HomeMy WebLinkAboutPermit Sidewalk 1995-08-073IDENTIAL - COYf;Y|ERCIAL
SID=IIJALK / CURBCI,IT
APPL ICATIOI{,/ PER-IIT
SPRINGFIELO
225 NORTH FIFTH STFEET
gPRI}.IGFIELD, Ore,GOil A1 411
E}.1G INEERING D IVI 5 IOI'1
ffilcE No. 12b-3153
INSPECTION LINZ. 126 - 3163
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S=COND DRIV=UAY ( 5== TF?Ai=IC )
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=AUIR=9 APPLICATION FOR A *Co|{D DRI\zELIJAY(T-4.1a)
OR A COUNTY Atr-IcA1Io|{ FOR FACILITY P=3.1IT (C AA-2O3)
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PROCEDURE rcR NSPECTIC'N REAUE9T:
c/.J,_L 12b-3'169 (ECOR9FR ) STAT= YOUR CtT.r D=S|GNAT=D JO3 NiJ-i3=R, )O3 AJ,DFE.99,Ty,p= #
IN9FECTIAn R=AUE9TED A|.lD tlF.{EN YOU u,lLL 3= EADY tuR Is{9PiCTIO|rl. <-<-,^-TRACToR9 oR Otir!=RS NA,Y= A\D
Pr1(2N= Nr.!'i3=R EAU=ST9 R=CEI\€D 5=-rcF= 1,OO /-t1 lilLL 3= HAD= Ti{= SAIIE DAy, EAJ=SiS I-=TER ],OC
A,i UILL A= HAD= TI+= N=XT Ui2R<ING DAY
EXI-qTl|{.s Sl.JlLDlNG P=RalT NO. ( IF APPLICA3L= ,
*YOUR CITY D=gIGNA;=D JO3 NO. I9T qllOaF
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sID=Il,lALK / DRI\GIL,AY
FOR ALL CONCRETE PAVING TUITHIN
THE STREET RIGHT G IUAY, TO 3=
IIAD= #?ER AL EXCAVATIiG
15 COi.1PLETE AND FOA1 UJO=<
AND 5U3-3A5= HATERIAL 15
IN PLACE
,.cU€ / AffiOACH APRO*
A=T=R rc319 A= =R=C7gg1 PftIOR TO POJRNG
CONCR=iE.L fre nhfu-"tloN.
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FEE9: glDEtlJALKg
TOTAL FEff1IT FEE,
rlO.OO + $O.|5/LF.( X )
OF IUALK
22-
I1O.OO+*O.15/LF.(X)
C'oi-1I1ERICAL DRIV=U,IAY9 5i]ALL
HAVE 5'TO A'FLAIRgH,STA\DARD(;
CURB.CUT I]JAL< X
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a^t&
I ;.{A\G CAR=FULLY EX,f1IN5D THE COi.1PLETED APPLICAT|ON FOR PER.1IT, AD DO I-{=R=BY C=RTIFY ;HAT ALL
INFOSIATICI{ I-.]ER=ON 15 TR]E AITD CORR=CT, A\D I FURTH=R CERTIFY TI1I.T ANY A\D ALL I!OR< PE=OSiED9!ALL BE DONE tl'l /.CCO@ANCE tulTl{ Tr-.{= Ol?nNA\lCEg G THE CITY OF 9PRINC#IELD, AND Tt= LAl.IlS G THEgTATE G OREGON PERTAINING TO TI{E U]OR< DESCR,I3=D H=REIN, AND TI{AT NO OCCUPANCY tUiLL 3= HAD=G ANY gTFIICTUR= UJITi..IOJT PEBII9SION G THE BUILDING DIYISIC}{. I FURiI-.I=R CERTIFY TI..]AT ONLY CO}.ITRACTOAS
uJi-io OR9 1OIO99 IIJILL BE USED ON THIS PROJECTA}.JD
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ARE IN.C'HPLIANCE IUITI.{/fu-u
DATE
F 7- 7t -
REAU IRED IN9PECTICI.I9
s YGFIELC'
dft,225 FIFTH SI RI.I:
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PUB LIC WO R KS DEPARTM ENT
,ADA4INISTRATION
ENG/NEEtrING DIVISION
l\/tAINTENANCE
APPLICATION FOR A SECOND DRIVEWAY / OVERWIDTH DRTVEWAY
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APPLTCANT (PROPERry OWNER)
APPLICANI-S TELEPHONE d-
Please skelch the proposed drivbway. lnclude the following applicable ilems: house or building. proposed
driveway. existing driveway. and sireet names. I nclude dimensions and measuremenls lo property lines. roadintersections and borderiog driveways. (See atlachment for an example.)
