HomeMy WebLinkAboutPermit Curb Cut 1996-04-24DATE ISSUED:
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PERMIT NUMBER:
INSPECTION LINE SEE INSPECTIONS ON BACK SIDE
APPLICATION DATE:
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
oFFtcE TELEPHONE (503) 726-3753 ENCROACHMENT PERMIT
NUMBER:
LOCAT]ON OF WORK
PHONErrl
otL zr., 7?</7/
PHONE:dtL ?7+78
EXPIRATION DATE
/
PHONE
ztP
ADDRESS:PHONE:CO.I[IBA[B,
SUBDIVISION
CITY STATE:
SITE ADDRESS:
APPLICANT
TAX MAP
TAX LOT:
cONTRACToR RFGTqTRATION NOI
PROJECT SUPERVISOR:
oWNER: d*AeI N tO.loeg
ADDRESS: 47 t.
REOUESTED PERMITS:INSPECTIONS REOUIRED; APPLICATION FEE / OEPOSIT ACCOUNT NO:
f erucnoacHMENT PERMIT No tr E $20.00 /
VALID FOR SIXTY (60} OAYS FROM OATE OF ISSUANCE
I cur srneer E BoRE I orHen tr- E$
I ousr coNrRoL (TYPE oF coNTRoL)
tr tr
tr
tr
$
I oruen $
I aseHalr DEposrr..................,.
TYPE OF SECURITY DEPOSIT
$
BLANKET suREry BoND E suRlTy BoND I cesH / cHEcK fl$
CURB C
INSPECTION:
UT PERMIT NO:.................... FT. /4
cuRB / AppRoAcH AFTER FoRMs ARE EREcrEo BUT pRtoR To iouRtttc
VALID FOR 1 80 OAYS FROM DATE OF ISSUANCE.
n E $ 1 O.OO + S.',r 5i FT t a
CONCRETE.
fl srcoruo DRtvEWAy (sEE sEeARATE AppLtcATtoN)_
f sroewnlK pERMrr No:.................... FT. n E $1O.00+$.1s/FT
VALID FOR 180 DAYS FROM OATE OF ISSUANCE.
I r.rew E REMovE / REpAtR '[ reve PLANT STRtp
I sereacr l] CURBS|DE E LENGTH
INSPFCTION. SIDEWALK / ORIVEWAY FOR ALL CONCRETE PAVING WTHIN THE STREET BIGHT OF WAY, TO BE
MAOE AFTER ALL EXCAVATING IS COMPLETE , ANO FORM WORK ANO SUB.BASE MATERIAL IS IN PLACE.
f snrurrnRy sEWER coNNEcrroN pERMtr:
VALID FOR SIXTY (60I DAYS FROM DATE OF ISSUANCE
tr E $5.00 /
I ro srue E r\rAtN L|NE (EASEMENT-R/W] E orHER
f sronu sEwER coNNEcloN pERMlr: ........
VALIO FOR SIXTY (60) DAYS FROM OATE OF ISSUANCE
I carcH BASTN / BUBBLER E STUB O MAINL|NE
PRooF oF INSURANCE: $500,000 MINIMUM
I arracueo E REoUtRED AMoUNT
....,,.tr l-l s5.oo /
TOTAL DUE: $/4'D/*
TOTAL DUE WITH PERMTT $ac)
DESCRIPTION OF PROJECT:
CITY OF SPRINGF D PE3ilT APPLTCATTON
PERIOD OF USE OR TIME OF CONSTRUCTION
tr PLANS (rwo sETS) ATTAcHED
.IWIDTH:
TYPE OF WORK: CUT
OTHER:
EXISTING SUBFACE MATERIAL:
BACKFILL MATERIAL TO BE UTILIZED
FROM DATEr
TO DATE:
TIME:
TIME:
DEPTH:
BORE
BACKFILL MATERIAL:
HEIGHT:
SURFACE REPLACEIVItNT MATERIATS TO BE UTILIZED:
IYPE OF DUST CONTROL TO BE UTILIZED:
NAME OF OTHER UTtLtTtES tF THtS tS A JOTNT pROJECT:
WARNING DEVICES TO BE UTILIZED:
Advancs signing and work zone protection to bs in complianc€ with the Manual on Uniform Traffic Control Devices (MUTCD)
DESCRIPTION
WORK SHALL COMPLY WITH C HAPTER X ARTICLE 5
\
REVTSTONS 8/24t95 FORM # 116
OF THE CITY CODE. CONTRACTOR TO COMPLY WITH MUTCD .
