HomeMy WebLinkAboutPermit Sidewalk 2001-1-24
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I Job# 01-00065-01 I
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 01-00065-01
225 North Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 6935 Main St Spr
Assessors Map#: 17023533
Lot: Block: Addition:
Tax Lot #: 06100
Subdivision:
Owner:
Address:
Artie Mae Harlow
1919 22nd Street
Phone Number: 541-746-4060
City/State/Zip: Springfield, OR 97477
New Value: $0
Scope Of Work: Curbcut
driveway 20 ft throat. Driveway is a condition for subdivision approval.
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
CC-Standard
Required Inspections
r--- Public Works-I
-After forms are erected but prior to placement of concrete
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
,Area (Sq. Feet)
I Main: Accessory:
# Of Stories:
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Units:
Total:
Fee
Paid On Receipt#
Public Works
01/24/2001 4304
Value/Quantity
New Curbcut
Total Public Works
Grand Total
1
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Fee Amount
$60.00
$60.00
$60.00
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I Job# 01-00065-01 I Page 2 of 2
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information herein is true and corect, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield, applicable City
Standard Specifications and Drawings, and the laws of the State of Oregon pertaining to the work
described herein. I further certify that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project.
The City may inspect the work site described in this permit at any time during a one year period
following the receipt by the City of Springfield notice of completion of the described work and specify,
at the City's sole descression, any additional restoration work required to return the site to a standard
acceptable to the City. The permittee will be notified in writing of any work required and will have
thirty (30) days from the date of the notice to complete the work. Work not completed at the end of
the thirty days will be performed by the City and the costs will be billed to the permittee.
I further agree to ensure that all required inspections are requested at the proper time, that the project
address is readable from the street, and the approved set of plans will remain on the site at all times
during construction.
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225 FIFTH STREET ~
SPRINGFIELD, OREGON 97477
ENGINEERING DIVISION
OFFICE TELEPHONE (503) 726.3753 .PAINa..1lLD &) .
APPLICATION DATE: (- ,)':i -ot
PERMIT NUMBER:
DATE ISSUED:
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SITE INFORMATION:
LOCATIONOFWORK: 1=A~.'t' <;IOI! OF t.,'JT1l 8..A;"
APPLICANT ARliE .MAf' ~AALovJ '
ADDRESS:
400' SouTH '11' fl'JAiIY' STA.eer t. i>.>412."'''', ,.; 13S- nL<>!':""Sf.\l
PHONE 74 to - 4010 q
TAX MAP: 17-02-3$- 33
TAX LOT: tn! (J/J
ZIP:
CITY: SPIlINGFIELJ:J STATE: nR
SUBDIVISION: "30}...VN Su8D/IIISIDN
OWNER: GEDf'M: R. AM AR71F MAE liAR-LoW
PHONE:
7% - '-/00 'J
ZIP: 97Lf77
ADDRESS:
Z/.f33 MAlUoLA R~.
CITY:
S ff(.I/oIr.FIELD
STATE: Of<..
REQUESTED PERMITS:
)3( DRIVEWAY /CURB.CUT /SIDEWALK: .....................:...jij(....................................... $ 60.00
AMMOUNT OF SIDEWALK IN EXCESS OF 90FT. ]V @$0.06 SF. $
o SIDEWALK REPAIR: .........".....................................,....,.............................$ 10.00.
o ADDITIONAL DRIVEWAY:
............ ..... ....... ..... ....... .......... ......... .............$ 30.00
o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER
TOTAL DUE WITH PERMIT $
CONTRACTOR INFORMATION:
~
CONTRACTOR: AVMAA EN1F~PRISES
ADDRESS: '-I/O 8U5iJNPLL EU(.ENE t'I~ Q7/.{nLl
CONTRACTOR REGISTRATION NO: 0577'"19
PROJECT SUPERVISOR: LAAAvL. RiCH
PHONE: hS&-/37/,
EXPIRATION DATE: qlh/()/
, PHONE:...::z.6....q-D2~3
INSPECTIONS:
AN INSPECTION REOUEST SHOULD BE MADE PRIOR TO POURING CONCRETE, AFTER THE PROPOSED WORK HAS BEEN FORMED
AND MADE READY TO POUR.
CURB CUT AND SIDEWALK INSPECTIONS CALL 726-37~9 (RECORDER) STATE YOUR DESIGINATED CITY JOB NUMBER/PERMIT
NUMBER, JOB ADDRESS. TYPE OF INSPECTION REQUESTED, AND WHEN YOU WILL BE READY FOR INSPECTION, CONTRACTOR'S
OR OWNER'S NAME AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. WILL BE MADE THE
SAME DAY, REQUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN
AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING CONCRETE.
