS A
ADDRESS.-ZO() LV. q..qiYVI' eu')
STAT!:, {)R..F ZIP, q7477
Cl-lECK
0/'
CITY. S P-!r 11'1
'*
C!-IECKED FOR DEL INQUENCIES ...::::
Pi-1ONE NO.
lI..IOI"K DE5CRIFTION.
i V
I 5IDEWALK.
I. CURS-CUT.
SECOND DRIveWAY (SEE TRtJTIC )
I R!:QUIRES APPLICATION FOR A &ECOND DRIVEWAn'T.4.1a)
I OR A COUNTY APPLICATION FOR FACILITY PERMIT (C ~.2"3)
:~:: ~:~ICATION J /1 I q,1
I.. .1. "7
CURB SIDE V
R!:SIDENTIAL ....-'
SETBACK _
COMMERICAL _
SIc;,NED.
DA T!:.
:a..e. /.....-4-
111!>"(q,e
I
WORK. TO 6E FERFv"", II::::D BY,
CONTRACTOR'*S;-rA-+on C,Ofld. Inc.
ADDRESS :J. q.1 qt-I -R A ; 'rrYll-+ Rd,
1
PROCEDURE FOR IN6FECTION I"!EGlUEST.
Ou..N.ER
f CONTRACTOR
R!:c;,ISTRATION NO* () 3371
Q7l..f02
EXPIRES. 3 hi /((S
P!-lONE. 4!;' -OS<{'?
CALL T,6.316';1 (RECORDER) STATE YOUR CITY DESIc;,NATED JOB NLJ:'19ER. J09 ADDRESS.TYFE OF
INSPECTION REQUESTED A"D u.\-;EN YOU WILL BE READY FOR INSPECTION. CONTRACTOR5 OR ot:N!:R5 NA.'1E A."D
P!-IONE NUM9ER. REQUESTS RECEIVED BEFORE 1."" A'1 WILL 9E MADE T!-l: SA'1E DAY. REQUESTS -'FTER 1.""
AM WILL B: MADE T!-l: NEXT WORKING. DAY
* S:E SOOK
EXISTIN<:: BUILD IN<:: PERMIT NO. ( IF APPLICABLE)
YOUR CITY D:SIc;,NA TED J09 NO. IS'!" Cf 4 1155'"
I"!EQlJII"!ED INSPECTIONS
[3"
SIDEWALK I DRIVEWAY
FOR ALL CONCRETE PAYING. WITl-lIN
Tl-IE STREET RIc;,!-lT OF WAY. TO 9:
MADE AFTER ALL EXCAYATINc;,
IS COMPLETE A'lD FORM WORK
A'lD 5UB.BA5!: MA T!:RIAL IS
IN PLACE
D
CURB I APPROACl-l APRON.
AFTER FORMS ARE ERECT!:D
BUT PRIOR TO POURINc;,
CONCRETE.
FEES.
SIDEWALKS
CURB-CUT
TOTAL ,c.... ,IT FEE.
$
I~.DO
COMMERICAL DRIVEWAYS S!-lALL
!-lAVE 5' TO 8' FLAIRS
3'. On &TA"lDARD
WALK X'
/ ""
.l X' I.
" "
.10.00 + .0.15/LF. ( X) ;J(J
OF WALK
.10.00 + ~.i5/LF. ( X )
I '"'AVE CAREFULLY EXA'1IN!:D TH: COMPLETED APPLICATION FOR PERMIT. """D DO HERE9Y CERTIFY Tl-l-'-T ALL
1N""..oRMATION ,",EREON IS TRUE A"D.CORR:CT. A"D I FURTH:R C:RTIFY T,",AT -'-"'I' A'lD -'-LL LtORK PERl'ORM:D
S!-lAlL BE DONE IN ACCORDANC: WIT!-l T!-lE ORDIN-'-,"CES OF T!-lE CITY OF SPRINGlFIELD...:.ND TH: LAW5 OF T!-lE
STATE OF OR!:c;,ON PERT-'-ININc;, TO T!-lE WORK DE5CRI9ED H:REIN. -'-'1D T!-lAT NO OCCUP"-'lCY WILL 9E M-'-DE
OF A'IY STRUCTURE WIT!-lOJT FERMISSION OF THE BUILDING. DIYISION. I FURT!-lER CERTIFY T!-lA T ONLY CONTRACTOR5
-'-ND EMPLOYEES UJl-IO ARE IN COMFLlANCE WIT!-l 0R5 '''1-''55 WILL BE USED ON T!-lIS PROJECT.
SIGlNED ~ ~ -
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