HomeMy WebLinkAboutPermit Curb Cut 1996-06-25DATE ISSUED:
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PERMIT NUMBER:]NSPECTION LINE SEE INSPECTTONS ON BACK SIDE
APPLICATION DATE:
STREET
ENCROACHMENT PERMIT
NUMBER:
SPRINGFIELD, OBEGON 97477
ENGINEERING DIVISION
oFFtcE TELEPHONE (503) 726-3753
'LOCATION OF WORK
PHONE
ZIP:
STATE:
EXPIRATION DATE:
PHONE:
p
/2
N ADDRES S:
U
424'
?8b
STATE:CITY:
PHONE
TOR;
CONTRACTOR REGISTRATION NO
PROJECT SUPERVISOR:
6/L-
/4
o4_
PHONE:
SITE ADDBESS
APPLICANT
(r'
ZlPt
TAX MAP:
TAX LOT:
SUBDIVISION:
OWNEB:
b crvADDBESS:
CONTRAC
INSPECTIONS REOUtREDT APPLICATION FEE / DEPOSIT ACCOUNT NO;
REOUESTED PERMITS
ITY OF SPRING LD PIRMIT APPLICATION
I erucnoAcHMENT pERMtr No:
VALIO FOR SIXTY (60) DAYS FROM OATE OF ISSUANCEtrCUT STREET Q BoBE E oTHEH
I ousr coNTRoL (TypE oF coNTBoL)
I corusrnucloN, sroRAGE, srAGtNc
I ornen
-
I eseHalr DEpostr
TYPE OF SECURITY DEPOSIT
I euNxer suRETy BoND Q suRrrrv aoruo e cast / cHEcK
6rcur pERMrr No:.FT.
tr SANITARY SEWER CONNECTION PERMIT:
VALID FOR StXTy (60) oAys FROM DATE OF tssuANcE
.tr
lltsPFcTtoN: CURB / APPROACH AFTER FORMS ARE ERECTED 8UT PRIOR TO POURING CONCRETE.VALIO FOR 180 OAYS FROM OATE OF ISSUANCE.o SECOND DRIVEWAY (SEE SEPARATE APPLICATIOtrSIDEWALK pERMtT NO: ...., FT.VALIO FOR 'I80 DAYS FROM DATE OF ISSUANCE.
Q r.rew D REMovE / REpAtR E rAVE eLANT srntpp seraecx ll cuRBStDE E LENGTHlNspFaTtoN. stoEwALK /ORIVEWAY FOR ALL CONCRETE PAVING WITHIN THE STREET RIGHT OF WAY, TO BEMADE AFTER ALL €XCAVATIN6 IS COMPLETE AND FORM WORK AND SUB,BASE MATERIAL IS IN PLACE.
E $20,00 /
E$
tr
f,$10.00+$.1s/FT, '! oo
E $10.00+$.15/FT
l-l $5.0O /.l
..tr----- E $s.ooi_
TOTAL OUe:- S
TOTAL DUE WITH PERMIT $
tr
tr
tr
tr
$
$
$
E$
Q ro srue D MAIN LINE (EASEMENT-R/w) fl orHERf, sronrvr sEWER coNNEcnoN pERMtr:
VALIO FOR SIXTY (60) DAYS FROM OATE OF ISSUANCEI carcx BASTN / BUBBLER E STUB E MAINLINE
PROoF oF TNSURANCE: $SOO,OOO MINIMUMI rrracxeo O REoutRED AMouNT o
o
DESCRIPTION OF PR OJECT:
PERIOD OF USE OR TIME OF CONSTRUCTION:
tr eLANS (TWo sETS) ATTAcHED
AREA: LENGTH
FROM DATE
TO DATE:
TWIDTH:
TYPE OF WORK: CUT:
OTHER:
BORE:
EXISTING SURFACE MATERIAL:
BACKFILL MATEBIAL TO BE UTILIZED:
SURFACE REPLACEN4TNT MATERIALS TO BE UTILIZED
TYPE OF DUST CONTROL TO BE UTILIZED:
NAME OF OTHER UTILITIES IF THIS IS A JOINT PBOJECT:
WARNING DEVICES TO BE UTILIZED:
WORK SHALL CO MPLY WITH CHAPTER X ARTICLE 5 OF
DEPTH:HEIGHT:
BACKFILL MATEBIAL:
TIME:
TIME:
Advance signing and wort< zone protoction to bo in complianco with th6 Manual on Uniform Traffic Control Devices (MUTCD)
REV|S|ONS 8t24t95
THE CITY COD E.CONTBACTOR TO COMPLY WITH MUTCD
-D Z-n
DESCRIPTION:
FOBM , 116
PLAN REVIEW COMMENTS / SPEC*.'. INSTRUCTIONS:
REsroRATtoN woRK 5HALL BE tN coNF_ogMANcE_t1v1T.F.t ExtslNG ctrY coDEs AND :.. .hruptnrucE wlrH CURRENT
STAi{DARD SPTCINCATIONS, EXCEPT AS NOTED BELOW.
