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HomeMy WebLinkAboutPermit Building 2006-06-16Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00703ISSUED: 0611612006APPLIED: 06/0812006 EXPIRES:. 1211612006 VALUE: SITE ADDRESS: 587 7th ST ASSESSOR'SPARCELNO.: r703351305700 PROJECT DESCRIPTION: House Move from 150 Davis Springfield TYPE OF WORK: Duplex TYPE OF USE: Move Street. Eugene License 32039 quires You to Oregon UtilitY Notification Center. in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules bY e Oregon UtilitY Notification r is 1-800-332-2344)' Expiration Date 04t28t2008 Owner: Address: Contractor Type General FOUMAL LAURA A 1750 WASHINGTON ST EUGENE OR 97401 Contractor SCHOAP INC Residential Phone s41-344-8833 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: AUTHORIZED overlayDist: C0MMENCED # Street Trees Rqfl1y 180 DAY Paved Drive Rqd: oh ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: SHALL EXPIRE IF THE WORK UNDER THIS rEmilsBIilmFrRKING' OR IS ABANDOIUfiD FOR PERIQD. Handicapped: Compact: . # of Stories: Height of Structure Type of Heat: Water Type: Range Typ: Energy Path: Sprinkled Building: I 16.00 nla t Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Paee I of4 Value Date Calculated h l, U lLLrIl\ U rN r (,I(lYr,q,_!_llllLl Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00703ISSUED: 0611612006 APPLIED: 06/0812006 EXPIRESz 1211612006 VALUE: Total Value of Project Fee Description + l0oh Administrative Fee Move Building Structure Total Amount Paid Amount Paid $23.20 $232.00 $2ss.20 Date Paid 6n6t06 6n6t06 Receipt Number 2200600000000000849 2200600000000000849 Fees Paid Plan Reviews Fire Department Review 0611412006 06n4t2006 APP GRG Initial Review 06/08/2006 06/08/2006 APP LLH APP CMS See attached documents for memo to Fire Stations informing them of the move. Structure will be moved from 150 Davis Street, Eugene to 587 & 589 7th Street, Springfield. This move will occur on Sunday, June 18' 2006 beginning at 5:30 a.m. and is scheduled to be completed by 9:30 a.m. on that same date. The route will begin at the current site and be covered by a Cify of Eugene moving permit until it reaches the Springlield jurisdiction. From that point, the structure will move east on Franklin Blvd which becomes South A Street. The move will continue east on South A Street to 7th Street, turning north on 7th Street. The structure will continue north on 7th Street to site. The applicant shall obtain the required moving permits from the State of Oregon and the City of Eugene prior to the move. The structure is 48' in moving length, 24' moving width, 16' total height on dolly and one section is being moved. See address file for Colins approval signature. Planning Review 06t08t2006 06n4t2006 Page 2 of4 h Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line OF Building/Combination Permit PERMIT NO: COM2006-00703ISSUED: 0611612006APPLIED: 06/0812006 EXPIRESz 1211612006 VALUE: Public Works Review Public Works Review Structural Review SUB Review 06t0812006 06trst2006 OK EW 06/08/2006 06n4t2006 APP DRB Engineering: All damage incurred to private or public property shall be restored to as good or better condition promptly. Should damage occur to public property, contact Art Ireland at Springfield Maintenance at 935-3428. The contractor is responsible to repair or replace any damage to public improvements. Also, an ODOT permit must be obtained by the applicant prior to