HomeMy WebLinkAboutPermit Curb Cut 1993-9-9
I
..Jii.5IDENTIAL - COJ;fMBa;IAL
_ SIDEWALK I CURBCUT . .
_~n'?"'''
.- fAI17A
T A)<LOT! NO. "" 05300 ,
SIDEUJALK. CURB SIDE _
CURB-CUT..L RESIDENTIAL ..':::::::'
SECOND DRIVEWA r (SEE TRAFFIC)
REQUIRES AFPLICATION FOR A SECOND DRIVEWA'T'I"1'-4.Ia)
OR A COUNTY APPLICATION FOR FACILITY PERMIT (C <:l!l-203)
IF IN THE U.Go.a.
REGISTRATION
'S7V1,,^--~~ Of- Q")475?'
111':10
"
22& NORTH FIFTH STREET
SFRI~IELD. OREGON <31411
ENGINEERING DIVISION
OfFICE NO. 12&-31&3
INSPECTION LINE, 12&-31&<3
I
JOB ADDI'1Ee&. 3Ll t:) M..u.\ S-h'- ~JO/
ASSES50RS MAP NO.* (70 '52-3-:::;,--/
5UBDIVISION.
OUNEI'!> JHfV<lI:1 Ph i I,'os
IVll1vt ~ p- ~Id
ZIP. Q7l-",
ADDRESS. 34c..,
~
STATE.
l!JOf"K DE&cRIFTION.
DATE OF APPLICATION
q -Ii -48
WORK TO BE F'E1"!Fv.... Il::D BY'.
CONTRACTOR"" hlJ.V1,\, i\,\/lI~-liV1
ADDRESS Lf(j tJ, ~ \ "'0rd ~-
SPRINGFIELD
RECEIPT NO. I (t) zn '7
CA5H ~
CHECK _
I
CITY. )j1f!c!
PHONE NO, ?L{7-7:071
""v
Cl-IECKED FOR DELINQUENCIES _
*
SETBACK _
COMMERICAL _
SIGNED.
DATE,
(~
4 -1-q~
OlLNER
,/
CONTRAcTOR
No.*3?&>3S
EXPIRES. 4--2.10 .1t.j
PHONE.f l.(.. 7 - ~C;~
,.-....."'DlJRE FOR IN6FECTION I'1EGlUE&T.
CALL 12&-31&<3 (RECORDER) STATE rOUR CITY DESIGNATED JOB NUMBER. JOB ADDRESS.TYPE OF
INSPECTION REQUESTED AND la1EN rou WILL BE READr FOR INSPECTION, CONTRACTORS OR 0UNER5 NAME AND
Pi-lONE NUMBER. REQUESTS RECEIVED BEFORE 1.",", AM WILL BE MADE THE SAME DAr, REQUESTS AfTER 1,,,,",
AM WILL BE MADE THE NEXT llJOf<l<lNG DA r
* SEE BOOK
EXISTING BUILDING PERMIT NO. ( IF APPLICABLE )
rOUR CITY DESIGNATED JOB NO. Isf q ~ I ~ g fl
SIDEWALK I DRlvEWA r
FOR ALL CONCRETE PAVING WITHIN
THE STREET RIGHT OF WAr, TO BE
MADE AFTER ALL EXCAVATING
IS COMPLETE AND FORM WORK
AND 5UB-BA5E MATERIAL IS
IN PLACE
I'1EGlUII'1ED IN6FECTIONS
D
FEES.
SIDEWALKS
HtZl.tZltZl + W.l5/LF. ( X )
OF WALK
TOTAL PEF<MIT FEE.
$ 12.10
[1]
CURB I APPROACH APRON.
AFTER FORMS ARE ERECTED
BUT PRIOR TO POURING
CONCRETE.
CURe-CUT l~ I
.!tZl.tZltZl + W.l5/LF. ( X )
WALK X'
/
J
""
x' J
COMMERICAL DRIVEWAYS 5I-IALL
HAve 5' TO 8' FLAIRS
3'- O' STANDARD
I HAve CARERJLL Y EXAMINED THE COMPLETED APPLICATION FOR PERMIT. AND DO HEREBY CERTIFY THAT ALL
INFORMATION HEREON IS TRUE AND CORRECT. AND I RJRTHER CERTIFr THAT ANY AND ALL WORK PERFORMED
SHALL BE DONE IN ACCORDANCE WITH THE ORDINANCES OF THE CITr OF SPRINGFIELD. AND THE LAW5 OF THE
STATE OF OREGON PERTAINING TO THE llJOf<l< DE5CRIBED HEREIN, AND THAT NO OCCUPANCr WILL BE MADE
OF ANr STRUCTURE WI ERMISSION OF THE BUILDING DIVISION. I FURTHER CERTIFr THAT ONL r CONTRACTORS
AND EMPLOr 0 COMPLIANCE WITH ORS 101.05& WILL BE USED ON THIS PROJECT.
?hA']
D1frE ( ,