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HomeMy WebLinkAboutPermit Curb Cut 2000-10-19SPRINGFTELD Job# 00-01547-01 RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Page 1 of2 Job Number: 00-01 547-01 Office:726-3759 !nspection Line: 726-3769 Tax Lot#: 00304 Subdivision: 225 North Fifth Street Springfield, OR97477 Location Of Proposed Site: 3463 Oregon Ave Spr AssessorsMap#: 17033134 Lot: Block: Addition ctTY oF sPRtNcFlELq OREGON Owner: Randy St Clair Address: 342 s. 35th Scope Of Work: Curbcut Phone Number: City/State/Zip: New 541-726-3134 Springfield, OR 97478 Value: $O Curbcut and driveway approach only 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 callthe 24hour recording at726-3769. 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. Required Inspections Public Works GC-Standard -After forms are erected but prior to placement of concrete Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? (sq. Main:Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: Fee Paid On Receipt# Value/Quantity Fee Amount Public Works New Curbcut Total Public Works $60.00 $60.00 Grand Total 1011912000 3528 $60.00 1 Job# 00-01547-01 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 during construction. '1- Signature ( d -t ?'o' Date DRIVEWAY/CURB.CUT/StDEWALK . .,.,..,...... AMMOUNT OF SIDEWALK IN EXCESS OF gOFT. ' SPRINGFIELD, OREGON 97477 ENGINEERING DIVISION oFFtcE TELEPHONE (503) 726_3753 APPLICATION DATE: PERMIT NUMBER: 06 - rs'{}- o I DATE ISSUED: 6c-r r] , z6erb 225 FIFTH STREET 1 ' 3.{ PHONE 72A /SJ/ STATE o-nJ -9ne o ZIP: ?zlr' zgSTATE w o{ -l ur Ccrr LOCATI9N OF oNE: 72 e - /s3 / rAX rvrAp ,/7 aZ 3 / 3 q QITY: APPLICANT Ccat)- SUBDIVISION: OWNER: cr aP rAX Lor: 3 Oa '' @$0.06 sF. ;g E STDEWALK REPAIR:...,.,.$ 10.00. E ADDMONAL DRIVEWAY .$ 9o,oo O PROOF OF INSURAITCE: $5OO,OOO MINIMUM IF WORK tS DONE BY PROPERTYOWN TOTAL DUE WITH PERMIT $ CONTRACTO R INFORMATION: CONTRACTOR bgfirucAtor-\Cd' CONTRACTOR REGISTRATION NO:C-r>6 #E26q PROJECT SUPERVISOR: INSPECTTONS: AND MADE READY TO POUR NUMBER, JOB ADDR WPE OF INS PECTION REOUESOR OWNER'S NAME PHONE NUMBER. R EQUESTS RE IVEDSAME DA REOUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT EXPIRATION DATE: PHONE: PHONE: TO BE CALLED IN, ' THE LANE ATING CO CIL'SER',r' 1.-900.332-2 48 HOURS BEFORE DIG GING SIGNATURE: AMOUNT RECEIVED;DATE PAID REcltPr No;RECEIVED BY: ,l{tnf ffiJilffi ffi'ffi-,,ffi {ffi,ritnfrfr ffirrgu* herein wo lllgli:Hgffi'3r",ili[1iJ!31 3t6?"Xt'fi,fl,'i"'ffi]1"#,f'dJit8H8:if.9;!!nS,fi8gSt.I!iPulti8,,l,"ject address is readabre rro,, tne the Slgnature a-Dare 1 o- 3 'c c- m PERMIT APPLICATION ,P {$City of Springfield DRIVEWAY/SID ADDBESS:i?2 '. )- rfl! "tn. ADDRES-S: . . . . . . . . .. ;. . . . , . AN STATE AND DRIVEWAY AND ALLEY APRONS Lcr &-tcrA L<)At < l-rr<€- rs 'rf' / 5 /a fl c- Oa4<-- T@, BR\A\ OR N\ - BROOM PATTERN 5' C\$RB C\}\ LE\q\\\tr 2 \ tl R,F--"-lt' SETBACK . SIDEWALK APRON 50:l (2U) P\ANALR N0TEST r) 2) J) MlNluUM ORlvtw Y CURB CUI woTH lS t2 F€tT, ll xll,luu wlolH lS 24 IEEI, RESIOINTAL, J5 FEEI COVUTRCIAI.. ALL CONCREIE SMr-L BE 5' INCH UlNlMUl,l THICKNESS 0F SIX SACr UX J,00O p.i' FIELO STRENGTH lvrTH U hi6. COUP CIED J,/f-o CRUSHEO RoCX UNoER ALL CoNCREIE. AOO OUUI'f JOINI IN CENTER OF APROI.I l}lo CURE & CUTIER WHEN APRON wlOTH EXCEEOS 20 FI. ALL SLOPES ,AE REI,^IIVt T0 HORIZoNTAL, IF IHE APRON WILL ASO SEF/T AS A SIOEWALI( ACCESS RAMP IN PI,ACE OF A SIANOARO MIIP, lltE APRON SLOPT rROU IH€ oUITER I0 IltE SIOEWALX SxtI EE !2:l 0R IESS WTH NO LIP, 4) s) ISOLATION JOINTS rl CITY OF SPRINGFIELD 8TA}|DARD DRAWINO DRIVEWAY/ALLEY APRONS 5' SETBACK SIDIWALK 3-23 SLOPE: