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Home My WebLink AboutPermit APPLICANT 7/2/2008 PERMIT NO: 53650 Applicatlonld: 7602 District: 06 Applicant Infonnation I Naj~seph Bruns I Company: Joe's Truck & Trailer Supply Mailing Address; 2750 Main Street Springfield, OR 97478 I PhjS41I 74B~64B I eM"ail: FA>< (541) 74B~768 Insurance Infonnation I Company: Insurance World of Oregon I Policy No: . Amount ACP7512722317 $1.000,000 , ~~~~008 ~~~2009 . Perfonnance Bond Infonnation I Com~ny. I Bond No: Amount Property Owner Infonnation I Name: Jell Bomark I Company. MalUng Address: 8n48 Blek Drive Venets, OR 87487 USA I Pt&:411836-li160 IOMail: FAX: 1 I I Local Agency ApprlMll ~f required) CHAMPS - d_rpt...,permil_apprch_con PERMIT TO CONSTRUCT A STATE HIGHWAY APPROACH Hlghwsy Number: 016 MilePolnt: 3.41 Property Infonnation I Add...., 2760 Main Street Sorinafield OR 97478 I County: Lane I Highway: Route: McKenzie ORE126 BUS MilePoint Engineet1ng station: ::iiCle or Hwy: Nan foresr'i': 3.41 120+00 L N Landmarks: 110' West of 28th Street Tax Lot Infonnation I Township Range Section Tax Lot I 17 03 3641 400 06-30-08P02 Jr, 1 ~ ._ :a: B...J Q>t.; ,0::: <II wI:: -I:: rom :)0: Oregon Department of TransportatJon Completion Date: 05/05/2009 Reason for Request: New approach Plan View IV " Specification I Wi;~:ciOft I Wing Width (X): MOft I Pavlnglmt(p1): .00ft I SUrT(D&J: 34.00ft I Culvert: Diam: Len: None .001n .00ft I Sub Base Crse: Thickness: 37.5mm - 0 Aaareqate Base f1 1/2" - 0' 16.001n Base Cr&e: Thickness: 19mm - 0 AClIUeqate Base 13/4" - 01 2.001n Level Crse: Thickness: Angle (A): 90 Curb-Sdwlk (K): 6.O011 PaVing Lmt (P2): .00ft I WearCras: Plain Concrete. Undowelled Thickness: 4.001n Instructions ISSllln9 of pennfts under these regulations Is not a finding of compliance wllh the statewide planning goals or the acknowledged comprehensIve plan tor the area. Permits are Issued subject to the approval of city, county or other governmental agencies having authority to regulate land use by means of zoning snd/or-bulldlng regulations. It shall be the applicant's responsibility to obtain any such approvals Including. where appllcabl8, local govemment detenninations of compliance wfth statewide plannln9 goals. All materials and workmanship shall be In accordance with current Oregon Standard Specifications for Highway Construction. The Penntt is issued subject to the provisions of Oregon Administrative Rulee 734-051-0045 through 734-051'()355, which are by reference made e part of this pennft; and which are In effset at any particular time In the duration of the permft. I~ This permit Is not valid until signed by a duly author/zed representative of the Oregon Q,eparlQlent of Transportation. I-~..~~ 10ate- L . . 0-:10 -oK' Page 1 of 1 ~ . Printed: 0813012008 02:30:08 PM ..,' . PERMIT NO: 53650 PERMIT FOR ENCROACHMENT, CONSTRUCTION ON OR USE OF STATE HIGHWAY Of8{1Of1 Department of Transpo1f8~ 1r <; Application Id: 7602 Highway Number: 016 PROVISIONS Reason for Request:, New approach MllePolnt 3.41 Applicant: Joseph Bruns Company: Joa's Truck & Trailer Supply 140.301 Construction Plans are approved in general only. The District Manager or representative may require field changes. When revisions are made in the field, as-constructed drawings must be submitted to the District. 150.101 The permit and all specifications, details, typical drawings and standard drawings attached to the permit shail take precedence over all plans, drawings and specifications produced by the Architect or Engineer representing the Applicant or Contractor. 150.103 The following ODOT documents or subsequent revisions there to, where applicable and not otherwise superseded by the permit language herein, shall be incorporated for use in this permit: Oregon Standard Specifications For Construction (ODOT,2002), Oregon Highway Design Manual (2003), and relevant Standard Drawings. ODOT shall have authority over the acceptance of all materials and workmanship performed under this permit as stated in 00150.00 of the Oregon Standard Specifications For Construction (ODOT,2002). 150.201 Within 48 hours before beginning permit work and again after completing perm~ work, the Applicant (or agent) shall notify the District permitting representative. 150.411 Applicant (or agent) shall have on the job site, at all times, a copy olthe permit and all attachments. The permit shall be readily available for inspection. 150.501 The permitted work Is located within the Oregon Utility Notification Center (OUNC) area. The OUNC is e utilities notification system to notify owners of utilities about excavation work performed in the vicinity of their facilities. The utilities notification system telephone number is 1-800-332-2344. 