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Home My WebLink AboutPermit Building 2002-11-25 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2002-01231 ISSUED: 11/2512002 APPLIED: 10/1812002 EXPIRES: OS/25/2003 VALUE: $ 259,657.20 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3466 Ambleside Dr ASSESSOR'S PARCEL NO.: 1702194307400 Springfield TYPE OF Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: SFR Residence Owner: COZY HOMES Address: PO BOX 237 SPRINGFIELD OR 97477 Phone Number: 747-8704 Phone Number: 747-8704 Contractor Type General Electrical Mechanical Owner Plumbing I CONTRACTOR INFORMA TION'II e'=' ~~\\~~~ \r, Contractor eo}'lSicSnse 1\\o<'~~piration Date TOM WIRFS ENTERPRISES INC So.~ '\ C32~~{e <:'~7:~<;)~~ 06/29/2004 BILLS ELECTRIC ~e\!;d' 'O'i~e Jl<351~8) ..s-..e<:' 04/28/2004 HOME COMFORT HEATI~G~&t S:Jigi~'{\o,=,e,t ~4.f6~\\,e '{ ~o'(\~ ;\Q6/25/2003 COZY HOMES 'Y;.~\'\e'=''()..~ ",e" ~o~''r-..e,=,O\\e\e,?\(j'()..~O HOME COMFORT\lH~r~t'~_~~~J~~\~,(\ (jO~l!.~'64~, ~o\~ 06/25/2003 "1"'\\.\- -'".-. _ '\'-' ~\...... 1""'-'- ""'\\\'".1 n..~I,;.q 1\-B~J.~nJt{GlN:F0RMA'q'10N1' 'JfiP ,,~- Oi>" ~ 0\\ e (j'O' o,f(J't) d0;;:-'s ,of:. ~1t\Of.~~~r~s:.~e . c \,<Q 2 ('S Hrel'ght..Q.r\O:;\\\e-. \;-' 34.00 ,;f(\V (".'C' Ty.'tJe'of Heat: Geothermal Water Type: Gas Range Type: Gas Energy Path: Path 1 Phone 541-501-5650 541-345-2838 747-8704 541-345-2838 # of Buildings: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: 1 R-3 U-l VNSpr 1,408 680 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 18.00 6.00 5.00 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: 1m pervious rrface Area: ~. I DEVELOPMENT INFORMATION I '\"'~ ~ ~~\ ~ ~ ~\~UIRED PARKING Overlay Dist: \.. ~iS~ ~f.t:,~ &..~f~al: 2 # Street Trees ...,' S"'~~ ~ \~,~~~~ Handicapped: Paved Driv~~1i9~~~\ ~~~~\S ~~ Compact: % of Lot ~~~~e~1..f.t:,l~ ~~ ~~~o '\b.~\"'~f.t:,~"'('\~ ~~ " , IPUBLIC IMPROVE1.~\l. Fully Improved Sidewalk Type: Yes 5,343 1,894 4 SETBACKS 11.00 36.00 Street Storm Sewer Available: Special Instruction: Downspouts/Drains Curbside 5' To Storm Sewer Notes: 1 of 4 Status: Issued 225 Fifth Street, Springfiekl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2002-01231 ISSUED: 11/25/2002 APPLIED: 10/18/2002 EXPIRES: OS/25/2003 VALUE: $ 259,657.20 I Valuation Description I Description Dwellines Garaee Type of Construction V Wood Frame Garal!e $ Per Sq Ft $74.60 $19.60 Square Footaee 3,302.00 680.00 Value $246,329.20 $13,328.00 $259,657.20 Date Calculated 10/18/2002 10/18/2002 Total Value of Project I Fees Paid I Fee Description Amount Paid Date Receipt Number Received By Plan Review Residential $705.67 10/18/02 2200200000000000083 Ikw PW Mult Disc - 2nd Permit $-30.00 11/25/02 1200200000000000296 Ikw Annexed 1997 $-18.46 11/25/02 1200200000000000296 Ikw Dryer Vent $6.00 11/25/02 1200200000000000296 Ikw Air Handling Unit Up to 10,000 $8.00 11/25/02 1200200000000000296 Ikw Gas Fireplace $9.00 11/25/02 1200200000000000296 Ikw -Mechanical Issuance Fee- $10.00 11/25/02 1200200000000000296 Ikw Heat Pump $12.00 11/25/02 1200200000000000296 Ikw Vent Fan $30.00 11/25/02 1200200000000000296 Ikw SDC MWMC Improvement $34.83 11/25/02 1200200000000000296 Ikw Curbcut - Overwidth Appl $35.00 11/25/02 1200200000000000296 Ikw SDC Transpo Admin $48.92 11/25/02 1200200000000000296 Ikw Temp Power 200 amps or less $50.00 11/25/02 1200200000000000296 Ikw Plan Review - Planning $55.00 11/25/02 1200200000000000296 Ikw Sidewalk Permit $75.00 11/25/02 1200200000000000296 Ikw Residence Wiring 1000 Sq Ft $106.00 11/25/02 1200200000000000296 Ikw Residence Wiring Ea Addtl 500 $114.00 11/25/02 1200200000000000296 Ikw SDC Sanitary/Storm Admin $114.17 11/25/02 1200200000000000296 Ikw + 7% State Surcharge $121.50 11/25/02 1200200000000000296 Ikw + 8% Administrative Fee $138.85 11/25/02 1200200000000000296 Ikw SDC Transpo Reimbursement $160.87 11/25/02 1200200000000000296 Ikw 3 Baths One & Two Family $306.00 11/25/02 1200200000000000296 Ikw SDC MWMC Reimbursement $332.86 11/25/02 1200200000000000296 Ikw Sanitary Sewer - Improvement $520.49 11/25/02 1200200000000000296 Ikw Sanitary Sewer - Reimbursement $684.79 11/25/02 1200200000000000296 Ikw SDC Transpo Improvement $709.81 11/25/02 1200200000000000296 Ikw Storm Drainage Impervious Area $826.68 11/25/02 1200200000000000296 Ikw WiIlamalane Single Family $1,000.00 11/25/02 1200200000000000296 Ikw Building Permit $1,085.65 11/25/02 1200200000000000296 Ikw Total Amount $7,252.63 I Plan Reviews I Initial Review 10/18/2002 10/22/2002 APP LLH 2 of 4 Status: Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01231 ISSUED: 11/25/2002 APPLIED: 10/18/2002 EXPIRES: OS/25/2003 VALUE: $ 259,657.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Planninl! Review 10/22/2002 10/28/2002 APP EMM Lot coverage is at 48% +. Called and talked to Tom Wirfs. Said to remove rear covered deck - 169 square feet. Brings coverage to 44.6%. See enclosed survey letter. Left message for Tom Wirfs 10/29/02 regarding resubmittal of overwidth application. Overwidth submitted for 32 ft, PW Transportation Division will NOT review application until applicant resubmitts a corrected application. 30 ft max possible for driveway throat if approved. I have a note on Mr. Wirfs application. Public Works Review 10/22/2002 10/30/2002 APP VRJ Structural Review 10/22/2002 11118/2002 APP DLM To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I ReQuired Insoections I 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curbcut - Standard: After forms are erected but prior to placement of concrete. 3 Site Inspection: To be made after excavation but prior to setting forms. 4 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 5 Footing: After trenches are excavated. 6 Foundation: After forms are erected but prior to concrete placement. 7 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in place but prior to concrete. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to cover. 13 Drywall: Prior to taping. 14 Final Building: After all required inspections have been requested and approved and the building is complete. 15 Underfloor Plumbing: Prior to insulation or decking. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench. 20 Final Plumbing: When all plumbing work is complete. 21 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 22 Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 23 Rough Mechanical: Prior to Cover 24 Final Gas: When all gas work is complete. 25 Final Mechanical: When all mechanical work is complete. 