HomeMy WebLinkAboutPermit Curb Cut 1995-10-17
225 NORTH FIFT~ 5TREET
5PRINGFIELD. OREGON '31411
ENGINEERING DIVI510N
a.TICE NO. 126-3153
1N5PECTION LINE, 126-316'3
~SIDENT~'~;ALK I :~~WCIAL
APPLICATION I PEf'l'1IT "
SPRINCFIELD.
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JOB ADDRE55, J 6. P5" 0 'f?p./:E..~ 7r
A55E5501<5 MAP NO.* /7 (?:<j. 7...'"1 4/_
5U9DIVI5ION,
O.lNER NAe.-nH' A-ee.IAr..,,b..
ADDR:55, I '1 "" 1+ BJef~J
5TATE, '" 11._ ZIP, Q7L/'O?--
UJOR<. DE5CRIFTICN,
TAX LOT NO: *?>7n~
RECEIPT NO, /93>0?-
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CHECK
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PHON: NO'1" 'Iil A.{)31
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CH::CKED FOR D::LINQJ::NCI::5 _
5!D::u.J.4.LK: CUS?,9 SIP= _
CURB-CUT, ~ R:5IDEl'TIAL _
5::COND DRIY::WA Y I 5:::: TRAR=IC )
R:OUIRE5 APPLICATION FOR A 5::COND DRIV:"WAYI'T-4.1.)
OR A COUNTY t.PPLICATlON FOR FACILITY P::!<l"1IT IC '38-2"'3)
IF IN 11-1:: U.6.9.
=:leACK _
CO,-Il-ERICAL
DATE cr. APPLlCA Tla.-!
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.5IGN?:D,
lll?RK TO BE FERrv,., II::D BY,
CONTRACTOR *
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CONTRACiOR
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R:GI5TRATIa.-! NO.
EXPl~5:
ADDR:55
P;";o-.I:::
r-~'-c;vURE FOR lNeFECTICN REQUEST,
CALL~"'--316'3..(R:CORD::R) 5TATE YOUR CITY D::51G~TED J08 NUM8::R. J08 ADDR:55,TYF.: cr.
IN5P:: ION R!:QUE5TED A"lD tI.\-lEN YOU WILL 8:: R:ADY FOR IN5P::CTION, CONTRACTOR5 OR 0UN::R5 NAM:: 4"lD
PHONE NlJM9ER R:QLJ::5T5 RECEIY::D B3'OR:: 1,00 .l."1 WILL 9:: MAD:: TH:: 5AME DAY, REaJ::5T5 .<.FTER 1,00
A"1 WILL BE MADE TH:: N::XT ~ING DAY
* 5EE BOOK
EXI5TING 9UILDING P::!<l"1IT NO. ( IF APPLICA9LE )
YOUR CITY D::5IGNATED J09 NO. 151' 9.5 I h(/J6
.
REQUIRED INSFECTICNS
[2( 5ID::WALK I DRIveWAY
FOR ALL CONCRETE PAVING WITHIN
Tl-IE 5TREET RIGHT OF WAY, TO 9::
Mt..DE ACTER AlL EXCAYATIN6
15 COI1PLETE AND FORM ~
A"lD 5U8-8A5:: MATERIAL IS
IN PLACE
~ I APPROACH APRO:
AFTER FORMS ARE ERECTi
9UT PRIOR TO POURING
CONCRETE.
FEES,
SIDEWALKS
CURB-CUT
WALK X'
/ ""
t X' I.
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TOTAL PERMIT FEE,
~10.00 . @.1S/LF. ( X ) ~10.00 + ~.1S/LF. ( X )
0;= WALK ,1":7 f-I 'L-=- .7.30-1-10. <CJ
COMMERICAL DRIY::WAYS &HALL
HAve 5' TO 8' FLAIRS
3'- 0' 5T.l."lDARD
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I HAve .CAREfuLL Y EXA"1INED TJ-!:: COMPLETED APPLICATION FOR PEf'l'1IT, "'''lD DO HER::BY CERTIFY 7Ht.T ALL
INFO!<l"1ATlON HER:ON IS TRUE A"lD CORR:CT, A"lD I FURTH::R CERTIFY TI4AT A'IY "'''lD ALL lliORK PERFO!<l"1ED
5HALL 9E DONE IN ACCORDA"lCE WITH THE ORDIN":'''lCE5 OF THE CITY OF 5PRINGflELD, AND TH:: LAUJ5 OF THE
5TATE OF OREGON PERTAINING TO THE ~ D::5cRI9ED H::RE"', A'ID Tl4o4T NO OCCUPA'ICY WILL 9E M"-D::
OF A~Y 5TRJCTU~ UJIT;-.lOJT PE~15SIQ:\l OF T....u: BUILD!NGJ DIV15101'4. I FURTl-IER CERTIFY 7i-{,j,:r ONL.,.. Ca-.;TRACiORS
AND EMPLOYEES tI.\-lO ARE IN COMPLlA'ICE WITH 01<5 1"'1-"55 WILL BE USED ON THIS PROJECT.