001
002
003
004
005
006
o07
008
009
010
011
o12
'o13
014
015
016
017
018
Backfill with %" minus rock.
Compact every 1 8" loose dePth.
Bequires compaction with a steel rolllsr'
A.C. to match the greater of existing depth or 4".
All cuts sealed for final inspection.
Temporary pstch may be used 8t 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. 3,000psi.
Curbing min 3,500psi / No patchwork less than 3'.
Meot min. requirements on curb cuts, Spfd. code.
Restore planted areas, Spfd. code 206.3.05
Spec. to Bore / Jack / No A.C' cuts.
Mechanical compacting required.
No patchwork allowed.
Latersl cuts to havo control density fill.
Cuts to be polymerized crack sealed for final inspection
Mininum 2" crushed rock %" minus'
019
o20
o21
o22
o23
024
o26
o27
028
o29
030
031
032
033
343
Comments: i .
THE LANE UTI"ONE CA
YOU ARE REOUIRED TO CALL
LITIES COONOINATING COUNCIL'S
l-t- NUwtBER" 1 -800-332-2344
48 HOURS BEFORE DIGGING
!NSPECTIONS:
SANITABY SEWER, STORM SEWER, ENCBOACHMENT PERMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT
726-3761,tr
B EILL
B E
SIGNATURE:
Bv sionature, I state and agree, that I have garefully examined the completed applic-ation. and do herebv certify that all inf ormation
hereii is true and correc-t, Endl.furlher certiry ih;it;i;;A'irr w6,r. piiit5,,i.;i".H;It"b;'di;p ii-acioidince with tne ordinances of the
i:if"slsrf,lgfiyrnrifiB!"]ifi.TFsf,ttintr,t$ti*Y"Jrig*,iiivjl';I.s11J!fi mf:ifa;,'rl"."JPiwtt88'l^?i,?'83l:J5%x,itl:
project.
Iin.?'r,Ts#?sssi::'if:ilLtiijf;$i!ffi[',fli.ffiTl',,g!*Ht,H,."tttffitl?.ift,**.iti{itd,"iTt'fi1+[iii-lilflfi?rtt,l,""
davs (30) from the date of the notice to compriii'ir,b'i,5r"(.'w;;[ ;oi 6;#prtt'J,i ;i ih;';;"d iitir'6 ir,irtv odv-i witt be performed bv the
eity and the costs will be billed to the permlttee'
I {urthor agree to.ensure that all required inspections are requested at the properlime, that project address is readable from the street'
bna..ifri ap'pioved set oidiiii-witiiemain oii the site at alltimes during constructron.
6-R5-?L
Signature Date
22 2-l/
oO
RECEIVED BY:
DATE PAIDAMOUNT RECEIVED
RECEIPT NO:
VALIDATION:
FoRilIDEMALKAND1URBcUTPERM|TSPLA)EAcoPYT1MPLETED)INPERMITDRAWER,
INSPECTION: -I
INSPECTION:
WORK IN PROGRESS
AT TIME OF COMPLETION:
ELEVENTH MONTH:
f rnnrrtc REVIEWED BY DATE
DATE:
f eructurERlNc REVIEWED BY
DEPOSIT RETURNED
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
Minumum 4' clearance at any point, swing-away.
Concrete minimum 4" depth, 3,OOOpsi.
Trench to be "T" cut.
Needs State / County permit.
No abovo ground enclosings in sidewalk orhandicap ramps.
Diamond cut A,C./Concrete value boxos 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 tratiic control plan prior to excavation,
Notity Traf f ic Division before excavatiPn.