I
(-z+-ZA
I coNsrnucloN, sroRAGE, srAGtNG
AREA: LENGTH:
PLAN REVIEW COMMENTS / SPF^'AL INSTRUCTIONS:
RESToRATIoN woRK SHALL BE IN CoNFORMANCE WITH EX]STING CITY CODES ANu IN CIIVIPIIAruCE WITH CURRENT
STANDARD SPECIFICATIONS, EXCEPT AS NOTED BELOW.
Backfill with %" minus rock.
Compact every 1 8" loose depth.
Requires compaction with a steel rolller.
A.C. to match the greater of existing depth or 4".
All cuts sealed for final inspection.
Temporary patch may be used at the end of the day.
Signing and Zone protection to comply with MUTCD
Cut concrete only on score lines or cold joints.
Sidewalks and driveways min. 3,OOopsi.
Curbing min 3,500psi / No patchwork less than 3'.
Meot min. requirements on curb cuts, Spfd. code.
Restore planted areas, Spfd. code 206.3.O5
Spec. to Bore / Jack / No A.C. cuts.
Mechanical compacting required.
No patchwork allowed.
Lateral cuts to hav8 control density fill.
Cuts to be polymerized crack sealed for final inspection.
Mininum 2" crushed rock %" minus.
MEE
001'oo2
oo3
004
11
oo6
o07
008
009
019
020
021
022
023
o24
o25
026
o27
o28
029
o30
031
032
033
343
Minumum 4' clearance at any point, swing-away.
Concrete minimum 4" depth, 3,000psi.
Trench to be "T" cut.
Needs State / County permit.
No above ground enclosings in sidewalk or handicap ramps.
Diamond cut A.C./Concrete value boxes to grade.
Fresh Oil signs / Graded.
Comply with Americans with Disabilities Act.
Concrete slabs, 72hrs. curing time, 4500psi.
Concrete slabs require joint seal material.
Driveway requires dowels every 18".
Submit traffic control plan prior to oxcavation.
Notify Traffic Division before excavatipn.
Core drill main line, insert tee, 2o/o min. grade,
Must comply with the provisions of OBS 757.541 to 757.571
6" Circular hole/H2O-Vac.
012
,013
014
015
016
017
018
lt>a I ct ATP,voBeas
!
rH E LANE urrl#i#S-UbtHbifirttrN G cou NcrL's"oNE CALL NUMBER" 1-900-332-2344
48 HOURS BEFORE DIGG]NG
INSPECTIONS:
CUT AND SIDEWALK INSPECTIONS CALL 726-3769 (RECORDER) STATE YOUR DESIGINATED CITY JOB
NUMBER/PERMIT NUMBER, JOB ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FOR
INSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBEB. REOUESTS RECEIVED BEFORE 7:OO A.M. WILL BE
MADE THE SAME DAY, REOUESTS AFTER 7:OO A.M. WILL BE MADE THE NEXT WORKING DAY, INSPECTIONS ARE To BE
CALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE.
tr sANtrARy SEWER, sroRM sEwER, ENcRoAcHMENT pERMrr AND orHER rNSpEcloNS cALL ctry MATNTENANCE AT726-3761.
t3- cuRB
S]GNATURE:
By signature, I state and agree, that I have carefully examined the completed application and do herebv certifv that all inf ormationherein is true and correct, and.l,further certify that any and all work performed shall be done in accordince with the Ordinances of theCity of Springfield, applicable City Standard Specifications and Drawinqs, and the laws of the State of Oreqon pertainlno to the work -
described herein. I further certify that only cohtractors and employees who are in compliance with OBS 7d1 .055 will bd used on thisproject.
The City may inspect the work site described in this permit at anv time durinq a one vear oeriod followino the receiot bv the Citv ofnotice of completion of the described work and specify, at the Citv's sole deScression, anv additional resioration wbrk reouired ioreturn the siteto a standard acceptable to the Cifv. Tl'ie permittee'will be notified in writin'q of anv work reouired and will'have ihirtv
{ays (30} .from the date of.thenolice to complete'the work. Work not completed at the ent of the thirty days will be perforrned by-fheCity and the costs will be billed to the permittee.
I furthor agree to.ensure that all required inspections are requested at the proper time, that project address is readable from the street,and the approved set of plans will remain on the site at all times during construction.
/_ ar'_?6
Lo
Date
bAMOUNT RECEIVED
RECEIPT NO
DATE PAID
VALIDATION:
Signature
f rnnrrrc REVTEWED BY:DATE:
DATE:
DATE:
DATE:
I erucrrueERrNc REVTEWED BY:
f, unrrureNANCE
f nrnutr rssUED BY:
FOR SIDEWALK AND CURB CUT PERMITS PLACE A COPY (COMPLETED) IN PERMIT DRAWER.
