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HomeMy WebLinkAboutPermit Building 1997-07-22ATTOF SPFTNGFIELD t BUILDING MOVING PERMIT COMMLINITY SERVICES DIVISION 225 FIFTH SIBEFI SPRINGFIELD, OR 97477 (s41 ) 726-37s3 FAX (541) 726_368s \1CITY ASSICNED JOB NUMBEIT:t Tax Lot Number: Tax Lot Number: * \a C ity Lane County Ref'erence N Structure Being Moved To: Lane County Reference Number: Structure Being Moved From: Building Owner:Phone Number: Mailing Address:Cell Phone Num c)@6 City state: & zip' <:/.4^ 7 State:City I Expires Cell Phone Num Phone Num Ex zip o. Construction Contractors Registration Number: PlLrmbing Contractor:Phone Number: Mailing Address Construction Contractors Registration Number: Moving Contractor: Description of Proposed Route (Please attach map with route outlined with directional arrows) frt L- a.€ J ?1) Moving width: AAi t^, Square Footage Value of Structure(s):s t..:# ofSections Being Moved: Living Un I t n,q:n !-t^Ul-f Moving Length Proposed Date of Move:Beginning Qoo r/al /<z Description of Building to be Moved Square Footage 4oo Type of Constr: @&D f€ktl€Ileight on Dolly llt br Completion Date of Ending at: 4f,l! ':r NOTIFICATION OF MOVE: The Community Services Division will route copies of this application to all appropriate divisions, departments and agencies. 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- outside the City of Springfield, or along any street owned by the state or the county within the Citys boundaries. PLANS, FEES, AND CFIARGES: Prior to receiving a permit to move a building into the City of Springfield, the applicant or their representative shall:. Submit two (2) copies of site or plot plan for new site.. Submit two (2) copies of the foundation plan for the relocated building . All applicable permit and system development fees shall be paid prior to any moved . Any applicable permits and inspections for sanitary sewer cap or septic pump and fill By my signature below, I certify that the above information is true and correct, that all required contacts have besn made and authorizationsobtained. lalsounderstandthattheminimumtimetoprocessthispermit,becauseofthenumberofagenciesnotified by the City Signature t is seven (7) working days. Date: 7 ?a q ut 7:7o ^6fu^ Community Services Division Report Foundation/Site Plan Sdbmitted??_Foundation Perm it n V l'A o +q1Moving Permit Approved Date:n ,4. Engineering Division Report: owner(s) AND Contractor(s) are both responsible for any damages to private or public properfy. Moving Permit Approved By:7- z+-17 o,; ft4aa"r f*zQcl, /'42 Traffic Division Report: Contractor is responsible for a safe, efficient relocation operation. All signal systems shall be monitored to ensure they are functioning properly. Any damage to or malfunctions of the taffic signal system shall bereported immediately toGary Weck, Signal Technician, at 343-4902 or Gene Butterfield, Maintenance Supervisor, at99g-3667. Moving Permit Approved By:3 1z Historical Moving Permit Approved Required Inspections: An inspection of the property is required at the following indicated stages of this project. _ Septic Tank Pumped and Filled . A Certificate from a bonded/ registered contactor will meet this inspection requirement. L Sanitary Sewer Capped Capped within five (5) of the property line with approved materials. L'-Final Move ' To be made once structure has been moved from site and all debris has been removed. To request an inspection, please call726'3769. Inspections called in before 7 am will be made the same working day, inspectionscalled in aftet 7 am will be made the following working day. Please leave your City designated job number, job address, type ofinspection and when you will be ready for inspection. FOR OFFICE USE ONLY Zone;Flood Plain:_ Type of Constr:J Occy Application fee Moving Permit Sanitary Sewer CaplSeptic Pump and Fill 5% State Surcharge 3% Administrative Fee -5 Total Blocks. $.60 per block Subtotal $ 18.00 s 60.00 $ 15.00 .75 .45 $94.20$ie $_ $ TOTAL $91 1)o applicable permit fee)(ifproperty sewer capped or the septic tank pumped and Date does not need the Receipt Number: \ I,/ECIALTRANSPORTATION :RMIT FOR.HOUSE MOVES PERMIT NO. N: 0021 07 KEl{ MARQUARDT s41 ) 345-630s OWNER NAME SA!.IE I ELTPHUNE () ADDRESS P0 Box 11764 ADOFESS ctrr,sm[F.zP Eugene, 0R 97440 (;IIY,SIAIE,ZIP -^. BUILDER REGISIRAT ION NUMBEH IJAIE 071301e7 PERMIT INSPECIION DEPOSI I PERMIT FEE $8.00 crE)K NUMBER- 10056 @MMODITY llood frame NO. OF SECTIONS 1 LENGTH *, 35' wrDrH *' 26' HHGHr *' 14'60 OVIHALL LENGTH 65' 1 2 3 1 2 3 1 2 3 1 2 3 PI.OTVEHICLE REOTJIREMENTS 2 LANE: 4 LANE: E HOHE fi rcrue ErnoNr hrnor.n EREAR D neas 11th St & l{ain Spri ngfi eI d Uts I INA I IUN AUUHESS 6th St & Garfield Eugene ffi 1974 Kenworth Dump Truck ID NO. 138998 PUO NO. YCRC126 LI(;ENI'L NU.U{JM}" N(J. ROUTE l{cKenzie Hwy (15) Pacific t{est (11{) House ilove Route: HIGHWAY LOWEST REVERSE SIDE OF THIS PERMIT FOR SPECIAL PROVISIONS * THE PERMITTEE SHALL NOTIFY THE DISTRICT MANAGER, OR THEIR REPRESENTATIVE, OF THE MOVE AT LEAST 24 9:*sgg Junction ulith 1l'| 6th & Garfield on l{ain to Frankl t{est on Cross in in; eld 2.20 1 25.81 0.00 122.26 t{est on Iene. llth & l,lain Junction of Hwy 15 & 1l{ leginning at 11th and 5th Street, North on ( JVhHHtrAU D IFTUU II WIDTH OF PAVEMENT USABLEROADWAY TYPE OF PAVEMENT EXPIRATION DATE 08103197[8'tutt"offun SUNDAY August 3, 1997to 9:30 AM.5 734-2006 (4-94) CEMENTOF THEHOURS tsEUINNINq AUUHEN I i