Core drill main line, insert tee, 2olo min. grade.
Must comply with the provisions of ORS 757,541 to 757'571'
6" Circular hole/H2O'Vac.
E vatrureNANCE:
f ernutr lssuED BY:
PU f3 LI C II'ONKS D EPART1,{ EI'I T
./\ [) hl, I t \t I Sl l; Al ! t) N
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t G t t \! E t l'; I w (; [)/ t4S/C)/v
hlAthi I El'lAhlCE
sf'FrrNGFr€Lo
*(,225 f trt H :;t t
st){;!tlGr tI LD ( )t j
DATE:
APPUCANT (PROPERTY \{/E h4 N/ ,/D{,1ilU6
ADDRESS OF PROPERTY FOR DRIVEWAY PERI.,I 4<z#
APP LICAI{TS TEI.EPHONE 7 b-
Ptease sketch the proposed driv'ervay. lnclude (he (ollowing applicable ilems: house or building. proposed
driveway. existr'ng driveway. and slreet names. lnclude dirnensions and measuremenls lo properly lincs. road
inlersections and bordering driveways. (See altachment {or an example.)
J
7o
qq7
f-
Al-L APPUCATTONS OUTSTDE Tt{E CITY Ut'4tTS OF SPRINGF!EI-, TI{AT ARE tlrlTl{lN Tl{E t,RBAN
GRoWrl{ AOUITDARY REOUIRE A L h,E CoUNTY PERI',1|T-
t{ote: The City o{ Springfield will nol grant a second dtiveway pcrmil on an Arlcrial or Collcclor S{recl.
Anhilhilst RAl t..N /t:N/;thr{:{.GING (\n?t 726 375.3 rAX (50:1 7?6 :l6Uq
APPLICATIQI.I FOR A SECoND DRIVEWAY / ovERTf'/IDTH DRIVElryAY
l
I 1.'.
r
.ss
1. Properly lype: Single Family Residence Dr.rplex
2. The ptogrosed driveway will take access fiorn wlriclr slreel ? '
3. Tlro dislaocc frorn ttre edge o( llre driveway lo tho ncafcst coltrcr (rneasured 1o tlre cutb relurn) is
-
{eel-
--- o r .)
.{. The second driveway will give access lo: garage- carporl- side yard ,'4{w (V P['l'-|*
5. The dislance trom tlre ljgPerty line lo llre garage. carporl. {ence. wall' or ollter' (vrlrere ltre vclricle is
to be patked) is -75 teet-
6. lMll the propbsed parl'jng / slotage area creale a.vision obstruciion lo adjacenl proper{y
lo any vehiculat movemenl on a public slree(? (See vision clearance
trvhen lhis appficalion is approved by (he city. (he applicant must oblain a curbcuudriveway perrnit (rom the
Public Works Department. Engineering Division'
CurUcut I Orivewav Per
a.onanimprovedslreel(exislingcurb):slo.o0plusS.l5perlineal{ootofcurbcut.
b. On an unimproved street (no curb): S12-O0
c.oncurrentlyunimprovedstreetsthalareunderconstruction:S12.00
or
PRoPERTY owNER's acNetua$ffi44 DA
D/r,u, 6-24
APPROVED BY
BUILDING PERI.4IT NO.:
TRA 9.1
ATTACI{I'/IENT: Msion Clearance. Examp(e #1
CTRAFFTC DIVISION
TE
4
fE:.-
Ottre(
-
Appfican( hereby agrees to install Ure requested driveway fo Cily o( Springfreld standards' The :pplican( {ururer
agrees to harae 6'of concrete in the sidewaft ".e" 1.a,"cent to tlre !riv1yvaf)' and to pave the area behind tlre
back edge of ure sidewzlk, or driveway aproq with a mhimum depth o( 3- asphattic concrete or 6- o( portland
cemen( concre(e. The area behind the sidewak shalt be paved a minimum d( 18 {eeL
The appficant agrees flrat iI he/she does not pave tlre area behind tlre sidewalk within 30 days o[ cutting the
curb opening. the City of Springrfcld has the auftrority to cl'cse the dgw-gwzy access by removal o{ Ure curb'cu{. '
Atl incurred costs shall be assumed by Ure appficant and it unpaid. said cost shall l:ecorne a lien o{ t}re property'