INSPECTION: DATE:
INSPECTION:DATE
DATE:woRK rN PROGRESS_
AT TIME OF COMPLETION DATE:
ELEVENTH MONTH: DATE:
DEPOSIT RETURNED:DATE:
Comments:
RECEIVED BY:
REgIDENTIAL - COIII1ERCIAL
gIDEIUALK / CURrcUT
AFPLICATIOI{ / PEF1IT
SPFlTNGFTELO
225 NORTI] FIFTI] 9TREET
9F ?ll.lGFlELD, OREGa{ 31411
El.}j INEERIT'{6 D lvls lohl
ffitcE No. 12b-)1b3
INgP=CilON LINE, 126 -31bA
iClB ADDRE96: e
A5*99OR9 HAF NO.Oa O<) I rAxLorNo'Soct
h,
9rlBDlvl9loN,
RECEIPT NO:Dabz
cA9+-{
cHEcK Y
*
C.HECKED FOR DEL NAJENC IE g
SIGNED,
O'r.l,hiER:
ADDE99:CITY,
ztP, et v PI.]ONE NO.
IIOFK DE9CRIPTI6I,
glDEllA.l-K: CURB glDE
-
9ETOAC<
-CURS-CIJT: R=9lD=l'iTIAL
-
COHI-IERICAL
-9ECOND DRI\€UAY ( sEE TRAFTIC )
R=aJlR=9 APPLlcATlofl FoR A S=coND DRI\6\IJAY(T-4.1a)
OR A COiJNTY APPLICATION FOR FACILITT PERIIIT (C A8-2@3)
IF IN TH= UG9.
DAiE G APPLICATION
I.UOFK TO BE FEFFOFI1ED tsY: ou'lER CONTRACTOR
*
coN;RACTOe*-Ta REGIgTRATION NO.=Xfi:9.B.r i"-ool "
FHONE,
ADDR=39
PROCEDUFE FoR INgFECTIot'l RE@tlE9T'
Cr'.LL 12b -3169 (RECORDER ) 9TATE YOUR CITY DEgIGNA ,T:D JOz Nulr3=R,JO3 ADDRESS,TYPE 6
IN9FECTIOh{ R=AUESTED AJ.ID IIJi-{EN YOU IUILL B= READY FOR lNgF= C; lCr)t, coNTRACTORg oR Ot 'lERs NA}-1E AND
pi-.lohl= NIL*13ER REaU=9TS R=CE l\€D
A}.1 IJJILL 3E I1ADE iHE NEXT IIJOR<ING
3=FORE l2e /:1 titLL 3,8, YA'T TI-1= 9A1E DAY, REAUE 919 lFi-:-R 1.OA
DAY
ICASL7 )EXISTING EUILDING PEBlIT NO. ( lF A@l
CITY JOA
*ta-'qvl otV
*9=E WOK
CLl@ / APPROACH APROI{'
AFTER FOR"'19 AE EREC'iED
tsUT PRIOR TO POURING
CONCR=TE.
IUALK X,
x'
LAl,ljS tr TliE
9IDEIUALK / DRI\EUAY
rOE AIU CONCRETE PAVING IIJITi-]IN
TI{E STREET RI6I.]T OF IIJAY, iO 3E
r,1AD= AFTER ALL EXCAVATING
is cometerE AID Fo31 ulcFa<
AND 5UB.BAsE I1ATERIAL 19
IN PLACE
CURB-CUT 14 1FEE9'gIDEuJALK9
,1O.OO+@.\b/LF.(X),IO.OO + tO.lb/LF.( X )
OF IIJALK
COMHERICAL DRI\GUJAYg SHALL
HAVE 5'TO A.FLAIRg
3.. @.gTADARD
TOl AL FEtrlIT FEE:
$ lJ'o
TION FOR PER'1IT, A\'ID DO HEREBY CER]IFY Ti-,],IT ALL
\G CAR=FLJLLY EX,fIINED TH=CO\.IPLETED APPLICA'
Nrcg1AT lONl I]ERE ON 15 TB]E AI{D CORRECT AND I FURT{-.{ER CERTIFY'II.]AT ANY AND ALL i.!oR<PESORiED
9XALL tsE DONE IN ACCORDANCE IUITI] TFIE ORD lNAl.lCEg 0F T|']E CITY G 9PRINC'F IELD, A}.lD Ti-lE
+ At= /9 OREGON PERT AININ6 TO TI-.IE UOE< DESCRIBED }.{EREIN,AND]'iIA ,T NO OCCUPANCY IIJIL L BE IIAD=
9TR.]CTURE IUITi]OJT PEFllggloN 6 THE BUILDINC DlVl9lo).I I FURTF{ER CERTIFY TI-.IAT
ARE
THIg PROJECT
Lt
t
OF ANY
IIJHO N COIIPLIANCE rijlTl.{ oRg 10lo>>IUILL BE USED ON
DATE
ONLY CONTRAC'TORg
'^"ir-/
4
FE@IJIRED IN9PECTICI'I9
lafr
APPLICATION FOR A SECOND DRIVE1IAY
DATE: 3 -i7-q4
APPLICANT (PROPERTY OIINER) :
ADDRESS OF APPLICANT:lns 14
2t l9St
1q
ADDRESS OF PROPERTY FOR 2ND DRIVEI'IAY:5/trne
APPLICANT'S TELEPHONE NO. :7 7-
rb ,Sfrf ru
-t:11\
The folloving conditions must be ansvered affirmatively in order for this
"ppri".iion io be considered for approval:
1).Propertyiseitherasinglefamilyresidenceorduplex.
