HomeMy WebLinkAboutPermit Building 1991-4-15
i,.J1.-I;I,11 I;C .I,". L.. .. 1I11~j ,.:;t.,j,,:.UI.. ~
\~...l. -~_ )it:""""'- ~
.
CITY OF SPRINGFIELD
.
!
INS~ECTIONS 726-3769
225 North 5th Street
BUSINESS 726-3753
BUILDING MOVING PEruMIT/BUILDING DIVISION
\lD~?..;lDO C)~~()()
rr~ \l )Qf)+f\ W~
t-Ioving Firm Add.?-ss A() LU:s # Exp.
~.s ~~ toll4;)(((f6 .IauJ 19,~~<{-/ff\.., ~W.J1 4-(l<6/ur4
Descbt~ O~ Q;;;\d ~ I -\CITY DESIGNATECf\ D\~O .
D::r~ou~ ~-' 0
OLD ADDRESS
J. Jo-( !1A.-'::\ M-'t,v
Legal DescrIptIon
Building Owner
CffA/J vY-H';,At'"
Address
DescrIptIon of Blllldlng
Square Footage ,g/..A-. MovIng Length
Number Of Sections Being Moved \
NEW ADDRESS (FurnIshed by BUllding DIV.)
E. UCdt\fi.
Legal Descriptlon
Phone
31~ ..83t:>3 H
3'1'-(- ~ ~ 13 W
Phone
A \ r r-/ 0.""4 ,"/
~ 0 MovIng Width ~J Height On Dolly
Type Of ConstructIon \/tJ VALUATION
\ 1 J (Qr-I
NOTIFICATION OF MOVE: The BUlldlng Division
will route copies of this application to all
appropriate divisions, departments and Agen-
cies. HO~EVER, 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 authoritles
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
aay prior to Lil\:: move. I:: th~ i.PSpf>cti.on "
indicates that the sewer has not been prop-
erly capped, the moving permIt will be
revoked.
/
1 PLANS, FEES, AND CHARGES: PrIor to recelV- / /
I 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 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 appli-
'~ cable.
SEPTIC TANK REQUIRHIENTS: Pnor 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 tlll Sdffie wi.::h cl",.:;.;: t,~T-
run gravel or other material approved by the
Director or his authorized representative.
I CERTIFY THAT the above informatlon is true and correct, that all regulX contacts have
bee~ ~ade,' ,iI.and ~uthorizations obtained, that the mo.v~ will begln at ,00 ,'\\ '. '.cloc~pJl1
on~ 11'\ I \) 'I lC{CU 'and will be completed by '7 ,3D 0' clock@/pm 0 :1. L9.9~,
and tfiat no changes in the route will be made without contacting the Buildl g Div~slon. I
also certify that I have been Informed that NO PEm~IT WILL BE ISSUED BE~ORE 5 WORKING DAYS
HAVE ELASPED. I further certify that my registration with the Builder's Board is In full
for~e nd effect as required by ORS 701.055 and 701.07~ and that if exempt the basis is
::l:d he~ BJ;:; Budder's Boards:::::::n'/~ ~ DATE~?prl
\ " [It.! . 11__ (
I..... I /
. n ') FOR OFFICE USE ONLY V
Zone \ D,UFloOd P1:.l1n Type of Construction V A.J Occupancy Group l7 ~
StorIes
LIving Umts
Square Footage
V AWE
Receipt Number ~~es',~
~"Uj.tuer \{V\oQil~ f~ (I:.L~
Maount, 29../J.Ot I~~~ ,( ']4.15
Date Pald -4. ,S yJ:, 1!12:53 .'_
~alnbow Water / SUB
Group W Cable
~ane County A & T
Appllcation fee $18.00
3.\.L\\
Date Paid
Permlt fee $60.00 -- Date Pald
Number of Blocks over 6 @ .60~~
Sewer Cap $10.00 + 4%
,-polIce Department
~lre Department.
~orthwest Gas
OTHER -- specify
State Surcharge'--
Wlllamalane Park and Recreatlon
Paclfic NW Bell
~Lane Transit District
.. ,~,; ..?' _....~ , ,-'.
.
; I I.
III.
47
BUILDING MOVING~IT
'RMIT VALIDATION -. ~"-_~_.lr-~ ,
'--, !
Applicant to furnish (except as indicated)
A. Old address for building
B. Legal Description
C. New address for building
(Building Div. will furnish)
D. Legal Description .
E. Name, etc. of building owner
F. Name, etc. of moving firm
G. A description of intended use
H. A description of proposed route
J. A description of the building
Applicant to contact property owners if trees
involved, and secure authorizations from
other jurisdictions as necessary.
A site or plot plan, and foundation plan must
be submitted for the new s'ite (2 sets) . '
Plans must alsq be submitted for any other
work relating to the relocated building.
V. Fees & Charges:
A. Application fee due and payable at time
of application
B. Moving permit fees due and payable upon
permit issuance
C. FEES & CHARGES TO BE CALCULATED BY
BUILDING DIVISION STAFF
FOR OFFICE USE ONLY
A. Plan check data collected
B. Copies of application to appropriate
divisions, departments and agencies
I.
I ~ t l
\
\.
,', l '
~. ~ ,
", .
IV.
VI.
~'
I ,:
PERMIT CLERK' lm.), /
BUILDING DIVISION REPORT: ~
TRAFFIC DIVISION REPORT:
B~.'l~~.~e ~4.~
PI 0 f../n/1L
-P /ffkcf.Yl9j
_ _ P l-(-0yJ/f..
f'1- YJ .tI;;
,
7H 6~ IS A 2.. ~ Wi 0& f2E-sr;e I ~7~
Afi-5r ~ ?f15 1- r)O;- SA S -;- t3WYO ~PPPl-P. ~7
f11-fZ's;S~ .3 /11 r:f 3 /~( fI12- (,JIU- /oA2/f:"O 7() G~
II1t7 SlaJ -,-2 tfJrvr 13'1. 14vf? .lP~e To pJLJLte
/9VJD/JniD E 't 7l~ ~ ;:O~ f2e.~47 jl:..:5
By J..()"L'~, Da te 3/"'-1 /9/
~ ~SleuE. ~'.J:.( ., .. '.
al+M~ . ~ L-e,~
OOD r' 7D
fr.:!'e.{ J-t / "/::.-$
1-./, LL-
/35...
ENGINEERING DIVISION REPORT:
Cc:.*-T1~olL ~ I
ai::.iN\~.S -ro
s \ DE:UJl::::J...JI- ~
~"e~'T "S.--m...l)Gn.)GU::~ E:.i(_
BY'O'~'"
3 -21-~1
Da te ~'''':i..J;.---:':' L.l
~\ApDITIONAL, PR...O. JECT I~ORMATI2N:
~.\ ~ '\\\'f\ \\ ~\_' \<JL\j luU
( -
I
. ~ M{~
By '/VO Date ''1~7211
..~..>- ~........., _ .,.~ ......4..:.~ "':;"."'>.1 .7..