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AII APPL'CATIONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WTTHIN THE URBAN
GROWTH BOUNDARY REOUIRE A LANE COUNTY PERMIT.
Note: The City of Springfield will nol grant a second driveway permil on an Arterial or Collector Street.
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ADMINISTRATION/ENGINEERING (503) 726.3753 FAX (503) 726 3689
MATNTENANCE (s1s) 726 3761 FAX (503) 726.3621
ADDREsS oF pRopERTy FoR DRTVEWAY peatan, . ,3 t'5 0' O,e,i7k
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1. Property type: Single Family Residence X Dupler ' 'Other L
2. The proposed driveway will take access (rom which slreet
3. The distance {rom the edge of the driveway to lhe nearest corner (measured to the curb return) is
JO( f teet.
,{. The seconil driveway will give access lo: garage- carport- sioe yarOJ other-
5. The dislance from the;yoperty line lo the garage. carport. fence. wall, or other. (where ihe vehicle is
to be parked) is .l '
teet.
6. Witl the proposed parking / storage alea cleate a vision obstruCtibn to adjacenl NoCertylyueways or
to any.vehiculir movement on a publib street? (See vision clearance atlachment) /v (/
Applicant hereby agrees to install the requested driveway app[cant further
area behind ttreagnees lo have 6'of concrete in the sidewalk area the
back edge of the
cement concrete.
or 6- of portbnd
The applicant agnees that il he/she does not pave the area behind the sidewalk within 30 days of cutting the
curb opening. the City of Springrfreld has lhe adhority to close the driveway access by removal of the curb cuL
All incurred cos6 shall be assumed by the applicant and if unpaid, said cost shall become a l'ren of the property.
lmen lhis application is approved by the City. the applicant must obtain a clrbcuUdriveway perrnit from the
Public Works Department. Engineering Division.
CurUcut I Orivewav Pe
a. On an improved street (existing curb): 510.00 plus S.15 Per lineal foot of curb cut.
b. On an unimproved street (no curb): 512.00
c. On currentty unirnproved streels that are under construction: S12'00
PROPERTY OWNER'S SIGNA 9-t'
rc,--EJ--Q{
BUILDING PERMIT NO.
TRA 9.1
ATTACHIViENT: Msion Clearance. Example #1
CTRAFFTC DTVISION
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of ld standards.
area behind the sidewalk shalt be ved a minimum of 18 feeL
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APPROVED
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ExAMPLE lJ-
APPLICATION FOR A S
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APPLICANT (PROPERTY
ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT:ri oRrb/-* tr
APPLICANT'S TELEPHONE NUMB 72c-sr7
Please sketch lhe proposed driv'eway. lnctude the following applicable items: house or building. proposed
driveway. existing driveway. and street narnes. lnclude dimensions ahd meastrements tb prope$ fines, road
intersections'and bordering (See attachment for an example.)
STREET NAME tt l5tI4'2st
Ner cu wr^s
House
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ALL APPLICATIONS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
GROWTH BOUNDARY REOUIRE A TANE COUNTY PERMIT.
3saA-
EXISTtNG
DRIVEWAY
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fuPos
Note: The City of Springfield will not grant a second driveway permit on an Arterial or Collector Street.
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THIS Dll/rENSlOt{:25'FOA COFNER LOTS
1s'FOR LOTS AT ALLEY
1O' FOR DtrIVE\I'AYS
II{ ALL DISTFICTS
INTEFS=CTIO}iS
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STNEET OR ALLEY
M R. NT. STOUT
Quallty Concrete Contractors
(503) 343.68s4
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All Phases ol Concrete Work&
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Statement EContract E Prpposat D
Date Total
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Totat J 84o.oo
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Submitted by
Accepted f "' /4rs
Materlal LaborDescrlptlon
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Concrete is not guaranteed against cracking, freezing, staining and settling. All material is guaranteed to
be as specifisd, and the above work to be performed in accordance with the drawings and specilications
submitted for above work and completed in a substantial workmanlike manner with payment to be made upon
completion.
Signature
Date
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