YES X N0-
2).Theproposeddrivevayvilltakedirectaccessfromaminorstreet(not'a tollector or irtetial street). YES >< N0
-'3).Thedrivevayvillhaveaminimumsetbackof30feetfromthecurbreturn of an intersection (for corner lots)' YES
^
N0-'
4).Theproposeddrivevay(parkingarea)musthaveaminimumdepthofrti-r!"i'u"ir""n the front property line and the garage, carport,
t".,""-or-va11, ir-anv (identital io setback for garage)'
YES x No-'
5). The second driveway_must have direct access to a garage, carport,
rear yard or the "ia"-V"ta vhere the vehicle, trailer or boat viII
be stored ' YES x N0-'
6).Ifthevehicle,trailerorboatistobeparked/storedinthesideyard, there must be a minimum setback of 5 feet betveen the stored
vehicle and the "iJ"-pioperty line. This setback is for fire
fishtine access "nJ-t5-"i*pfv vith the intent of the zoning code'
s"iUa"r."satisf ied? YES X No-'
7). The proposed parking/storage area must not create a vision
"'tr"t"""tion tb adjaient property drivevays_-gl t-9 any vehicular
,;;;;;;i-on a p"uiic strlet' Satisfied? YES x N0-'
This application shall include an 81'/2tt x 11rr draving shoving exis'ting
drivevays, and tfr"'-pi"t"""a atl""vay. _ Please.include dimensions, and
measurements to io.a.intersections and/or bordering drivevays'
A11 applications outside the city limits of springfield that are vithin the
u.U.n'brovth Boundary require a Lane County permit'
lt Q
i:
Applicant hereby agrees to install the requested drivevay to City of- Springfield
standards. The apf,licant further agrees to have 6r'of concrete in the sidevalk
area adjacent to tLe proposed drivevay and further agrees !o pave the area
behind ihe back edge 6f the sidevalk, or drivevay apron' adjacent to the
drivevay vith a minimum depth of 3'r of asphaltic concrete or vith a minimum
depth of 6" of portland eement concrete. The area behind the sidevalk shal1 be
paved to the property line or for a distance of 4 feet vrhich ever is greater.
The applicant agrees that if he/she does not pave the area behind the sidevalkvithin 30 days of cutting the curb opening, the City of Springfield has theauthority of close the drivevay access by the removal of the curb cut. A11incurred costs shall be assumed by the applicant and if unpaid, said cost shal-l
become a lien of the property.
Vhen this application is approved by the City, the applicant (property ovner)
must obtain a drivevay permit from the Public i,lorks Department EngineeringDivision.
PERMIT FEE
0n an improved street (existing curb):
$10.00 plus $.15 per lineaI foot of curb cut.
0n an unimproved street (not curbed): $12.00
0n currently unimproved streets that are under construction:
$12 . 00.
a
b
c
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PROPERTY OIINER'S SIGNATURE:
DATE:3- r1-q4
APPROVED BY:
?-,tr,,}\nL"o k V-
(TRAFFI Drvrsr0N)
DATE:
BUILDING PERMIT NO.:
a
DATE:
TRA 9-1
ATTACHMENT:City of Springfield Standard Draving No. 3-11
Dated 10/8/Bz
BSE $. 1ltr
LOT I7, LUCERT'IE MEADOWS
SPRITIIGFIELD OR.
BI.ACKTOP
SIDEWALK
GRAI/EL DRrvEI
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