conducting the move. "Contractor shall be responsible for any and all damage to public facilities as a result of the structure moving operation. Contractorshall monitor the operation of all traffic signals during and after moving through all signalized intersections. If the contractor damages a traffic signal or interrupts the signal timing cycle ('Flash' or' No Cycle' mode) the contractor will immediately contact the City of Springfield Signal Electrician for emergency repair work." Chris Schoap will be hiring an electrician for any signal work needed during move and Oregon Department of Transportation will have their electrician on Stand By if needed during the move. Rick Klohn - ( 54r-868-4474) or Shawn Scott - (541-968-7616) Foundation permit #C6-681. Received a message from Ed Head at Springfield Utility Board stating the move as proposed is well beneath any of the electrical lines and SUB does not have any issues with the move. 06/08/2006 06n4/2006 06n4t2006 06n4t2006 APP APP RWC LLH Paee 3 of4 L t Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00703ISSUED: 0611612006 APPLIED: 06/0812006EXPIRES: 1211612006 VALUE: To Request an inspection call the24 hour recording at 726-3769, All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein' and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the card is located at the front of the property, and the approved set of plans will remain on the site at all times n.,/rrto Owner or Date Page 4 of 4 - t(eoulred lnsDectrons I Oeglo. -PECIAL TRANSPORTATION RMIT FOR HOUSE MOVES r0 sTrss 7 s fi TELEPHONE ( OWNER NAME LAURA FOUMAL(s41)954-8866 TELEPHONEPERMITTEE NAME CHRIS SCHOAP BLD MOVERS ADDRESSADDRESS PO BOX 2768 CITY, STATE AND ZIP ar/ CITY, STATE AND ZIP EUGENE, OREGON 97402 BUILDER REGISTRATION NUMBER 32039 nl*+DATE CHECK NU}.4BER"-,5y?Y PERMIT FEE 8.00 PERMIT INSPECTION DEPOSIT 0.00 o?rnall LENGTHLOADED HEIGHT'HEIGHT'WIDTH-uucrn'l 1 B8'-0"1 16',-0"1 12'-0"1 48'-0"'t zs'-o" 22222 33333 NO. OF SECTIONS COMMODITY 1 OESTINATION ADDRESS EXIT HWY 15 @ MP 1.92 BEGINNING ADDRESS oNTo HWY 1w @ tvtP 121.14 PILOT VEHICLE REOUIREMENTS 2 LANE 4 LANE r.rot.tr l-l rnoNr uonr l--l rnorur REAR REAR COMP. NO. N/A LICENSE NO N/AN1 7606 ID NO PUC NO. YCPJ631 YEAR AND MAKE OF EOUIPMENT 1967 FWD ROUTE MP AGENCYSTREET / HWY FROM HIGHWAY PACIFIC WEST HIGHWAY MCKENZIE HIGHWAY HIGHWAY SEE HOURS PRIOH TO COMMENCEMENT OF THE MOVE. MP TO EUGENE ODOT & CITY OF EUGENE ODOT & CITY OF SPRINGFIELD LOWEST ROADWAY OVEBHEAD * SEE PAGE 2 FOR SPECIAL PROVISIONS * THE pERMtrrEE 'HALL NSIFY rHr otsrntci r'rrAr'rleEn, on rHEtn REPRESENTATIvE, oF THE MovE AT LEAsr 24 126.37 1.92 INTERSTATE 5 OVERPASS DuRrt{G }rcusE Ar 5G3.3?A-2299 7th STREET 124.24 E}ISF -0.32 FAIRY STREET INTERSTATE 5 OVERPASS FHCNE SHGULB A WIDTH OF PAVEMENT TYPE OF PAVEMENT FAR SPECIAL EXPIRATION DATE 09/1 0/2006 HAULING DAYS RESTHICTED TO SUNDAY MORNINGS ONLY HAULING HOURS RESTRICTED TO 5:00 AM - 10:O0 AM MIKE SPAETH (DISTRICT MANAGER) NOTIFY 541-744-8080 TELEPHONE IPAGE frFz to*orP, ( I[j ./ N-i$-' USABL PROYIS'ONS?ETIERSE S'DE ailEJe|26ri6 LB:49 P.o. Box 276d' VOICFJFAX: SCHOAP INCORPOR ATED B 432039 INSURED .c.C TONDED . fug,/-,=-.,+ /,,h t( fw [ftt Ir Wicd- /,- utt, ,pr il, /rrrd tr(^1 , bu'a>/ )eu,; / / fwft trn, {r) ry /1/c ^ru) ko*-) on/(,Jz 4,n ffi; I r; *l* ,6(0* //; ,, I b4 s6*l (ka,t{^ Utu', *t q;4 Kb MEMBEfl A950ctA TION OF STRUCTUR AL MOVER s Uir v GNILDI 2 L t-, I I t- u 1}IT 6 Ln .a 4m*l r, t aND I s x---Lsc'd* ( 1 Bf I.g -,I g-9"f3d 2 Fa Iti q l.E arg I I I I : i,it''l- 1;.. .. l*+ Kr' \bt! * wttrLJ t {,r^ltWaffi I I ?.'i)L rti! C sfs J5{I iUGENE :lc iEf,I..cl -.d14 fitfa'6,; ttag. frta/L r,ft E/oG {*> :?So ' r1.