YOU ARE REQUIRED TO CALL
THE LANE UTILITIES .cOORDINATING COUNCIL'S
"ONE CAll NUMBER" 1-800-332-2344
48 HOURS BEFORE DIGGING
SIGNATURE:
AMOUNT RECEIVED:
RECEIPT NO:
DATE PAID:
RECEIVED BY:
By signature, I stale and agree. thaI I have carefully examined the completed application and do hereby certilv that all ;nforjT1ation herein
is true and correct, and I further certify that any and all work performed shall be done in accordance With the Ordlnanc~s of
the City of Springfield, applicable Cily Standara specificalioris and Drawings, and the laws of the State of Oregon p'ertalning to the work
descr,ibed ~erein. I furth~r certify that only contractors and employees who are in compliance with GRS 701.055 will be used
on thIS proJect.
The City mpy ins peel the vyork site described ifllhis perm,;1 ~t any time duri~g a one year period follow,;ng the recelpl by. the City of notic ,
of completIon of the descnbed work and specify. at the City s sole descresslon, any additional re$toratlon work re~U1rea to return the sill".
to a standard acceptable to the City. The permitlee will be notified in writing of any work required and will have thirty days (30) from the .
date of the notice to complete the work. Work not completed at Ihe end of the thirty days'wIIl be performed by
the City and the costs will be billed to the permittee.
I furthor agree to ensure thaI all required inspeqlions are requested allhe proper time, that project address is readable from the
street, ana the approvep set of plans will remain on the site at all times during construction.
Signature
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Date / -;l of-d I
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'0 5 LOTS 4 & S WILL SHARE THE PROPOSEO
I I' APPROACH LOCATED ON THE COMMON LOT L1~E
I I' VIA -HE PROPOSED PRIVATE ACCESS EASEMENT
I EX 83' PAY 6 THE LOCATION OF THE PROPOSED WATER MAIN IS
I I SHOWN FOR REFERENCE PJRPOSES ONLY ACTuAL
I LOCATIO~ OF THE WATER MAIN WILL BE DETERMINED
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'I ,I LOT 1 "- EXISTING 1 ,I REMAIN -"'i i= SEWER EASE-
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I I I,l FACILITY i7! - - TO REMAIN w - - - r 1 I r ~ :i: ~ ~ I ~ \1-01' S900
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LIMIT OF RECENT .,
I STREET IMPROVEMENT~ N
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LECEND:
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EXISTING STORM SEWER (SIZE AS NOTEOI
SW 1/4 SEC 35, T 17 S, R 2 W W.M.
MAP No. 17-02-35-33 TAX LOT 6100
SPRINGFIELD, LANE COUNTY, OREGON
DECEMBER 2000
- - -SAN- --
EXISTING SANITARY SEWER (SIZE AS NOTED)
PROPOSED SANITARY SEWER [SIZE AS NOTEDI
,SAN
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- - - EX W - - -
EXISTING WATER MAIN [SIZE AS NOTED)
6" ^
PROPOSED WATER MAIN [SIZE AS NOTEO)
EXISTING OVERHEAD POWERLlNE
---OH---
GENERAL NOTES
A
PROPOSED ELECTRIC CONDJIT
E
I EASEMENTS SHOWN ARE PROPOSED UNLESS
NOTED AS EX,STING liE EXI
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EXISTING STREET LIGHT
2 WATER AND ELECTRIC LINES SHOWN WITHIN
THE EXISTING UTILITY EASEMENTS /lILL BE
PUBLIC
@
EXISTING POWER POLE
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ISITE
IlJ
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JU~CTION BOX
3 ELECTRIC SER VICE FOR LOTS I & 2 WILL BE
FROM THE EXISTING OVERHEAD LINE
PROPOSED WATER ME TER
4 LOTS 1&.2 WILL HAVE A SHARED ACCESS
FROM THE EXIS,ING APPROACH IN LOT 2
LOT I WILL ACCESS THIS APPROACH VIA
THE PRIVATE ACCESS AND UTILITY EASEMENT
VICINITY MAP
NO SCALE
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CONSTRUCTION NOTES:
OWNER &.
DEVELOPER
GEORGE R 6. ARTIE MAE HARLOW
2433 MARCOLA ROAD
SPRINGFIELD, OR 97477
(541) 746-4069
PRIV ATE 4" SANITARY SEWER LATERAL TO BE
CONSTRUCTED UNDER AN ENCROACHMENT PERMIT
ST ANDARD DRIVEWAY APPROACH TO BE CO~STRUCTED
UNDER AN ENCROACHMENT PERMIT
IEXPflES, 12-31-2002
UNDERGROUND PUBLIC ELECTRIC DiSTRIBUTION LINE
BY SUB
lAST REVISED
1/24/2001
3109UTIL GCD
JUNCTION BOX BY SUB
POAGE ENGINEERING & SURVEYING INC.
PUBLIC WATER MAIN BY SUB
POBox 2527
ELKjene, Oregon 97402
485-4505
WATER METER BOX BY SUB
UTILITY
PLAN
PROJECT
JOLYN
SUBDIVISION
LOCATION
SEC 35 T 17 S, R 2 W W M
SPRINGFIELD, LANE COUNTY,
DPS
of
1 JO_B_..N_~ _ 3:;
OREGON
SHEET No
DATE
12/14/2000
DRA vVN
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