HomeMy WebLinkAboutPermit Curb Cut 1993-5-20
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"IDENT~I~:-ALK I c~r;w~IAL
APPLICATIoN I PERMIT
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22S NORTH FIFTH ~TREET
~PRINGFIELD, OREGON "11411
ENGINEERING DIVI~ION
OFFICE NO. 126-31S3
IN~PECTION LINE. 126-316"1
JOB ADDRE&6'1500 Mallard Ave.
A~~E~80RS MAP NO.*'17 03 22 1 3
SPRINGFIELD
*'
TAX LOT NO. 17500
RECEIPT NO, 001/10
CA5H
SUBDIV1~ION. Third Addition to Gamebird Village
OWNE~ Willamalane Park and Recreation District
CHECK
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ADDRE55, 151 North 4th St.
CITT'Springfield
PI-IONE NO, 726-4335
*'
CHECKED FOR DELINQUENCIE~ _
~T ATE. O'regon
ZIP. 97477
WORK DEec~IPTION. Installation of two curb
~IDEUJALK. CURe ~IDE _
CURe-CUT. ~ RE~IDENTIAL _
~ECOND DRIveWAY (~EE TRAfFIC)
REQUIRE~ APPLICATION FOR A SECONP DRlvEWAY('1'-4.1.)
OR A COJNTT APPLICATION FOR FACILITT PERMIT (C <;\&-2lZ>3)
IF IN THE U.G.B.
cuts/ramps
~ETBACK _
COMMERICAL l
~IGNED,
DATE,
DATE OF APPLICATION
S/20/Q,
c.
WOFiK TO 6E f'EFO!Fv"" .,:D BY.
x
OWNER
CONTRACTOR
*'
REGI~TRATION NO. 30002
CONTRACTOR *' Augus t Cons true tion Co.
ADDRESS 153 N. Seneca Road, Eugene, Oregon 97402-0074
12^",^^
t;' - "2.ILCj~
EXPIRE~. 9/27/94
PI-IONE'689-0900
,..."'" .. -. 'IRE FOR IN6FECTlON REQJE6T,
CALL 126-316"1 (RECORDER) ~TATE TOUR CITT DE~IGNATED JOB NUMBER, JOB ADDRE~~.TTPE OF
INSPECTION REQUESTED AND lI.I-lEN TOU WILL BE READT FOR INSPECTION. CONTRACTORS OR OWNERS NAME AND
P~E NUMBER. REQUE~T~ RECEIveD BEFORE 1,!Z>0 AM WILL BE MADE THE ~AME DAT. REQUE~T~ AFTER 1,!Z>0
AM WILL BE MADE THE NEXT IlIOf'!l<.ING DAT
.. ~EE BOOK
EXISTING BUILDING PERMIT NO. ( IF APPLICABLE)
YOUR CITT DE~Ic.NATED JOB NO. Isf or? b,O"'Z.
REQUIRED INSPECTIONS
D
~IDEWALK I DRlvEWAT
FOR ALL CONCRETE PAVING WITHIN
THE STREET RIGHT OF WAT. TO BE
MADE AFTER ALL EXCAVATING
I~ COMPLETE AND FORM IlIOf'!l<.
AND SUB-BASE MATERIAL I~
IN PLACE
~
FEE6.
5IDEWALK5
.1"'."'''' . ~.I5/LF. ( X )
OF WALK
CURB-CUT
.\"'JZ)"'. ~.I5/LF. ( X ) 22'
(2 @ h')
COMMERICAL DRlvEWAT~ 6i-IALL
HAve S' TO &' FLAIRS
3'- lZ>' ~TANDARD
TOTAl.. ,....:.... .IT FEE.
$13.30
CURe I APPROACH APRON,
AFTER FORM~ ARE ERECTED
BUT PRIOR TO POURING
CONCRETE.
WALK X'
/
l
"
""
x' 1.
I f.lAvE CARERJLLY EXAMINED Tf.lE COMPLETED APPLICATION FOR PERMIT, AND DO f.lEREBY CERTIFT Tf.lAT ALL
INFORMATION f.lEREON I~ TRUE AND CORRECT. AND I RJRTf.lER CERTIFT Tf.lAT ANT AND ALL WORK PERFORMED
~HALL BE. DONE CORDANCE WITH Tf.lE ORDINANCE~ OF Tf.lE CITT OF SPRINGFIELD. AND Tf.lE LAW5 OF Tf.lE
STATE QF' OREG PERTAINING TO THE WORK DESCRIBED f.lEREIN. AND THAT NO OCCUPANCT WILL BE MADE
JT ~TR\JCT WITHOUT PERMI~~ION OF Tf.lE BUILDING DIVI~ION. I FURTHER CERTIFY TH,AT ONL T CONTRACTOR~
AND EMPLOYEE lI.I-lO ARE IN COMPLIANCE WITH ORS 1lZ>I.<Z>SS WILL BE U~ED ON Tf.ll~ PROJECT.
';?J " ML-- " 5~/fa
~I ED . 'DATE
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,
r'NE~ tUiZV GUT
t Mallard Ave.
JI~ c"",h>'l')
." Walk endS at curb
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E"<;,,t; ~-\ j /
Wall< ramps
down to curb cut ~ I
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