\ Aa.(llRL\ Jc{oAp qs{ M'6-6 i, - L Di,) D D Cf,n-{ f,o n J- I{ oIn\ DI o i i. tl I I I I I I I I I I E F \t 9 J7 ial-gI!4!tn \ $ l\\\-7?rd ".El:3 { 97402 an L-.. ;I I 6n 7THa 5!Qi Il$.-- \ i*f-drL Ilr B A11 rm Ir5 t8 lr o u enErt .t + @ t* rsco :5'-:; ts.'- llir {r! J40i 5:t t-R rg 5 q lr -o w t-F ?4 ItD wrlxr-hr k I d Yna!*L t; E T {0t 3 {E o d s{ a {raI a lul IhlalkBiL- (1( Y-: ljrIIII +. i td E I 5l ,Hr*: E d6tI { B l 4 -l NJ l .ii d E t htI lu II.- ot sl 6 ) *o I.AIJ !I n r lal I s4 a4 ta Efr*It s 34f1 am L._ .t lg EI i 1s Ij E9 L l I rr.b- :-ru $ Ee! ee .it :?;- SJ 1t'l I .{ l-d - I J vilatrffilffi rl#. .ffir.Ixg5[Iffi -7aa A I tlE [l ttuF t-, *r" \d' t CONDITIONS l. The applicant represents all parties and interests and shall fumish materidl, do all work, pay all costs, and shall within a reasonable length of time, restore any damaged portion of the public way to a condition similar or equal to that existing before the commencement of the described work or uses, including any seeding or sodding necessary. 2. The applicant and the applicant's successors or assignees agree to hold harmless the Ciry of Eugene and its duly appointed agents and employees against any action for personal injury or damage sustained by reason of exercise of a permit, if granted.- 3. AII work and construction within the public right-of-way is subject to the regulations set fourth by the Eugene City Code, and is subject to engineering standards as established by the Cify Engineer. 4. The proposed work, use, etc. requested shall be located and constructed to the satisfaction ofthe City Engineer or a duly authorized representative. No revisions or additions shall be made to the proposed scope of work on the right-of way without the written psrq.ssion of the City. 5. The applicant shall at all times, conduct the work or activily in such a manner as to minimize hazards to vehicular and pedeslrian traffic. In performing work or use in the public way the applicant shall provide traffic control acceptable to the City's Traffic Engineer or designee. All required traffic controls, i.e. signs, barricades, flaggers, etc., shall be furnished by the applicant. The actual work shall only be done during daylight hours, unless expressly authorized by the Ciry. 6. The applicant shall not trim, cut, or in any way disturb any landscaping (trees or shrubbery) within said public way without the approval of the Urban Forester or a duly authorized representative. 7. The work performed by the applicant is for a bona fide purpose and not for the purpose of creating parking or areas for the servicing of vehicles on the street right-of-way. Parking on the public rightof-way is prohibited, unless authorized by the appropriate permit. Commercial, non-public signs that over hang the right-of-way are prohibited, unless expressly authorized by the City's Sign Code or appropriate permit. 