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HomeMy WebLinkAboutPermit Sidewalk 1994-12-29lt/ao FFgIDENTIAL - COIIHERC,IAL SIDEIUALK / CURBCTJT APPLICATION / PERI1IT SPRINGFIELO 225 NORTH FIFTI{ gTREET SPR|}{GF|ELD, oREGOhl 9141'1 EhlG lNEERll{G D lvlS lol'{ffitcE No. 12b-31>3 INSPEcTION LINE' 126'3]l.b2 JoB ADDFE9e: ik4 I9UTH 4pD sT,1la*AeeEerRe HAP No.^ l7-a2 i2 -31 TAx Lor xo.x 3a 1 RECEIPT NO: CAgH t-/'CIiECK€l(jBDlvl9loN, or.hrER: ST€V€ EU(€ ADDRES9: 2;O ?a/H +3BD ctlY. ,/A //UAFI€aD * CHECKED FOR DELNAU=NCI=9 srArE, Op-4) t iljoR< DE9CRlPTl6l' -1A-Pi{cr.iE No. 7 ZG*Z i& &49IGNED: DAiE, -*. CONTRACTO-R'EI44th tO e o pSTBUCT\ ot) L/-'CONTRACTOR *.R=GrsrRATroN No."' 8a/OA EXpi=+ oir,{=R ,,Hqs gECOND DRI\GIIJAY ( 3EE TRAFIC ) EaUIR=S APFLICATIoN FoR A 9EcoND DRI\zEtlJAY(T-4.1a) OR A cOJNTY APPLICATION FOR FACILITY P=,?lIT (C AA-zOV) ]F IN THE UG9. // IDATE G APFLICATION cuRs 9!D= R=9IDEI{TIAL - col-1|1=RtcA!- _ glDEltJ,ALK: -ENl CURS-CUT: ADDRESS 3at >' +1-,paF/€lD P..roNE, 744-42A4- PROCEDUFE FOP INEFECTICh{ REAUEgT: C/J-L 126-)1bA (@,CO@ER ) STATE YOIJR CITY D=9ICNATED JO3 NI,I-13=R, JO3 ADDE99,TYPE G lNgPECTlO",'l EAUE9TED A'lD UI-{EN YOU IUILL B= READY FOR lNgPEcTlO\I. CONTRACToR9 oR otl}..lERg NAI'1= A..{D PIIONENIJIISERR=AU=5T3 RECEIVED B=trOR= 1;O@ LI1 IIJILL BE I'1ADE Ti-.{= SAfiE DAY,REAUESi9 A:.TERII(,O AH I]JILL tsE I,IADE THE N=XT IL'CR<ING DAY *gEE BA'oK REAU IRED INSPECTICI.I9 EXISTt.Jt:g tsU'LDING p=.q.1lT No. ( tF CITY D=SIGNATED rcR ALL IUITHIN TH= gTREET RIGHT OF IUAY, TO BE }.1AD= €TER ALL EXCAVATIN6 IS COi-IPLETE AND FORI1 IIJCR< A"ID 3U3-3A9= HATERIAL 15 IN PLACE E) @ t APPRoAcI-.I APRcTN AFTER FORI1s Are ERECTE BUT PRIOR TO POURING CONCRETE.CLry- guP.8<,bT aNc? * X FEE9: €iElE{ltAtr€DP2A) 'tu€uA? APpOp cuRB-curLL/, rlt,Tl Pb e uruS-coT-- *O.\>/LF.( X ) t4/ rlO.OO UJAL< X,lo.oo +OA I oF LUALK lZ, to t*'X , t5 = 2.7o 2'P coi-rlERlcAl DRr\€uJAyg sHALL HAVE 5'TO A'FLAIRg TOTAT. FEfflIT FEE, N 1+,6O 3'- @{ STA\DARD I i1A\G CAREFULLY EX,I.J'1INED T}JE COHPLETED APPLICATiON FOR PER-1IT, lJlD DO HER=BY CERTIFY THAT ALLINFO, -1ATIOT.I HEREON 15 TR..]E AND CORR=CT, A}{D I FURTHER CERTIFY THAT ANY AND ALL u,R< PEtro lEDgHALL BE DONE IN ACCORDANCE IIJITH THE ORDINANCES 6 TI-]E CITY G SPRING&trIELD, AND THE LAI],I5 cF TI.]EgTATE oF OREGON PERTAINING TO TI-.IE U,'ORK DESCRISED HEREIN, AND TI{AT NO OCCUPANCY II.JILL BE IIADEOF ANY 9TRJCTURE UJITI.{OUT P=B1ISSION OF TI-IE BUILDING DIVI9IOI{ I FURTHER CERTIFY TI-.