Loading...
HomeMy WebLinkAboutPermit Sidewalk 1995-6-15 d l1~o -~ RESIDENTIAL - . COI'11'1ERCIAl SIDEWALK I CURBCUT . APPLICATION I PEF<\"1IT SPRINCFIELD 22:' NORT~ FIFT~ STREET SPRINGFIELD, OREGON "'1411 ENGINEERING DIVISION OiTICE NO. 126.31:'3 INSPECTION L1N:, 126-316'" J09 ADDRE55, :?eO v.J FAIl2. \J.I&JJ *' ''''-OJ.- <-l-"-Ii'- ':'SS:S50RS MAP NO. " n...:a. _ 7.7 -42- 5lJ9DIVISION, - 6"'~ .o,1't'~~eJ? TAX LOT NO, '* :g~ OJ..NER: l-lA6CA IN. (&f2.IAN "Hl AFe.t' \ 'FAIP\/'~ CITY, ?~ftlfllu.{) ZIP, 97411 P;.iON: NO. ADDR:S", ?,oo S,AT:, 1!>t'C lIJOR< DESCRIPTION, SI::>=''''''' K, ~ cuss SI::>: 5:::i:=.AC=< CURS-CUT: ~SIDEN'jIAL _ CO:-1l'"'ERICAL S::::COND DRlYEUJ~"'" (s=:=: 7~IC ) ~atllR:5 APFLICATlo-.1 i=OR A 5:C~ DRlYEl!JA",,:,,(rr-4.1a) 0;< A COUNTY t..PPLICATlON FOR FACILITY P:~IT IC SB-203) I~ IN ~: UG.9. DAT:: 0:= APFLlCATlo-J R:CEIPT NO, 1'7'$0 C) :::< ~1;/7/ *r/' Cl-l:CKED FOR DELlNQ:";~Cl=5 ,SIGN:::>, ~I!f),~ -0-/~-57 DA"i"":: U;()R< TO BE PE~~ u=D BY, O~;< ~O~RAC70R NO,* ~11 :X:=OIR:5, .!]: .Z/-f'0 P'-'ONE, <ua/ -6S'<:t~ CONTRACTO;:< '* .7-r'A-r{)~ ':'::>!::>R:55 2.<f'2,Q4-f!> C-D f..Jb-re.rJr.-1t 01-1 R:GIS,RATION AII;po e-r R.d f;J.){?ff'-..HF ,,.,e..... "7 "f-f) ? ,""-"__l:....URE FOR INSPECTION REQUEST, CALL 12b-3'6~ (FECOR'DER ) STATE 'fOUR CITY DESIC::~TED JOe Nt.r.1SER, Joe ADDR2SS,~ 0:= INSPECTION REQUESTED A"lD ~EN YOJ UJILL S:: RSA?Y FOR rNSFECTIO'-l, CONTRACTORS OR O~R5 N.l.~= .4."i!:> Pl-lON: NUM9:R. R:QUES,S R:CEIVE::> 9=cvr= 1,00 ':"'1 WILL 9: MAD: T~E SAI"E DAY, REQJ:S,S ':"=TER ;,00 A..'1 WILL BE MADE Tl-iE NEXT lLiOR<.lNG DAY '* SEE BOo.< EX!STI~ ~ILZ:>INCs PE~IT NO. ( IF AP'PLlCA9LE ) YOU;:< CITY ;:SIGNAT:::> J09 NO. Isf 9'509/0 REQUIRED INSPECTIONS LX] SIDEWALK I DRIVEWAY FOR ALL CONCRETE PAYING WIT1-IIN ~E STR:ET RIGHT OF WAY, TO :3E M.t...D= .L.FTER: ALL EXCAvATING: IS COI1PLETE AND r:o~ ~ A~D SU9-9.L.5E Mt..TERIAL 15 IN PLACE D ,_ CURS I APPROAC~ APRO AFTER FOF<\"1S AR: ER:C'T: BUT PRIOR TO POJRING CONCRETE:. SIDEWALKS (MU~1 Mu:f C-/JeNWf APA) CUR9-CUT ~10.00 . ~.15/LF. ( X ) ~10.00 . ~.15/LF. ( X ) OF WALK , 10.... ./.