8. The City reserves the right to make such changes, additions, repairs, and relocations within its stahrtory limits to the facilities constructed under a public property/right of way work/use permit or other appurtenances on the right-of-way as may at any time be considered necessary in the fi:fure to permit relocation, reconstruction, rvidening, or maintaining of the street and/or to provide proper protection to life or properry adjacent to the City and,/or State right-of-way. However, in the event that a permit is granted to construct, locate, operate and maintain public utiliry facilities on the right-of way the applicant utility company, upon written request by the City Engineer shall perform such alterations or change of locations of the utiliry company's facilities without expense at the Cify. Should the applicant's utility company fail to make satisfactory arrangements to comply with a request within a reasonable time, the City reserves the right to make such alterations or change of location or removal of the utility company's facilities. The applicant agrees to pay for the cost incurred. 9. A permit, when granted is effective only in so far as the City has jurisdiction and does not release the applicant from the need to check with private utility companies for utility locations. 10. The application affirms that the scope of the proposal shorvn on submitted plans is true and correct, and binds and obligates himAerself to perform the operation in accordance with the application and related plans and to abide by the above conditions. (Jot atr.,/ zauo IU: q5 3q1 Jq4UEJS SCHOAPBUILDINGMNVER PAGE A3 BUILDING MOVE Permit Application 119 TTY sbro) e.. ltt D*pvr Planning & Development Building & Permit Services 99 W 1Oth Ave. Eugene, OR 97401 541 682-8812 I:.;(;EIE Fax A. Existing Adtlrcse Former Oflner/Seller Existing Use Wastewater cap permit # h+ *L h. (atro-^A-Phone o\a,Foundation permit # kfiar,oa /aW: Phone H B. Now Address New Owner Proposed Use c. Building Mover Contact Person Move/s Address City/State/Zip d L* D"Nol 5-{C D. Bullding Size /d t{'wdth:ry FEES Sub-tolal 7% Admln. Fee Tolal 5 ZO ZO Distance; E, Movlng Date and Tlme From:To; (date F. Descrlptlon of propoted routo of moye (attach separate sheet if more space is needed)Describe eny changos to, or r6moval of trafllc contrgl devices/slgnr and protedion of any trees, publlc facitities, utilities and genErsl ta lic.r/K*Mt^l (tAd"L T l{.,4rou ( f;w*-o/^/c (time 1 V.id u. 3. Applicant shall prwide the City of Eugene with proof of commerclal general liablllty lnsurancJcoverage in tha amount of $500,000 combrned single limrt or it's equivarent, to insure againstinjury or damage resulting fmm all activities listed and as ouilinedin Eugene Code, Sec{ton B.OOS(9). Proof Yes ! No l. As applicant, I state that I have read and understand the conditions printed on both sides of this application for using orfor doing work within the publio way and further state the work/use permit being sought is for the purposes stated and noother, unless expreesly requested on this appllcation ancl authorlzed by a permlL I agree to indemnify and hold the Cigof Eugene, its officers,agents and employees,any lnjury or caused by or relati ng to the activitiesspecified ln this appticailon. Name 0a ffr 6 5ormlt Phone F:/DrVlSlotl FODTBPS/PICFORM6iLo..Ld Deto ililn€ntE lc ,3ld lsruc OstD nnlt Nqmb.r of llrtilYmrotadin/butdrrg hffi rpp.xk AATreO I o/n/t 225 Fifth Streot Springfield, Oregon 97 477 541-726-3759 Phone C:' of Springfield Official Receipt [.r- . elopment Services Department Public Works Department RECEIPT #: 2200600000000000849 Date: 0611612006 l0:33:45AM Job/Journal Number coM2006-00703 coM2006-00703 Description Move Building Structure + lDoh Administrative Fee Amount Due 232.00 23,20 Item