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Home My WebLink AboutPermit Building 1989-04-26INSPECTIONS 726-3769 OLD ADDRESS Le escrrption :ITY OF SPRINGFIELD 225 North 5th Street BUILDING MOVING PERI\,IITIBUILDING DIVISI0N NEIV ADDRESS Fu Legal Descrip t on BUSINESS 726-3753 rn1 by Buil o5 gal D DBA Bui I ding 0wner SS Phone l"lov Des escript Ad S CS Exp CITY DESIGNATED JOB NUIUBER! one c11 ion Inte e Use ono Route rm cable SEPTIC TANK REQUIREIvIENTS will route copies of this application to all appropriate divisions, departments and Agen-cies. HOI'JEVER, 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. Descri ption of BuiId lng Square Footage I'lovin g Length I.{ovi ng l{Iidth Do 1 ly_ Number 0f Sections Being l*loved truction VALUATION I TI The 1 ng Division PLANS, FEES, AND CFIARGES: 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 a1t plumbing/mechanical and electrical work relating to the re- located building. 4.1 t Charge if appli- ER CAP: Buil ings mov rom thin the Pri or to moving, 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- from the septic er1 y capped, the moving permit will be evoked.Director or his authorized entative. I CERTIFY THAT the above information is true and correct, that all requi red contacts have tank, seepage pit or cesspool renoved by a person holding a sewage dispoal service 1i- cense, and shal1 fill same with clean bar- run gravel or other material approved by the orclSu" \o, en made and authorizations obtained, that the move will begin at and will be completed by orclo , that no changes in the route will be made so certify that I have been info HAVE ELASPED. I further force and effec noted h SIGNATURE act ing the Building Division. I PER},{IT I{ILL BE ISSUED BEFORE 5 I\IORKING DAYS that my registration with the Builderrs Board is in fu11 red by ORS 701.055 and 701.070, and that if exempt the basis is DATE tfu/s CE USE ONLY \ tructionVN occupancy R3ZoneFlood Plain Stori es Living Units Application fee $18.00 -- Date Paid Permit fee $60.00 -- Date Paid Number of Blocks over 6 0 .60+ N$ FOR OFFI of Cons G \ square rootre" \DL $sr-n.d)VALUE Receipt Number Receipt Number Amount Sewer Cap $10.00 + 4e; State Surcharge -- Date Paid OTHER -- speci BPolice Department _Fire Department Northwest Gas -Pacific NW BeI1 -Lane Transit District -Group W Cable _LaneCountyA&T Willamalane Park an Recreation Rainbow l{at Basis for Builder's Board Exemption: \ PERMIT VALIDATION I BUILDING MOV r-i'cG PERM1T Applicant to furnisn (el99pt as indicated) nl' old address for building B. Lega'l DescriPtion a: Neil address for bu'i 1 di ng'(s;iidi.s Div. will furn'ish) D. Legal DescriPtion-E. Name, etc. of building owner F. Name, etc . of mov"i ng f i rm G. A descriPtion of intended use H. A descriPtion of ProPosed route I . A descriPti on of the bui 1d'ing Applicant to contact property owners if tre' i i'rvol ved , and secure authori zati ons from other iurisdictions as necessary. A site or plot p'lan, and foundation plan mu be submitted for'the new site (2 sets) Plans must also be subrn'itted for any other work rel ati ng to the rel ocated bui 1d'ing. Fees & Charges:A. Application fee due and payable at time of app'l i cat'ionB. Moving permit fees due and payable upon permi t 'issuance C. FEES & CHARGES TO BE CALCULATED BY BUILDING DIVISION STAFF FOR OFFICE USE ONLYA. Plan check data collectedB. Copies of application to appropriate divisions, departments and agencies \ II.ES stIII. IV. V. VI. PERMIT CLERK BUILDING DIVISION REPORT: By Date TRAFFIC DIVISION REPORT: By Date ENGINEERING DIVISION REPORT: BY Date ADDITIONAL PROJECT INFORMATION: By Date \