3 of 4 Status: Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2002-01231 ISSUED: 11/25/2002 APPLIED: 10/18/2002 EXPIRES: OS/25/2003 VALUE: $ 259,657.20 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 26 Temporary Electric: Approval required prior to Utility Company energizing pole. 27 Rough Electric: Prior to Cover 28 Electric Service: Approval required prior to utility company energizing service. 29 Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wiD be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set 9f plans will remain on the site atalltimeSdUring~~..~ion. / . /.' ~('/>7 II jl c:< S- / tJ .? ~ Owner or Contractors Signature Date / / 4 of 4 . :'j,~',:::,<, -::.. l,; 200 amps or less ..,. .,: ".' 201 amps to 400 amps.;:;}:;,> ,',- 40 I amps to 600 amps',::; :';,{' , ,601 amps to 10008riips'.,>"'r' '.' ,', Over 1000 amps/volts ;..':;:;~t, - . ExpirationDate . /O~l) /:.,':O}'(' .,;,:/' "~econnect.~n~Y.~:!';JJ:~;'i:-::;'::.(: ' ,,' " " c. TCnllioraJ'Y Serviees'-or,ttiedci:s'; . 'Constr Contr. Numb,~r:',~/ESl ,..'.;<'-;',:: . lpstallation, Alten~1iori"or;;Relocation Expiration Date l/ - d g~'O,i;: :''','>:\'~2bo:an;ps'o~1~~~::(:~G!:f?:.~\~'~>': ", . .'.' .\'f',$50'.O'~ ~pd _"\~~"\'. ,.-.."., . 201 'amps.to 4d0.ipnps:;~,,:: . :';'$69.00, .,:....;... ::',. :"~' '''.:.: ~b\~er40~ t~,too',<m1PsJ.',"~:':.... . ";;$100.00 "~. ~...-,; .-:*' ": ' . :.:O\zc'r gOO limps 9r-iOOq :vo~ts see . ."....::.~~'.;)T: l~ :'-~~~.\_,.,\::,,' .,::~-..;.;,:, .!IB:\a?Q\'e." -' ':~, '. ,j,<{":.;: ~ '. -:;", ~~~: <:~>t;!~. ' ." . " ,;; ,<>'0 -0o..~"- ~,o\~{\o' \ 225 FIFTH STREET ",~~ ooe'" SPRlNGFIELD, OREGG. _ 74,7-9 INSPECTION REQUES,T: 7,; &.3 ~6~,~~ - \, . . . OFFICE: 726~3759 . ")" :('~><ijl>~'" . , "~:. .'.,'.-' . , "()\;, 1. ~9CATIONpF l~ST~x.i~~TION'( '.' , {.tAloLn ~ ;: LEGAL DESCRIPTION 1'7 O-'A I~ 01"\lJ(') ~~~Ll~t~: n 3\~/L_ I'UJJI" Pn...D+ ~Q . \:J - ,-.- '\ Permits me non-tr' nsferuble and expire jf work is notstarted within 180 days of issuance o! if work is suspended for 180 days. . ,.;', 2, CONTRACTOR INSTALLATION 01\.'1. Y ElectriCal"~o~tracto.6ll/s k lee/riG 31'1. () HA.. . .."..g. '.' . ' . . t-If..,I '. .,..1 Address.:.; .. ...~ II ':'-.', ~ . . . , .~.. , Ciryr.&r~ Phone S()/~:$i;6li SupeIYisor Li~el1se Number.!l3P S -. EI'" --rmCAL PERi.'vHT APPLICATION City Job ~\lmbc!' ~r02..:0\13 \ 3. COMPLETE FEE SCHEDULE BELOW > . A. New Residential-Single or . .. Multi-Family per dwelling unit. Service Incluued: Items Cost Sum' 1000 sq,ft. or less Each additional 500 sg, ft or portion thereof Each Manuf'd Home or Modlllnr Dwelling Service or Feeder \ $106.00 \[)toP' Lo $ 19.00 -ll1:.~ $ 50,00 B. Sen:ices or Feeders ., /' Installation, Alterations .or . Relocation: , .'.. ,:::~:.,:: .. '$ 63.00 .,'$.75.0,9 '$125.00 ';$.163.06, $375.00 $ ',50.00 Signature of SUJl7;lJ....iSi a Ele ~. "'Z Ill} ".--< 7 ulY '~v~/ , Owners Na~le~' Address ?~~D(. ~~" CitJ ~ ,.A Phonc'1di' S<m,,\ OWNER INSTALLATION The installation is being made on property I 0\.\'Il which is not intended for s<lle, lease or rent. . OWllers Signature: '," :,1, . ,. ~ ~ ; , D. Bnlllch Circuits Ne\v Alteration or Extension Per Panel ':.J:"; "I. One Circuit .: . 'TIrtf>rQ.