Total:$255.20 Payments: Type of Payment Paid By Authorization Received By Batch Number Number How Received Amount Paid CreditCard CHRIS SCHOAP njm 016876 In Person Payment Total: $255.20 -Srss-zo-- cReceint I Page I of I 6fi612006 lnUrY MEMORANDUM CityofSpringfield TO June 8, 2006 Police Department Fire Department Springfi eld Utility Board FROM:Lisa Hopper, Building Safety Supervisor Community Services Division SUBJECT Stnrcture Move Attached is an application and proposed route for a structue move scheduled for a structure which will be moved from 150 Davis Street, Eugene to 587 & 589 7th Street, Springfield. This move will occur on Sunday, June 18, 2006 beginning at 5:30 a.m. and is scheduled to be completed by 9:30 a.m. on that same date. The route will begin at the current site and be covered by a City of Eugene moving permit until it reaches the Springfield jurisdiction. From that point, the structure will move east on Franklin Blvd which becomes South A Street. The move will continue east on South A Street to 7th Street, turning north on 7th Sfreet. The structure will continue north on 7th Street to site. The applicant shall obtain the required moving permits from the State of Oregon and the City of Eugene prior to the move. The structure is 48' in moving length, 24'moving width, 16'total height on dolly and one section is being moved. Ifyou have any concerns, please phone me at726-3790 as soon as possible so I can either get you the information that you need, or direct you to the appropriate person. Thank you!! cc: Sanipac US West TCI Cable 911Dispatch US Postal Service NW Natural Gas ( L ( att lh t 0 S 0 06/OBl2096 t]-:.@4 541,3448933 (,6./ ott, 06 I.H(. 10: l9 F&l 5{: r3069 225 Fifih $tcct Spdngffcl4OR 97477 Stucturc Beiry Movad I Lane Ca.u*y R*rurer Numb* StructucBGlnI Movod Lrqt E ftEGDE SCHOAPBUILDINGMOVER CIry OF SPRIi\CFIELD a2 Goot PAGE CITY.'ISSIONED NUMBEK Bur'lttftg L;v* (q,,ror- +5 bq +ln Phonc Cetl Phonc oj 71.{d \ CITY OF SPRINGFIELD BUILDING MOVING PERMIT COMMLNITY SBRVTCES DIVISION i : Fah 541-176-36'16 Phbne 541-726-3751 h.l' S h Trx LotNumber: 5 Trx tnt Mrilinr Dcrcipti*r of Build4 to bc i'{ovrd; Sqrrc Cf,{rT6qUr0r* td ,|y' Hciglt on Sqr.rarc Pootagc- Li*ins Moving Moving Width: # of Sectionr Beuag Moved: I TlPc of c*rt,--fuL- iValueofSrugturc(s): ' -s"si*,tg",-{3(L **61'P.ProporcdDctc b Con:rolaimDrtc /Ending 19d i Dcrcriptim of PrnorcdRorib @cuc rttecb nrp witt routc orfllucd ritt tllrreflonrl rfrwr)l *a^ Ul6t4P Or) l.l,126 .fD I S. tW.ru 'lV Lof u\J 5.6. C,*4&{ Cqrrr& -. ., ., Phstc 835 ,I W6C 3{{ { qNbu Oonarustion Conrrcorr Begi#rtion Crll Phonc PhoncMoving Eqircs: Mriliug 3?ol"1 Corutructicrn Cotmcmr f o77x e? bl s Sertonp htccra; ilapl rootrsr, -ll5*. ,.-,, Db[y, . 10.: ., a' )' s6t s @ NN GI(n ts :? GA olAFqJ AAm co &Ju) lr a IE afrDffi ffig Ep[ a rg ilIA:$il_J''CM I:.+ p;F :-' .{J9''Ir-. I t EO.]Dl.- {A rvE 16r a fi atl ct r; gE ,1 EE 5 a I ,€r a ffiVI!T ff a gi t: Frctsrc i l' I d.q.({ltfis J(4oa? qst eE6 G *-cfc.'6,t r,.ir g/oG ilafi- $nlL {*s -?So*A I L L k' {teLI * wtt"tL J ?4, ttlDt- HIP laffiE 1IDc)m su) [i- & i ffi IE I i ul tI ,t; fo l '",'} n \I.'l tII q II L5 hr d I ! I 7 ]H 97402 IIt*. i NN a I -! l:a \ t =.7- \ ,+Er Pl d1siE IlEn : do-l{ I I ii !l---n',t a fr tgr0,F,Ih L*a z I HO 5I I I n El L Ed ;l I iI I /)pi ) I & II I4 ir;i(,II UGENE rgu!t& I E -t €tr Exu tt-' 86/88/2806 lti04 5413448833 SCHOAPBUILDINGMOVER PAGE 04 Phnning & DeveloPmont Building & Permit $ervices 99 W. 10th Ave. Eugene. OR 97401 }UILDING MOVE ,ermit Application +==* 11 1 2 1)682-5593 Fax ,. Exlsting Addrtca Fonner Oumer/Seller Existing Use sbro) e- ft DadYr Phone h+ iL xa.l. New Addrees Ner,rl Owner Poposed Use !. BuildlnE Mover Contacl Person Movefs Address City/StatelZiP ). Building Slze l. Movlng Dats entl Frcm: l-otr6- Wadenrater caP Permit # rl Phone oa Foundation Permit # - FEES Sub-total 7% Admin. Foe Total .