~!;f, " . IS" e. -75. qo Lief. C/O ,'? FEES, UJ~L:<' x' / "" l x' I. ., " TOTAL PERMIT FEE, s COM1'1ERICAL DRIVEWAYS S~ALL ~AVE :,' TO 8' FLAIRS 3'. o' STAN::>ARD 1 ~..c.YE ,CAR.:'i=uLL"'" Ex.:..~INED n-!E Ca1PLETED AFF'LICATiON FOR PE~rT,,"':"'''D DO ;..lEREBl CERTIFY 7~/..T ALL Il\rr-OR:"1ATION f..lEREON /5 TRUE A~ CORRECT, A"tD I FURTr-1ER CERTIFY 71-1.4T A".,... ~"l.D ALL WOR< PE~O~ED S;.!ALL 9E DONE IN t.CCORDANCE WIT~ T~: ORDIN-'-NCES OF THE CIT'!" OF SPRINGFIELD. AND WE LAC6 OF T~E STATE OF OREGON P~RTAINING TO T~E WORK DE5C;:</9ED !-;:REIN, -'-ND T~AT NO OCCUPANCY WILL :3E M-'-::>E or: .:..~y ST~CTU~ UI17f~OJT PER:'11551o:-.1 OF TJ-IE 6UILDrNG DIV1510t.t I FUR71-1::.R CERTIFY 71-f,.lT Q:\1L i COSTRACTCR5 AN::> EMPLOYEES WI-IO ARE IN COMPLIANCE WIT~ ORS 10/0:,,, WILL BE USED ON THI5 PROJECT. ~~-~ ' G:;-\\-9~ "'G'ED ~ '" DATE \4.."",) \<:.."" ,'t-c " , ,~. ".[1 \~, ~., . \\"\1, '. . \\, .....~. I I , I' I , I , , RON RICHEY CELLULAR: 954-0399 RESIDENCE: 345-3821 PAGER: 334-3993 1-800-300-0543 . DEMOLITION . LAND CLEARING . SITE WORK . ROAD 8UILDING ----.-- .---~_ ___h ___ _ -- -. '. , ,. ..--::... \ ...-,'. ~~. .. . to. '.._' \ . ~ , . -,. . UNDERGROUND TANK REMOVAL . HAl-MAT REMOVAL . WOOD WASTE PROCESSING . EMERGENCY RESPONSE TEAM {~. ,f .. ,\". .. _. . ,. ,;~,~' . "'1 : . '.... . t" t ,,:' ... , . .... , . .j"- " l \ ,I 1 , . "'.. " . Jo, :. ..."..... ,', " . " " '. -.:.\ . ' . . s'O;;'WAuL l2-e?M12.. ~ ~ ~"('S .' \.i_~~~_.___~f1\C-sp.,. (j,~A-N ~Are\2.) '2(,b (. ~ fJA.-l(l. \h 0; W ~f-t.j) 012- Cl14T7 __'-1, () 1.::...27 - 1.2. - (,6_0 ~-"(' ~o:::,,<:. L~ _~i '\)i.\t.lZ-~ \&.-.,..::; \~ ~ pll8;,c.QC\_~l\ll't ~ \ ~'2.1 ~o tq:~ <; IA 2..~ ~ '&i i~' -s ~ ~ I.qse. 1- -S~ ~ l;,;~i : .~ 1AUlO " .t4w\ \( ~ l4'11.. to ~ J,)l rJ'M.., &.as f.t::1... 9-\2 ~L ~1'l __r.1o ~') .;,.rt-o <'.ll ~l( _ _" .____502..1 ~q ',? .._ "'2.0 l7--(j_~~'2Z-q,j - fO I 10 '7 ,,- lS ... \~ I ?~ ----,----- -- --'-"I'.!lt--_. ,- f'/ -----v.- ",r /, II - --...1 () '.____...______..__ '2.0 1.\ ~ ------..- -. -"-. _._~--- 2<:; .[,-<;w tt C145!. n 11-6:2 _ '7'7 /1Y7 _ I/~