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DATE
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PUBLIC WORKS DEPARTMENT
ADMINISTRATION
ENGINEERING DIVISION
MAINTENANCE
225 FIFTH STRtE1
SPRINGFIELD. 0" [J.e:,::
APPLICATION FOR A SECOND DRIVEWAY I OVERWIDTH DRIVEWAY
DATEjiJ ~fnJ?S' '
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/5Go Pr.esu,#
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, ADDRESS OF PROPERTY FOR DRIVEWAY PERMIT:
f\PPUCANrs TElEPHONE NUMBER:
Please sketch the proposed driveway. Include the following appticable items: house or building, proposed
driveway. existing driveway. and street names. Include dimensions and measurements to property lines, road
intersections and bordering driveways. (See aUachment for an example.)
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12-' ~~~6P
I 15'50
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",VOID \l!l'{l<:!i 'I", u&.. e .:>y:1
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ALL APPUCATlDNS OUTSIDE THE CITY UMITS OF SPRINGFIELD THAT ARE WITHIN THE URBAN
GROWTH BOUNDARY REQUIRE A LANE COUNTY PERMIT.
Note: The City of Springfield will nol granl a second driveway permit on an Arteria) or Collector Slreet.
ADMINISTRATION/ENGINEERING (503) 726-3753 FAX (503) 7:'6.3689
MAINTENANCE (503) 726.3761 FAX (503) 726-3621
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1. Property type: Single Family Residence _ Duplex L Other
2. The proposed driveway will take access from which street
-pp .r;~6-rl'
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3. The disl"\nce from the edge of the driveWay,.to the nearest corner (measured to the 'curb 'return) is,
...Lt5c1 reel. ..' :.
.. The second driveway win gi~e access to":: ~arage~ 'c'~r~'rt~' side yard~lher
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5. The distance from the property fine to the garage, carport, fence, wall, or other, (wh~re the vehicle is
to be parked) is feel.. . . " . ( '.. . . .,
6, WiU the proposed parking I storage-area create a vision obstfuCtion to adjacent property driveways or
to any vehicular movement on a pubnc street? (See vision clearance attachment'
Approcant hereby agrees to instaU the requested driveway to City of Springfoeld standards. The appficant further
agll!es to have 6- of concrete in the sidewalk area (adjacent to the drivewayr;and to pave the' area behind the
ba~k edge of the sidewalk, or driveway apron. with a minimum depth of 3- asphanic concrete or 6" of portland
cen:'ent concrete. Th~ area behin~ the si~ewalk shaD be paved a minimum of 18 feel
The applicant agrees that if he/she does not pave the area behind the 'sidewalk within 30 days of cutting the
curb opening, the City of Springfield has the authority to close the driveYw"aY access by removal of the curb cut.
AU incurred costs shall be assumed by the applicant and if unpaid: ?id cost shall become a lien of the property.
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When thisapp6cation is approved by the City, the dpplicant mus(Obiain a curbcuVdriveway permit (rom the
Public Works Department, Engineering Qivision. . ..
Curbcut J privewav Permit F~~
.......
a. On an improved street <existing curb): S10.00 plus S.15 per fineal foot of curb cut.
b. On an unimproved street (no curb): S12.00
c. On currently unimproved streets that are under construction: S12.00
PROPERTY OWNER'S SIGNATURE: ~M7'/:(/ c'':> Aft / ~4~ DATE: /0 -(?tf Y J
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APPROVED BY: -..f'J1It", ~PCo/1
~~ (TRAFFIC DIVISION
DATE: /0,- /~-:ZJ
BUILDING PERMIT NO.:
DATE'
TRA9.1
ATTACHMENT: Vision Clearance, Example #1
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