HomeMy WebLinkAboutPermit Curb Cut 1994-12-8
225 NORTI-l FIFTI-l STREET
SPRINGFIELD, ORE6ON ~1411
EN61NEERIN6 DIVISION
OFFICE NO. 12&-3153
IN5PECTION LINE, 12&-31&~
~~lbENTIAL - COMMERCIAL
~ 51DEUJALK I CURBCUT .'
AFPLlCATION I PEFil'1IT
SPRINGFIELD
;;I'~O
JOB ADDREee. 15:') {]/v Il1 D ic.
'* 'I
A55E55OR5 MAP NO. 1'7 tH, 7,'] "I
, .
',*
TAX LOT NO. (,,700
RECEIPT NO,
CA5I-l
I St.,'!!>
5U6DIVISION,
CI-lECK
,/
HAc.sA
ADDRE5S, ::<-'2.0 LV
5TATE, Oi~6-01\J
UJORl<. DE~RIPTION,
OU.NERs
,_FaiI-' v/e4,'
ZIP, q7477
CIT'T"'~OJ-;"u+i el,)
P;.lQNE'-;:;;;<J"-
CI-lECKED FOR DELlNGl'JENCIES'* /
5IDEUJ,t,LK, CURS 51DE _
CURS-CUT, t.--- RE51DENTIAL _
SECOND DRIVEl:JA Y (5EE TRA"i'IC )
REGl'JIRES AFPLICATION FOR A 5ECOND DRIVEWAn'T.4.1.)
OR A COUNTY APP'~ICATION FOR FACILITY PEFil'1IT (C ~-203)
IF IN TI-lE uc,.9.
5ET6ACK _
"-
"
CO:-1MERICAL
DATE OF APPLICATION
/~rl9f
516NED,
DATE:
-rRo!!. M .
rz.../~fq'-l
I '
UJORK TO BE FERrv"", ,,,,D B.,...
Oll.N.:R
x...
C~i~CiOR
Co.v,f, Tv,,:..
A i..t:f'or-t 'ReI..
,""-'...."'DURE FOR IN5PECTION REQUEST.
CONTRACTOR'* 5T A To IJ
ADDRESS ;).'1391- -J?
*
RE61STRATION NO. 03371
E'4..et1P; O~ 97'fO:L
EXPIRES,.? /,).1 jq",
. .
PfiONE, 4~-, -OS~
CALL 12&-31&~ (RECORDER) STATE YOUR CITY DESI6NATED J06 NUMElER. J05 ADDRESS,TYPE OF
INSPECTION REGl'JESTED "-ND UJrIEN YOU WILL 6E READY FOR INSPECTION, CONTRACTORS OR O\l.NEI'15 NA1-;E -'-ND
PJ.4ONE NUMBER REa'JE5T5 RECEIVED 6EFORE 1:00.l.."1 WILL BE MADE TI-4E SA....i:: DAY, REaJE5i5 ~TER 1:00
AM UJILL 6E MADE TI-lE NEXT UOR<:IN6 DAY
EXISTiNG euILDINC:s PE~IT !-~,...,. ( n= APPLICABLE)
* SEE 600K
YOUR CITY DESI6NATED JOEl ",0. IS'!'
94/ RJ3q
REQUIRED INSPECTIONS
D
SIDEUJALK I DRIVEIIJA Y
FOR ALL CONCRETE PAVING UJIT;.lIN
TI-lE 5TREET RI61-lT OF UJAY, TO 5E
M"-DE AFTER ALL EXCAVATlN6
IS COt1PLETE A'<D FORM tJ.)ORK
"''<D 5U5-5ASE MATERIAL IS
IN PLACE
~URS I APPROACI-l APRON,
ER F0Fil'15 ARE ERECTED
6UT PRIOR TO Po:JRIN6
CONCRETE,
FEES. SIDEWALKS CURB-CUT WALK X'
HO.00 + .0.15/LF. ( X ) .10.00 + ~.15/L.F, ( X ) (& / "'"
OF WALK
CO:-tMERICAL DRIVEUJAYS 5;.lALL J I.
I-lAVE 5' TO e' FLAIR5 X'
S '/7.Q1) 3'- O. 5T"-'1DARD 1
TOTAL PERMIT FEE.
! ;..lAVE C.4REFULL Y EX":"'1NED TI-JE COMPLETED AF'PLICATI~ FOR PE~IT. ":"~D DO ;.4ERE9Y CERTIFY 71-l'!'T 4LL
'Ni'OFil'1ATION I-lEREON 15 TRJE AND CORRECT. AND I FURn';ER CERTIFY TI-l"-T ANY ""ND -'-LL llORK PERFOFil'1ED
SHALL 5E DONE IN ACCORDANCE UJITI-l TI-lE ORDN-'-'1CES OF TI-lE CITY OF 5PRINGFIELD. -'-ND THE L""U,S OF TI-lE
5TA.TE OF OREGON PERT':"INING TO THE UJO~ DE5CRI9ED ~EREI~. ':"-":D 7;";..4T NO OCCUP~NC,( UlILL 8: M~DE
OF ""'Y STR'JCTURE UJITI-lOJT PEFil'11551ON OF TI-lE 6UILDING DIVISION. I FI,;!<TI-lER CERTIFY TI-lAT ONL Y CONTRACTORS
"-ND EMPLOYEE5 UJrIO ""RE IN C01'1PLlANCE UJITI-l 01'15 101.0:'5 WILL 5E U5ED ON TI-l15 PROJECT,
51GNED ~ ~ ~ DATE~/t9/9~