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HomeMy WebLinkAboutPermit Sidewalk 2009-7-20 . , . . . . .. '. . r>" .1 ,~~ ,_~/PJ . ,. j., .,.... , ,_.' ',' I, _. i.". '. ,';-". . Llll.!/OJ ~nJlOJIcn.~ . ..', :., :.. '.' . . ..:::i'~~) '~~:::,":.::l.'::: :.-......,:.~~:. ~.,.-:. >"'-............~ :', .....:.:.< ".-,~.".~.';'<~ ::~,;. ~ .' ,'~:~..:'i~~~{~' :':'~ .;; DRIVEWAY/SIDEWALK: . ; ......:.~: PERMITAPPLlCATION:......::.':::r~t: 225 FIFfH STREET SPRINGFIELD, OREGON 97477 ENGINEERING OMSION OFFICE TELEPHONE (503) 726-3753 APPLICATION DATE: ?j J. 0/ 0 '{ """!:= ::;:] ~ PERMIT NUMBER: CO,.., 01- (; 10 9- b DATE ISSUED: 7/J./J/ Of( SITE INFORMATION: lOCATlONOFOORK:.).~).. M.:- onpT 1.114 Ii. .5t C+./O~IJ.(' /\. Mf' 3,lS-~3.J.<l. tIorf~ .iJ<- / ,. -, . PHONE (j-~(f) 74 'f - forO;' 0 TAX MAP: '703 J'!f( oUO'O APPliCANT ADDRESS: OW S;>r;~(."..\J SUSQMSION: C>DUI STATE: ()t( ZIP: q7477 TAX LOT: IOOl?: If~ IJ..Ol>/ (300 OWNER: PHONE: ADDRESS: ClTY: STATE: ZIP: REQUESTED PERMITS: o SIDEWALK: .................... ........................ ................................... $88.00 ......................... ~ $ AMOUNT OF SIDEWAlK IN EXCESS OF 90fT. @$O.08 SF. = $ .tlil; SIDEWALK REPAIR: ..................................,........................................ $15.50 ........."................ ~ $ ~'b.- q. ~12- o CURB CUT/DRIVEWAY: NUMBER OF DRIVEWAYS X...".."............. $88.00 1st Cut = $ o MULTIPLE PERMIT DISCOUNT EA: .........(MAX 2)......... .....$30.00 (MULTI PERMIT DISCOUNT GOOD FOR ONE SITE AND ONE SITE INSPECTION..!lliLt / APPUES TO 2nd AND 3rd PERMITS ONLY. NOT SIDEWALK REPAlRt 51 5% Technology Fee $ ~. C;" TOTAL DUE 'MTH PERMIT $ o PROOF OF INSURANCE: $500,000 MINIMUM IF WORK IS DONE BY PROPERTYOWNER 2nd Cut ~U' =$ 1- C/l,c1L- ,.j. ."f'D , C, )-, .."2.- .:tr CONTRACTOR INFORMATION: CONT~TOR: f'o1'G~o""'C".JrQc.-h".-~ Lie.. ADOREss:1. $./w::I3..{ r..~J.,;~.... OR cClNTPACTOR REGISTRATION NO: I.,,\",q?cb .. , PROJECT SUPERVISOR: .1>0..... A.""'~_^-(I.-r , EXPlRATIONOATE: AI PHONE: .!L'lfl" ~......:. q-IJ. -/u PHONE: 7Q", S~t.O 97'11<1 INSPECTIONS: MlINSPECTlON AEOLEST SHOULD BE MADE PRIOR TO POURING CONCRcrE, AFTER THE PROPOSED WORK HAS BEEN Fa RMED AND MADE READY TO POUR. CURB CUT AND SIDEWAlK INSPECTIONS CALL 720.3769 (RECOROE.R) STATE YOUR OESIGINATED CITY..oB NUMBER/PERMlT NUMBER, JOB ADDRESS, TYPE OF INSPECTJOI'.l REOUESTED, AND \r'vHEN YOU Will BE READY FOR INS PECTtON, CONTRACTOR'S OR O'NNEA'S NAA1E AND PHONE NUMBER. REQUESTS RECEIVED BEFORE 7:00 A.M. Will BE MADE THE SAME DAY, REOUESTS AFTER 7:00A.M. Vv1ll BE MADE THE NEXT WORKING DAY. INSPECTIONS ARE TO BE CALLED IN AFTER EXCAVATIONS ARE MADE AND FOAM WORK IS IN Pl..ACE BUT PRIOR TO POURING CONCRETE. YOU ARE REO~REO TO CALL THE LANE UTILITIES COORDINATING COUNCIL'S "ONE CALL NUMBER" 1-800-332-2344 48 HOURS BEFORE DIGGING SIGNATURE: AMOUNT RECEIVED: .-It;, 0,) . RECEIPT NO: ~)CV''''- 3<- "'V'L DATE PAID: RECEIVED BY; '(.;}C t:l;'u.J . C C', By siglature. I stale and agee thaI I have ca.