HomeMy WebLinkAboutPermit Curb Cut 1994-12-16
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'DENT~I~:-AL=-I c~~EPj.AL
t.f'f'L1CA TION I pER:'1IT
ns NORTrl FIFTrl STREET
SPRiNGfiELD, OREGON ':>1411
ENc.INEERINU DIYISION
OFFICE NO. 1'6-,15,
INSPECTION LINE, 116-,16':>
JOB ADDRE58, S;) 7 au;' /Ja J+
ASSESSORS MAP NO.* J 7 t:l~ 7_1 41..-
5U6DIYISION,
SPAINCFIEL.D
.*
TAX LOT NO. / (')0
RECEIPT NO, I S-71'Z-.
CASI-l
CrlECK ~
Oll.NER,
HAcsA
Fa'i-"v/e./,J
*
CHECKED FOR DELINOJENCIES
.-
t/
WR< TO BE PE~D BY,
'" ""r:/1'-/O II j'1 t Ii
CON~RACTO;< :-, I , N I .()tIS . .. VI C .
4DDRESS :J. 'I F/<f ~R A ;~I-'t 'Ed
r,............<oDURE FOR IN&FECTIa-l REQUEST.
CALL 1'6-;;16':> lRECOR:>ER ) STATE .OUR CIT. DESIGNAT:D Joe N'J:-.9ER, Joe 4DDRESS.T,pE or
INSPECTION REOJESTED ~~::> ~EN YOU l:JILL BE RE..:.:;'Y FO~ IN5PECTlo-.J, CONT~CiO~S OR OJ.NER5 N4.~E .l..~D
P~E NUMBER R.:aJESTS RECEIVED 9EFORE 1:0" ~"'1'l:)I!..L 5: MADE T~E SA""'i: DAY, R:O'JESTS ~TER 1:00
A.M WILL 9E MADE i~= NEXT WO~INC, DAY
4DDRESS, .:{ 0 n t.u
STt.TE, O~ E 6-01\J
\!..IORK DE5CRIPTIa-l,
ZIP, q7477
CIT"f'5n~.LclJ
pHONE'NO. ~g7-387..r
SID~K: CURS 51DE _ =::TeACK
CURS-CUT. -;;z::. RESID~TIAL _ CO'"1:1:RICAL
SECOND DRlVE:.:J~Y (SEE T~OT1C )
REOJIRES Af'f'LICt.TI~ FOR A SECOND DRIYOWt.YI'T--<.I.)
OR A CO'JNTY .l.f'f''cICA~ION FOR FACILIT"f PE~IT IC ':.8-)0;;)
IF IN THE U.c;.s.
DATE or Af'f'LICt.TION l:J/Jr/1'1-
SIGNED:
D4i'E:
OeJ-ER 'X- CONT~C70R
'*
REGISTRATION NO. O.?'? 7 /
E ""( e'i1 ej O,.ge 9l40:l
EXI5TING S'JILDISc, P:~IT ~O. ( IF APFLlCABLE )
* SEE COOK
YOJR CIT"f D:SIGN"- ~:D J09 ';0. IS;"
REQUIRED IN&PECTIa-lS
o
51D:::W.t..Li<. / DRIV::1..~}A Y
FOR ALL CO~CRElE PAYISc, UJli~IN
TI-(: STREET ~IG~l Qi= UJ.!.Y, 10 5:'
M.!..DE ki::R ~L EXC.t..Vt.iINC,
15 COMPLETE A~D FORr1 U)QR.'<,
~"'1D 5LJ8.e~= t"':.l.TER1A.L 15
IN PL,!.CE
~
ROES,
51DEUJALK5
110.00 . IZl.I:o./LF. ( X )
0;= WALK
CUR3-CUT
'10.00 . 10.I:o./L.F. ( X ) /~
TOTAL FEF<MIT FEE.
~
CO:'1':"1ERICAL DRlVEUJ~lS SriALL
'-I"-YO 5' TO 8' FLAIRS
3'. 0" 5Tt.."'l!:>ARD
12,LfO
XflY
:XpIRES,.?/,:}./ /qS-
, .
P;";ON::, f:flJj--Oo-~
qq I f/UI
CURS I Af'f'ROACrl APRON,
,o".,ER FOR:'1S ARE ER::CTED
BUT FRIOR TO pO~RING
CONCR:iE.
WALK X'
/
I.
X'
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I.
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! ~..e..YE: CAR::PJLL y EX~"'N=D ~I-J:: COMPLETED :"'FPLICAilo-i FOR FER7iii, ":"~D DO ;-.;ER.=5Y CERlli=Y 7j...(..!..T .=.LL
!S:=OR:"1ATION I--lEREON 15 TRJE t..-":D CORFCCT, A"-JD I FURT;"':ER C::Rili=Y :~":"T ":"~Y ":'~D ..!..LL !:..OR<. PE~O~=D
Si-lALL 6E DONE IN .!..CCOR::!:>ANCE WITl-lTl-lE OR.PI~":"'lCE5 OF n..:: CIT"T" OF 5PRNUfI=L!:), "':")."jD T"-IE L..:.c..'S OF r;":E
5T':'TE or: OREC,O:-.! PERT..:..INING iO THE UX::>R:<: DE5CRI5::D H:R2:1:-.!, '="~D T~":"T NO OCCJP':'NCY WILL 9E M..:..!:>:.
OF toNY STRJCTURE WlTi-lOJT PER'115Slo:--! OF THE BUILDJNC:l DIYI510~. I FL:Ri;"':ER CERTIFY 7;"':.:.T ONL Y CONTR.ACTOR~
-'-'1D !:MPLOYEES WHO ARE IN COMpLIA'ICE WITH ORS 101.055 WILL 9E US:D ON T'-IIS PROJECT.
5IGNED~ ~ IbJ -
/ ;J//&If'~
DATE '