~4,3 .00 t:' .. Rc \f 1\1t 'l~V"l . li01\Ce~" 1~~~U1 t:lW~ ~E,,~\ll. db-i@. lr\\S p~ . :5eU~\i\ 1\\\ . Q\'it.O ~OR $ 3.00 U1\-\Ql\\1 \S f\B~\'iO .. ~df.AWRtt4G~sQ~fQ100',fCCdcr not included) "\ t;101~ll\'4t~JB\~lOn M~'i Pump or irrigation. $50.00 Sign/Outiine Lighting . $50,00 Limited EIlergyiRes $2500 Limited Energy/Comm $-l5.00 l\linimurtl Electric Permit Inspection Fcc is S45.00 + Surcharges 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fcc Af\f) pO ,1~~ ~ \1) . t::J:) TOTAL CITY OF SPRINGFIEf"~~YSTEMS DEVELOPMENT cHA 'E WORKSHEET ~~,:~Y;c':',f"r JOURNAL OR JOB NUMBER: com2002-01231 NAME OR COMPANY: Tom Wirfs/Cozy Homes LOCATION: 3466 Ambleside TAX LOT NUMBER: 17021943 tl7400 DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE NEW DWELLING UNITS: 1 BUILDING SIZE: 3302 1, STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM , IMPERVIOUS S.F. I x COST PER S.F. 2931.50 $0.282 =1 $826.68 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IMPERVIOUSS.F. COSTPERS.F. I DISCOUNTRATE x x 0.00 $0.282, I <.i ,. :~~' ..' SF LOT SIZE: 50% ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: NUMBER OF DFU's COST PER DFU x 31 $22.09 R IMPROVEMENT COST: I NUMBER OF DFU's COST PER DFU x I 31 $16.79 I ITEM 2 TOTAL~ CITY SANITARY SEWER SDC 3, TRANSPORTATION A. REIMBURSEMENT COST: ADT TRIP RATE NUMBER OF UNITS x 9,57 1 R IMPROVEMENT COST: ADT TRIP RATE II NUMBER OF UNITS x x 9.57 I 1 I ITEM 3 TOTAL~ TRANSPORTATION SDC ~. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: 1 NUMBER OF FEU's I , COST PER FEU ' x I 1 $332.86 B. IMPROVEMENT COST: , NUMBER OF FEU's I COST PER FEU x 1 \ I $34.83 MWMC CREDIT IF APPLICABLE (SEE REVERSE) SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRATIVE FEE , ITEM 4 TOTAL - MWMC SANITARY SEWER SDC I SUBTOTAL (ADD ITEMS 1,2,3, & 4) . 5. ADMINISTRATIVE FEE: I SUBTOTAL I xl ADM. FEE RATE I $3,261.87 , 5% =, $332.86 I =, $34.83 , =1 ($18.46) I =1 $349.23 l 1055 =1 $10.00 , 1056 =1 $359.23 I =r $3,261.87 I COST PER TRIP $16.81 x NEW TRIP FACTOR 1.00 =, COST PER TRIP $74.17 x NEW TRIP FACTOR 1.00 =1 =1 r =1 TOTAL SANITARY ADMINISTRATION FEE: I TOTAL TRANSPORTATION ADMINISTRATION FEE: I Steve Templin SDC COORDINATOR 10/29/2002 TOTAL SDc CHARGES = DATE 5343 =1 .=1 $0.00 $826.68 =, $684.79 =1 =1 $520.49 I $1,205.28 I $160.87 $709.81 $870.68 $163.09 114.17 $48.92 $3,424.96 SF if) i:Ll Q o u ~ i:Ll ~ if) ~ ~ ~ l l 11070 I 1091 1092 .' 1093 1094 , I 1079 L 1078 " C,, J" ,. DRAINAGE FIXTURE UNIt (DFU) CALCULATION TABLE 'I NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE '( #NEW - # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( 2 0 ) x 3 6 DRINKING FOUNTAIN ( 0 0 ) x 1 0 FLOOR DRAIN ( 0 0 ) x 3 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. ( 0 0 ) x 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC. ( 0 0 ) x 6 0 LAUNDRY TUB ( 0 0 ) x 2 0 CLOTHESW ASHER / MOP SINK ( 1 0 ) x 3 3 CLOTHESWASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0 MOBILE HOME PARK TRAP (1 PER TRAILER) ( 0 0 ) x 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC. ( 0 0 ) x 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC. ( 0 0 ) x 3 0 SHOWER, SINGLE STALL ( 1 0 ) x 2 2 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 0 SINK: COMMERCIALIRESIDENTIAL KITCHEN ( 1 0 )x 3 3 SINK: COMMERCIAL BAR ( 0 0 ) x 2 0 SINK: DOMESTIC BAR ( 0 0 ) x 1 0 WASH BASIN ( 0 0 ) x 2 0 LAVATORY ( 5 0 ) x 1 5 URINAL, STALL / WALL ( 0 0 ) x 5 