-eful!y examined the cOOlpleted appkalion 8l1d do he reby certify thai al inlamation herein is !tue and cOO"ect and I further cet"tiIVtha\ af!r' and all work performed shall ~ dene in accordance with the Ordinances or , . the CilV 01 ~Pijngrjeld, aPfllica6le Cily Slandatd spealicalions and nra....;flQs. and the laws oIlne Slale 01 Oragoo perla.nirlg 10 the v.ork described herell1. I further cerlify that .only conlraClors and employees who are in canpliance 'Mlh OAS 701.055 'Mn be used onlhlsp-olect. The City may il1specllhe work sHe described in this permil at,any lime duting a one yeal period 10 nOwillg the receipt by the City 01 notice 01 can~elion oIlhe descflbed...,.ark and speoty, .!lIthe Oty's sole discrelicn any addilional resloll::I!ion work required 10 fetUln lh_e sile to a slandard accep'!able 10 the Cl . The permlnee WIll be notified in 'Nfi.1ing 01 any work required <ind.,.,..;1I have thirty c1ays (30) from Ihe date 04 the nollce 10 COI"fl)Iele the work Work not can eled allhe end of lhe Ihlrty days WIU be per!()(rneo by ttie City and Ihe cosls wil be billed 10 ltie perTTlltlee. . I further agree 10 ensure Ihat all req d lI1spechons are requesled .!Illhe pfOper lime. Ihal pl"ol eel ado-ess IS readable hem the ;;;:~j"J:O'- ;:::;7~'- G 7-~O-69 22,5'Fifth Street ..;:,.' Springf.eld, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2009-0 I 046 COM2009-0 I 046 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Sidewalk Permit + 5% Technology Fee Paid By STATE OF OREGON ODaT ".,~~_l~G."'.~:~....:,.:,.: :)..' t 4.. 'pi:Ii ~. . ~-,._-' City of Springfield Official Receipt Development Services Department Public Works Department Ii 3200900000000000542 Date: On!0/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received CTM 042614 In Person Payment Total: I; Page 1 of] 10:42:54AM Amount Due 97.92 4.90 $102,82 Amount Paid $102.82 $102,82 7/20/2009 ~Var, 1,3' To 7.3' r 18" Curb and r;utter . (See drg. no. RD700J 5 - - -- . P. C. cone. sidewalk Thkn. - 4" (See drr;. nos. MHMAC wearing course-----. RD720 & RD750J ~~;:" ~k!:: ~?se R=3"\' / Exlr;. surfacing Extg. surfacing, 7"L\~sl.2% __1____ _L ~. 51. var, :7 I" ~ Saw cui Saw cui 1:6 To 1:8 ~'~ I 1'( . Aggrer;ate base ~1'1-- Nom. compo thkn. - 16" ANr;r;rer;ate baths: _ 4" Subgrade geotextile om. compo .n. --- SIDEWALK CONStRUCTION JUL 27 2009 ~: \ODOT _DA T A \Projec t s\ARCH1VE \ORl26-Main_Street _Sidewal k_lmprovements_Springfiel d\sprgfl d_sidewolk. pll 7/27 /2009 8:0~: 15 AM TYPE SSa-l r Seam stitch shall be no -'. Less than 1" and no I Greater than 1/12" '-T I. "FLAT" OR "PRAYER" SEAM SSa-l 42V-146 TYPE SSd-l TYPE SSn-l 1" r '~f 1" r -fr "BlITTERFL Y" SEAM SSd-l "J" SEAM SSn-l =:a----....I' :: ! : =)I~jLI_il STITCH TYPE 301 -----, ~ STITCH TYPE 401 GEOTEXTILE ST1TC~ING RENEWS: 12-31-2009 hwye30s NOTE, . Side-slopes are s/lo'Nn as vert. to OOr1'z r . OREGQN DEPAR.tM~NTOF TRAN~PORtAT10N Fi~~I()N:2 TI;CHCENifE;Fi .' OR126iIlAINISTliEET 0 lIiP. 3:27 SIDEWAlKo; IIIPROVEIIENTS (SPRINGFIELD) SEe, . . .c..., ., MCKENZI( HIGHWAY' - LANE COUNTY Oesioned By - Bruce Eblil'lQ OroHftd By - D. Centner--Oay D ETA I:L 8 S>€H NO. 2 1:02~O - 2