The URL can be used to link to this page

Home My WebLink AboutPermit Building 1991-4-5 ~y,;;;;;;;; ! .- CITY OF SPRINGFIELD .. 726-3753 , BUSINESS INSPECTIONS 726- 3769 225 North 5th Street BUILDING MOVING PEruMIT/BUILDING DIVISION OLD ADDRESS G (\ffu2 J ~nJlm ~~I(\\ Legal Description Building Owner Address NEW ADDRES~\c;~ ;~~di~g Legal Description Div. ) Phone ~Ioving Firm Address Lics # Exp. Phone (\\\\\\\)St'~ron \\ ~\\\P~ \Y5S\0~f\\"\f1 'G'CJQ1\'3f 411:6114 Descriptrn .Ofolnt,~ed Use' - ICITY~ESIGNATED JOB'NUMflER . ().~, k"JnJ~ . . q\D\lq Description of Route _ . \ d\~ 'J\r)~ <;, ~ ~ b \.A A\,QJ~ dJ..~ 0D\ 0\\ \ G Q ~ J Description of Buildin~ .Square Footag~loVing Length Number Of Sections Being ~Ioved \ r?O Type NOTIFICATION OF MOVE: The Building Division · will route copies of this application to all appropriate divisions, departments and Agen- cies. HOWEVER, 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 municipal, county and state authorities should the move originate or terminate out- side the City of Springfield. SEWER CAP: Buildings moved from within 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. Moving Width 4-~' l Height On Dolly cQq Of Construction VI\} VALUATION 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 sit'e or,plot plan for new si te, 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 electrical work relating to the re- located building. 4. Pay Systems Development Charge if appll.'- cable, , : SEPTIC TANK REQUIREMENTS: Prior to moving, owner shall have all sludge from the septic tank, seepage pit or cesspool removed by a J 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 CERTIFY THAT the above information is true and correct, that all ~~uired cDntac~ave b~en ade and Iluthorizations obtained, that the ..JlIPvy,!t.i.ll begin at L1,Q:)~ClOCk{.:~m _', 0 ~~ /q41 and \~ill be co!"pleted by ~', ~J O'cloc1<@pm on ..,.S. q I " an tha, no cha~ the route will be,made without contact~ng th~ Buildi g Division. I also certify that I have been informed that NO PE~~IT 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 701.070, and that if exempt the basis is ::tyr/1jSi.s /i BUilder'S\BOards:::::::n: (!rV{/\ ~ DATE / ''If/V f ///r0 ~ [;' FOR OFFICE USE ONLY . Zone Flood Plain Type of Construction V AJ Occupancy Group ,P 3 Stories ( Square Footage VALUE Living Units Application fee $18.00 Date Paid 3, \ . C{ t Permit fee $60.00 -- Date Paid Number of Blocks over 6 Q .60~ .\'5.00 S'2 Sewer Cap $l~~ ' ~% State Surcharge -- Date Paid Receipt Receipt Amount \Q3'1~ Number Number I/S.IlS ~.<::::".a. \. /q We') / Willamalane Park and Recreation )\ Rainbow Water / SUB ---Pacific NW Bell ---Group W Cable X Lane Transit District A.-Lanc County A. ,& T . -:.:.. ~.":: ~Police Department ,L::Fi re Department Northwest Gas OTHER -- specify ,). 'l 411t~IT VALIDATION BUILDING MOVING~ I. Applicant to furnish (except as indicated) A. Old address for building B, Legal Description' C. New address for building (Building Div. will furnish) D. Legal Description E. Name. etc. of building owner F. Name. etc. of moving firm G. A description of intended use H. A description of proposed route I. A description of the building II. Applicant to contact property owners if trees involved. and secure authorizations from other jurisdictions as necessary. III. A site or plot plan. and foundation plan must be submitted for the new site (2 sets) IV. Plans must al so be submitted for any other work relating to the relocated building. V. Fees & Charges: A. Application fee due and payable at time of appl ication B. Moving permit fees due and payable upon permit issuance C. FEES & CHARGES TO BE CALCULATED BY BUILDING DIVISION STAFF VI. FOR OFFICE USE ONLY A. Plan check data collected B. Copies of application to appropriate divisions. departments and agencies PERMIT CLERK i BUILDING DIVISION REPORT: W TRAFFIC DIVISION REPORT: r' (),v~ Sfh:r7-,_ R.? B,\~wo~A,?'?l1 .. f?-its P 171. IC:, /.'f U~;. fZ;/f2 iMPN; C6P..;r;eoL.- (,J'Tif/(/ Pc/l34r. f?,8J. 7f1iE 1!~S5i,.,..f;, Qt= i3$cTl.vn< (/ l!Ft;.:fU/I-C.- ~ !<.fJW S1>1z..L 02: ~ I1r//'lK 9!OD.~; Ct!!.iJsS/A/G V IJ6:li/s 10 Be. C()l"1f7~ 4Xl1+fN ~s rfA/vr7Qj 50 ~c.. CIjrV' ~/~ f'~ IW'1 I:Y/7'ut-r~ pu(3uc pJ!?;f/rJQ.T7 A..R@s ro 8E. ..MPf~ fY?- Date..vr. / ENGINEERING DIVISION REPORT: -../'0 7 /~/-l ( Bv't::>, R, ~ Da te 4-4 -'-3) , ADDITIONAL PROJECT INFORMATION: .tit1J1OYi Q1XO \pO_'_)(L D.' ..' .'~" h. ~ \~~. ~,V\ BY~' Date 1,,'\jb