[r, Sc fulcnrrctl y'"tP* Phonen /c/a{'ry , Tlme (dete)o/n/*a/n /c tJd 4t' tttrr,-r iifr*u To: (rdate) Descrlptton of propoccd route of move (attach separate sheet il rnore space is needed) Descrlbe .ny ch8ngpt to,or removtl of trafflc conlrol devi:es/algna and protedion of any trees, pribllc facilities,and general ill6sloul fitdl ?oofeYl.c .r ll,,4rcn h H. As appticant, ! state that I have rEad and understand the conditions prlnted on both sides of this application for using or for doing work wtthin the public way and turther sEte $e worft/use permit being sought is for the purposes stated and no other, unless exprassly requested on this apptieation and authorized by a permit. I agree to inttemnify and hold the City of Eugene, ib offcere, agenE and employees, harmless fiom any iniury or darnage caused by or relating to the activities B. Applicant ehatl provide [re Clty of Eugene with proof of commercial general llability insurance coverage in the amount of $500,000 combined single llmlt or irs equivalen[ to lnsure against injury or darnage resulting ftom all ec,tivities listed and as outlined in Eugene Code, Sec{ion 8.005(9). specifiod in his aPPllcation. l{nme Slgneturu aomrlt apprcvrd ProoI OYet DNo ?dr M/6 Phone Drtc llltlcDEElrril Ntrnbcr F:rDtVrt|on FOOlBPSrPlCFOf,illS omd adrTrfi$fdbnlbt'ditlo nil teg th5'z,rtD l-rt. \ l- MEMORANDUM CityofSpringfreld TO June 8, 2006 Police Department Fire Departrnent Springfield Utility B oard FROM:Lisa Hopper, Building Safety Supervisor Community Services Division SUBJECT Skucture Move Attached is an application and proposed route for a structure move scheduled for a skucture which will be moved from 150 Davis Street, Eugene to 587 & 589 7th Street, Springfield. This move will occur on Sunday, June I 8, 2006 beginning at 5:30 a.m. and is scheduled to be completed by 9:30 a.m. on that same date. The route will begin at the current site and be covered by a City of Eugene moving permit until it reaches the Springfield jurisdiction. From that point, the structure will move east on Franklin Blvd which becomes South A Street. The move will continue east on South A Street to 7th Street, turning north on 7th Street. The structure will continue north on 7th Street to site. The applicant shall obtain the required moving permits from the State of Oregon and the City of Eugene prior to the move. The structure is 48' in moving length, 24'moving width, l6'total height on dolly and one section is being moved. Ifyou have any concerns, please phone me at726-3790 as soon as possible so I can either get you the information that you need, or direct you to the appropriate person. Thank you!! cc: Sanipac US West TCI Cable 911 Dispatch US Postal Service NW Natural Gas I att lh 06/a8/2A06 trtt./ l)6, 06 LI:.O 541344P- 3 l'Ht 10:19 F&t 54. l0S9 SCHOAPBUILDINGMTT'ER CIT\' OF SPRI|\GFIELD PAGE A2 6oot 6ITY.q,SSI(l,iED NUMBER: 225 Finh Sbcct Sp,tiilgflcld" OR 97477 StuGue BGi,U lIovcd Lrn? Cor*y Rtftffircc Number StructurtBchl Morcd C]TY OT SPBINGPIELD BUII,DING MOVINO PERMIT COMMLNITY SERVTCES DIVISION s Tix Lot 5 +5 b1 a T!,x L/ot Phone -tf\ C.clt Phottc oi 72.