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0 TOILET, PRIVATE INST ALLA TION ( 4 0 ) x 3 12 MISCELLANEOUS DFU TYPE NUMBER OF EDU's* ( 0 0 ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 31 *EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMc CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y YEAR CREDIT RATE PER $1,000 YEAR CREDIT RATE PER $1,000 ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE - . ] 979 OR BEFORE $4.92 ] 990 $2.06 1980 $4.83 ] 991 $1.64 198] $4.77 1992 $].45 ]982 $4.64 ]993 $1.3] 1983 $4.47 1994 $1.13 1984 $4.30 ] 995 $0.97 1985 $4.09 ]996 $0.82 ]986 $3.78 1997 $0.63 1987 $3.4] 1998 $0.4] ] 988 $2.98 ] 999 I $0.22 ] 989 $2.52 2000 I $0.04 VALUE / 1000 CREDIT RATE 29.301 X $0.63 =1 0.000 X $0.63 =1 TOTAL MWMC CREDIT =1 $18.46 $0.00 $18.46 j' " City of c5pringfield ~~ Application For a Second Driveway or Overwidth Driveway Applicant (Property Owner): C o~ '1 ~ u--- A c..- I /~ W trli Date: IO/! 7/DZ-. I ( Address of Property Owner: p.(). /30 ~ ;1.1 7 AA 6/~.J IOe. Die.. ~~ (Max. 30' q () ~ /'- Address of Property for Driveway Permit:' Building Permit No: C't-f)roA7ElYl--OI1;l! o Second driveway Application Fee: Received By: $35.00 Please sketch the proposed driveway. Include the foll()'^';~- Include dimensions and measurement<=: t'" -- for an example) -"- Receipt No: N EI"17:"'Z' E . -, L._.._~ M hllildinQ. proposed driveway. and street names. ~0 4 ,_ achment ,''' PRI/LHE "'TCR!~ DR,o'\IN E~SE~NT .~ , " __ ___' _____,___ .-L:" " I , .~ CONe. WALK. e"<le WI --~, K. BORDE,,<s ') ~\ ~ tl \::- I "" , : "I ~__----tl~ All applications outside the \~ I) ~~'" ~ j I " , I' 1 I' I' , }' 1/ (!. q II " II II u' ?ll (':l ~::{/ II \Jl ,,; I! \Jl ~I I~ Jm 'I ~ ;1 f} ~ II II II II II ~ S' , 'I I ~ I Note: The City of Springfield w Over width driveways up to 30ft Driveways over 30' in width req The application fee is not refunl P"y->'r~~'.i ~ tV, I _. _~~':~ > '0, ~ ~~,,) I \ 't e,J':'c y~' E t;~:.i1cJ~: ~J. ~ <':""'- / ~~ (~ " C,,;-.:::' r . County Permit. :s are met. 1. Pr9perty type: Single Family DWelling/' Duplex Other 2. _The proposed driveway will take access from which street? 1/ ~ h/e..f jjjd.....D-. 3. The distance from the edge of the driveway to the nearest corner (measured to the curb return) is. . d t:JO feet. 4. The second driveway will give access to: Garage /Catpert _ Side yard~ Other k. 5. The distance from the property line to the garage, carport, fence, wall or other (where the vehicle is to be parked) is 5 feet. \ 5._Will the proposed parking / storage area create a vision obstruction to adiacent)lro.Jierty drivewavs or to any vehicular movement on a public street? (See vision clearance attachment) .. .. :-/ ,,{J A./ P A permit will require that the applicant meet city and/or county standards, specifications, and codes. Generally this means that the area behind the sidewalk shall be surfaced to the property line and also a minimum of 18 feet,behind the property line. When this application is approved by the City, the applicant must obtain a curbcut/drivew'ay permit from the Public Works Depart- ment, E;ngineering Division within 60 days or reapply. ' Property owner' s signature: ~ "" Date: I () //7 j, "2.- , ,.. ~ Date: It) )7 /17 Z-- (Traffic Division) Approved by: Staff Comments: \