{AT ONLY CONTR.ACTORSAND EIIPLOTEE5 tlJl{O ARE lN COI'IPLIANCE IUITH oRg1@1o>5 UJILL BE U9ED ol'l Ti-{tS FRoJEcT. DATE I ()ap \,1/ao l<tr,i?II'EN I IAI- - (,-C4-TTTEFrc;TAI SIDAUALK / CURBCTJT AF Pt-lCATlOr.{ / PERtltT SPFIINGFIELE' 225 NORTH FFTI{ gTFEET 9PRll.!3FlELD, ORE6OI'{ 814'1'1 E).16 tNEERtl.lG D lvlglol.l oFFrcE NO.12b-11b? lNgPEcTloN LINE: 126-3169 h, Joo ADDFEEE !(rr4 *. +3,-.D s'7, AesEeeoRs HAr No.* / Z-O"Z^ j Z-3t rAxLorNo.* 34o1 Sr,lBDtVt9l4l: OUI.{ER:SI€U€N Puce ADDRE99'Z9o Sot +38D,CITY:D 5TATE: OQ at9-77478 PHor.rE No. 7ZG-ZOa :;-[ vgL/ * CI.iECKED rcR DEL NAJENCI=g CHECK $re9IGNED: L)Ata1 IJOFK DEgCRlFTlCt l: I.IJOFK TO tsE PEFFOF!,TED tsY; SIDEIIIALI( CURB gIDE - SETBACK - CI,JRB-CI,JT; _< FESIDEhiTIA - C}IreF{ICAL .'-.-' 9EcohtD DRI\rEIUAY ( SEE TRAI?IC .) FEAUIRE9 AFFL ICAT IO}...I rcR A SECO?{D DRI\GIIJAY(T.4.IA ) OR A COTJNTY AFPLICATIAN rcR FACILITY FEtr1IT (C O.E.2O3) lF tN TI.{E U6-ts. DATE OF AFPLICATIOII COhITRACTOR *t0Yfot1 VtS #€RB? 14^r€&)<-e>u€ pr.*ollE: P@EDUFE FOR INE,FECTIOI.I FEd.IE9T:a CAU- 12b-)169 (RECoRDER ) 9TATE YotJR clTY DESIGNATED JoB NLJHBER, JoB ADDRE9S,TYPE OFlNgFEcrlON REaUESTED AlD IU{EN You tl,lLL tsE READY F€R tNgPEcTlol.l, CctlTRACToRg oR oU.lERg NA1= A{DPrcNE NLHBER REctlEgTg RECEI\ED BEFoRE 1,oQ M IUILL BE tlADE Tl{E 5Ar'1E DAY, REaUEgTg /fJTER:"ao AX,, I.I,,ILL tsE HADE THE NEXT IUORKING DAY EXIST IT.JG EUILDINC PERiIIT No. ( tF A@l ICAELE ) *YOI'JR CITY ,rED JoE No. rer q + ilcagEE BOOK SIDEIIJALK / DRI\EIUAY FOR ALL CONCRETE PAVING IUITI]IN THE STREET RIG+.{T OF IIJAY, TO tsE I,1ADE AFf'ER AL EXCAVATINC 19 COIIPLETE AND FoRll ttlORKA\D gTjB-BAgE IIATERIAL 19 IN PLACE {€,r APFRoAa{ ApRolr: AFTER rcR,-19 A= =RECIEDBUT PRIOR TO POURING C,ONCRETE. FEE9: 9IDELUALK9 llO.OO + rO.l5/LF.( X ) OF LUALK TOTA PEF!'IIT FEE'i | 4-, go )IO.OO+*O.lg/LF.(X) )2 { r ;,$,.s*o cot lrlERrcAL DRvEruATr#fL HA\€ 5'TO A'FLAlRg i , /,€\3'- o, 9TA\DARD I 4-,Y' UJAL< x' x' I ;-]A\€ CAREFULLY EXA:1II.iEP TFIE COI1PLETED AFPLICATION FOR PEB1 IT, A]D DO {-.IEREBY CERTIFY TI{/.T ALLINrcS1ATIAN HEREON 15 TFTIE AND CORRECT, A\D I FURTI]ER CERTIFY TI.IAT ANY AND ALL I!OR< PERFOS,1ED3,.]ALL BE DONE IN ACCORDANCE IUITH TH= ORDNACES oF TitE ciT.r oF 9PRlNrsFlELD, AND TtlE LALUS G Tt-iESTATE OF OREGON PERTAINING THE UJOFK DE9CRIEED HERE IN, AND Ti{AT NO OCCUFANCY UILL tsE IIAD=OF AIY gTRLICTURE tUtTi{OJT G TI{E BUILDING DIYIS ION I FURTI..IER CERTIFY THAT ONLY CONTR.ACTOI?S IJJILL BE USED ON T|-.{IS PROJECTINDlA\cE rrjrTlt oPs 1algl>> t)A)tr zlz/74 REGltJ ]RED INgPECTIOI.Ig