Loading...
HomeMy WebLinkAboutPermit Curb Cut 1994-12-08t"/ao 225 NORTH FIFTH gTREET SFRII'{C,FIELD, OREGOI.{ 314'11 Ehl6 lhlEERll.{6 D lVlS lot lffilcE No. 12b-)1>3 IN9PECTION LINE' 126-3'169 JoA ADDRE99, *A59E950R9 llAP NO.11 09 2-7 4t RFgIDENTIAL -COIAfrERCIAL gIDEIIJALK / CURBCUT AFPL ICATIO|.I / FER'-1IT SPRINGFIELE, TAX LOT NO.Lel oo SUtsDlVl9lON' oul{ER:H ACS A NDreee' ioO uJ Fairvi ebl ctrY'Sor;nolt'etll SrArE, OP,E GoN zt?z 1477 Fr-{or{EI;S= REcElPr Na t5bq5 * CHECKED FOR DELNAJENCIEg 7 PI5I6NED: DATE: CAS,+t CHECK IUORK 9IDEII,IALK, CURB SIDE - SETtsACK - CUR3.CUT: K R=SIDEI.iTIAL - COM|-1=RICA - 9ECOND DRI\EI]JAY ( gEE TRAT"IC ) E'AUIRE9 AFPLICATIOI.I FoR A SEcoND DRI\€UJAY(T-4.1a) OR A COUNTY APPUICATION FOR FACILITY PERtllT (C ao-2@3) IF IN THE U65. DA7E, G APFLICATIOI.I I,UORK TO tsE FEFFOSIED tsY:olJ.t.{=R )C CONT,R.AC;OR ** CONTRACTOR =GISTRATION NO.EXFIRE9: AglpF5:se 2q37'/ -R A)vport F.d. Ewste, OKE q7rf0 2- piioNE: +61 -OgWr--------r PFOCEDURE F'oR INgPECTlct l REaUE9T' c/LL 12b.316A (E,COpER ) STATE YOUR CITY D=gIGNAT=D JO3 NIJI.15=R, JO3 ADDR=Sg;YFE d INSPECTIOI.I REOU=sTED AI{D IU{EN YOU UILL B= READY FOR INgPECTIOII. COIITR,ACTORS OR OI,IhI=R9 NAI1E AD Pllol'lE Nr..F13ER R=aU=gTg R=cEl\GD B=FoE 1t@o li1 tlJlLL 9E llAD= Tl{= 9p,l'1= DAY, REaUEgTg jtTE* ltoo Ar1 IUILL BE I1ADE TH= NEXT UJOR<ING DAY *YOUR CITY DESIGNATED JO3 NO. I5T ?4/8<LgEE Wd. SIDEI,UALK / DRI\€I..IJAY FoR ALL CoNcREr-E PAvlNc tulTi-llN THE STREET RJGHT OF IUAY, TO BE IIAD= AFTER ALL EXCAVATING 19 CO|-IPLETE A.lD FOE-I IJ.pR< AID SUB-BASE I-IATERIAL 19 IN PLACE CU'<r5- / APPROACH APROI'I' AFTER FOB,19 AE ER=CTED BUT PRIOR TO POURING CONCR=TE, FEE9: gIDEIUALK9 ,IO.OA + {O.lb/LF.( X ) OF LUALK TOTA FERI,IIT FEE'1 /z.qo tlO.OO + ;O.\>/L.F.( X ) COHI.IERICAL DRI\€IUAYg SHALL AA!6. >'TO A'FLAIRS 3,- O" sTA\DARD CURB.CUT /a I,UALK X, I TA\E CAREFULLY EXAYI\ED TPE COI.IPLETED APPLICATION FOR PER-1iT, A\D DO ..{ER=BY CERTIFY TI-iAT ALL IN,TBIATION }IEREON 19 TR].IE A\D CORR=CT, A\D I FURTFiER C=RTIFY '|HAT ANY AND ALL I,IPR< PEFOSIED 9|]ALL BE DONE IN ACCORDANCE IUITI.,I TI{E ORDINANCES G TI.]E CITY tr 9PRING# I=LD, A'.{D THE LAUS G TI{E STATE ff OREGON PERTAINING TO TI]E U]ORK DESCRISED IiER=IN, AI{D Ti]AT NO OCCUPA\CY IIJILL BE r1AD=G AIY gTRLICTURE IUITI..IOJT PER-1I95ICI,.I OF TI-{E BUILDINC DIVIgION I FURTHER CERTIFY THAT ONLY CONTR.ACTORgAD EI1F,LOYEES u}{O AR= IN COI.IPLIANCE IIJITI] OR:5 1O1O>9 TUILL BE USED ON T|lig PROJECT. DATE EXISTII'{G BUILDIN6 P=B1IT NO. ( IF APPLICABLE ) EAUIRED INSPECTICN9 tr /\ r9IGNED