{0 h,l' F+ 541-7263676 Pbbne 541-726:3751 I [.rnt \ Buildftrg ,oL- Mrilinr ?& ; Cf{rG{ure\- td Dcrctipiar of Builrtht 6 bc l'{ovrdi qr' S$r$c Moving MavirU Widftr Hoigttourrblly,-..10' ,- .., #ofScctimrBcrnslvlfl,a: ! -Tlpeof w*,--@- SqurrcFootrge LivihgL'uitor ,-.4 i Vdue of Smgtrnt(s): I - 0 ,t oc n"gi*,itgt,...,f 30 i -@P. of u,*, b//$/o(, ., .-,-EndinS 190 Dcrcriptirn of P!ryoc€dRoub (Plcrrc rttecb nrp witb routc ordlocd rltt tllrlcflold errcrr)l {cat 1*tW-ru tD @f or\)c,xMa- 6on f,DLab - - . ." ----- ,.- s.,", Cf- ., zip, 1?4 Qt- -i PlrrnbingCurrrch -PhutcNrnrber: -.----. -]---* 35 SZotl ,I W6C Phonc { Sertote htccrna thselct4t t Ccll Phonc 3{{ Confiirfiion Cffi ltrcorr Bgirtrtion Mwing Conrtructiqr Cortrur Mrilirg foPx e? bl a .l l PAC,FC .: 6' (S(n s6 N66(n H :: Gs ut5 PqJsA @ @ UJ(r) Fa (no-oD1' IEC HTtHzc) =c] mfr *'cf,}'6.1 tlag- fi{^lL r,ft g /oG { *t -? So1|+\ t+A ({ttrls iq/tcp.pqsl s866 L {b' |tull LN d'LtL J ?r,lt tt,:t#- I i I l llDo)rrl G(^) Erg & L tf11l 1) Ii ti *{'.IE )ilEffi ffiI Er4 astcP E?I !g !4_trefr*:|5;s Tir; e!3 E rne 4J fts 'Dl.* rf ffi z rhiffa'tli'!'' r EiI J( rll \E gE L 6 lto E rt a tsds il ad E i-..1 t 5 a a f,tHil] -+;il' ut-EJ:*' ir* crt+- lrIrlE ET t1ffiB H- Ad ,t rl )1E! 7 hr.E :;---'-'E97402 c*. ;l !!T PI lo0 a I il rzt- d+ilrFl a aIta 1E frElrcrwl #%rdt + F I r!nl E LLt e IJ f,.: 6€{ jt!l j I t E t.n I I al a I it il s IErgT I F t Er ) Er -)":4d t.r I ,{ *"J- UGENE IEruItB I &€sr r4rsHu tr-\ -\Y# A6/A8/2AAE Ll:O4 54t344' a3 SCHOAPBUILDINGMDUqR PAGE 04 Planning & DeveloPmant Buildirtg & Permit Seruices 99 W. {0th Ave. Eugene. OR 97401 }UILDING MOVE rermit Application ,, Erlrtirtg Addruct Fonner Owmer/Seller gbro) e" ft D*rlYr Phone Existing Use ht* iL h. fu,tcnr,ol A/*Bt: Wattailater caP Permit # d Phone \to o's Foundation Permit # - FEES Sublotel 7% Admin. Fee Total Distance: 1. NewAddreaa New Orner Proposed Use !. Buildlng tover Contact Person Movefs Address ci$/SbtelZiP t-opro- Phonen Haioht:/c/e{' "notn fhwidth:L). Building Slze i. Movlng Deto and From: Tlme (time)l;b0 * ro: (date)d/n y'c rcute of move (attrach separate theet if rora Epace is neecled) ZJo *t- (date) Deecrlptlon of ptupoeed Oescrlbe eny ctranges to, or rcmovll of tnafrlc control dwbegslgnc and pretedion of any trees. publlc facilities,and general 0/16Slorrl {1tdl r l{,il 4run ,kLtN fr 0. Applicant ehall provide the Cfi of Eugene with proof of commerclalgeneral llabiltty insurance coverage in the amountof $500,000 combined single llmlt or ifs equivalent to lnsure against injury or damage resulting fiom allac'tivities listed and aE outlined in Eugene Code, Sec{ion 8.005(9). H. As applicant, I state that I have read and understand the conditions printred on both sides of this application for using or br doing ryork wlthin the publio way and turther state tre woruuse permit being sought is for the purposes stated and no other, unless expressly requesEd on thiB application and authorized by a permit. I agree to indemnify and hold the Ctty of Eugene, ih offcere, agents and employees, harmless from any injury or darnage caused by or relating to the activities specified in ftis aPPllcation. ldr l{ame t0ni epprovcd &ffir8nb, SlgnnturD Phone larrcoEE !Yee ONoPrcol eam*Ntf,rrbcr F:rDaVSrOfr FOOlEPSlPlCFORirSrLomd ddrTrm$i.etioorbtadino mffi lgr'rh 'Z'llx' l, . r'. \l- , a