HomeMy WebLinkAboutPermit Building 1988-6-22
INSPECTIONS 726-3769
CITY OF SPRINGFIELD
. 225 North 5th Street
.
BUSINESS 726-3753
BUILDING ~IOVING PER/>IIT/BUILDING DIVISION
OLD ADDRESS
Building Owner
Robert & Verna Davis
Address
NEW ADDRESS (Furnished by Building Div.)
/-::3/0f /'52<:' ~ .
..-3:: ~. \,;t;:UL,.l:::llllJ..d.1. D.1.VU.
Legal Description
/7~- =<'7-"""'1'/ ~:55'~
Lot 10, Block 7, Sunnyside Add. to Springfield
Phone
388 Goodpasture Island Rd., Eugene
Legal Description
90719 Link Rd., Eugene OR. 97402
680 4574
~Ioving Firm Address
Chris Schoap Bldg; Movers, 755 W. 27th Ave.
Description Of Intended Use
Duplex
Description of Route
Centennial Blvd. :6.AST "<:MA c.tT"'r
97405 Lics # Exp. Phone
Eugene 32039 3-89 34411f833
CITY DESIGNATED JOB N1MBER
880554
'\
q~ ,IV\!\
(fAyr'rS
Description of Building
Square Footage...lb:iD ~loving Length
Number Of Sections Being ~loved 1
on' Moving Width 01.' Height On Dolly 15' 19"
Type Of Construction Fr~~VALUATION $l,nnO
NOTIFICATION OF ~IOVE: The Building Division'
will route copies of this application to all
appropriate divisions, departments and Agen-
cies. HOI'IEVER, the applicant must contact
property owners if trees are involved in the
proposed move. IN ADDITION, ,the applicant
must secure the approval of all appropriate
muni~ipal, county and state authorit~es
should'the move originate or terminate out-
side the City of Springfield.
PLANS, FEES, AND CHARGES: Prior to receiv-
ing a permit to move a building to property
within the City, the applicant or his/her
authorized representative must:
1. Submit 2 copies of site or plot plan.
for new site:
2. Submit'2 copies of foundation plan for
the relocated building.
3. Obtain a permit covering'the'new founda-
tion, as well as all plumbing/mechanical
and electrica'l work relating to the re-
located building.
4. Pay Systems Development Charge if ap'pl l.-
cable. '
SEPTIC TANK REQUIRHIENTS: Prior to moving,
owner shall have all sludge from the septic,
tank, seepage pit or cesspool removed by a
" person holding a sewage dispoal service li-
cense, and shall fill same with clean bar-
run gravel or other material approved by the
_ Director or his authorized representative.
.I
, ,
SEWER CAP: Buildings moved from \vithin the
City limits shall have the sewer capped at
the property line and inspected one working
,day prior to the move. If the inspection
.' indicates that .the sewer has not been prop-
erly capped, the moving permit will be
revoked.
I CERTIFY THAT the above information is true and correct, that all required contacts have
been made and authorizations obtained, that the move will begin at .<)' 0' clock @pm
on 7-'2 -8<;5 and will be completed by '7.~'clock ~pm on 7--;::: S~
and that 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 5 WORKING DAYS
HAVE ELASPED. I further certify that my registration with the Builder's Board is in full
force and effect as required by ORS 701.055 and 701ff:'070' a d that tf exempt the basis is
noted hers;on. Basis for Bui Ider' s Board Exemption: t A"
e~~/S ~CJ.tOJfi . '~J .
,NAME Verna Davi ~' SIGNATURE ~:. t/'A.~ _ -1?;::.~.$' DATE 6-22-88
Zone L.L>7-?
Flood Plain~~
W/..t;tC. l?t!!=
Living Units
FOR OFFICE USE ONLY
, .
Type of Construction~.&:'Y' Occupancy Group
~5
Stories /
::z...
Square Footage ,;:?SC> VALliE" '
,
,
Application 'fee $18.00 -- Date Paid ~ -02~ -~"l; Receipt Number 11173
,0 Permi t fee $60.00 -- Date Paid 1-/- ~ Receipt Number " 83<-!-
" 6 rj " 1/ I'c>np~ Amount '/',;7AfL z,o,c- -::; # t:::3". ~
Number of Blocks over .60~~" :T."""'"
Sewer Cap $10,00. +. 4%
~Police Department
~Fire Department
_Northwest Gas
_OTHER --, specify
Sta'te SurchargE; -- Date P.aid 1/..1'
Willamalane Park and Recreation
-Pacific NW Bell
-Lane Transit District
Rainbow \jater / SUB
_Group W Cable
_Lane County A & T
" , ~
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BUILDING MOVI~PERMIT
~ PERMIT VALIDATION
I. Applicant to furnish (except as indicated)
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
1. 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
permi t 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
(~v
PERMIT CLERK d. gE).u.,.)/
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