HomeMy WebLinkAboutPermit Sidewalk 1995-06-22liEo RESIDENTIAL -RCIAL
9IDSIUALK./ CURSCr-IT
APPLICATIOI{ / P=RiIT
SPRINGFIILO
225 NORTH FIFTI] STREET
SPRll.lGFtEL D, oreGorl 91411
ENG INEERII.IG D I\/I 5 IOI'.I
ffilcE NO. 126-)153
INSP=CTTON LIN=, -i26 -3-163 h,
Joa aPPPag'/("?{ / 5z R=C=]PT NO:/ TAbO
:53=3rcR5 H4= NO.*/? b7 zl" g r&2 TAX LOT NO- "'3oc>
5iJ3DtvlStON:
CA*
C;-C<
O..Lhi=R'A
CiI= C<=D FOR D=L INAJ=NC I=5
*L
bR-ZrP, I 7,/71 PHC,f.l= NO.
ijioR< ESCRIPTICi{.
5rr=JJl,.:_<.
CUR3-CIjT: R=3lD=t.;lAl_ _ co:-rn=RtCAL
s=COND DRi\EUAY ( 3== TRA;=IC )
=AiJl=S APPLlCATlctl FoR A SiCoND DRlviljjAy(T-z.la)
OR A COJNI'Y Afr.ICA;ION FOR FACILITY P=R.IIT (C AA-2O3)
6 /: rc /,61 t- r-t^tJAt; Vt At , L|UAtrV\t, /u-/rr
alr-\r=--
o=rF 4A'(Dt-l .^
,-///'q coNi:<Ac;oR*
=GrsrRArioN No. 41-l I =x?i==5.7-A -?bCOi\iiR \CT o^./
AeD=ss Z? 9?4 R At f Zl,?;c*=,461- o5 43
PROCEDURE FOR IN9PECTIChI REAUEST:
CA-L 126-3169 (ECrx-j.-ER ) STATE YOUR CITY D=SIGNAT=D JO3 Nt'.13=R, JO7 /:€lDp€.-9iA?= GtN9F=CflAn reAUESTED A{D UHEN YOU U,,ILL 3= =Ary ER ts{gp3CTtoN, c-<-zn,aTRACTOR9 OR OuJl=R9 NAr= ./-\DPFIAn= NUi3=R- reou=ST5 R=CEIVED 5=rcF= 100 /!1 rulLL 3= HAt= Ti-{= sAlE DAy, Ea:l=gTS i;i=R 1;oeAH UJILL B= I-IAD= TH= N=><T U.oR<INC DAY
EXlSTll'i'g SUILDING P=R-I|T No. (F A7?LIC/^3L= )
*YOUR CITY
!-D )O3 NO- tSl'q€/5=E Ei20K
ECIJIRED INgPECTIOT{g SID=IUALK / DRI\EU'AY
FOR ALL CONCRETE PA\/ING IUIT}.,IIN
TI{E STREET RIGHT d I,I.JAY, TO 3=
HAD= ,€TER ALL EXCAVATNG
19 COi.,iPLETE AND FOS1 I,I}AQ<
Ar.lD 5u3-3A9= HA]=RIAL t5
IN PLACE
,.CUE / A?trOACI-.I APR()
AFT=R rc 19 AE ER=Ci
BUT PRIOR TO POIRING
C,oNC.R=TE.
FEE9: SIDEIUALKS cuRB-cuT r.lJAL< x'
,IO.OO + tO.l>/LF.( X )
OF UJALK
tlO.OO + *.O.\)/LF.( X )
TOTA FERHIT FEE:*
COI1IIERICA DRIV=I]JAYS 9HALL
HA\G 5' TO A'FLAIRS
3'- O" 5TA\DARD
I ;]IVE,CAR=FULLY EXA'1INED THE COi'IPLETED APPLICATiON rcR PER-1IT, AND DO }]ER=BY CFRTI;Y ;HAT ALLNTS1ATIOhI I{ER=ON 15 TRUE AND cORR=CT, A\D I FURT}i=R CERTIFY TI{4T ANY AND ALL U'R< PEFOSIi_DSi.{ALL BE DONE IN ACCORDANCE IUITH TH= OFznN:\CEg G THE Cff-( G SPRINCaF|ELD , AND TH= LAI.1}9 O.= TI{ESTATE G ore,GON P=RTAINING TO THE uJoR< DEgCRlg=D [i=R=lN, A!.{D Ti{aT NO occuPA\CY rUiLL 3= t1A9.OF ANY gTEJCTUR= UJITI{OJT PEF1I99IOI{ G THE zuILDING DIYISICIT IFURTI-{ER CERT| T TF.{AT ONLY CO-\-TRACTOASA}'ID EI1PLOYEES UJi..IO AE IN COIIPLIANCE IUITI.{ OR' IOIO>5 IUILL BE Us=D ON TT.]15 PROJECT,
9IGNED DATE
€'
lllD=.s* ZOO \k/ , t=Ate I es*_l ctTY.*lLFt Ft D
U.l?R( TO BE FEFOB1ED EY: our\=R
6oe /C
-