150.702 Do not park on state right-of-way unless permitted by the District Mansger. Comply with ORS 810.230,810.160. 150.703 Remove all dirt and debris from the highway at the end of each work shift or more frequently if a. hazard to the traveling public exists or as directed by the District Manager. 160.801 All areas of excavation shall be returned to "pre-construction" condition or better. Repair natural drainage so no water stands or collects in excavated areas, when practical. Slopes shall be trimmed to blend with the adjacent terrain. Replace the vegetative cover to blend with the adjacent natural growth, 170.303 Applicant shall be responsible and liable for (1) Investigating presence/absence of any legally protected or regulated environmental resource(s} in the action area: (2) determining any and all restrictions or requirements that relate to the proposed actions, and complying with such, Including bur not limited to those relating to hazardous materlal(s), water quality constraints, watlands, archeological or historic resourcas(s) state and federal threatened or endangered species, etc; (3) complying wilh all federal, state, and local laws, and obtaining all requirad and necessary permits and approvals. If the applicant Impacts a legally protected/regulated resource, applicanVpermittee shall be responsible for all costs associated with such impact, including, but not limited to all costs of mitigation and rehabilitation, and shall indemnify, and hold harmiess ODOT for such impacts and be responsible and liable to ODOT for any costs or claims that ODOT may have. 374.315 Construction under perm~s; maintenance after construction. All construction under the permits Issued under ORS 374.310 shall be under the supervision of the granting authority and at the expense of the applicant. After completion of the construction of the particular approach road, facility, thing or appurtenance, they shall be maintained at the expense of the applicant and in accordance with the rules and regulations adopted pursuant to ORS 374.310. 200.021 The work area during construction or maintenance performed under the perm~ provisions shall be protected in accordance with the current Manual on Uniform Traffic Control Devices for Streets and Highways, US Department of Transportation, and the Oregon Department of Transportation supplements thereto. Flaggers must have certification and must carry proof indicating their completion of an approved workzone traffic control course. All traffic control devices shall be maintained according to the ATTSSA Quality Standards for Work Zone Traffic Control Devices handbook. . 225.051 Submit the following in writing five days before the permitted activity. - Proposed Traffic Control Plan (TCP) showing all Traffic Control Measures (TCM). Include the proposed order and duration of all TCM. Do not start work on any stage of construction until all TCM are in place and the TCP is operating satisfactorily. CHAMPS - dJPCprov_wossb Page 1 012 Printed: 06l3OI2008 02:30:09 PM '0 ~:a: '~...J Oli;..; t:!(IJ <DC ....1:: m~ Co.. tl 9' PERMIT NO: 53650 PERMIT FOR ENCROACHMENT, CONSTRUCTION ON OR USE OF STATE. HIGHWAY 1r Oregon Department of Transportation Application Id: 7602 Highway Number: 016 PROVISIONS Reason for Request: New approach MUePolnt 3.41 Applicant: Joseph Bruns Company: Joe's Truck & Trailer Supply 276.071 Applicant shall comply wrth all federal, state, and local laws, regulations, executive orders and ordinances applicable to the work under this permit, including, without limitation, the provisions of ORS 276.071. If applicant chooses to assign thier permitted responsibilities to a consultant or contractor, applicant shall inform the contractor of the requirements of ORS 276.071. 276.072 Upon completion of the permitted work, applicant shall notify OOOT and request final inspection. If all structures and appurtences constructed under this permit are found to be in compliance with permit provisions and state standards, OOOT will accept ownership of the permitted structures and appurtences by written notice to the applicant. 1.000 SPECIAL PROVISIONS 2.000 The applicants approach to tax lot 400 on 28th Street nearest the intersection is required to be closed and replaced with curb, gutter and sidewalk per City of Springfield SOC 5.15-120 E.1. Prior to the issuance of a Permit to Operate, Maintain and Use an Approach, applicant shall comply with all State and Local jurisdiction conditions of approval. CHAMPS - d_rpt"'prov_woasb Page 2 of2 Printed: 0613012008 02:30:09 PM ~ .~ ~ -g. .::: :a: B-1 Q)l..: C:::<II Ole: -I:: mm cO: