HomeMy WebLinkAboutPermit Curb Cut 1993-3-25
RESIDENTIAL - COMMERCIAL
. '........ SIDEWALK f4:;J ''''''''-'JD I'
r. AFf'LICATION I PERMIT ~!
.J
11~"
22!; NORTH FIFTH STREET
SPRINGFIELD. OREGON "11411
ENGINEERING DIVISION
OFFICE NO. 126-31!;3
INSPECTION LINE, 126-316"1
Joe ADDI'lE&&. 17 10 4111/1../ ST.
ASSESSORS MAP NO.* /7 - tJ:3 - 30 - 3 (
5UBDIYISION,
WORK TO BE F'ERFv~ II=D BY.
CONTRACTOR* JON
ADDRESS <;<4-sCf I
k". VAHALA
PC.~/U4T
.
TAX LOT NO. * 1 'i"OO
RECEIPT NO, 007116
CA5I-l
CHECK
L---
CITY, 5j7~A/~/€LP
*
CI-lECKED FOR DELINQUENCIES
...-
Pf-IONE NO,
SETBACK _
COMMERICAL _
*'
SIGNED, ~'(~
DATE, 5/2S-~3
, '
ou.NER
)(
CONTRACTOR
REGISTRATION NO.* 5' 4 ~ S8
Pt..E745/JNT HIlL
EXPIRES,
07/2311$
ou.NER> oill/l14. I2E'YA/oso
ADDRJ:SS, /790 m!fl,u 5T,
STATE, 'oJ2e, ZIP, '774-77
~ DE&cRIF'TIONs
SIDEWALK, CURB SIDE X
CURB-CUT, X RESIDENTIAL _
SECOND DRIVEWAY (SEE TRAFFIC)
REQUIRES AFf'LICATION FOR A 5ECOND DRIVEWAY("T-4.1.)
OR A COUNTY APPLICATION FOR FACILITY PERMIT (C <;\&-2"3)
IF IN TI-IE U.G.5.
DATEOFAPPLICATI~ 3~03
LAlve
I
P1-lONE,
,'" .. -, ,'IRE FOR IN&FECTION I'lEGllJE6T.
CALL 126-316"1 (RJ:CORDER) STATE YOUR CITY DESIGNATED JOB NUMBER. JOB ADDRESS,TYPE OF
INSFl'CTION REQUESTED AND UA;EN YOU WILL BE READY FOR INSFl'CTION. CONTRACTORS OR ou.NERS NAME AND
PI-IONE NUMBER. REQUESTS RECEIVED BEFORE 1,= AM WILL BE MADE THE SAME DAY. REQUESTS .AFTER 1,=
AM WILL BE MADE THE NEXT l1JOf'!l<lNG DAY
* SEE BOOK
EXISTING BUILDING PERMIT NO. ( IF APPLICABLE)
YOUR CITY DESIGNATED JOB NO, Isf 9303"'11---
,
SIDEWALK I DRIVEWAY
FOR ALL CONCRETE PAVING WITHIN
THE STREET RIGf-lT OF WAY. TO BE
MADE AFTER ALL EXCAVATING
IS COMPLETE AND FORM WOI"l<
AND 5UB-BA5E MATERIAL IS
IN PLACE
I'lEQUII'lED 1N6Ft:CTION6
D
FEE6.
SIDEWALKS
.!lZ>.lZ>lZ> · W.l5/LF. ( X );f(iiF!
OF WALK
TOTAL Ft:f'MIT FEE.
$
/3,(::,0
[KJ
~-rv
.~ ~ I
.\lZ>.lZ)lZ> . W.l5/LF. ( x )24
rp 13 ,(;'0
COMMERICAL DRIVEWAYS SHALL
HAVE !;' TO 8' FLAIRS
3'- '" STANDARD
CURB I APPROACH APRON,
AFTER FORMS ARE ERECTED
BUT PRIOR TO POJRING
CONCRETE.
WALK X'
/
J
x'
'\
I,
i
I HAVE CAREFULLY EXAMINED THE COMPLETED AFf'LICATION FOR PERMIT, AND DO HERJ:BY CERTIFY THAT ALL
INFORMATION HEREON IS TRUE AND CORRECT, AND I FURTHER CERTIFY THAT ANY AND ALL WOI"l< PERFORMED
SHALL BE DONE IN ACCORDANCE WITH THE ORDINANCES OF THE CITY OF SPRINGFIELD, AND THE LAW5 OF THE
STATE OF ORJ:GON PERTAINING TO THE WOI"l< DE5CRIBED HEREIN, AND Tf-IAT NO OCCUPANCY WILL BE MADE
" OF ANY STRUCTURE WITHOUT PERMISSION OF THE BUILDING DIVISION. I FURTHER CERTIFY THAT ONLY CONTRACTORS
AND EMPLO'1'EES UJf-IO ARE IN COMPLIANCE WITH ORS 1"1-"!;!; WILL BE USED ON THIS PROJECT.
51GNED
DATE