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Home My WebLink AboutPermit House Move 1986-6-6 .1,1,.1 INSPECTIONS 726-3769 ,:li...I, g~o>rr BUSINESS 726-37S3 BUILDING MOVING PERMIT/BUILDING DIVISION OLD ADDRESS J/-6 2 t!~~' c~ Legal Description Ao<<Je Building Owner IZort>V~ Firm Address NEW ADDRESS (Furnished by Building Di v.) L;50 tv. 4 "7 ~ ~ td' -Z l J/~.J Legal Description Ills. t-Ioving p()/~~ ~ it;t>f/~" ,l)e"scription Of Intended~se C)lk~(~ k~~ DescrfPtion of Route Address t;c;2 /V, ~W };/-. Lics # Phone 72(; lj .3t;. CvoJ~ 7y 7o"/f/ 3 ~ Phone ~o?63~;f &~ -#/S'c<5L) t/ CITY DESIGNATED JOB NUMBER , cPb 03d/9 Exp. (r-~7 CJ?,90?,",S.5 F)"M cJ7 4'//E~ / P frO tv. Qh -Ie Inti< .,g; frPc:! tk~~ I CERTIFY THAT the above information is true arid correct, that all required contacts have been made and autho'rizations obtained, that the move will begin atS"J";f~o'c1ock am/pm on/ttne I~ . and will be completed by /t'2## o'clock am/pm on .../t.tI1e. /~~ and th~t no changes in the. route will be made without contacting the Building Division. I also certify that I have been informed that NO PERMIT WILL BE ISSUED BEFORE S WORKING DAYS HAVE. ELASPED. I further.certify that my registration with.the BU~i~de 's Boardis}~J,:ll_.~_~... force and effect as requued by ORS 701. OSS and 701. 07~nd ~,c atrlf mpt the basls lS . noted hereon. Basis for Builder's Board Exemption: ~//~ ~ - . NM<IEPO/&ut~,~ ~(ll/l'~ SIGNATU;E~' Jk~ DATEb%~~ ~ . d V/ / FOR OFFICE USE GNty Type of Construction:S'=-N Occupancy Group R.:??'....",. Description of Bui1di~~ :Square Footage /Oc?t4Z'/Moving Length Llo Number Of Sections Being ~Ioved / Type i NOTIFICATION OF ~10VE: The Building Division ~ wiil route copies of this application to all . appropriate di~isions, departments and Agen- cies. HOWEVER," the..applicant 'mus:t' contact property owners if trees are involved in the proposed move. IN ADDITION, the applicant, must secure,.the approval of all appropriate' municipal, county and state authorities should the mov.e, .?rigin.c.i:te or"t~rminate o.utS' side the City of Sprin~field. ' . ~." SEWER CAP: Buildings moved from within the City limits shall have the sewer capped at ,the.property liQe and inspected one working . day prior to the 'm6ve :".If the inspection indicates that the sewer has not been prop- erly capped, the moving permit will be revoked. zone_2-f- AI~ Flood Plain Stories ! Living Units l Square. Foo:tage ' 9~l V AWE ~;tion f~;-.$.1~ Date Paid -. - ._. Permit fee $60.00;- Date Paid . / Ie Moving Width02;; Height On DOllf~ . j) .c:> OfConstructiontvi>:i~/ VALUATIO~Ou . I ..j . 'I ] . PLANS. FEES, AND CHARGES: Prior to receiv- irig a permit to move a building to property within the City, the applicant or his/her au,thorized representative.must: 1.' Submit 2 copies'of slte or plot plan for new .site. "2-. , Submit' 2 copfes of foundatlo'n plan for the relocated building. 3. ,Obtain--:a permi t covering tHe 'new founda~ tic5n,as well as allplumbing/me'chanical imd electrical work relating to the re-:- " located ou,i ldi'fl.g. . 4. Pay Systems Development Charge if appli- cable. SEPTIC TANK REQUIRE~'IENTS: Prior'to moving, owner shall have all sludge from the septic tank, seepage pit or cesspool removed by a person holding a sewage dispo'al service li- cense, and shall fill same with clean bar- run gravel or other material approved by the Direc.tor or .hiS authorized representative. fo ,-{ ~~~~ (P -/'2,-grb #.4-. Receipt Number Receipt Number / J:S00.C; /r; c-j rf3tn&S0 ~ I Number of Blocks over 6 @ .60~ Sewer Cap $10.00 + 4% State Surcharge -- Date Paid -6 . ..;</.~ . - Amount Police Department Fire Department Northwest Gas OTHER -- specify Willamalane Park and Recreation Pacific NW Bell Lane Transit District Rainbow Water / SUB Group W Cable Lane County A. &T ,".: ,.". '.. . "'".'~ .,."...... .. ~ ".. ..",.;;.' ~.'- --~~~':~.~'-, -.. .... BUILDING MOVINC ~MIT ~PERMIT VALIDATION I. Applicant to furnish (except as indic?ted) A. Old address for building B. Legal Description C. New address for building (Building Div. will furnish) D. Legal Description E. Name, etc. of building owner F. Name, etc. of moving firm G. A description of intended use H. A description of proposed route I. A description of the building II. Applicant to contact property owners if trees involved, and secure authorizations from other jurisdictions as necessary. III. A site or plot plan, and foundation plan must be submitted for the new site (2 sets) IV. Plans must also be submitted for any other work relating to the relocated building. V. Fees & Charges: A. Application fee due and payable at time of application B. Moving permit fees due and payable upon permit issuance C. FEES & CHARGES TO BE CALCULATED BY BUILDING DIVISION STAFF VI. FOR OFFICE USE ONLY A. Plan check data collected B. Copies of application to appropriate divisions, departments and agencies ~ .... ~\O ~ ~\jJ PERMIT CLERK fY BUILDING DIVISION REPORT: ~J-"~ ~~ ~~~,,~ ~~~;r f rz,ie.. ~~~/,/<c""~#"'" ~ 1I~ rr~#YG ~,.. ~~eb ft'~ tJ&pG/lr ~~~~~ I?~f.r ,..>71~42? /~; -FVf~~/~ ~~~Rr~~ ~~~ #~~~ ~~ (' . r . TRAF~VISION REPORT: B~ Date ~.,,-<-~ .oK AS ....:S'/t'd~N OA..J ;;::e~'f/ r of .?e~~/r By D~ Da te c:4 //d h k:. . / ENGINEERING DIVISION REPORT: By Date ADDITIONAL PROJECT INFORMATION: By . Date