HomeMy WebLinkAboutPermit Sidewalk 1995-6-22
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~SIDENTIAL - COMME;RCIAL
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225 NORTI-l FIFTI-l STR:ET
SPRINGFIELD, OREGON <31411
ENGINEERING DIVISION
OfTICE NO. 126-3153
INSPECTION LINE, 176-316'3
JOB ADDR:55, IDfp
'!'55E550R:5 MAP NO.*"
t;)U!MP/C!-
17 Og. '2.:1 Q.I
RECEIPT NO:
T!.X LOT NO: +/;> 760
CA5!-;
CHEC< ~
5U9DIVISION,
O.lN:R, 1-1 A 5L A
ADDRE'S5, 300 vJ.
S,A7:, ore
i.I.OR< DE5CRIFTION,
S!DSlW..K. ~
(f7f2-1 IJ./.-/ ~/.J A FO€Il..,)
r::::AIe..VIt!7Af,../ cm", GPe.',..t-FJfrJ?
ZIP, "f1Q71 P;.1QNE NO,
+.
CHEC<ED FOR DELlNOJENCIES
L
CU~ S!DE _
=='ieAC:< _
c;.JR3-CUT: ~5IDa.:iIAL _
5::COND DRJ\I'E'~Y (5== ~IC)
R:OUIR:S APFLICAOION FOR A SECOND DRIV:llJA':"I"T-4.1.)
OR A COUNT!' hPFUCAOION FOR FhCILlTY P:~IT IC '38-203)
IF IN THE ue.s, ,
CO, C ERICAL
516~:;:
DATE 0:= APPUCAilON
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DAiE:
~~Ci'OR
*'
RE'GIS,RATICN NO, "3";7 1
SPRINCFIEl.D
17~
150 if} Ie..
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W;;:K TO BE FERrv"", It::D BY: O"-"ER
CON7RACOOR'* -'3rrA-rDJ-I r/\IJ.<:,7f!.vc.1fOI./
=DR:5S Z-<i 5PQ.fl> AI F'PCJ2f eel.
f'-r<;u<.-t::....URl: FOR IN5FECTION REGlUEST:
c.t..LL '26-3'6~ (R::~ER) STATE "T"OJR Clrr D=SI6~ED J09 N"'C'"i9::~ JOB AC>DR::55,T"i""P: OP
INSPECTION R:OlES7ED A~D lI.\-IEN YOU llJlLL 5E R:ADY FOR INSPECTION. CONTRAC70RS OR OUNERS N"-""E t..~D
Pf40NE NUM9ER. R:O'JES7S RECEIVED 5=~'-'r= 1,00 !.11 WILL 5E MADE TI-lE SAME DAY. R:OJES7S .:.i"7:R 1,00
Al1llJILL BE MADE 7HE NEXT lLOR<.lNG DAY
EXI5TI~ 5UILD1~ PE~IT NO. (' rr APFUCA9LE )
+. ~:: o~
...._-~
YOU!< CITY D:5IGNATED Jee NO. IS"t
:':.'X'P::<=S''?-Zl- 96
P;':'O:.J.E,qre,/. 05 ~
q:~ / r*J 71
REGlUIRED INSPECTIONS
[0"
SIDEWALK I DRI~llJAY
FOR ALL CONCRETE PAVING llJIT~1N
THe STREET RIG!-IT OF WAY, TO 5E
H.!.D:: .t..=tER ALL EXCAVATING
IS COi"'iPLETE AND FO~ WO~
A""-lD 5:.l9-BASE Mt.TER1AL IS
IN FLACE
o
FEES,
51DEWALK5
~10.f2)0 . ~.15/LF. ( X )
or WALK
CURB-CUT
~10,00 . Y.2).15/LF. ( X )
TOTAL PERMIT FEE,
s
f%
CO,lMERICAL DRIVEllJAYS SHALL
I-lAVE 5' TO 8' FLAIRS
3'- O. STA~DARD
,- CURS I APFROACI-< APRO.
Ar-OER FOR;-1S ARC ER:C"
BUT PRIOR TO POJ!'1ING
CONCRETE.
WALK x'
/ ""
I, x' I,
" "
,. I
I :-1.c..VE .CARER.lLL Y EXA"'1I:-.tED T~= COMPlETED APPLICATiON FOR PER:1fT, A.'lD DO 1-fEREe"'r CEF<TIFY 7t-:.l..T ALL
INrO~ATtON J-IEREON 15 TRUE A"'-:D CORRECT, A'lD I RJRT;";ER CERTIFY TI-IAT A"'l"'r ~"D ~L lLOR< FE;"Q'""",,,~ I:t=D
5;-lALL 5E DONi: IN t.CCORDA~CE llJlTH THE ORDIN"-~CES OF THE CITY OF SPRINGFIELD, AND THE LACl5 CF TI-<E
STATE OF OREGON PERTAINING TO TI-E =~ DESCRI5ED HEREIN, A~D THAT NO OCCUPA~CY W:LL 9E M"-!:>E
OF .l:::...o...:y 5TF11CTUR,E WITl--!OUT f'E~""lIS$l~ 0;= THE euILD!NG DI\151att I FUR71-l!::.R CERTIi=Y 7l---l~T ONL"'j"" Co-.iTRACTOR5
.t.ND EMPLOYEES UJ:-l0 ARE IN COMPLlA~CE WITI-l ORe '''I.o!>5 WILL 6E USED ON TI-<IS PROJECT.
SIGNED
DATE